Sample records for district limpopo province

  1. Knowledge about HIV and AIDS among Young South Africans in the Capricorn District, Limpopo Province

    ERIC Educational Resources Information Center

    Melwa, Irene T.; Oduntan, Olalekan A.

    2012-01-01

    Objective: To assess the basic knowledge about HIV and AIDS among young South Africans in the Capricorn District of Limpopo Province, South Africa. Design: A questionnaire-based cohort study, involving data collection from senior high school students. Setting: Randomly selected high schools in the Capricorn District, Limpopo Province, South…

  2. An improved model for provision of rural community-based health rehabilitation services in Vhembe District, Limpopo Province of South Africa

    PubMed Central

    Netshandama, Vhonani O.; Francis, Joseph

    2016-01-01

    Background In 1991, Riakona Community Rehabilitation Programme initiated community-based rehabilitation (CBR) in the Vhembe District of Limpopo Province. Subsequently, the South African government adopted the programme. Aim The aim of the study was to suggest an improvement in the model of providing CBR services. Setting The study was conducted in six rehabilitation centres located in hospitals in the Vhembe District in Limpopo Province of South Africa. Method A mixed-mode research design with qualitative and quantitative elements was used to conduct the study. Content analysis, the chi-square test for Goodness of Fit and the Kruskal–Wallis and Mann–Whitney non-parametric tests were conducted. Results The key determinants of client satisfaction with the services that the community rehabilitation workers rendered included provision of assistive devices and the adoption of a holistic approach to their work. Overall, satisfaction per domain for each one of the five domains of satisfaction scored less than 90%. More than 80% of clients were satisfied with empathy (83%) and assurance (80%) domains. Tangibles, reliability and responsiveness domains had scores of 78%, 72% and 67%, respectively. These results, together with the reasoning map of conceptual framework description, were used as the building blocks of the CBR model. Conclusion The improved CBR model is useful for putting the programme into practice. This is particularly so for the CBR managers in the districts of the Limpopo Province. PMID:27380835

  3. Epidemiological profile of patients utilising public oral health services in Limpopo province, South Africa.

    PubMed

    Thema, Lawrence K; Singh, Shenuka

    2017-07-12

    Despite the impact of oral diseases on the quality of life, there is limited updated evidence on oral health status in Limpopo province. To determine the epidemiological profile of patients utilising public oral health services in Limpopo province. This was a descriptive retrospective clinical chart review conducted in five purposively selected district hospitals in Limpopo province. The collected data included the patient's sociodemographic information, reasons for dental consultation, information on the dental or oral diseases and the treatment received. Five hundred clinical files were systematically selected (100 from each district hospital) for the period 01 January 1995 to 31 December 2013. Data were collected using the World Health Organization's indicator age groups, namely 6-year-olds, 12-year-olds, 18-year-olds and 35-44-year-old groups. A data capturing sheet was used to record the collected information. Data were analysed using the statistical software package for social sciences SPSS version 23.0. The majority of patients were in the age group of 6 to 20 years (n = 375, 75%). The majority were male patients (n = 309; 62%). Dental caries was the most common complaint (n = 298, 60%). The second most common main complaint in this age group was retained primary or deciduous teeth (n = 60, 12%) affecting children mainly in the age group of 6 to 12 years. The most common clinical procedure across all five districts was dental extractions (n = 324, 64%). Other clinical interventions included scaling and polishing (n = 33, 12%) and dental restorative care (n = 20, 3%). There is an urgent need to reorient oral health service delivery in Limpopo province to focus more on preventive oral health programmes.

  4. Views of teenagers on termination of pregnancy at Muyexe high school in Mopani District, Limpopo Province, South Africa

    PubMed Central

    Lebese, Tsakani R.; Maputle, Sonto M.; Mulaudzi, Lindiwe

    2016-01-01

    Background Teenage pregnancy is a global social health concern especially because of the HIV and AIDS pandemic, sexually transmitted infections, high rate of termination of pregnancy (TOP), adolescents’ parenthood and decreased level of contraceptives. Aim To explore the views of teenagers on the TOP at Muyexe high school in a rural village of Mopani District, Limpopo Province. Setting Muyexe high school in a rural village of Mopani District, Limpopo Province, in South Africa. Methodology A qualitative method using explorative and descriptive designs was used to find in-depth description and understanding of teenagers’ views on TOP. The target population was girls aged 15–19 years at Muyexe high school in Mopani District. Non-probability, convenient sampling was used to select high school teenage girls who had undergone TOP for the study. Data were collected using individual self-report technique (interview). Tesch’s eight steps of qualitative data analysis were used. Measures to ensure trustworthiness and ethical considerations were observed. Results Two major themes were revealed: (1) Views of teenagers regarding TOP (poverty, relationship problems and single parenthood, negative impact on the teen’s life while attending school) and (2) teenager’s fears regarding pregnancy (stigma, fear of parents and friends, rape and incest and fear of giving birth). Conclusion Majority of participants had knowledge about TOP; some had experiences about TOP while others held inadequate knowledge. Recommendations were based on the findings by teaching dangers of TOP and various contraceptive methods to prevent unwanted pregnancies and TOP. PMID:27380849

  5. Geographical distribution and profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa.

    PubMed

    Ntuli, Samuel T; Maboya, Edwin

    2017-09-27

    The shortage and unequal distribution of medical doctors in low- and middle-income countries continues to be a public health concern. To establish the geographical distribution and demographic profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa. The PERSAL system was used to obtain information on the number of medical doctors employed in public sector hospitals of the Limpopo Province. Data were exported from PERSAL's database and then analysed using STATA version 9.0. The mean age of the 887 medical doctors was 40.1 ± 11.2 years (range 24-79 years). Sixty per cent of the doctors were male, 66% were aged ≤ 45 years and 84% were African. Most of the doctors (86%) were medical officers, of which 55% had < 5 years working experience. Overall, the doctor-to-population ratio for the five districts in the province was 16.4/100 000, with Capricorn (33.7/100 000) and Waterberg (20.2/100 000) recording the highest ratios. A large proportion (43%) of medical officers are employed in the Capricorn District, of which 71% were practising at the tertiary hospital. This study demonstrated a shortage and maldistribution of medical doctors in the public sector hospitals of the Limpopo Province. This has a potentially negative effect on the delivery of an appropriate and efficient healthcare service to the population and requires urgent attention.

  6. Long-run relative importance of temperature as the main driver to malaria transmission in Limpopo Province, South Africa: a simple econometric approach.

    PubMed

    Komen, Kibii; Olwoch, Jane; Rautenbach, Hannes; Botai, Joel; Adebayo, Adetunji

    2015-03-01

    Malaria in Limpopo Province of South Africa is shifting and now observed in originally non-malaria districts, and it is unclear whether climate change drives this shift. This study examines the distribution of malaria at district level in the province, determines direction and strength of the linear relationship and causality between malaria with the meteorological variables (rainfall and temperature) and ascertains their short- and long-run variations. Spatio-temporal method, Correlation analysis and econometric methods are applied. Time series monthly meteorological data (1998-2007) were obtained from South Africa Weather Services, while clinical malaria data came from Malaria Control Centre in Tzaneen (Limpopo Province) and South African Department of Health. We find that malaria changes and pressures vary in different districts with a strong positive correlation between temperature with malaria, r = 0.5212, and a weak positive relationship for rainfall, r = 0.2810. Strong unidirectional causality runs from rainfall and temperature to malaria cases (and not vice versa): F (1, 117) = 3.89, ρ = 0.0232 and F (1, 117) = 20.08, P < 0.001 and between rainfall and temperature, a bi-directional causality exists: F (1, 117) = 19.80; F (1,117) = 17.14, P < 0.001, respectively, meaning that rainfall affects temperature and vice versa. Results show evidence of strong existence of a long-run relationship between climate variables and malaria, with temperature maintaining very high level of significance than rainfall. Temperature, therefore, is more important in influencing malaria transmission in Limpopo Province.

  7. Demographic Profile and Perceived Inset Needs of Secondary Mathematics Teachers in Limpopo Province

    ERIC Educational Resources Information Center

    Rakumako, Angeline; Laugksch, Rüdiger

    2010-01-01

    The findings of a study on the demographic profile and perceived INSET needs of secondary Mathematics teachers in Limpopo province are described. The survey instrument employed was the "Science Teacher Inventory of Needs for Limpopo province" ("STIN-LP"). Most teachers who responded to this survey teach at a rural or township…

  8. IT Implementation in ITE in the Limpopo Province (South Africa): A Dream or Reality?

    ERIC Educational Resources Information Center

    Monobe, Ratau John

    2011-01-01

    This paper describes the results of a survey about the most critical issues facing the implementation of IT (information technology) ITE (initial teacher education) in all the HBUs (historically black universities) in the Limpopo Province of South Africa. Over 250 responses were received and both universities in the Limpopo Province were…

  9. Prevalence of anaemia and its associated factors in African children at one and three years residing in the Capricorn District of Limpopo Province, South Africa.

    PubMed

    Mamabolo, Ramoteme L; Alberts, Marianne

    2014-09-23

    The present study evaluated the prevalence of anaemia and its determinants in one- and three-year-old children from the Capricorn District of Limpopo Province, South Africa. A prospective cohort study conducted in rural villages in the Capricorn District of Limpopo Province, South Africa. At birth, a cohort of 219 children was followed until they were one and three years of age. Data collected included the children's anthropometric measurements, blood for biochemical analysis (full blood count, ferritin, folate and vitamin B12) and socio-demographic status. At one year, anaemia (Hb < 11 g/dL) was present in 52% of the children, decreasing to 22% by the third year. Iron deficiency (ferritin < 12 µg/mL) was common in these children (39% and 33% at one year and three years, respectively) particularly in the presence of anaemia. Folate and vitamin B12 deficiencies (< 5 ng/mL and < 145 pg/mL, respectively) were common at one year, with the children accumulating enough vitamin B12 by three years; however, folate deficiency levels remained fairly constant between the two time points. There was a high prevalence of anaemia in the study participants at one year and three years of age. Factors that increased the risk of anaemia at three years were: a mother with only a primary school education, anaemia at one year, male gender, overweight, and combined overweight and stunting. Protective factors against anaemia were having a younger mother who served as the main caregiver.

  10. Mycotoxin contamination of home-grown maize in rural northern South Africa (Limpopo and Mpumalanga Provinces).

    PubMed

    Mngqawa, P; Shephard, G S; Green, I R; Ngobeni, S H; de Rijk, T C; Katerere, D R

    2016-01-01

    The aim of this study was to assess mycotoxin contamination of crops grown by rural subsistence farmers over two seasons (2011 and 2012) in two districts, Vhembe District Municipality (VDM, Limpopo Province) and Gert Sibande District Municiality (GSDM, Mpumalanga Province), in northern South Africa and to evaluate its impact on farmers' productivity and human and animal health. A total of 114 maize samples were collected from 39 households over the two seasons and were analysed using a validated liquid chromatography-tandem mass spectrometry mycotoxins method. Aflatoxin B1 (AFB1) occurrence ranged from 1 to 133 µg kg(-1) in VDM while AFB1 levels in GSDM were less than 1.0 µg kg(-1) in all maize samples. Fumonisin B1 levels ranged from 12 to 8514 µg kg(-1) (VDM) and 11-18924 µg kg(-1) (GSDM) in 92% and 47% positive samples, respectively, over both seasons. Natural occurrence and contamination with both fumonisins and aflatoxins in stored home-grown maize from VDM was significantly (p < 0.0001) higher than from GSDM over both seasons.

  11. Factors that contribute to public sector nurses’ turnover in Limpopo province of South Africa

    PubMed Central

    2013-01-01

    Abstract Background The ongoing worldwide phenomenon of a shortage of about 4.3 million nurses and midwives poses a threat to health service delivery. Limpopo province had the worst nurse shortage of over 60% in 2010. Authors attribute this shortage to turnover of nurses. The quest to describe factors contributing to nurses’ turnover led to this study in Limpopo province, South Africa. Objectives To explore and describe factors that contribute to nurses’ turnover in Limpopo province of South Africa by assessing public sector nurses’ job satisfaction in relation to common determinants of job satisfaction. Method A descriptive cross-sectional approach used primary quantitative data collected from 141 of 380 respondents (31.1% response rate) contacted incidentally. Self-administered hand-delivered questionnaires were used to gather ordinal data, which were analysed in terms of frequency and percentage tables using the Statistical Package for Social Sciences version 6. The sum of positive and negative effects was used to determine satisfaction; if positive effects were greater than negative effects respondents were judged to be satisfied and vice versa. Results Frequency and percentage tables revealed that nurses in Limpopo province were more dissatisfied (53.9%) than satisfied (37.8%) with their jobs. Factors which respondents were found to be dissatisfied with included staffing (85.2%), availability of workplace resources (83.7%), salaries (78.8%), workplace safety (73.7%), career development opportunities (64.5%) and hours of work (47.6%). Conclusion Nurses’ turnover is attributed to nurses’ dissatisfaction with staffing, resources, salaries and workplace safety. Attention needs to be given to these specific issues if retention of nurses is to be achieved.

  12. Effects of increased nurses' workload on quality documentation of patient information at selected Primary Health Care facilities in Vhembe District, Limpopo Province.

    PubMed

    Shihundla, Rhulani C; Lebese, Rachel T; Maputle, Maria S

    2016-05-13

    Recording of information on multiple documents increases professional nurses' responsibilities and workload during working hours. There are multiple registers and books at Primary Health Care (PHC) facilities in which a patient's information is to be recorded for different services during a visit to a health professional. Antenatal patients coming for the first visit must be recorded in the following documents: tick register; Prevention of Mother-ToChild Transmission (PMTCT) register; consent form for HIV and AIDS testing; HIV Counselling and Testing (HCT) register (if tested positive for HIV and AIDS then this must be recorded in the Antiretroviral Therapy (ART) wellness register); ART file with an accompanying single file, completion of which is time-consuming; tuberculosis (TB) suspects register; blood specimen register; maternity case record book and Basic Antenatal Care (BANC) checklist. Nurses forget to record information in some documents which leads to the omission of important data. Omitting information might lead to mismanagement of patients. Some of the documents have incomplete and inaccurate information. As PHC facilities in Vhembe District render twenty four hour services through a call system, the same nurses are expected to resume duty at 07:00 the following morning. They are expected to work effectively and when tired a nurse may record illegible information which may cause problems when the document is retrieved by the next person for continuity of care. The objective of this study was to investigate and describe the effects of increased nurses' workload on quality documentation of patient information at PHC facilities in Vhembe District, Limpopo Province. The study was conducted in Vhembe District, Limpopo Province, where the effects of increased nurses' workload on quality documentation of information is currently experienced. The research design was explorative, descriptive and contextual in nature. The population consisted of all nurses who

  13. Challenges faced by caregivers of children on antiretroviral therapy at Mutale Municipality selected healthcare facilities, Vhembe District, Limpopo Province.

    PubMed

    Mafune, Rhudzani V; Lebese, Rachel T; Nemathaga, Livhuwani H

    2017-08-28

    Children depend solely on caregivers who can be either parents or guardians for drug administration to enhance adherence to antiretroviral treatment (ART), which might pose any number of challenges. The purpose of this study was to explore and describe the challenges faced by caregivers of children on ART at Mutale Municipality, Vhembe District, Limpopo Province. The research design was qualitative, explorative, descriptive and contextual in nature. The population consisted of 16 caregivers who were 18 years of age and above, and mentally capable, irrespective of educational qualifications, caring for children aged between 0 and 15 years who were on ART between April 2013 and October 2014. Non-probability, purposive sampling was used to select the 16 caregivers. Required permission, approval and ethical clearance were obtained from the University of Venda Higher Degree Committee, Limpopo Provincial Health Department and relevant institutions. An in-depth, individual, unstructured interview method was used to collect data. One central question was asked: 'What are the challenges you experience when caring for a child on antiretroviral treatment?' Subsequent questions were based on the participants' responses to the central question. Qualitative data were analysed by means of Tesch's open-coding method. The findings of this study revealed that participants, that is, caregivers of children on ART, experienced financial burdens because of transport costs needed to comply with follow-up dates and insufficient of money for food, clothing the child in need of care, pocket money for lunch boxes during school hours and time lost while waiting for consultations. Participants reported some level of stigmatisation against children on ART by family members, especially the husbands or in-laws of the secondary caregivers. Many primary and secondary caregivers seemed to have given up seeking support from government and community structures. The conclusions drawn from this research

  14. Factors affecting integration of midwifery nursing science theory with clinical practice in Vhembe District, Limpopo Province as perceived by professional midwives.

    PubMed

    Malwela, Thivhulawi; Maputle, Sonto M; Lebese, Rachel T

    2016-05-24

    Professional midwives have an important role to play in midwifery training to produce a competent midwife. According to the social learning theory, professional midwives act as role models for students. When allocated for clinical learning experiences in the training hospitals, students will have the opportunity to observe the well-trained, skilled, and experienced professional midwives. The whole process will enable students to integrate theory with practice and they will become competent. The aim of this study was to determine the factors affecting integration of midwifery nursing science theory with clinical practice as perceived by midwives. The study was conducted at the training hospitals in Vhembe district of the Limpopo Province, South Africa. These hospitals were: Donald Fraser, Siloam, and Tshidzini. A qualitative explorative, descriptive and contextual design was used. A Nonprobability, convenient sampling method was used to select 11 midwives from the following hospitals: Donald Fraser, Siloam, and Tshidzini, in Vhembe district. In-depth individual interviews were conducted. Data were analysed through open coding method. One theme and five sub-themes emerged from the analysed data, namely: shortage of midwives, attitudes towards student midwives, reluctance to perform teaching functions, language barriers, and declining midwifery practice standards. Shortage of midwives in the clinical areas led to fewer numbers of mentors whom the students could observe and imitate to acquire clinical skills. Some of the midwives were reluctant to teach students. Recommendations were made for both training institutions and hospitals to employ preceptors for students in the clinical practical.

  15. Experiences of primary health care nurses in implementing integrated management of childhood illnesses strategy at selected clinics of Limpopo Province.

    PubMed

    Vhuromu, E N; Davhana-Maselesele, M

    2009-09-01

    Treatment of the under five years is a national priority as an attempt in curbing deaths and deformities affecting children. Primary health care was implemented in the clinics in order to help in the treatment of illnesses affecting the community, including children. As a result of childhood illnesses; the World Health Organization (WHO) and United Nation Children's Fund (UNICEF) came up with Integrated Management of Childhood illnesses (IMCI) strategy to enhance treatment of such illnesses in developing countries. Primary health care nurses (PHCNS) in Limpopo Province were also trained to implement the strategy. This study is intended to explore and describe the experiences of PHCNS in implementing the IMCI strategy at selected clinics in Vhembe District in the Limpopo Province. A qualitative, explorative, descriptive and contextual design was used. In-depth interviews were conducted with PHCNS who are IMCI trained and have implemented the strategy for a period of not less than two years. Data analysis was done through using Tesch 's method of open coding for qualitative analysis. Findings revealed that PHCNS had difficulty in rendering IMCI services due to lack of resources and poor working conditions. Recommendations address the difficulties experienced by PHCNS when implementing the IMCI strategy.

  16. The utilization and management of plant resources in rural areas of the Limpopo Province, South Africa

    PubMed Central

    2013-01-01

    Background Most rural people in the Limpopo Province depend on plant resources to meet their livelihood needs. However, there is insufficient recorded information regarding their use and management. The current study therefore was carried out in selected villages of the Limpopo Province, to close this knowledge gap. Methods Information was collected from 60 people residing in two villages, using a semi-structured questionnaire, supplemented with field observations. Results A total of 47 wild plant species (95% indigenous and 5% exotics) from 27 families, mostly from the Fabaceae (17%), Anacardiaceae (9%), and Combretaceae (9%) were documented. These species were used primarily for firewood (40%), food (36%) and medicine (29%). Significantly used species included Sclerocarya birrea (85%), Combretum kraussii (35%) and Harpephyllum caffrum (35%). Local traditional rules and regulations including taboos, social beliefs and fines are in place to aid in the management of communal resources. However, a significant number (67%) of participants mentioned that they were not pleased with these rules and regulations. Conclusion The current study concluded that plant resources still play an important role in the surveyed rural areas of the Limpopo Province. Furthermore, for sustainable utilization and long-term conservation of plants in these areas the government should assist communities in the management of their plant resources. PMID:23590903

  17. Secondary School Teachers' Experiences of Teaching Pregnant Learners in Limpopo Province, South Africa

    ERIC Educational Resources Information Center

    Matlala, Sogo F.; Nolte, A. G. W.; Temane, M. A.

    2014-01-01

    This paper presents the findings of a study on the experiences of secondary school teachers on teaching pregnant learners in Limpopo Province. A qualitative, exploratory, descriptive and contextual design was used. Semi-structured interviews were conducted with ten purposively selected secondary school teachers. Data analysis yielded six themes,…

  18. Assessment of learners’ exposure to health education and promotion at school in the Limpopo Province of South Africa

    PubMed Central

    Tosin, Oni. H.

    2016-01-01

    Background School participation and educational attainment among adolescents have been rising rapidly in the developing world. Thus, to attain Millennium Development Goal 6 (Combat HIV and/or AIDs, malaria and other diseases), it is crucial to seize the opportunity to educate and encourage teenagers about healthy choices and proper social behaviours that will continue into adulthood. Aim This study aimed to assess the exposure of rural secondary school learners to health education and promotion at schools in the Limpopo Province of South Africa. Setting This study was carried out at 10 secondary schools in Vhumbedzi educational circuit. Methodology The study adopted a cross-sectional quantitative approach. Data were collected from 338 randomly selected learners from 10 secondary schools that make up a rural Vhumbedzi circuit in the Limpopo province. A self-administered questionnaire was used to collect data. Results The findings showed that, 102 (66.07%) male and 121 (67.60%) female learners reported that they were taught about physical changes that occur during adolescence. In the same vein, most of the participants (n = 128, 84.39%) and (n = 152, 85.39%) males and females respectively claimed to have been taught about sexually transmitted diseases. Conclusion In this study the secondary schools in the Limpopo Province of South Africa are making efforts to uphold and expose their learners to health education and promotion at school. PMID:27380860

  19. Menstrual knowledge and practices of female adolescents in Vhembe district, Limpopo Province, South Africa.

    PubMed

    Ramathuba, Dorah U

    2015-11-26

    Although sexual issues are openly discussed in the media, sexuality and reproductive functions are treated as taboo. Menstruation is a normal physiologic process, but carries various meanings within cultures and is rarely discussed amongst families and communities. This study sought to assess the knowledge and practices of secondary school girls towards menstruation in the Thulamela municipality of Limpopo Province, South Africa. A quantitative descriptive study design was used and respondents were selected by means of convenience sampling from a population of secondary school girls. The sample consisted of 273 secondary school girls doing Grades 10-12. A self-administered questionnaire was used to collect data, which was analysed by computing frequencies and percentages using the Statistical Package for Social Sciences (SPSS version 12). The findings revealed that respondents experienced menarche at 13 years and that menstruation is a monthly bleeding (80%) that happens to every female; it is a sign of adulthood (91%). 15% reported that it is the removal of dirt from the stomach and abdomen, 67% indicated the source of menstruation being the uterus, 65% the vagina and 13% from the abdomen. 73% reported having fear and anxiety at the first experience of bleeding and that they could not maintain adequate hygienic practices due to a lack of privacy and sanitary towels. Interventions are needed to increase girls' opportunities to discuss menstruation and access information from adults including mothers, parents and guardians. School-based sexuality education should be comprehensive, begin early and be regularly repeated.

  20. Infant feeding and HIV positive mothers in the Capricorn District of Limpopo province.

    PubMed

    Ramara, N S; Maputle, M S; Lekhuleni, M E

    2010-03-01

    HIV-positive mothers who practise infant feeding of their choice at Mankweng clinic in the Limpopo province are experiencing specific problems with various feeding methods. This study was undertaken with the aim to explore and describe the socioeconomic and cultural experiences of HIV-positive mothers who practise infant feeding of their choice. The research design was exploratory, descriptive, qualitative and contextual in nature. A phenomenological approach was adopted to focus on the lived experiences of HIV-positive mothers. The study sample was purposely selected. Ten HIV-positive mothers volunteered to participate in the study. Data were collected through in-depth unstructured interviews. All participants responded to an open-ended question: "Could you please tell me, in detail, your experience on infant feeding of your choice?" Interviews were conducted until saturation, as was reflected in repeating themes, was reached. The model of trustworthiness, as outlined in Guba and Lincoln (1985:301-318), to ensure credibility and dependability, was used in this study. The study adhered to the ethical standards as set by DENOSA (1998:2.3.2-2.3.4). Data were analysed according to Tesch's method, as outlined in Creswell (2003:192) and De Vos (1998:343). Literature control was performed to verify the results. Two main categories that emerged were guided by options for infant feeding; namely those that chose formula feeding for their babies and those participants who opted to breast-feed their babies. The study proposed to recommend guidelines for the development of relevent content for inclusion in health education programmes of registered midwives who, in turn, can use such information to educate mothers.

  1. Risk factors for visual impairment and blindness amongst black adult diabetics receiving treatment at Government healthcare facilities in Mopani District, Limpopo province, South Africa.

    PubMed

    Mabaso, Raymond G; Oduntan, Olalekan A

    2014-11-21

    Diabetes mellitus (DM) is a common systemic disease amongst Black South Africans. It may lead to diabetic retinopathy (DR), a common cause of visual impairment (VI) and blindness. DR may signifiantly increase the prevalence of VI and blindness. To assess risk factors for VI and blindness amongst a black diabetic South African population aged ≥ 40 years. The study was conducted in seven Government healthcare facilities (two hospitals, four clinics and one health centre) in Mopani District, Limpopo province, South Africa. This was a cross-sectional health facility-based quantitative study. Structured interviews were used to obtain information, which included sociodemographic profie, knowledge about DM and its ocular complications, presence of hypertension and accessibility to health facilities. Subsequently participants were examined for VI and blindness using an autorefractor, pinhole disc, ophthalmoscope and logMAR visual acuity chart. Anthropometric measurements (height, weight and waist) were also taken. Associations between 31 risk factors and VI as well as blindness were statistically examined. Participants (N = 225) included 161 women and 64 men aged 40-90 years (mean 61.5 ± 10.49 years); 41.3% of them had VI and 3.6% were blind. Cataracts (76.8%) and DR (7.1%) were the common causes of compensated VI and blindness. Risk factors that were associated with VI and blindness were age, monthly income, compliance with losing weight and physical activity. Findings suggest that lifestyle intervention and appropriate eyecare programmes may reduce VI and blindness in this population.

  2. Shangaan patients and traditional healers management strategies of hypertension in Limpopo Province.

    PubMed

    Risenga, P R; Botha, A; Tjallinks, J E

    2007-03-01

    The study explored the cultural care beliefs, values and attitudes of Shangaans patients' and traditional healers' management strategies of hypertension in the Limpopo Province. The study aimed to describe the cultural values, beliefs and practices including taboos, rituals and religion within the world-view of the Shangaans. The study was undertaken in the Mopani region of the Greater Giyani area, with the purpose of recommending improvements to patient care in this area. Data collection was done by conducting focus groups and individual interviews. The following themes emerged. Hypertension. The traditional healer: the instrumental role. Traditional medicine versus Western medicine. Magico-religious healings. Cultural beliefs of Shangaans and hypertension. Experiences of hypertensive patients with regard to traditional healers and hypertension.

  3. From the "Kraal" to the Classroom: Shifting Musical Arts Practices from the Community to the School with Special Reference to Learning "Tshigombela" in Limpopo, South Africa

    ERIC Educational Resources Information Center

    Emberly, Andrea; Davidson, Jane

    2011-01-01

    In South Africa the arts and culture educational curriculum has undergone immense change and continues to impact and influence the role of musical arts practices in children's lives throughout the country. In specific districts of the Limpopo province in particular, musical practices of the Venda culture are being integrated into the school…

  4. Risk factors for visual impairment and blindness amongst black adult diabetics receiving treatment at Government healthcare facilities in Mopani District, Limpopo province, South Africa

    PubMed Central

    Oduntan, Olalekan A.

    2014-01-01

    Abstract Background Diabetes mellitus (DM) is a common systemic disease amongst Black South Africans. It may lead to diabetic retinopathy (DR), a common cause of visual impairment (VI) and blindness. DR may significantly increase the prevalence of VI and blindness. Aim To assess risk factors for VI and blindness amongst a black diabetic South African population aged ≥ 40 years. Setting The study was conducted in seven Government healthcare facilities (two hospitals, four clinics and one health centre) in Mopani District, Limpopo province, South Africa. Methods This was a cross-sectional health facility-based quantitative study. Structured interviews were used to obtain information, which included sociodemographic profile, knowledge about DM and its ocular complications, presence of hypertension and accessibility to health facilities. Subsequently participants were examined for VI and blindness using an autorefractor, pinhole disc, ophthalmoscope and logMAR visual acuity chart. Anthropometric measurements (height, weight and waist) were also taken. Associations between 31 risk factors and VI as well as blindness were statistically examined. Results Participants (N = 225) included 161 women and 64 men aged 40–90 years (mean 61.5 ± 10.49 years); 41.3% of them had VI and 3.6% were blind. Cataracts (76.8%) and DR (7.1%) were the common causes of compensated VI and blindness. Risk factors that were associated with VI and blindness were age, monthly income, compliance with losing weight and physical activity. Conclusion Findings suggest that lifestyle intervention and appropriate eyecare programmes may reduce VI and blindness in this population. PMID:26245418

  5. Dealing with diversity: incorporating cultural sensitivity into midwifery practice in the tertiary hospital of Capricorn District, Limpopo Province.

    PubMed

    Maputle, M S; Jali, M N

    2006-11-01

    The purpose of this study was to determine the current and patterned care life ways of mothers from diverse cultural groups that deliver their babies at level III hospital in Limpopo Province. Knowledge from the findings will be used to develop guidelines that will attempt to enhance the inco-operation of culture-sensitivity into midwifery practice. An exploratory, descriptive, contextual and qualitative design was used. The ethnographic approach was used. Semi-structured interviews and unstructured conversations were conducted with 24 mothers who are from diverse ethnic groups. Mothers were purposively selected. To analyse data, Mile's and Huberman's (1994) approach was adopted. This approach consists of three linked sub-processes, namely, data reduction, data display and conclusion drawing/ verification. To ensure trustworthiness in qualitative research, Lincoln and Guba's Model (1985) was implemented. Four (4) themes emerged from the analysis of data, namely, expectations and experiences of midwifery care; meaning and value of childbirth; beliefs and cultural practices during childbirth and coping strategies used during childbirth. The guidelines were developed and fitted within the Sunrise Model Theory (Leininger, 1991:41) that includes the three modes, namely, culture care preservation and /or maintenance; culture care accommodation and/ or negotiation and culture care repatterning and/or restructuring.

  6. Genetic diversity and distribution of Mycobacterium tuberculosis genotypes in Limpopo, South Africa.

    PubMed

    Maguga-Phasha, N T C; Munyai, N S; Mashinya, F; Makgatho, M E; Mbajiorgu, E F

    2017-12-12

    Tuberculosis remains a major health problem and knowledge of the diversity of Mycobacterium tuberculosis strains in specific geographical regions can contribute to the control of the disease. This study describes the genetic profile of M. tuberculosis in five districts of Limpopo Province. A total 487 isolates were collected from the National Health Laboratory Services from all regions/districts of Limpopo Province. Only 215 isolates were confirmed to be M. tuberculosis by Bactec Mycobacterium Growth Indicator Tube 960® and Rhodamine-Auramine staining. Isolates were subcultured on Löwenstein-Jensen medium agar slants to validate purity. They were spoligotyped and data analysed using the international spoligotyping database 4 (SpolDB4). Of the 215 isolates, 134 (62.3%) were genotyped into 21 genotype families while 81 (37.7%) were orphans. The 81 orphans were further subjected to resolution employing SpolDB3/RIM. Overall, the study revealed a high diversity of strains of 32 predominantly the non-Beijing lineages: the LAM- LAM3 (9.8%), LAM9 (4.7%) and LAM11- ZWE (3.3%), the T-T1(15.0%), T2 (0.9%), T2-T3 (1.4%), the CAS-CAS1-Delhi 5 (1.9%) and CAS1-KILI (1.4%) the MANU2 (1.4%), U (0.5%), X-X1(1.4%), X3 (1.9%), S (9.8%), CAS (1.4%), LAM7(0.9%), T3(0.5%), LAM8(4.7%), T4(1.4%), X2(0.4%), AI5(1.9%), LAM1(0.5%), FAMILY33 (1.9%), EAI4(1.4%), M. microti (1.9%). The Beijing and Beijing-like families were (14.9%) and (0.9%), respectively. A total of 28(13%) clusters and 77(36%) unique cases were identified. Beijing strain (SIT 1) formed the biggest cluster constituting 14%, followed by LAM3 (SIT 33), T1 (SIT 53) and LAM4 (SIT 811) with 7%, 5.1% and 2.8%, respectively. The Beijing family was the only genotype found in all the five districts and was predominant in Mopani (18.8%), Sekhukhune (23.7%) and Vhembe (23.3%). Dominant genotypes in Capricorn and Waterberg were LAM3 (11.9%) and T1 (13.3%), respectively. A wide diversity of lineages was demonstrated at district level. A

  7. Spatio-temporal patterns and movement analysis of pigs from smallholder farms and implications for African swine fever spread, Limpopo province, South Africa.

    PubMed

    Fasina, Folorunso O; Mokoele, Japhta M; Spencer, B Tom; Van Leengoed, Leo A M L; Bevis, Yvette; Booysen, Ingrid

    2015-11-27

    Infectious and zoonotic disease outbreaks have been linked to increasing volumes of legal and illegal trade. Spatio-temporal and trade network analyses have been used to evaluate the risks associated with these challenges elsewhere, but few details are available for the pig sector in South Africa. Regarding pig diseases, Limpopo province is important as the greater part of the province falls within the African swine fever control area. Emerging small-scale pig farmers in Limpopo perceived pig production as an important means of improving their livelihood and an alternative investment. They engage in trading and marketing their products with a potential risk to animal health, because the preferred markets often facilitate potential longdistance spread and disease dispersal over broad geographic areas. In this study, we explored the interconnectedness of smallholder pig farmers in Limpopo, determined the weaknesses and critical control points, and projected interventions that policy makers can implement to reduce the risks to pig health. The geo-coordinates of surveyed farms were used to draw maps, links and networks. Predictive risks to pigs were determined through the analyses of trade networks, and the relationship to previous outbreaks of African swine fever was postulated. Auction points were identified as high-risk areas for the spread of animal diseases. Veterinary authorities should prioritise focused surveillance and diagnostic efforts in Limpopo. Early disease detection and prompt eradication should be targeted and messages promoting enhanced biosecurity to smallholder farmers are advocated. The system may also benefit from the restructuring of marketing and auction networks. Since geographic factors and networks can rapidly facilitate pig disease dispersal over large areas, a multi-disciplinary approach to understanding the complexities that exist around the animal disease epidemiology becomes mandatory.

  8. Literacy Learning in Limpopo--A Multilingual Environment

    ERIC Educational Resources Information Center

    Cherian, Lily; Du Toit, Cecilia

    2008-01-01

    This article is a report on research conducted to support the development of a multilingual literacy learning software programme for adult learners in rural Limpopo Province, South Africa. The topic of inquiry for the research was literacy learning in a multilingual environment, with special attention paid to attitudinal and metacognitive aspects.…

  9. Joint venture schemes in Limpopo Province and their outcomes on smallholder farmers livelihoods

    NASA Astrophysics Data System (ADS)

    Mapedza, Everisto; van Koppen, Barbara; Sithole, Pinimidzai; Bourblanc, Magalie

    2016-04-01

    Joint Venture schemes based on the floppy irrigation technology are being promoted in the post-Apartheid South Africa's Limpopo Province. Access to land and water resources in South Africa are largely viewed as a mechanism for re-dressing the Apartheid injustices. This research was part of a broader applied research to help inform irrigation practise in the Limpopo Province. The research used literature review, key informant interviews and a questionnaire survey. The overall research question sought to understand how the Joint Venture Schemes had benefited the smallholder farmers. This paper argues that the joint venture partnership created a new injustice. Firstly, the Joint Venture Scheme design is fundamentally a bad idea which disempower farmers not only to water access but also land as well. The choice of the 'efficient' floppy irrigation technology was made by the state and entailed that land had to be managed as a single unit. In order to make more effective use of this highly sophisticated new technology, the smallholder farmers also needed to go into a joint venture partnership with a white commercial farmer. By virtue of signing the Joint Venture agreement the farmers were also forfeiting their land and water rights to be used for crop production. The smallholder farmers lost access to their water and land resources and were largely relegated to sharing profits - when they exist - with hardly any skills development despite what was initially envisaged in the Joint Venture partnership. Secondly, the implementation of the JVS has been skewed from the start which explains the bad results. This paper further shows how the negative outcomes affected women in particular. As the smallholder farmers argue the technological options chosen by the state have excluded both male and female farmers from accessing and utilising their land and water resources in order to improve their livelihoods; it has entrenched the role of the state and the private interests at the

  10. Radical scavenging activity of selected medicinal plants from Limpopo province of South Africa.

    PubMed

    Chauke, A M; Shai, L J; Mphahlele, P M; Mogale, M A

    2012-01-01

    Plants collected from Limpopo province of South Africa were investigated for their antioxidative potential using the DPPH radical scavenging assay. Acetone extracts of Flueggea virosa had the highest antioxidant activity with an IC₅₀ value of 30 µg/ml, closely matching the ascorbic acid with an IC₅₀ value of 25 µg/ml. The lowest antioxidant readings were observed with extracts of Rhynchosia venulosa (root extract) and Ficus ingens (leaf extract). Acetone extract of Bridelia virosa leaves had the highest phenolic content (156 mg GAE/g extract), while the lowest content was recorded for R. venulosa root extract and leaf extract of F. ingens (8.3 and 17.7 mg GAE/g extract, respectively). There was a linear correlation between antioxidant activity and total phenolic content. Extracts with high phenolic content had low IC₅₀ values, while extracts with low phenolic concentrations had high IC₅₀ values.

  11. Parasites of South African wildlife. XIX. The prevalence of helminths in some common antelopes, warthogs and a bushpig in the Limpopo province, South Africa.

    PubMed

    Van Wyk, Ilana C; Boomker, Joop

    2011-11-10

    Little work has been conducted on the helminth parasites of artiodactylids in the northern and western parts of the Limpopo province, which is considerably drier than the rest of the province. The aim of this study was to determine the kinds and numbers of helminth that occur in different wildlife hosts in the area as well as whether any zoonotic helminths were present. Ten impalas (Aepyceros melampus), eight kudus (Tragelaphus strepsiceros), four blue wildebeest (Connochaetes taurinus), two black wildebeest (Connochaetes gnou), three gemsbok (Oryx gazella), one nyala (Tragelaphus angasii), one bushbuck (Tragelaphus scriptus), one waterbuck (Kobus ellipsiprymnus), six warthogs (Phacochoerus aethiopicus) and a single bushpig (Potamochoerus porcus) were sampled from various localities in the semi-arid northern and western areas of the Limpopo province. New host-parasite associations included Trichostrongylus deflexus from blue wildebeest, Agriostomum gorgonis from black wildebeest, Stilesia globipunctata from the waterbuck and Fasciola hepatica in a kudu. The mean helminth burden, including extra-gastrointestinal helminths, was 592 in impalas, 407 in kudus and blue wildebeest, 588 in black wildebeest, 184 in gemsbok, and 2150 in the waterbuck. Excluding Probstmayria vivipara, the mean helminth burden in warthogs was 2228 and the total nematode burden in the bushpig was 80. The total burdens and species richness of the helminths in this study were consistently low when compared with similar studies on the same species in areas with higher rainfall. This has practical implications when animals are translocated to areas with higher rainfall and higher prevalence of helminths.

  12. Comparative analysis of plant use in peri-urban domestic gardens of the Limpopo Province, South Africa

    PubMed Central

    2014-01-01

    Background Relatively little has been researched or published on the importance of peri-urban domestic gardens as part of a household livelihood strategy in South Africa. Due to lack of comprehensive data on peri-urban domestic gardens, their potential value as luxury green space, provision of food, income and ecosystem services to the fast growing urban population in South Africa is not clearly known. The aim of this study was to document differences and similarities in plant use and diversity in domestic gardens of two peri-urban communities in the Limpopo Province that differ in proximity to an urban area. Methods Data on plant use categories of 62 domestic gardens in the peri-urban areas of the Limpopo Province were collected in Seshego and Lebowakgomo. Semi-structured interviews, observation and guided field walks with 62 participants were employed between May and October 2012. Results A total of 126 plant species were recorded for both Seshego and Lebowakgomo. Domestic gardens in the more remote areas of Lebowakgomo were characterized by higher percentage of food plants (47 species, 83.8% of the total food plants recorded) and medicinal plants (31 species, 83.7%). Lebowakgomo domestic gardens were also characterized by higher numbers of indigenous plants (76.7%) showing similarities to the natural surrounding vegetation in terms of plant species. On the contrary, domestic gardens of Seshego on the periphery of the city centre were characterized by higher percentage of exotic species (81.8%) and ornamental plants (73%), with food plants playing a supplementary role. Comparison of the two areas demonstrated a remarkable difference in plant use and composition. Conclusions This study revealed that there are differences in utilization of plant resources between households on the edge of an urban centre and those in the more remote areas. Food and medicinal plants play an important role in remote areas; while ornamental plants play an important role in urban

  13. Midwives' experiences of managing women in labour in the Limpopo Province of South Africa.

    PubMed

    Maputle, S M; Hiss, D C

    2010-09-01

    The objective of this study was to explore and describe the experiences of midwives managing women during labour at a tertiary care hospital in the Limpopo Province. An exploratory, descriptive, contextual and inductive design was applied to this qualitative research study. Purposive sampling was used to select midwives who were working in the childbirth unit and had managed women during labour. A sample of 12 midwives participated in this study. Data were collected by means of unstructured individual interviews and analysed through an open coding method by the researchers and the independent co-coder. Categories identified were lack of mutual participation and responsibility sharing, dependency and lack of decision-making, lack of information-sharing, empowering autonomy and informed choices opportunities, lack of open communication and listening, non-accommodative midwifery actions, and lack of human and material infrastructure. To ensure the validity of the results, criteria to measure trustworthiness were utilized. This study has implications for woman-centered care by midwives managing women in labour and provides appropriate guidelines that should be integrated into the Batho-Pele Principles.

  14. Bapedi traditional healers in the Limpopo Province, South Africa: Their socio-cultural profile and traditional healing practice

    PubMed Central

    2014-01-01

    Background Bapedi traditional healers play a vital role in the primary health care of rural inhabitants in the Limpopo Province, South Africa. However, literature profiling their social and demographic variables, as well as their traditional healing practices is lacking. Methods Convenience sampling were used to identify and select two traditional healers from 17 municipalities (resulting in 34 healers being used in this pilot survey) of the Limpopo Province in South Africa. Information on the social and demographic variables, and traditional healing practices of these healers was gathered from January 2013 to July 2013, using a semi-structured questionnaire, supplemented by field surveys for plant identification and collection used in the preparation of remedies. Results Males constituted nearly two-thirds of the participants. Forty eight percent of them became healers through the mentoring of another healer, while 38% acquired their traditional healing knowledge from parents and 14% from grandparents. In contrast to this, 62% of the females obtained theirs from their parents, 30% from fellow traditional healers, and 8% from grandparents. A total of 154 plant species were indicated as used by healers in the treatment of 52 health-related problems. A vast majority (89%) of these practitioners reported that prepared herbal remedies do expire, which is a temperature-dependent process. Determinations of the efficacy of remedies by most healers (67%) were via consultation with ancestors (90%). This study also found that none of the interviewees had any knowledge of provincial or national environmental legislation. Conclusions The current study has shown that Bapedi traditional healers could play a leading role in both the preservation of indigenous knowledge and the primary health care sector. However, of concern is the traditional methods (via consulting ancestors) employed by most of these healers in determining efficacy of remedies, thus indicating a need for a

  15. A conceptual framework for cost management training in the Limpopo Province of South Africa.

    PubMed

    Jooste, Karien; Mothiba, Tebogo Maria

    2014-10-01

    This paper describes the perceptions of nurse managers about their dual role in nursing units as cost centres. The tertiary hospital in the Limpopo province is the first institution to appoint nurse managers with a dual role in cost centres. The development of a conceptual framework for a context-specific programme for Cost Centre Managers is the first of its nature in South Africa. A qualitative, exploratory, descriptive design was followed. The target population included nurse managers (n = 35) formally appointed as cost centre managers with a dual role of delivering quality care and cost management. A focus group and individual interviews were conducted until data saturation occurred. Personal and professional distress, an empowering potential of being a cost centre manager, and the need for decentralized cost centre management were indicated as barriers for nurse managers that led to a framework for a context-specific training programme. There is a need for a context-specific training programme for cost centre managers in a hospital with cost centres. The training of cost centre managers for their dual role in cost centres could enhance cost effectiveness, quality care and staff satisfaction. © 2013 John Wiley & Sons Ltd.

  16. Rationalisation of nursing education in Limpopo province : nurse educators' perspectives.

    PubMed

    Makhuvha, T R; Davhana-Maselesele, M; Netshandama, V O

    2007-12-01

    Nursing education institutions are facing a challenge of realigning its functioning according to the changes that are taking place within the country. The intention of the government post apartheid was to correct the imbalances which were brought about by the apartheid government and the following regulations and policies influenced the change in nursing education, that is, Reconstruction and Development Programme (RDP), White Paper on Higher Education (WPHE), and the National Qualification Framework (NQF) (South Africa, 1995:6). In 1996 the government introduced the first democratic constitution of the Republic of South Africa (RSA) according toAct 108 of 1996. In the light of those increasing changes in nursing education, led by political change, the experiences of nurse educators is a critical issue facing nursing campuses. The purpose of this study was two-fold; namely: to explore and describe the experiences of nurse educators with regard to the rationalisation of nursing education and to use information obtained to describe guidelines for the effective rationalisation of a nursing college in the Limpopo Province. A qualitative, exploratory, descriptive and contextual research design was used. Qualitative interviews were conducted with nurse educators who worked in nursing colleges before and after 1994. Measures to ensure trustworthiness were applied and ethical issues were adhered to throughout the research process. Data was analysed following Tesch's method (Creswell 1994:154-155). The research established that nurse educators experienced dissatisfaction in several areas relating to the rationalization of nursing education. Support was also expected from bureaucracy at higher level. This study developed guidelines to policy makers and nurse educators to ensure effective rationalisation process.

  17. Inclusion of climate change strategies in municipal Integrated Development Plans: A case from seven municipalities in Limpopo Province, South Africa

    PubMed Central

    2016-01-01

    The Intergovernmental Panel on Climate Change (IPCC) has made it clear that anthropogenic greenhouse gasses are the main cause of observed global warming that leads to climate change. Climate change is now a global reality. In the South African political set-up, local municipalities are the structures that are in direct contact with communities and they draw up Integrated Development Plans (IDPs), which are reviewed and upgraded annually. The article seeks to investigate the extent to which climate change adaptation and mitigation strategies are embedded IDPs in seven vulnerable municipalities in the Limpopo Province. The article conducted an in-depth content analysis of the IDPs of the seven municipalities and the results have revealed that these municipalities have not included adaptation and mitigation strategies adequately in their IDPs despite being the most vulnerable municipalities in the province. The article concludes that these municipalities have not as yet institutionalised climate change in their daily operations, planning and decision making. To this end, the paper recommends that local municipalities should include climate change adaptation and mitigation strategies in their IDPs.

  18. INVASIVE ALIEN PLANT SPECIES USED FOR THE TREATMENT OF VARIOUS DISEASES IN LIMPOPO PROVINCE, SOUTH AFRICA

    PubMed Central

    Maema, Lesibana Peter; Potgieter, Martin; Mahlo, Salome Mamokone

    2016-01-01

    Background: Invasive alien plant species (IAPs) are plants that have migrated from one geographical region to non-native region either intentional or unintentional. The general view of IAPs in environment is regarded as destructive to the ecosystem and they pose threat to native vegetation and species. However, some of these IAPS are utilized by local inhabitants as a substitute for scarce indigenous plants. The aim of the study is to conduct ethnobotanical survey on medicinal usage of invasive plant species in Waterberg District, Limpopo Province, South Africa. Materials and methods: An ethnobotanical survey on invasive plant species was conducted to distinguish species used for the treatment of various ailments in the Waterberg, District in the area dominated by Bapedi traditional healers. About thirty Bapedi traditional healers (30) were randomly selected via the snowball method. A guided field work by traditional healers and a semi-structured questionnaire was used to gather information from the traditional healers. The questionnaire was designed to gather information on the local name of plants, plant parts used and methods of preparation which is administered by the traditional healers. Results: The study revealed that Schinus molle L., Catharanthus roseus (L.), Datura stramonium L., Opuntia stricta (Haw.) Haw., Opuntia ficus- indica, Sambucus canadensis L., Ricinus communis L., Melia azedarch L., Argemone ochroleuca and Eriobotrya japónica are used for treatment of various diseases such as chest complaint, blood purification, asthma, hypertension and infertility. The most plant parts that were used are 57.6% leaves, followed by 33.3% roots, and whole plant, seeds and bark at 3% each. Noticeably, most of these plants are cultivated (38%), followed by 28% that are common to the study area, 20% abundant, 12% wild, and 3% occasionally. Schinus molle is the most frequently used plant species for the treatment of various ailments in the study area. National

  19. INVASIVE ALIEN PLANT SPECIES USED FOR THE TREATMENT OF VARIOUS DISEASES IN LIMPOPO PROVINCE, SOUTH AFRICA.

    PubMed

    Maema, Lesibana Peter; Potgieter, Martin; Mahlo, Salome Mamokone

    2016-01-01

    Invasive alien plant species (IAPs) are plants that have migrated from one geographical region to non-native region either intentional or unintentional. The general view of IAPs in environment is regarded as destructive to the ecosystem and they pose threat to native vegetation and species. However, some of these IAPS are utilized by local inhabitants as a substitute for scarce indigenous plants. The aim of the study is to conduct ethnobotanical survey on medicinal usage of invasive plant species in Waterberg District, Limpopo Province, South Africa. An ethnobotanical survey on invasive plant species was conducted to distinguish species used for the treatment of various ailments in the Waterberg, District in the area dominated by Bapedi traditional healers. About thirty Bapedi traditional healers (30) were randomly selected via the snowball method. A guided field work by traditional healers and a semi-structured questionnaire was used to gather information from the traditional healers. The questionnaire was designed to gather information on the local name of plants, plant parts used and methods of preparation which is administered by the traditional healers. The study revealed that Schinus molle L., Catharanthus roseus (L.), Datura stramonium L., Opuntia stricta (Haw.) Haw., Opuntia ficus- indica, Sambucus canadensis L., Ricinus communis L., Melia azedarch L., Argemone ochroleuca and Eriobotrya japónica are used for treatment of various diseases such as chest complaint, blood purification, asthma, hypertension and infertility. The most plant parts that were used are 57.6% leaves, followed by 33.3% roots, and whole plant, seeds and bark at 3% each. Noticeably, most of these plants are cultivated (38%), followed by 28% that are common to the study area, 20% abundant, 12% wild, and 3% occasionally. Schinus molle is the most frequently used plant species for the treatment of various ailments in the study area. National Environmental Management Biodiversity Act (NEMBA

  20. Hospital solid waste management practices in Limpopo Province, South Africa: A case study of two hospitals

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Nemathaga, Felicia; Maringa, Sally; Chimuka, Luke

    2008-07-01

    The shortcomings in the management practices of hospital solid waste in Limpopo Province of South Africa were studied by looking at two hospitals as case studies. Apart from field surveys, the generated hospital waste was weighed to compute the generation rates and was followed through various management practices to the final disposal. The findings revealed a major policy implementation gap between the national government and the hospitals. While modern practices such as landfill and incineration are used, their daily operations were not carried according to minimum standards. Incinerator ash is openly dumped and wastes are burned on landfills instead ofmore » being covered with soil. The incinerators used are also not environmentally friendly as they use old technology. The findings further revealed that there is no proper separation of wastes according to their classification as demanded by the national government. The mean percentage composition of the waste was found in the following decreasing order: general waste (60.74%) > medical waste (30.32%) > sharps (8.94%). The mean generation rates were found to be 0.60 kg per patient per day.« less

  1. An exploratory study of factors that affect the performance and usage of rapid diagnostic tests for malaria in the Limpopo Province, South Africa.

    PubMed

    Moonasar, Devanand; Goga, Ameena Ebrahim; Frean, John; Kruger, Philip; Chandramohan, Daniel

    2007-06-02

    Malaria rapid diagnostic tests (RDTs) are relatively simple to perform and provide results quickly for making treatment decisions. However, the accuracy and application of RDT results depends on several factors such as quality of the RDT, storage, transport and end user performance. A cross sectional survey to explore factors that affect the performance and use of RDTs was conducted in the primary care facilities in South Africa. This study was conducted in three malaria risk sub-districts of the Limpopo Province, in South Africa. Twenty nurses were randomly selected from 17 primary health care facilities, three nurses from hospitals serving the study area and 10 other key informants, representing the managers of the malaria control programmes, routine and research laboratories, were interviewed, using semi-structured questionnaires. There was a high degree of efficiency in ordering and distribution of RDTs, however only 13/20 (65%) of the health facilities had appropriate air-conditioning and monitoring of room temperatures. Sixty percent (12/20) of the nurses did not receive any external training on conducting and interpreting RDT. Fifty percent of nurses (10/20) reported RDT stock-outs. Only 3/20 nurses mentioned that they periodically checked quality of RDT. Fifteen percent of nurses reported giving antimalarial drugs even if the RDT was negative. Storage, quality assurance, end user training and use of RDT results for clinical decision making in primary care facilities in South Africa need to be improved. Further studies of the factors influencing the quality control of RDTs, their performance of RDTs and the ways to improve their use of RDTs are needed.

  2. Working conditions that contribute to absenteeism among nurses in a provincial hospital in the Limpopo Province.

    PubMed

    Nyathi, M; Jooste, K

    2008-03-01

    Absenteeism results in an increased workload for nurses who stand in for colleagues and can lead to situations in which a lack of motivation among nurses and a lowering of the quality of patient care may occur. The researcher observed that certain conditions, such as inflexible working schedules, were given as reasons for the absenteeism in units in a provincial hospital. A non-experimental, descriptive, quantitative study was undertaken. The purpose of the article was to describe the working conditions that contribute to absenteeism among the professional and sub-professional nurses at a provincial hospital in the Limpopo province of South Africa. The sample included 107 professional nurses and 163 sub-professional nurses who voluntarily agreed to participate in the study. A questionnaire was used to collect data, which was analysed by using descriptive and inferential statistics. The findings of this study indicated that personal and managerial characteristics, and organisational and working conditions may lead to absenteeism in the workplace. This article focuses on the working conditions that are constraints, namely inadequate group cohesion, inadequate delegation of autonomy, role ambiguity, ineffective routinisation and the effect of the workload in the workplace. Recommendations are made for improving working conditions to combat absenteeism among nurses. The limitations of this study are highlighted.

  3. An exploratory study of factors that affect the performance and usage of rapid diagnostic tests for malaria in the Limpopo Province, South Africa

    PubMed Central

    Moonasar, Devanand; Goga, Ameena Ebrahim; Frean, John; Kruger, Philip; Chandramohan, Daniel

    2007-01-01

    Background Malaria rapid diagnostic tests (RDTs) are relatively simple to perform and provide results quickly for making treatment decisions. However, the accuracy and application of RDT results depends on several factors such as quality of the RDT, storage, transport and end user performance. A cross sectional survey to explore factors that affect the performance and use of RDTs was conducted in the primary care facilities in South Africa. Methods This study was conducted in three malaria risk sub-districts of the Limpopo Province, in South Africa. Twenty nurses were randomly selected from 17 primary health care facilities, three nurses from hospitals serving the study area and 10 other key informants, representing the managers of the malaria control programmes, routine and research laboratories, were interviewed, using semi-structured questionnaires. Results There was a high degree of efficiency in ordering and distribution of RDTs, however only 13/20 (65%) of the health facilities had appropriate air-conditioning and monitoring of room temperatures. Sixty percent (12/20) of the nurses did not receive any external training on conducting and interpreting RDT. Fifty percent of nurses (10/20) reported RDT stock-outs. Only 3/20 nurses mentioned that they periodically checked quality of RDT. Fifteen percent of nurses reported giving antimalarial drugs even if the RDT was negative. Conclusion Storage, quality assurance, end user training and use of RDT results for clinical decision making in primary care facilities in South Africa need to be improved. Further studies of the factors influencing the quality control of RDTs, their performance of RDTs and the ways to improve their use of RDTs are needed. PMID:17543127

  4. Tracking data from nine free-roaming Cheetahs (Acinonyx jubatus) collared in the Thabazimbi area, Limpopo Province, South Africa.

    PubMed

    Marnewick, Kelly; Page-Nicholson, Samantha; Roxburgh, Lizanne; Somers, Michael J

    2017-01-01

    In partnership with the University of Pretoria, the Endangered Wildlife Trust's Carnivore Conservation Programme collared six male and three female free-roaming Cheetahs ( Acinonyx jubatus ) in the Thabazimbi area in Limpopo Province, South Africa. This study was undertaken to determine the spatial ecology of free-roaming Cheetahs that occur outside of formal protected areas on private ranchland, where they frequently come into conflict with, and are sometimes killed by, private landowners. The data were collected between September 2003 and November 2008, resulting in a total of 3165 location points (65 points from VHF collars and 3100 from GPS collars) for nine individual Cheetahs. This dataset provides distribution information about this Vulnerable species occurring outside of protected areas within South Africa. The dataset has been published to the Global Biodiversity Information Facility (www.GBIF.org) and provides the largest dataset on Cheetahs thus far, and, although it is spatially limited to a relatively small region on the African continent, it is the first study of its kind within South Africa. Also of significance is that the fate of 6 of the 9 collared Cheetahs is known, all except one of which died of anthropogenic causes.

  5. Tracking data from nine free-roaming Cheetahs (Acinonyx jubatus) collared in the Thabazimbi area, Limpopo Province, South Africa

    PubMed Central

    Marnewick, Kelly; Roxburgh, Lizanne; Somers, Michael J.

    2017-01-01

    Abstract Background In partnership with the University of Pretoria, the Endangered Wildlife Trust’s Carnivore Conservation Programme collared six male and three female free-roaming Cheetahs (Acinonyx jubatus) in the Thabazimbi area in Limpopo Province, South Africa. This study was undertaken to determine the spatial ecology of free-roaming Cheetahs that occur outside of formal protected areas on private ranchland, where they frequently come into conflict with, and are sometimes killed by, private landowners. The data were collected between September 2003 and November 2008, resulting in a total of 3165 location points (65 points from VHF collars and 3100 from GPS collars) for nine individual Cheetahs. New information This dataset provides distribution information about this Vulnerable species occurring outside of protected areas within South Africa. The dataset has been published to the Global Biodiversity Information Facility (www.GBIF.org) and provides the largest dataset on Cheetahs thus far, and, although it is spatially limited to a relatively small region on the African continent, it is the first study of its kind within South Africa. Also of significance is that the fate of 6 of the 9 collared Cheetahs is known, all except one of which died of anthropogenic causes. PMID:28325981

  6. Factors influencing teen mothers' enrollment and participation in prevention of mother-to-child HIV transmission services in Limpopo Province, South Africa.

    PubMed

    Varga, Christine; Brookes, Heather

    2008-06-01

    In this article, we examine barriers to HIV testing uptake and participation in prevention of mother-to-child HIV transmission (PMTCT) services among adolescent mothers aged 15 to 19 years in rural and urban Limpopo Province, South Africa. We used the narrative research method involving key informants constructing typical case studies of adolescent experiences with HIV testing and entry into PMTCT. Case studies formed the basis of a community-based questionnaire and focus group discussions with adolescent mothers. Client-counselor dynamics during pretest counseling were pivotal in determining uptake and participation, and counselor profile strongly influenced the nature of the interaction. Other factors found to influence adherence to PMTCT recommendations included HIV and early premarital pregnancy stigma, fear of a positive test result, and concerns over confidentiality and poor treatment by health care providers. Adolescents described elaborate strategies to avoid HIV disclosure to labor and delivery staff, despite knowing this would mean no antiretroviral therapy for their newborn infants. Theoretical, methodological, and programmatic implications of study findings are also discussed.

  7. [The assessment of vulnerability to floods in Guangdong province at district level].

    PubMed

    Zhu, Qi; Liu, Tao; Zhang, Yong-hui; Luo, Yuan; Wei, Yao; Xiao, Jian-peng; Zeng, Si-qing; Ma, Wen-jun

    2012-11-01

    To evaluate the vulnerability to floods in Guangdong province at district level. Data were collected from the sixth census, the 2010 Statistical Yearbook of Guangdong, the 2010 Health Statistics Yearbook of Guangdong and China Disease Prevention and Control information systems, etc. The weight of each indicator was determined based on subjective method and objective method respectively; and finally the results of the two methods were compared. 13 indicators were selected for the assessment of vulnerability to floods, including 6 sensitivity indicators, 5 adaptability indicators and 2 exposure indicators. Indicators with large weight (subjective weight/objective weight) were the proportion of population older than 65 years old (0.31/0.30), the proportion of population older than 65 years old (0.16/0.23), infant mortality rate (0.18/0.20), the total Gross Domestic Product (GDP) per capita (0.33/0.21), the proportion of illiterate in the population older than 15 years old (0.19/0.28), history frequency of floods (0.75/0.75). The mean vulnerability index (VI) calculated by subjective method was 0.35 with the standard deviation of 0.10; the mean vulnerability index calculated by objective method was 0.31 with the standard deviation of 0.08. The two weighting methods showed consistent results of vulnerability index (ICC = 0.975, P < 0.01). VI of most districts dropped in the interval of 0.30 - 0.39. Districts with subjective VI > 0.50 or objective VI > 0.40 should pay more attention to floods, including parts of the coastal areas, Beijiang River Basin, the eastern tributary area of Dongjiang River and the northern part of Pearl River Delta. Dapu district of Meizhou (0.55/0.45), Dianbai district and Maogang district of Maoming (0.54/0.48) were most vulnerable. Districts of Heyuan, Dongguan, Zhaoqing and Huizhou were less vulnerable, Yuancheng district of Heyuan showed least vulnerable to floods (0.15/0.12) followed by Dongguan (0.18/0.16), Duanzhou district (0

  8. Impact of life expectancy, literacy rate, opened unemployment rate and gross domestic regional income per capita on poverty in the districts/city in Central Sulawesi Province

    NASA Astrophysics Data System (ADS)

    Tombolotutu, A. D.; Djirimu, M. A.; Lutfi, M.; Anggadini, F.

    2018-05-01

    Research was conducted in several districts/city in Central Sulawesi Province in order to determine the effect of life expectancy, literacy rate, opened unemployment rate, and gross domestic regional income per capita on poverty at the districts/city in the province. The analysis used is Panel Data Regression. The results show that first, life expectancy and gross domestic regional income have a negative and significant impact on the poverty level in the districts/city in the Province. Second, the opened unemployment rate has a positive and significant effect on the poverty level in the districts/city in the province. Third, literacy rates show a positive effect and insignificant effect on the poverty level in the districts/city in the Province of Central Sulawesi. Fourth, these four variables simultaneously affect the poverty in the districts/city in Central Sulawesi

  9. Malaria prevalence in Nias District, North Sumatra Province, Indonesia.

    PubMed

    Syafruddin, Din; Asih, Puji B S; Wahid, Isra; Dewi, Rita M; Tuti, Sekar; Laowo, Idaman; Hulu, Waozidohu; Zendrato, Pardamean; Laihad, Ferdinand; Shankar, Anuraj H

    2007-08-30

    The Nias district of the North Sumatra Province of Indonesia has long been known to be endemic for malaria. Following the economic crisis at the end of 1998 and the subsequent tsunami and earthquake, in December 2004 and March 2005, respectively, the malaria control programme in the area deteriorated. The present study aims to provide baseline data for the establishment of a suitable malaria control programme in the area and to analyse the frequency distribution of drug resistance alleles associated with resistance to chloroquine and sulphadoxine-pyrimethamine. Malariometric and entomology surveys were performed in three subdistricts. Thin and thick blood smears were stained with Giemsa and examined under binocular light microscopy. Blood blots on filter paper were also prepared for isolation of parasite and host DNA to be used for molecular analysis of band 3 (SAO), pfcrt, pfmdr1, dhfr, and dhps. In addition, haemoglobin measurement was performed in the second and third surveys for the subjects less than 10 years old. Results of the three surveys revealed an average slide positivity rate of 8.13%, with a relatively higher rate in certain foci. Host genetic analysis, to identify the Band 3 deletion associated with Southeast Asian Ovalocytosis (SAO), revealed an overall frequency of 1.0% among the 1,484 samples examined. One hundred six Plasmodium falciparum isolates from three sub-districts were successfully analysed. Alleles of the dhfr and dhps genes associated with resistance to sulphadoxine-pyrimethamine, dhfr C59R and S108N, and dhps A437G and K540E, were present at frequencies of 52.2%, 82.5%, 1.18% and 1.18%, respectively. The pfmdr1 alleles N86Y and N1042D, putatively associated with mefloquine resistance, were present at 31.4% and 2%, respectively. All but one sample carried the pfcrt 76T allele associated with chloroquine resistance. Entomologic surveys identified three potential anopheline vectors in the area, Anopheles barbirostris, Anopheles kochi and

  10. Malaria prevalence in Nias District, North Sumatra Province, Indonesia

    PubMed Central

    Syafruddin, Din; Asih, Puji BS; Wahid, Isra; Dewi, Rita M; Tuti, Sekar; Laowo, Idaman; Hulu, Waozidohu; Zendrato, Pardamean; Laihad, Ferdinand; Shankar, Anuraj H

    2007-01-01

    Background The Nias district of the North Sumatra Province of Indonesia has long been known to be endemic for malaria. Following the economic crisis at the end of 1998 and the subsequent tsunami and earthquake, in December 2004 and March 2005, respectively, the malaria control programme in the area deteriorated. The present study aims to provide baseline data for the establishment of a suitable malaria control programme in the area and to analyse the frequency distribution of drug resistance alleles associated with resistance to chloroquine and sulphadoxine-pyrimethamine. Methods Malariometric and entomology surveys were performed in three subdistricts. Thin and thick blood smears were stained with Giemsa and examined under binocular light microscopy. Blood blots on filter paper were also prepared for isolation of parasite and host DNA to be used for molecular analysis of band 3 (SAO), pfcrt, pfmdr1, dhfr, and dhps. In addition, haemoglobin measurement was performed in the second and third surveys for the subjects less than 10 years old. Results Results of the three surveys revealed an average slide positivity rate of 8.13%, with a relatively higher rate in certain foci. Host genetic analysis, to identify the Band 3 deletion associated with Southeast Asian Ovalocytosis (SAO), revealed an overall frequency of 1.0% among the 1,484 samples examined. One hundred six Plasmodium falciparum isolates from three sub-districts were successfully analysed. Alleles of the dhfr and dhps genes associated with resistance to sulphadoxine-pyrimethamine, dhfr C59R and S108N, and dhps A437G and K540E, were present at frequencies of 52.2%, 82.5%, 1.18% and 1.18%, respectively. The pfmdr1 alleles N86Y and N1042D, putatively associated with mefloquine resistance, were present at 31.4% and 2%, respectively. All but one sample carried the pfcrt 76T allele associated with chloroquine resistance. Entomologic surveys identified three potential anopheline vectors in the area, Anopheles

  11. Malaria in Wanokaka and Loli sub-districts, West Sumba District, East Nusa Tenggara Province, Indonesia.

    PubMed

    Syafruddin, Din; Asih, Puji B S; Coutrier, Farah N; Trianty, Leily; Noviyanti, Rintis; Luase, Yaveth; Sumarto, Wajiyo; Caley, Marten; van der Ven, Andre J A M; Sauerwein, Robert W

    2006-05-01

    Malaria has long been known as one of the major public health problems in West Sumba District, East Nusa Tenggara Province, Indonesia. To obtain baseline data for establishment of a suitable malaria control program in the area, malariometric surveys were conducted in two sub-districts, Wanokaka and Loli, during the periods of January, May, and August 2005. The survey included three selected villages in each sub-district, and blood smear analyses of 701, 921, and 894 randomly selected subjects in January, May, and August revealed 30.5%, 25.3%, and 28.2% malaria positives, respectively, consisting mainly of Plasmodium falciparum and P. vivax, and in a few cases, P. malariae. Analysis of malaria prevalence at different age groups clearly reflected the common phenomenon that younger individuals are more vulnerable by infection of either P. falciparum or P. vivax. In falciparum malaria, the frequency of cases carrying gametocytes was also relatively high involving all age groups. The findings indicate that the malaria incidence and transmission in the area are relatively high and that further exploration is warranted to establish a precise malaria control program.

  12. Current situation of midwives in indonesia: Evidence from 3 districts in West Java Province

    PubMed Central

    2010-01-01

    Background The village midwife is a central element of Indonesia's strategy to improve maternal and child health and family planning services. Recently there has been concern that the midwives were not present in the villages to which they had been assigned. To determine the extent to which this was the case we conducted a field-based census and survey of village midwives in three districts in West Java Province, Indonesia. Findings In June 2009 we interviewed a random sample of village midwives from three districts - Ciamis, Garut and Sukabumi - in West Java Province. Trained interviewers visited all villages represented in the sample to interview the midwives. We also obtained information about the midwives and their professional activities in the last year. Thirty percent of village midwives had moved to another location in the 12 months between the end of 2008, when the sampling frame was constructed, and December 2009 when the survey was conducted; most had moved to a government health center or another village. Of those who were present, there was considerable variation between districts in age distribution and qualifications. The total number of services provided was modest, also with considerable variation between districts. The median number of deliveries assisted in the last year was 64; the amount and mix of family planning services provided varied between districts and were dominated by temporary methods. Conclusions Compared to an earlier survey in an adjacent province, the village midwives in these three districts were younger, had spent less time in the village and a higher proportion were permanent civil servants. A high proportion had moved in the previous year with most moving to a health center or another village. The decision to move, as well as the mix of services offered, seems to be largely driven by opportunities to increase their private practice income. These opportunities are greater in urban areas. As urbanization procedes the forces

  13. Assessment of Heavy Metals in Municipal Sewage Sludge: A Case Study of Limpopo Province, South Africa

    PubMed Central

    Shamuyarira, Kudakwashe K.; Gumbo, Jabulani R.

    2014-01-01

    Heavy metals in high concentrations can cause health and environmental damage. Nanosilver is an emerging heavy metal which has a bright future of use in many applications. Here we report on the levels of silver and other heavy metals in municipal sewage sludge. Five towns in Limpopo province of South Africa were selected and the sludge from their wastewater treatment plants (WWTPs) was collected and analysed. The acid digested sewage sludge samples were analysed using Inductively Coupled Plasma-Optical Emission Spectroscopy (ICP-OES) and Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) methods. The concentrations of silver found were low, but significant, in the range 0.22 to 21.93 mg/kg dry mass. The highest concentration of silver was found in Louis Trichardt town with a concentration of 21.93 ± 0.38 mg/kg dry mass while the lowest was Thohoyandou with a concentration of 6.13 ± 0.12 mg/kg dry mass. A control sludge sample from a pit latrine had trace levels of silver at 0.22 ± 0.01 mg/kg dry mass. The result showed that silver was indeed present in the wastewater sewage sludge and at present there is no DWAF guideline standard. The average Cd concentration was 3.10 mg/kg dry mass for Polokwane municipality. Polokwane and Louis Trichardt municipalities exhibited high levels of Pb, in excess DWAF guidelines, in sludge at 102.83 and 171.87 mg/kg respectfully. In all the WWTPs the zinc and copper concentrations were in excess of DWAF guidelines. The presence of heavy metals in the sewage sludge in excess of DWAF guidelines presents environmental hazards should the sludge be applied as a soil ameliorant. PMID:24595211

  14. Job satisfaction of registered nurses in a community hospital in the Limpopo Province in South Africa.

    PubMed

    Kekana, H P P; du Rand, E A; van Wyk, N C

    2007-06-01

    Nurses are confronted daily with the demands of an increased workload and insufficient facilities in the public healthcare sector in South Africa. The purpose of the study was therefore to determine the degree ofjob satisfaction of registered nurses in a community hospital in the Limpopo Province of South Africa. A quantitative descriptive design was used to meet the objectives of the study. The population was not sampled because of the small size of it. All the registered nurses who had one or more years experience in this hospital were included in the study. A self-administered questionnaire was used to collect data from them regarding the working conditions in the hospital including the emotional and social climate. The questionnaire was based on an instrument developed by Humphries and Turner (1989:303) to determine the degree of job satisfaction of nursing staff in a unit for elderly mentally retarded patients. The findings indicated that the majority of the respondents were dissatisfied about the working conditions and emotional climate in the hospital while they were fairly satisfied with the social climate. The workload and degree of fair remuneration, under the working conditions, were the most highly rated as dissatisfying (83% of the participants) while under the emotional climate they indicated that the pressure under which they worked was highly dissatisfying (82% of the participants). As the results indicated that the social climate was satisfactory; having a best friend at work and the chance to help other people while at work, were rated positively by 88% and 76% of the participants respectively. Recommendations made included that managers have to show the staff that their best interest is their number one concern. Leaders have to be available for the staff and being willing to buffer the stress caused by increased workload and insufficient resources. Greater visibility of supervisory staff should therefore be encouraged.

  15. Seismic crustal structure of the Limpopo mobile belt, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Stuart, G. W.; Zengeni, T. G.

    1987-12-01

    A 145 km N-S seismic traverse was deployed to determine the crustal structure of the Limpopo mobile belt in southern Zimbabwe and the nature of its northern boundary with the Zimbabwean craton. Rockbursts from South African gold mines to the south and regional seismicity from the Kariba-South Zambia belt to the north were used as seismic sources. P-wave relative teleseismic residuals were also measured to assess whether any velocity contrast between the craton and the mobile belt extended into the upper mantle. Interpretation of reduced travel times from the local Buchwa iron-ore mine blasts, which were broadside to the traverse, revealed an upper crustal interface in the Limpopo mobile belt at a depth of 5.8 ± 0.6 km, dividing material with a velocity of about 5.8 km/s from that of about 6.4 km/s. On the craton, arrivals from the same source showed a 4.4 ± 0.5 km thick 5.5 km/s layer overlying crust of about velocity 6.5 km/s. P-wave arrivals from the regional seismicity were used to construct a crustal cross-section. Absolute crustal thickness was tentatively estimated from the identification of a Moho reflection on the mine blast recordings. To the south of Rutenga, the crust thins from around 34 km to 29 km in association with a positive gravity anomaly centred over the late-Karoo Nuanetsi Igneous Province and Karoo Tuli Syncline. North of Rutenga to the boundary with the Zimbabwean craton, the crust is about 34 km thick. The craton boundary was found to be a steeply southerly dipping zone associated with high-velocity material, which could either be deep-seated greenstones or mafic material associated with the margin in the region studied. This zone divides cratonic crust, which was found to be about 40 km thick, from that typical of the mobile belt and implies a step in the Moho of around 6 km. Analysis of relative teleseismic residuals showed that the velocity contrasts are not confined to the crust but extend into the uppermost upper mantle with the

  16. Thai district Leaders' perceptions of managing the direct observation treatment program in Trang Province, Thailand.

    PubMed

    Choowong, Jiraporn; Tillgren, Per; Söderbäck, Maja

    2016-07-28

    Thailand is 18th out of the 22 countries with the highest tuberculosis (TB) burden. It will be a challenge for Thailand to achieve the UN Millennium Development target for TB, as well as the new WHO targets for eliminating TB by 2035. More knowledge and a new approach are needed to tackle the complex challenges of managing the DOT program in Thailand. Contextual factors strongly influence the local implementation of evidence in practice. Using the PARIHS model, the aim has been to explore district leaders' perceptions of the management of the DOT program in Trang province, Thailand. A phenomenographic approach was used to explore the perceptions among district DOT program leaders in Trang province. We conducted semi-structured interviews with district leaders responsible for managing the DOT program in five districts. The analysis of the data transcriptions was done by grouping similarities and differences of perceptions, which were constructed in a hierarchical outcome space that shows a set of descriptive categories. The first descriptive category revealed a common perception of the leaders' duty and wish to comply with the NTP guidelines when managing and implementing the DOT program in their districts. More varied perceptions among the leaders concerned how to achieve successful treatment. Other perceptions concerned practical dilemmas, which included fear of infection, mutual distrust, and inadequate knowledge about TB. Further, the leaders perceived a need for improved management practices in implementing the TB guidelines. Using the PARIHS framework to gain a retrospective perspective on the district-level policy implementation of the DOT program and studying the leadership's perceptions about applying the guidelines to practice, has brought new knowledge about management practices. Additional support and resources from the regional level are needed to manage the challenges.

  17. Public awareness of audiology, hearing and hearing health in the Limpopo Province, South Africa

    PubMed Central

    Sebothoma, Ben; Kgare, Khomotjo S.

    2017-01-01

    Background The burden of hearing loss is on the increase, especially in low-income countries such as South Africa. The need for urgent action to prevent ear and hearing problems is a priority, especially as in many cases permanent hearing loss is preventable. In South Africa, as in other developing countries, there is a limited number of hearing health professionals and audiological resources. The lack of hearing health services may impact the general public’s awareness of hearing and hearing health. Limited information is available on the South African public’s knowledge of audiologists and the services they provide, especially in underserved rural communities. Aim The aim of this study was to describe individuals’ awareness of the audiology profession, hearing and hearing loss, and hearing health in a rural area of the Limpopo Province. Method A cross-sectional survey design was employed for the purpose of this study. Using a random sampling strategy, 297 households in four rural villages were selected and a self-developed questionnaire was administered to one individual (18 years and older) per household. The questionnaire consisted of 23 questions targeting awareness of the audiology profession, as well as knowledge of hearing, hearing loss and hearing health. Results Only 14% of participants were aware of the audiology profession, indicating that individuals living in rural communities are not aware of the role of audiologists and the services they provide. Doctors and nurses were identified by participants as the individuals who assist them with hearing-related problems. Although most participants (87%) acknowledged that it is very important to undergo a hearing test, only 5% have previously visited an audiologist. Most participants were aware that ear infections and excessive noise exposure can cause hearing loss. The majority also believed that ears must be kept clean at all times and used cotton buds to maintain ear hygiene. Conclusion There is a

  18. Vector-control personnel’s knowledge, perceptions and practices towards insecticides used for indoor residual spraying in Limpopo Province, South Africa

    PubMed Central

    2013-01-01

    Background Contradictory arguments regarding the benefits and harm of insecticides, especially DDT, have caused concerns in different societal circles, threatening to undermine the achievements of the indoor residual spraying (IRS) programme in South Africa. These concerns were exacerbated by the screening of a documentary on South African Broadcasting Corporation (SABC) Television with anti-DDT sentiments. Consequently, Limpopo Malaria Control Programme (LMCP) Management advocated for an investigation to determine the potential effect of such campaigns on vector-control personnel’s knowledge and perceived effects of insecticides on human health, with a view to improving the educational materials designed for use in training vector-control personnel. Methods The study was a cross-sectional descriptive survey using a structured field-piloted questionnaire, administered to 233 randomly selected vector-control personnel. Ethical clearance was granted by the University of KwaZulu-Natal. Approval for the study was granted by the Department of Health, Limpopo. Participation in the study was voluntary and all respondents signed informed consent. Descriptive statistics were used to analyse the collected data. Results Most respondents (96.6%) had a positive perception of IRS as a method to control malaria. Despite their positive perception, 93.6% viewed IRS insecticides to be potentially harmful to the users. DDT was perceived to cause long-term reproductive and respiratory effects, whereas alpha-cypermethrin and deltamethrin were largely associated with skin irritation/itchiness and skin burn. Study participants were more worried about DDT’s potential effects on their reproductive system, including poor sexual performance, decline in libido, miscarriage and bearing children with genetic defects. However, none reported personal experience of bearing a child with genetic defects or miscarriage. Most anti-insecticide messages, especially relating to DDT, emanated from

  19. Characterization of the village goat production systems in the rural communities of the Eastern Cape, KwaZulu-Natal, Limpopo and North West Provinces of South Africa.

    PubMed

    Mdladla, Khanyisile; Dzomba, Edgar Farai; Muchadeyi, Farai Catherine

    2017-03-01

    Expansion of goat improvement programs requires exploration of the factors that influence the production system and breeding initiatives. Characterization of goat breeds or populations is crucial in providing information on prevalent goat types and their attributes and may suffice as a guideline on conservation, development, and selection for improved productivity. This study investigated the existing village goat production system and phenotypic diversity of the different village populations from four South African provinces. The study further investigated the use of phenotypic attributes to classify goats to breeds or populations. Data was collected from 142 households in 26 villages of the Eastern Cape (n = 2 villages), KwaZulu-Natal (n = 6 villages), Limpopo (n = 13 villages), and North West (n = 5 villages) provinces through a survey. Individual interviews and focus group discussions revealed that the mean goat herd size per household was least in Limpopo at 13.2 ± 12.40 and highest in Eastern Cape (34.18 ± 28.36). Flocks had more (p < 0.05) adults than kids, and the distribution of breeding animals was biased towards does and less bucks. Goats were kept mainly for meat, for selling, and for ritual ceremonies. The goat production system was mainly scavenging. Goat health was a major challenge across households and villages. Qualitative traits such coat, horn, ears, and wattle characteristics were recorded for populations of village goats (n = 319) and a feral Tankwa breed (n = 50). The dominant coat pattern was plain (74.53%) with black as the most common coat color (31.98%). Across breeds, a majority (88.08%) of the goats had horns, and 7.59% had wattles while 56.64% had beard. Adult goats (<3 years; n = 398) were further analyzed for five quantitative traits of chest girth, height, length, and pin bone and there were significant (p < 0.05) breed differences in all. A stepwise discriminatory procedure was used to

  20. Modeling the Complexities of Water and Hygiene in Limpopo Province South Africa

    NASA Astrophysics Data System (ADS)

    Mellor, J. E.; Smith, J. A.; Learmonth, G.; Netshandama, V.; Dillingham, R.

    2012-12-01

    Access to sustainable water and sanitation services is one of the biggest challenges the developing world faces as an increasing number of people inhabit those areas. Inadequate access to water and sanitation infrastructure often leads children to drink poor quality water which can result in early childhood diarrhea (ECD). Repeated episodes of ECD can cause serious problems such as growth stunting, cognitive impairment, and even death. Although researchers have long studied the connection between poor access to water and hygiene facilities and ECD, most studies have relied on intervention-control methods to study the effects of singular interventions. Such studies are time-consuming, costly, and fail to acknowledge that the causes and prevention strategies for ECD are numerous and complex. An alternate approach is to think of a community as a complex system in which the engineered, natural and social environments interact in ways that are not easily predicted. Such complex systems have no central or coordinating mechanism and may exhibit emergent behavior which can be counterintuitive and lead to valuable insights. The goal of this research is to develop a robust, quantitative understanding of the complex pathogen transmission chain that leads to ECD. To realize this goal, we have developed an Agent-Based Model (ABM) which simulates individual community member behavior. We have validated this transdisciplinary model with four years of field data from a community in Limpopo Province, South Africa. Our model incorporates data such as household water source preferences, collection habits, household- and source-water quality, water-source reliability and biological regrowth. Our outcome measures are household water quality, ECD incidences, and child growth stunting. This technique allows us to test hypotheses on the computer. Future researchers can implement promising interventions with our partner institution, the University of Venda, and the model can be refined as

  1. Behaviour planning and problem solving deficiencies in children with symptoms of attention deficit hyperactivity disorder from the Balobedu culture, Limpopo province, South Africa.

    PubMed

    Pila-Nemutandani, Refilwe Gloria; Meyer, Anneke

    2016-07-01

    To compare planning behaviour (frontal lobe functioning) in children with and without symptoms of attention deficit hyperactivity disorder (ADHD). A total of 90 children (45 with symptoms of ADHD and 45 matched controls without ADHD symptoms) of both genders, who were medication naïve, from the Balobedu culture (Limpopo province, South Africa), aged 7-13 years, participated in the study. The performance of the two groups was compared on a test of planning and problem solving, the Tower of London (ToL) task. The results were analysed as a function of gender and ADHD subtype. The Finger Tapping test (testing fine motor skills) was used as a control test to verify that the expected differences were not due to poor motor skills. The children with ADHD symptoms scored significantly lower than the non-ADHD comparison group which indicated deficiency in frontal lobe functioning (p = 0.00). The difference in performance was not due to poor motor control (p = 0.70). Children with ADHD symptoms show deficits in behavioural planning which indicates impairment of functions of the frontal areas supplied by the mesocortical dopamine branch. More so than others, the ADHD Inattentive and Combined subtypes showed poor performance in the Tower of London task, indicating poor organisational and planning skills in these groups. The results also did show that the difference was not due to problems with motor control and that the ToL task is a culture-fair instrument for testing planning behaviour.

  2. Modeling the Complexities of Water, Hygiene, and Health in Limpopo Province, South Africa

    PubMed Central

    Mellor, Jonathan E.; Smith, James A.; Learmonth, Gerard P.; Netshandama, Vhonani O.; Dillingham, Rebecca A.

    2013-01-01

    Researchers have long studied the causes and prevention strategies of poor household water quality and early childhood diarrhea using intervention-control trials. Although the results of such trails can lead to useful information, they do not capture the complexity of this natural/engineered/social system. We report on the development of an agent-based model (ABM) to study such a system in Limpopo, South Africa. The study is based on four years of field data collection to accurately capture essential elements of the communities and their water contamination chain. An extensive analysis of those elements explored behaviors including water collection and treatment frequency as well as biofilm buildup in water storage containers, source water quality, and water container types. Results indicate that interventions must be optimally implemented in order to see significant reductions in early childhood diarrhea (ECD). Household boiling frequency, source water quality, water container type and the biofilm layer contribution were deemed to have significant impacts on ECD. Furthermore, concurrently implemented highly effective interventions were shown to reduce diarrhea rates to very low levels even when other, less important practices were sub-optimal. This technique can be used by a variety of stakeholders when designing interventions to reduce ECD incidences in similar settings. PMID:23186073

  3. Modeling the complexities of water, hygiene, and health in Limpopo Province, South Africa.

    PubMed

    Mellor, Jonathan E; Smith, James A; Learmonth, Gerard P; Netshandama, Vhonani O; Dillingham, Rebecca A

    2012-12-18

    Researchers have long studied the causes and prevention strategies of poor household water quality and early childhood diarrhea using intervention-control trials. Although the results of such trails can lead to useful information, they do not capture the complexity of this natural/engineered/social system. We report on the development of an agent-based model (ABM) to study such a system in Limpopo, South Africa. The study is based on four years of field data collection to accurately capture essential elements of the communities and their water contamination chain. An extensive analysis of those elements explored behaviors including water collection and treatment frequency as well as biofilm buildup in water storage containers, source water quality, and water container types. Results indicate that interventions must be optimally implemented in order to see significant reductions in early childhood diarrhea (ECD). Household boiling frequency, source water quality, water container type, and the biofilm layer contribution were deemed to have significant impacts on ECD. Furthermore, concurrently implemented highly effective interventions were shown to reduce diarrhea rates to very low levels even when other, less important practices were suboptimal. This technique can be used by a variety of stakeholders when designing interventions to reduce ECD incidences in similar settings.

  4. Multi-agent modelling of climate outlooks and food security on a community garden scheme in Limpopo, South Africa.

    PubMed

    Bharwani, Sukaina; Bithell, Mike; Downing, Thomas E; New, Mark; Washington, Richard; Ziervogel, Gina

    2005-11-29

    Seasonal climate outlooks provide one tool to help decision-makers allocate resources in anticipation of poor, fair or good seasons. The aim of the 'Climate Outlooks and Agent-Based Simulation of Adaptation in South Africa' project has been to investigate whether individuals, who adapt gradually to annual climate variability, are better equipped to respond to longer-term climate variability and change in a sustainable manner. Seasonal climate outlooks provide information on expected annual rainfall and thus can be used to adjust seasonal agricultural strategies to respond to expected climate conditions. A case study of smallholder farmers in a village in Vhembe district, Limpopo Province, South Africa has been used to examine how such climate outlooks might influence agricultural strategies and how this climate information can be improved to be more useful to farmers. Empirical field data has been collected using surveys, participatory approaches and computer-based knowledge elicitation tools to investigate the drivers of decision-making with a focus on the role of climate, market and livelihood needs. This data is used in an agent-based social simulation which incorporates household agents with varying adaptation options which result in differing impacts on crop yields and thus food security, as a result of using or ignoring the seasonal outlook. Key variables are the skill of the forecast, the social communication of the forecast and the range of available household and community-based risk coping strategies. This research provides a novel approach for exploring adaptation within the context of climate change.

  5. Challenges Experienced by District-Based Support Teams in the Execution of Their Functions in a Specific South African Province

    ERIC Educational Resources Information Center

    Makhalemele, Thabo; Nel, Mirna

    2016-01-01

    This article reports on the findings of an embedded mixed-method South African study that investigated the challenges experienced by District-Based Support Team (DBST) members in the sub-directorate of Inclusive Education of a South African province in the execution of their functions. A Likert-scale questionnaire and individual semi-structured…

  6. Bone mineral density at distal forearm in men over 40 years of age in Mae Chaem district, Chiang Mai Province, Thailand: a pilot study.

    PubMed

    Tungjai, Montree; Kaewjaeng, Siriprapa; Jumpee, Chayanit; Sriburee, Sompong; Hongsriti, Pongsiri; Tapanya, Monruedee; Maghanemi, Utumma; Ratanasthien, Kwanchai; Kothan, Suchart

    2017-09-01

    To study the prevalence of bone mineral density (BMD) and osteoporosis in the distal forearm among Thai men over 40 years of age in Mae Chaem District, Chiang Mai Province, Thailand. The subjects in this study were 194 Thai men, aged between 40 and 87 years who resided in Mae Chaem District, Chiang Mai Province, Thailand. Self-administered questionnaires were used for receiving the demographic characteristics information. BMD was measured by peripheral dual energy X-ray absorptiometry at the nondominant distal forearm in all men. The BMD was highest in the age-group 40-49 years and lowest in the age-group 70-87 years. The average T-score at the distal forearm was also highest in the age-group 40-49 years and lowest in the age-group 70-87 years. The BMD decreased as a function of age-group (p < .05). In contrast, the BMD increased as a function of weight (p < .05). Height had weak impact on the BMD in the distal forearm (p > .05). The percentage of osteopenia and osteoporosis are increased as a function of age-group in, while decreased in that of normal bone density. We found the prevalence of osteoporosis in men who resided in Mae Chaem District, Chiang Mai Province, Thailand.

  7. Regional health accounts for Pakistan--expenditure disparities on provincial and district level.

    PubMed

    Lorenz, Christian; Khalid, Muhammad

    2011-05-01

    Since May 2009 the first National Health Accounts (NHA) for Pakistan have been finalised and published by Federal Bureau of Statistics (FBS) in cooperation with German Technical Cooperation (GTZ). This paper goes one step ahead of the report and analyses in more detail the regional differences in health expenditure structures in Pakistan. The further analyses can be divided into four parts: health expenditures in provinces (Provincial Health Accounts, PHA), Punjab provincial and district governments health expenditures and its comparison with ADB figures, all districts of Pakistan and comparison between total district government and provincial government expenditure for each province; the latter calculation is applied as indication for the degree of fiscal autonomy of the districts in each province. Consequently, first the provincial health expenditures by Financial Agents is analysed and compared between the provinces which leads to very heterogeneous results (section 2); the per capita health expenditures differ from 16 to 23 USD. Secondly, NHA results on Punjab district government are compared with available ADB results and differences in methods as possible reasons for different results are presented (section 3). Third, district data of all district governments in all four Pakistani provinces are analysed on the level of detailed function codes in section 4; the aim is to discover regional differences between districts of the same as well as of different provinces. Fourth, in section 5 the degree of fiscal autonomy on health of the districts in each province is analysed; therefore the ordinance description is reviewed and total district government with total provincial government expenditures are compared per province. Finally recommendations for future rounds of NHA in Pakistan are given regarding formats and necessities of detailed health expenditure data collection to ensure evidence based decision making not only on federal, but also on provincial and

  8. [Analysis of the nutritional state of school children in different districts of the province of Granada (Spain)].

    PubMed

    González-Jiménez, E; García López, P A; Schmidt Río-Valle, J

    2012-01-01

    In Spain the prevalence of obesity shows a north-south distribution. In the province of Granada its distribution is unknown. (1) To study the prevalence of overweight and obesity in a sample population of school children and adolescents from different districts in the province of Granada. (2) To verify whether there are significant differences, depending on the district where the students reside. (3) To find a possible correlation between the nutritional state of the students and that of their parents. The population sample was composed of 977 school children and adolescents from 9 to 17 years of age, attending 13 public elementary schools and high schools in the city and province of Granada (Spain). In this analytical and multicentric study, the nutritional state of the subjects was evaluated by means of anthropometric measurements. Furthermore, data were collected by means of questionnaire to discover whether the respondents had a family history of overweight or obesity. We found a high prevalence of overweight and obesity among the studied population. In girls, the greater prevalence of both overweight and obesity ranged from 12 to 14 years of age. In boys, there was an increase in the prevalence of overweight at twelve years of age. Regarding obesity, their rates were significantly lower than those described among girls. There were statistically significant differences for weight (F = 4,154; p = 0,003) but not for height (F = 1,928; p =0,105). But for the variable BMI was statistically significant difference (F = 5.037; P < 0.001) between the studied geographical areas. The results showed that the nutritional state of students with a family history of obesity was significantly worse (p < 0.01). A high prevalence of obesity was found in the sample, especially among the girls. There exists a geographical distribution pattern, possibly derived from the socioeconomic characteristics of each area in the province. The existence of a family history of obesity is an

  9. Raman signatures of the modern pigment (Zn,Cd)S1-xSex and glass matrix of a red bead from Magoro Hill, an archaeological site in Limpopo Province, South Africa, recalibrate the settlement chronology

    NASA Astrophysics Data System (ADS)

    Prinsloo, Linda C.; Boeyens, Jan C. A.; van der Ryst, Maria M.; Webb, Geoffrey

    2012-09-01

    Two glass trade beads, one red and one yellow, retrieved from a secure archaeological context on Magoro Hill, an erstwhile Venda stronghold in South Africa's Limpopo Province, were analyzed with Raman and photoluminescence spectroscopy. Raman spectroscopy identified the pigment coloring the yellow bead as lead tin yellow Type II and the glass as a typical soda-lime-silica glass. Both pigments and glass type were in use over a long time span and therefore the bead cannot be used as a temporal marker. The pigment coloring the red bead, on the other hand, was identified as nano-(Zn,Cd)S1-xSex mixed crystals, a pigment that was only widely used in the early 20th century. This date casts doubt on local oral tradition that associates the brick-built structure from which the beads were recovered with Manzinzinzi, a Venda chief who, according to contemporary documentary accounts, had already passed away in the 1880s. The more recent date for the red bead resolves the apparent discord between the oral and written records, suggesting that the building was probably erected and/or occupied by one of Manzinzinzi's successors.

  10. Development of community based model of Tawanchai Center: sufficiency economy principles for community Development an applicability at Bankhambong Community, Sa-ard Sub-district, Nampong District, Khon Kaen Province, Thailand.

    PubMed

    Kotrmaneetaweetong, Unchana; Choopen, Hhakuan; Chowchuen, Bowornsilp

    2012-11-01

    The objectives of the present study are 1) to study the application of sufficiency economy philosophy in community development as a model for future application of community health care program of Tawanchai Center, 2) study the administrative model for self sufficiency economy community in Bankhambong Community, Sa-ard Sub-district, Nampong District, Khon Kaen Province. The integrated study model included qualitative research by collecting data from documents, textbook, article, report, theory concept, researches and interviewing of relevant persons and the quantitative research by collecting data from questionnaires. The findings of study included objectives for development model of sufficiency economy for understanding of people, and use the philosophy of sufficiency economy model which compose of decrease expenditure, increase income activities, saving activities, learning activities and preservation of environment and sustainable natural resources activities. Decrease in expenditure activities included household gardening, and no allurements leading to ruin. Increase in income activities included supplement occupation and appropriate use of technology. Saving activities included creating saving group in household and community level. Learning activities included community use of local wisdom, and household learnt philosophy of sufficiency economy in daily living. Preservation of environment and sustainable natural resources activities included the use of sustainable raw materials in occupation. The generosity of one another activities included helping each other and solving problems for the poor and disable persons. The community development at in Bankhambong Community, Sa-ard Sub-district, Nampong District, Khon Kaen Province followed all of the above scope and guidelines and is the model for application of sufficiency community philosophy. We recommended method for successful implementation, including the starting from group process with capability of

  11. Epidemiology of hookworm infection in Soong nern district, Korat province, Thailand.

    PubMed

    Papasarathorn, T; Keittivuti, B; Keittivuti A-N; Rojanapremsuk, J

    1975-03-01

    Stool surveys in Soong Nern district, Korat Province, were done by the MF concentration technique. The intensity of hookworm infection, egg counts, results of treatment by anthelminthic drugs, observations on new infections and reinfections following treatment throughout the year and the density of nematode larvae in soil in the study area were investigated. Hookworm infection rates were high in Na-Glang village, both in adult villagers and school-aged children. The intensity of hookworm infections was considered mild and after treatment the numbers of eggs in the stools diminished or disappeared. New cases and reinfection increased during the rainy month, due to socio-environmental factors in the village that favoured the development of hookworm larvai in the soil. Although in this study it was impossible to distinguish hookworm larvae among the nematode larvae collected form soil it was highly probable that hookworm larvae were present. Control of hookworm infection in the study area was proposed by improvement of environmental sanitation and health education.

  12. Case 3. "Jiang Tao v. Chengdu Branch, People's People's Bank of China": Opinion by the People's Court in Wuhou District, Chengdu, Sichuan Province

    ERIC Educational Resources Information Center

    Chinese Education and Society, 2006

    2006-01-01

    This article presents the decision of the People's Court in Wuhou District, Chengdu, Sichuan Province on the Jiang Tao v. Chengdu Branch, People's People's Bank of China case. Jiang Tao, the plaintiff, claimed that the defendant Chengdu Branch placed an announcement in the "Chengdu Business Daily" to "recruit tellers for Chengdu…

  13. Dental caries among disabled individuals attending special schools in Vhembe district, South Africa.

    PubMed

    Nemutandani, M S; Adedoja, D; Nevhuhlwi, D

    2013-11-01

    To determine the prevalence of dental caries among disabled individuals attending special schools in Vhembe districts. A cross-sectional descriptive study was conducted from January to June 2012 among disabled individuals receiving special care in four specialised schools of Vhembe District. The research protocol had been approved by the Ethics Committee of the University of Limpopo, Polokwane Campus. Informed consent was obtained from the parents of the participants and from the respective school principals. Oral health examinations took place at the school under natural light, with participants seated on an ordinary chair/wheelchair. Dental caries examinations were carried out, using a mirror and wooden spatula in accordance with World Health Organisation (WHO) criteria and methods. Decayed, missing and filled primary and permanent teeth (dmft, DMFT) were recorded. All disabled individuals who were available during a screening period, were included. Those who were not available, as well as those whose health conditions could be compromised by dental examinations, were excluded. The number of decayed teeth ranged from 0-7 in children below 6 years, 0-12 in children below 11 years; and 0-17 among young adults. The mean decay scores and the numbers of missing teeth increased with age. Only 3 (0.04%) individuals had dental fillings. The mean dmft score of children under 6 years was 5.51 (+/- 2.1), ranging from zero to 8. The mean DMFT's of the 11-18 and 19 years and older groups were 7.38 (+/- 3.22) and 10.24 (+/- 2.97) respectively. Disabled individuals exhibited higher caries prevalence and unmet dental needs than the same age general population in Limpopo. Preventive measures and dental treatment should be considered urgent requirements at special needs schools in the Vhembe District.

  14. Does antenatal care timing influence stillbirth risk in the third trimester? A secondary analysis of perinatal death audit data in South Africa.

    PubMed

    Lavin, T; Pattinson, R C

    2018-01-01

    To explore stillbirth risk across gestation in three provinces of South Africa with different antenatal care schedules. Retrospective audit of perinatal death data using South Africa's Perinatal Problem Identification Programme. In 2008, the Basic Antenatal Care Programme was introduced in Limpopo and Mpumalanga provinces, reducing appointments to five visits at booking, 20, 26, 32, 38 weeks and 41 weeks if required. In the Western Cape province seven appointments remained at booking, 20, 26, 32, 34, 36, 38 and 41 weeks if required. All audited stillbirths (n = 4211) between October 2013 to August 2015 in Limpopo, Mpumalanga and Western Cape. Stillbirth risk (26-42 weeks of gestation, >1000 g) across gestation was calculated using Yudkin's method. Stillbirth risk was compared between provinces and relative risks were calculated between Limpopo/ Mpumalanga and Western Cape. Stillbirth risk across gestation. Stillbirth risk peaked at 38 weeks of gestation in Limpopo (relative risk [RR] 3.11, 95% CI 2.40-4.03, P < 0.001)and Mpumalanga (RR 3.09, 95% CI 2.37-4.02, P < 0.001) compared with Western Cape, where no peak was observed. Stillbirth risk at 38 weeks gestation in Limpopo and Mpumalanga were statistically greater than both the 37 and 39 weeks gestation within provinces (P < 0.001). As expected, a peak at 41 weeks of gestation was observed in all provinces. The increased period of stillbirth risk occurs after a 6-week absence of antenatal care. This calls for a refocus on the impact of reduced antenatal care visits during the third trimester. Reduced antenatal care in the third trimester may increase stillbirth risk. © 2017 Royal College of Obstetricians and Gynaecologists.

  15. Genetic diversity of Leishmania tropica strains isolated from clinical forms of cutaneous leishmaniasis in rural districts of Herat province, Western Afghanistan, based on ITS1-rDNA.

    PubMed

    Fakhar, Mahdi; Pazoki Ghohe, Hossein; Rasooli, Sayed Abobakar; Karamian, Mehdi; Mohib, Abdul Satar; Ziaei Hezarjaribi, Hajar; Pagheh, Abdol Sattar; Ghatee, Mohammad Amin

    2016-07-01

    Despite the high incidence of cutaneous leishmaniasis (CL) in Afghanistan, there is a little information concerning epidemiological status of the disease and phylogenetic relationship and population structure of causative agents. This study was conducted to determine the prevalence and distribution of CL cases and investigate the Leishmania tropica population structure in rural districts of Heart province in the West of Afghanistan in comparison to neighboring foci. Overall, 4189 clinically suspected CL cases from 177 villages (including 12 districts) in Herat province were enrolled in the referral laboratory of WHO sub-office in Herat city from January 2012 to December 2013. 3861 cases were confirmed as CL by microscopic examination of Giemsa-stained slides. ITS1 PCR-RFLP analysis showed dominance of L. tropica (more than 98%) among 127 randomly chosen samples. Analysis of the ITS1 sequences revealed 4 sequence types among the 21 L. tropica isolates. Comparison of sequence types from Herat rural districts with the representatives of L. tropica from Iran, India, and Herat city showed two main population groups (cluster A and B). All isolates from Herat province, India and Southeast, East, and Central Iran were found exclusively in cluster A. The close proximity of West Afghanistan focus and Birjand county as the capital of Southern Khorasan province in East Iran can explain relatively equal to the genetic composition of L. tropica in these two neighboring regions. In addition, two populations were found among L. tropica isolates from Herat rural districts. Main population showed more similarity to some isolates from Birjand county in East Iran while minor population probably originated from the Southeast and East Iranian L. tropica. Recent study provided valuable information concerning the population structure of L. tropica and epidemiology of ACL in the West of Afghanistan, which could be the basis for molecular epidemiology studies in other regions of Afghanistan

  16. Spatial Distribution of the Population at Risk of Cholangiocarcinoma in Chum Phaung District, Nakhon Ratchasima Province of Thailand.

    PubMed

    Kaewpitoon, Soraya J; Rujirakul, Ratana; Loyd, Ryan A; Matrakool, Likit; Sangkudloa, Amnat; Kaewthani, Sarochinee; Khemplila, Kritsakorn; Eaksanti, Thawatchai; Phatisena, Tanida; Kujapun, Jirawoot; Norkaew, Jun; Joosiri, Apinya; Kaewpitoon, Natthawut

    2016-01-01

    Cholangiocarcinoma (CCA) is a serious health problem in Thailand, particularly in northeastern and northern regions, but epidemiological studies are scarce and the spatial distribution of CCA remains to be determined. A database for the population at risk is required for monitoring, surveillance and organization of home health care. This study aim was to geo-visually display the distribution of CCA in northeast Thailand, using a geographic information system and Google Earth. A cross-sectional survey was carried out in 9 sub-districts and 133 villages in Chum Phuang district, Nakhon Ratchasima province during June and October 2015. Data on demography, and the population at risk for CCA were combined with the points of villages, sub-district boundaries, district boundaries, and points of hospitals in districts, then fed into a geographical information system. After the conversion, all of the data were imported into Google Earth for geo-visualization. A total of 11,960 from 83,096 population were included in this study. Females and male were 52.5%, and 47.8%, the age group 41-50 years old 33.3%. Individual risk for CCA was identifed and classified by using the Korat CCA verbal screening test as low (92.8%), followed by high risk (6.74%), and no (0.49%), respectively. Gender (X2-test=1143.63, p-value= 0.001), age group (X2-test==211.36, p-value=0.0001), and sub-district (X2-test=1471.858, p-value=0.0001) were significantly associated with CCA risk. Spatial distribution of the population at risk for CCA in Chum Phuang district was viewed with Google Earth. Geo-visual display followed Layer 1: District, Layer 2: Sub-district, Layer 3: Number of low risk in village, Layer 4: Number of high risk in village, and Layer 5: Hospital in Chum Phuang District and their related catchment areas. We present the first risk geo-visual display of CCA in this rural community, which is important for spatial targeting of control efforts. Risk appears to be strongly associated with gender

  17. Estimation of carbon emission from peatland fires using Landsat-8 OLI imagery in Siak District, Riau Province

    NASA Astrophysics Data System (ADS)

    Aisyah Fadhillah Hafni, Dinda; Syaufina, Lailan; Puspaningsih, Nining; Prasasti, Indah

    2018-05-01

    The study was conducted in three land cover conditions (secondary peat forest, shrub land, and palm plantation) that were burned in the Siak District, Riau Province, Indonesia year 2015. Measurement and calculation carbon emission from soil and vegetation of peatland should be done accurately to be implemented on climate change mitigation or greenhouse gases mitigation. The objective of the study was to estimate the carbon emission caused peatland fires in the Siak District, Riau Province, Indonesia year 2015. Estimated carbon emissions were performed using visual method and digital method. The visual method was a method that uses on-screen digitization assisted by hotspot data, the presence of smoke, and fire suppression data. The digital method was a method that uses the Normalized Burn Ratio (NBR) index. The estimated carbon emissions were calculated using the equation that was developed from IPCC 2006 in Verified Carbon Standard 2015. The results showed that the estimation of carbon emissions from fires from above the peat soil surface were higher than the carbon emissions from the peat soil. Carbon emissions above the peat soil surface of 1376.51 ton C/ha were obtained by visual method while 3984.33 ton C/ha were obtained by digital method. Peatland carbon emissions of 6.6 x 10-4 ton C/ha were obtained by visual method, whereas 2.84 x 10-3 ton C/ha was obtained by digital method. Visual method and digital method using remote sensing must be combined and developed in order to carbon emission values will be more accurate.

  18. GIS Database and Google Map of the Population at Risk of Cholangiocarcinoma in Mueang Yang District, Nakhon Ratchasima Province of Thailand.

    PubMed

    Kaewpitoon, Soraya J; Rujirakul, Ratana; Joosiri, Apinya; Jantakate, Sirinun; Sangkudloa, Amnat; Kaewthani, Sarochinee; Chimplee, Kanokporn; Khemplila, Kritsakorn; Kaewpitoon, Natthawut

    2016-01-01

    Cholangiocarcinoma (CCA) is a serious problem in Thailand, particularly in the northeastern and northern regions. Database of population at risk are need required for monitoring, surveillance, home health care, and home visit. Therefore, this study aimed to develop a geographic information system (GIS) database and Google map of the population at risk of CCA in Mueang Yang district, Nakhon Ratchasima province, northeastern Thailand during June to October 2015. Populations at risk were screened using the Korat CCA verbal screening test (KCVST). Software included Microsoft Excel, ArcGIS, and Google Maps. The secondary data included the point of villages, sub-district boundaries, district boundaries, point of hospital in Mueang Yang district, used for created the spatial databese. The populations at risk for CCA and opisthorchiasis were used to create an arttribute database. Data were tranfered to WGS84 UTM ZONE 48. After the conversion, all of the data were imported into Google Earth using online web pages www.earthpoint.us. Some 222 from a 4,800 population at risk for CCA constituted a high risk group. Geo-visual display available at following www.google.com/maps/d/u/0/ edit?mid=zPxtcHv_iDLo.kvPpxl5mAs90 and hl=th. Geo-visual display 5 layers including: layer 1, village location and number of the population at risk for CCA; layer 2, sub-district health promotion hospital in Mueang Yang district and number of opisthorchiasis; layer 3, sub-district district and the number of population at risk for CCA; layer 4, district hospital and the number of population at risk for CCA and number of opisthorchiasis; and layer 5, district and the number of population at risk for CCA and number of opisthorchiasis. This GIS database and Google map production process is suitable for further monitoring, surveillance, and home health care for CCA sufferers.

  19. Evaluation of the isoniazid preventive therapy (IPT) program in Shurugwi District, Midlands Province, Zimbabwe, January 2013 to August 2014.

    PubMed

    Makoni, Annamercy; Chemhuru, Milton; Tshimanga, Mufuta; Gombe, Notion Tafara; Mungati, More; Bangure, Donewell

    2015-09-25

    Midlands Province started implementing the Isoniazid (INH) preventive therapy (IPT) program in January 2013. Shurugwi and Gokwe North were the piloting district hospitals. In May 2014, four more districts hospitals (Gokwe South, Gweru, Kwekwe and Zvishavane) started implementing IPT. Shurugwi District decentralized the program to its rural health facilities in January 2014. A review of the Shurugwi IPT program, 2013 data, indicated that the majority of eligible clients were not started on IPT. None out of the 400 eligible clients were started on IPT in November against the 100% target according to the World Health Organization and the National Tuberculosis (TB) Program. We conducted a study to evaluate the IPT program in Shurugwi District from January 2013 to August 2014. The logical framework approach was used to evaluate inputs, processes, outputs and outcomes of the IPT program. An interviewer administered questionnaire was used to collect data from key informants. Checklists were used to collect data from IPT program records. Sixteen health facilities were implementing IPT in Shurugwi District. All the facilities had TB screening tools and three did not have TB screening algorithms. The district experienced medicine stock outs in 2013. One formal training at district level and on job trainings in implementing health facilities were done. From January 2013 to August 2014, Shurugwi District screened 6794 antiretroviral (ART) clients for TB. Out of those screened, 5255 were eligible for IPT and 2831 (54%) were started on IPT. A total of 700 clients had completed the IPT 6 month's course by August 2014. The dropout rate due to INH toxicity and TB was 0.6% (n = 18) and 0.3% (n = 8) respectively. Fifty-three advocacy and community sensitization meetings were done. The program had no Information Education and Communication (IEC) materials. The IPT program in Shurugwi District achieved half its target. This could be due to inadequate formally trained staff, lack of IEC

  20. Investigation of Rickettsia, Coxiella burnetii and Bartonella in ticks from animals in South Africa.

    PubMed

    Halajian, Ali; Palomar, Ana M; Portillo, Aránzazu; Heyne, Heloise; Luus-Powell, Wilmien J; Oteo, José A

    2016-03-01

    Ticks are involved in the epidemiology of several human pathogens including spotted fever group (SFG) Rickettsia spp., Coxiella burnetii and Bartonella spp. Human diseases caused by these microorganisms have been reported from South Africa. The presence of SFG Rickettsia spp., C. burnetii and Bartonella spp. was investigated in 205 ticks collected from domestic and wild animals from Western Cape and Limpopo provinces (South Africa). Rickettsia massiliae was detected in 10 Amblyomma sylvaticum and 1 Rhipicephalus simus whereas Rickettsia africae was amplified in 7 Amblyomma hebraeum. Neither C. burnetii nor Bartonella spp. was found in the examined ticks. This study demonstrates the presence of the tick borne pathogen R. massiliae in South Africa (Western Cape and Limpopo provinces), and corroborates the presence of the African tick-bite fever agent (R. africae) in this country (Limpopo province). Copyright © 2015 Elsevier GmbH. All rights reserved.

  1. An Application of Project-Based Learning on the Development of Young Local Tour Guides on Tai Phuan's Culture and Tourist Attractions in Sisatchanalai District, Sukhothai Province

    ERIC Educational Resources Information Center

    Kerdpol, Sakon

    2016-01-01

    This paper presents an investigation of a research entitled, " An Application of Project-based Learning on the Development of Young Local Tour Guides on Tai Phuan's Culture and Tourist Attractions in Sisatchanalai District, Sukhothai Province. It was intended to develop young local tour guides on Tai Phuan's culture and tourist attractions in…

  2. The Prevalence and Determinants of Chronic Non-Communicable Disease Risk Factors amongst Adults in the Dikgale Health Demographic and Surveillance System (HDSS) Site, Limpopo Province of South Africa

    PubMed Central

    Maimela, Eric; Modjadji, Sewela E. P.; Choma, Solomon S. R.; Dikotope, Sekgothe A.; Ntuli, Thembelihle S.

    2016-01-01

    Background The aim of the study was to determine the prevalence and determinants of chronic non-communicable disease (NCD) risk factors in a rural community in the Limpopo Province of South Africa. Methods This survey was conducted using the WHO "STEPwise approach to the surveillance of non-communicable diseases" (STEPS) methodology. Participants were residents of the Dikgale HDSS site and standardised international protocols were used to measure behavioural risk factors (smoking, alcohol consumption, fruit and vegetable intake and, physical activity) and physical characteristics (weight, height, waist and hip circumferences and blood pressure–BP). Fasting blood glucose, triglyceride, cholesterol and HDL-C were determined in 732 participants. Data were analysed using STATA 12 for Windows. Results The prevalence of current smokers amongst the participants was 13.7%, of which 81.3% were daily smokers. Alcohol was consumed by 16.3% of the participants. The majority of participants (88.6%) had low daily intake of fruit and vegetables and low physical activity (66.5%). The prevalence of hypertension amongst the participants was 38.2%. Overweight, obesity and high waist circumference were prevalent in females. The cardio-metabolic risk profile was not significantly different between men and women. People who were older than 40 years, overweight or obese and those who consumed alcohol were more likely to be hypertensive. Smoking was associated significantly with older age, males, never married and divorced people. Alcohol consumption was associated with older age, males, low educational status and low income. Conclusion High levels of risk factors for NCDs among adults in the Dikgale HDSS suggest an urgent need for health interventions to control these risk factors at the population level in order to reduce the prevalence of NCDs. PMID:26882033

  3. The level of organic rice farming technology at farmer group in Ketapang village, Susukan sub-district, Semarang district, Central Java Province, Indonesia

    NASA Astrophysics Data System (ADS)

    Sumarsono; Yafizham; Widjajanto, D. W.

    2018-01-01

    The research was conducted to learn the phenomenon of the level of organic rice cultivation technology in the field at one of organic rice centers in Central Java Province, Indonesia. It was carried out using sample survey of respondents taken at 3 different of Walisongo, Al-Barokah and Dewi Sri farmer groups from organic rice farmer population in the village of Ketapang, Susukan sub-district, Semarang district. Primary data were collected quantitatively by distributing questioner to the respondent. Data were analyzed in order to evaluate the performance of inter-group observation and relationship of behavioral levels of organic rice cultivation. The results showed that the level of organic rice cultivation technology were high category (68.3%), moderate category (31.7%), and none less category, respectively. There was significant regression relationship Y = 7.219 + 0.237 X1 + 0,231 X2 (R = 0.625) between knowledge and attitude toward organic farming cultivation level. There was no significant difference in the application level of organic farming between Dewi Sri and Al-Barokah Farmer Groups (113.3a vs 110.7a), but the application level of organic farming both of Dewi Sri and Al-Barokah farmer groups were significantly (P<0,05) different from Walisongo farmer group (95.5b). It was concluded that the level of organic technology at farmer group was moderate to high category, but still requires further extention to be more equitable among farmer groups

  4. Characterization and Activation of Indonesian Natural Zeolite from Southwest Aceh District-Aceh Province

    NASA Astrophysics Data System (ADS)

    Yulianis, Y.; Muhammad, S.; Pontas, K.; Mariana, M.; Mahidin, M.

    2018-05-01

    This study aims to identify the effect of activation processes of Indonesian zeolite from Southwest Aceh District, Aceh Province on the physical characteristics and chemical contents changes. The work was conducted by downsizing of natural zeolite into nano particle size, treating it physically (heated up to 105˚C) and chemically (soaked with 0.5 M HCl for 1 hour), and finally calcining it at the temperature of 350° C for 2 hours. The natural and activated nano zeolites were then characterized by using SEM, BET, XRD, XRF and FTIR in order to examine their characters and chemical contents. The characterization results showed that the activated nano zeolite has better appearances than the natural one. The XRD analysis showed that the main minerals of zeolite are quartz and calcite clinochlore. Further, the XRF analysis showed that there are elements of magnesium, calcium and potassium which can be as a cation exchange with other metal elements. Based on the identified properties, this zeolite showed a good performance to be used as an adsorbent in waste water treatment process, especially after activated.

  5. Effect of agro-ecological zone, season of birth and sex on pre-weaning performance of Nguni calves in Limpopo Province, South Africa.

    PubMed

    Mpofu, T J; Ginindza, M M; Siwendu, N A; Nephawe, K A; Mtileni, B J

    2017-01-01

    . It was concluded that acceptable levels of growth are achievable from Nguni cattle under the different agro-ecological zones of Limpopo province, South Africa.

  6. Distribution of cancer mortality rates by province in South Africa.

    PubMed

    Made, Felix; Wilson, Kerry; Jina, Ruxana; Tlotleng, Nonhlanhla; Jack, Samantha; Ntlebi, Vusi; Kootbodien, Tahira

    2017-12-01

    Cancer mortality rates are expected to increase in developing countries. Cancer mortality rates by province remain largely unreported in South Africa. This study described the 2014 age standardised cancer mortality rates by province in South Africa, to provide insight for strategic interventions and advocacy. 2014 deaths data were retrieved from Statistics South Africa. Deaths from cancer were extracted using 10th International Classification of Diseases (ICD) codes for cancer (C00-C97). Adjusted 2013 mid-year population estimates were used as a standard population. All rates were calculated per 100 000 individuals. Nearly 38 000 (8%) of the total deaths in South Africa in 2014 were attributed to cancer. Western Cape Province had the highest age standardised cancer mortality rate in South Africa (118, 95% CI: 115-121 deaths per 100 000 individuals), followed by the Northern Cape (113, 95% CI: 107-119 per 100 000 individuals), with the lowest rate in Limpopo Province (47, 95% CI: 45-49 per 100 000). The age standardised cancer mortality rate for men (71, 95% CI: 70-72 per 100 000 individuals) was similar to women (69, 95% CI: 68-70 per 100 000). Lung cancer was a major driver of cancer death in men (13, 95% CI: 12.6-13.4 per 100 000). In women, cervical cancer was the leading cause of cancer death (13, 95% CI: 12.6-13.4 per 100 000 individuals). There is a need to further investigate the factors related to the differences in cancer mortality by province in South Africa. Raising awareness of risk factors and screening for cancer in the population along with improved access and quality of health care are also important. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Secondary School Learners' Response to the Teaching of Evolution in Limpopo Province, South Africa

    ERIC Educational Resources Information Center

    Mpeta, M.; de Villiers, J. J. R.; Fraser, W. J.

    2015-01-01

    One of the major causes of the problems affecting evolution education is a lack of acceptance of this concept, particularly by some people who have strongly entrenched religious beliefs. This paper reports on a section of a study which explored the influence of the beliefs of learners in some secondary schools from the Vhembe District in the…

  8. Identifying challenges and barriers in the delivery of primary healthcare at the district level: a study in one Thai province.

    PubMed

    Tejativaddhana, Phudit; Briggs, David; Fraser, John; Minichiello, Victor; Cruickshank, Mary

    2013-01-01

    In 2001, the universal health coverage policy was adopted by Thailand with primary healthcare (PHC) as the major focus of the policy. In order to understand the structural and institutional factors affecting the implementation of PHC in rural Thailand, a qualitative study, utilising individual interviews with national and provincial policy decision makers, community health directors, heads of hospital primary care units, chiefs of district health offices, heads of health centres and community representatives, from one rural province was undertaken. Findings showed that the sustainability of PHC service provision under the administration of community hospitals is problematic as barriers exist at the policy and operational levels and access to PHC for all citizens may not be achieved until these barriers are addressed. Furthermore, although PHC needs to be acknowledged and implemented by all stakeholders within the health industry and government, the roles and responsibilities of the stakeholders in health services management at the district level need to be clarified. Copyright © 2012 John Wiley & Sons, Ltd.

  9. Prevalence of Strongyloides stercoralis infection and other soil-transmitted helminths by cross-sectional survey in a rural community in Gisagara District, Southern Province, Rwanda

    PubMed Central

    Tuyizere, Aloys; Ndayambaje, Alphonse; Bayingana, Claude; Ntirenganya, Cyprien; Dusabejambo, Vincent; Hale, DeVon C

    2018-01-01

    Abstract Background Strongyloides stercoralis is one of the most neglected tropical diseases. Sparse, dated central African and Rwandan data on seroprevalence are available to guide public health efforts and clinical care. Methods In February 2016 we conducted a community-based cross-sectional study among 539 asymptomatic participants in a rural area in the Gisagara District, Southern Province, Rwanda. Direct faecal smear (DFS) and modified Koga agar plate culture (APC) were used to detect S. stercoralis infection in a single stool sample. Data on other soil-transmitted helminths diagnosed by DFS were also recorded. Results Four intestinal helminth infections were diagnosed, with S. stercoralis (17.4%) and hookworms (8.2%) seen most often. APC, compared with DFS, increased the diagnosis rate for S. stercoralis from 1.9% to 17.4% (p<0.01). The prevalence was higher in farmers and those with lower socio-economic status. Females were less often infected than males (odds ratio 0.6 [95% confidence interval 0.3 to 0.9], p=0.02). Conclusions S. stercoralis is highly prevalent among the general population in a rural area of Gisagara District, Southern Province, Rwanda. Access to effective diagnosis and treatment is needed for this neglected disease. PMID:29726969

  10. Does the Limpopo River Basin have sufficient water for massive irrigation development in the plains of Mozambique?

    NASA Astrophysics Data System (ADS)

    van der Zaag, Pieter; Juizo, Dinis; Vilanculos, Agostinho; Bolding, Alex; Uiterweer, Nynke Post

    This paper verifies whether the water resources of the transboundary Limpopo River Basin are sufficient for the planned massive irrigation developments in the Mozambique part of this basin, namely 73,000 ha, in addition to existing irrigation (estimated at 9400 ha), and natural growth of common use irrigation (4000 ha). This development includes the expansion of sugar cane production for the production of ethanol as a biofuel. Total additional water requirements may amount to 1.3 × 10 9 m 3/a or more. A simple river basin simulation model was constructed in order to assess different irrigation development scenarios, and at two storage capacities of the existing Massingir dam. Many uncertainties surround current and future water availability in the Lower Limpopo River Basin. Discharge measurements are incomplete and sometimes inconsistent, while upstream developments during the last 25 years have been dramatic and future trends are unknown. In Mozambique it is not precisely known how much water is currently consumed, especially by the many small-scale users of surface and shallow alluvial groundwater. Future impacts of climate change increase existing uncertainties. Model simulations indicate that the Limpopo River does not carry sufficient water for all planned irrigation. A maximum of approx. 58,000 ha of irrigated agriculture can be sustained in the Mozambican part of the basin. This figure assumes that Massingir will be operated at increased reservoir capacity, and implies that only about 44,000 ha of new irrigation can be developed, which is 60% of the envisaged developments. Any additional water use would certainly impact downstream users and thus create tensions. Some time will elapse before 44,000 ha of new irrigated land will have been developed. This time could be used to improve monitoring networks to decrease current uncertainties. Meanwhile the four riparian Limpopo States are preparing a joint river basin study. In this study a methodology could be

  11. Further evidence for geographic differentiation in R. appendiculatus (Acari: Ixodidae) from Eastern and Southern provinces of Zambia.

    PubMed

    Mtambo, Jupiter; Madder, Maxime; Van Bortel, Wim; Chaka, George; Berkvens, Dirk; Backeljau, Thierry

    2007-01-01

    Studies in the biology, ecology and behaviour of R. appendiculatus in Zambia have shown considerable variation within and between populations often associated with their geographical origin. We studied variation in the mitochondrial COI (mtCOI) gene of adult R. appendiculatus ticks originating from the Eastern and Southern provinces of Zambia. Rhipicephalus appendiculatus ticks from the two provinces were placed into two groups on the mtCOI sequence data tree. One group comprised all haplotypes of specimens from the Eastern province plateau districts of Chipata and Petauke. The second group consisted of a single haplotype of specimens from the Southern province districts and Nyimba, an Eastern province district on the fringes of the valley. This variation provides additional evidence to the earlier observations in the 12S rDNA and ITS2 data for the geographic subdivision of R. appendiculatus from Southern province and Eastern province plateau. The geographic subdivision further corresponds with differences in body size and diapause between R. appendiculatus from these geographic areas. The possible implications of these findings on the epidemiology of East Coast fever (ECF) the disease for which R. appendiculatus is one of the vectors are discussed.

  12. Baseline Predictors of Mortality among Predominantly Rural-Dwelling End-Stage Renal Disease Patients on Chronic Dialysis Therapies in Limpopo, South Africa

    PubMed Central

    Mapiye, Darlington; Swanepoel, Charles R.; Bello, Aminu K.; Ratsela, Andrew R.; Okpechi, Ikechi G.

    2016-01-01

    Background Dialysis therapy for end-stage renal disease (ESRD) continues to be the readily available renal replacement option in developing countries. While the impact of rural/remote dwelling on mortality among dialysis patients in developed countries is known, it remains to be defined in sub-Saharan Africa. Methods A single-center database of end-stage renal disease patients on chronic dialysis therapies treated between 2007 and 2014 at the Polokwane Kidney and Dialysis Centre (PKDC) of the Pietersburg Provincial Hospital, Limpopo South Africa, was retrospectively reviewed. All-cause, cardiovascular, and infection-related mortalities were assessed and associated baseline predictors determined. Results Of the 340 patients reviewed, 52.1% were male, 92.9% were black Africans, 1.8% were positive for the human immunodeficiency virus (HIV), and 87.5% were rural dwellers. The average distance travelled to the dialysis centre was 112.3 ± 73.4 Km while 67.6% of patients lived in formal housing. Estimated glomerular filtration rate (eGFR) at dialysis initiation was 7.1 ± 3.7 mls/min while hemodialysis (HD) was the predominant modality offered (57.1%). Ninety-two (92) deaths were recorded over the duration of follow-up with the majority (34.8%) of deaths arising from infection-related causes. Continuous ambulatory peritoneal dialysis (CAPD) was a significant predictor of all-cause mortality (HR: 1.62, CI: 1.07–2.46) and infection-related mortality (HR: 2.27, CI: 1.13–4.60). On multivariable cox regression, CAPD remained a significant predictor of all-cause mortality (HR: 2.00, CI: 1.29–3.10) while the risk of death among CAPD patients was also significantly modified by diabetes mellitus (DM) status (HR: 4.99, CI: 2.13–11.71). Conclusion CAPD among predominantly rural dwelling patients in the Limpopo province of South Africa is associated with an increased risk of death from all-causes and infection-related causes. PMID:27300372

  13. Landsat analysis of the Yangjiatan tungsten district, Hunan Province, People's Republic of China

    USGS Publications Warehouse

    Carter, W.D.; Kiilsgaard, T.H.

    1983-01-01

    The Yangjiatan tungsten district at latitude 27??28??? N. and longitude 111??54???E. is located about 140 km southwest of the city of Changsha and 35 km northeast of the town of Shaoyang, southeast Hunan Province, People's Republic of China. The deposits, consisting largely of scheelite in veins (Wang, 1975), are contained in highly folded and faulted sedimentary rocks of Paleozoic, Mesozoic, and Cenozoic age intruded by granitic plutons that are circular in plan view. The major faults and folds trend in a northeasterly direction; whereas, the plutons are clustered in a more easterly trending band across the Landsat image. Landsat image E-2338-02202, acquired December 26, 1975, is number 470 in the "Landsat Image Atlas of the People's Republic of China" printed by the Publishing House of Geology in 1979. A computer-compatible tape of the image was analyzed and used as a demonstration project under a United Nations technical assistance program. Supervised classification of soils, rocks, and vegetation; band ratioing to detect limonite alteration; and edge enhancement were all conducted to demonstrate the flexibility and capability of interactive computer systems. Field evaluation of the results of this work will be conducted by colleagues of the Remote Sensing Center for Geology, Ministry of Geology, in China. ?? 1983.

  14. Surface texture analysis of southern Tuli Basin sediments: Implications for Limpopo Valley geoarchaeological contexts

    NASA Astrophysics Data System (ADS)

    Le Baron, Joel C.; Grab, Stefan W.; Kuman, Kathleen

    2011-03-01

    The Hackthorne 1 site (southern Tuli Basin, South Africa) is situated on a sand-covered plateau adjacent to the Limpopo River Valley. Although the site is well known for its Stone Age archaeology, the past environmental contexts (particularly sedimentological/geomorphological) are not well known. We examine the Hackthorne sand grain surface textures, so as to provide some insight on the site specific and regional depositional history. Quartz sands at Hackthorne were collected from surface sands and from underlying weathered calcrete. SEM analysis was performed on sand grains, through which several mechanical and chemical microtextures were identified. Microtextures typical of fluvial environments were found only on grains derived from the plateau calcrete host sediment, whilst the surface sands exhibited only textures associated with aeolian environments. The results indicate that the calcrete host sediment is composed of alluvium, and that the surface sands mantling the Hackthorne Plateau are not deflated from the alluvial deposits in the Limpopo Valley, but may rather be derived from distant aeolian sources. The deposition of aeolian sands is consistent with OSL dates which place sand deposition, or remobilization, at 23 and 15 kya, periods in southern Africa associated with increased aridity.

  15. The Effectiveness of the School Performance, by Using the Total Quality Standards within the Education District of Al-Petra Province, from the Perspective of the Public Schools Principals and Teachers

    ERIC Educational Resources Information Center

    Alobiedat, Ahmad

    2011-01-01

    This study aimed to detect the level of appreciation by the school principals, teachers and the Education District, for the effectiveness of school performance, within different variables of the study from the perspective of public school principals and teachers of Al-Petra province, for the academic year 2008/2009. The study aimed to answer the…

  16. Occurrence of tick-borne haemoparasites in cattle in the Mungwi District, Northern Province, Zambia.

    PubMed

    Tembo, Stephen; Collins, Nicola E; Sibeko-Matjila, Kgomotso P; Troskie, Milana; Vorster, Ilse; Byaruhanga, Charles; Oosthuizen, Marinda C

    2018-03-01

    Little is known about the occurrence of haemoparasites in cattle in communal grazing areas of Mungwi District of Northern Province, Zambia. Clinical signs and post mortem lesions are pathognomonic of mixed tick-borne infections especially babesiosis, anaplasmosis and East Coast fever. The main objective of this study was to screen selected communal herds of cattle for tick-borne haemoparasites, and identify the tick vectors associated with the high cattle mortalities due to suspected tick-borne diseases in the local breeds of cattle grazing along the banks of the Chambeshi River in Mungwi District, Northern Province, Zambia. A total of 299 cattle blood samples were collected from July to September 2010 from Kapamba (n = 50), Chifulo (n = 102), Chisanga (n = 38), Kowa (n = 95) and Mungwi central (n = 14) in the Mungwi District. A total of 5288 ticks were also collected from the sampled cattle from April to July 2011. DNA was extracted from the cattle blood and the hypervariable region of the parasite small subunit rRNA gene was amplified and subjected to the reverse line blot (RLB) hybridization assay. The results of the RLB assay revealed the presence of tick-borne haemoparasites in 259 (86.6%) cattle blood samples occurring either as single (11.0%) or mixed (75.6%) infections. The most prevalent species present were the benign Theileria mutans (54.5%) and T. velifera (51.5%). Anaplasma marginale (25.7%), Babesia bovis (7.7%) and B. bigemina (3.3%) DNA were also detected in the samples. Only one sample (from Kapamba) tested positive for the presence of T. parva. This was an unexpected finding; also because the tick vector, Rhipicephalus appendiculatus, was identified on animals from Kowa (14.0%), Chisanga (8.5%), Chifulo (6.0%) and Kapamba (1.4%). One sample (from Kapamba) tested positive for the presence of Ehrlichia ruminantium even though Amblyomma variegatum ticks were identified from 52.9% of the sampled animals from all study areas. There

  17. Implementing people-centred health systems governance in 3 provinces and 11 districts of Afghanistan: a case study.

    PubMed

    Anwari, Zelaikha; Shukla, Mahesh; Maseed, Basir Ahmad; Wardak, Ghulam Farooq Mukhlis; Sardar, Sakhi; Matin, Javid; Rashed, Ghulam Sayed; Hamedi, Sayed Amin; Sahak, Hedayatullah; Aziz, Abdul Hakim; Boyd-Boffa, Mariah; Trasi, Reshma

    2015-01-01

    Previous studies show that health systems governance influences health system performance and health outcomes. However, there are few examples of how to implement and monitor good governing practices in fragile and conflict affected environments. Good governance has the potential to make the health system people-centered. More research is needed on implementing a people-centered governance approach in these environments. We piloted an intervention that placed a people-centred health systems governance approach in the hands of multi-stakeholder committees that govern provincial and district health systems. We report the results of this intervention from three provinces and eleven districts in Afghanistan over a six month period. This mixed-methods exploratory case study uses analysis of governance self-assessment scores, health management information system data on health system performance, and focus group discussions. The outcomes of interest are governance scores and health system performance indicators. We document the application of a people-centred health systems governance conceptual model based on applying four effective governing practices: cultivating accountability, engaging with stakeholders, setting a shared strategic direction, and stewarding resources responsibly. We present a participatory approach where health system leaders identify and act on opportunities for making themselves and their health systems more accountable and responsive to the needs of the communities they serve. We found that health systems governance can be improved in fragile and conflict affected environments, and that consistent application of the effective governing practices is key to improving governance. Intervention was associated with a 20% increase in antenatal care visit rate in pilot provinces. Focus group discussions showed improvements across the four governing practices, including: establishment of new sub-committees that oversee financial transparency and governance

  18. The effect of neighboring districts on body height of Polish conscripts.

    PubMed

    Gomula, Aleksandra; Koziel, Slawomir; Groth, Detlef; Bielicki, Tadeusz

    2017-04-01

    The aim of the study was to investigate the correlation of heights of conscripts living in neighboring districts in Poland. The study used 10% of a nationally representative sample of 26,178 males 18.5-19.5 years old examined during the National survey of Polish conscripts conducted in 2001. The sample represented all regions and social strata of the country and included 354 different districts within 16 voivodships (provinces). Analyses were performed with the R statistical software. A small but significant correlation (0.24, p < 0.0001) was observed for height between 1 st order neighboring districts. Correlations decreased with increased distances between neighboring districts, but remained significant for 7 th node neighbors (0.18, p < 0.0001). Regarding voivodships (provinces), average height showed a geographical trend from the northwest (relatively tall) to the southeast (relatively short), and the correlation was stronger for first order neighboring provinces (0.796, p < 0.001). This study revealed clusters of tall people and short people, providing a support for hypothesis of the community effect in height. Small correlations between 1 st order neighbors than in another country (Switzerland) may be associated with differences in geography, since in Poland there are no natural barriers (e.g., mountains) and road infrastructure is well-developed.

  19. Modelling of land use change in Indramayu District, West Java Province

    NASA Astrophysics Data System (ADS)

    Handayani, L. D. W.; Tejaningrum, M. A.; Damrah, F.

    2017-01-01

    Indramayu District into a strategic area for a stopover and overseas from East Java area because Indramayu District passed the north coast main lane, which is the first as the economic lifeblood of the Java Island. Indramayu District is part of mainstream economic Java pathways so that physical development of the area and population density as well as community activities grew by leaps and bounds. Growth acceleration raised the level of land use change. Land use change and population activities in coastal area would reduce the carrying capacity and impact on environmental quality. This research aim to analyse landuse change of years 2000 and 2011 in Indramayu District. Using this land use change map, we can predict the condition of landuse change of year 2022 in Indramayu District. Cellular Automata Markov (Markov CA) Method is used to create a spatial model of land use changes. The results of this study are predictive of land use in 2022 and the suitability with Spatial Plan (RTRW). A settlement increase predicted to continue in the future the designation of the land according to the spatial plan should be maintained.

  20. SOCIO-DEMOGRAPHIC CHARACTERISTICS AND GEOGRAPHIC DISTRIBUTION OF REPORTED MALARIA CASES IN BANGKA DISTRICT, BABEL ISLAND PROVINCE, INDONESIA DURING 2008-2012.

    PubMed

    Shodianal; Kamigaki, Taro; Oshitani, Hitoshi

    2015-11-01

    Malaria is a major health problem in many developing countries including Indonesia. The purpose of this study was to investigate the socio-demographic characteristics and geographic distribution of malaria cases in Bangka District, Bangka-Belitung Island Province, Indonesia. Bangka District is a malaria endemic area of Indonesia. We analyzed the epidemiological data of all reported malaria cases during 2008-2012 in Bangka District. Of the 4,756 malaria-confirmed cases reported during the study period, 3,234 (68. 0%) were among persons aged ≥ 15 years, 1,024 (21.5%) were among persons aged 5-14 years and 498 (10.5%) were among persons aged < 5 years. Malaria cases were primarily located along the sea coast and less frequently in inland. Malaria cases were found not only among the local population but also among migrant workers. The monthly incidence of reported malaria cases in the study population ranged from 0.06 to 1.06 per 1,000 person-months. The cases were mostly due to Plasmodium vivax (57.1%) followed by Plasmodiumfalciparum (40.2%). Plasmodiumfalciparum was more common among migrant workers while Plasmodium vivax was more common among the local population (Odds ratio 1.2; p = 0.03). The main transmission vector found in the coastal area was Anopheles sundaicus. An. letifer and An. barbirostris were found inland. We identified "malaria hot-spots" in the study area using a Geographic Information System. The results of this study will contribute to the malaria control program.

  1. Evaluation of a Silver-Embedded Ceramic Tablet as a Primary and Secondary Point-of-Use Water Purification Technology in Limpopo Province, S. Africa

    PubMed Central

    Ehdaie, Beeta; Rento, Chloe T.; Son, Veronica; Turner, Sydney S.; Samie, Amidou; Dillingham, Rebecca A.

    2017-01-01

    The World Health Organization (WHO) recognizes point-of-use water treatment (PoUWT) technologies as effective means to improve water quality. This paper investigates long-term performance and social acceptance of a novel PoUWT technology, a silver-infused ceramic tablet, in Limpopo Province, South Africa. When placed in a water storage container, the silver-embedded ceramic tablet releases silver ions into water, thereby disinfecting microbial pathogens and leaving the water safe for human consumption. As a result of its simplicity and efficiency, the silver-embedded ceramic tablet can serve as a stand-alone PoUWT method and as a secondary PoUWT to improve exisitng PoUWT methods, such as ceramic water filters. In this paper, three PoUWT interventions were conducted to evaluate the silver-embedded ceramic tablet: (1) the silver-embedded ceramic tablet as a stand-alone PoUWT method, (2) ceramic water filters stand-alone, and (3) a filter-tablet combination. The filter-tablet combination evaluates the silver-embedded ceramic tablet as a secondary PoUWT method when placed in the lower reservoir of the ceramic water filter system to provide residual disinfection post-filtration. Samples were collected from 79 households over one year and analyzed for turbidity, total silver levels and coliform bacteria. Results show that the silver-embedded ceramic tablet effectively reduced total coliform bacteria (TC) and E. coli when used as a stand-alone PoUWT method and when used in combination with ceramic water filters. The silver-embedded ceramic tablet’s performance as a stand-alone PoUWT method was comparable to current inexpensive, single-use PoUWT methods, demonstrating 100% and 75% median reduction in E. coli and TC, respectively, after two months of use. Overall, the the filter-tablet combination performed the best of the three interventions, providing a 100% average percent reduction in E. coli over one year. User surveys were also conducted and indicated that the

  2. Evaluation of a Silver-Embedded Ceramic Tablet as a Primary and Secondary Point-of-Use Water Purification Technology in Limpopo Province, S. Africa.

    PubMed

    Ehdaie, Beeta; Rento, Chloe T; Son, Veronica; Turner, Sydney S; Samie, Amidou; Dillingham, Rebecca A; Smith, James A

    2017-01-01

    The World Health Organization (WHO) recognizes point-of-use water treatment (PoUWT) technologies as effective means to improve water quality. This paper investigates long-term performance and social acceptance of a novel PoUWT technology, a silver-infused ceramic tablet, in Limpopo Province, South Africa. When placed in a water storage container, the silver-embedded ceramic tablet releases silver ions into water, thereby disinfecting microbial pathogens and leaving the water safe for human consumption. As a result of its simplicity and efficiency, the silver-embedded ceramic tablet can serve as a stand-alone PoUWT method and as a secondary PoUWT to improve exisitng PoUWT methods, such as ceramic water filters. In this paper, three PoUWT interventions were conducted to evaluate the silver-embedded ceramic tablet: (1) the silver-embedded ceramic tablet as a stand-alone PoUWT method, (2) ceramic water filters stand-alone, and (3) a filter-tablet combination. The filter-tablet combination evaluates the silver-embedded ceramic tablet as a secondary PoUWT method when placed in the lower reservoir of the ceramic water filter system to provide residual disinfection post-filtration. Samples were collected from 79 households over one year and analyzed for turbidity, total silver levels and coliform bacteria. Results show that the silver-embedded ceramic tablet effectively reduced total coliform bacteria (TC) and E. coli when used as a stand-alone PoUWT method and when used in combination with ceramic water filters. The silver-embedded ceramic tablet's performance as a stand-alone PoUWT method was comparable to current inexpensive, single-use PoUWT methods, demonstrating 100% and 75% median reduction in E. coli and TC, respectively, after two months of use. Overall, the the filter-tablet combination performed the best of the three interventions, providing a 100% average percent reduction in E. coli over one year. User surveys were also conducted and indicated that the silver

  3. Occurrence of fluororichterite and fluorian biotite in the In Tifar trachyte neck (Tazrouk district, Hoggar volcanic province, Sahara, Algeria)

    NASA Astrophysics Data System (ADS)

    Azzouni-Sekkal, Abla; Bonin, Bernard; Ben El Khaznadji, Riad

    2013-09-01

    The unusual occurrence in the In Tifar trachyte neck (Tazrouk district, Hoggar volcanic province, Sahara, Algeria) of the fluorian biotite-fluororichterite association is presented. The two mineral species were previously unknown in the Hoggar and their association is uncommon worldwide. Ti-rich biotite has 28-40% OH sites occupied by fluorine, hence the use of the modifier "fluorian". Sodic-calcic fluororichterite has more than 55% OH sites filled by fluorine, hence the use of the prefix "fluoro". Well-defined F-Mg affinities are documented in both cases, while Cl remains very low. Temperatures are estimated roughly at 775-700 °C at low pressures. The fluorian biotite → fluororichterite sequence of crystallisation implies increasingly high fH2F2/fH2O ratios in metaluminous H2O-dominated evolving to peralkaline F-enriched fluids.

  4. An assessment study of maternal mortality ratio databank in five districts of North Western Frontier Province Pakistan.

    PubMed

    Farooq, Nasir; Jadoon, Huma; Masood, Tayyeb Imran; Wazir, M Saleem; Farooq, Umer; Lodhi, Mohammad Saqib

    2006-01-01

    Maternal mortality ratio is an indicator to measure the summary of information about mother and child health. It is estimated that about 500 maternal deaths occur per 100,000 live births each year in Pakistan. It is a well known fact that all health statistics coming out of the developing countries are calculated "guesstimates" some are perhaps more close to the real figures than the others. There is a dire need to help generate information that can be used by health professionals, health care planners and managers to save women's lives by improving the quality of care provided to turn away maternal mortality. The maternal mortality ratio for Pakistan as well as for NWFP is projected as 533/100,000 live births for the year 1990-91 produced by National Institute of Population Studies, Pakistan. This was a retrospective cross-sectional quantitative study for the period (2001-2002) conducted in five districts of (NWFP) North Western Frontier Province, Pakistan. National HMIS data opened the maternal mortality ratio for; Haripur as 0.168 and 0.173, Mansehra 00 and 00, Battagram 00 and 00, Swat 0.051. and 0.524 and Swabi 00 and 0.968 per/1000 live births, respectively. The small part exercise outcome (the study) endorsed more shadowy side of the actual maternal mortality ratio for the same period in the same districts. In our country there is a urgent need to institute an efficient mode of operation to get accurate maternal mortality database. Verbal Autopsy method is cost effective and feasible approach for implementation in a country like Pakistan.

  5. Stratigraphy of the pedogenic manganese nodules in the Carletonville area, North West Province of South Africa: A case study of the General Nice Manganese Mine

    NASA Astrophysics Data System (ADS)

    Pharoe, Benedict Kinshasa; Liu, Kuiwu

    2018-07-01

    The lithostratigraphy of pedogenic manganese (Mn) nodules in the Carletonville area is similar to the Klipkuil, Ryedale, Wes Wits, and Houtkoppies deposits in the West Rand region of the Gauteng and North West Provinces and to a lesser extent the Bronkhorstfontein manganese deposit in the Limpopo Province of South Africa. The lithostratigraphy of the ore deposit at the General Nice Manganese Mine consists of a basal manganese wad, preserved in a typical karst setting on top of the underlying Malmani stromatolitic dolomites and Tertiary fluvial and secondary mineral deposits consisting of manganese nodules of variable size in a finer-grained soil matrix. At the top of the deposit is a Mn-depleted Quaternary sand cover. The Tertiary alluvial succession hosting Mn nodules was informally subdivided into A, B, C, D, E, F, G and H zones on the basis of geochemical analyses (XRD, XRF and SEM) of bulk zone samples and the manganese nodule size and concentration.

  6. [Annual Reports for the Academic Year 1980-81 from 49 States, the District of Columbia and 3 Canadian Provinces Focusing on Problems, Issues, Achievements and Other Areas of Interest to the Postsecondary Education Community.

    ERIC Educational Resources Information Center

    Berve, Nancy M., Ed.

    1981-01-01

    Annual reports are presented for the academic year 1980-1981 from 49 states (except Maine), the District of Columbia, and three Canadian provinces focusing on problems, issues, achievements, and other areas of interest to the postsecondary education community. Specific topics include the following: long-range plans for higher education,…

  7. Systemic analysis of desertification processes taking place in the Limpopo river basin

    NASA Astrophysics Data System (ADS)

    Messina, Mario; Attorre, Fabio; Vitale, Marcello

    2016-04-01

    Desertification and land degradation are phenomena that ranks among the greatest environmental challenges of our time. Desertification is a global issue, with serious implications worldwide for biodiversity, socio-economic stability and sustainable development. Biophysical indicators of land degradation and desertification, like Net Primary Productivity (NPP) and Total Ecosystem Respiration (Reco) were provided by remote sensing technology (MODIS). The study aims to evaluate the dynamical changes of NPP and Reco in the Limpopo river basin, a Southern African region that includes, Botswana, Mozambique, South Africa and Zimbabwe, during the time period 2001-2010. In particular, the relations between NPP, Reco, environmental, physiological and land use parameters have been widely investigated through the application of a new and powerful statistical classifier, the Random Forest Analysis (RFA), and a general non-linear model, the Response Surface Regression Model (GRM). RFA highlighted that Temperature is one of the most important predictors affecting NPP and Reco in the Limpopo river basin. Conversely, other environmental parameters like, Precipitation, Evapotranspiration and Vegetation cover rarely influence NPP and Reco. Our results provide information on desertification and land degradation phenomena and a first step for identifying practices to mitigate their negative impacts. However, it must be taken into account that NPP and Reco depend by a multitude of factors (e.g. human activities, socio-economic policies) and can vary in relation to spatial and temporal scale. In order to achieve a better understanding of land degradation and desertification processes, land use and socio-economic variables should be considered.

  8. Ethnobotany of medicinal plants in district Mastung of Balochistan province-Pakistan.

    PubMed

    Bibi, Tahira; Ahmad, Mushtaq; Bakhsh Tareen, Rsool; Mohammad Tareen, Niaz; Jabeen, Rukhsana; Rehman, Saeed-Ur; Sultana, Shazia; Zafar, Muhammad; Yaseen, Ghulam

    2014-11-18

    The aim of this study was to document the medicinal uses of plants in district Mastung of Balochistan province, Pakistan. The ethnobotanical results contain quantitative information on medicinal plants diversity documented for the first time in the area. The information was collected through semi-structured interviews, rapid appraisal approach, open ended questionnaire and personal observations. Results were analyzed using quantitative indices of information consent factor (ICF), fidelity level (FL), use value (UV), frequency citation (FC) and relative frequency citation (RFC). In total of 102 plant species belonging to 47 families were reported for the medicinal purposes. Asteraceae was found to be dominant family in terms of species in the area with 11 species. The whole plant and leaves were noted as most frequently used parts (24%). Decoction (31% with 40 species) was the most commonly used preparation method. Highest ICF value (1) was recorded for antidote category. 100% fidelity level was found for four plant species i.e. Achillea welhemsii, Caralluma tuberculata, Citrullus colocynthis, and Seripidium quettense. The highest use value was reported for the Acroptilon repens (0.5) while highest RFC value was calculated for Berberis balochistanica and Citrullus colocynthis (0.18). Highest use report was calculated for Caralluma tuberculata, Citrullus colocynthis, Malva neglecta and Mentha longifolia with five use reports for each. The area is rich in medicinal plants and these plants are still commonly used for medicinal purposes among the people in their daily lives. However, there is a gradual loss of traditional knowledge about these plants in new generation. This study provides basis for the conservation of the local flora, its use as food and medicine. It also provides various socio-economic dimensions associated with the common people. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  9. Ethnopharmacological importance of medicinal flora from the district of Vehari, Punjab province, Pakistan.

    PubMed

    Ahmed, Nadeem; Mahmood, Adeel; Mahmood, Aqeel; Sadeghi, Zahra; Farman, Muhammad

    2015-06-20

    Ethnopharmacological studies are important for the discovery of new drugs from reported indigenous flora. The current study was aimed to document medicinal flora and its therapeutic actions along with the relative importance in local health care system of the district of Vehari, Punjab province, Pakistan. Rapid appraisal approach (RAA) and semi structured interviews were used along with the group meetings with herbalists, local inhabitants and landowners to collect the relevant data. A total 77 medicinal plants belonging to 41 families disseminated among 71 genera were reported. Fabaceae was the predominant family over others with 9 reported medicinal plant species. Use frequency of leaves was at peak with 30.12% followed by stem 24.62%, fruit 14.22%, flower 12.97%, seeds 12.13%, bark 4.6% and pod 1.25%, in herbal preparations. Allium cepa exhibited the highest use value (0.90) while lowest use value (UV) was reflected by Aerva javanica (0.10). Documentation of various medicinal plants for the treatment of cancer, hepatitis and cardiac disorders is evidence in favor to highlight the value of medicinal flora. Unfortunately, no attention has been paid to this treasure in term of conservation and utilization in modern healthcare system, where these plants can be a best replacement of chemically synthesized drugs. It is also recommended that plants exhibiting high UV should be screened for detailed bio-active phytochemicals. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  10. Efficiency indices and indicators of poor performance among emerging small-scale pig farmers in the Limpopo Province, South Africa.

    PubMed

    Mokoele, Japhta M; Spencer, B Tom; van Leengoed, Leo A M G; Fasina, Folorunso O

    2014-11-12

    Limpopo is a very important area for pig production in terms of animal populations and contributions to transboundary animal disease spread. Emerging small-scale pig farmers (ESSPF) are being encouraged to establish operations and spread in South Africa; however, for these farmers to perform optimally, they need to understand the basics of animal agriculture and contribute to enhancing biosecurity and efficient production systems. In the present study, the limitations to efficient production amongst ESSPF were evaluated and some improvements were suggested. It was found that the ESSPF are dominated by males and include a large percentage of older persons. A total of 26.54% of these farmers have post-matriculation qualifications. Undefined and indigenous breeds still dominate their animal genetics. The animal health technicians are the preferred channels by which farmers report diseases to the authorities (52.47%) and only one out of five (20.37%) will preferably report a disease situation direct to a veterinarian. These farmers do not vaccinate their stock, and knowledge of biosecurity is poor. Antimicrobials, especially tetracyclines, are abused. Animals that are slaughtered within the community or sold at local sale points, pension pay stations and auction markets are likely candidates for disease spread. It is recommended that the younger generations are retained and incentivised in animal agriculture. Improved training on management, health, biosecurity and better market access must be provided for the ESSPF, whilst efforts should made to consolidate these farmers into small cooperatives. The current government agricultural support system will need to be reworked to benefit the resource-poor farmers. Collaborative efforts in disease reporting and management among veterinarians, animal health technicians and extension officers will become necessary. Finally, the creation of a progressive quality grading system for ESSPF should be planned by the industry and this

  11. The reporting of a Bacillus anthracis B-clade strain in South Africa after more than 20 years.

    PubMed

    Lekota, K E; Hassim, A; Rogers, P; Dekker, E H; Last, R; de Klerk-Lorist, L; van Heerden, H

    2018-05-02

    Anthrax is a disease with an age old history in Africa caused by the Gram-positive endospore forming soil bacterium Bacillus anthracis. Epizootics of wild ungulates occur annually in the enzootic region of Pafuri, Kruger National Park (KNP) in the Limpopo Province of South Africa. Rigorous routine surveillance and diagnostics in KNP, has not revealed these rare isolates since the 1990s, despite unabated annual outbreaks. In 2011 a cheetah was diagnosed as anthrax positive from a private game reserve in Limpopo Province and reported to State Veterinary Services for further investigation. Isolation, molecular diagnostics, whole genome sequencing and comparative genomics were carried out for B. anthracis KC2011. Bacteriological and molecular diagnostics confirmed the isolate as B. anthracis. Subsequent typing and whole genome single nucleotide polymorphisms analysis indicated it clustered alongside B. anthracis SA A0091 in the B.Br.010 SNP branch. Unlike B. anthracis KrugerB strain, KC2011 strain has unique SNPs and represents a new branch in the B-clade. The isolation and genotypic characterisation of KC2011 demonstrates a gap in the reporting of anthrax outbreaks in the greater Limpopo province area. The identification of vulnerable and susceptible cheetah mortalities due to this strain has implications for conservation measures and disease control.

  12. Epidemiology, symptoms and treatment of paragonimiasis in Sin Ho district, Lai Chau province, Vietnam.

    PubMed

    De, N V; Cong, L D; Kino, H; Son, D T; Vien, H V

    2000-01-01

    Sin Ho is a district of the northern mountainous province of Lai Chau, Vietnam, where the people have the habit of eating undercooked crabs. A study on paragoniamiasis carried out from 1994 to 1995 with 1,642 persons in this endemic area, showed that the rate of eating raw-crab was 72.5%. Crab examination (Ranguna kimboiensis) showed an infection rate of Paragonimus metacercaria of 98.1%. With 624 stool samples examined by Kato technique, the infection rate of Paragonimus in humans was 6.4%. With 338 sputum samples examined by direct and centrifuge methods, the infection rate of Paragonimus was 7.4%. Most of the patients were children (63.2%). The infection rate of Paragonimus in dogs was 18.2 - 33.3%. Adult worms, collected from the dogs in the field and from the cats in laboratory, were identified as Paragonimus heterotremus. The main symptoms of Paragonimus patients were cough and hemoptysis (92%), discontinuously developed (96%), without fever (94%), chest pain (70%), pleural effusion (26%), neurogical symptoms (8%), eosinophilia (88.9%), nodular ring shadows in the lungs, as shown by chest X-ray examination and more in lower lobe, (76.2%). Paragonimiasis patients were treated by (a) Praziquantel 25 mg/kg/day x 3 days; the cure rate was 68.8%. (b) Praziquantel 50 mg/kg/day x 3 days; the cure rate was 75%.

  13. Preliminary Monitoring of Soil gas Radon in Potentially Active Faults, San Sai District, Chiang Mai Province, Thailand

    NASA Astrophysics Data System (ADS)

    Pondthai, P.; Udphuay, S.

    2013-05-01

    The magnitude of 5.1 Mw earthquake occurred in San Sai District, Chiang Mai Province, Thailand in December 2006 was considered an uncommon event due to the fact that there was no statistical record of such significant earthquake in the area. Therefore the earthquake might have been associated with a potentially active fault zone within the area. The objective of this study is to measure soil gas radon across this unknown fault zone within the Chiang Mai Basin, northern Thailand. Two profiles traversing the expected fault zone of soil gas radon measurements have been monitored, using TASTRAK solid state track nuclear detectors (SSNTDs). Radon signals from three periods of measurement show a distinctive consistent spatial distribution pattern. Anomalous radon areas along the profiles are connected to fault locations previously interpreted from other geophysical survey results. The increased radon signal changes from the radon background level with the signal-to-background ratio above 3 are considered anomalous. Such pattern of radon anomaly supports the existence of the faults. The radon measurement, therefore is a powerful technique in mapping active fault zone.

  14. A serological survey of leptospirosis in cattle of rural communities in the province of KwaZulu-Natal, South Africa.

    PubMed

    Hesterberg, U W; Bagnall, R; Bosch, B; Perrett, K; Horner, R; Gummow, B

    2009-03-01

    A serological survey of leptospirosis in cattle originating from rural communities of the province of KwaZulu-Natal (KZN) in South Africa was carried out between March 2001 and December 2003. The survey was designed as a 2-stage survey, using the local diptank as the primary sampling point. In total, 2021 animals from 379 diptanks in 33 magisterial districts were sampled and tested with the microscopic agglutination test (MAT). The apparent prevalence at district level was adjusted for clustering and diagnostic test sensitivity and specificity and displayed in maps. The prevalence of leptospirosis in cattle originating from communal grazing areas of KZN was found to be 19.4% with a 95% confidence interval of 14.8-24.1%. At district level the prevalence of leptospirosis varied from 0 to 63% of cattle. Bovine leptospirosis was found to occur in communal grazing areas throughout the province with the exception of 2 districts. The southeastern regions showed a higher prevalence than other areas of the province; while in some of the northern and western districts a lower prevalence was noted. Several serovars were detected by the MAT and although Leptospira interrogans serovar pomona occurred most frequently, serovars tarrasovi, bratislava, hardjo, canicola and icterohaemorrhagica were also frequently identified. The findings of the survey are discussed.

  15. Relationship between dental caries status, nutritional status, snack foods, and sugar-sweetened beverages consumption among primary schoolchildren grade 4-6 in Nongbua Khamsaen school, Na Klang district, Nongbua Lampoo Province, Thailand.

    PubMed

    Lueangpiansamut, Juthamas; Chatrchaiwiwatana, Supaporn; Muktabhant, Benja; Inthalohit, Warangkana

    2012-08-01

    To evaluate relationship between dental caries status, nutritional status, snack foods, and sugar-sweetened beverages consumption among primary schoolchildren grade 4-6 in Na Klang district, Nongbua Lampoo province, Thailand in 2011. The subjects included 111 children (57 boys and 54 girls), aged 11 and 12 years, who were studying in grades 4 to 6 in the year 2011. The data were collected through questionnaires, interview, and oral examination. Results were obtained by means of descriptive, bivariate, and multiple logistic regression analyses. Prevalence of dental caries in the children was 82.9% with the mean DMFT of 2.28. The dental caries prevalence in permanent and primary dentitions was 69.4% and 34.2%, respectively. About 10.2% of the children were underweight, 13.0% were obese, and 7.5% were stunting. Findings from the final multiple logistic regression models showed that weight-for-age malnutrition as well as eating sweets before bedtime were significantly related to dental caries in primary dentition, with the adjusted odds ratio (95% CI) being 6.68 (1.57, 28.41) and 5.34 (1.60, 17.77), respectively. Family income was significantly related to permanent dental caries with the odds ratio (95% CI) being 9.60 (1.89, 48.59). Nutritional status is associated with dental caries among these elementary schoolchildren. Larger studies extending to cover other elementary schools in Na Klang district should be conducted so that the results will be representative of all elementary schools in Na Klang district, Nongbua Lampoo province.

  16. Developing a flood monitoring system from remotely sensed data for the Limpopo basin

    USGS Publications Warehouse

    Asante, K.O.; Macuacua, R.D.; Artan, G.A.; Lietzow, R.W.; Verdin, J.P.

    2007-01-01

    This paper describes the application of remotely sensed precipitation to the monitoring of floods in a region that regularly experiences extreme precipitation and flood events, often associated with cyclonic systems. Precipitation data, which are derived from spaceborne radar aboard the National Aeronautics and Space Administration's Tropical Rainfall Measuring Mission and from National Oceanic and Atmospheric Administration's infrared-based products, are used to monitor areas experiencing extreme precipitation events that are defined as exceedance of a daily mean areal average value of 50 mm over a catchment. The remotely sensed precipitation data are also ingested into a hydrologic model that is parameterized using spatially distributed elevation, soil, and land cover data sets that are available globally from remote sensing and in situ sources. The resulting stream-flow is classified as an extreme flood event when flow anomalies exceed 1.5 standard deviations above the short-term mean. In an application in the Limpopo basin, it is demonstrated that the use of satellite-derived precipitation allows for the identification of extreme precipitation and flood events, both in terms of relative intensity and spatial extent. The system is used by water authorities in Mozambique to proactively initiate independent flood hazard verification before generating flood warnings. The system also serves as a supplementary information source when in situ gauging systems are disrupted. This paper concludes that remotely sensed precipitation and derived products greatly enhance the ability of water managers in the Limpopo basin to monitor extreme flood events and provide at-risk communities with early warning information. ?? 2007 IEEE.

  17. The impact of sharing arrangement institution on beef cattle breeding performance in Kupang District, East Nusa Tenggara Province, Indonesia

    NASA Astrophysics Data System (ADS)

    Nono, O. H.; Natawidjaja, R.; Arief, B.; Suryadi, D.; Kapa, M. M. J.

    2018-02-01

    The aim of this study was to analyse the impact of sharing arrangement systems to performance of beef cattle breeding. This research was conducted in Kupang Regency - East Nusa Tenggara Province, Indonesia. The study used multi stage cluster random sampling method to determine the sample area and respondents. The sample areas consisted of 2 sub-districts and 6 villages, while the total respondents were 117 people comprised 74 Participant Farmers (PF) of sharing arrangement systems (SAS) and 43 non-participant farmers (NPF). 23 investors were selected for the survey. The result of the study indicated that the performance of NPF in terms of revenue, net profit, and return on investment (ROI) was better than PF respondents. The value of ROI was between 16.69-32.23 %. This indicated that utilization of farm asset was not optimum yet. It was found that farm efficiency was 1.73 which indicated that SAS does not increase farm productivity.

  18. Ethnoveterinary treatments for common cattle diseases in four districts of the Southern Province, Zambia.

    PubMed

    Syakalima, Michelo; Simuunza, Martin; Zulu, Victor Chisha

    2018-02-01

    Ethno veterinary knowledge has rarely been recorded, and no or limited effort has been made to exploit this knowledge despite its widespread use in Zambia. This study documented the types of plants used to treat important animal diseases in rural Zambia as a way of initiating their sustained documentation and scientific validation. The study was done in selected districts of the Southern Zambia, Africa. The research was a participatory epidemiological study conducted in two phases. The first phase was a pre-study exploratory rapid rural appraisal conducted to familiarize the researchers with the study areas, and the second phase was a participatory rural appraisal to help gather the data. The frequency index was used to rank the commonly mentioned treatments. A number of diseases and traditional treatments were listed with the help of local veterinarians. Diseases included: Corridor disease (Theileriosis), foot and mouth disease, blackleg, bloody diarrhea, lumpy skin disease, fainting, mange, blindness, coughing, bloat, worms, cobra snakebite, hemorrhagic septicemia, and transmissible venereal tumors. The plant preparations were in most diseases given to the livestock orally (as a drench). Leaves, barks, and roots were generally used depending on the plant type. Ethno veterinary medicine is still widespread among the rural farmers in the province and in Zambia in general. Some medicines are commonly used across diseases probably because they have a wide spectrum of action. These medicines should, therefore, be validated for use in conventional livestock healthcare systems in the country to reduce the cost of treatments.

  19. [Project for the Creation of a Medical or Hospital Ethical Committee at a Local Level in the San Miguel Arcangel Hospital, District of San Miguelito, Province of Panama. Year 2013].

    PubMed

    Díaz Rivera, Yashiro A

    2015-01-01

    The next project was based on the design on the creation of a medical ethical Committee at a hospital. It was developed at the San Miguel Arcangel Hospital, District of San Miguelito, Province of Panama, in 2013. Insomuch as the creation of social projects requires unified international parameters, format is taken from the Unesco's guides for the establishing and working of bioethics committees; adapted to the socio-economic, political and cultural context of the San Miguelito District, Panama Province. Furthermore to adapting to socio-ecological aspect where the research project is carried out, the theoretical aspect includes from the ontological personalistic bioethics, where the cornerstone is the dignity of the human person. A study of perceptions of medical staff and nursing was developed on the management of the most common ethical dilemmas in the Hospital San Miguel Arcángel. The instrument used was a previously validated perception survey through a pilot test. Reliability was measured using Cronbach's alpha coefficient, and validity was obtained from the content. Satisfactory statistical results, that verify the working hypotheses on the recognition of the importance of autonomy, confidentiality, protection of vulnerable population, occupational health staff welfare and integration of bioethics at the institutional agenda, were obtained. However, there were particular aspects that indicate some doubt as to the management of some realities that are presented in the context of health care.

  20. The Development of Multiple Intelligence Capabilities for Early Childhood Development Center, Local Administration Organization in Chaiyaphum Province

    ERIC Educational Resources Information Center

    Siphai, Sunan; Supandee, Terdsak; Raksapuk, Chunpit; Poopayang, Piangkhae; Kratoorerk, Sangsan

    2017-01-01

    The aim of this research is to promote multiple intelligence capabilities for Early Childhood Care Center of a Sub-district Administration Organization in Chaiyaphum Province. The sample applied were 61 children aging between 3 and 5 years old at Child Development Center, Tambon Ban Kok, Amphoe Chaturus, Chaiyaphum Province, who were selected…

  1. Otoscopic examinations reveal high prevalence of outer and middle ear pathologies in paediatrics in Limpopo, South Africa.

    PubMed

    Phanguphangu, Mukovhe Chad

    2017-04-01

    To determine the prevalence of outer and middle ear pathologies in paediatrics in Limpopo, South Africa. Cross-sectional retrospective review of otoscopy results obtained during a school health screening campaign conducted between March and June 2015. Descriptive statistics through percentages and frequency tables were used to analyse the data. Logistic regression was used to determine associations between age, gender and pathologies observed. Medical folders of 1089 pupils. Forty-nine percent had normal otoscopy results. A significant 36% (n = 392) had impacted cerumen. Furthermore, 45% of those with impacted cerumen were bilaterally impacted. Additionally, 4% presented with foreign bodies and a further 8% had otitis externa and otitis media. The remaining 3% had tympanic membrane perforations. The odds of developing outer and middle ear pathologies were higher in pupils below 6 years of age (p = 0.046). This study highlights a high prevalence of outer and middle ear pathologies in paediatrics in Limpopo and therefore recommends comprehensive baseline and periodic screenings; to identify children with outer and middle ear pathologies and need further management, and consequently prevent the complications of these pathologies. Additionally, this report highlights a rising need for large-scale research to provide comprehensive analysis of these pathologies.

  2. Impact of socioeconomic status and district of residence on cutaneous malignant melanoma prognosis: a survival study on incident cases between 1991 and 2011 in the province of Ferrara, northern Italy.

    PubMed

    Borghi, Alessandro; Corazza, Monica; Virgili, Annarosa; Lambertini, Anna G; Caranci, Nicola; Pacelli, Barbara; Carcoforo, Paolo; Ferretti, Stefano

    2017-12-01

    The aim of this study was to analyse the impact of socioeconomic status (SES) on the prognosis of patients with invasive malignant melanoma (MM) incident from 1991 to 2011 in the province of Ferrara, northern Italy. A total of 750 patients provided by the Area Vasta Emilia Centrale Cancer Registry were included in this retrospective cohort study. Prognosis was analysed in terms of overall survival and specific survival. The study determinants were the patients' SES and district of residence. The confounding effect of sex, age, period and TNM stage at diagnosis was evaluated. In the study population, neither overall survival nor specific survival showed significant differences among different layers of SES and districts of residence. The risk for death from MM was lower for the female sex [hazard risk (HR)=0.68, 95% confidence interval (CI): 0.50-0.94] and for diagnoses made in the most recent period (2005-2011: HR=0.56, 95% CI: 0.36-0.89 with respect to 1991-1997). A worse prognosis was observed in patients older than 70 years at the time of diagnosis (HR=2.33, 95% CI: 1.39-3.91 with respect to the <40-year age group) and in patients with more than pT1 tumours (up to 20 times for pT4 tumours). SES and district of residence did not constitute prognostic factors for MM patients residing in the province of Ferrara. Homogeneity in MM staging, treatment and follow-up strategies due to the relatively small extent of the study area and the presence of a single university hospital of reference, as well as less marked social and economic differences among the study patients in comparison with other previously analysed populations, may account for this finding.

  3. Indoor household residual spraying program performance in Matabeleland South province, Zimbabwe: 2011 to 2012; a descriptive cross-sectional study.

    PubMed

    Chimberengwa, Pugie Tawanda; Masuka, Nyasha; Gombe, Notion Tafara; Tshimanga, Mufuta; Takundwa, Lucia; Bangure, Donewell

    2015-01-01

    Matabeleland South launched the malaria pre-elimination campaign in 2012 but provincial spraying coverage has failed to attain 95% target, with some districts still encountering malaria outbreaks. A study was conducted to evaluate program performance against achieving malaria pre-elimination. A descriptive cross sectional study was done in 5 districts carrying out IRS using the logical framework involving inputs, process, outputs and outcome evaluation. Health workers recruited into the study included direct program implementers, district and provincial program managers. An interviewer administered questionnaire, checklists, key informant interviewer guide and desk review of records were used to collect data. We enrolled 37 primary respondents and 5 key informants. Pre-elimination, Epidemic Preparedness and Response plans were absent in all districts. Shortages of inputs were reported by 97% of respondents, with districts receiving 80% of requested budget. Insecticides were procured centrally at national level. Spraying started late and districts failed to spray all targeted households by end of December. The province is using makeshift camps with inappropriate evaporation ponds where liquid DDT waste is not safely accounted for. The provincial IHRS coverage for 2011 was 84%. Challenges cited included; food shortages for spraymen, late delivery of inputs and poor state of IHRS equipment. The province has failed to achieve Malaria pre-elimination IRS coverage targets for 2011/12 season. Financial and logistical challenges led to delays in supply of program inputs, recruitment and training of sprayers. The Province should establish camping infrastructure with standard evaporation ponds to minimise contamination of the environment.

  4. Barriers to utilization of postnatal care at village level in Klaten district, central Java Province, Indonesia.

    PubMed

    Probandari, Ari; Arcita, Akhda; Kothijah, Kothijah; Pamungkasari, Eti Poncorini

    2017-08-07

    Maternal health remains a persisting public health challenge in Indonesia. Postnatal complications, in particular, are considered as maternal health problems priority that should be addressed. Conducting adequate care for postnatal complications will improve the quality of life of mothers and babies. With the universal health coverage implementation, the Indonesian government provides free maternal and child health services close to clients at the village level, which include postnatal care. Our study aimed to explore barriers to utilization of postnatal care at the village level in Klaten district, Central Java Province, Indonesia. A qualitative study was conducted in March 2015 - June 2016 in Klaten district, Central Java, Indonesia. We selected a total of 19 study participants, including eight mothers with postnatal complications, six family members, and five village midwives for in-depth interviews. We conducted a content analysis technique on verbatim transcripts of the interviews using open code software. This study found three categories of barriers to postnatal care utilization in villages: mother and family members' health literacy on postnatal care, sociocultural beliefs and practices, and health service responses. Most mothers did not have adequate knowledge and skills regarding postnatal care that reflected how they lacked awareness and practice of postnatal care. Inter-generational norms and myths hindered mothers from utilizing postnatal care and from having adequate nutritional intake during the postnatal period. Mothers and family members conducted unsafe self-treatment to address perceived minor postnatal complication. Furthermore, social power from extended family influenced the postnatal care health literacy for mother and family members. Postnatal care in the village lacked patient-centered care practices. Additionally, midwives' workloads and capacities to conduct postnatal information, education and counseling were also issues. Despite the

  5. Spatial Distribution and Trends of Waterborne Diseases in Tashkent Province

    PubMed Central

    Subramanian, Veluswami Saravanan; Cho, Min Jung; Tan, Siwei Zoe; Fayzieva, Dilorom; Sebaly, Christian

    2017-01-01

    Introduction: The cumulative effect of limited investment in public water systems, inadequate public health infrastructure, and gaps in infectious disease prevention increased the incidence of waterborne diseases in Uzbekistan. The objectives of this study were: (1) to spatially analyze the distribution of the diseases in Tashkent Province, (2) to identify the intensity of spatial trends in the province, (3) to identify urban-rural characteristics of the disease distribution, and (4) to identify the differences in disease incidence between pediatric and adult populations of the province. Methods: Data on four major waterborne diseases and socio-demographics factors were collected in Tashkent Province from 2011 to 2014. Descriptive epidemiological methods and spatial-temporal methods were used to investigate the distribution and trends, and to identify waterborne diseases hotspots and vulnerable population groups in the province. Results: Hepatitis A and enterobiasis had a high incidence in most of Tashkent Province, with higher incidences in the eastern and western districts. Residents of rural areas, including children, were found to be more vulnerable to the waterborne diseases compared to other populations living in the province. Conclusions: This pilot study calls for more scientific investigations of waterborne diseases and their effect on public health in the region, which could facilitate targeted public health interventions in vulnerable regions of Uzbekistan. PMID:29138738

  6. Spatial Distribution and Trends of Waterborne Diseases in Tashkent Province.

    PubMed

    Subramanian, Veluswami Saravanan; Cho, Min Jung; Tan, Siwei Zoe; Fayzieva, Dilorom; Sebaly, Christian

    2017-01-01

    The cumulative effect of limited investment in public water systems, inadequate public health infrastructure, and gaps in infectious disease prevention increased the incidence of waterborne diseases in Uzbekistan. The objectives of this study were: (1) to spatially analyze the distribution of the diseases in Tashkent Province, (2) to identify the intensity of spatial trends in the province, (3) to identify urban-rural characteristics of the disease distribution, and (4) to identify the differences in disease incidence between pediatric and adult populations of the province. Data on four major waterborne diseases and socio-demographics factors were collected in Tashkent Province from 2011 to 2014. Descriptive epidemiological methods and spatial-temporal methods were used to investigate the distribution and trends, and to identify waterborne diseases hotspots and vulnerable population groups in the province. Hepatitis A and enterobiasis had a high incidence in most of Tashkent Province, with higher incidences in the eastern and western districts. Residents of rural areas, including children, were found to be more vulnerable to the waterborne diseases compared to other populations living in the province. This pilot study calls for more scientific investigations of waterborne diseases and their effect on public health in the region, which could facilitate targeted public health interventions in vulnerable regions of Uzbekistan.

  7. Ethnoveterinary treatments for common cattle diseases in four districts of the Southern Province, Zambia

    PubMed Central

    Syakalima, Michelo; Simuunza, Martin; Zulu, Victor Chisha

    2018-01-01

    Aim: Ethno veterinary knowledge has rarely been recorded, and no or limited effort has been made to exploit this knowledge despite its widespread use in Zambia. This study documented the types of plants used to treat important animal diseases in rural Zambia as a way of initiating their sustained documentation and scientific validation. Materials and Methods: The study was done in selected districts of the Southern Zambia, Africa. The research was a participatory epidemiological study conducted in two phases. The first phase was a pre-study exploratory rapid rural appraisal conducted to familiarize the researchers with the study areas, and the second phase was a participatory rural appraisal to help gather the data. The frequency index was used to rank the commonly mentioned treatments. Results: A number of diseases and traditional treatments were listed with the help of local veterinarians. Diseases included: Corridor disease (Theileriosis), foot and mouth disease, blackleg, bloody diarrhea, lumpy skin disease, fainting, mange, blindness, coughing, bloat, worms, cobra snakebite, hemorrhagic septicemia, and transmissible venereal tumors. The plant preparations were in most diseases given to the livestock orally (as a drench). Leaves, barks, and roots were generally used depending on the plant type. Conclusion: Ethno veterinary medicine is still widespread among the rural farmers in the province and in Zambia in general. Some medicines are commonly used across diseases probably because they have a wide spectrum of action. These medicines should, therefore, be validated for use in conventional livestock healthcare systems in the country to reduce the cost of treatments. PMID:29657394

  8. Dengue Dynamics in Binh Thuan Province, Southern Vietnam: Periodicity, Synchronicity and Climate Variability

    PubMed Central

    Thai, Khoa T. D.; Cazelles, Bernard; Nguyen, Nam Van; Vo, Long Thi; Boni, Maciej F.; Farrar, Jeremy; Simmons, Cameron P.; van Doorn, H. Rogier; de Vries, Peter J.

    2010-01-01

    Background Dengue is a major global public health problem with increasing incidence and geographic spread. The epidemiology is complex with long inter-epidemic intervals and endemic with seasonal fluctuations. This study was initiated to investigate dengue transmission dynamics in Binh Thuan province, southern Vietnam. Methodology Wavelet analyses were performed on time series of monthly notified dengue cases from January 1994 to June 2009 (i) to detect and quantify dengue periodicity, (ii) to describe synchrony patterns in both time and space, (iii) to investigate the spatio-temporal waves and (iv) to associate the relationship between dengue incidence and El Niño-Southern Oscillation (ENSO) indices in Binh Thuan province, southern Vietnam. Principal Findings We demonstrate a continuous annual mode of oscillation and a multi-annual cycle of around 2–3-years was solely observed from 1996–2001. Synchrony in time and between districts was detected for both the annual and 2–3-year cycle. Phase differences used to describe the spatio-temporal patterns suggested that the seasonal wave of infection was either synchronous among all districts or moving away from Phan Thiet district. The 2–3-year periodic wave was moving towards, rather than away from Phan Thiet district. A strong non-stationary association between ENSO indices and climate variables with dengue incidence in the 2–3-year periodic band was found. Conclusions A multi-annual mode of oscillation was observed and these 2–3-year waves of infection probably started outside Binh Thuan province. Associations with climatic variables were observed with dengue incidence. Here, we have provided insight in dengue population transmission dynamics over the past 14.5 years. Further studies on an extensive time series dataset are needed to test the hypothesis that epidemics emanate from larger cities in southern Vietnam. PMID:20644621

  9. Dengue dynamics in Binh Thuan province, southern Vietnam: periodicity, synchronicity and climate variability.

    PubMed

    Thai, Khoa T D; Cazelles, Bernard; Nguyen, Nam Van; Vo, Long Thi; Boni, Maciej F; Farrar, Jeremy; Simmons, Cameron P; van Doorn, H Rogier; de Vries, Peter J

    2010-07-13

    Dengue is a major global public health problem with increasing incidence and geographic spread. The epidemiology is complex with long inter-epidemic intervals and endemic with seasonal fluctuations. This study was initiated to investigate dengue transmission dynamics in Binh Thuan province, southern Vietnam. Wavelet analyses were performed on time series of monthly notified dengue cases from January 1994 to June 2009 (i) to detect and quantify dengue periodicity, (ii) to describe synchrony patterns in both time and space, (iii) to investigate the spatio-temporal waves and (iv) to associate the relationship between dengue incidence and El Niño-Southern Oscillation (ENSO) indices in Binh Thuan province, southern Vietnam. We demonstrate a continuous annual mode of oscillation and a multi-annual cycle of around 2-3-years was solely observed from 1996-2001. Synchrony in time and between districts was detected for both the annual and 2-3-year cycle. Phase differences used to describe the spatio-temporal patterns suggested that the seasonal wave of infection was either synchronous among all districts or moving away from Phan Thiet district. The 2-3-year periodic wave was moving towards, rather than away from Phan Thiet district. A strong non-stationary association between ENSO indices and climate variables with dengue incidence in the 2-3-year periodic band was found. A multi-annual mode of oscillation was observed and these 2-3-year waves of infection probably started outside Binh Thuan province. Associations with climatic variables were observed with dengue incidence. Here, we have provided insight in dengue population transmission dynamics over the past 14.5 years. Further studies on an extensive time series dataset are needed to test the hypothesis that epidemics emanate from larger cities in southern Vietnam.

  10. Estimating the potential for industrial waste heat reutilization in urban district energy systems: method development and implementation in two Chinese provinces

    NASA Astrophysics Data System (ADS)

    Tong, Kangkang; Fang, Andrew; Yu, Huajun; Li, Yang; Shi, Lei; Wang, Yangjun; Wang, Shuxiao; Ramaswami, Anu

    2017-12-01

    Utilizing low-grade waste heat from industries to heat and cool homes and businesses through fourth generation district energy systems (DES) is a novel strategy to reduce energy use. This paper develops a generalizable methodology to estimate the energy saving potential for heating/cooling in 20 cities in two Chinese provinces, representing cold winter and hot summer regions respectively. We also conduct a life-cycle analysis of the new infrastructure required for energy exchange in DES. Results show that heating and cooling energy use reduction from this waste heat exchange strategy varies widely based on the mix of industrial, residential and commercial activities, and climate conditions in cities. Low-grade heat is found to be the dominant component of waste heat released by industries, which can be reused for both district heating and cooling in fourth generation DES, yielding energy use reductions from 12%-91% (average of 58%) for heating and 24%-100% (average of 73%) for cooling energy use in the different cities based on annual exchange potential. Incorporating seasonality and multiple energy exchange pathways resulted in energy savings reductions from 0%-87%. The life-cycle impact of added infrastructure was small (<3% for heating) and 1.9% ~ 6.5% (cooling) of the carbon emissions from fuel use in current heating or cooling systems, indicating net carbon savings. This generalizable approach to delineate waste heat potential can help determine suitable cities for the widespread application of industrial waste heat re-utilization.

  11. From their own perspective - constraints in the Polio Eradication Initiative: perceptions of health workers and managers in a district of Pakistan's Punjab province.

    PubMed

    Mushtaq, Muhammad Umair; Shahid, Ubeera; Majrooh, Muhammad Ashraf; Shad, Mushtaq Ahmad; Siddiqui, Arif Mahmood; Akram, Javed

    2010-08-23

    The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. This paper describes the perceptions of health workers and managers regarding constraints in the Polio Eradication Initiative (PEI) to ultimately provide evidence for designing future interventions. A qualitative cross-sectional study using focus group discussions and in-depth interviews was conducted in the Nankana Sahib District of Pakistan's Punjab province. Study subjects included staff at all levels in the PEI at district headquarters, in all 4 tehsils (sub-districts) and at 20 randomly selected primary health centers. In total, 4 FGD and 7 interview sessions were conducted and individual session summary notes were prepared and later synthesized, consolidated and subjected to conceptual analysis. The main constraints identified in the study were the poor condition of the cold chain in all aspects, poor skills and a lack of authority in resource allocation and human resource management, limited advocacy and communication resources, a lack of skills and training among staff at all levels in the PEI/EPI in almost all aspects of the program, a deficiency of public health professionals, poor health services structure, administrative issues (including ineffective means of performance evaluation, bureaucratic and political influences, problems in vaccination areas and field programs, no birth records at health facilities, and poor linkage between different preventive programs), unreliable reporting and poor monitoring and supervision systems, limited use of local data for interventions, and unclear roles and responsibilities after decentralization. The study highlights various shortcomings and bottlenecks in the PEI, and the barriers identified should be considered in prioritizing future strategies.

  12. The Quest for Ubuntu: Water and Health in Limpopo (WHIL) Partnership.

    PubMed

    Boissevain, Jane; Richardson, Jeanita W; Netshandama, Vhonani; Dillingham, Rebecca

    2013-01-01

    Internationally, efforts to improve health in under-resourced areas of the world frequently involve coalitions, often with at least one partner from the "outside," such as when NGOs or universities from Europe or the US work with institutions and communities in Africa or Asia. Little has been written about applying successful principles to multinational university collaborations as the unit of analysis and where challenges may be magnified by cultural differences and resource imbalances. The purpose of this article is to share the findings from an evaluation of the multi-year interdisciplinary public health Water and Health in Limpopo (WHIL) collaboration between the University of Venda (South Africa) and the University of Virginia (United States). We believe the learnings described easily transfer to collaborative educational endeavors because at their root they speak to the practices that enhance respectful engagement and partnership sustainability.

  13. Advantages of trained TBA and the perception of females and their experiences with reproductive health in two districts of the Luangprabang Province, Lao PDR.

    PubMed

    Sirivong, Amone; Silphong, Bouavanh; Simphaly, Niphone; Phayasane, Thongsavath; Bonouvong, Vilaysack; Schelp, Frank P

    2003-12-01

    The study describes reproductive health in two districts of the Luangprabang Province in northern Lao PDR. The aim was to find out whether training traditional birth attendants (TBA) might have an impact on reproductive health. In June/July 2000, a total of 298 women of reproductive age, with children below two years of age, from 30 villages were interviewed by means of a closed questionnaire. In 1996/1997, a training course for TBA was conducted in one of the districts under survey. Information was obtained for demography, symptoms and risks during pregnancy and delivery, antenatal care (ANC), tetanus immunization, food taboos, place of delivery, birth attendant, practising of birth spacing and their attitude towards the services of TBA. The results obtained indirectly pointed towards a high fertility rate and a high rate of child death and abortion. An overwhelming majority of the women delivered at home, attended only by untrained individuals. During pregnancy and after delivery, the women claimed that they often suffered from edema of legs and feet, high fever and hemorrhages. Only 50% of the females in the district where TBA training were conducted, made use of the services of trained TBA. Nevertheless, females in the district with trained TBA, who made use of the TBA service in comparison with women in the same district not using the service of TBA, were 3.8 times more likely to also make use of the ANC service; 3.3 times more likely to seek immunization, and 8.6 times more likely to give colostrum to their new-borns. The educational level of the females proved to be an important factor. Literate women were more likely to practise birth spacing and have been vaccinated. Illiterate women were more likely to be at higher risk for losing a child. In the district without TBA service the loss of a child was less likely among literate than illiterate women. It is concluded that through adequately trained TBA and through their continuous support and supervision, ANC

  14. Planting structure adjustment and food security in major food production district: A case study on 10 main food production counties in Gansu Province, China

    NASA Astrophysics Data System (ADS)

    Wang, S. J.; Yang, C. L.; Zhou, L. Y.

    2017-07-01

    This paper made an empirical study on planting structure adjustment and food security, in which main data and information came from the questionnaires of 10 main food-production counties in Gansu Province, China. The investigation results showed that: 1) During 1995 and 2014, the cultivated land area per household dropped by 2.40%, in which food crop area declined by 3.16%, yet cash crop area increased by 129% in the survey area. In the same period, the revenue per household increased by 162.99%, while food income from the revenue only increased by 17.42%; 2) In Hexi and Longzhong districts, mean wheat crop area per household shows a downtrend, while cash crop area increased significantly in the past 20 years. Especially, the household food output and income did not appear a simultaneous increase trend. In Longdong district, the household food output and income showed a simultaneous uptrend, and household income came mainly from miscellaneous grain (e.g. sorghum, bean, buckwheat, etc.); 3) In order to pursue higher economic efficiency of cultivated land, the farmers were forced to adjust planting structure and develop characteristics industries, profitable agriculture and cash crop with comparative advantage, which resulted in few food stock and impacted seriously on regional food security.

  15. Comprehensive assessment of health education and health promotion in five non-communicable disease demonstration districts in China: a cross-sectional study.

    PubMed

    Xu, Qiaohua; Huang, Yuelong; Chen, Biyun

    2017-12-26

    This study aims to develop assessment indicators of health education and promotion for non-communicable disease (NCD) demonstration districts in China and to identify significant factors associated with NCD health education and promotion work. Three complementary techniques were used to conduct this study in Hunan Province, China, between late 2013 and 2015. The Delphi technique was used to develop weighted assessment indicators, followed by the rank sum ratio (RSR) to normalise the weights through rank conversion. Lastly, the technique for order of preference by similarity to ideal solution was conducted to assess five randomly selected NCD demonstration districts representing five different orientations in the province. A total of 24 assessment indicators were constructed covering the following sections: organisational management, fund support, personnel supplies, health education and promotion, people's awareness of NCDs, management and control of patients with NCD, satisfaction with health education and promotion and health literacy of residents. Five districts were selected as samples for evaluation (Furong District, Ziyang District, Shaodong County, Shuangfeng County and Luxi County). Performance varied among the sites, with Furong District greatly surpassing the other sites, especially in fund support, media promotion, technical support for publicity materials, community promotion and supportive environment supplies. The latter four factors were also much greater in the second-ranked Luxi County site than those in the other sites (except Furong District). There were gaps in health education and promotion work in NCD demonstration districts in Hunan Province. The districts that performed better had obvious advantages in fund support, media promotion, technical support, community promotion and supportive environment supplies. Our study provided both a methodological reference and an assessment indicator framework for similar future studies. © Article author

  16. District Resource Capacity and the Effects of Educational Policy: The Case of Primary Class Size Reduction in Ontario

    ERIC Educational Resources Information Center

    Mascall, Blair; Leung, Joannie

    2012-01-01

    In a study of Ontario, Canada's province-wide Primary Class Size Reduction (PCS) Initiative, school districts' ability to direct and support schools was related to their experience with planning and monitoring, interest in innovation, and its human and fiscal resource base. Districts with greater "resource capacity" were able to…

  17. Prevalence of anemia, iron deficiency, thalassemia and glucose-6-phosphate dehydrogenase deficiency among hill-tribe school children in Omkoi District, Chiang Mai Province, Thailand.

    PubMed

    Yanola, Jintana; Kongpan, Chatpat; Pornprasert, Sakorn

    2014-07-01

    The prevalaence of anemia, iron deficiency, thalassemia and glucose-6-phosphate dehydrogenase (G-6-PD) deficiency were examined among 265 hill-tribe school children, 8-14 years of age, from Omkoi District, Chiang Mai Province, Thailand. Anemia was observed in 20 school children, of whom 3 had iron deficiency anemia. The prevalence of G-6-PD deficiency and β-thalassemia trait [codon 17 (A>T), IVSI-nt1 (G>T) and codons 71/72 (+A) mutations] was 4% and 8%, respectively. There was one Hb E trait, and no α-thalassemia-1 SEA or Thai type deletion. Furthermore, anemia was found to be associated with β-thalassemia trait in 11 children. These data can be useful for providing appropriate prevention and control of anemia in this region of Thailand.

  18. Coverage and quality of antenatal care provided at primary health care facilities in the 'Punjab' province of 'Pakistan'.

    PubMed

    Majrooh, Muhammad Ashraf; Hasnain, Seema; Akram, Javaid; Siddiqui, Arif; Memon, Zahid Ali

    2014-01-01

    Antenatal care is a very important component of maternal health services. It provides the opportunity to learn about risks associated with pregnancy and guides to plan the place of deliveries thereby preventing maternal and infant morbidity and mortality. In 'Pakistan' antenatal services to rural population are being provided through a network of primary health care facilities designated as 'Basic Health Units and Rural Health Centers. Pakistan is a developing country, consisting of four provinces and federally administered areas. Each province is administratively subdivided in to 'Divisions' and 'Districts'. By population 'Punjab' is the largest province of Pakistan having 36 districts. This study was conducted to assess the coverage and quality antenatal care in the primary health care facilities in 'Punjab' province of 'Pakistan'. Quantitative and Qualitative methods were used to collect data. Using multistage sampling technique nine out of thirty six districts were selected and 19 primary health care facilities of public sector (seventeen Basic Health Units and two Rural Health Centers were randomly selected from each district. Focus group discussions and in-depth interviews were conducted with clients, providers and health managers. The overall enrollment for antenatal checkup was 55.9% and drop out was 32.9% in subsequent visits. The quality of services regarding assessment, treatment and counseling was extremely poor. The reasons for low coverage and quality were the distant location of facilities, deficiency of facility resources, indifferent attitude and non availability of the staff. Moreover, lack of client awareness about importance of antenatal care and self empowerment for decision making to seek care were also responsible for low coverage. The coverage and quality of the antenatal care services in 'Punjab' are extremely compromised. Only half of the expected pregnancies are enrolled and out of those 1/3 drop out in follow-up visits.

  19. [Factors associated to dropout of tuberculostatic treatment in the province of Granada].

    PubMed

    Molina Rueda, M J; Fernández Ajuria, A; Rodríguez Del Águila, M M; López Hernández, B

    2012-09-01

    The factors associated to tuberculosis (TB) treatment drop-out can be very specific to the population and the local health care organization. We have studied the factors associated to TB treatment drop out in the province of Granada. A retrospective cohort study of TB cases registered in the province of Granada by the Epidemiological Surveillance System of Andalusia (SVEA) between 2003 and 2010 was carried out. Incidence was calculated in the native and foreign population. An univariate analysis was performed to describe the characteristics in both groups and a logistic regression model was used to identify factors associated to therapeutic abandonment. A decreasing trend in the incidence of TB was observed, (20.47 in 2007 to 11 cases per 100,000 inhabitants in 2010, respectively. Mean age of foreign patients was lower than that of the natives (30.8 years vs. 46.0 years, P<.001). The former predominately lived in the Granada district, while the natives lived in the Metropolitan district. The percentage of patients who abandoned antituberculous treatment was 12.2%, this being somewhat higher in the foreign patients than the national ones (14% vs 10%; P=.062). Being male (OR: 1.65; 95% CI: 1.04-2.60; P=.033), foreigner (OR: 1.72; 95% CI: 1.04-2.83; P=.032), resident in the North-east district (OR: 3.64; 95% CI: 1.76-7.52; P=.005) and/or having extrapulmonary TB (OR: 1.78; 95% CI: 1.06-3.00; P=.029) were associated significantly to therapeutic abandonment. The incidence of TB in the province of Granada has decreased to about 10 cases per 100,000 inhabitants/year. The percentage of patients who abandon TB treatment is significant, it being higher in foreign patients than in the natives. TB treatment abandonment was associated to being a man, living in the North-east district of Granada and having extrapulmonary TB. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  20. Prevalence and antimicrobial susceptibility of Escherichia coli O157:H7 in vegetables sold in the Amathole District, Eastern Cape Province of South Africa.

    PubMed

    Abong'o, B O; Momba, M N B; Mwambakana, J N

    2008-04-01

    Fresh vegetables have been implicated in outbreaks of Escherichia coli O157:H7 in most parts of the world. Microbiological quality of vegetables used as recipes for salads is very crucial. Residents of the Amathole District in the Eastern Cape Province of South Africa consume salads frequently, although the microbial quality of recipe vegetables is questionable. The present study investigated the prevalence and antimicrobial susceptibility of E. coli O157:H7 isolated from selected vegetables sold within the Amathole District. One hundred eighty samples of the vegetables were analyzed. Strains of E. coli O157:H7 were isolated by enrichment culture and by immunomagnetic separation and identified by conventional and molecular techniques. In three settlements in this district, the mean counts of presumptive E. coli O157 for the vegetables ranged between 9 x 10(3) and 1.6 x 10(6) CFU/g for Fort Beaufort, 1.6 x 10(3) and 1.6 x 10(5) CFU/g for Mdantsane, and 1.3 x 10(3) and 4.1 x 10(4) CFU/g for Alice. Four (10.3%) of 39 vegetable samples were confirmed to carry E. coli O157:H7. Four representative E. coli O157:H7 isolates from these vegetables were susceptible to at least one of the eight antimicrobial agents tested against them. Even though the prevalence of E. coli O157:H7 was low and those isolated were susceptible to most of the antimicrobials, there remains a need for E. coli O157:H7 surveillance in vegetables used in salad recipes in urban and rural areas of South Africa.

  1. From their own perspective - constraints in the Polio Eradication Initiative: perceptions of health workers and managers in a district of Pakistan's Punjab province

    PubMed Central

    2010-01-01

    Background The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. This paper describes the perceptions of health workers and managers regarding constraints in the Polio Eradication Initiative (PEI) to ultimately provide evidence for designing future interventions. Methods A qualitative cross-sectional study using focus group discussions and in-depth interviews was conducted in the Nankana Sahib District of Pakistan's Punjab province. Study subjects included staff at all levels in the PEI at district headquarters, in all 4 tehsils (sub-districts) and at 20 randomly selected primary health centers. In total, 4 FGD and 7 interview sessions were conducted and individual session summary notes were prepared and later synthesized, consolidated and subjected to conceptual analysis. Results The main constraints identified in the study were the poor condition of the cold chain in all aspects, poor skills and a lack of authority in resource allocation and human resource management, limited advocacy and communication resources, a lack of skills and training among staff at all levels in the PEI/EPI in almost all aspects of the program, a deficiency of public health professionals, poor health services structure, administrative issues (including ineffective means of performance evaluation, bureaucratic and political influences, problems in vaccination areas and field programs, no birth records at health facilities, and poor linkage between different preventive programs), unreliable reporting and poor monitoring and supervision systems, limited use of local data for interventions, and unclear roles and responsibilities after decentralization. Conclusion The study highlights various shortcomings and bottlenecks in the PEI, and the barriers identified should be considered in

  2. The Quest for Ubuntu: Water and Health in Limpopo (WHIL) Partnership

    PubMed Central

    Boissevain, Jane; Richardson, Jeanita W; Netshandama, Vhonani; Dillingham, Rebecca

    2014-01-01

    Internationally, efforts to improve health in under-resourced areas of the world frequently involve coalitions, often with at least one partner from the “outside,” such as when NGOs or universities from Europe or the US work with institutions and communities in Africa or Asia. Little has been written about applying successful principles to multinational university collaborations as the unit of analysis and where challenges may be magnified by cultural differences and resource imbalances. The purpose of this article is to share the findings from an evaluation of the multi-year interdisciplinary public health Water and Health in Limpopo (WHIL) collaboration between the University of Venda (South Africa) and the University of Virginia (United States). We believe the learnings described easily transfer to collaborative educational endeavors because at their root they speak to the practices that enhance respectful engagement and partnership sustainability. PMID:25530712

  3. Image of Turkish Basic Schools: A Reflection from the Province of Ankara

    ERIC Educational Resources Information Center

    Eres, Figen

    2011-01-01

    The purpose of this study was to investigate the organizational image of basic schools in Turkey, a rapidly developing nation that has been investing significantly in education. Participants were 730 residents of Ankara province in the Golbasi district. The participants were selected using a cluster sampling methodology. Data were collected…

  4. Capacity of Commune Health Stations in Chi Linh District, Hai Duong Province, for Prevention and Control of Noncommunicable Diseases.

    PubMed

    Thi Thuy Nga, Nguyen; Thi My Anh, Bui; Nguyen Ngoc, Nguyen; Minh Diem, Dang; Duy Kien, Vu; Bich Phuong, Tran; Quynh Anh, Tran; Van Minh, Hoang

    2017-07-01

    The primary health care system in Vietnam has been playing an important role in prevention and control of diseases. This study aimed to describe the capacity of commune health stations in Chi Linh district, Hai Duong province for prevention and control of noncommunicable diseases (NCDs). A mixed-methods (quantitative and qualitative approaches) approach was applied to collect data in 20 commune health stations. The participants, including health workers, stakeholders, and patients with NCDs, were selected for the study. The findings reported that the main activities of prevention and control of NCDs at commune health stations (CHSs) still focused on information-education-community (IECs), unqualified for providing screening, diagnosis, and treatments of NCDs. The capacity for prevention and control of NCDs in CHSs was inadequate to provide health care services related to prevention and control of NCDs and unmet with the community's demands. In order to ensure the role and implementation of primary care level, there is an urgent need to improve the capacity of CHSs for prevention and control of NCDs, particularly a national budget for NCDs prevention and control, the essential equipment and medicines recommended by the World Health Organization should be provided and available at the CHSs.

  5. Assessment of some potential harmful trace elements (PHTEs) in the borehole water of Greater Giyani, Limpopo Province, South Africa: possible implications for human health.

    PubMed

    Munyangane, Portia; Mouri, Hassina; Kramers, Jan

    2017-10-01

    The present investigation was conducted in order to evaluate the occurrence and distribution patterns of some potentially harmful trace elements in the borehole water of the Greater Giyani area, Limpopo, South Africa, and their possible implications on human health. Twenty-nine borehole water samples were collected in the dry season (July/August 2012) and another 27 samples from the same localities in the wet season (March 2013) from the study area. The samples were analysed for trace elements arsenic (As), cadmium (Cd), chromium (Cr), selenium (Se), and lead (Pb) using the inductively coupled plasma mass spectrometry technique. The average concentrations of As, Cd, Cr, Se, and Pb were 11.3, 0.3, 33.1, 7.1, and 6.0 µg/L in the dry season and 11.0, 0.3, 28.3, 4.2, and 6.6 µg/L in the wet season, respectively. There was evidence of seasonal fluctuations in concentrations of all analysed elements except for As, though Cd and Pb displayed low concentrations (<0.2 and <6.0 µg/L, respectively) in almost all sampled boreholes. Se and Cr concentrations slightly exceed the South African National Standard permissible limits for safe drinking water in few boreholes. A total of four boreholes exceeded the water quality guideline for As with two of these boreholes containing five times more As than the prescribed limit. The spatial distribution patterns of elevated As closely correlate with the underlying geology. The findings of this investigation have important implications for human health of the communities drinking from the affected boreholes.

  6. Uranium provinces of North America; their definition, distribution, and models

    USGS Publications Warehouse

    Finch, Warren Irvin

    1996-01-01

    Uranium resources in North America are principally in unconformity-related, quartz-pebble conglomerate, sandstone, volcanic, and phosphorite types of uranium deposits. Most are concentrated in separate, well-defined metallogenic provinces. Proterozoic quartz-pebble conglomerate and unconformity-related deposits are, respectively, in the Blind River–Elliot Lake (BRELUP) and the Athabasca Basin (ABUP) Uranium Provinces in Canada. Sandstone uranium deposits are of two principal subtypes, tabular and roll-front. Tabular sandstone uranium deposits are mainly in upper Paleozoic and Mesozoic rocks in the Colorado Plateau Uranium Province (CPUP). Roll-front sandstone uranium deposits are in Tertiary rocks of the Rocky Mountain and Intermontane Basins Uranium Province (RMIBUP), and in a narrow belt of Tertiary rocks that form the Gulf Coastal Uranium Province (GCUP) in south Texas and adjacent Mexico. Volcanic uranium deposits are concentrated in the Basin and Range Uranium Province (BRUP) stretching from the McDermitt caldera at the Oregon-Nevada border through the Marysvale district of Utah and Date Creek Basin in Arizona and south into the Sierra de Peña Blanca District, Chihuahua, Mexico. Uraniferous phosphorite occurs in Tertiary sediments in Florida, Georgia, and North and South Carolina and in the Lower Permian Phosphoria Formation in Idaho and adjacent States, but only in Florida has economic recovery been successful. The Florida Phosphorite Uranium Province (FPUP) has yielded large quantities of uranium as a byproduct of the production of phosphoric acid fertilizer. Economically recoverable quantities of copper, gold, molybdenum, nickel, silver, thorium, and vanadium occur with the uranium deposits in some provinces.Many major epochs of uranium mineralization occurred in North America. In the BRELUP, uranium minerals were concentrated in placers during the Early Proterozoic (2,500–2,250 Ma). In the ABUP, the unconformity-related deposits were most likely

  7. Association between an unhealthy lifestyle and other factors with hypertension among hill tribe populations of Mae Fah Luang District, Chiang Rai Province, Thailand.

    PubMed

    Duangtep, Yuwadee; Narksawat, Kulaya; Chongsuwat, Rawadee; Rojanavipart, Peungchon

    2010-05-01

    An unhealthy lifestyle may lead to hypertension which can cause strokes and cardiovascular disease. The aim of this study was to identify the specific unhealthy lifestyle practices which could cause hypertension among hill tribe populations in Mae Fah Luang District of Chiang Rai Province, Thailand. In 2006, 196 patients with hypertension were selected from 2 district hospitals and 13 health centers as cases, and 196 normotensive subjects from a local neighborhood were chosen as controls. Trained health personnel collected data by interviewing subjects from both groups regarding unhealthy lifestyles and other factors. All participants had a physical examination at the time of interview. The results from multiple logistic regression analysis show the factors associated with hypertension among the hill tribe people studied were smoking (OR 2.48; 95% CI 1.43-4.30, p = 0.001), no or irregular exercise (OR 1.84; 95% CI 1.16-2.99, p = 0.005), being overweight (OR 2.96; 95% CI 1.69-5.18, p < 0.002), having obesity (OR 2.65, 95% CI 1.04-6.73, p < 0.018) and having a high frequency intake of fatty foods (OR 1.98, 95% CI 1.23-3.18, p < 0.013). The findings suggest the need for significant lifestyle changes in regards to smoking, eating habits and leisure time exercise programs. The adoption of such lifestyle changes would result in a reduced chance of being hypertensive, which could later reduce cardiovascular morbidity and mortality.

  8. Development and Implementation of Nutrition Education on Dietary Diversification for Primary School Children.

    PubMed

    Mbhatsani, Vanessa Hlekani; Mbhenyane, Xikombiso G; Mabapa, Solomon Ngoako

    2017-01-01

    A quasi-experimental one group pretest/posttest design study was undertaken in two primary schools from two rural villages of Vhembe District in Limpopo Province, South Africa. About 172 children aged 9-14 years in Grades 5 and 6 were recruited for the study. All children in the grades were invited to participate pending written consent from parents and verbal assent from children. Due to school migration and absenteeism, only 154 children were available for posttest evaluation. However, nutrition education was administered to all 172 children. Nutrition education focused on types and health benefits of indigenous foods and was divided into three lessons. Observation and counting was used to note the responses given by children. The results suggest that the nutrition education was effective in imparting knowledge to children as well improving dietary diversification with indigenous foods. It is concluded that nutrition education is a valuable tool to change eating behaviors.

  9. Development of a Spatial and Temporal Agent-Based Model for Studying Water and Health Relationships: The Case Study of Two Villages in Limpopo, South Africa

    PubMed Central

    Demarest, Jeffrey; Pagsuyoin, Sheree; Learmonth, Gerard; Mellor, Jonathan; Dillingham, Rebecca

    2014-01-01

    Diarrhea, the second leading cause of child morbidity and mortality, can have detrimental effects in the physical and cognitive development of children in developing countries. Health interventions (e.g., increased access to health services and safe water) designed to address this problem are difficult to implement in resource-limited settings. In this paper, we present a tool for understanding the complex relationship between water and public health in rural areas of a developing country. A spatial and temporal agent-based model (ABM) was developed to simulate the current water, sanitation, and health status in two villages in Limpopo Province, South Africa. The model was calibrated using empirical data and published sources. It was used to simulate the effects of poor water quality on the frequency of diarrheal episodes in children, and consequently on child development. Preliminary simulation results show that at the current total coliform levels in the water sources of the studied villages, children are expected to experience stunting by as much as −1.0 standard deviations from the World Health Organization height norms. With minor modifications, the calibrated ABM can be used to design and evaluate intervention strategies for improving child health in these villages. The model can also be applied to other regions worldwide that face the same environmental challenges and conditions as the studied villages. PMID:25530709

  10. Robust small area estimation of poverty indicators using M-quantile approach (Case study: Sub-district level in Bogor district)

    NASA Astrophysics Data System (ADS)

    Girinoto, Sadik, Kusman; Indahwati

    2017-03-01

    The National Socio-Economic Survey samples are designed to produce estimates of parameters of planned domains (provinces and districts). The estimation of unplanned domains (sub-districts and villages) has its limitation to obtain reliable direct estimates. One of the possible solutions to overcome this problem is employing small area estimation techniques. The popular choice of small area estimation is based on linear mixed models. However, such models need strong distributional assumptions and do not easy allow for outlier-robust estimation. As an alternative approach for this purpose, M-quantile regression approach to small area estimation based on modeling specific M-quantile coefficients of conditional distribution of study variable given auxiliary covariates. It obtained outlier-robust estimation from influence function of M-estimator type and also no need strong distributional assumptions. In this paper, the aim of study is to estimate the poverty indicator at sub-district level in Bogor District-West Java using M-quantile models for small area estimation. Using data taken from National Socioeconomic Survey and Villages Potential Statistics, the results provide a detailed description of pattern of incidence and intensity of poverty within Bogor district. We also compare the results with direct estimates. The results showed the framework may be preferable when direct estimate having no incidence of poverty at all in the small area.

  11. Ethnobotanical survey of medicinal plants used by Bapedi healers to treat diabetes mellitus in the Limpopo Province, South Africa.

    PubMed

    Semenya, S; Potgieter, M; Erasmus, L

    2012-05-07

    Bapedi phytomedicine employ a range of plant species to treat diabetes mellitus (DM). Existing literature partially support the use of certain species for this purpose. To report on Bapedi medicinal plants employed to treat DM. A semi-structured questionnaire was employed to conduct a survey on medicinal plants used by Bapedi traditional healers in their DM management protocol. Fifty-two traditional healers from 16 municipalities, covering three districts, were interviewed during the first half of 2011. A total of 24 plant species belonging to 20 families, mostly from the Asteraceae (13%), Cucurbitaceae and Sapotaceae (8%), were used to treat diabetes mellitus. Plant parts mostly preferred were roots and leaves. A decoction of these is most commonly used to make extracts, which are then taken orally for a period of one week. Mimusops zeyheri (29%), Helichrysum caespititium (25%), Plumeria obtusa (21%), Aloe marlothii subsp. marlothii, Hypoxis iridifolia and Moringa oleifera (17% each), were repeatedly mentioned by the traditional healers as most used for the management of diabetes mellitus in the study area. Plumeria obtusa and Momordica balsamina are exclusively used to treat diabetes mellitus, and only in the Sekhukhune District. It is concluded that Bapedi traditional healers do have a basic understanding of the causes and remedial action required in the treatment of diabetes mellitus. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  12. An Exploration of Supply Chain Management Practices in the Central District Municipality

    ERIC Educational Resources Information Center

    Ambe, I. M.

    2009-01-01

    The main objective of the paper is to explore supply chain management practices in the Central District Municipality, North West province of South Africa, using the grounded theory methodology. Supply chain management was introduced in the South African public sector to alleviate deficiencies related to governance, interpretation and…

  13. Circulating species of Leishmania at microclimate area of Boulemane Province, Morocco: impact of environmental and human factors.

    PubMed

    Hmamouch, Asmae; El Alem, Mahmoud Mohamed; Hakkour, Maryam; Amarir, Fatima; Daghbach, Hassan; Habbari, Khalid; Fellah, Hajiba; Bekhti, Khadija; Sebti, Faiza

    2017-02-22

    Cutaneous leishmaniasis (CL) is widely distributed in Morocco where its geographical range and incidence are related to environmental factors. This study aimed to examine the impact of several factors on the distribution of CL in Boulemane Province, which is characterized by several microclimates, and to identify the Leishmania species circulating in these areas. Ordinary least squares regression (OLSR) analysis was performed to study the impact of poverty, vulnerability, population density, urbanization and bioclimatic factors on the distribution of CL in this province. Molecular characterization of parasites was performed using a previously described PCR-RFLP method targeting the ITS1 of ribosomal DNA of Leishmania. A total of 1009 cases were declared in Boulemane Province between the years 2000 and 2015 with incidences fluctuating over the years (P = 0.007). Analyzing geographical maps of the study region identified four unique microclimate areas; sub-humid, semi-arid, arid and Saharan. The geographical distribution and molecular identification of species shows that the Saharan microclimate, characterized by the presence of Leishmania major was the most affected (47.78%) followed by semi-arid area where Leishmania tropica was identified in three districts. Among several environmental factors included in the study, poverty had the greatest influence on the spatial extension of the disease in this province. The incidence of CL in Boulemane Province varies between microclimate areas, and environmental factors partly explain this variation. However, the existence of CL in the most affected districts is mainly related to poverty, population movement and human behavior. To our knowledge, this the first study utilizing molecular techniques to confirm L. tropica and L. major as the causative agents of CL in Boulemane Province. Our findings indicate that the spatial and temporal distribution of CL in Boulemane Province is strongly related to poverty and population

  14. Stable isotope and mineralogical investigation of the genesis of amethyst geodes in the Los Catalanes gemological district, Uruguay, southernmost Paraná volcanic province

    NASA Astrophysics Data System (ADS)

    Duarte, Lauren C.; Hartmann, Leo A.; Ronchi, Luiz H.; Berner, Zsolt; Theye, Thomas; Massonne, Hans J.

    2011-03-01

    Stable isotopes (C, O, S) and mineralogical studies of the world-class amethyst-geode deposits of the Los Catalanes gemological district, Uruguay, constrain processes operative during mineral deposition. The mineralized basaltic andesites from the Cretaceous Paraná volcanic province are intensely altered to zeolites (clinoptilolite) and clay minerals. Variations in the δ18O values of silica minerals in geodes (chalcedony, quartz, and amethyst) are much larger and the values generally somewhat lower (21.2-31.5‰) in the Uruguayan deposits than in the Ametista do Sul area of southern Brazil. The range of δ34S values (-15.0 to -0.3‰) of altered basaltic rocks requires (in addition to sulfur of magmatic origin) the involvement of 34S-depleted sedimentary sulfur from bacterial sulfate reduction. The results delimit the mineralizing processes to a post-eruption environment characterized by low temperature and strong interaction of the lava flows with meteoric water.

  15. Bovine Tuberculosis and Brucellosis in Cattle and African Buffalo in the Limpopo National Park, Mozambique.

    PubMed

    Tanner, M; Inlameia, O; Michel, A; Maxlhuza, G; Pondja, A; Fafetine, J; Macucule, B; Zacarias, M; Manguele, J; Moiane, I C; Marranangumbe, A S; Mulandane, F; Schönfeld, C; Moser, I; van Helden, P; Machado, A

    2015-12-01

    Bovine tuberculosis (BTB) and brucellosis are prevalent in buffaloes of the Kruger National Park (KNP, South Africa). Both diseases were considered to have no or a very low prevalence in wildlife and livestock in and around the Limpopo National Park (LNP, Mozambique). The same applies for tuberculosis in Gonarezhou National Park (GNP, Zimbabwe), but just recently, BTB was detected in buffaloes in the GNP and fears arose that the disease might also spread to the LNP as a result of the partial removal of the fences between the three parks to form the Great Limpopo Transfrontier Park. To assess the status of both diseases in and around LNP, 62 buffaloes were tested for bovine tuberculosis (BTB) and bovine brucellosis. The percentage of positive BTB reactors in buffalo was 8.06% using BovidTB Stat-Pak® and 0% with BOVIGAM® IFN-γ test and IDEXX ELISA. The brucellosis seroprevalence in buffalo was found to be 17.72% and 27.42% using Rose Bengal Test (RBT) and ELISA, respectively. In addition, 2445 cattle in and around the LNP were examined for BTB using the single intradermal cervical comparative tuberculin test (SICCT), and an apparent prevalence of 0.98% was found with no significant difference inside (0.5%) and outside (1.3%) the park. This is the first published report on the presence of positive reactors to BTB and bovine brucellosis in buffalo and cattle in and outside the LNP. Monitoring the wildlife-livestock-human interface of zoonotic high-impact diseases such as BTB and brucellosis is of outmost importance for the successful implementation and management of any transfrontier park that aims to improve the livelihoods of the local communities. © 2014 Blackwell Verlag GmbH.

  16. Why resort to illegal abortion in Zambia? Findings of a community-based study in Western Province.

    PubMed

    Koster-Oyekan, W

    1998-05-01

    This article presents part of the findings of a community-based study on the causes and effects of unplanned pregnancies in four districts of Western Province, Zambia. The study broke the silence around abortion in Western Province and revealed that induced abortion poses a public health problem. Using innovative methodology of recording and analyzing histories of deaths from induced abortion, the abortion mortality ratio was calculated for the study districts. Findings reveal all extremely high induced abortion mortality ratio of 120 induced abortion-related deaths per 100,000 live births. More than half the deaths were of schoolgirls. Although abortion in Zambia is legal on medical and social grounds, most women in Western Province resort to illegal abortions because legal abortion services are inaccessible and unacceptable. The main reasons women resort to abortion is for fear of being expelled from school, their unwillingness to reveal a secret relationship, to protect the health of their previous baby and common knowledge that postpartum sexual taboos have been transgressed. An inventory was made of abortion methods, taboos and abortion-providers. The article describes how health staff were involved throughout the study, and shows how recommendations were made by involving all parties concerned.

  17. Spatiotemporal urban land use changes in the Changzhutan Region of Hunan Province in China

    USDA-ARS?s Scientific Manuscript database

    The Changzhutan region in the north-central part of Hunan Province in China has experienced a rapid urbanization in the past few decades that has led to substantial changes in its environment. In 2007, the National Development and Reform Commission of China designated the metropolitan district of Ch...

  18. Control of highly pathogenic avian influenza in Quang Tri province, Vietnam: voices from the human-animal interface.

    PubMed

    Farrell, Penny C; Hunter, Cynthia; Truong, Bui; Bunning, Michel

    2015-01-01

    Highly pathogenic avian influenza (HPAI) is caused by the haemagglutinin 5, neuraminidase 1 (H5N1) influenza A virus. Around 80% of households in rural Vietnam raise poultry, which provides food security and nutrition to their households and beyond. Of these, around 15-20% are semi-commercial producers, producing at least 28% of the country's chicken. Through learning the experiences of these semi-commercial farmers, this study aimed to explore the local understandings and sociocultural aspects of HPAI's impact, particularly the aetiology, diagnosis, and the prevention and control methods in one Vietnamese rural province. This study was conducted in Quang Tri province, Vietnam. Quang Tri province has eight districts. Five of these districts were at high risk of HPAI during the study period, of which three were selected for the present study. Within these three districts, six communes were randomly selected for the study from the list of intervention communes in Quang Tri province. Six out of the 26 intervention communes in Quang Tri were therefore selected. Participants were randomly selected and recruited from lists of semi-commercial farmers, village animal health workers, village human health workers and local authorities so that the study population (representative population) included an amount of variability similar to that of the wider population. A key benefit of this village-level control program was the residential proximity of animal and human health professionals. Participants were well aware of the typical clinical signs for avian influenza and of the reporting process for suspect cases. However there was extensive room for improvement in Quang Tri province regarding access to the HPAI vaccine, essential medical equipment for animal use, and available financial support. This qualitative research study provided an important insight for in-country policy makers and international stakeholders. It is vital that there are continued efforts to prevent and

  19. A geochronological study of mafic and acidic lavas from Veneto Volcanic province (North-East Italy)

    NASA Astrophysics Data System (ADS)

    Brombin, Valentina; Webb, Laura; Bonadiman, Costanza; Marzoli, Andrea; Coltorti, Massimo

    2017-04-01

    The Veneto Volcanic Province (VVP), in the North-East of Italy represents one of the most important magmatic province of the Adria Plate. VVP magmatism occurred in a period ranging from late Paleocene to late Oligocene (De Vecchi et al., 1976). Five main volcanic districts can be defined from north-west to south-east: Val d'Adige, Marosticano, Lessini Hills, Berici Hills and Euganean Hills. Most of the volcanic products are relatively undifferentiated lavas, ranging in compostion from mela-nephelinites to quartz-normative tholeiites (Beccaluva et al., 2007). By contrast in the Euganean Hills volcanic and subvolcanic rocks range from subordinate basalts to prevalently acidic types, mostly quartz-trachytes and rhyolites (Milani et al., 1999). Despite of the deep petrological knowledge about this province, the radioisotopic ages of the related volcanic activities for each district are still poorly defined or even totally missing. 40Ar/39Ar ages on 9 samples have been obtained to determine the age range for the VVP. 40Ar/39Ar whole rock step heating analyses yielded ages ranging from 40.7 ± 0.2 Ma to 23.3 ± 1.5 Ma for basanites of Val d'Adige and Marosticano area, respectively. For the Lessinean district, 40Ar/39Ar whole rock analyses for two basanites, one trachybasalt and one alkali basalt close to 40 Ma, while a tholeiite from the same area yielded the youngest age for this district (i.e. 32.9 ± 1.8 Ma). This young age is comparable to 40Ar/39Ar ages obtained for the Euganean Hills intermediate-acidic rocks (Jourdan, pers. comm., 2016), suggesting a time-related shift from more alkaline to Si-saturated magmatism in the whole province. References Barbieri G., Medizza F. (1969). Contributo alla conoscenza geologica della regione di Bolca (Monti Lessini). Memorie dell'Istituto di Geologia e Mineralogia dell'Università di Padova, 27, 1-36. Beccaluva L., Bianchini G., Bonadiman C., Coltorti M., Milani L., Salvini L., Siena F., Tassinari R. (2007). Intraplate

  20. Clinical experiences of collaborative imaging diagnosis in Shanghai district healthcare services

    NASA Astrophysics Data System (ADS)

    Zhang, Kai; Ling, Tonghui; Yang, Yuanyuan; Sun, Jianyong; Wang, Mingqing; Zhang, Jianguo

    2016-03-01

    To improve healthcare service quality with balancing healthcare resources between large and small hospitals, as well as reducing costs, each district health administration in Shanghai with more than 24 million citizens has built image-enabled electronic healthcare records (iEHR) system to share patient medical records and encourage patients to visit small hospitals for initial evaluations and preliminary diagnoses first, then go to large hospitals to have better specialists' services. We implemented solution for iEHR systems, based on the IHE XDS-I integration profile and installed the systems in more than 100 hospitals cross three districts in Shanghai and one city in Jiangsu Province in last few years. Here, we give operational results of these systems in these four districts and evaluated the performance of the systems in servicing the regional collaborative imaging diagnosis.

  1. Investigation of natural effective gamma dose rates case study: Ardebil Province in Iran

    PubMed Central

    2012-01-01

    Gamma rays pose enough energy to induce chemical changes that may be biologically important for the normal functioning of body cells. The external exposure of human beings to natural environmental gamma radiation normally exceeds that from all man-made sources combined. In this research natural background gamma dose rates and corresponding annual effective doses were determined for selected cities of Ardebil province. Outdoor gamma dose rates were measured using an Ion Chamber Survey Meter in 105 locations in selected districts. Average absorbed doses for Ardebil, Sar-Ein, Germy, Neer, Shourabil Recreational Lake, and Kosar were determined as 265, 219, 344, 233, 352, and 358 nSv/h, respectively. Although dose rates recorded for Germi and Kosar are comparable with some areas with high natural radiation background, however, the dose rates in other districts are well below the levels reported for such locations. Average annual effective dose due to indoor and outdoor gamma radiation for Ardebil province was estimated as 1.73 (1.35–2.39) mSv, which is on average 2 times higher than the world population weighted average. PMID:23369115

  2. Molecular detection of Toxoplasma gondii and Neospora caninum in birds from South Africa.

    PubMed

    Lukášová, Radka; Kobédová, Kateřina; Halajian, Ali; Bártová, Eva; Murat, Jean-Benjamin; Rampedi, Kgethedi Michael; Luus-Powell, Wilmien J

    2018-02-01

    There are not any records on the detection of Toxoplasma gondii and Neospora caninum in tissues of wild birds in the African continent. The aim of the study was to investigate the occurrence of DNA from these protozoan parasites in brain tissue samples collected in years 2014-2015 from 110 wild and domestic birds of 15 orders. Birds came mainly from the province of Limpopo (n=103); the other seven birds came from other five provinces of South Africa. Parasite DNAs were detected by PCR in animal brains. While all samples were negative for N. caninum, T. gondii DNA was detected in three (2.7%) birds: a Red-eyed Dove (Streptopelia semitorquata), a Laughing Dove (S. senegalensis) and a Southern-Yellow-billed Hornbill (Tockus leucomelas), all from Limpopo province. Positive samples were selected for genotyping by a 15 microsatellite markers method in a single multiplex PCR assay. Only the sample from the Red-eyed Dove was successfully genotyped and characterized as type II. This is the first detection of T. gondii in tissue of native African wild birds and the first study focusing on N. caninum in birds from South Africa. Copyright © 2017. Published by Elsevier B.V.

  3. Seasonal forecasting of hydrological drought in the Limpopo Basin: a comparison of statistical methods

    NASA Astrophysics Data System (ADS)

    Seibert, Mathias; Merz, Bruno; Apel, Heiko

    2017-03-01

    The Limpopo Basin in southern Africa is prone to droughts which affect the livelihood of millions of people in South Africa, Botswana, Zimbabwe and Mozambique. Seasonal drought early warning is thus vital for the whole region. In this study, the predictability of hydrological droughts during the main runoff period from December to May is assessed using statistical approaches. Three methods (multiple linear models, artificial neural networks, random forest regression trees) are compared in terms of their ability to forecast streamflow with up to 12 months of lead time. The following four main findings result from the study. 1. There are stations in the basin at which standardised streamflow is predictable with lead times up to 12 months. The results show high inter-station differences of forecast skill but reach a coefficient of determination as high as 0.73 (cross validated). 2. A large range of potential predictors is considered in this study, comprising well-established climate indices, customised teleconnection indices derived from sea surface temperatures and antecedent streamflow as a proxy of catchment conditions. El Niño and customised indices, representing sea surface temperature in the Atlantic and Indian oceans, prove to be important teleconnection predictors for the region. Antecedent streamflow is a strong predictor in small catchments (with median 42 % explained variance), whereas teleconnections exert a stronger influence in large catchments. 3. Multiple linear models show the best forecast skill in this study and the greatest robustness compared to artificial neural networks and random forest regression trees, despite their capabilities to represent nonlinear relationships. 4. Employed in early warning, the models can be used to forecast a specific drought level. Even if the coefficient of determination is low, the forecast models have a skill better than a climatological forecast, which is shown by analysis of receiver operating characteristics

  4. Identification and simulation of space-time variability of past hydrological drought events in the Limpopo river basin, Southern Africa

    NASA Astrophysics Data System (ADS)

    Trambauer, P.; Maskey, S.; Werner, M.; Pappenberger, F.; van Beek, L. P. H.; Uhlenbrook, S.

    2014-03-01

    Droughts are widespread natural hazards and in many regions their frequency seems to be increasing. A finer resolution version (0.05° x 0.05°) of the continental scale hydrological model PCR-GLOBWB was set up for the Limpopo river basin, one of the most water stressed basins on the African continent. An irrigation module was included to account for large irrigated areas of the basin. The finer resolution model was used to analyse droughts in the Limpopo river basin in the period 1979-2010 with a view to identifying severe droughts that have occurred in the basin. Evaporation, soil moisture, groundwater storage and runoff estimates from the model were derived at a spatial resolution of 0.05° (approximately 5 km) on a daily time scale for the entire basin. PCR-GLOBWB was forced with daily precipitation, temperature and other meteorological variables obtained from the ERA-Interim global atmospheric reanalysis product from the European Centre for Medium-Range Weather Forecasts. Two agricultural drought indicators were computed: the Evapotranspiration Deficit Index (ETDI) and the Root Stress Anomaly Index (RSAI). Hydrological drought was characterised using the Standardized Runoff Index (SRI) and the Groundwater Resource Index (GRI), which make use of the streamflow and groundwater storage resulting from the model. Other more widely used drought indicators, such as the Standardized Precipitation Index (SPI) and the Standardized Precipitation Evaporation Index (SPEI) were also computed for different aggregation periods. Results show that a carefully set up process-based model that makes use of the best available input data can successfully identify hydrological droughts even if the model is largely uncalibrated. The indicators considered are able to represent the most severe droughts in the basin and to some extent identify the spatial variability of droughts. Moreover, results show the importance of computing indicators that can be related to hydrological droughts

  5. Concept Map as an Assessment Tool in Secondary School Mathematics: An Analysis of Teachers' Perspectives

    ERIC Educational Resources Information Center

    Mutodi, Paul; Chigonga, Benard

    2016-01-01

    This paper reports on teachers' views on concept mapping: its applicability; reliability; advantages and; difficulties. A close-ended questionnaire was administered to 50 purposefully selected secondary school mathematics teachers from Sekhukhune District, Limpopo, South Africa. The findings indicate that mathematics teachers generally perceive…

  6. Gross regional domestic product estimation: Application of two-way unbalanced panel data models to economic growth in East Nusa Tenggara province

    NASA Astrophysics Data System (ADS)

    Wibowo, Wahyu; Sinu, Elisabeth B.; Setiawan

    2017-03-01

    The condition of East Nusa Tenggara Province which recently developed new districts can affect the number of information or data collected become unbalanced. One of the consequences of ignoring the data incompleteness is the estimator become not valid. Therefore, the analysis of unbalanced panel data is very crucial.The aim of this paper is to find the estimation of Gross Regional Domestic Product in East Nusa Tenggara Province using unbalanced panel data regression model for two-way error component which assume random effect model (REM). In this research, we employ Feasible Generalized Least Squares (FGLS) as regression coefficients estimation method. Since variance of the model is unknown, ANOVA method is considered to obtain the variance components in order to construct the variance-covariance matrix. The data used in this research is secondary data taken from Central Bureau of Statistics of East Nusa Tenggara Province in 21 districts period 2004-2013. The predictors are the number of labor over 15 years old (X1), electrification ratios (X2), and local revenues (X3) while Gross Regional Domestic Product based on constant price 2000 is the response (Y). The FGLS estimation result shows that the value of R2 is 80,539% and all the predictors chosen are significantly affect (α = 5%) the Gross Regional Domestic Product in all district of East Nusa Tenggara Province. Those variables are the number of labor over 15 years old (X1), electrification ratios (X2), and local revenues (X3) with 0,22986, 0,090476, and 0,14749 of elasticities, respectively.

  7. Investigating How Science Teachers in South Africa Engage with All Three Levels of Representation in Selected Chemistry Topics

    ERIC Educational Resources Information Center

    Koopman, Oscar

    2017-01-01

    This article aims to investigate how science teachers engaged with the macroscopic, sub-microscopic and symbolic levels of representations in their Chemistry teaching. Data were collected in Limpopo province in South Africa from 15 "lead" teachers and this paper reports on five lessons presented by the teachers during professional…

  8. Psychosocial Determinants of Suicide Attempts among Black South African Adolescents: A Qualitative Analysis

    ERIC Educational Resources Information Center

    Shilubane, Hilda N.; Ruiter, Robert A. C.; Bos, Arjan E. R..; van den Borne, Bart; James, Shamagonam; Reddy, Priscilla S.

    2012-01-01

    In South Africa, one in five adolescents attempt suicide. Suicide attempts continue to rise. We aimed to identify psychosocial target points for future educational interventions. One-to-one semi-structured interviews were conducted to explore psychosocial factors associated with past suicide attempts among suicide survivors in Limpopo province,…

  9. Preliminary results of layered modelling of seismic refraction data at the East Limpopo Margin, Mozambique (PAMELA project, MOZ3/5 cruise)

    NASA Astrophysics Data System (ADS)

    Watremez, Louise; Evain, Mikael; Leprêtre, Angélique; Verrier, Fanny; Aslanian, Daniel; Leroy, Sylvie; Dias, Nuno; Afilhado, Alexandra; Schnurle, Philippe; d'Acremont, Elia; de Clarens, Philippe; Castilla, Raymi; Moulin, Maryline

    2017-04-01

    The East Limpopo Margin is a continental margin located offshore southern Mozambique, in the Mozambique Channel. The southern Mozambique margin has not been studied much until now, but its formation is assumed to be the result of the separation of the African plate from the Antarctica plate. A new geophysical survey MOZ3/5 (February-April 2016; PAMELA project*) allowed the acquisition of seven wide-angle reflection and refraction seismic profiles across the southernmost Mozambique margin. In this work, we show the first results obtained from the layered modelling of an approximately 400 km long transect crossing the East Limpopo Margin and including information from 22 ocean-bottom seismometers and 18 land seismometers. The velocity model, compared to coincident seismic reflection data, allows to observe (1) the variations of seismic velocities together with the variations of reflectivity characteristics in the sediments, including the occurrence of some magmatism, (2) some deep features located below the acoustic basement and that can be related to the pre-to-syn-rift history of the margin, (3) the velocities and Moho depths in the different areas of the crust, from the thick continental crust to the clear oceanic crust (magnetic anomalies), helping to define the nature of the crust and the presence of magmatic features along the whole profile, and (4) some velocity information in the uppermost mantle. These results will allow us to (1) understand the deep structures of the East Limpopo Margin and to have better constraints on the formation of the margin, helping kinematic reconstructions, improving the quantification of the magmatism along this margin, and (2) improve the knowledge of both the thermal evolution of the sediments and the potential magmatic sources in the study area. *The PAMELA project (PAssive Margin Exploration Laboratories) is a scientific project led by Ifremer and TOTAL in collaboration with Université de Bretagne Occidentale, Universit

  10. Problematising and conceptualising local participation in transboundary water resources management: The case of Limpopo river basin in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Fatch, Joanna J.; Manzungu, Emmanuel; Mabiza, Collin

    IWRM-led water reforms in southern Africa have emphasised the creation of new stakeholder institutions with little explanation of how they will operate at different levels, especially at the local level. A case in point is the subsidiarity principle, which advocates for water management to be undertaken at the lowest appropriate level. The main objective of the study was to investigate the conceptualisation and application of the subsidiarity principle in the Limpopo river basin in Zimbabwe. This was done by analysing how state-led frameworks at the regional, basin, national and local level provided for local participation. These frameworks were compared to a bottom-up approach based on action research in three second tier local government administrative units (wards) in Shashe subcatchment of Mzingwane catchment. The catchment represents the entirety of the Limpopo basin in Zimbabwe. Data collection was based on document reviews, key informants, focus group discussions and participatory observations. In general the top-down efforts were found to express intent but lacked appropriately conceptualised implementation guidelines. Views of local people regarding how they could meaningfully participate in transboundary water resource management were based on practical considerations rather than theoretical abstractions. This was shown by a different conceptualisation of stakeholder identification and representation, demarcation of boundaries, role of intermediate institutions, and direct participation of local people at the basin level. The paper concludes that a bottom-up institutional model can enhance the conceptualisation and application of the subsidiarity principle. It also provides evidence that prescriptive approaches may not be the best way to achieve participatory governance in transboundary water resource management.

  11. [Simulation experiment of survival and reproduction of artificially imported Oncomelania snails in Qingpu District, Shanghai].

    PubMed

    Tian, Jian-Guo; Li, Gui-Fu; Li, Jun; Zhang, Xiao-Ping; Jin, Yan-Jun; Cai, Li; Peng, Li-Xia; Xu, Hai-Yan; Xu, Rui-Fang

    2013-06-01

    To understand the survival of imported Oncomelania snails in new environments with different densities in waterway net region, Qingpu District, Shanghai. The snails collected from Guichi, Anhui Province were put into the ponds of 4 square meters and each had 25, 50, 100, 200, 400 and 800 pairs of snails, respectively. During the next 2 years, the temperature, humidity, the activities of snails and their second birth snails were investigated each day. All the data were analyzed statistically. The highest number of snails appeared from May to June on the surface of soils in different densities. The average numbers of snails were 2.0%-12.7% of whole put in snails, and the numbers of offspring were less than 2% of the whole put in snails. The survival and reproduction of artificially imported Oncomelania snails from Guichi, Anhui Province is not good in Qingpu District, Shanghai.

  12. Why don't some women attend antenatal and postnatal care services?: a qualitative study of community members' perspectives in Garut, Sukabumi and Ciamis districts of West Java Province, Indonesia.

    PubMed

    Titaley, Christiana R; Hunter, Cynthia L; Heywood, Peter; Dibley, Michael J

    2010-10-12

    Antenatal, delivery and postnatal care services are amongst the recommended interventions aimed at preventing maternal and newborn deaths worldwide. West Java is one of the provinces of Java Island in Indonesia with a high proportion of home deliveries, a low attendance of four antenatal services and a low postnatal care uptake. This paper aims to explore community members' perspectives on antenatal and postnatal care services, including reasons for using or not using these services, the services received during antenatal and postnatal care, and cultural practices during antenatal and postnatal periods in Garut, Sukabumi and Ciamis districts of West Java province. A qualitative study was conducted from March to July 2009 in six villages in three districts of West Java province. Twenty focus group discussions (FGDs) and 165 in-depth interviews were carried out involving a total of 295 respondents. The guidelines for FGDs and in-depth interviews included the topics of community experiences with antenatal and postnatal care services, reasons for not attending the services, and cultural practices during antenatal and postnatal periods. Our study found that the main reason women attended antenatal and postnatal care services was to ensure the safe health of both mother and infant. Financial difficulty emerged as the major issue among women who did not fulfil the minimum requirements of four antenatal care services or two postnatal care services within the first month after delivery. This was related to the cost of health services, transportation costs, or both. In remote areas, the limited availability of health services was also a problem, especially if the village midwife frequently travelled out of the village. The distances from health facilities, in addition to poor road conditions were major concerns, particularly for those living in remote areas. Lack of community awareness about the importance of these services was also found, as some community members perceived

  13. Countdown to 2015: a case study of maternal and child health service delivery challenges in five districts of Punjab.

    PubMed

    Mir, Ali Mohammad; Gull, Sadaf

    2012-12-01

    To identify the challenges confronting the Pakistan province of Punjab in delivering maternal and child health services at the district level. The qualitative assessment was done from May 15 to June 15, 2010, comprising 5 focus group discussions, 5 in-depth interviews with district managers, 49 in-depth interviews with providers, and direct observation of 19 facilities providing comprehensive emergency obstetric care in the districts of Multan, Muzaffargarh, Bahawalpur, Khanewal and Jhelum. Using skilled birth attendance coverage as an indicator, Punjab districts were stratified into three socio-economic strata, and from these the five-districts were selected. Distribution of basic emergency obstetric care facilities by population size was found to be inadequate in all districts. Quality of care was compromised by lack of staff and equipment. No anaesthetist was available in majority of the district hospitals and tehsil facilities. Half of the teshil headquarter hospitals were devoid of staff nurses. Vital medicines used in obstetric care were not available. Partograph was not being used in any of the tehsil-level facilities. Chlorine solution was not present in any of the facilities. Governance issues included multiplicity of command channels, delays in receipt of medicines and political interference. If the province has to achieve the related Millennium Development Goals (MDGs), related to maternal and child health, the existing facilities are not adequate. To achieve progress, proven and innovative approaches will have to be put in place that may influence the continuum of care from the household to the health facility.

  14. Current prevalence of intestinal parasitic infections and their impact on hematological and nutritional status among Karen hill tribe children in Omkoi District, Chiang Mai Province, Thailand.

    PubMed

    Yanola, Jintana; Nachaiwieng, Woottichai; Duangmano, Suwit; Prasannarong, Mujalin; Somboon, Pradya; Pornprasert, Sakorn

    2018-04-01

    Intestinal parasitic infection represents a substantial problem for children living in rural or limited resources areas and significantly relates to anemia and nutritional status. This study aimed to determine the current prevalence of intestinal parasitic infections among school-age children of Karen hill tribe population in Omkoi District, Chiang Mai Province, Thailand and assess the impact of intestinal parasitic infection on hematological and nutritional status in those children. A total of 375 Karen hill tribe children, 6-14 years of age, in Omkoi District were randomly selected to participate in this study. Stool samples were collected and examined for intestinal parasitic infection through formalin-ether concentration method. Blood samples were collected for hematological and iron analysis. The overall prevalence of intestinal parasitic infection was 47.7% (179/375), with single infections (29.3%) and polyparatism (18.4%). The most common pathogenic parasite was Trichuris trichiura (16.0%), followed by Ascaris lumbricoides (13%) and Giardia lamblia (3.5%). In addition, non-pathogenic amoeba, Entamoeba coli was observed with a high prevalence rate (31.2%). Anemia and eosinophilia prevalence were 6.40% (24/375) and 74.7% (280/375), respectively. Eosinophilia was significantly more prevalent in children with intestinal parasitic infection compared to uninfected children. Among 249 children, 13.7% were iron deficiency, 9.6% were thalassemia and hemoglobinophathy and 8% were G-6-PD deficiency. A high prevalence infection rate was significantly associated with eosinophilia, but independently related to anemia and iron deficiency. Intestinal parasitic infections are endemic in school-age children of Karen hill tribe population in Omkoi District. These data highlight the need for an integrated approach to control transmission of intestinal parasites and improve the health and sanitation status of Karen hill tribe children in Thailand. Copyright © 2018 Elsevier B

  15. OTEC Potential of East Nusa Tenggara Province in Indonesia

    NASA Astrophysics Data System (ADS)

    Widyartono, M.; Rahmadian, R.

    2018-04-01

    Indonesia is the largest archipelago country in the world, located between Indian Ocean and Pacific Ocean. Indonesia has more than 17000 islands with 70 per cent of the region is ocean. The Growth of the economic and population in Indonesia increasing the demand of the electricity annually, in 2015 alone electricity consumption in Indonesia reaching 200 TWh and will continue increasing every year. However, East Nusa Tenggara Province electrification ratio only around 58.64%, this is the second lowest ratio in Indonesia. This electrification ratio describes the level of availability of electrical energy for the community. Power Plant with renewable source placement in East Nusa Tenggara Province or smaller district need to be prioritise to cope with the low electrification ratio. Renewable sources for power plant have a good potential to work with, in example wind power, solar power, geothermal, or biomass. In addition, another renewable source that not yet known is from the ocean itself. Ocean Thermal Energy Conversion (OTEC) is one of the renewable source method from ocean. This paper will uncover the potential of OTEC in East Nusa Tenggara province so it will bring possibility to build an OTEC power plant in the future.

  16. Perinatal services and outcomes in Quang Ninh province, Vietnam.

    PubMed

    Nga, Nguyen T; Målqvist, Mats; Eriksson, Leif; Hoa, Dinh P; Johansson, Annika; Wallin, Lars; Persson, Lars-Åke; Ewald, Uwe

    2010-10-01

    We report baseline results of a community-based randomized trial for improved neonatal survival in Quang Ninh province, Vietnam (NeoKIP; ISRCTN44599712). The NeoKIP trial seeks to evaluate a method of knowledge implementation called facilitation through group meetings at local health centres with health staff and community key persons. Facilitation is a participatory enabling approach that, if successful, is well suited for scaling up within health systems. The aim of this baseline report is to describe perinatal services provided and neonatal outcomes. Survey of all health facility registers of service utilization, maternal deaths, stillbirths and neonatal deaths during 2005 in the province. Systematic group interviews of village health workers from all communes. A Geographic Information System database was also established. Three quarters of pregnant women had ≥3 visits to antenatal care. Two hundred and five health facilities, including 18 hospitals, provided delivery care, ranging from 1 to 3258 deliveries/year. Totally there were 17 519 births and 284 neonatal deaths in the province. Neonatal mortality rate was 16/1000 live births, ranging from 10 to 44/1000 in the different districts, with highest rates in the mountainous parts of the province. Only 8% had home deliveries without skilled attendance, but those deliveries resulted in one-fifth of the neonatal deaths. A relatively good coverage of perinatal care was found in a Vietnamese province, but neonatal mortality varied markedly with geography and level of care. A remaining small proportion of home deliveries generated a substantial part of mortality. © 2010 The Author(s)/Journal Compilation © 2010 Foundation Acta Paediatrica.

  17. Shear zones bounding the central zone of the Limpopo Mobile Belt, southern Africa

    NASA Astrophysics Data System (ADS)

    McCouri, Stephen; Vearncombe, Julian R.

    Contrary to previously suggested north-directed thrust emplacement of the central zone of the Limpopo mobile belt, we present evidence indicating west-directed emplacement. The central zone differs from the marginal zones in rock types, structural style and isotopic signature and is an allochthonous thrust sheet. It is bounded in the north by the dextral Tuli-Sabi shear zone and in the south by the sinistral Palala shear zone which are crustal-scale lateral ramps. Published gravity data suggest that the lateral ramps are linked at depth and they probably link at the surface, in a convex westward frontal ramp, in the vicinity of longitude 26°30'E in eastern Botswana. Two phases of movement, the first between 2.7 and 2.6 Ga and the second between 2.0 and 1.8 Ga. occurred on both the Tuli-Sabi and the Palala shear zones.

  18. A Comparison of Low Performing Students' Achievements in Factoring Cubic Polynomials Using Three Different Strategies

    ERIC Educational Resources Information Center

    Ogbonnaya, Ugorji I.; Mogari, David L.; Machisi, Eric

    2013-01-01

    In this study, repeated measures design was employed to compare low performing students' achievements in factoring cubic polynomials using three strategies. Twenty-five low-performing Grade 12 students from a secondary school in Limpopo province took part in the study. Data was collected using achievement test and was analysed using repeated…

  19. District health information system assessment: a case study in iran.

    PubMed

    Raeisi, Ahmad Reza; Saghaeiannejad, Sakineh; Karimi, Saeed; Ehteshami, Asghar; Kasaei, Mahtab

    2013-03-01

    Health care managers and personnel should be aware and literate of health information system in order to increase the efficiency and effectiveness in their organization. Since accurate, appropriate, precise, timely, valid information and interpretation of information is required and is the basis for policy planning and decision making in various levels of the organization. This study was conducted to assess the district health information system evolution in Iran according to WHO framework. This research is an applied, descriptive cross sectional study, in which a total of twelve urban and eight rural facilities, and the district health center at Falavarjan region were surveyed by using a questionnaire with 334 items. Content and constructive validity and reliability of the questionnaire were confirmed with correlation coefficient of 0.99. Obtained data were analyzed with SPSS 16 software and descriptive statistics were used to examine measures of WHO compliance. The analysis of data revealed that the mean score of compliance of district health information system framework was 35.75 percent. The maximum score of compliance with district health information system belonged to the data collection process (70 percent). The minimum score of compliance with district health information system belonged to information based decision making process with a score of 10 percent. District Health Information System Criteria in Isfahan province do not completely comply with WHO framework. Consequently, it seems that health system managers engaged with underlying policy and decision making processes at district health level should try to restructure and decentralize district health information system and develop training management programs for their managers.

  20. Bauxite and Kaolin Deposits of the Irwinton district, Georgia

    USGS Publications Warehouse

    Lang, Walter B.; Warren, Walter C.; Thompson, Raymond M.; Overstreet, Elizabeth F.

    1965-01-01

    The Irwinton district is in the central part of Georgia at the inner margin of the Coastal Plain province. The oldest rocks exposed in the district are crystalline rocks of the Piedmont province. They are unconformably overlain by nonmarine sedimentary strata of Late Cretaceous age, including gravel, micaceous sand, and lenses of kaolin. Bauxite has been found in a few of the kaolin lenses near the top of the sequence of these strata. During a long period prior to deposition of the over- lying marine beds of the Claiborne and Jackson Groups (middle and upper Eocene), the Upper Cretaceous strata were subjected to subaerial erosion. The bauxite deposits are considered to have formed during this period. They range in thickness from a few inches to more than 10 feet and occupy areas ranging from a few square feet to more than 5 acres. Most of the known bauxite deposits lie along the valleys of Commissioners Creek and Big Sandy Creek in Wilkinson County. The kaolin lenses are much larger than the bauxite deposits; some of the lenses underlie more than 200 acres and are more than 20 feet thick. Bauxite was discovered in the district in 1907 and was mined from 1910 to 1928. A few additional carloads of ore were shipped in 1941 and 1942, but no ore has been mined since that time. Reserves of high-grade bauxite are very small. Reserves of all grades of bauxite plus bauxitic clay may be about 400,000 long tons. The Irwinton district is the principal source of high-grade kaolin in the United States. The presence of kaolin here has been known since early colo- nial time, and it has been mined continuously since 1897. Production in 1959 was 1,940,279 short tons. The reserves of kaolin are very large but have never been adequately measured. Reserves of first and second grade kaolin may be 67 to 84 million short tons. Kaolin of lower grade is present in larger quantity.

  1. Human health risk assessment, congener specific analysis and spatial distribution pattern of organochlorine pesticides (OCPs) through rice crop from selected districts of Punjab Province, Pakistan.

    PubMed

    Mumtaz, Mehvish; Qadir, Abdul; Mahmood, Adeel; Mehmood, Andleeb; Malik, Riffat Naseem; Li, Jun; Yousaf, Zubaida; Jamil, Nadia; Shaikh, Irfan Ahmed; Ali, Habib; Zhang, Gan

    2015-04-01

    To evaluate the screening level risk assessment of OCPs in rice (Oryza sativa L.) straw (n=20) and rice grains (n=20), samples were collected from different districts of Punjab Province, Pakistan. ∑OCPs' levels (ng g(-1)) in rice straw and grains ranged from 3.63 to 39.40, 2.72 to 49.89, respectively. DDTs were found predominant over the other detected OCP isomers followed by HCH and heptachlor. Results of one way ANOVA reflected no significant difference for OCPs' levels among sampling sites, except heptachlor for rice grains. ∑OCPs' concentration in rice straw samples was exceeding the minimal residual levels (MRLs) (Australian and Japanese). Results of dietary intake and risk assessment suggested that rice straw is not safe for animals to consume as fodder. Human health was suggested to have some carcinogenic risks by consumption of rice grains, however, no considerable hazardous risk (non-carcinogenic) to human health was found. Copyright © 2014 Elsevier B.V. All rights reserved.

  2. Change of strategy is required for malaria elimination: a case study in Purworejo District, Central Java Province, Indonesia.

    PubMed

    Murhandarwati, E Elsa Herdiana; Fuad, Anis; Sulistyawati; Wijayanti, Mahardika Agus; Bia, Michael Badi; Widartono, Barandi Sapta; Kuswantoro; Lobo, Neil F; Supargiyono; Hawley, William A

    2015-08-16

    Malaria has been targeted for elimination from Indonesia by 2030, with varying timelines for specific geographical areas based on disease endemicity. The regional deadline for malaria elimination for Java island, given the steady decrease of malaria cases, was the end of 2015. Purworejo District, a malaria-endemic area in Java with an annual parasite incidence (API) of 0.05 per 1,000 population in 2009, aims to enter this elimination stage. This study documents factors that affect incidence and spatial distribution of malaria in Purworejo, such as geomorphology, topography, health system issues, and identifies potential constraints and challenges to achieve the elimination stage, such as inter-districts coordination, decentralization policy and allocation of financial resources for the programme. Historical malaria data from 2007 to 2011 were collected through secondary data, in-depth interviews and focus group discussions during study year (2010-2011). Malaria cases were mapped using the village-centroid shape file to visualize its distribution with geomorphologic characteristics overlay and spatial distribution of malaria. API in each village in Purworejo and its surrounding districts from 2007 to 2011 was stratified into high, middle or low case incidence to show the spatiotemporal mapping pattern. The spatiotemporal pattern of malaria cases in Purworejo and the adjacent districts demonstrate repeated concentrated occurrences of malaria in specific areas from 2007 to 2011. District health system issues, i.e., suboptimal coordination between primary care and referral systems, suboptimal inter-district collaboration for malaria surveillance, decentralization policy and the lack of resources, especially district budget allocations for the malaria programme, were major constraints for programme sustainability. A new malaria elimination approach that fits the local disease transmission, intervention and political system is required. These changes include timely

  3. Causes of Financial Mismanagement in South African Public Schools: The Views of Role Players

    ERIC Educational Resources Information Center

    Rangongo, Paul; Mohlakwana, Mokgadi; Beckman, Johan

    2016-01-01

    This paper investigates the underlying causes of financial mismanagement in public schools and focuses on the perceptions of various role players in the Limpopo Province of South Africa. The various Departments of Basic Education in South Africa allocate funds to schools each year, and expect school principals and school governing bodies to manage…

  4. Dual Use of Cigarettes and Smokeless Tobacco among South African Adolescents

    ERIC Educational Resources Information Center

    Rantao, Masego; Ayo-Yusuf, Olalekan A.

    2012-01-01

    Objectives: To determine factors associated with dual use of tobacco products in a population of black South African adolescents. Methods: Data were obtained from a self-administered questionnaire completed by a representative sample of grade 8 students from 21 randomly selected secondary state schools in the Limpopo Province, South Africa (n =…

  5. Taking kangaroo mother care forward in South Africa: The role of district clinical specialist teams.

    PubMed

    Feucht, Ute Dagmar; van Rooyen, Elise; Skhosana, Rinah; Bergh, Anne-Marie

    2015-11-20

    The global agenda for improved neonatal care includes the scale-up of kangaroo mother care (KMC) services. The establishment of district clinical specialist teams (DCSTs) in South Africa (SA) provides an excellent opportunity to enhance neonatal care at district level and ensure translation of policies, including the requirement for KMC implementation, into everyday clinical practice. Tshwane District in Gauteng Province, SA, has been experiencing an increasing strain on obstetric and neonatal services at central, tertiary and regional hospitals in recent years as a result of growing population numbers and rapid up-referral of patients, with limited down-referral of low-risk patients to district-level services. We describe a successful multidisciplinary quality improvement initiative under the leadership of the Tshwane DCST, in conjunction with experienced local KMC implementers, aimed at expanding the district's KMC services. The project subsequently served as a platform for improvement of other areas of neonatal care by means of a systematic approach.

  6. Inactivation of bacteria from contaminated streams in Limpopo, South Africa by silver- or copper-nanoparticle paper filters

    PubMed Central

    Dankovich, Theresa A.; Levine, Jonathan S.; Potgieter, Natasha; Dillingham, Rebecca; Smith, James A.

    2016-01-01

    There is an urgent need for inexpensive point-of-use methods to purify drinking water in developing countries to reduce the incidence of illnesses caused by waterborne pathogens. Previously, our work showed the deactivation of laboratory-cultured bacteria by percolation through a thick paper sheet containing either silver (Ag) or copper (Cu) nanoparticles (NP). In this study, these paper filters containing AgNPs or CuNPs have been tested with water sourced from contaminated streams in Limpopo, South Africa. Following the percolation of the contaminated stream water through the metal nanoparticle (MNP) papers, the water quality of the filtered effluent was evaluated with respect to the colony counts of total coliform and E. coli bacteria, turbidity, and either silver or copper ions. Influent total coliform bacteria concentrations from the stream water in Limpopo ranged from 250 CFU/100 mL to 1,750,000 CFU/100 mL. With the less contaminated stream water (250 - 15,000 CFU/100 mL), both AgNP and CuNP papers showed complete inactivation of the coliform bacteria. With the surface water with higher coliform bacteria levels (500,000 - 1,000,000 CFU/100 mL), both the AgNP and CuNP papers showed similar results with a slightly higher bacteria reduction of log10 5.1 for the AgNP papers than the log10 4.8 reduction for the CuNP papers. E. coli results followed similar trends. For most water purification experiments, the metal release from the sheets was minimal, with values under 0.1 ppm for Ag and 1.0 ppm for Cu (the current US EPA and WHO drinking water limits for Ag and Cu, respectively). These results show good potential for the use of paper embedded with silver and/or copper nanoparticles as effective point-of-use water purifiers. PMID:27022474

  7. Identification and simulation of space-time variability of past hydrological drought events in the Limpopo River basin, southern Africa

    NASA Astrophysics Data System (ADS)

    Trambauer, P.; Maskey, S.; Werner, M.; Pappenberger, F.; van Beek, L. P. H.; Uhlenbrook, S.

    2014-08-01

    Droughts are widespread natural hazards and in many regions their frequency seems to be increasing. A finer-resolution version (0.05° × 0.05°) of the continental-scale hydrological model PCRaster Global Water Balance (PCR-GLOBWB) was set up for the Limpopo River basin, one of the most water-stressed basins on the African continent. An irrigation module was included to account for large irrigated areas of the basin. The finer resolution model was used to analyse hydrological droughts in the Limpopo River basin in the period 1979-2010 with a view to identifying severe droughts that have occurred in the basin. Evaporation, soil moisture, groundwater storage and runoff estimates from the model were derived at a spatial resolution of 0.05° (approximately 5 km) on a daily timescale for the entire basin. PCR-GLOBWB was forced with daily precipitation and temperature obtained from the ERA-Interim global atmospheric reanalysis product from the European Centre for Medium-Range Weather Forecasts. Two agricultural drought indicators were computed: the Evapotranspiration Deficit Index (ETDI) and the Root Stress Anomaly Index (RSAI). Hydrological drought was characterised using the Standardized Runoff Index (SRI) and the Groundwater Resource Index (GRI), which make use of the streamflow and groundwater storage resulting from the model. Other more widely used meteorological drought indicators, such as the Standardized Precipitation Index (SPI) and the Standardized Precipitation Evaporation Index (SPEI), were also computed for different aggregation periods. Results show that a carefully set-up, process-based model that makes use of the best available input data can identify hydrological droughts even if the model is largely uncalibrated. The indicators considered are able to represent the most severe droughts in the basin and to some extent identify the spatial variability of droughts. Moreover, results show the importance of computing indicators that can be related to

  8. School District Leadership Styles and School Improvement: Evidence from Selected School Principals in the Eastern Cape Province

    ERIC Educational Resources Information Center

    Moorosi, Pontso; Bantwini, Bongani D.

    2016-01-01

    The purpose of this study was to investigate how leadership styles in the Eastern Cape school districts support school improvement. Mixed methods research was employed and data was collected through the use of questionnaires and semi-structured interviews with school principals in various districts. The study was guided by the following questions:…

  9. Could Malaria Control Programmes be Timed to Coincide with Onset of Rainfall?

    PubMed

    Komen, Kibii

    2017-06-01

    Malaria cases in South Africa's Northern Province of Limpopo have surpassed known endemic KwaZulu Natal and Mpumalanga Provinces. This paper applies statistical methods: regression analysis and impulse response function to understand the timing of impact and the length that such impacts last. Climate data (rainfall and temperature) are obtained from South African Weather Services (SAWs); global data from the European Centre for Medium-Range Weather Forecasts (ECMWF), while clinical malaria data came from Malaria Control Centre in Tzaneen (Limpopo Province). Data collected span from January 1998 to July 2007. Signs of the coefficients are positive for rainfall and temperature and negative for their exponents. Three out of five independent variables consistently maintain a very high statistical level of significance. The coefficients for climate variables describe an inverted u-shape: parameters for the exponents of rainfall (-0.02, -0.01, -0.02, -0.00) and temperature (-46.61, -47.46, -48.14, -36.04) are both negative. A one standard deviation rise in rainfall (rainfall onset) increases malaria cases, and the effects become sustained for at least 3 months and conclude that onset of rainfall therefore triggers a 'malaria season'. Malaria control programme and early warning system should be intensified in the first 3 months following the onset of rainfall.

  10. Approaches to In-Servicing Training of Teachers in Primary Schools in South Africa

    ERIC Educational Resources Information Center

    Mahlangu, Vimbi P.

    2016-01-01

    This paper focuses on the approaches used by school heads in helping their growth and their teachers in primary schools in Limpopo and Mpumalanga Provinces of South Africa. The Department of Basic Education expects school heads and teachers to bring change in their school performances. The problem is that in these primary schools heads and…

  11. The Sustainable Harvesting of Edible Insects in South Africa, with Reference to Indigenous Knowledge, African Science, Western Science and Education

    ERIC Educational Resources Information Center

    Toms, Rob

    2007-01-01

    In our ongoing research on edible insects in the Limpopo Province of South Africa, we have found evidence of the unsustainable harvesting of edible insects and the food plants of certain insects. The decline in the edible insect industry, together with the need for food security provides a strong incentive to investigate possible causes of…

  12. Organic pollution and salt intrusion in Cai Nuoc District, Ca Mau Province, Vietnam.

    PubMed

    Tho, Nguyen; Vromant, Nico; Hung, Nguyen Thanh; Hens, Luc

    2006-07-01

    In Ca Mau, Vietnam, farmers converted from rice to shrimp farming, while ignoring the degradation of the aquatic environment. We assessed the seasonal variations in organic pollution of the surface water and salt intrusion in one district and assessed the difference in chemical characteristics of the surface water of shrimp ponds and canals. Several variables reflecting salinity and organic pollution were measured in the wet and dry season. The results show that in the dry season salinity increased to 37.36-42.73 g l(-1) and COD and suspended solids increased to a maximum of 268.7 mg l(-1) and 1312.0 mg l(-1), respectively. In the wet season salinity values of 8.16 to 10.60 g l(-1) were recorded, indicating that salinity could no longer be washed out completely in this season. It is concluded that salinity and suspended solids in the aquatic environment in the Cai Nuoc district are increased by shrimp monoculture, whereas organic pollution is contributed by human population pressure.

  13. Rural food insecurity and poverty mappings and their linkage with water resources in the Limpopo River Basin

    NASA Astrophysics Data System (ADS)

    Magombeyi, M. S.; Taigbenu, A. E.; Barron, J.

    2016-04-01

    The mappings of poverty and food insecurity were carried out for the rural districts of the four riparian countries (Botswana, Mozambique, South Africa and Zimbabwe) of the Limpopo river basin using the results of national surveys that were conducted between 2003 and 2013. The analysis shows lower range of food insecure persons (0-40%) than poverty stricken persons (0-95%) that is attributable to enhanced government and non-government food safety networks in the basin countries, the dynamic and transitory nature of food insecurity which depends on the timings of the surveys in relation to harvests, markets and food prices, and the limited dimension of food insecurity in relation to poverty which tends to be a more structural and pervasive socio-economic condition. The usefulness of this study in influencing policies and strategies targeted at alleviating poverty and improving rural livelihoods lies with using food insecurity mappings to address short-term socio-economic conditions and poverty mappings to address more structural and long-term deprivations. Using the poverty line of 1.25/day per person (2008-2013) in the basin, Zimbabwe had the highest percentage of 68.7% of its rural population classified as poor, followed by Mozambique with 68.2%, South Africa with 56.1% and Botswana with 20%. While average poverty reduction of 6.4% was observed between 2003 and 2009 in Botswana, its population growth of 20.1% indicated no real poverty reduction. Similar observations are made about Mozambique and Zimbabwe where population growth outstripped poverty reductions. In contrast, both average poverty levels and population increased by 4.3% and 11%, respectively, in South Africa from 2007 to 2010. While areas of high food insecurity and poverty consistently coincide with low water availability, it does not indicate a simple cause-effect relationship between water, poverty and food insecurity. With limited water resources, rural folks in the basin require stronger

  14. Factors contributing to men’s reluctance to seek HIV counselling and testing at Primary Health Care facilities in Vhembe District of South Africa

    PubMed Central

    Sirwali, Robert N.; Tshitangano, Takalani

    2016-01-01

    Background Voluntary HIV antibody Counselling and Testing (HCT) is a cornerstone of HIV prevention in South Africa because it has the potential to prevent HIV transmission. The government of South Africa has for a long time been investing heavily in fighting the spread of HIV and/or AIDS. However, men rarely utilise this service. Aim The aim of this study was to explore the factors contributing to the reluctance of men to seek HCT in the primary health facilities in Vhembe District. Setting The study was conducted at Vhembe District health offices in Limpopo, South Africa. Methods A qualitative research design, anchored on semi-structured interviews as a method of data collection, was used. Fifteen men working at Vhembe health offices were purposively sampled. Data were analysed using the TECHS’s 8 steps method. The approval from Polokwane Provincial offices was guaranteed with participants being protected and respected throughout the study. Results The response rate per question was 100% with all 15 participants willing to answer all the raised questions, though with different views and opinions. The majority of the interviewees indicated that they were aware of HCT services. Stigma as a societal reaction to disease, governmental policies, and attitudinal factors made men refrain from seeking counselling and testing from public health facilities. Conclusion There was a high level of HCT awareness among men in Vhembe District. However, attitudinal and political barriers, stigma, and cultural practices such as circumcision were cited as the reasons for the low level utilisation of HCT services. PMID:27380851

  15. [Temporal and spatial variation of MODIS vegetation indices in Hunan Province].

    PubMed

    Lin, Hui; Xiong, Yu-Jiu; Wan, Ling-Feng; Mo, Deng-Kui; Sun, Hua

    2007-03-01

    Based on MODIS images and by using the algorithm of maximum value composite (MVC), the monthly vegetation indices (VIs) in 2005 in Hunan Province were obtained. Through the analysis of the MODIS VIs, Hunan Province was divided into six districts to describe the spatial distribution of the VIs, and by using the monthly mean temperature and rainfall data collected from 5 climatic monitoring stations in this province, the temporal variation of the VIs was analyzed. The results showed that the spatial distribution of MODIS VIs was positively correlated with vegetation cover, and appeared regional characteristics. The MODIS VIs varied with season, and the curves of their monthly mean values were downwards opening quadratic parabolas, with the maximum appeared in July. The value of MODIS EVI was smaller than that of MODIS NDVI. MODIS VI was mainly affected by monthly mean temperature, but this effect was decreased with decreasing latitude. The variation pattern of MODIS EVI was more apparent than that of MODIS NDVI, i. e. , the quadratic parabola of MODIS EVI was smoother, going gradually from minimum to maximum and then going down, while that of MODIS NDVI had tiny fluctuations on both sides of the maximum point.

  16. Reverse transcription PCR-based detection of Crimean-Congo hemorrhagic fever virus isolated from ticks of domestic ruminants in Kurdistan province of Iran.

    PubMed

    Fakoorziba, Mohammad Reza; Golmohammadi, Parvaneh; Moradzadeh, Rahmatollah; Moemenbellah-Fard, Mohammad Djaefar; Azizi, Kourosh; Davari, Behrooz; Alipour, Hamzeh; Ahmadnia, Sara; Chinikar, Sadegh

    2012-09-01

    Crimean-Congo hemorrhagic fever (CCHF) is a potentially fatal viral vector-borne zoonosis which has a mortality rate of up to 30% without treatment in humans. CCHF virus is transmitted to humans by ticks, predominantly from the Hyalomma genus. Following the report of two confirmed and one suspected death due to CCHF virus in Kurdistan province of Iran in 2007, this study was undertaken to determine the fauna of hard ticks on domestic ruminants (cattle, sheep, and goats) and their possible infection with CCHF virus using reverse transcription PCR technique. This is the first detection of CCHF virus in ticks from the Kurdistan province of Iran. Overall, 414 ixodid ticks were collected from two districts in this province. They represented four genera from which 10 separate species were identified. The Hyalomma genus was the most abundant tick genus (70%). It was the only genus shown to be infected with the CCHF virus using RT-PCR technique. The number of ticks positive for CCHF virus was 5 out of 90 (5.6%) adult ticks. The three remaining genera (Haemaphysalis, Rhipicephalus, and Dermacentor) were all negative following molecular survey. Four of the five virally-infected ticks were from cattle mainly in the Sanandaj district. We concluded that CCHF virus is present in the Hyalomma ticks on domestic ruminants (cattle) in Kurdistan province of Iran.

  17. Benefits of using biogas technology in rural area: karo district on supporting local action plan for greenhouse gas emission reduction of north sumatera province 2010-2020

    NASA Astrophysics Data System (ADS)

    Ginting, N.

    2017-05-01

    Indonesia committed to reduce its greenhouse gas (GHG) by 26% in 2020. At the UNFCCC (Conference of the United Nation Framework Convention on Climate Change) held in Paris in December 2015 Indonesia committed to reduce GHG; one way by promoting clean energy use for example biogas. Agricultural industry produces organic waste which contributes to global warming and climate change. In Karo District, mostly the people were farmers, either horticulture or fruit and produces massive organic waste. Biogas research was conducted in Karo District in May until July 2016 used 5 biodigesters. The purpose was to determine benefits of using biogas technology in order to reduct GHG emissions. The used design was Completely Randomized Design (CRD) with treatments: T1 (100% cow feces), T2 (75% cow feces + 25% horticultural waste), T3 (50% cow feces + 50% horticultural waste), T4 (25% cow feces + 75% horticultural waste) and T5 (100% horticultural waste). Parameter research were gas production, pH and temperature. The research result showed that T1 produced the highest methane ( P<0.05) compared to other treatments while T2 produced methane higher (P<0.05) compared to T4 or T5. There was no difference on methane production between T4 and T5. As conclusion application of biogas on agricultural waste supported local action plan for greenhouse gas emission reduction of North Sumatera Province 2010-2020. From horticultural waste, there were 2.1 × 106 ton CO2 eq in 2014 which were not calculated in RAD GRK (Regional Action Plan for Greenhouse Gas Emissions Reduction).

  18. Molecular detection of Babesia rossi and Hepatozoon sp. in African wild dogs (Lycaon pictus) in South Africa.

    PubMed

    Matjila, Paul Tshepo; Leisewitz, Andrew L; Jongejan, Frans; Bertschinger, Henk J; Penzhorn, Barend L

    2008-10-20

    Blood specimens from wild dogs (n=301) were obtained from De Wildt Cheetah and Wildlife Centre (Pretoria) and five game reserves (4 in the North-West Province and 1 in Limpopo Province), South Africa. Specimens were screened for Babesia, Theileria, Hepatozoon and Ehrlichia/Anaplasma species using PCR and Reverse Line Blot (RLB) assays. Positive results were obtained in 18 (6%) wild dogs. Sixteen specimens were found positive for Babesia rossi and two dogs were Hepatozoon sp. positive. It appears that these tick-borne pathogens are not widely distributed in wild dog populations.

  19. Women's rising status. Shandong province.

    PubMed

    Wang, X

    1994-03-01

    Improvements in the status of women are credited with the recent success of family planning promotion efforts in China's Xiji Village (Shanting District, Shandong Province). This small mountain village had a per capita annual income (US$27) below the national average ad a birth rate of 33/1000 population in 1984. When the District Family Planning Association targeted the village for programmatic intervention in 188, there was strong resistance to family planning. On the assumption that villagers would not accept family planning until they were convinced of its economic advantages, the Association combined poverty alleviation activities with contraceptives promotion. Small enterprises and workshops were set up, including processing mills to make noodles from beans and potato starch, and two-thirds of the village's unemployed women got jobs that paid an average of US$26/month at these mills. Income generating activities such as raising poultry or growing produce in backyard gardens were designed for women with too many children to work outside the home. In addition, the Women's Association at Feicheng City has selected more than 3500 economically active, family planning acceptors who serve as models to 15-16 women of childbearing age. As women experience the social, economic, and psychological advantages of income generation, they tend to voluntarily adopt family planning and to abandon their previous preference for sons.

  20. Knowledge, attitudes and practices on malaria transmission in Mamfene, KwaZulu-Natal Province, South Africa 2015.

    PubMed

    Manana, Pinky N; Kuonza, Lazarus; Musekiwa, Alfred; Mpangane, Hluphi D; Koekemoer, Lizette L

    2017-07-20

    In South Africa malaria is endemic in Mpumalanga, Limpopo and the north-eastern areas of KwaZulu-Natal provinces. South Africa has set targets to eliminate malaria by 2018 and research into complementary vector control tools such as the Sterile Insect Technique (SIT) is ongoing. It is important to understand community perceptions regarding malaria transmission and control interventions to enable development of community awareness campaign messages appropriate to the needs of the community. We aimed to assess knowledge, attitudes, and practices regarding malaria transmission to inform a public awareness campaign for SIT in Jozini Local Municipality, Mamfene in KwaZulu-Natal province. We conducted a cross-sectional survey in three communities in Mamfene, KwaZulu-Natal during 2015. A structured field piloted questionnaire was administered to 400 randomly selected heads of households. Descriptive statistics were used to summarize data. Of the 400 participants interviewed, 99% had heard about malaria and correctly associated it with mosquito bites. The sources of malaria information were the local health facility (53%), radio (16%) and community meetings (7%). Approximately 63% of the participants were able to identify three or four symptoms of malaria. The majority (76%) were confident that indoor residual spraying (IRS) kills mosquitoes and prevents infection. Bed nets were used by 2% of the participants. SIT knowledge was poor (9%), however 63% of the participants were supportive of mosquito releases for research purposes. The remaining 37% raised concerns and fears, including fear of the unknown and lack of information on the SIT. Appropriate knowledge, positive attitude and acceptable treatment-seeking behaviour for malaria were demonstrated by members of the community. Community involvement will be crucial in achieving success of the SIT and future studies should further investigate concerns raised by the community. The existing communication channels used by the

  1. Poor Knowledge and Nonuse of Long-Acting/Permanent Methods of Contraceptives in Six Districts in Indonesia.

    PubMed

    Titaley, Christiana R; Ariawan, Iwan; Damayanti, Rita; Ismail, Amry; Saputri, A Y; Yelda, Fitra; Soeharno, Nugroho; Subarkah; Harlan, Sarah; Wahyuningrum, Yunita; Storey, Douglas

    2017-11-01

    This analysis aimed at examining the association between the level of knowledge about long-acting/permanent methods of contraceptives (LAPM) and nonuse of LAPM among currently married, nonpregnant, and fecund women aged 15 to 49 years intending to limit childbearing. Data were derived from a cross-sectional study in Tuban, Kediri, and Lumajang District (East Java Province) and Lombok Barat, Lombok Timur, and Sumbawa District (Nusa Tenggara Barat Province) in June 2012. Information was obtained from 4323 respondents. Using multivariate logistic regression, we found that women with moderate levels of LAPM knowledge were less likely to use LAPM than women with high levels of knowledge (adjusted odds ratio [aOR] = 2.01, 95% CI = 1.51-2.68). Women with low level of LAPM knowledge were less likely to use LAPM than women with high levels of knowledge (aOR = 4.25, 95% CI = 3.37-5.36). Efforts to strengthen counseling services and increased provider knowledge and counselling skills are important to improve women's knowledge about and use of LAPM.

  2. Beyond Silence and Rumor: Storytelling as an Educational Tool to Reduce the Stigma around HIV/AIDS in South Africa

    ERIC Educational Resources Information Center

    Zeelen, Jacques; Wijbenga, Hieke; Vintges, Marga; de Jong, Gideon

    2010-01-01

    Purpose: This paper aims to explore the role of a small-scale project around storytelling as a form of informal education in five health clinics in rural areas of the Limpopo Province in South Africa. The aim of the project is to decrease the stigma around HIV/AIDS and to start an open dialogue in local communities about the disease.…

  3. Challenges Experienced by School Managers in the Nkangala District, Mpumalanga, Regarding the Provision of Long Term Leadership

    ERIC Educational Resources Information Center

    van Niekerk, E. J.

    2012-01-01

    The long term leadership task of creating favourable circumstances for followers to excel are discussed in this article using narratives supplied by education managers in schools of the Nkangala District in Mpumalanga Province. Thereby deficiencies in the long term leadership proficiency of these managers are identified with a view to be able to…

  4. Survey of Veterinary Drug Residues in Raw Milk in Hebei Province, China.

    PubMed

    Han, Rong-Wei; Yu, Zhong-Na; Zhen, Tian-Yuan; Wang, Jun

    2017-10-17

    The objective of this study was to investigate the occurrence of veterinary drug residues in raw milk from Hebei, the second-largest dairy production province in the People's Republic of China. A total of 192 raw milk samples were collected from 64 milk stations in seven districts. Twenty-eight veterinary drug residues were analyzed by ultraperformance liquid chromatography with tandem mass spectrometry based on a China National Standard. Raw milk samples with multiple residues of veterinary drugs were not found in the present study. Residues of four veterinary drugs, penicillin G, sulfacetamide, trimethoprim, and lincomycin, were detected in 12 (6.25%) raw milk samples, with detection ratios of 1.04, 0.52, 3.13, and 1.56%, respectively. All veterinary drug residues detected were under the maximum residue levels as regulated by China, the European Union, the United States, and the Codex Alimentarius Commission. In general, raw milk from Hebei province was considered relatively safe for human consumption because of the low prevalence of veterinary drug residues. However, stringent control measurements for veterinary drug residues in raw milk are required because some veterinary drugs were detected in milk from some areas of Hebei province.

  5. School Autonomy in the Province of Buenos Aires, Argentina: Evidence from Two School Districts

    ERIC Educational Resources Information Center

    Astiz, M. Fernanda

    2006-01-01

    This article provides empirical evidence of policy adoption, outcomes and consequences of decentralization and school autonomy initiatives enacted in Argentina during the 1990s. The study examines what school autonomy meant in Argentina and how it was adopted at the provincial and school levels. Using qualitative data on school districts of the…

  6. Malaria in tree crop plantations in south-eastern and western provinces of Thailand.

    PubMed

    Singhasivanon, P; Thimasarn, K; Yimsamran, S; Linthicum, K; Nualchawee, K; Dawreang, D; Kongrod, S; Premmanisakul, N; Maneeboonyang, W; Salazar, N

    1999-09-01

    During the past three decades almost half of the existing natural tropical forests in Thailand were destroyed and replaced by cash crops, rubber, coffee, fruit orchards (durian, rambutan, mangosteen) and other commercial plantations. In order to determine the proportion of malaria cases contracted from such commercial plantations, an epidemiological study was conducted between June 1996 to May 1997 in two districts, one in Pong Nam Ron, located in a south-eastern province near the Cambodian border and another in Sai Yok, in a western province along the Myanmar border. Data were collected by passive case detection from patients attending the existing malaria clinics and active case detection by monthly malariometric survey in selected villages. All malaria cases were thoroughly investigated and classified according to exposure to different ecotypes prior to onset of malaria symptoms in the preceding two weeks. Malaria cases acquired from commercial plantations accounted for 35.2% and 11.2% in Pong Nam Ron and in Sai Yok districts respectively. In such plantations, most of the malaria cases were contracted from fruit orchards and to a lesser extent from rubber and teak plantations. From this study it is evident that commercial plantations provide a significant site of malaria transmission in addition to the forest and foothills areas in Southeast Asia where efficient vectors such as An. dirus and An. minimus are prevalent and have adapted to such changed ecosystems.

  7. Knowledge and practices of pre-school teachers on growth monitoring program—South Africa

    PubMed Central

    Mandiwana, Tshifhiwa Cynthia; Mbhenyane, Xikombiso G.; Mushaphi, Lindelani Fhumudzani; Mabapa, Ngoako Solomon

    2015-01-01

    The aim of this study was to determine knowledge and practices of pre-school teachers on growth monitoring. A quasi-experimental, one-group pre- and post-test intervention study was conducted in eight conveniently selected government subsidized pre-schools in Vhembe and Mopani districts of Limpopo Province, South Africa. Fifteen pre-school teachers participated in the study. An intervention in a form of nutrition education lessons on growth monitoring was developed and implemented. Pre-school teachers completed a knowledge test questionnaire prior to the lessons. The intervention also included the following training skills: procedure to take anthropometric measurements and plotting the Road to Health Chart. About 67% teachers understood the importance of growth monitoring at baseline. The results also showed an improvement 6 months after intervention. All (100%) teachers knew that growth monitoring can be used for diagnosing undernutrition. The results also showed an improvement in skills, such as the procedure to take anthropometric measurements. Knowledge and practices of teachers on growth monitoring were improved by nutrition education 6 months after intervention. PMID:25296726

  8. People Participation Towards Opisthorchis viverrini Prevention and Control in Chaiyaphum Province, Northeastern Thailand.

    PubMed

    Phongsiripapat, Rutjirapat; Chimplee, Kanokporn; Rujirakul, Ratana; Kaewpitoon, Soraya; Keawpitoon, Natthawut

    2016-01-01

    This cross-sectional descriptive and qualitative study was aimed to study the people participation and their approaches toward the human carcinogenic liver fluke, Opisthorchis viverrini, prevention and control in Ban Chaun sub-district administrative organization (BCSAO) and Bamnet Narong sub-district municipality (BNSM), Bamnet Narong district, Chaiyaphum Province, Thailand between June 2013 and February 2014. Participants were purposive selected, included chiefs of sub-district administrative organizations, sub-district municipalities, sub-district health promotion hospitals (SHPHs), heads of village, and a further sample was selected with a multi- stage random sampling for public health volunteers, and villagers. The pre-designed questionnaire contained items for individualized status and the participatory steps of sharing ideas, decision-making, and planning, procession, evaluation, and mutual benefit, for the project O. viverrini prevention and control (POPC). In-depth interviews were used for collection of need approaches to POPC. With 375 participants who completed the questionnaire, it was found that people had a high level regarding to participate in the POPC, particularly in the process stage (X_ =3.78, S.D. = 0.56), but the lowest level was found in sharing ideas, decision making, and planning step (X_ =3.65, S.D. = 0.63). By comparison, participant status and organization did not significantly differ with people participation. In each step, Ban Chaun sub-district had a high level of participation in the step of sharing ideas, decision making, and planning toward POPC, more than Bamnet Narong sub-district municipality (t=2.20, p=0.028). Approaches for POPC in Ban Chaun sub-district and Bamnet Narong sub-district municipality included requirements for budget support, annual campaigns for liver fluke prevention and control, campaign promotion, risk group observation, home visiting, community rules regarding reducing raw fish consumption in their

  9. Evaluation of Color and Color Infrared Photography from the Goldfield Mining District, Esmerelda and Nye Countries, Nevada

    NASA Technical Reports Server (NTRS)

    Ashley, R. P.

    1970-01-01

    The determination of geological features characteristic of the Goldfield epithermal ore deposits is considered and which of them can be identified from color and color infrared aerial photography. The Goldfield mining district in the western part of the Basin and Range Province is the area of study, located in desert terrain of relatively low relief.

  10. Hydrochemical characteristics and quality assessment of deep groundwater from the coal-bearing aquifer of the Linhuan coal-mining district, Northern Anhui Province, China.

    PubMed

    Lin, Man-Li; Peng, Wei-Hua; Gui, He-Rong

    2016-04-01

    There is little information available about the hydrochemical characteristics of deep groundwater in the Linhuan coal-mining district, Northern Anhui Province, China. In this study, we report information about the physicochemical parameters, major ions, and heavy metals of 17 groundwater samples that were collected from the coal-bearing aquifer. The results show that the concentrations of total dissolved solids, electrical conductivity, and potassium and sodium (K(+) + Na(+)) in most of the groundwater samples exceeded the guidelines of the World Health Organization (WHO) and the Chinese National Standards for Drinking Water Quality (GB 5749-2006). The groundwater from the coal-bearing aquifer was dominated by the HCO3·Cl-K + Na and HCO3·SO4-K + Na types. Analysis with a Gibbs plot suggested that the major ion chemistry of the groundwater was primarily controlled by weathering of rocks and that the coal-bearing aquifer in the Linhuan coal-mining district was a relatively closed system. K(+) and Na(+) originated from halite and silicate weathering reactions, while Ca(2+) and Mg(2+) originated from the dissolution of calcite, dolomite, and gypsum or anhydrite. Ion exchange reactions also had an influence on the formation of major ions in groundwater. The concentrations of selected heavy metals decreased in the order Mn > Zn > Cr > Cu > Ni > Pb. In general, the heavy metal concentrations were low; however, the Cr, Mn, and Ni concentrations in some of the groundwater samples exceeded the standards outlined by the WHO, the GB 5749-2006, and the Chinese National Standards for Groundwater (GB/T 14848-93). Analysis by various indices (% Na, SAR, and EC), a USSL diagram, and a Wilcox diagram showed that both the salinity and alkalinity of the groundwater were high, such that the groundwater could not be used for irrigating agricultural land without treatment. These results will be significant for water resource exploiting and utilization in

  11. Identification and stocking density of elements phosphate indigo system for fish farming cages nets floating in freshwater district Laut Tawar, Aceh Province

    NASA Astrophysics Data System (ADS)

    Eriyusni, N.; Siregar, A. Z.

    2018-02-01

    Lake Laut Tawar is located in Aceh district of Aceh province. The lake were used by the community as a livelihood by making a Cages. One of the elements that influence the fish growth is an element Phosphate (PO4) and other such as, pH, nitrate-nitrite, temperature and others. The lake has undergone changes caused by the use of commercial feed. The sampling locations based on the environmental setting by using method "purposive sampling" from January to May. The results was found of 0.1407 mg/L phosphate with fish expenditure amounting to 23728.61 ton / year using cages of net with number as 92, stocking density at 48,950 of fish and marine area 19.77 Ha. However the standard classes showed is under class II Regulation with No. 82 Year 2001 3400, solid lowest stocking cages tail on the size of 2.5 x 2.5 x 3M (spacious, 181m3) with post-harvest fish expenditure amounted to 1,214 tons of fish/year, the highest 9,250 cages tail on the size e of 5 x 5 x 3m (spacious 123m3) with fish expenditure by 2,800 tones of fish/year. While the results of feed conversion and Phosphate content is 12.70% with the Feed Conversion Ratio (FCR) was 1,635 and 1,491.

  12. Is small-scale irrigation an efficient pro-poor strategy in the upper Limpopo Basin in Mozambique?

    NASA Astrophysics Data System (ADS)

    Ducrot, Raphaelle

    2017-08-01

    In Sub-Saharan Africa, there is evidence that households with access to small-scale irrigation are significantly less poor than households that do not have access to irrigation. However, private motopumps tend to be distributed inequitably. This paper investigates the success of explicit pro-poor interventions with emphasis on small-scale irrigation in the semi-arid Limpopo Basin in Mozambique. It reveals that high irrigation costs are progressively excluding the poor, who are unable to generate a cash income from other activities they need to fund irrigation. In addition, the operation of collective schemes involving the poor is being jeopardized by the development of private irrigation schemes, which benefit from hidden subsidies appropriated by local elites. This results in unequal access to irrigation, which can cause resentment at community level. This weakens community cohesiveness, as well as communities' capacities for collective action and coordination, which are crucial for collective irrigation.

  13. Effect of integrated pest management on controlling zoonotic cutaneous leishmaniasis in Emamzadeh Agha Ali Abbas (AS) District, Isfahan province, 2006-2009.

    PubMed

    Nilforoushzadeh, Mohammad Ali; Shirani-Bidabadi, Leila; Saberi, Sedigheh; Hosseini, Seyed Mohsen; Jaffary, Fariba

    2014-01-01

    Cutaneous leishmaniasis (CL) is still considered as a health problem in the world. Several methods of control in different regions, together with obtaining integrated information on its natural foci, are needed to decrease its prevalence. This study was designed to evaluate the effects of simultaneous interventions on CL control. A standard questionnaire was used to identify patients among pilgrims to Emamzadeh Agha Ali Abbas (Isfahan Province, Iran). Subsequently, three methods of controlling the disease, including, spraying residential buildings with Baygon, baiting with zinc phosphide poisons, changing the vegetative cover of the region, improving the environment, and mounting a mesh on all doors and windows of buildings in residential areas were used. The control measures were then evaluated by comparing the number of pilgrims affected by CL after and before the interventions. While 23 pilgrims (1.4%) were affected with CL before the intervention (pretest), five (0.3%) persons were found to have CL after taking control measures. The Chi-square test did not indicate any significant difference in the relative frequency of CL (P = 0.731). The only scientific method for preventing and controlling zoonotic CL (ZCL) is a combination of the control methods (improving the environment and fighting off the disease districts and vectors) together with changing the vegetative cover of the region. Any measure for controlling this disease must be taken and programmed in accordance with the relevant experts' views, in coordination with the participation of other organizations and the society.

  14. Forecasting dengue hemorrhagic fever cases using ARIMA model: a case study in Asahan district

    NASA Astrophysics Data System (ADS)

    Siregar, Fazidah A.; Makmur, Tri; Saprin, S.

    2018-01-01

    Time series analysis had been increasingly used to forecast the number of dengue hemorrhagic fever in many studies. Since no vaccine exist and poor public health infrastructure, predicting the occurrence of dengue hemorrhagic fever (DHF) is crucial. This study was conducted to determine trend and forecasting the occurrence of DHF in Asahan district, North Sumatera Province. Monthly reported dengue cases for the years 2012-2016 were obtained from the district health offices. A time series analysis was conducted by Autoregressive integrated moving average (ARIMA) modeling to forecast the occurrence of DHF. The results demonstrated that the reported DHF cases showed a seasonal variation. The SARIMA (1,0,0)(0,1,1)12 model was the best model and adequate for the data. The SARIMA model for DHF is necessary and could applied to predict the incidence of DHF in Asahan district and assist with design public health maesures to prevent and control the diseases.

  15. Molecular epidemiological investigations of plague in Eastern Province of Zambia.

    PubMed

    Nyirenda, Stanley S; Hang Ombe, Bernard M; Simulundu, Edgar; Mulenga, Evans; Moonga, Ladslav; Machang U, Robert S; Misinzo, Gerald; Kilonzo, Bukheti S

    2018-01-04

    Plague is a flea-borne zoonotic and invasive disease caused by a gram negative coccobacillus bacterium called Yersinia pestis. Plague has caused three devastating pandemics globally namely: the Justinian, Black Death and Oriental plague. The disease in the Eastern Province of Zambia has been reported in Nyimba and Sinda Districts in the past 15 years. The aim of this study was to investigate the molecular epidemiology of plague in the two affected districts. Polymerase Chain Reaction (PCR), targeting Plasminogen activator gene (pla gene) of Y. pestis, was performed on suspected human bubo aspirates (n = 7), rodents (n = 216), shrews (n = 27) and fleas (n = 1494). Of these, one positive sample from each source or host was subjected to sequencing followed by phylogenetic analysis. The plasminogen activator gene (pla gene) of Y. pestis was detected in 42.8% bubo aspirates, 6.9% rodents, 3.7% shrew and 0.8% fleas. The fleas were from pigs (n = 4), goats (n = 5) and rodents (n = 3). The sequencing and phylogenetic analysis suggested that the pla gene of Y. pestis in Nyimba and Sinda was similar and the isolates demonstrated a high degree of evolutionary relationship with Antiqua strains from the Republic of Congo and Kenya. It can be concluded that pla gene of Y. pestis was present in various hosts in the two districts and the strains circulating in each district were similar and resembles those in the Republic of Congo and Kenya.

  16. Batako Quality Optimization with Addition of Palm Oil Stem Fiber from Kampar District and Dumai City

    NASA Astrophysics Data System (ADS)

    Zainuri; Yanti, Gusneli; Wahyuni Megasari, Shanti

    2017-12-01

    The waste of dry palm oil produced by 148 trees per hectare is 3,108 ton/month or 37,296 ton/year as calculated. Riau province has oil palm plantations covering an area of 2.399.172 hectares (BPS Riau Province, 2014). It can be estimated the amount of waste generated. Palm stem waste can be utilized, one of which is the utilization of midrib fiber as an added material in the manufacture of batako. Batako- fiber that is made still must be examined feasibility as building materials. The purpose of this study was to determine the optimization of the quality of batako works by the addition of palm stem fiber originated from the districts of Kampar and Dumai. This research used experimental method with laboratory research. Batako-fiber with the addition of palm fiber stem 1% of the weight of cement can increase the value of compressive strength above the normal batako and a batako with first quality according to SNI 03-0349-1989 standard. The use of palm stem fiber originating from the Kampar district resulted in better batakos with higher average compressive strength values than the dumai-derived fibers, especially in the addition of 1% fiber by weight of cement. The finding of this research is that the batakos originating from Kampar district are better than those from Dumai city. The most optimal addition of palm fiber burrs to batako-fiber products is 1% of the weight of cement.

  17. Using costing as a district planning and management tool in Balochistan, Pakistan.

    PubMed

    Green, A; Ali, B; Naeem, A; Vassall, A

    2001-06-01

    This paper reports on two studies in the province of Balochistan, Pakistan, analyzing the costs of primary care facilities and district and divisional hospitals. There are no known previous cost studies within Balochistan and the information gained is a critical element in developing a more rational allocation of resources within the health sector. The results demonstrate both the high level of under-funding of primary care within the health sector and the current inefficiency of allocation towards primary care and, within budgets, between different line items. Medicines in particular are significantly under-funded at the expense of staffing costs. The results are of use in developing more bottom-up budgeting systems within a more rational resource allocation system that is being developed as an element of the more decentralized health system towards which the province is working.

  18. Population-Based Intervention for Liver Fluke Prevention and Control in Meuang Yang District, Nakhon Ratchasima Province, Thailand.

    PubMed

    Kompor, Pontip; Muang Karn, Rattikarn; Norkaew, Jun; Kujapun, Jirawoot; Photipim, Mali; Ponphimai, Sukanya; Chavengkun, Wasugree; Phong Paew, Somkiat; Kaewpitoon, Soraya; Rujirakul, Ratana; Wakhuwathapong, Parichart; Phatisena, Tanida; Eaksanti, Thawatchai; Joosiri, Apinya; Polsripradistdist, Poowadol; Padchasuwan, Natnapa; Kaewpitoon, Natthawut

    2016-01-01

    Opisthorchiasis is still a major health problem in rural communities of Thailand. Infection is associated with cholangiocarcinoma (CCA), which is found frequently in Thailand, particularly in the northeastern. Therefore, this study aimed to evaluate the effectiveness of health intervention in the population at risk for opisthorchiasis and CCA. A quasi-experimental study was conducted in Meuang Yang district, Nakhon Ratchasima province, northeastern Thailand, between June and October 2015. Participants were completed health intervention comprising 4 stations; 1, VDO clip of moving adult worm of liver fluke; 2, poster of life cycle of liver fluke; 3, microscopy with adult and egg liver fluke; and 4, brochure with the knowledge of liver fluke containing infection, signs, symptoms, related disease, diagnosis, treatment, prevention, and control. Pre-and-post-test questionnaires were utilized to collect data from all participants. Students paired t-tests were used to analyze differences between before and after participation in the health intervention. Knowledge (mean difference=-7.48, t=-51.241, 95% CI, -7.77, -7.19, p-value =0.001), attitude (mean difference=-9.07, t=-9.818, 95% CI=-10.9, -7.24, p-value=0.001), and practice (mean difference=-2.04, t=-2.688, 95% CI=-3.55, -0.53, p-value=0.008), changed between before and after time points with statistical significance. Community rules were concluded regarding: (1) cooked cyprinoid fish consumption; (2) stop under cooked cyprinoid fish by household cooker; (3) cooked food consumption; (4) hygienic defecation; (5) corrected knowledge campaign close to each household; (6) organizing a village food safety club; (7) and annual health check including stool examination featuring monitoring by village health volunteers and local public health officers. The results indicates that the present health intervention program was effective and easy to understand, with low cost and taking only a short time. Therefore, this program may

  19. Asturian mercury mining district (Spain) and the environment: a review.

    PubMed

    Ordóñez, A; Álvarez, R; Loredo, J

    2013-11-01

    Mercury is of particular concern amongst global environmental pollutants, with abundant contaminated sites worldwide, many of which are associated with mining activities. Asturias (Northwest of Spain) can be considered an Hg metallogenic province with abundant epithermal-type deposits, whose paragenetic sequences include also As-rich minerals. These mines were abandoned long before the introduction of any environmental regulations to control metal release from these sources. Consequently, the environment is globally affected, as high metal concentrations have been found in soils, waters, sediments, plants, and air. In this paper, a characterization of the environmental affection caused by Hg mining in nine Asturian mine sites is presented, with particular emphasis in Hg and As contents. Hg concentrations found in the studied milieu are similar and even higher than those reported in previous studies for other mercury mining districts (mainly Almadén and Idrija). Furthermore, the potential adverse health effects of exposure to these elements in the considered sites in this district have been assessed.

  20. Spatiotemporal analysis of indigenous and imported dengue fever cases in Guangdong province, China.

    PubMed

    Li, Zhongjie; Yin, Wenwu; Clements, Archie; Williams, Gail; Lai, Shengjie; Zhou, Hang; Zhao, Dan; Guo, Yansha; Zhang, Yonghui; Wang, Jinfeng; Hu, Wenbiao; Yang, Weizhong

    2012-06-12

    Dengue fever has been a major public health concern in China since it re-emerged in Guangdong province in 1978. This study aimed to explore spatiotemporal characteristics of dengue fever cases for both indigenous and imported cases during recent years in Guangdong province, so as to identify high-risk areas of the province and thereby help plan resource allocation for dengue interventions. Notifiable cases of dengue fever were collected from all 123 counties of Guangdong province from 2005 to 2010. Descriptive temporal and spatial analysis were conducted, including plotting of seasonal distribution of cases, and creating choropleth maps of cumulative incidence by county. The space-time scan statistic was used to determine space-time clusters of dengue fever cases at the county level, and a geographical information system was used to visualize the location of the clusters. Analysis were stratified by imported and indigenous origin. 1658 dengue fever cases were recorded in Guangdong province during the study period, including 94 imported cases and 1564 indigenous cases. Both imported and indigenous cases occurred more frequently in autumn. The areas affected by the indigenous and imported cases presented a geographically expanding trend over the study period. The results showed that the most likely cluster of imported cases (relative risk = 7.52, p < 0.001) and indigenous cases (relative risk = 153.56, p < 0.001) occurred in the Pearl River Delta Area; while a secondary cluster of indigenous cases occurred in one district of the Chao Shan Area (relative risk = 471.25, p < 0.001). This study demonstrated that the geographic range of imported and indigenous dengue fever cases has expanded over recent years, and cases were significantly clustered in two heavily urbanised areas of Guangdong province. This provides the foundation for further investigation of risk factors and interventions in these high-risk areas.

  1. [Data analysis on hepatitis B through pilot surveillance reporting system in Henan province, 2012-2016].

    PubMed

    Guo, Y H; Lyu, Y Y; Yang, J H; Xu, J; Li, J; Ye, Y; Zhang, Y Y

    2018-04-10

    Objective: To standardize the reporting system on hepatitis B in order to improve the quality of monitoring program in Henan province. Methods: A total of 6 sites of Hepatitis B pilot surveillance were selected in Xinzheng of Zhengzhou city, Linzhou of Anyang city, Shanyang district of Jiaozuo city, Shaoling district of Luohe city, Yongcheng of Shangqiu city, Pingqiao district of Xinyang city in Henan province. Subjects under study were those reported hepatitis B cases, from 2012 to 2016. Cases diagnosed in 2011 were chosen as controls. Data on classification of hepatitis B, time that HBsAg became positive and ALT value of the cases were analyzed annually. 5 ml venous blood was collected and anti-HBc IgM confirmed test was made for those suspected acute cases on hepatitis B. Based on the 2016 data from the monitoring system, the incidence of acute hepatitis B in Henan province was estimated. Results: The number of reported hepatitis B cases had declined in 6 sites of Hepatitis B pilot surveillance substantially. A total of 17 436 hepatitis B reported in 2011 but only 2 632 cases were reported in 2016, with a reduction of 84.90%(14 804/17 436) in these six monitoring sites. The number of unclassified hepatitis B cases also dropped sharply. In 2011, 36.87% of the cases were unclassified, but the figure reduced to 0.08% in 2016, from the six sites. The rate on ALT detection also gradually improved. The rate of misdiagnosis on HBV carrier from hepatitis B almost disappeared. From 2013 to 2016, 777 blood samples were collected from six pilot sites. 29.34% (228/777) of the blood samples were tested positive for anti-HBc IgM after confirmed by the hepatitis laboratory of the China Center for Disease Control and Prevention. Conclusions: Since the development of the pilot surveillance program, the quality of reporting system on hepatitis B had been improved, as well as the accuracy of diagnosis. Rate on the accuracy of reporting on hepatitis B and the methods of testing

  2. 77 FR 69707 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ..., Hazarjuft Area, Garmsir District, Helmand Province, Afghanistan; alt. POB Laki Village, Garmsir District, Helmand Province, Afghanistan; alt. POB Lakari Village, Garmsir District, Helmand Province, Afghanistan; alt. POB Darvishan, Garmsir District, Helmand Province, Afghanistan; alt. POB De Luy Wiyalah Village...

  3. Petrogenesis of volcanic rocks that host the world-class Agsbnd Pb Navidad District, North Patagonian Massif: Comparison with the Jurassic Chon Aike Volcanic Province of Patagonia, Argentina

    NASA Astrophysics Data System (ADS)

    Bouhier, Verónica E.; Franchini, Marta B.; Caffe, Pablo J.; Maydagán, Laura; Rapela, Carlos W.; Paolini, Marcelo

    2017-05-01

    We present the first study of the volcanic rocks of the Cañadón Asfalto Formation that host the Navidad world-class Ag + Pb epithermal district located in the North Patagonian Massif, Patagonia, Argentina. These volcanic and sedimentary rocks were deposited in a lacustrine environment during an extensional tectonic regime associated with the breakup of Gondwana and represent the mafic to intermediate counterparts of the mainly silicic Jurassic Chon Aike Volcanic Province. Lava flows surrounded by autobrecciated carapace were extruded in subaerial conditions, whereas hyaloclastite and peperite facies suggest contemporaneous subaqueous volcanism and sedimentation. LA-ICPMS Usbnd Pb ages of zircon crystals from the volcanic units yielded Middle Jurassic ages of 173.9 ± 1.9 Ma and 170.8 ± 3 Ma. In the Navidad district, volcanic rocks of the Cañadón Asfalto Formation show arc-like signatures including high-K basaltic-andesite to high-K dacite compositions, Rb, Ba and Th enrichment relative to the less mobile HFS elements (Nb, Ta), enrichment in light rare earth elements (LREE), Ysbnd Ti depletion, and high Zr contents. These characteristics could be explained by assimilation of crustal rocks in the Jurassic magmas, which is also supported by the presence of zircon xenocrysts with Permian and Middle-Upper Triassic ages (281.3 Ma, 246.5, 218.1, and 201.3 Ma) and quartz xenocrysts recognized in these volcanic units. Furthermore, Sr and Nd isotope compositions suggest a contribution of crustal components in these Middle Jurassic magmas. High-K basaltic andesite has initial 87Sr/86Sr ratios of 0.70416-0.70658 and ξNd(t) values of -5.3 and -4. High-K dacite and andesite have initial 87Sr/86Sr compositions of 0.70584-0.70601 and ξNd(t) values of -4,1 and -3,2. The range of Pb isotope values (206Pb/204Pb = 18.28-18.37, 207Pb/204Pb = 15.61-15.62, and 208Pb/204Pb = 38.26-38.43) of Navidad volcanic rocks and ore minerals suggest mixing Pb sources with contributions of

  4. Principles for an interactive multi-scale assessment of sustainable production limits - lessons from the Limpopo river basin case, South Africa

    NASA Astrophysics Data System (ADS)

    Froebrich, Jochen; de Cleccq, Willem; Veraart, Jeroen; Vullings, Wies

    2015-04-01

    About 7.2 billion people currently live on the Earth and the population is projected to reach 9.6 billion by 2050, that growth will be mainly in developing countries, with more than half in Africa (United Nations 2013). Any local extension of irrigated agriculture in a region of scarce natural resources may potentially restrict the possibility to extend land and water use at another location of the same river basin. In order to support, develop and to assess such future interventions, it is important to define limits until which a sustainable production can take place at a given location, taking into account competing claims on natural resources, human welfare and impacts on environmental quality. We define Sustainable production limits as limits for the possible resource use, within which a production can be extended without restricting the growth opportunities at a neighboured location. The more threatened the natural resources become, the more important it is to consider the effect of other upcoming interventions within the same region. As a consequence, interventions for future resource use have to be assessed against the future available natural resources. This is of particular relevance for evaluating possible extensions of irrigation areas within a river basin. Investigating possible limits for extending irrigated agriculture at local scale requires an understanding of the complexity, including boundaries, activities, stakeholders, and opportunities at river basin scale, and more. Switching between the scales in this information, in a participatory process, appears to be a challenge in its own. Within the Limpopo River basin (South Africa), we analysed (i) possible interventions at local scale (transdisciplinary innovation of irrigation by smallholders, launching of PPPs), (ii) restrictions for developing irrigation at the Letaba sub basin scale, and (iii) water balance at the scale of the Limpopo basin. Experiences from the Limpopo case revealed, that

  5. Geology of the Spruce Pine District, Avery, Mitchell, and Yancy Counties, North Carolina

    USGS Publications Warehouse

    Brobst, Donald Albert

    1962-01-01

    The Spruce Pine pegmatite district, a northeastward-trending belt 25 miles long and 10 miles wide, lies in parts of Avery, Mitchell, and Yancey Counties in the Blue Ridge Province of western North Carolina. The most abundant rocks in the district are interlayered mica and amphibole gneisses and schists, all of which are believed to be of Precambrian age. These rocks are cut by small bodies of dunite and associated rocks of Precambrian (?) age, large bodies of alaskite and associated pegmatite of early Paleozoic age, and basaltic and diabasic dikes and sills of Triassic (?) age. The rocks of the district have been weathered to saprolite that is locally 50 feet thick. The major structure in the area is a southwestward-plunging asymmetrical synclinorium that has its steeper limb on the northwest side. Feldspar, muscovite as sheet and scrap (ground) mica, and kaolin from the alaskite and associated pegmatite account for over 90 percent of the total mineral production of the district. Amounts of other pegmatite minerals, including quartz, beryl, columbite-tantalite, rare-earth and uranium minerals are an extremely small part of the mineral resources. Actual or potential products from other rocks are olivine, vermiculite, asbestos, talc, chromium and nickel, soapstone, mica schist, garnet, kyanite, dolomite marble, and construction materials.

  6. New endemic foci of tick-borne encephalitis (TBE) identified in districts where testing for TBE was not available before 2009 in Poland

    PubMed Central

    2013-01-01

    Background Tick-borne encephalitis (TBE) is found in limited endemic foci in Poland. Lack of diagnosis limits disease detection in non-endemic provinces. Methods In 2009, we enhanced TBE surveillance to confirm the location of endemic foci and inform vaccination policy. In 105 hospitals located in 11/16 provinces, we identified suspected TBE cases through admission ICD-10 codes indicating aseptic meningo-encephalitis or from specimens tested for TBE. The National Reference Laboratory confirmed cases at no cost, by testing serum and/or cerebrospinal fluid using ELISA method. We calculated TBE reported rates as the number of confirmed TBE cases per 100,000 inhabitants. Adjusting to neighbouring districts, we classified districts as non-endemic (<0.1 cases per 100,000 inhabitants), low endemic (> = 0.1 to <1), moderately endemic (> = 1 to <5) and highly endemic (> = 5). We compared surveillance data obtained in 2009 with 2004–2008 baseline data. Results Among 166,099 admissions, we identified 1,585 suspected TBE cases of which 256 were confirmed. Physicians reported more suspected cases among patients <40 years old (12 cases per 1,000 admissions) than among older patients (8 cases per 1,000 admissions). However, patients <40 years of age were confirmed less frequently (16%), than older patients (35%). Physicians reported more suspected cases in districts classed as endemic during 2004–2008 (12 cases per 1,000 admissions, 77% tested for TBE) than in districts classed as non-endemic (7 cases per 1,000 admissions, 59% tested). Of the 38 newly identified endemic districts, 31 were adjacent to 2004–2008 endemic districts and 7 were isolated. Conclusions Enhanced surveillance detected 38 new endemic districts to be considered for TBE vaccination. However, lack of consistent testing in districts believed to be TBE-free remained an obstacle for mapping TBE risk. Although the disease affects mostly older adults and the elderly, more attention is given to

  7. Serological evidence of Rift Valley fever virus circulation in sheep and goats in Zambézia Province, Mozambique.

    PubMed

    Fafetine, José; Neves, Luis; Thompson, Peter N; Paweska, Janusz T; Rutten, Victor P M G; Coetzer, J A W

    2013-01-01

    Rift Valley fever (RVF) is endemic in most parts of Africa and has also been reported to occur in the Arabian Peninsula. It is responsible for significant morbidity and mortality, particularly in livestock, but also in humans. During the last two decades several outbreaks of RVF have been reported in countries in Southern Africa. In contrast to other countries, no clinical disease has been reported in Mozambique during this period. In a serological study conducted in 2007 in five districts of Zambézia Province, Mozambique, of a total of 654 small ruminants sampled (277 sheep and 377 goats), 35.8% of sheep sera and 21.2% of goat sera were positive for RVF virus (RVFV) antibodies in a virus neutralization test (VN) and in an IgG enzyme-linked immunosorbent assay (ELISA). In 2010, a cross-sectional survey was conducted in 313 sheep and 449 goats in two districts of the same province. This study revealed an overall seropositivity rate of 9.2% in sheep and 11.6% in goat and an increased likelihood of being seropositive in older animals (OR = 7.3; p<0.001) using an IgG ELISA. 29 out of 240 animals assessed for RVF specific IgM by ELISA were positive, suggesting recent exposure to RVFV. However, a longitudinal study carried out between September 2010 and April 2011 in a cohort of 125 of these animals (74 sheep and 51 goats) failed to demonstrate seroconversion. The results of the study indicate that RVFV circulates sub-clinically in domestic small ruminants in Zambézia Province.

  8. U Pb and Lu Hf isotope record of detrital zircon grains from the Limpopo Belt Evidence for crustal recycling at the Hadean to early-Archean transition

    NASA Astrophysics Data System (ADS)

    Zeh, Armin; Gerdes, Axel; Klemd, Reiner; Barton, J. M., Jr.

    2008-11-01

    Detrital zircon grains from Beit Bridge Group quartzite from the Central Zone of the Limpopo Belt near Musina yield mostly ages of 3.35-3.15 Ga, minor 3.15-2.51 Ga components, and numerous older grains grouped at approximately 3.4, 3.5 and 3.6 Ga. Two grains yielded concordant Late Hadean U-Pb ages of 3881 ± 11 Ma and 3909 ± 26 Ma, which are the oldest zircon grains so far found in Africa. The combined U-Pb and Lu-Hf datasets and field relationships provide evidence that the sedimentary protolith of the Beit Bridge Group quartzite was deposited after the emplacement of the Sand River Gneisses (3.35-3.15 Ga), but prior to the Neoarchean magmatic-metamorphic events at 2.65-2.60 Ga. The finding of abundant magmatic zircon detritus with concordant U-Pb ages of 3.35-3.15 Ga, and 176Hf/ 177Hf of 0.28066 ± 0.00004 indicate that the Sand River Gneiss-type rocks were a predominant source. In contrast, detrital zircon grains older than approximately 3.35 Ga were derived from the hinterland of the Limpopo Belt; either from a so far unknown crustal source in southern Africa, possibly from the Zimbabwe Craton and/or a source, which was similar but not necessarily identical to the one that supplied the Hadean zircons to Jack Hills, Western Australia. The Beit Bridge Group zircon population at >3.35 Ga shows a general ɛHf t increase with decreasing age from ɛHf 3.9Ga = -6.3 to ɛHf 3.3-3.1Ga = -0.2, indicating that Hadean crust older than 4.0 Ga ( TDM = 4.45-4.36 Ga) was rejuvenated during magmatic events between >3.9 and 3.1 Ga, due to a successive mixing of crustal rocks with mantle derived magmas. The existence of a depleted mantle reservoir in the Limpopo's hinterland is reflected by the ˜3.6 Ga zircon population, which shows ɛHf 3.6Ga between -4.6 and +3.2. In a global context, our data suggest that a long-lived, mafic Hadean protocrust with some tonalite-trondhjemite-granodiorite constituents was destroyed and partly recycled at the Hadean/Archean transition, perhaps

  9. [Strategy of comprehensive control for schistosomiasis and its effect in key areas of Jiangsu Province].

    PubMed

    Sun, Le-Ping; Tian, Zeng-Xi; Yang, Kun; Hong, Qing-Biao; Gao, Yang; Gao, Yuan; Zhang, Lian-Heng; Yang, Guo-Jing; Min, Jie; Ge, Jun; Wu, Hong-Hui; Huang, Yi-Xin; Liang, You-Sheng

    2011-12-01

    To evaluate the effect of comprehensive control for schistosomiasis in key areas of Jiangsu Province. The basic data and the data of implementation of comprehensive control measures were collected from the key areas of Jiangsu Province, including 30 townships, 87 marshlands and 78 anchor points. A field survey was carried out to investigate the Oncomelania snail status by using the systematic sampling method and schistosomiasis morbidity in humans and animals in the 12 key counties (districts). The changes of snail status and morbidity of humans and animals were statistically analyzed in key counties (districts) where comprehensive control measures was implemented, and the effects of schistosomiasis control before and after the implementation of the comprehensive control were compared. From 2008 to 2010, a total of 84 100 harmless latrines were constructed, 339 600 persons were examined, 2.6938 million people received health education, 112 000 protective creams and 798 000 publicity materials were allocated, 9 085 domestic animals were reared in pens, 11 800 domestic animals were examined, 130 high-risk cattle were eliminated in 30 key townships of 12 countries (districts), Jiangsu Province. A total of 19 640.78 hm2 were controlled with molluscicides, 798 warning tablets were placed, 116.07 hm2 of farmlands were ploughed up and planted, 306.80 hm2 were dug for fish culture, and 506.74 hm2 were planted with trees for snail control in 87 high-risk marshlands. A total of 118.83 million Yuan were invested into the water resources development projects, 39.82 km-long rivers were dredged, 70.04 km-long bank were concreted, 30 culvert gates were re-constructed, and 22 snail sedimentation tanks were built. In the 78 anchor points, 95 harmless public toilets were built, 3 192 stool container were allocated, 28 700 boatmen were examined, 71 600 protective creams and 53 200 publicity materials were allocated, and 46 600 persons received health education. Following the

  10. Optimization and Flight Schedules of Pioneer Routes in Papua Province

    NASA Astrophysics Data System (ADS)

    Ronting, Y.; Adisasmita, S. A.; Hamid, S.; Hustim, M.

    2018-04-01

    The province of Papua has a very varied topography, ranging from swampy lowlands, hills, and plateaus up steep hills. The total area of land is 410,660 km2, which consists of 28 counties and one city, 389 districts and 5.420 villages. The population of Papua Province in 2017 was 3.265.202 people with an average growth of 4.21% per year. The transportation services is still low, especially in the mountainous region, which is isolated and could only be reached by an air transportation mode, causing a considerable price disparity between coastal and mountainous areas. The purpose of this paper is to develop the route optimization and pioneer flight schedules models as an airbridge. This research is conducted by collecting primary data and secondary data. Data is based on field surveys; interviews; discussions with airport authority, official government, etc; and also from various agencies. The analytical tools used to optimization flight schedule and route are analyzed by add-in solver in Microsoft Excel. The results of the analysis we can get a more optimal route so that it can save transportation costs by 7.26%.

  11. Seroprevalence of Bluetongue Virus in small ruminants in Balochistan province, Pakistan.

    PubMed

    Sohail, T; Yaqub, T; Shafee, M; Abbas, T; Nazir, J; Ullah, N; Rabbani, M; Chaudhary, M H; Mukhtar, N; Habib, M; Ul Rahman, A; Malik, A I; Ghafoor, A; Zahoor, M Y; Shabbir, M Z

    2018-03-31

    Bluetongue (BT), caused by bluetongue virus (BTV), is a vector-borne disease of small ruminants that has the potential to spread across international borders. Despite large populations of susceptible animals and borders with BTV endemic countries, little is known of the disease burden and prevalent serotypes in the province of Balochistan in Pakistan. We conducted a cross-sectional study to determine seroconversion and prevalent serotypes in selected districts of the province using a competitive enzyme-linked immunosorbent assay (cELISA) and real-time polymerase chain reaction (RT-PCR). Sera (n = 876) were collected from clinically healthy sheep and goats originating from the districts of Quetta (n = 300), Mastung (n = 201), Killa Saifullah (n = 75) and Kech (n = 300). None of the study herds (n = 97) were seronegative for BTV, and at the individual level, the overall prevalence of BTV seroconversion was 47.26% (n = 414/876, 95% CI = 43.92%-50.63%). A higher percentage of goats (50.87%, 95% CI = 45.99%-55.73%) were seropositive for anti-VP7 immunoglobulins (IgG) than sheep (44.21%, 95% CI = 39.81%-48.70%). Odds ratios of seroconversion for goats were associated with breed type (χ 2  = 16.84, p = .01), parity (χ 2  = 23.66, p = .00) and presence of vector (χ 2  = 2.63, p = .10), whereas for sheep, it was associated with breed type (χ 2  = 13.80, p = .01) and parity (χ 2  = 53.40, p = .00). Serotype 8 was the most prevalent (26.82%, 95% CI = 14.75%-43.21%) followed by an equal prevalence of serotypes 2 and 9 (7.31%, 95% CI = 1.91%-21.01%). To the best of our knowledge, this is the first study conducted in Balochistan province and the results indicate that there is a necessity to initiate intervention strategies to control BT disease burden not only in this region of Pakistan but also in adjacent areas of the neighbouring countries, Iran and Afghanistan. © 2018 Blackwell Verlag GmbH.

  12. Mapping agroecosystem zone using remote sensing for food security analysis in Bantul district Daerah Istimewa Yogyakarta

    NASA Astrophysics Data System (ADS)

    Murti, Sigit Heru

    2017-10-01

    Food security is one of the most important issue for Indonesia. The huge population number and high population growing rate has made the food security a critical issue. This paper describe the application of remote sensing data to (1) map agroecosystem zones in Bantul District, Special Region of Yogyakarta, Indonesia in 2012 and (2) analyze the food security in the study area based on the resulting agro-ecosystem map. Bantul District is selected as the pilot area because this area is among the highest food crop production area in the Province. ALOS AVNIR-2 image accquired on 15 June 2010 was integrated with Indonesian Surface map (RBI map), soil types map, and slope steepness map. Population statistics data was also used to calculate the food needs. Field survey was conducted to obtain the crop field productivity information on each agro-ecosystem zone and assess the accuracy of the model. This research indicates that (1) Bantul District can be divided into three agroecosystem zones, where each zone has unique topograhic configuration and soil types composition, and (2) Bantul Distict is categorized as food secure area since the rice production in 2012 managed to cover the food needs of the people with the surplus of 33,208.6 tonnes of rice. However, when the analysis was conducted at sub-district level, there are four subdistrict with food insecurity where the food needs surpass the rice production. These sub-district are Kasihan Sub-district (-5,598.4 t), Banguntapan Sub-district (-2,483.4 t), Pajangan Sub-district (-1,039.6 t) and Dlingo Sub-district (-798.7 t).

  13. Epigenetic formation of amethyst-bearing geodes from Los Catalanes gemological district, Artigas, Uruguay, southern Paraná Magmatic Province

    NASA Astrophysics Data System (ADS)

    Duarte, L. C.; Hartmann, L. A.; Vasconcellos, M. A. Z.; Medeiros, J. T. N.; Theye, T.

    2009-07-01

    Giant geodes (up to 4 m long) in the massive central portions of altered basalt lavas from the Paraná Magmatic Province, southern Brazil and Uruguay, form a world-class source of amethyst and agate. Although the origin of the cavities has been ascribed to degassing of the lava at > 1150 °C, field evidence is conclusive that the giant amethyst-agate-filled geodes were formed by hydrothermal processes at low temperatures. We propose an epigenetic and hydrothermal model for the origin of giant geodes. This model includes hydrothermal brecciation during an early brittle stage and the late formation of the cavities (geodes). In the brittle stage an overpressured aqueous fluid affected the basalt in a P, T field delimited by temperatures between 100 and 150 °C and vapor pressures between 1.2 and 5.5 bar. The fluids were capable of lifting the roof and fracturing the host rock along new subhorizontal and subvertical fractures and breccias in the massive lava. The formation of these structures occurred at shallow depths, unit-by-unit. To open the cavities, dissolution of the now altered basalt to clay minerals is necessary. The process is closely linked to the highest alteration grade of mineralized lavas in Los Catalanes gemological district. Dissolution processes are observed in micrometer-scale in the studied basalts. The primary mineralogy, consisting of labradorite (± andesine) +augite + pigeonite + mesostasis (K-rich), was altered during the interaction of large volumes of hot aqueous fluid with the rock. The alteration of pigeonite and its replacement by smectite is observed around the cavities, followed by the precipitation of amorphous silica and microcrystalline quartz in clay-rich sites. Associated zeolites (heulandite + clinoptilolite) fill the newly formed cavities in progressive stages of hydrothermal alteration. Our data indicate that the temperatures were less than 200 °C and probably less than 150 °C; cavity formation occurred after alteration of the

  14. Exploring the influence of context and policy on health district productivity in Cambodia.

    PubMed

    Ensor, Tim; So, Sovannarith; Witter, Sophie

    2016-01-01

    Cambodia has been reconstructing its economy and health sector since the end of conflict in the 1990s. There have been gains in life expectancy and increased health expenditure, but Cambodia still lags behind neighbours One factor which may contribute is the efficiency of public health services. This article aims to understand variations in efficiency and the extent to which changes in efficiency are associated with key health policies that have been introduced to strengthen access to health services over the past decade. The analysis makes use of data envelopment analysis (DEA) to measure relative efficiency and changes in productivity and regression analysis to assess the association with the implementation of health policies. Data on 28 operational districts were obtained for 2008-11, focussing on the five provinces selected to represent a range of conditions in Cambodia. DEA was used to calculate efficiency scores assuming constant and variable returns to scale and Malmquist indices to measure productivity changes over time. This analysis was combined with qualitative findings from 17 key informant interviews and 19 in-depth interviews with managers and staff in the same provinces. The DEA results suggest great variation in the efficiency scores and trends of scores of public health services in the five provinces. Starting points were significantly different, but three of the five provinces have improved efficiency considerably over the period. Higher efficiency is associated with more densely populated areas. Areas with health equity funds in Special Operating Agency (SOA) and non-SOA areas are associated with higher efficiency. The same effect is not found in areas only operating voucher schemes. We find that the efficiency score increased by 0.12 the year any of the policies was introduced. This is the first study published on health district productivity in Cambodia. It is one of the few studies in the region to consider the impact of health policy changes

  15. Report of activities, 1997, Resident Geologist program, southern Ontario regional Resident Geologist`s report: Southeastern and Southwestern districts, Mines and Minerals Information Centre, and Petroleum Resources Centre. Ontario Geological Survey open file report number 5974

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sangster, P.J.

    1998-10-01

    This report reviews activities in the Southeastern and Southwestern Ontario Resident Geologist districts for the year, including mining and exploration activity, mineral property examinations, recommendations for exploration, and Ontario Geological Survey activities and research by others. It also reviews activities at the Ontario Geological Survey Mines and Minerals Information Centre and exploration and development activity in the province`s oil and gas sector.

  16. Geographic information system (GIS) maps and malaria control monitoring: intervention coverage and health outcome in distal villages of Khammouane province, Laos.

    PubMed

    Shirayama, Yoshihisa; Phompida, Samlane; Shibuya, Kenji

    2009-09-22

    Insecticide-treated nets (ITNs) are a key intervention to control malaria. The intervention coverage varies as a consequence of geographical accessibility to remote villages and limitations of financial and human resources for the intervention. People's adherence to the intervention, i.e., proper use of ITNs, also affects malaria health outcome. The study objective is to explore the impact of the intervention coverage and people's adherence to the intervention on malaria health outcome among targeted villages in various geographic locations. Geographic information system (GIS) maps were developed using the data collected in an active case detection survey in Khammouane province, Laos. The survey was conducted using rapid diagnostic tests (RDTs) and a structured questionnaire at 23 sites in the province from June to July, the rainy season, in 2005. A total of 1,711 villagers from 403 households participated in the survey. As indicated on the GIS maps, villages with malaria cases, lower intervention coverage, and lower adherence were identified. Although no malaria case was detected in most villages with the best access to the district center, several cases were detected in the distal villages, where the intervention coverage and adherence to the intervention remained relatively lower. Based on the data and maps, it was demonstrated that malaria remained unevenly distributed within districts. Balancing the intervention coverage in the distal villages with the overall coverage and continued promotion of the proper use of ITNs are necessary for a further reduction of malaria cases in the province.

  17. Controls on mineralisation in the Sierra Foothills gold province, central California, USA: A GIS-based reconnaissance prospectivity analysis

    USGS Publications Warehouse

    Bierlein, F.P.; Northover, H.J.; Groves, D.I.; Goldfarb, R.J.; Marsh, E.E.

    2008-01-01

    The assessment of spatial relationships between the location, abundance and size of orogenic-gold deposits in the highly endowed Sierra Foothills gold province in California, via the combination of field studies and a GIS-based analysis, illustrates the power of such an approach to the characterisation of important parameters of mineral systems, and the prediction of districts likely to host economic mineralisation. Regional- to deposit-scale reconnaissance mapping suggests that deposition of gold-bearing quartz veins occurred in second- and third-order, east-over-west thrusts during regional east - west compression and right-lateral transpression. At the district-scale, significant zones of mineralisation correspond with such transpressional reactivation zones and dilational jogs that developed during the Late Jurassic - Early Cretaceous along the misaligned segments of first-order faults throughout the Sierra Nevada Foothills Metamorphic Belt. Field-based observations and interpretation of GIS data (including solid geology, structural elements, deposit locations, magnetics, gravity) also highlight the importance of structural permeability contrasts, rheological gradients, and variations in fault orientation for localising mineralisation. Although this approach confirms empirical findings and produces promising results at the province scale, enhanced geological, structural, geophysical and geochronological data density is required to generate regionally consistent, high-quality input layers that improve predictive targeting at the goldfield to deposit-scale.

  18. Public funding of health at the district level in Indonesia after decentralization-sources, flows and contradictions.

    PubMed

    Heywood, Peter; Harahap, Nida P

    2009-04-16

    During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility of district governments. In addition, public funding for health services more than doubled between 2001 and 2006. It was widely expected that services would improve as district governments now had both more adequate funds and the responsibility for services. To date there has been little improvement in services. Understanding why services have not improved requires careful study of what is happening at the district level. We collected information on public expenditure on health services for the fiscal year 2006 in 15 districts in Java, Indonesia from the district health offices and district hospitals. Data obtained in the districts were collected by three teams, one for each province. Information on district government revenues were obtained from district public expenditure databases maintained by the World Bank using data from the Ministry of Finance. The public expenditure information collected in 15 districts as part of this study indicates district governments are reliant on the central government for as much as 90% of their revenue; that approximately half public expenditure on health is at the district level; that at least 40% of district level public expenditure on health is for personnel, almost all of them permanent civil servants; and that districts may have discretion over less than one-third of district public expenditure on health; the extent of discretion over spending is much higher in district hospitals than in the district health office and health centers. There is considerable variation between districts. In contrast to the promise of decentralization there has been

  19. Epithermal mineralization controlled by synextensional magmatism in the Guazapares Mining District of the Sierra Madre Occidental silicic large igneous province, Mexico

    NASA Astrophysics Data System (ADS)

    Murray, Bryan P.; Busby, Cathy J.

    2015-03-01

    We show here that epithermal mineralization in the Guazapares Mining District is closely related to extensional deformation and magmatism during the mid-Cenozoic ignimbrite flare-up of the Sierra Madre Occidental silicic large igneous province, Mexico. Three Late Oligocene-Early Miocene synextensional formations are identified by detailed volcanic lithofacies mapping in the study area: (1) ca. 27.5 Ma Parajes formation, composed of silicic outflow ignimbrite sheets; (2) ca. 27-24.5 Ma Témoris formation, consisting primarily of locally erupted mafic-intermediate composition lavas and interbedded fluvial and debris flow deposits; (3) ca. 24.5-23 Ma Sierra Guazapares formation, composed of silicic vent to proximal ignimbrites, lavas, subvolcanic intrusions, and volcaniclastic deposits. Epithermal low-to intermediate-sulfidation, gold-silver-lead-zinc vein and breccia mineralization appears to be associated with emplacement of Sierra Guazapares formation rhyolite plugs and is favored where pre-to-synvolcanic extensional structures are in close association with these hypabyssal intrusions. Several resource areas in the Guazapares Mining District are located along the easternmost strands of the Guazapares Fault Zone, a NNW-trending normal fault system that hosts most of the epithermal mineralization in the mining district. This study describes the geology that underlies three of these areas, which are, from north to south: (1) The Monte Cristo resource area, which is underlain primarily by Sierra Guazapares formation rhyolite dome collapse breccia, lapilli-tuffs, and fluvially reworked tuffs that interfinger with lacustrine sedimentary rocks in a synvolcanic half-graben bounded by the Sangre de Cristo Fault. Deposition in the hanging wall of this half-graben was concurrent with the development of a rhyolite lava dome-hypabyssal intrusion complex in the footwall; mineralization is concentrated in the high-silica rhyolite intrusions in the footwall and along the

  20. Chigger Mite (Acari: Trombiculidae) Survey of Rodents in Shandong Province, Northern China

    PubMed Central

    Huang, Xiao-Dan; Cheng, Peng; Zhao, Yu-Qiang; Li, Wen-Juan; Zhao, Jiu-Xu; Liu, Hong-Mei; Kou, Jing-Xuan; Gong, Mao-Qing

    2017-01-01

    Chigger mites are parasites of rodents and other vertebrates, invertebrates, and other arthropods, and are the only vectors of scrub typhus, in addition to other zoonoses. Therefore, investigating their distribution, diversity, and seasonal abundance is important for public health. Rodent surveillance was conducted at 6 districts in Shandong Province, northern China (114–112°E, 34–38°N), from January to December 2011. Overall, 225/286 (78.7%) rodents captured were infested with chigger mites. A total of 451 chigger mites were identified as belonging to 5 most commonly collected species and 3 genera in 1 family. Leptotrombidium scutellare and Leptotrombidium intermedia were the most commonly collected chigger mites. L. scutellare (66.2%, 36.7%, and 49.0%) was the most frequently collected chigger mite from Apodemus agrarius, Rattus norvegicus, and Microtus fortis, respectively, whereas L. intermedia (61.5% and 63.2%) was the most frequently collected chigger mite from Cricetulus triton and Mus musculus, respectively. This study demonstrated a relatively high prevalence of chigger mites that varied seasonally in Shandong Province, China. PMID:29103271

  1. Chigger Mite (Acari: Trombiculidae) Survey of Rodents in Shandong Province, Northern China.

    PubMed

    Huang, Xiao-Dan; Cheng, Peng; Zhao, Yu-Qiang; Li, Wen-Juan; Zhao, Jiu-Xu; Liu, Hong-Mei; Kou, Jing-Xuan; Gong, Mao-Qing

    2017-10-01

    Chigger mites are parasites of rodents and other vertebrates, invertebrates, and other arthropods, and are the only vectors of scrub typhus, in addition to other zoonoses. Therefore, investigating their distribution, diversity, and seasonal abundance is important for public health. Rodent surveillance was conducted at 6 districts in Shandong Province, northern China (114-112°E, 34-38°N), from January to December 2011. Overall, 225/286 (78.7%) rodents captured were infested with chigger mites. A total of 451 chigger mites were identified as belonging to 5 most commonly collected species and 3 genera in 1 family. Leptotrombidium scutellare and Leptotrombidium intermedia were the most commonly collected chigger mites. L. scutellare (66.2%, 36.7%, and 49.0%) was the most frequently collected chigger mite from Apodemus agrarius, Rattus norvegicus, and Microtus fortis, respectively, whereas L. intermedia (61.5% and 63.2%) was the most frequently collected chigger mite from Cricetulus triton and Mus musculus, respectively. This study demonstrated a relatively high prevalence of chigger mites that varied seasonally in Shandong Province, China.

  2. Serological Evidence of Rift Valley Fever Virus Circulation in Sheep and Goats in Zambézia Province, Mozambique

    PubMed Central

    Fafetine, José; Neves, Luis; Thompson, Peter N.; Paweska, Janusz T.; Rutten, Victor P. M. G.; Coetzer, J. A. W.

    2013-01-01

    Rift Valley fever (RVF) is endemic in most parts of Africa and has also been reported to occur in the Arabian Peninsula. It is responsible for significant morbidity and mortality, particularly in livestock, but also in humans. During the last two decades several outbreaks of RVF have been reported in countries in Southern Africa. In contrast to other countries, no clinical disease has been reported in Mozambique during this period. In a serological study conducted in 2007 in five districts of Zambézia Province, Mozambique, of a total of 654 small ruminants sampled (277 sheep and 377 goats), 35.8% of sheep sera and 21.2% of goat sera were positive for RVF virus (RVFV) antibodies in a virus neutralization test (VN) and in an IgG enzyme-linked immunosorbent assay (ELISA). In 2010, a cross-sectional survey was conducted in 313 sheep and 449 goats in two districts of the same province. This study revealed an overall seropositivity rate of 9.2% in sheep and 11.6% in goat and an increased likelihood of being seropositive in older animals (OR = 7.3; p<0.001) using an IgG ELISA. 29 out of 240 animals assessed for RVF specific IgM by ELISA were positive, suggesting recent exposure to RVFV. However, a longitudinal study carried out between September 2010 and April 2011 in a cohort of 125 of these animals (74 sheep and 51 goats) failed to demonstrate seroconversion. The results of the study indicate that RVFV circulates sub-clinically in domestic small ruminants in Zambézia Province. PMID:23469300

  3. Spatial and Statistical Analysis of Leptospirosis in Guilan Province, Iran

    NASA Astrophysics Data System (ADS)

    Nia, A. Mohammadi; Alimohammadi, A.; Habibi, R.; Shirzadi, M. R.

    2015-12-01

    The most underdiagnosed water-borne bacterial zoonosis in the world is Leptospirosis which especially impacts tropical and humid regions. According to World Health Organization (WHO), the number of human cases is not known precisely. Available reports showed that worldwide incidences vary from 0.1-1 per 100 000 per year in temperate climates to 10-100 per 100 000 in the humid tropics. Pathogenic bacteria that is spread by the urines of rats is the main reason of water and soil infections. Rice field farmers who are in contact with infected water or soil, contain the most burden of leptospirosis prevalence. In recent years, this zoonotic disease have been occurred in north of Iran endemically. Guilan as the second rice production province (average=750 000 000 Kg, 40% of country production) after Mazandaran, has one of the most rural population (Male=487 679, Female=496 022) and rice workers (47 621 insured workers) among Iran provinces. The main objectives of this study were to analyse yearly spatial distribution and the possible spatial clusters of leptospirosis to better understand epidemiological aspects of them in the province. Survey was performed during the period of 2009-2013 at rural district level throughout the study area. Global clustering methods including the average nearest neighbour distance, Moran's I and General G indices were utilized to investigate the annual spatial distribution of diseases. At the end, significant spatial clusters have been detected with the objective of informing priority areas for public health planning and resource allocation.

  4. Two novel mutations of pfdhps K540T and I588F, affecting sulphadoxine-pyrimethamine-resistant response in uncomplicated falciparum malaria at Banjar district, South Kalimantan Province, Indonesia

    PubMed Central

    2014-01-01

    Background Mutations in pfdhfr and pfdhps genes have been shown to associate with sulphadoxine-pyrimethamine (SP) resistance of Plasmodium falciparum parasites. However, pfdhfr, pfdhps genotypes and the correlations to SP treatment outcome in Indonesia has not yet been well analysed. Methods After obtaining informed consent, 61 uncomplicated falciparum malaria patients were recruited in Banjar district, South Kalimantan Province, Indonesia, from October 2009 to August 2010. They were treated by a single oral dose of SP and its effects on clinical and parasitological status were followed until day 28 after treatment. Occasionally, a thick smear blood film for microscopy observation and blood spot on a filter paper for pfdhfr and pfdhps genotype analysis were collected. Results Pfdhfr and pfdhps genotypes from 24 P. falciparum-infected patients consisting of adequate clinical parasitological response (ACPR) (n = 6; 25.0%) and early treatment failure (ETF) (n = 10; 41.7%) or late parasitological failure (LPF) (n = 8; 33.3%) were obtained by sequencing. Two novel mutations of pfdhps gene, K540T and I588F, were determined in ten and five isolates, respectively. These mutations were present in the pfdhfr/pfdhps combined haplotypes of ANRNI/SGTGA (n = 6), ANRNL/SGTGA (n = 4), and ANRNI/SGEAA(588F) (n = 5), (mutation codons are bold typed); these haplotypes were mostly belonging to parasitological failure (ETF or LPF). The parasites acquiring five mutations in pfdhfr/pfdhps haplotypes and four mutations with additional I588F did not respond adequately to SP treatment. Conclusion Many of Plasmodium falciparum infected patients in Banjar district, South Kalimantan, Indonesia did not respond adequately to SP treatment and these low ineffectiveness of SP in this area was associated with two novel mutations of pfdhps, K540T and I588F. PMID:25187019

  5. Two novel mutations of pfdhps K540T and I588F, affecting sulphadoxine-pyrimethamine-resistant response in uncomplicated falciparum malaria at Banjar district, South Kalimantan Province, Indonesia.

    PubMed

    Basuki, Sukmawati; Fitriah; Riyanto, Sugeng; Budiono; Dachlan, Yoes P; Uemura, Haruki

    2014-04-04

    Mutations in pfdhfr and pfdhps genes have been shown to associate with sulphadoxine-pyrimethamine (SP) resistance of Plasmodium falciparum parasites. However, pfdhfr, pfdhps genotypes and the correlations to SP treatment outcome in Indonesia has not yet been well analysed. After obtaining informed consent, 61 uncomplicated falciparum malaria patients were recruited in Banjar district, South Kalimantan Province, Indonesia, from October 2009 to August 2010. They were treated by a single oral dose of SP and its effects on clinical and parasitological status were followed until day 28 after treatment. Occasionally, a thick smear blood film for microscopy observation and blood spot on a filter paper for pfdhfr and pfdhps genotype analysis were collected. Pfdhfr and pfdhps genotypes from 24 P. falciparum-infected patients consisting of adequate clinical parasitological response (ACPR) (n = 6; 25.0%) and early treatment failure (ETF) (n = 10; 41.7%) or late parasitological failure (LPF) (n = 8; 33.3%) were obtained by sequencing. Two novel mutations of pfdhps gene, K540T and I588F, were determined in ten and five isolates, respectively. These mutations were present in the pfdhfr/pfdhps combined haplotypes of ANRNI/SGTGA (n = 6), ANRNL/SGTGA (n = 4), and ANRNI/SGEAA(588F) (n = 5), (mutation codons are bold typed); these haplotypes were mostly belonging to parasitological failure (ETF or LPF). The parasites acquiring five mutations in pfdhfr/pfdhps haplotypes and four mutations with additional I588F did not respond adequately to SP treatment. Many of Plasmodium falciparum infected patients in Banjar district, South Kalimantan, Indonesia did not respond adequately to SP treatment and these low ineffectiveness of SP in this area was associated with two novel mutations of pfdhps, K540T and I588F.

  6. Prevalence of Haemoproteus spp. in Tumbler Pigeons (Columba livia domestica) in Kirikkale Province, Turkey.

    PubMed

    Sürsal, Neslihan; Atan, Perçem; Gökpınar, Sami; Duru, Özkan; Çakmak, Ayşe; Yıldız, Kader

    2017-06-01

    Haemoproteus spp. are common blood parasites of pigeons. They have been reported in pigeons in many regions worldwide, including Turkey. Pigeon breeding is a popular hobby in Kirikkale province, and there is no information about the prevalence of Haemoproteus spp. The present study aimed to determine the prevalence of Haemoproteus spp. in tumbler pigeons in Kirikkale province (Kırıkkale and Yahsihan district). Blood samples were taken from the wing vein of pigeons (n: 173) through microcapillary (with/heparin) tubes between February and March 2016. Blood smears were stained with 5% Giemsa solution. Ectoparasites of the pigeons were collected in separate sealed boxes. Epidemiological data of the sampled pigeons (age and sex) were obtained from the breeders. In total, 23 (%13.2) of 173 pigeons were infected with Haemoproteus spp. Parasite was detected in 73.9% of pigeons over 1 year old and 26.1% of pigeon under 1 year age. Haemoproteus spp. was observed in 56.2% of females (13/23) and 43.4% of males (10/23), Sex-related differences were not observed (p = 0.821). Ectoparasites of the pigeons were identified as Columbicola spp. To the best of our knowledge, this is the first study in Kirikkale province that reported the prevalence of Haemoproteus spp. in pigeons.

  7. Evaluation, in three provinces, of the introduction and impact of China's National Essential Medicines Scheme.

    PubMed

    Li, Yang; Ying, Cui; Sufang, Guo; Brant, Philippa; Bin, Li; Hipgrave, David

    2013-03-01

    To evaluate implementation of the National Essential Medicines Scheme (NEMS) in rural China. Two rural counties/districts in each of three provinces where NEMS had been implemented were surveyed. Information was collected from NEMS staff at the province, county/district, township and village levels; patients with chronic disease were also interviewed. Service provision, finances, prescriptions, inpatient records and the expenditures of patients with certain diagnoses were investigated in township hospitals and village clinics. The results were compared with the corresponding data recorded before NEMS was introduced. Following the introduction of NEMS, drug procurement in each study location was systematized. Total drug costs declined. This, and improved prescribing, reduced the costs of outpatient and inpatient care and led, apparently, to increased uptake of health services. However, the prices of some drugs had increased and the availability of others had declined. The compensation of health-care providers for NEMS-related reductions in their incomes had been largely ineffective. As a result of the introduction of NEMS, health facilities relied more on public financing. Many health-care providers complained about higher workloads and lower incomes. Although it was well conceived, the introduction of NEMS into China's decentralized, fee-for-service system of health care has not been straightforward. It has highlighted the problems associated with attempts to modernize health care and health financing for patients' benefit. Sustainable mechanisms to compensate health-care providers for lost income are needed to ensure that NEMS is a success.

  8. School District Mergers: What One District Learned

    ERIC Educational Resources Information Center

    Kingston, Kathleen

    2009-01-01

    Throughout the planning process for a school district merger in a northwestern Pennsylvania school district, effective communication proved to be a challenge. Formed in 1932, this school district of approximately 1400 students was part of a utopian community; one established by a transportation system's corporation that was a major industrial…

  9. The legacy of war: an epidemiological study of cluster weapon and land mine accidents in Quang Tri Province, Vietnam.

    PubMed

    Phung, Tran Kim; Le, Viet; Husum, Hans

    2012-07-01

    The study examines the epidemiology of cluster weapon and land mine accidents in Quang Tri Province since the end of the Vietnam War. The province is located just south of the demarcation line and was the province most affected during the war. In 2009, a cross sectional household study was conducted in all nine districts of the province. During the study period of 1975-2009, 7,030 persons in the study area were exposed to unexploded ordnances (UXO) or land mine accidents, or 1.1% of the provincial population. There were 2,620 fatalities and 4,410 accident survivors. The study documents that the main problem is cluster weapons and other unexploded ordnances; only 4.3% of casualties were caused by land mines. The legacy of the war affects poor people the most; the accident rate was highest among villagers living in mountainous areas, ethnic minorities, and low-income families. The most common activities leading to the accidents were farming (38.6%), collecting scrap metal (11.2%), and herding of cattle (8.3%). The study documents that the people of the Quang Tri Province until this day have suffered heavily due to the legacy of war. Mine risk education programs should account for the epidemiological findings when future accident prevention programs are designed to target high-risk areas and activities.

  10. Evaluation of the district health management fellowship training programme: a case study in Iran

    PubMed Central

    Gholipour, Kamal; Tabrizi, Jafar Sadegh; Farahbakhsh, Mostafa; Iezadi, Shabnam; Ghiasi, Akbar; Jahanbin, Hasan

    2018-01-01

    Objective To evaluate the district health management fellowship training programme in the north-west of Iran. Data sources/study setting The programme was introduced to build the managerial capacity of district health managers in Iran. Eighty-nine heads of units in the province’s health centre, district health managers and the health deputies of the district health centres in the north-west provinces of Iran had registered for the district health management fellowship training programme in Tabriz in 2015–2016. Study design This was an educational evaluation study to evaluate training courses to measure participants' reactions and learning and, to a lesser extent, application of training to their job and the organisational impact. Data collection/extraction methods Valid and reliable questionnaires were used to assess learning techniques and views towards the fellowship, and self-assessment of health managers’ knowledge and skills. Also, pretest and post-test examinations were conducted in each course and a portfolio was provided to the trainees to be completed in their work settings. Principal findings About 63% of the participants were medical doctors and 42.3% of them had over 20 years of experience. Learning by practice (scored 18.37 out of 20) and access to publications (17.27) were the most useful methods of training in health planning and management from the participants’ perspective. Moreover, meeting peers from other districts and the academic credibility of teachers were the most important features of the current programme. Based on the managers’ self-assessment, they were most skilful in quality improvement, managing, planning and evaluation of the district. The results of the post-test analysis on data collected from district health managers showed the highest scores in managing the district (77 out of 100) and planning and evaluation (69) of the courses. Conclusion The results of this study indicated that training courses, methods and

  11. The Effects of Competition from Private Schooling on French Public School Districts in the Province of Quebec

    ERIC Educational Resources Information Center

    Caldas, Stephen J.; Bernier, Sylvain

    2012-01-01

    The Province of Quebec subsidizes nearly 50% of private education, and at the same time heavily regulates private schools. To date, no studies have been done to determine the effect of the unique nature of competition from K-12 private schools on public school education of the sort found in Quebec. The authors used multiple regression to determine…

  12. Termite assemblages from oil palm agroecosystems across Riau Province, Sumatra, Indonesia

    NASA Astrophysics Data System (ADS)

    Saputra, Andi; Jalaludin, Nur-Atiqah; Hazmi, Izfa Riza; Rahim, Faszly

    2016-11-01

    Termite survey was conducted at six oil palm agroecosystem sites in Riau Province, Sumatra, Indonesia to document species richness across the sites. Six sites were surveyed by using continuous transect representing gradients of oil palm landuse across Indragiri Hulu to Bengkalis District since February 5th, 2015 until May 21st, 2015. Termites were sampled by modified transect protocols (100 m × 4 m × 10 cm). A total of 23 species belonging to two families and five subfamilies were collected. The termite assemblage was dominated by wood-feeding termites. The major family collected was Rhinotermitidae which included some pest species, such as Coptotermes curvignathus, C. sepangensis, C. kalshoveni, Schedorhinotermes malaccensis, S. medioobscurus, S. brevialatus, and S. javanicus.

  13. Public funding of health at the district level in Indonesia after decentralization – sources, flows and contradictions

    PubMed Central

    Heywood, Peter; Harahap, Nida P

    2009-01-01

    Background During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility of district governments. In addition, public funding for health services more than doubled between 2001 and 2006. It was widely expected that services would improve as district governments now had both more adequate funds and the responsibility for services. To date there has been little improvement in services. Understanding why services have not improved requires careful study of what is happening at the district level. Methods We collected information on public expenditure on health services for the fiscal year 2006 in 15 districts in Java, Indonesia from the district health offices and district hospitals. Data obtained in the districts were collected by three teams, one for each province. Information on district government revenues were obtained from district public expenditure databases maintained by the World Bank using data from the Ministry of Finance. Results The public expenditure information collected in 15 districts as part of this study indicates district governments are reliant on the central government for as much as 90% of their revenue; that approximately half public expenditure on health is at the district level; that at least 40% of district level public expenditure on health is for personnel, almost all of them permanent civil servants; and that districts may have discretion over less than one-third of district public expenditure on health; the extent of discretion over spending is much higher in district hospitals than in the district health office and health centers. There is considerable variation between districts. Conclusion In contrast to the promise

  14. Geochemical Study of Ampallas Geothermal Area, Mamuju District, West Sulawesi Province

    NASA Astrophysics Data System (ADS)

    Fauziyyah, F.; Prabowo, T. R.; Shalihin, M. G. J.; Setiawan, D. I.; Yushantarti, A.

    2016-09-01

    Ampallas is one of the areas with geothermal potential which located in Mamuju district, near from the capital city of West Sulawesi. This research was carried out to understand the characteristic of this geothermal field based on chemistry of the surface manifestation, including fluid characteristic and soil anomaly. Geothermal research in Ampallas area focused on 4 hot springs; Ampallas, Batupane, Karema, and Gantungan. With average temperature around 34 - 67°C. Ampallas 1,2,3,4,7,8 hot springs water type is chloride - bicarbonate, which means it came from the reservoir while Batupane, Gantungan, Karema and Ampallas 5 are all bicarbonate type. Ampallas 1,2,3,4,7,8, Karema and Gantungan hot springs fluid plotted in partial equilibrium zone while Batupane and Ampallas 5 plotted in immature water zone. It means the Ampallas hot springs (except Ampallas-5) mixed with meteoric water right after reached the equilibrium state. It is also concluded that Ampallas 5 hot springs came from the same reservoir with Batupane, but not Gantungan and Karema hot springs. The speculative resource potential of Ampallas geothermal system is estimated around 30 MWe. But if detailed geophysical method was applied the result could be more accurate.

  15. Seasonal prevalence of malaria in West Sumba district, Indonesia

    PubMed Central

    Syafruddin, Din; Krisin; Asih, Puji; Sekartuti; Dewi, Rita M; Coutrier, Farah; Rozy, Ismail E; Susanti, Augustina I; Elyazar, Iqbal RF; Sutamihardja, Awalludin; Rahmat, Agus; Kinzer, Michael; Rogers, William O

    2009-01-01

    Background Accurate information about the burden of malaria infection at the district or provincial level is required both to plan and assess local malaria control efforts. Although many studies of malaria epidemiology, immunology, and drug resistance have been conducted at many sites in Indonesia, there is little published literature describing malaria prevalence at the district, provincial, or national level. Methods Two stage cluster sampling malaria prevalence surveys were conducted in the wet season and dry season across West Sumba, Nusa Tenggara Province, Indonesia. Results Eight thousand eight hundred seventy samples were collected from 45 sub-villages in the surveys. The overall prevalence of malaria infection in the West Sumba District was 6.83% (95% CI, 4.40, 9.26) in the wet season and 4.95% (95% CI, 3.01, 6.90) in the dry. In the wet season Plasmodium falciparum accounted for 70% of infections; in the dry season P. falciparum and Plasmodium vivax were present in equal proportion. Malaria prevalence varied substantially across the district; prevalences in individual sub-villages ranged from 0–34%. The greatest malaria prevalence was in children and teenagers; the geometric mean parasitaemia in infected individuals decreased with age. Malaria infection was clearly associated with decreased haemoglobin concentration in children under 10 years of age, but it is not clear whether this association is causal. Conclusion Malaria is hypoendemic to mesoendemic in West Sumba, Indonesia. The age distribution of parasitaemia suggests that transmission has been stable enough to induce some clinical immunity. These prevalence data will aid the design of future malaria control efforts and will serve as a baseline against which the results of current and future control efforts can be assessed. PMID:19134197

  16. Analysis of HIV disease burden by calculating the percentages of patients with CD4 counts <100 cells/µL across 52 districts reveals hot spots for intensified commitment to programmatic support.

    PubMed

    Coetzee, Lindi Marie; Cassim, Naseem; Glencross, Deborah Kim

    2017-05-24

    South Africa (SA)'s Comprehensive HIV and AIDS Care, Management and Treatment (CCMT) programme has reduced new HIV infections and HIV-related deaths. In spite of progress made, 11.2% of South Africans (4.02 million) were living with HIV in 2015. The National Health Laboratory Service (NHLS) in SA performs CD4 testing in support of the CCMT programme and collates data through the NHLS Corporate Data Warehouse. The objective of this study was to assess the distribution of CD4 counts <100 cells/µL (defining severely immunosuppressed HIV-positive patients) and >500 cells/µL (as an HIV-positive 'wellness' indicator). CD4 data were extracted for the financial years 2010/11 and 2014/15, according to the district where the test was ordered, for predefined CD4 ranges. National and provincial averages of CD4 counts <100 and >500 cells/µL were calculated. Data were analysed using Stata 12 and mapping was done with ArcGIS software, reporting percentages of CD4 counts <100 and >500 cells/µL by district. The national average percentage of patients with CD4 counts <100 cells/µL showed a marked decrease (by 22%) over the 5-year study period, with a concurrent increase in CD4 counts >500 cells/µL (by 57%). District-by-district analysis showed that in 2010/11, 44/52 districts had >10% of CD4 samples with counts <100 cells/µL, decreasing to only 17/52 districts by 2014/15. Overall, districts in the Western Cape and KwaZulu-Natal had the lowest percentages of CD4 counts <100 cells/µL, as well as the highest percentages of counts >500 cells/µL. In contrast, in 2014/15, the highest percentages of CD4 counts <100 cells/µL were noted in the West Rand (Gauteng), Vhembe (Limpopo) and Nelson Mandela Bay (Eastern Cape) districts, where the lowest percentages of counts >500 cells/µL were also noted. The percentages of CD4 counts <100 cells/µL highlighted here reveal districts with positive change suggestive of programmatic improvements

  17. Geographic information system (GIS) maps and malaria control monitoring: intervention coverage and health outcome in distal villages of Khammouane province, Laos

    PubMed Central

    Shirayama, Yoshihisa; Phompida, Samlane; Shibuya, Kenji

    2009-01-01

    Background Insecticide-treated nets (ITNs) are a key intervention to control malaria. The intervention coverage varies as a consequence of geographical accessibility to remote villages and limitations of financial and human resources for the intervention. People's adherence to the intervention, i.e., proper use of ITNs, also affects malaria health outcome. The study objective is to explore the impact of the intervention coverage and people's adherence to the intervention on malaria health outcome among targeted villages in various geographic locations. Methods Geographic information system (GIS) maps were developed using the data collected in an active case detection survey in Khammouane province, Laos. The survey was conducted using rapid diagnostic tests (RDTs) and a structured questionnaire at 23 sites in the province from June to July, the rainy season, in 2005. A total of 1,711 villagers from 403 households participated in the survey. Results As indicated on the GIS maps, villages with malaria cases, lower intervention coverage, and lower adherence were identified. Although no malaria case was detected in most villages with the best access to the district center, several cases were detected in the distal villages, where the intervention coverage and adherence to the intervention remained relatively lower. Conclusion Based on the data and maps, it was demonstrated that malaria remained unevenly distributed within districts. Balancing the intervention coverage in the distal villages with the overall coverage and continued promotion of the proper use of ITNs are necessary for a further reduction of malaria cases in the province. PMID:19772628

  18. Investigating the accessibility factors that influence antenatal care services utilisation in Mangwe district, Zimbabwe

    PubMed Central

    Tugli, Augustine K.; Mpofu, Molyn

    2017-01-01

    Background Maternal and infant mortality remains a huge public health problem in developing countries. One of the strategies to minimise the risks of both maternal and infant mortality is access to and utilisation of antenatal care (ANC) services. Aim This study aimed to investigate the accessibility factors that influence the use of ANC services in Mangwe district. Methods A qualitative approach using explorative design was adopted to target women who have babies under 1 year of age. The study was conducted in Mangwe district, Matabeleland South province, Zimbabwe. Data were collected through semi-structured interviews and observations. Data saturation was reached after 15 women who were conveniently sampled were interviewed. Field notes were analysed thematically using Tech’s steps. Lincoln and Guba’s criteria ensured trustworthiness of the study findings. Results Accessibility factors such as lack of transport, high transport costs and long distances to health care facilities, health care workers’ attitudes, type and quality of services as well as delays in receiving care influence women’s utilisation of ANC services in Mangwe district, Zimbabwe. Conclusion The study concluded that women were still facing problems of unavailability of nearby clinics; therefore, it was recommended that the government should avail resources for women to use. Recommendations Mangwe District Health Department should provide mobile clinics rendering ANC services in distant rural areas. PMID:28697619

  19. Epidemiological survey of amyotrophic lateral sclerosis in the province of Reggio Emilia, Italy: influence of environmental exposure to lead.

    PubMed

    Guidetti, D; Bondavalli, M; Sabadini, R; Marcello, N; Vinceti, M; Cavalletti, S; Marbini, A; Gemignani, F; Colombo, A; Ferrari, A; Vivoli, G; Solimè, F

    1996-01-01

    We carried out a retrospective incidence, prevalence and mortality survey of amyotrophic lateral sclerosis (ALS) in the province of Reggio Emilia, northern Italy. Based on 79 patients, the mean incidence per year for the period 1980 through 1992 was 1.5 cases per 100,000. On December 31st, 1992, the prevalence rate was 5.4 per 100,000. In the 10-year period of 1983-1992 the average mortality rate was 1.3 per 100,000 per year. The average age at onset was 61.3 +/- 10.2, the average survival period thereafter was 26.3 months +/- 17.7; 27.3 +/- 17.6 for classic ALS, 19.5 +/- 8.4 for progressive bulbar palsy and 36.3 +/- 41.4 for pseudopolyneuritic ALS. The incidence rate, recorded in public health district No.12, an area with documented lead pollution since the 1970s, was standardized to the sex and age of the population of the province. Its incidence and prevalence rate were comparable to the rates found in the remaining area of the province.

  20. Is the Ventersdorp rift system of southern Africa related to a continental collision between the Kaapvaal and Zimbabwe Cratons at 2.64 Ga AGO?

    NASA Technical Reports Server (NTRS)

    Burke, K.; Kidd, W. S. F.; Kusky, T.

    1985-01-01

    Rocks of the Ventersdorp Supergroup were deposited in a system of northeast trending grabens on the Kaapvaal Craton approximately 2.64 Ga ago contemporary with a continental collision between the Kaapvaal and Zimbabwe Cratons. It is suggested that it was this collision that initiated the Ventersdorp rifting. Individual grabens strike at high angles toward the continental collision zone now exposed in the Limpopo Province where late orogenic left-lateral strike-slip faulting and anatectic granites are recognized. The Ventersdorp rift province is related to extension in the Kaapvaal Craton associated with the collision, and some analogy is seen with such rifts as the Shansi and Baikal Systems associated with the current India-Asia continental collision.

  1. Echinococcus granulosus infection in dogs in Sidi Kacem Province (North-West Morocco).

    PubMed

    Dakkak, A; El Berbri, I; Petavy, A F; Boué, F; Bouslikhane, M; Fassi Fihri, O; Welburn, S; Ducrotoy, M J

    2017-01-01

    This study was undertaken in the Province of Sidi Kacem in northwest Morocco between April 2010 and March 2011. The main objective of the study was to determine the prevalence of Echinococcus granulosus (Eg) infection in owned dogs. This province was selected as a case study because of the social conditions, geographic and climatic diversity making it a model representative of many parts of Morocco. The survey was carried out in 23 rural communes and in the 5 municipalities (urban districts) of the Province and sampling was undertaken in randomly selected households. A total of 273 owned dogs comprising 232 from the 23 rural communes (rural dogs) and 41 from the 5 municipalities (urban dogs) were tested. Arecoline hydrobromide purgation was selected as the diagnostic method of choice to enable visualisation of expelled worms by dog owners, thereby imparting messages on the transmission mode of Eg to humans and farm animals. Of the 273 dogs tested, purgation was effective in a total of 224 dogs (82.1%). The overall estimated prevalence of Eg infection was 35.3% (79/224, 95% CI 22.3-47.0%). Dogs inhabiting rural communes were at greater risk of infection (38.0%, 95% CI 31.1-45.3%) than dogs roaming in municipalities or urban areas (18.8%, 95% CI 7.2-36.4%) and the prevalence of infection was higher in those inhabiting rural communes with slaughterhouses (62.7%, 95% CI 48.1-75.9%) than in communes without (29.1%, 95% CI 21.7-37.2%). This first assessment of Eg infection in Sidi Kacem Province indicates a key role of rural slaughterhouses in parasite transmission to dogs. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Decentralization and health resource allocation: a case study at the district level in Indonesia.

    PubMed

    Abdullah, Asnawi; Stoelwinder, Johannes

    2008-01-01

    Health resource allocation has been an issue of political debate in many health systems. However, the debate has tended to concentrate on vertical allocation from the national to regional level. Allocation within regions or institutions has been largely ignored. This study was conducted to contribute analysis to this gap. The objective was to investigate health resource allocation within District Health Offices (DHOs) and to compare the trends and patterns of several budget categories before and after decentralization. The study was conducted in three districts in the Province of Nanggroe Aceh Darussalam. Six fiscal year budgets, two before decentralization and four after, were studied. Data was collected from the Local Government Planning Office and DHOs. Results indicated that in the first year of implementing a decentralization policy, the local government budget rose sharply, particularly in the wealthiest district. In contrast, in relatively poor districts the budget was only boosted slightly. Increasing total local government budgets had a positive impact on increasing the health budget. The absolute amount of health budgets increased significantly, but by percentage did not change very much. Budgets for several projects and budget items increased significantly, but others, such as health promotion, monitoring and evaluation, and public-goods-related activities, decreased. This study concluded that decentralization in Indonesia had made a positive impact on district government fiscal capacity and had affected DHO budgets positively. However, an imbalanced budget allocation between projects and budget items was obvious, and this needs serious attention from policy makers. Otherwise, decentralization will not significantly improve the health system in Indonesia.

  3. Evaluating the electronic tuberculosis register surveillance system in Eden District, Western Cape, South Africa, 2015.

    PubMed

    Mlotshwa, Mandla; Smit, Sandra; Williams, Seymour; Reddy, Carl; Medina-Marino, Andrew

    2017-01-01

    Tuberculosis (TB) surveillance data are crucial to the effectiveness of National TB Control Programs. In South Africa, few surveillance system evaluations have been undertaken to provide a rigorous assessment of the platform from which the national and district health systems draws data to inform programs and policies. Evaluate the attributes of Eden District's TB surveillance system, Western Cape Province, South Africa. Data quality, sensitivity and positive predictive value were assessed using secondary data from 40,033 TB cases entered in Eden District's ETR.Net from 2007 to 2013, and 79 purposively selected TB Blue Cards (TBCs), a medical patient file and source document for data entered into ETR.Net. Simplicity, flexibility, acceptability, stability and usefulness of the ETR.Net were assessed qualitatively through interviews with TB nurses, information health officers, sub-district and district coordinators involved in the TB surveillance. TB surveillance system stakeholders report that Eden District's ETR.Net system was simple, acceptable, flexible and stable, and achieves its objective of informing TB control program, policies and activities. Data were less complete in the ETR.Net (66-100%) than in the TBCs (76-100%), and concordant for most variables except pre-treatment smear results, antiretroviral therapy (ART) and treatment outcome. The sensitivity of recorded variables in ETR.Net was 98% for gender, 97% for patient category, 93% for ART, 92% for treatment outcome and 90% for pre-treatment smear grading. Our results reveal that the system provides useful information to guide TB control program activities in Eden District. However, urgent attention is needed to address gaps in clinical recording on the TBC and data capturing into the ETR.Net system. We recommend continuous training and support of TB personnel involved with TB care, management and surveillance on TB data recording into the TBCs and ETR.Net as well as the implementation of a well

  4. Preliminary study on assessment of lead exposure in Thai children aged between 3-7 years old who live in Umphang district, Tak Province.

    PubMed

    Neesanan, Naiyana; Kasemsup, Rachada; Ratanachuaeg, Suntree; Kojaranjit, Puangporn; Sakulnoom, Kim; Padungtod, Chantana

    2011-08-01

    population of the present study was 213 of Thai children are 3-7 years old, average age is 54.54 +/- 12.41 months-old. The average blood lead level is 7.71 +/- 4.62 microg/dl (range = 3-25 microg/dl). Elevated blood lead levels of all populations show that 57 children (26%) have blood lead level at 10 microg/dl or more. Analysis of odds by controlling all risk factors (adjusted OR) that effect on blood lead level (> or =10 microg/dl) indicates that only gender and source of drinking water are risk factors. To clarify, male children would have 2.8 times higher risk than female children. Children who drink water from tap and canal have 15 times and 72 times, respectively, higher risk than children drinking from bottle water. The result of the present study shows that 1 of 4 of Thai children at Umphang district, Tak Province who lived near Burmese refugee camps aged between 3-7 years old have blood lead level higher than concerning level. Thus, it is necessary to identify risk factors on lead exposure and policy of blood lead screening in some areas in Thailand.

  5. Rift Valley Fever Outbreak in Livestock in Kenya, 2006–2007

    PubMed Central

    Munyua, Peninah; Murithi, Rees M.; Wainwright, Sherrilyn; Githinji, Jane; Hightower, Allen; Mutonga, David; Macharia, Joseph; Ithondeka, Peter M.; Musaa, Joseph; Breiman, Robert F.; Bloland, Peter; Njenga, M. Kariuki

    2010-01-01

    We analyzed the extent of livestock involvement in the latest Rift Valley fever (RVF) outbreak in Kenya that started in December 2006 and continued until June 2007. When compared with previous RVF outbreaks in the country, the 2006–07 outbreak was the most extensive in cattle, sheep, goats, and camels affecting thousands of animals in 29 of 69 administrative districts across six of the eight provinces. This contrasted with the distribution of approximately 700 human RVF cases in the country, where over 85% of these cases were located in four districts; Garissa and Ijara districts in Northeastern Province, Baringo district in Rift Valley Province, and Kilifi district in Coast Province. Analysis of livestock and human data suggests that livestock infections occur before virus detection in humans, as supported by clustering of human RVF cases around livestock cases in Baringo district. The highest livestock morbidity and mortality rates were recorded in Garissa and Baringo districts, the same districts that recorded a high number of human cases. The districts that reported RVF in livestock for the first time in 2006/07 included Kitui, Tharaka, Meru South, Meru central, Mwingi, Embu, and Mbeere in Eastern Province, Malindi and Taita taveta in Coast Province, Kirinyaga and Murang'a in Central Province, and Baringo and Samburu in Rift Valley Province, indicating that the disease was occurring in new regions in the country. PMID:20682907

  6. The challenges of reshaping disease specific and care oriented community based services towards comprehensive goals: a situation appraisal in the Western Cape Province, South Africa.

    PubMed

    Schneider, Helen; Schaay, Nikki; Dudley, Lilian; Goliath, Charlyn; Qukula, Tobeka

    2015-09-30

    Similar to other countries in the region, South Africa is currently reorienting a loosely structured and highly diverse community care system that evolved around HIV and TB, into a formalized, comprehensive and integrated primary health care outreach programme, based on community health workers (CHWs). While the difficulties of establishing national CHW programmes are well described, the reshaping of disease specific and care oriented community services, based outside the formal health system, poses particular challenges. This paper is an in-depth case study of the challenges of implementing reforms to community based services (CBS) in one province of South Africa. A multi-method situation appraisal of CBS in the Western Cape Province was conducted over eight months in close collaboration with provincial stakeholders. The appraisal mapped the roles and service delivery, human resource, financing and governance arrangements of an extensive non-governmental organisation (NGO) contracted and CHW based service delivery infrastructure that emerged over 15-20 years in this province. It also gathered the perspectives of a wide range of actors - including communities, users, NGOs, PHC providers and managers - on the current state and future visions of CBS. While there was wide support for new approaches to CBS, there are a number of challenges to achieving this. Although largely government funded, the community based delivery platform remains marginal to the formal public primary health care (PHC) and district health systems. CHW roles evolved from a system of home based care and are limited in scope. There is a high turnover of cadres, and support systems (supervision, monitoring, financing, training), coordination between CHWs, NGOs and PHC facilities, and sub-district capacity for planning and management of CBS are all poorly developed. Reorienting community based services that have their origins in care responses to HIV and TB presents an inter-related set of resource

  7. 36 CFR 28.3 - Boundaries: The Community Development District; The Dune District; The Seashore District.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Boundaries: The Community Development District; The Dune District; The Seashore District. 28.3 Section 28.3 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR FIRE ISLAND NATIONAL SEASHORE: ZONING STANDARDS...

  8. 36 CFR 28.3 - Boundaries: The Community Development District; The Dune District; The Seashore District.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 1 2011-07-01 2011-07-01 false Boundaries: The Community Development District; The Dune District; The Seashore District. 28.3 Section 28.3 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR FIRE ISLAND NATIONAL SEASHORE: ZONING STANDARDS...

  9. Industrialization Impact on Worker Mobility and Land Use in Peri Urban Area (Case study of Semarang District, Indonesia)

    NASA Astrophysics Data System (ADS)

    Wijaya, H. B.; Kurniawati, H.; Hutama, S. T. E. W.

    2018-02-01

    In many cases, industrialization has stimulated the urbanization process massively. It tends to attract substantial number of labor migrants from nearby region to fulfill the demand of workers. The paper reports the research result of industrialization phenomena in Semarang district, Indonesia. It carried out the survey by taking 250 samples of migrant workers. The result shows that the presence of labor-intensive industries becomes the most influence factor for many migrants, rather than the driving factors from the place of origin. The attraction factor could cover regional and across the province force, as indicated that all migrant respondents come from both inside and outside of Central Java Province. Furthermore, based on the land-use distribution of the migrant settlement area, it indicates a growing land-use change, both of land cover and land functions.

  10. Absence of Asymptomatic Malaria Infection in a Cross-sectional Study in Iranshahr District, Iran under Elimination Programmes.

    PubMed

    Pirahmadi, Sakineh; Zakeri, Sedigheh; Raeisi, Ahmad

    2017-01-01

    Asymptomatic malaria infection provides a reservoir of parasites, causing the persistence of malaria transmission. It accounts an important challenge for successful management of the control, elimination, and eradication programmes in any malaria-endemic region. This investigation was designed to assess the presence and the prevalence of asymptomatic carriers in Iranshahr district of Sistan and Baluchistan Province (2013-2014), with a considerable population movement, during the malaria elimination phase in Iran. Finger-prick blood samples were collected from symptomless (n=250) and febrile (n=50) individuals residing in Iranshahr district, easthern Iran (Hoodian, Mand, Chah-e Giji, Jolgehashem, Esfand, Dalgan and Chahshour) during Jan 2013 to Dec 2014, and Plasmodium infections were detected using light microscopic and highly sensitive nested-PCR techniques. Thick and thin Giemsa-stained blood smears were negative for Plasmodium parasites. In addition, based on nested-PCR analysis, no P. vivax , P. falciparum, and P. malariae parasites were detected among the studied individuals. Investigation the absence of asymptomatic carriers in Iranshahr district was illustrated and achieving malaria elimination in this area is feasible in a near future.

  11. Pesticide susceptibility status of Anopheles mosquitoes in four flood-affected districts of South Punjab, Pakistan.

    PubMed

    Rathor, Hamayun Rashid; Nadeem, Ghazala; Khan, Imtinan Akram

    2013-01-01

    Recent floods drastically increased the burden of disease, in particular the incidence of malaria, in the southern districts of the Punjab province in Pakistan. Control of malaria vector mosquitoes in these districts requires the adoption of an appropriate evidence-based policy on the use of pesticides, and having the latest information on the insecticide resistance status of malaria vector mosquitoes is essential for designing effective disease prevention policy. Using World Health Organization (WHO) test kits, the present study utilized papers impregnated with DDT, malathion, deltamethrin, lambda-cyhalothrin, and permethrin, to determine the insecticide susceptibility/resistance status of malaria vector mosquitoes in four flood-affected districts. The test results showed that both Anopheles stephensi and Anopheles culicifacies remained resistant to DDT and malathion. Tests with three commonly used pyrethroids, permethrin, lambda-cyhalothrin, and deltamethrin, detected resistance in the majority of cases, but in a number of localities mortalities with these three pyrethroids ranged from 80-97% and were therefore placed under verification-required status. This status indicates the presence of susceptible individuals in these populations. These results suggest that if appropriate resistance management strategies are applied in these areas, then the development of high levels of resistance can still be prevented or slowed. This study forms an important evidence base for the strategic planning of vector control in the four flood-affected districts.

  12. Epidemiologic studies on Theileria equi infections for grazing horses in Ili of Xinjiang province.

    PubMed

    Zhang, Yang; Chahan, Bayin; Liu, Shifang; Song, Ruiqi; Li, Yongchang; Huercha; Guo, Qingyong; Wu, Hui; Zhu, Yutao

    2017-09-15

    In order to found the epidemiological situation of T. equi in the horse herds in Ili Prefecture of Xinjiang Province, 723 blood samples collected from 4 counties and districts were test for T. equi through microscopic detection and Polymerase chain Reaction (PCR). In the result, we found that the 295 of 723 blood samples (40.8%) were positive for T. equi infection. The results showed that the choosed counties have a varying degrees infection. To our knowledge, this is the first time that we detected T. equi infection using the molecular techniques from Ili in Xinjiang Uygur Autonomous region. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Joint and constrained inversions in a complex geological setting, example from the Skellefte District

    NASA Astrophysics Data System (ADS)

    Garcia Juanatey, M. A.; Lelievre, P. G.; Juhlin, C.; Farquharson, C. G.

    2015-12-01

    The Skellefte District is a very rich metallogenic province in northern Sweden. It is of Paleoproterozoic age and consists of mainly metavolcanic rocks. Even though the district has been intensively studied, many questions still remain about its emplacement. The complicated structural setting, and the great extension of post-glacial sediments, pose a challenge for geophysical and geological investigations. Most recent research efforts in the area have been directed at the construction of 3D geological models through the combined interpretation of independently modeled geophysical and geological data. Our aim is to take these studies further and derive, through joint and constraint inversions, a common 3D earth model consistent with all the available data. By integrating the datasets already at the modelling stage we intend to reduce significantly the uncertainties associated to the constructed 3D models.The available geophysics in the district includes regional gravity and magnetic data acquired by the Geological Survey of Sweden in the 1970s, four lines of seismic reflection data totalling approximately 70 km, and more than 60 magnetotelluric sites spread across the area. The existing geological data (from surface, borehole, and in-mine observations) is condensed on interpreted surfaces representing the most important lithological boundaries. Additionally, there are density and susceptibility values obtained from samples across the whole district. We are looking for the best way to integrate the different geophysical datasets with geologically-constrained joint and cooperative inversions.

  14. Evaluation, in three provinces, of the introduction and impact of China’s National Essential Medicines Scheme

    PubMed Central

    Li, Yang; Sufang, Guo; Brant, Philippa; Bin, Li; Hipgrave, David

    2013-01-01

    Abstract Objective To evaluate implementation of the National Essential Medicines Scheme (NEMS) in rural China. Methods Two rural counties/districts in each of three provinces where NEMS had been implemented were surveyed. Information was collected from NEMS staff at the province, county/district, township and village levels; patients with chronic disease were also interviewed. Service provision, finances, prescriptions, inpatient records and the expenditures of patients with certain diagnoses were investigated in township hospitals and village clinics. The results were compared with the corresponding data recorded before NEMS was introduced. Findings Following the introduction of NEMS, drug procurement in each study location was systematized. Total drug costs declined. This, and improved prescribing, reduced the costs of outpatient and inpatient care and led, apparently, to increased uptake of health services. However, the prices of some drugs had increased and the availability of others had declined. The compensation of health-care providers for NEMS-related reductions in their incomes had been largely ineffective. As a result of the introduction of NEMS, health facilities relied more on public financing. Many health-care providers complained about higher workloads and lower incomes. Conclusion Although it was well conceived, the introduction of NEMS into China’s decentralized, fee-for-service system of health care has not been straightforward. It has highlighted the problems associated with attempts to modernize health care and health financing for patients’ benefit. Sustainable mechanisms to compensate health-care providers for lost income are needed to ensure that NEMS is a success. PMID:23476091

  15. Prevalence of schistosome antibodies with hepatosplenic signs and symptoms among patients from Kaoma, Western Province, Zambia.

    PubMed

    Payne, Lara; Turner-Moss, Eleanor; Mutengo, Mable; Asombang, Akwi W; Kelly, Paul

    2013-08-30

    Schistosomiasis is a major cause of morbidity and mortality, with over 200 million people infected worldwide. Eighty-five percent of cases are in Africa. The hepatosplenic form develops over time by an immune reaction to trapped Schistosoma mansoni eggs in the portal system leading to liver fibrosis, portal hypertension and oesophageal varices. Most patients presenting to the University Teaching Hospital in Lusaka with oesophageal varices, come from Western province, but no formal studies have been carried out in this area assessing the burden of hepatosplenic pathology. We aimed to define the extent of the problem in Kaoma district, western Zambia, and to correlate signs and symptoms with serology. A symptom questionnaire, demographic survey and physical examination was conducted amongst patients presenting to Kaoma district outpatient clinics. To assess the prevalence of Schistosoma mansoni infections, blood was collected and screened for the presence of Schistosoma antibodies using Enzyme linked immunosorbent assay (ELISA). Of the 110 patients screened, 97 (88%) were ELISA positive. Forty-six percent (51/110) reported haematochezia and 7% experienced haematemesis (8/110). On physical examination 27% (30/110) hepatomegaly and 17% (30/110) splenomegaly was observed amongst participants but there were few correlations between serology and signs/symptoms. On questioning 68% (75/110) of participants knew nothing about schistosomiasis transmission. Our serological and clinical data indicate a very heavy burden of schistosomiasis-related portal hypertension. Our evidence highlights a need for mass treatment in Kaoma to address and prevent extensive pathology of hepatosplenic schistosomiasis. Safe water and health education throughout Western Province are clearly also important.

  16. Spatial modeling of malaria incidence rates in Sistan and Baluchistan province, Islamic Republic of Iran.

    PubMed

    Salehi, Masoud; Mohammad, Kazem; Farahani, Mahmud M; Zeraati, Hojjat; Nourijelyani, Keramat; Zayeri, Farid

    2008-12-01

    To identify the effect of environmental factors on malaria risk, and to visualize spatial map of malaria standard incidence rates in Sistan and Baluchistan province, Islamic Republic of Iran. In this cross-sectional study, the data from 42,162 registered new malaria cases from 21 March 2001 (Iranian new year) to 21 of March 2006 were studied. To describe the statistical association between environmental factors and malaria risk, a generalized linear mixed model approach was utilized. In addition, we used the second ordered stationary Kriging, and a variogram to determine the appropriate spatial correlation structure among the malaria standard incidence rates, and provide a proper malaria risk map in the area under study. The obtained results from the spatial modeling revealed that humidity (p=0.0004), temperature (p<0.0001), and elevation (p<0.0001) were positively, and precipitation (p=0.0029) was inversely correlated with the malaria risk. Moreover, the malaria risk map based on the predicted values showed that the south part of this province (Baluchistan), has a higher risk of malaria, compared to the northern area (Sistan). Since the effective environmental factors on malaria risk are out of human's control, the health policy makers in this province should pay more attention to the areas with high temperature, elevation, and humidity, as well as, low rainfall districts.

  17. Development Of Index To Assess Drought Conditions Using Geospatial Data A Case Study Of Jaisalmer District, Rajasthan, India

    NASA Astrophysics Data System (ADS)

    Chhajer, Vaidehi; Prabhakar, Sumati; Rama Chandra Prasad, P.

    2015-12-01

    The Jaisalmer district of Rajasthan province of India was known to suffer with frequent drought due to poor and delayed monsoon, abnormally high summer-temperature and insufficient water resources. However flood-like situation prevails in the drought prone Jaisalmer district of Rajasthan as torrential rains are seen to affect the region in the recent years. In the present study, detailed analysis of meteorological, hydrological and satellite data of the Jaisalmer district has been carried out for the years 2006-2008. Standardized Precipitation Index (SPI), Consecutive Dry Days (CDD) and Effective Drought Index (EDI) have been used to quantify the precipitation deficit. Standardized Water-Level Index (SWI) has been developed to assess ground-water recharge-deficit. Vegetative drought indices like Vegetation Condition Index (VCI), Temperature Condition Index (TCI), Vegetation Health Index (VHI), Normalized Difference Vegetation Index (NDVI) and Modified Soil-Adjusted Vegetation Index 2 have been calculated. We also introduce two new indices Soil based Vegetation Condition Index (SVCI) and Composite Drought Index (CDI) specifically for regions like Jaisalmer where aridity in soil and affects vegetation and water-level.

  18. Under 5 mortality rate and its contributors in Zhejiang Province of China from 2000 to 2009

    PubMed Central

    Huang, Xin-Wen; Yang, Ru-Lai

    2013-01-01

    Objective By analyzing the under 5 mortality rate (U5MR) and its contributors in Zhejiang Province of China from 2000 to 2009, we tried to understand the trend of U5MR change in Zhejiang Province and thus propose strategies to reduce child mortality. Methods Thirty cities/counties/districts from Zhejiang Province were selected using stratified cluster sampling approach. Children under five years in these areas were enrolled as the subjects. The U5MR and its contributors were analyzed in terms of age, migration status of mothers, and other indicators using classic descriptive methods and Chi square test. Results The U5MR in Zhejiang Province showed a declining trend from 14.83‰ in 2000 to 9.49‰ in 2009. In 2009, the U5MR was significantly higher in the rural areas than in the urban areas (9.14‰ vs.6.50‰, P<0.01) and among floating populations than among local residents (12.12‰ vs. 6.42‰, P<0.01). Preterm birth/low birth weight was the leading cause of U5MR in 2009. More specifically, preterm birth/low birth weight, congenital heart disease, and birth asphyxia were the top three causes of deaths among infants (<1 year), while drowning, traffic accidents, and accidental falls were the leading causes of deaths among children (1-4 years). Conclusion The U5MR in Zhejiang Province in 2009 differed between urban areas and rural areas and between floating populations and local residents. The main causes of death differ between infants and young children. Prevention of preterm birth/low birth weight and congenital anomalies will reduce infant death, while the main intervention for young children is to avoid accidental injuries. PMID:26835282

  19. Knowledge, Attitude and Practices (KAP) Survey on Water, Sanitation and Hygiene in Selected Schools in Vhembe District, Limpopo, South Africa

    PubMed Central

    Sibiya, Jerry E.; Gumbo, Jabulani Ray

    2013-01-01

    This study assessed the knowledge, attitude and practices (KAP) of learners on issues related to water, sanitation and hygiene in selected schools in Vhembe District, South Africa. The methodology relied on a questionnaire, an inspection of sanitary facilities and discussion with the school authorities. The data was analyzed using the Statistical Package for Social Science. The study revealed that the level of knowledge about waterborne diseases was relatively high (76.7 ± 1.75%), but knowledge on transmission routes was inadequate. The majority of the respondents had no knowledge when it comes to water-based diseases and their prevention (78.4 ± 1.71%).The attitude and practice on hygiene was also found to be high (91.40 ± 1.16%). Some schools from the urban area had proper handwashing facilities, but there was no soap available. The borehole water quality for rural schools appeared clear, but the microbial quality was unknown. The water supply and sanitation facilities were inadequate in rural schools, with no handwashing areas and no sanitary bins for girls. Some schools had toilets with broken doors which did not offer privacy. The only water tap, located at the centre of the school premises, was not enough for the whole school community. PMID:23736657

  20. Ownership and usage of insecticide-treated bed nets after free distribution via a voucher system in two provinces of Mozambique.

    PubMed

    Macedo de Oliveira, Alexandre; Wolkon, Adam; Krishnamurthy, Ramesh; Erskine, Marcy; Crenshaw, Dana P; Roberts, Jacquelin; Saúte, Francisco

    2010-08-04

    Insecticide-treated bed nets (ITNs) are an efficacious intervention for malaria prevention. During a national immunization campaign in Mozambique, vouchers, which were to be redeemed at a later date for free ITNs, were distributed in Manica and Sofala provinces. A survey to evaluate ITN ownership and usage post-campaign was conducted. Four districts in each province and four enumeration areas (EAs) in each district were selected using probability proportional to size. Within each EA, 32 households (HHs) were selected using a simple random sample. Interviews to assess ownership and usage were conducted in each of the selected HHs using personal digital assistants. Valid interviews were completed for 947 (92.5%) (440 in Manica and 507 in Sofala) of the 1,024 selected HHs. Among participating HHs, 65.0% in Manica and 63.1% in Sofala reported that at least one child under five years of age slept in the house the previous night. HH ownership of at least one bed net of any kind was 20.6% (95% confidence interval [CI]: 7.9%-43.6%) and 35.6% (95% CI: 27.8%-44.3%) pre-campaign; and 55.1% (95% CI: 43.6%-66.1%) and 59.6 (95% CI: 42.4%-74.7%) post-campaign in Manica and Sofala, respectively. Post-campaign HH ownership of at least one ITN was 50.2% (95% CI: 41.8%-58.5%) for both provinces combined. In addition, 60.3% (95% CI: 50.6%-69.2%) of children under five years of age slept under an ITN the previous night. This ITN distribution increased bed net ownership and usage rates. Integration of ITN distribution with immunization campaigns presents an opportunity for reaching malaria control targets and should continue to be considered.

  1. A new species of Cyrtodactylus (Squamata: Gekkonidae) and the first record of C. otai from Son La Province, Vietnam.

    PubMed

    Nguyen, Truong Quang; Pham, Anh VAN; Ziegler, Thomas; Ngo, Hanh Thi; LE, Minh Duc

    2017-10-30

    We describe a new species of Cyrtodactylus on the basis of four specimens collected from the limestone karst forest of Phu Yen District, Son La Province, Vietnam. Cyrtodactylus sonlaensis sp. nov. is distinguished from the remaining Indochinese bent-toed geckos by a combination of the following characters: maximum SVL of 83.2 mm; dorsal tubercles in 13-15 irregular rows; ventral scales in 34-42 rows; ventrolateral folds prominent without interspersed tubercles; enlarged femoral scales 15-17 on each thigh; femoral pores 14-15 on each thigh in males, absent in females; precloacal pores 8, in a continuous row in males, absent in females; postcloacal tubercles 2 or 3; lamellae under toe IV 18-21; dorsal head with dark brown markings, in oval and arched shapes; nuchal loop discontinuous; dorsum with five brown bands between limb insertions, third and fourth bands discontinuous; subcaudal scales distinctly enlarged. In phylogenetic analyses, the new species is nested in a clade consisting of C. huongsonensis and C. soni from northern Vietnam and C. cf. pulchellus from Malaysia based on maximum likelihood and Bayesian analyses. In addition, we record Cyrtodactylus otai Nguyen, Le, Pham, Ngo, Hoang, Pham & Ziegler for the first time from Son La Province based on specimens collected from Van Ho District.

  2. Factors associated with traditional Chinese medicine utilization among urban community health centers in Hubei Province of China.

    PubMed

    Cai, Yi; Mao, Zongfu; Xu, Bruce; Wu, Bei

    2015-03-01

    This study aims to examine resources and utilization of traditional Chinese medicine (TCM) and factors influencing TCM utilization in urban community health centers (CHCs) in Hubei Province of China. A cross-sectional survey including 234 government-owned CHCs was conducted in 2009. One-way analysis of variance analysis and a Poisson regression model were used to examine distribution of TCM resources and factors influencing TCM utilization. This study found unequal distribution of TCM resources among districts. TCM outpatient visits were positively associated with higher economic development districts, lower initial capital investment of the CHCs, health services covered by health insurance, higher qualification of TCM physicians, provision of TCM health records and rehabilitation, and greater availability of herbal medicine. To achieve equal access to TCM services, policy makers should consider the socioeconomic differences and income groups, provide training for TCM physicians, build pathway to recruit senior TCM physicians, and cover more TCM therapies by health insurance. © 2013 APJPH.

  3. [Ecological risk assessment of rural-urban ecotone based on landscape pattern: A case study in Daiyue District of Tai' an City, Shandong Province of East China].

    PubMed

    Shi, Hao-Peng; Yu, Kai-Qin; Feng, Yong-jun

    2013-03-01

    Based on the remote sensing data in 2000, 2005, and 2010, this paper analyzed the variation trends of the land use type and landscape pattern in Daiyue District of Tai' an City from 2000 to 2010. The ecological risk index was built, that of the District was re-sampled and spatially interpolated, and the spatiotemporal pattern of the ecological risk in the rural-urban ecotone of the District was analyzed. In 2000-2010, the main variation trend of the land use type in the District was the shift from natural landscape to artificial landscape. The intensity of human disturbance was larger in cultivated land, garden plot, and forestland than in other landscape types, while the human disturbance in water area was smaller. The ecological loss degree of cultivated land and water area decreased somewhat, while that of the other land use types presented an increasing trend. The ecological risk distribution in the District was discrete in 2000 and 2010, but most centralized in 2005. The ecological risk of each ecological risk sub-area had an increasing trend in 2000-2005, but was in adverse in 2005-2010. In 2000-2010, the ecological risk of the District was mainly at medium level. Spatially, the distribution of the ecological risk in the District had an obvious differentiation, with an overall diffusive increasing from forestland as the center to the surrounding areas. In the District, the ecological risk was mainly at medium and higher levels, the area with lower ecological risk had an obvious dynamic change, while that with the lowest and highest ecological risk had less change.

  4. Prevalence of risk factors for acquiring measles during the 2011 outbreak in Quebec and impact of the province-wide school-based vaccination campaign on population immunity.

    PubMed

    Billard, Marie-Noëlle; De Serres, Gaston; Gariépy, Marie-Claude; Boulianne, Nicole; Toth, Eveline; Landry, Monique; Skowronski, Danuta M

    2017-01-01

    A large measles outbreak occurred in Quebec, Canada, in 2011. Although nearly two-thirds of the cases occurred in only two health districts, a mass vaccination campaign targeting all Quebec elementary and high school students without valid two-dose history was undertaken to prevent future outbreaks. We compared rates of non-vaccination and age at first measles vaccine dose among students in the two most-affected districts and the rest of the province and estimated the improvement in overall student measles immunity due to the mass school-based vaccination campaign. Data were extracted from the provincial vaccination registry for students in kindergarten to grade 11 during the 2011/2012 school year. A telephone survey was conducted in three sub-groups: students whose first measles vaccine dose recorded in the vaccination registry was received during the 2011 school vaccination campaign; students with no dose recorded in the registry whose parents refused receipt during the school campaign; and students with no dose recorded in the registry and no information about parental consent/refusal during the school campaign. Neither the prevalence of being non-vaccinated nor a younger age at first pediatric dose were higher in the two most-affected districts versus the rest of the province. The school campaign vaccinated nearly 8% of all students including 7% who previously received at least one dose. Before the outbreak, 3% of students were not vaccinated and one-third of these (1%/3%) were vaccinated during the campaign. The campaign likely increased the absolute school population immunity by just 1.7%. The concentration of measles cases in the two most-affected health districts during the large Quebec outbreak is not explained by more students who were unvaccinated or who had received their first vaccine dose at a younger age. The vaccination campaign reached one-third of unvaccinated students and only marginally improved population immunity.

  5. [Enterobius vermicularis infection status among children in 9 provinces/autonomous regions/municipalities of China].

    PubMed

    Chen, Ying-Dan; Wang, Ju-Jun; Zhu, Hui-Hui; Zhu, Ting-Jun; Zang, Wei; Qian, Men-Bao; Li, Hong-Mei; Zhou, Chang-Hai; Wang, Guo-Fei; Xu, Long-Qi

    2013-08-01

    To investigate the infection status of Enterobius vermicularis among children in 9 Provinces/Autonomous regions/Municipalities (P/A/M) of China, and analyze its risk factors. From April to December 2011, one provincial capital (prefecture-level city) and one county (city, district) were chosen as investigation spots from Guangdong, Guangxi, Hainan, Chongqing, Sichuan, Zhejiang, Fujian, Anhui and Guizhou, respectively. Children aged 2 to 12 were examined by using adhesive cellophane anal swab with round-bottom tube. Information of children's family condition, health behavior and school environment were collected by questionnairing. 14 964 children were examined, and 14 582 qualified questionnaires were collected. The total prevalence was 17.8% (2 659/14 964). Of the 9 P/A/M, the prevalence was highest in Hainan Province (51.1%, 869/1 701) and lowest in Anhui Province (0.8%, 13/1 589). The prevalence in urban areas (7.3%, 552/7 581) was lower than that of rural areas (28.5%, 2 107/7 383) (chi2 = 1156.73, P < 0.01). The highest prevalence in urban and rural areas was found in Haikou City(38.0%, 322/847) and Wanning City (64.1%, 547/854) of Hainan Province. The prevalence rate in males and females was 17.4% (1 410/8 128) and 18.3% (1249/6 834), respectively (chi2 = 2.192, P > 0.05). The highest prevalence in males (61.2%, 300/490) and females (67.9%, 247/364) was found in children of Wanning City. Multivariate logistic regression analysis showed that residence, education level of parents, occupation of parents, nail biting, types of classroom ground and type of boarding were the risk factors on E. vermicularis infection. The prevalence of enterobiasis in children is still high in many areas of China, and the prevention and control measures should be taken according to the risk factors.

  6. Microstructural observation and chemical dating on monazite from the Shilu Group, Hainan Province of South China: Implications for origin and evolution of the Shilu Fe-Co-Cu ore district

    NASA Astrophysics Data System (ADS)

    Xu, Deru; Kusiak, Monika A.; Wang, Zhilin; Chen, Huayong; Bakun-Czubarow, Nonna; Wu, Chuanjun; Konečný, Patrik; Hollings, Peter

    2015-02-01

    New monazite chemical U-Th-total-Pb (CHIME) ages, combined with microstructural observations, mineral compositions, and whole-rock geochemistry, indicate that the large-scale, banded iron formation (BIF)-type Shilu Fe-Co-Cu ore district in Hainan Province, South China is a multistage product of sedimentation, metamorphism, and hydrothermal-metasomatic alteration associated with multiple orogenies. Two types of monazite, i.e. "polygenetic" and "metamorphic", were identified. The "polygenetic monazite" comprises a magmatic and/or metamorphic core surrounded by a metamorphic rim, and shows complex zoning. Breakdown corona structure, with a core of monazite surrounded by a mantle of fluorapatite, allanite, and/or epidote as concentric growth rings, is commonly observed. This type of monazite yielded three main CHIME-age peaks at ca. 980 Ma, ca. 880 Ma and ca. 450 Ma. The ages which range up to ca. 880 Ma for detrital cores, record a pre-deformational magmatic and/or metamorphic event(s), and is considered to be the depositional time-interval of the Shilu Group and interbedded BIFs in a marine, back-arc foreland basin likely due to the Grenvillian or South China Sibao orogeny. After deposition, the Shilu district was subjected to an orogenic event, which is recorded by the syndeformational metamorphic monazite with ca. 560-450 Ma population. Probably this event not only caused amphibolite facies metamorphism and associated regional foliation S1 but also enriched the original BIFs, and most likely corresponds to the "Pan-African" and/or the South China Caledonian orogeny. The post-deformational "metamorphic" monazite occurs mostly as inclusions in garnet and shows ca. 260 Ma age. It likely represents the Late Permian post-magmatic hydrothermal and related retrograde event(s) initiated by the Indosinian orogeny due to the closure of the Paleo-Tethys. The breakdown of monazite to secondary coronal mineral phases as well as the Fe-remobilization and associated skarnization

  7. [Quality control assessments of feces examination for schistosomiasis in province-level laboratories of Zhejiang Province].

    PubMed

    Chen, Wen; Zhu, Ming-Dong; Yan, Xiao-Lan; Lin, Li-Jun; Zhang, Jian-Feng; Li, Li; Wen, Li-Yong

    2011-06-01

    To understand and evaluate the quality of feces examination for schistosomiasis in province-level laboratories of Zhejiang Province. With the single-blind method, the stool samples were detected by the stool hatching method and sediment detection method. In the 3 quality control assessments in 2006, 2008 and 2009, most laboratories finished the examinations on time. The accordance rates of detections were 88.9%, 100% and 93.9%, respectively. The province-level laboratories for schistosomiasis feces examination of Zhejiang Province is coming into standardization, and the techniques of schistosomiasis feces examination are optimized gradually.

  8. Challenges to the implementation of the integrated management of childhood illness (IMCI) at community health centres in West Java province, Indonesia.

    PubMed

    Titaley, C R; Jusril, H; Ariawan, I; Soeharno, N; Setiawan, T; Weber, M W

    2014-01-01

    The integrated management of childhood illness (IMCI) is a comprehensive approach to child health, which has been adopted in Indonesia since 1997. This study aims to provide an overview of IMCI implementation at community health centres (puskesmas) in West Java province, Indonesia. Data were derived from a cross-sectional study conducted in 10 districts of West Java province, from November to December 2012. Semi-structured interviews were used to obtain information from staff at 80 puskesmas, including the heads (80 informants), pharmacy staff (79 informants) and midwives/nurses trained in IMCI (148 informants), using semi-structured interviews. Quantitative data were analysed using frequency tabulations and qualitative data were analysed by identifying themes that emerged in informants' responses. Almost all (N = 79) puskesmas implemented the IMCI strategy; however, only 64% applied it to all visiting children. Several barriers to IMCI implementation were identified, including shortage of health workers trained in IMCI (only 43% of puskesmas had all health workers in the child care unit trained in IMCI and 40% of puskesmas conducted on-the-job training). Only 19% of puskesmas had all the essential drugs and equipment for IMCI. Nearly all health workers acknowledged the importance of IMCI in their routine services and very few did not perceive its benefits. Lack of supervision from district health office staff and low community awareness regarding the importance of IMCI were reported. Complaints received from patients'families were generally related to the long duration of treatment and no administration of medication after physical examination. Interventions aiming to create local regulations endorsing IMCI implementation; promoting monitoring and supervision; encouraging on-the-job training for health workers; and strengthening training programmes, counselling and other promotional activities are important for promoting IMCI implementation in West Java province

  9. Volcano-tectonic structures, gravity and helium in geothermal areas of Tuscany and Latium (Vulsini volcanic district), Italy

    USGS Publications Warehouse

    Di, Filippo M.; Lombardi, S.; Nappi, G.; Reimer, G.M.; Renzulli, A.; Toro, B.

    1999-01-01

    Since the early 1980s, geological and structural mapping, gravity, and helium soil-gas studies have been performed in the eastern sector of the Vulsini Volcanic District (Roman Magmatic Province) in an attempt to locate potential geothermal reservoirs. This area is characterised by an anomalous geothermal gradient of > 100??C/km, and by widespread hydrothermal mineralization, thermal springs, high gas fluxes, and fossil and current travertine deposits. The results of these surveys indicate the existence of a number of fault systems, with N-S and E-W structures that appear to be superimposed on older NW-SE and NE-SW features. Comparison of the results of the various studies also reveals differences in permeability and potential reservoir structures at depth.Since the early 1980s, geological and structural mapping, gravity, and helium soil-gas studies have been performed in the eastern sector of the Vulsini Volcanic District (Roman Magmatic Province) in an attempt to locate potential geothermal reservoirs. This area is characterised by an anomalous geothermal gradient of > 100??C/km, and by widespread hydrothermal mineralization, thermal springs, high gas fluxes, and fossil and current travertine deposits. The results of these surveys indicate the existence of a number of fault systems, with N-S and E-W structures that appear to be superimposed on older NW-SE and NE-SW features. Comparison of the results of the various studies also reveals differences in permeability and potential reservoir structures at depth.

  10. Absence of Asymptomatic Malaria Infection in a Cross-sectional Study in Iranshahr District, Iran under Elimination Programmes

    PubMed Central

    PIRAHMADI, Sakineh; ZAKERI, Sedigheh; RAEISI, Ahmad

    2017-01-01

    Background: Asymptomatic malaria infection provides a reservoir of parasites, causing the persistence of malaria transmission. It accounts an important challenge for successful management of the control, elimination, and eradication programmes in any malaria-endemic region. This investigation was designed to assess the presence and the prevalence of asymptomatic carriers in Iranshahr district of Sistan and Baluchistan Province (2013–2014), with a considerable population movement, during the malaria elimination phase in Iran. Methods: Finger-prick blood samples were collected from symptomless (n=250) and febrile (n=50) individuals residing in Iranshahr district, easthern Iran (Hoodian, Mand, Chah-e Giji, Jolgehashem, Esfand, Dalgan and Chahshour) during Jan 2013 to Dec 2014, and Plasmodium infections were detected using light microscopic and highly sensitive nested-PCR techniques. Results: Thick and thin Giemsa-stained blood smears were negative for Plasmodium parasites. In addition, based on nested-PCR analysis, no P. vivax, P. falciparum, and P. malariae parasites were detected among the studied individuals. Conclusion: Investigation the absence of asymptomatic carriers in Iranshahr district was illustrated and achieving malaria elimination in this area is feasible in a near future. PMID:28761465

  11. Epidemiology of cercarial stage of trematodes in freshwater snails from Chiang Mai province, Thailand.

    PubMed

    Chontananarth, Thapana; Wongsawad, Chalobol

    2013-03-01

    To investigate the epidemiological situation of cercarial trematodes infection in freshwater snails from different water resources in Chiang Mai province, Thailand. The snail specimens were collected from 13 districts of Chiang Mai province during April 2008 to February 2012. The prevalence of cercarial infection in snails was investigated using the crushing method. The drawing was done with the help of a camera lucida for the morphological study. A total of 2 479 snail individuals were collected and classified into 7 families, 11 genera, and 14 species, Among them, 8 snails species were found to be infected with an overall prevalence of 17.27% (428/2 479), which infected with nine groups of cercariae; gymnocephalous cercaria, strigea cercaria, megalurous cercaria, monostome cercaria, parapleurolophocercous cercaria (Haplorchis cercaria), pleurolophocercous cercaria, furcocercous cercaria (Transversotrema cercaria), xiphidiocercaria, and virgulate cercaria. The parapleurolophocercous cercaria was found to be the dominant type among the cercarial infection in the snails (64.25%). The various species of snails found in the research location act as the intermediate hosts for the high prevalence of parasitic infection of many species of mammals. This work will provide new information on both the distribution and first intermediate host of trematodes.

  12. Spatial Conflict of Mining Land in Tolitoli District -Province of Central Sulawesi

    NASA Astrophysics Data System (ADS)

    Suwarno, Y.; Windiastuti, R.

    2018-05-01

    Spatial planning is supposed to be applied in the use of space, so there will be no overlapping space utilization. In fact, there are still overlapping uses of land, between the area of mining and plantation, as well as with forest areas. The purpose of this study was to find out the conflicts that occured due to overlapping permits given to mining and plantation companies, and also to forest status. The method used was by overlaying the maps of Mining Business Permit with that of Plantation Business Permit, and also with Forest Area Map. In Tolitoli District there were 23 mining business permit holders with 7 types of mining commodities, covering total areaof 81,503.54 Hectare. In addition, there were 5 companies holding plantation business permits, mostly on palm oil, and only 2 companies with rubber and sengon wood business commodities, with a total area of 80,005.35 Hectare. From the result of spatial analysis, it was found that there was an overlapping area of 22,869.70 Hectare, while the area of 118,072.93 Hectare did not overlap. The Mining Business Permit overlapped with the Plantation Business Permit covering an area of 18,853.32 Hectare, and 4,301.77 Hectare were located in Forest Protected Area and Nature Reserve.

  13. The Scenario of the Potential Analysis Alternative Energy in Order to Strengthening District's Energy Resilience (The Case Study in South Sumatera Province)

    NASA Astrophysics Data System (ADS)

    Ferry Muhrom, Muhammad; Ronny Rahman Nitibaskara, Tb; Herdiansyah, Herdis; Sari, Ravita

    2017-10-01

    The current development of fossil energy, which is the driving force of the economy in Indonesia, is a non-renewable energy and is in need to know when it will be exhausted so it may be replaced with renewable energy. Many powerplant systems in Indonesia are still using conventional system that utilizes fossil energy as the primary energy in the process of electricity generation. The occurrence of electrical energy crisis is marked by several electricity blackout phenomenon in some areas in South Sumatera province rotately, which is the proof that the installed power capacity has exceeded the capacity of generation power. Interconnection among several islands, namely Java Island, Sumatera Island, and Bali Island which has been interconnected with closed loop system through transmission network has not been able to overcome the electrical energy crisis. This paper aims to create alternative energy potential scenarios in the province of South Sumatera in sequence/ranking by using quantitative methods with sequential explanatory model formulated in the determination of alternative energy strategies then analyzed by using Analitycal Hierarchy Process(AHP) method. The simulation results from this research indicate that geothermal energy potentials get the highest value so that it becomes the priority of alternative energy strategy in South Sumatera Province.

  14. Mantle xenoliths from Marosticano area (Northern Italy): a comparison with Veneto Volcanic Province lithospheric mantle

    NASA Astrophysics Data System (ADS)

    Brombin, Valentina; Bonadiman, Costanza; Coltorti, Massimo

    2016-04-01

    The Tertiary Magmatic Province of Veneto, known as Veneto Volcanic Province (VVP), in the North-East of Italy, represents the most important volcanic distric of Adria Plate. It is composed by five volcanic bodies: Val d'Adige, Marosticano, Mts. Lessini, Berici Hills and Euganean Hills. Most of the volcanic products are relatively undifferentiated lavas and range in composition from nephelinites to tholeiites. Often VVP nephelinites and basanites carry mantle xenoliths (mainly harzburgites and lherzolite). This study reports petrological comparison between Marosticano xenoliths (new outcrop) and xenoliths from the Lessinean and Val d'Adige areas already studied by many Authors (Siena & Coltorti 1989; Beccaluva et al., 2001, Gasperini et al., 2006). Mineral major elements analyses show that the Marosticano lherzolites and harzburgites reflect "more restitic" composition than the mantle domain beneath the other VVP districts (Lessini Mts. and Val d'Adige). In fact, olivine and pyroxene of Marosticano xenoliths have the highest mg# values of the entire district (Marosticano→90-93; literature→86-92). At comparable mg# (45-85 wt%) Marosticano spinels tend to be higher in Cr2O3 (23-44 wt%) contents with respect to the other VVP sp (7-25 wt%). It is worth noting that, Ni contents of Marosticano olivines in both harzburgites and lherzolites are higher (2650-3620 ppm) than those of the Lessinean xenoliths (1500- 3450 ppm), and similar to that of Val d'Adige lherzolites (3000-3500 ppm), approaching the contents of Archean cratonic mantle (Kelemen, 1998). In turn, Lessinean olivines properly fall in the Ni-mg# Phanerozoic field. At fixed pressure of 15 kbar, the equilibration temperature of Marosticano xenoliths are similar (Brey & Köhler: 920-1120°C) to those of Lessini (O'Neill & Wall: 990-1110°C; Beccaluva et al., 2007), but higher than those of Val d'Adige (Wells: 909-956°C; Gasperini et al., 2006). Finally, Marosticano mantle fragment show similar relatively high

  15. 77 FR 63326 - Huron Wetland Management District, Madison Wetland Management District, and Sand Lake Wetland...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ... FXRS1265066CCP0] Huron Wetland Management District, Madison Wetland Management District, and Sand Lake Wetland... assessment (EA) involving Huron, Madison, and Sand Lake Wetland Management Districts (Districts). In this..., Madison Wetland Management District, Sand Lake Wetland Management District final CCP'' in the subject line...

  16. Movement Behaviour of Traditionally Managed Cattle in the Eastern Province of Zambia Captured Using Two-Dimensional Motion Sensors.

    PubMed

    Lubaba, Caesar H; Hidano, Arata; Welburn, Susan C; Revie, Crawford W; Eisler, Mark C

    2015-01-01

    Two-dimensional motion sensors use electronic accelerometers to record the lying, standing and walking activity of cattle. Movement behaviour data collected automatically using these sensors over prolonged periods of time could be of use to stakeholders making management and disease control decisions in rural sub-Saharan Africa leading to potential improvements in animal health and production. Motion sensors were used in this study with the aim of monitoring and quantifying the movement behaviour of traditionally managed Angoni cattle in Petauke District in the Eastern Province of Zambia. This study was designed to assess whether motion sensors were suitable for use on traditionally managed cattle in two veterinary camps in Petauke District in the Eastern Province of Zambia. In each veterinary camp, twenty cattle were selected for study. Each animal had a motion sensor placed on its hind leg to continuously measure and record its movement behaviour over a two week period. Analysing the sensor data using principal components analysis (PCA) revealed that the majority of variability in behaviour among studied cattle could be attributed to their behaviour at night and in the morning. The behaviour at night was markedly different between veterinary camps; while differences in the morning appeared to reflect varying behaviour across all animals. The study results validate the use of such motion sensors in the chosen setting and highlight the importance of appropriate data summarisation techniques to adequately describe and compare animal movement behaviours if association to other factors, such as location, breed or health status are to be assessed.

  17. Prevalence and Risk Factors of Dengue Infection in Khanh Hoa Province, Viet Nam: A Stratified Cluster Sampling Survey.

    PubMed

    Mai, Vien Quang; Mai, Trịnh Thị Xuan; Tam, Ngo Le Minh; Nghia, Le Trung; Komada, Kenichi; Murakami, Hitoshi

    2018-05-19

    Dengue is a clinically important arthropod-borne viral disease with increasing global incidence. Here we aimed to estimate the prevalence of dengue infections in Khanh Hoa Province, central Viet Nam, and to identify risk factors for infection. We performed a stratified cluster sampling survey including residents of 3-60 years of age in Nha Trang City, Ninh Hoa District and Dien Khanh District, Khanh Hoa Province, in October 2011. Immunoglobulin G (IgG) and immunoglobulin M (IgM) against dengue were analyzed using a rapid test kit. Participants completed a questionnaire exploring clinical dengue incidence, socio-economic status, and individual behavior. A household checklist was used to examine environment, mosquito larvae presence, and exposure to public health interventions. IgG positivity was 20.5% (urban, 16.3%; rural, 23.0%), IgM positivity was 6.7% (urban, 6.4%; rural, 6.9%), and incidence of clinically compatible dengue during the prior 3 months was 2.8 per 1,000 persons (urban, 1.7; rural, 3.4). For IgG positivity, the adjusted odds ratio (AOR) was 2.68 (95% confidence interval [CI], 1.24-5.81) for mosquito larvae presence in water pooled in old tires and was 3.09 (95% CI, 1.75-5.46) for proximity to a densely inhabited area. For IgM positivity, the AOR was 3.06 (95% CI, 1.50-6.23) for proximity to a densely inhabited area. Our results indicated rural penetration of dengue infections. Control measures should target densely inhabited areas, and may include clean-up of discarded tires and water-collecting waste.

  18. Techno-Economic and dynamic analysis of low velocity wind turbines for rural electrification in agricultural area of Ratchaburi Province, Thailand

    NASA Astrophysics Data System (ADS)

    Lipirodjanapong, Sumate; Namboonruang, Weerapol

    2017-07-01

    This paper presents the analysis of potential wind speed of electrical power generating using for agriculture in Ratchaburi province, Thailand. The total area is 1,900 square kilometers. First of all, the agriculture electrical load (AEL) data was investigated from all farming districts in Ratchaburi. Subsequently, the load data was analyzed and classified by the load power and energy consumption at individual district. The wind turbine generator (WTG) at capacity rate of 200w, 500w, 1,000w, and 2,000w were adopted to implement for the AEL in each area at wind speed range of 3 to 6 m/s. This paper shows the approach based on the wind speed at individual district to determine the capacity of WTG using the capacitor factor (CF) and the cost of energy (COE) in baht per unit under different WTG value rates. Ten locations for wind station installations are practical investigated. Results show that for instance, the Damnoen Sa-duak (DN-04) one of WTG candidate site is identically significant for economic investment of installing rated WTG. The results of COE are important to determine whether a wind site is good or not.

  19. Data-Driven Districts.

    ERIC Educational Resources Information Center

    LaFee, Scott

    2002-01-01

    Describes the use of data-driven decision-making in four school districts: Plainfield Public Schools, Plainfield, New Jersey; Palo Alto Unified School District, Palo Alto, California; Francis Howell School District in eastern Missouri, northwest of St. Louis; and Rio Rancho Public Schools, near Albuquerque, New Mexico. Includes interviews with the…

  20. [Investigation on schistosomiasis japonica infection and preventive knowledge of immigration population in Jinshan District, Shanghai].

    PubMed

    Shen, Li; Tao, Jian-xiu; Yu, Rui-fang; Shen, Guo-hong; Wu, Jun; Cai, Li; Cao, Chun-li; Xu, Jing; Li, Shi-zhu; Guo, Jia-gang

    2014-06-01

    To investigate the schistosomiasis japonica infection and preventive knowledge of immigration population in Jinshan District, Shanghai so as to provide the evidence for improving the control work. The immigration population from schistosomiasis endemic provinces and local people were screened by serum IHA screening for schistosome infection, and the positives were further examined by Kato-Katz technique and the miracidium hatching method. The schistosomiasis preventive knowledge and behaviors were investigated by questionnaires. A total of 579 were investigated with 348 immigration people and 231 local people, and among them, the male accounted for 72.0% and female accounted for 28.0%. In the immigration population, the main age group was 20-29 (56.0%), and 56.6% of the immigration had an education level at senior middle school or higher. The most proportion of immigration was from Anhui Province (36.2%). There were 4 IHA positive persons (1.15%) in the immigration, and 1 was positive in the stool test, and the schistosome infection rate was 0.29%. There were no positives in the local people. The schistosomiasis preventive knowledge of the immigration was generally poor, and some people' s behaviors of see doctor and medication were incorrect. There are schistosome infected persons among the immigration population from schistosomiasis endemic provinces, and their schistosomiasis prevention knowledge was poor, thus there is a schistosomiasis transmission risk.

  1. Population-based study of Streptococcus suis infection in humans in Phayao Province in northern Thailand.

    PubMed

    Takeuchi, Dan; Kerdsin, Anusak; Pienpringam, Anupong; Loetthong, Phacharaphan; Samerchea, Sutit; Luangsuk, Pakkinee; Khamisara, Kasean; Wongwan, Nithita; Areeratana, Prasanee; Chiranairadul, Piphat; Lertchayanti, Suwat; Petcharat, Sininat; Yowang, Amara; Chaiwongsaen, Phanupong; Nakayama, Tatsuya; Akeda, Yukihiro; Hamada, Shigeyuki; Sawanpanyalert, Pathom; Dejsirilert, Surang; Oishi, Kazunori

    2012-01-01

    Streptococcus suis infection in humans has received increasing worldwide recognition. A prospective study of S. suis infection in humans was conducted in Phayao Province in northern Thailand to determine the incidence and the risk behaviors of the disease in this region in 2010. Thirty-one cases were confirmed. The case fatality rate was 16.1%, and the estimated incidence rate was 6.2 per 100,000 in the general population. The peak incidence occurred in May. The median age of the patients was 53 years and 64.5% were men. Consumption of raw pork products was confirmed in 22 cases and the median incubation period (range) was 2 days (0-11) after consumption of raw pork products. Isolates from 31 patients were confirmed as serotype 2 in 23 patients (74.2%) and serotype 14 in eight patients (25.8%). The major sequence types (STs) were ST1 (n = 20) for serotype 2 and ST105 (n = 8) for serotype 14. The epidemiological analysis suggested three possible clusters, which included 17 cases. In the largest possible cluster of 10 cases in Chiang Kham and its neighboring districts in May, the source of infection in four cases was identified as a raw pork dish served at the same restaurant in this district. Microbiological analysis confirmed that three of four cases associated with consumption of raw pork at this restaurant were attributable to an identical strain of serotype 2 with ST1 and pulsotype A2. Our data suggest a high incidence rate of S. suis infection in the general population in Phayao Province in 2010 and confirm a cluster of three cases in 31 human cases. Food safety control should be strengthened especially for raw pork products in northern Thailand.

  2. Population-Based Study of Streptococcus suis Infection in Humans in Phayao Province in Northern Thailand

    PubMed Central

    Takeuchi, Dan; Kerdsin, Anusak; Pienpringam, Anupong; Loetthong, Phacharaphan; Samerchea, Sutit; Luangsuk, Pakkinee; Khamisara, Kasean; Wongwan, Nithita; Areeratana, Prasanee; Chiranairadul, Piphat; Lertchayanti, Suwat; Petcharat, Sininat; Yowang, Amara; Chaiwongsaen, Phanupong; Nakayama, Tatsuya; Akeda, Yukihiro; Hamada, Shigeyuki; Sawanpanyalert, Pathom; Dejsirilert, Surang; Oishi, Kazunori

    2012-01-01

    Background Streptococcus suis infection in humans has received increasing worldwide recognition. Methods and Findings A prospective study of S. suis infection in humans was conducted in Phayao Province in northern Thailand to determine the incidence and the risk behaviors of the disease in this region in 2010. Thirty-one cases were confirmed. The case fatality rate was 16.1%, and the estimated incidence rate was 6.2 per 100,000 in the general population. The peak incidence occurred in May. The median age of the patients was 53 years and 64.5% were men. Consumption of raw pork products was confirmed in 22 cases and the median incubation period (range) was 2 days (0–11) after consumption of raw pork products. Isolates from 31 patients were confirmed as serotype 2 in 23 patients (74.2%) and serotype 14 in eight patients (25.8%). The major sequence types (STs) were ST1 (n = 20) for serotype 2 and ST105 (n = 8) for serotype 14. The epidemiological analysis suggested three possible clusters, which included 17 cases. In the largest possible cluster of 10 cases in Chiang Kham and its neighboring districts in May, the source of infection in four cases was identified as a raw pork dish served at the same restaurant in this district. Microbiological analysis confirmed that three of four cases associated with consumption of raw pork at this restaurant were attributable to an identical strain of serotype 2 with ST1 and pulsotype A2. Conclusions Our data suggest a high incidence rate of S. suis infection in the general population in Phayao Province in 2010 and confirm a cluster of three cases in 31 human cases. Food safety control should be strengthened especially for raw pork products in northern Thailand. PMID:22363601

  3. Assessing the knowledge, attitudes and practices regarding cholera preparedness and prevention in Ga-Mampuru village, Limpopo, South Africa

    PubMed Central

    Jordaan, Andries J.; Mabela, Beverly M.

    2016-01-01

    The study assessed the knowledge, attitudes and practices of cholera prevention and preparedness in Ga-Mampuru village (Limpopo, South Africa). Interviewers collected data using a two-pronged method, namely a household questionnaire (open- and closed-ended questions) to assess knowledge and attitudes about cholera and observations to assess practices in the prevention and management of the disease. Additionally, interviewers took pictures with the respondents’ permission. Ninety-six respondents were interviewed. Most respondents (86%) indicated they knew how cholera was contracted with 84% indicating contaminated water as a source. Ninety percent of the respondents indicated they knew how to prevent contracting cholera. All respondents generally knew that cholera could be treated with medicine received at a health-care facility or worker. Fewer respondents (58%) had specific knowledge such as the use of rehydration solutions. The respondents’ high level of prevention practices could be biased. Interviewers observed that many practices were not adhered to, like not washing hands, not using toilet paper and throwing waste in respondents’ yards. Therefore, the community of Ga-Mampuru had not reached a stage of adequate cholera prevention and preparedness in spite of the fact that they were aware of cholera risks and risk-reduction measures.

  4. [Effects of a lipid-based nutrient supplement on hemoglobin levels and anthropometric indicators in children from five districts in Huánuco Peru].

    PubMed

    Vargas-Vásquez, Alejandro; Bado, Ricardo; Alcázar, Lorena; Aquino, Oscar; Rodríguez, Amelia; Novalbos, José Pedro

    2015-01-01

    Objectives . To determine the effect of consumption of a lipid-based nutrient supplement (LNS) on hemoglobin levels, anemia and anthropometric indicators in children aged six to eleven months old in five districts in the province of Ambo in the region of Huanuco, Peru. A pre-experimental, pre-post study was performed. The study population included children aged six to eleven months old in 19 health facilities in five districts with very high vulnerability to chronic malnutrition in the province of Ambo, Huanuco. Data from 147 children who received the lipid-based nutrient supplement (LNS) from six to eleven months old were obtained. The mean hemoglobin significantly increased by 0.67 g/dL (p<0.05), the proportion of anemia dropped by 27 percentage points (p<0.001) and the mean z score for height/age decreased by 0.12 (p<0.05). No significant differences for z scores of weight/age and weight/height at the end of the study were found. The LNS had an adherence greater than 90%, and less than 10% of children in the study reported discomfort during consumption. LNS supplementation achieved improved hemoglobin levels and reduced the prevalence of anemia in children under twelve months, which might constitute an effective alternative to prevent and control childhood anemia.

  5. Geologic Setting of the Hamme Tungsten District, North Carolina and Virginia

    USGS Publications Warehouse

    Parker, John Mason

    1963-01-01

    The Hamme tungsten district is in the eastern part of the Piedmont province, mainly in Vance County, North Carolina, but it extends a few miles into Virginia. The district is underlain by a central lenticular pluton of albite granodiorite that trends north-northeastward and is flanked on both sides by metamorphic rocks of low and medium grade that dip steeply westward. The relative ages of the metamorphic rocks are uncertain. The oldest rocks are likely to be the biotite gneisses in the eastern part of the district; successively younger units expose westward across the district are sericite-chlorite phyllites, greenstone, metafelsites, and metabasalts. The biotite gneisses and minor intercalated hornblende gneiss, which have a total thickness of many thousand feet, were derived from sediments. Some of the gneiss grades into phyllites and as probably formed by metasomatic alteration of the phyllites. Sericite-chlorite phyllite, epidote-quartz meta siltstone, quartzite, and conglomeratic phyllite occur principally in a wide belt on the west side of the central albite granodiorite. This unit is some 10,000 feet thick and originally consisted mainly of sediments of the graywacke suite. Greenstone totaling about 500 feet in thickness lies west of the phyllite and was derived from maflc lava flows and andesitic tuff. Metamorphosed massive aphanitic and porphyritic flows and dikes that range in composition from dacite to rhyolite, and phyllitic metatuffs and tuffaceous breccia are exposed west of the greenstone. These total at least 3,000 feet in thickness. Massive metabasalt that resembles greenstone but is less altered is common in the area between the Hamme district and the Virgilina district to the west. The thickness of the metabasalt is about 600 to 6,000 feet. The metamorphic rocks of the Hamme and Virgilina districts are parts of the Carolina slate belt, but map units cannot be directly correlated. Rocks in the Hamme district are thought by the writer to have been

  6. Ethnobotany of medicinal plants used in Antakya: A multicultural district in Hatay Province of Turkey.

    PubMed

    Güzel, Yelda; Güzelşemme, Mehmet; Miski, Mahmut

    2015-11-04

    We have compiled information about the medicinal plants used in folk medicine in the district of Antakya. Since its establishment by King Seleucus I in 300 B.C., Antakya (old Antioch) has hosted nearly 20 civilizations. Antakya, neighboring Northwestern Syria, is located on the western end of the "Silk Road" and was one of the great centers of Graeco-Roman world. Today, Antakya is a cosmopolitan city in which Arabic and Turkish are widely spoken, and where distinct ethnic and religious communities, such as Arab Alawite, Arab Christian, Arab Sunni, Turk Sunni, Armenian, and Jewish, have been living together in harmony for centuries. In addition, the rich flora in the vicinity of Antakya also renders the area interesting in terms of ethnobotanical fieldwork. This study aimed to compile the information about plants used for medicinal purposes by local people in the district of Antakya. This city is a significant region in terms of ethnobotanical fieldwork, owing to its cosmopolitan structure, long history, relatively preserved traditional community structure, and rich flora. Furthermore, we sought to compare the ethnomedicinal data geographically, cross-culturally, and historically. The ethnobotany of medicinal plants used in the district of Antakya has been investigated through two separate studies; one was conducted in 1975, interviewing 29 people, and the other was conducted in 2011-2013, interviewing 182 people. The use value (UV) and informant consensus factor (FIC) values of the plants were calculated. In order to interpret the authenticity and sources of the compiled ethnomedicinal information, previous publications that contain information about the similar medicinal uses of plants identified in our region were reviewed and evaluated meticulously. A comparison with the data obtained from other regions of Turkey and from other Mediterranean regions, as well as a cross-cultural analysis between the ethnic groups within the study area, was performed by

  7. OF BELGOROD PROVINCE].

    PubMed

    Prisniy, Yu A

    2016-01-01

    The article provides a list of 30 species of the family Tabanidae, recorded in Belgorod Province. Forest and forest-steppe species dominate (60 %), being found at edges of oak forests, deciduous and mixed forests, and in mesophytic meadows. These species are distributed over the entire area of the region. The fraction of taiga-forest species in the region is small (10 %). These species are found in western and northern areas where large forests and sphagnum bogs are present. The fraction of steppe species constitutes 13.3 %, these species are found mainly in eastern and south-eastern parts of the Province, where areas of steppe and cretaceous outcrops are found. Desert species (6.7 %) and a single Mediterranean coastal species were also recorded in the region. Mass emergence of horseflies in Belgorod Province begins in June and lasts until mid-August.

  8. A new quantitative model of ecological compensation based on ecosystem capital in Zhejiang Province, China*

    PubMed Central

    Jin, Yan; Huang, Jing-feng; Peng, Dai-liang

    2009-01-01

    Ecological compensation is becoming one of key and multidiscipline issues in the field of resources and environmental management. Considering the change relation between gross domestic product (GDP) and ecological capital (EC) based on remote sensing estimation, we construct a new quantitative estimate model for ecological compensation, using county as study unit, and determine standard value so as to evaluate ecological compensation from 2001 to 2004 in Zhejiang Province, China. Spatial differences of the ecological compensation were significant among all the counties or districts. This model fills up the gap in the field of quantitative evaluation of regional ecological compensation and provides a feasible way to reconcile the conflicts among benefits in the economic, social, and ecological sectors. PMID:19353749

  9. A new quantitative model of ecological compensation based on ecosystem capital in Zhejiang Province, China.

    PubMed

    Jin, Yan; Huang, Jing-feng; Peng, Dai-liang

    2009-04-01

    Ecological compensation is becoming one of key and multidiscipline issues in the field of resources and environmental management. Considering the change relation between gross domestic product (GDP) and ecological capital (EC) based on remote sensing estimation, we construct a new quantitative estimate model for ecological compensation, using county as study unit, and determine standard value so as to evaluate ecological compensation from 2001 to 2004 in Zhejiang Province, China. Spatial differences of the ecological compensation were significant among all the counties or districts. This model fills up the gap in the field of quantitative evaluation of regional ecological compensation and provides a feasible way to reconcile the conflicts among benefits in the economic, social, and ecological sectors.

  10. High-K calc-alkaline magmatism at the Archaean-Proterozoic boundary: implications for mantle metasomatism and continental crust petrogenesis. Example of the Bulai pluton (Central Limpopo Belt, South Africa)

    NASA Astrophysics Data System (ADS)

    Laurent, Oscar; Martin, Hervé; Doucelance, Régis; Moyen, Jean-François; Paquette, Jean-Louis

    2010-05-01

    The Neoarchaean Bulai pluton, intrusive within the supracrustal granulites of the Central Limpopo Belt (Limpopo Province, South Africa) is made up of large volumes of porphyritic granodiorites with subordinate enclaves and dykes which have monzodioritic and charno-enderbitic compositions. New U-Pb LA-ICP-MS dating on separated zircons yielded pluton emplacement ages ranging between 2.60 and 2.63 Ga, which are slightly older than previous proposed ages (~ 2.57-2.61 Ga). The whole-rock major- and trace-element composition of the Bulai pluton evidences unequivocal affinities with "high-Ti" late-Archaean sanukitoids. It belongs to a high-K calc-alkaline differentiation suite, with metaluminous affinities (0.7 < A/CNK < 1) and relatively high Mg# (0.4-0.6). These rocks have "juvenile" affinities, such as eNd ranging between -0.5 and 0.5, and in addition, are very rich in all incompatible trace elements, which is particularly obvious in monzodioritic enclaves and enderbites where primitive mantle-normalized LILE and LREE contents are up to 300. These characteristics point to an enriched mantle source for the Bulai batholith. Chondrite normalized, REE patterns are strongly fractionated ([La/Yb]N ~ 25-80), mainly due to high LREE contents (LaN ~ 250-630), and chiefly high HFSE contents (Nb ~ 15-45 ppm ; up to 770 ppm Zr) indicate that the metasomatic agent is a silicic melt rather than a hydrous fluid. Moreover, based on high Nb/Ta, Th/Rb, La/Rb and low Sr/Nd and Ba/La, we suggest that the metasomatic agent is a granitic melt generated by melting of terrigenous sediments. Interactions of this melt with mantle peridotites implies that sediments are located under a mantle slice; geometry which is easily achieved in subduction zone settings. This conclusion is supported by the fact that Bulai trace element patterns are very similar to those of sub-actual potassic magmas generated in magmatic arc environments by interactions between mantle and terrigenous sediments (e.g. Sunda

  11. Ground-water provinces of southern Rhodesia

    USGS Publications Warehouse

    Dennis, Philip Eldon; Hindson, L.L.

    1964-01-01

    Ground-water development, utilization, and occurrence in nine ground-water provinces of Southern Rhodesia are summarized in this report. Water obtained from drilled wells for domestic and stock use has played an important part in the social and economic development of Southern Rhodesia from the beginnings of European settlement to the present. Most of the wells obtain water from fractures and weathered zones in crystalline rocks, before recently, there has been an interest in the possibility of obtaining water for irrigation from wells. Studies of the authors indicate that quantities of water sufficient for irrigation can be obtained from alluvial sediments in the S'abi Valley, from Kalahari sands in the western part of the country, are perhaps from aquifers in other areas. The ground-water provinces fall into two groups--those in the crystalline rocks and those in the noncrystalline rocks. Historically, the wells in crystalline rocks, especially the Gold belts province and the Intrusive granites province, have played a major role in supplying water for the needs of man. These provinces, together with two other less important crystalline rock provinces, form the broad arch which constitutes the central core of the country. The noncrystalline rocks overlie and flank the crystalline rocks to the southeast, northwest, and north. The noncrystalline rock provinces, especially the Alluvium-Kalahari province, contain the most productive or potentially productive ground-water reservoirs in Southern Rhodesia and offer promise of supplying water for irrigation and for other purposes.

  12. Implementation of a health management mentoring program: year-1 evaluation of its impact on health system strengthening in Zambézia Province, Mozambique

    PubMed Central

    Edwards, Laura J.; Moisés, Abú; Nzaramba, Mathias; Cassimo, Aboobacar; Silva, Laura; Mauricio, Joaquim; Wester, C. William; Vermund, Sten H.; Moon, Troy D.

    2015-01-01

    Background: Avante Zambézia is an initiative of a Non-Governmental Organization (NGO), Friends in Global Health, LLC (FGH) and the Vanderbilt Institute for Global Health (VIGH) to provide technical assistance to the Mozambican Ministry of Health (MoH) in rural Zambézia Province. Avante Zambézia developed a district level Health Management Mentorship (HMM) program to strengthen health systems in ten of Zambézia’s 17 districts. Our objective was to preliminarily analyze changes in four domains of health system capacity after the HMM’s first year: accounting, Human Resources (HRs), Monitoring and Evaluation (M&E), and transportation management. Methods: Quantitative metrics were developed in each domain. During district visits for weeklong, on-site mentoring, the health management mentoring teams documented each indicator as a success ratio percentage. We analyzed data using linear regressions of each indicator’s mean success ratio across all districts submitting a report over time. Results: Of the four domains, district performance in the accounting domain was the strongest and most sustained. Linear regressions of mean monthly compliance for HR objectives indicated improvement in three of six mean success ratios. The M&E capacity domain showed the least overall improvement. The one indicator analyzed for transportation management suggested progress. Conclusion: Our outcome evaluation demonstrates improvement in health system performance during a HMM initiative. Evaluating which elements of our mentoring program are succeeding in strengthening district level health systems is vital in preparing to transition fiscal and managerial responsibility to local authorities. PMID:26029894

  13. Implementation of a health management mentoring program: year-1 evaluation of its impact on health system strengthening in Zambézia Province, Mozambique.

    PubMed

    Edwards, Laura J; Moisés, Abú; Nzaramba, Mathias; Cassimo, Aboobacar; Silva, Laura; Mauricio, Joaquim; Wester, C William; Vermund, Sten H; Moon, Troy D

    2015-03-12

    Avante Zambézia is an initiative of a Non-Governmental Organization (NGO), Friends in Global Health, LLC (FGH) and the Vanderbilt Institute for Global Health (VIGH) to provide technical assistance to the Mozambican Ministry of Health (MoH) in rural Zambézia Province. Avante Zambézia developed a district level Health Management Mentorship (HMM) program to strengthen health systems in ten of Zambézia's 17 districts. Our objective was to preliminarily analyze changes in four domains of health system capacity after the HMM's first year: accounting, Human Resources (HRs), Monitoring and Evaluation (M&E), and transportation management. Quantitative metrics were developed in each domain. During district visits for weeklong, on-site mentoring, the health management mentoring teams documented each indicator as a success ratio percentage. We analyzed data using linear regressions of each indicator's mean success ratio across all districts submitting a report over time. Of the four domains, district performance in the accounting domain was the strongest and most sustained. Linear regressions of mean monthly compliance for HR objectives indicated improvement in three of six mean success ratios. The M&E capacity domain showed the least overall improvement. The one indicator analyzed for transportation management suggested progress. Our outcome evaluation demonstrates improvement in health system performance during a HMM initiative. Evaluating which elements of our mentoring program are succeeding in strengthening district level health systems is vital in preparing to transition fiscal and managerial responsibility to local authorities. © 2015 by Kerman University of Medical Sciences.

  14. Lithocarpus orbicarpus (Fagaceae), a new species of Stone Oak from Phang Nga province, Thailand.

    PubMed

    Strijk, Joeri S; Sirimongkol, Sukontip; Rueangruea, Sukid; Ritphet, Nikom; Chamchumroon, Voradol

    2014-01-01

    A new species is described, Lithocarpus orbicarpus Strijk, collected from Ton Pariwat Wildlife Sanctuary, Mueang district, Phang Nga Province in the Peninsular Floristic Region of Thailand. We provide the first technical illustrations and colour photographs of the new species, as well as a description of its conservation status and the collecting locality. The species can be easily distinguished by its unique orbicular acorns, each covered with a dense pattern of irregularly placed scales, which completely conceal the nut, except for a tiny apical pore, and which are arranged in a dense cluster on an erect woody spike. We also provide an amendment to the existing diagnostic key to Lithocarpus, and discuss important differences with morphologically similar species found in Thailand and the surrounding region.

  15. Coliform Sources and Mechanisms for Regrowth in Household Drinking Water in Limpopo, South Africa.

    PubMed

    Mellor, Jonathan E; Smith, James A; Samie, Amidou; Dillingham, Rebecca A

    2013-09-01

    Resource-limited communities throughout the developing world face significant environmental health problems related to the myriad of coliform sources within those communities. This study comprehensively investigated contamination sources and the biological and chemical mechanisms sustaining them in two adjacent communities in rural Limpopo, South Africa. An 8-month study was conducted of household ( n = 14) and source water quality, measurements of biofilm layers on the inside of household water storage containers and water transfer devices, and also hand-based coliforms and hand-washing effectiveness. A 7-day water container incubation experiment was also performed to determine the biological and chemical changes that occur in a household water storage container independent of human interference. Results indicate that household drinking water frequently becomes contaminated after collection but before consumption (197 versus 1,046 colony-forming units/100 mL; n = 266; p < 0.001). The most important contamination sources include biofilm layers on the inside of storage containers (1.85 ± 1.59 colony-forming units/cm 2 ; n = 44), hands (5,097 ± 2,125 colony-forming units/hand; n = 48), and coliform regrowth resulting from high assimilable organic carbon (AOC) levels during storage. A maximum specific growth rate, μ max , of 0.072 ± 0.003 h -1 was determined for total coliform bacteria on AOC, and a high correlation between AOC concentrations and the growth potential of total coliform bacteria was observed. These results support the implementation of point-of-use water treatment and other interventions aimed at maintaining the safe water chain and preventing biological regrowth.

  16. Coliform Sources and Mechanisms for Regrowth in Household Drinking Water in Limpopo, South Africa

    PubMed Central

    Mellor, Jonathan E.; Samie, Amidou; Dillingham, Rebecca A.

    2014-01-01

    Resource-limited communities throughout the developing world face significant environmental health problems related to the myriad of coliform sources within those communities. This study comprehensively investigated contamination sources and the biological and chemical mechanisms sustaining them in two adjacent communities in rural Limpopo, South Africa. An 8-month study was conducted of household (n = 14) and source water quality, measurements of biofilm layers on the inside of household water storage containers and water transfer devices, and also hand-based coliforms and hand-washing effectiveness. A 7-day water container incubation experiment was also performed to determine the biological and chemical changes that occur in a household water storage container independent of human interference. Results indicate that household drinking water frequently becomes contaminated after collection but before consumption (197 versus 1,046 colony-forming units/100 mL; n = 266; p < 0.001). The most important contamination sources include biofilm layers on the inside of storage containers (1.85 ± 1.59 colony-forming units/cm2; n = 44), hands (5,097 ± 2,125 colony-forming units/hand; n = 48), and coliform regrowth resulting from high assimilable organic carbon (AOC) levels during storage. A maximum specific growth rate, μmax, of 0.072 ± 0.003 h−1 was determined for total coliform bacteria on AOC, and a high correlation between AOC concentrations and the growth potential of total coliform bacteria was observed. These results support the implementation of point-of-use water treatment and other interventions aimed at maintaining the safe water chain and preventing biological regrowth. PMID:25190902

  17. Trend in cataract surgical rate in iran provinces.

    PubMed

    Hashemi, Hassan; Rezvan, Farhad; Khabazkhoob, Mehdi; Gilasi, Hamidreza; Etemad, Koroush; Mahdavi, Alireza; Asgari, Soheila

    2014-07-01

    The aim of this study was to determine the trend of changes in Cataract Surgical Rate (CSR) in the provinces of Iran during 2006 to 2010 and identify high risk areas. This report is part of the national Iranian CSR Study. The percentage change in CSR in 2010 compared to 2006 was conducted in each province, retrospectively. One hundred and ten centers were chosen from all provinces, to determine CSR in each, the weight of major (>3,000 annual surgeries) and minor (3,000 annual surgeries or less) centers was calculated based on the number of selected centers, and multiplied by the number of surgeries in each province. In eight provinces, CSR was decreased by 1-60%. One province (Booshehr) showed no change. Eighteen provinces had 2-79% increase. No 2006 data was available in three provinces. North Khorasan had the most decrease while Kerman had the most increase in CSR. Six of these 8 provinces had CSR>3,000 despite a decrease in 2010, but North Khorasan had CSR<3,000 over the whole 5 year period. In 4 provinces, CSR had a gap from 3,000 despite an ascending trend, and in two, the gap was quite considerable. Although CSR has an improving trend in most provinces in Iran, it is decreasing in some provinces, and despite an already low CSR, the exacerbation continues. The growing population of over 50 year olds calls for prompt measures in such provinces. Even in improving provinces, some lag behind the minimum recommended by WHO, and the growth rate of the over 50 population reveals the necessity of immediate planning.

  18. Food expenditure share analysis of household: Case study of food reserved garden area program in Bone Bolango regency of Gorontalo province

    NASA Astrophysics Data System (ADS)

    Buri, N.; Mantau, Z.

    2018-05-01

    The share of food expenditure is one of food security indicator in communities. It also can be used as an indicator of the success of rural development. The aim of this research was to find the share of food expenditure of farm households before and after the program of Food Reserved Garden Area (KRPL/FRGA) in Suwawa and Tilongkabila districtat Bone Bolango Regency of Gorontalo Province. Analysis method used share of food expenditure method. The method measure the ratio of food expenditure and total expenditure of household for a month. Statistical test used a non-parametric method, especially The Wilcoxon Test (two paired samples test). The results found that KRPL program in Ulanta Village of Suwawa district did not significantly affect the share of food expenditure of farm household. While in the South Tunggulo village of Tilongkabila district, FRGA program significantly affected the share of food expenditure.

  19. Tectonics and metallogenic provinces

    USGS Publications Warehouse

    Guild, P.W.

    1983-01-01

    Various theories have been advanced to explain the well-known uneven distribution of metals and ore-deposit types in space and time. Primordial differences in the mantle, preferential concentration of elements in the crust, the prevalence of ore-forming processes at certain times and (or) places, and combinations of one or several of these factors have all been called upon to account for the "metallogenic provinces," which can be defined loosely as regions containing similar deposits of one or a group of metals or minerals. Because many, perhaps most, provinces have complex, multistage origins, the relative importance of inheritance vs. process is still controversial. In recent years the geographic relationship of many geologically young provinces to present-day plate-tectonic positions (accreting or consuming margins, intraplate structures, etc.) has been widely recognized, and the presumption is strong that older provinces had similar relationships to former plates. As most ore deposits resulted from a favorable conjunction of geological processes that are no longer operative, elucidation of their genesis requires reconstruction of the geologic history of the province, with particular emphasis on events coeval with mineralization. Tectonic analysis is an important aspect of this reconstruction; data from orbiting satellites have contributed greatly to this analysis, as the voluminous literature of the past decade testifies. Both the synoptic view of large areas and the ability to emphasize faint contrasts have revealed linear, curvilinear, and circular features not previously recognized from field studies. Some of these undoubtedly reflect basement structures that have contributed to the development, or limit the extent, of metallogenic provinces. Their recognition and delineation will be increasingly valuable to the assessment of resources available and as guides to exploration for the ores needed by future generations. ?? 1983.

  20. Molecular detection of Ehrlichia canis, Hepatozoon canis and Babesia canis vogeli in stray dogs in Mahasarakham province, Thailand.

    PubMed

    Piratae, Supawadee; Pimpjong, Kiattisak; Vaisusuk, Kotchaphon; Chatan, Wasupon

    2015-01-01

    Canine tick borne diseases showing distribution worldwide have caused morbidity and mortality in dogs. This study observed the mainly tick borne pathogens described for dogs in Thailand, Ehrlichia canis, Hepatozoon canis and Babesia canis vogeli. From May to July 2014, blood samples were collected from 79 stray dogs from 7 districts of Mahasarakham province to molecular surveyed for 16s rRNA gene of E. canis and 18s rRNA gene of H. canis and B. canis vogeli. Twenty eight (35.44%) of stray dogs showed the infection with tick borne pathogens. The prevalence of E. canis infection was the highest with 21.5% (17/79). DNA of H. canis and B. canis vogeli were detected at the prevalence of 10.1% (8/79) and 6.3% (5/79), respectively. Co-infection between E. canis and B. canis vogeli were identified in 2 (2.5%) dogs. The results indicated that a wide range of tick borne pathogens are circulation in the canine population in Mahasarakham province. This study is the first report on prevalence of E. canis, H. canis and B. canis vogeli in stray dogs in Mahasarakham, a province in northern part of Thailand. This data providing is important to understand the prevalence of E. canis, H. canis and B. canis vogeli infection in stray dogs in this region, which will assist in the management of these blood parasite.

  1. Effect of security threats on primary care access in Logar province, Afghanistan.

    PubMed

    Morikawa, Masahiro J

    2008-01-01

    Security threats are a major concern for access to health care in many war-torn communities; however, there is little quantified data on actual access to care in rural communities during war. Kinderberg International e.V. provided primary care in rural Logar province, Afghanistan, for these three years in eight districts until they were integrated into the new health care structure led by the Ministry of Health in early 2005. We examined the number of patients visiting our clinic before and during the security threats related to the parliamentary election and subsequent national assembly in 2004. The number of patients declined in remote clinics while the number increased in central locations. This finding has an important practical implication: the monitoring of access to care should include remote clinics, otherwise it may potentially underestimate compromised access to health care due to security threats.

  2. Monitoring adherence to cold chain storage of vaccines in 2014 in the Małopolska province

    PubMed

    Wiercińska, Ewa; Orzeł-Nowak, Anita; Mrozowska, Barbara; Foremny, Jarosław

    2017-01-01

    The principles of „cold chain” have been developed for the safe transport and storage of vaccines because of their sensitivity to temperature and are guidelines for use in all countries. Available information on adherence to the principles of the “cold chain” by healthcare providers in Poland is insufficient. The aim of the study was to assess compliance with these rules in storing vaccines by vaccination centers implementing an immunization program in 2014 in the Malopolska province The study was conducted in 111 vaccination centers in 19 districts of Malopolska, which represents 12% of all vaccination centers in the Malopolska province in 2014. The selection of vaccination centers for the study was not random. During a routine inspection of vaccination centers, an employee of the District Sanitary-Epidemiological Station conducted a study using a specially-prepared questionnaire. Inspections in vaccination centers which qualified for the study were conducted from March to September 2015. Among the analyzed vaccinations centers 90% had a refrigerator or refrigerator-freezer, and 10% a pharmaceutical refrigerator. 3.6% of refrigerators were produced before 2000. A 24-hour recording of the temperature was conducted in 67.6% vaccination centers. 40.5% of vaccination centers had a 24-hour system of recording and notification when temperature parameters had been exceeded in refrigeration devices. 22.5% of vaccination centers had emergency power supply. 13.5% of vaccination centers a power failure occurred in refrigerators, including 40% of the vaccination centers which had a text message notification system.. Total cost of destroyed vaccines amounted to over 20 thousand zl. Correct storage conditions are needed for vaccines to maintain their full effectiveness, which is why it is necessary to intensify efforts to ensure compliance with the principles of the cold chain in the storage of vaccines by healthcare providers.

  3. State and district policy influences on district-wide elementary and middle school physical education practices.

    PubMed

    Chriqui, Jamie F; Eyler, Amy; Carnoske, Cheryl; Slater, Sandy

    2013-01-01

    To examine the influence of state laws and district policies on district-wide elementary school and middle school practices related to physical education (PE) time and the percentage of moderate-to-vigorous physical activity (MVPA) time during PE. Multivariate, cross-sectional analysis of state laws, district wellness and PE policies, and district PE practices for school year 2010-2011 controlling for district-level urbanicity, region, size, race/ethnicity of students, and socioeconomic status and clustered on state. One hundred ninety-five public school districts located in 42 states. District-level PE coordinators for the included districts who responded to an online survey. Minutes and days of PE per week and percent time spent in MVPA during PE time. District PE coordinators reported significantly less PE time than national standards-82.9 and 189.6 minutes at the elementary school and middle school levels, respectively. Physical education was provided an average of 2.5 and 3.7 days per week, respectively; and the percentage of MVPA time in PE was 64.4% and 65.7%, respectively. At the elementary school level, districts in either states with laws governing PE time or in a state and district with a law/policy reported significantly more days of PE (0.63 and 0.67 additional days, respectively), and districts in states with PE time laws reported 18 more minutes of PE per week. At the middle school level, state laws were associated with 0.73 more days of PE per week. Neither state laws nor district policies were positively associated with percent MVPA time in PE. State laws and district policies can influence district-level PE practices-particularly those governing the frequency and duration of PE-although opportunities exist to strengthen PE-related laws, policies, and practices.

  4. Epidemiology of cercarial stage of trematodes in freshwater snails from Chiang Mai province, Thailand

    PubMed Central

    Chontananarth, Thapana; Wongsawad, Chalobol

    2013-01-01

    Objective To investigate the epidemiological situation of cercarial trematodes infection in freshwater snails from different water resources in Chiang Mai province, Thailand. Methods The snail specimens were collected from 13 districts of Chiang Mai province during April 2008 to February 2012. The prevalence of cercarial infection in snails was investigated using the crushing method. The drawing was done with the help of a camera lucida for the morphological study. Results A total of 2 479 snail individuals were collected and classified into 7 families, 11 genera, and 14 species, Among them, 8 snails species were found to be infected with an overall prevalence of 17.27% (428/2 479), which infected with nine groups of cercariae; gymnocephalous cercaria, strigea cercaria, megalurous cercaria, monostome cercaria, parapleurolophocercous cercaria (Haplorchis cercaria), pleurolophocercous cercaria, furcocercous cercaria (Transversotrema cercaria), xiphidiocercaria, and virgulate cercaria. The parapleurolophocercous cercaria was found to be the dominant type among the cercarial infection in the snails (64.25%). Conclusions The various species of snails found in the research location act as the intermediate hosts for the high prevalence of parasitic infection of many species of mammals. This work will provide new information on both the distribution and first intermediate host of trematodes. PMID:23620846

  5. Measurement and Analysis of Specific Activities of Natural Radionuclides (40K, 226Ra and 232Th) in Beach Sand Samples from Talo Kapo Beach of Yaring District in Pattani Province using Gamma Ray Spectrometry

    NASA Astrophysics Data System (ADS)

    Daoh, M.; Masae, R. N.; Po-oh, S.; Boonkrongcheep; Kessaratikoon, P.

    2017-09-01

    The Specific Activities of 40K, 226Ra and 232Th were studied and determinate for 30 beach sand samples collected from Talo Kapo beach of Yaring district in Pattani province. Experimental results were obtained by using a high-purity germanium (HPGe) detector and gamma spectrometry analysis system. The IAEA-SOIL-6 reference materials obtained from the International Atomic Energy Agency were also used to analyze and compute the 40K, 226Ra and 232Th specific activity in all 30 beach sand samples. The measuring time of each sample is 10,000 seconds. It was found that specific activity range from 1805.37 - 3323.05, 40.96 - 2137.36 38.63 - 4329.28 Bq/kg for with mean values of 2242.79 ± 117.40, 250.18 ± 8.21 and 458.42 ± 7.68 Bq/kg for 40K, 226Ra and 232Th, respectively. Moreover, the results were also compared with research data in the south of Thailand, the Office of Atoms for Peace (OAP) annual report data and the recommended values which were proposed by United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR,)

  6. 46 CFR 50.10-5 - Coast Guard District Commander or District Commander.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Coast Guard District Commander or District Commander. 50.10-5 Section 50.10-5 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING GENERAL PROVISIONS Definition of Terms Used in This Subchapter § 50.10-5 Coast Guard District...

  7. Geological Study and Regional Development of Mamberamo Raya Disctrict of Papua Province, Indonesia

    NASA Astrophysics Data System (ADS)

    Tonggiroh, Adi; Asri Jaya, HS; Ria Irfan, Ulva

    2018-02-01

    The goverment of Mamberamo Raya district was established through Act No. 19 of 2007 dated 15 March 2007 as part of the administrative area of Papua Province. The administrative age of this district is relatively young requires hard work of all components in facing development challenges so that necessary strategic steps of vision and mission of regional development to achieve ideal conditions of spatial which as direction of the desired embodiment in the future. Regional development covers all technical aspects including the geological aspect that the area is located on the morphology of the mountains and Mamberamo watershed. Strategic steps require policy as an action to achieve the goal with the elaboration of operational steps to realize the welfare of peoples equally and sustainably according to the potential physiogeography of Mamberamo watershed. The geological aspect as the consideration of technical that this region belongs to the regional tectonic which is divided into the difference of fault in the north there is Yapen fault and in the south is Mamberamo-Gauttier Fault and also a consideration on the stratigraphic structure of various rock types including the dominance of sedimentary rocks. This study examines geological aspects as an element of earth science in spatial planning in Mamberamo district, especially Kasonaweja and Burmeso. The analysis is presented based on field data, in the form of geographical map data of geological structure, geological map, and earthquake data described by cluster pattern indicating regional motion relationship and rock characteristics that make up Mamberamo watershed. It finds land characteristics controlled by geological structures, rock arrangements and landforms in response to landslide, flood and seismic changes.

  8. Impact and sustainability of low-head drip irrigation kits, in the semi-arid Gwanda and Beitbridge Districts, Mzingwane Catchment, Limpopo Basin, Zimbabwe

    NASA Astrophysics Data System (ADS)

    Moyo, Richard; Love, David; Mul, Marloes; Mupangwa, Walter; Twomlow, Steve

    Resource-poor smallholder farmers in the semi-arid Gwanda and Beitbridge districts face food insecurity on an annual basis due to a combination of poor and erratic rainfall (average 500 mm/a and 345 mm/a, respectively, for the period 1970-2003) and technologies inappropriate to their resource status. This impacts on both household livelihoods and food security. In an attempt to improve food security in the catchment a number of drip kit distribution programmes have been initiated since 2003 as part of an on-going global initiative aimed at 2 million poor households per year. A number of recent studies have assessed the technical performance of the drip kits in-lab and in-field. In early 2005 a study was undertaken to assess the impacts and sustainability of the drip kit programme. Representatives of the NGOs, local government, traditional leadership and agricultural extension officers were interviewed. Focus group discussions with beneficiaries and other villagers were held at village level. A survey of 114 households was then conducted in two districts, using a questionnaire developed from the output of the interviews and focus group discussions. The results from the study showed that the NGOs did not specifically target the distribution of the drip kits to poor members of the community (defined for the purpose of the study as those not owning cattle). Poor households made up 54% of the beneficiaries. This poor targeting of vulnerable households could have been a result of conditions set by some implementing NGOs that beneficiaries must have an assured water source. On the other hand, only 2% of the beneficiaries had used the kit to produce the expected 5 harvests over the 2 years, owing to problems related to water shortage, access to water and also pests and diseases. About 51% of the respondents had produced at least 3 harvests and 86% produced at least 2 harvests. Due to water shortages during the dry season 61% of production with the drip kit occurred during

  9. Regional Tectonic Control of Tertiary Mineralization and Recent Faulting in the Southern Basin-Range Province, an Application of ERTS-1 Data

    NASA Technical Reports Server (NTRS)

    Bechtold, I. C.; Liggett, M. A.; Childs, J. F.

    1973-01-01

    Research based on ERTS-1 MSS imagery and field work in the southern Basin-Range Province of California, Nevada and Arizona has shown regional tectonic control of volcanism, plutonism, mineralization and faulting. This paper covers an area centered on the Colorado River between 34 15' N and 36 45' N. During the mid-Tertiary, the area was the site of plutonism and genetically related volcanism fed by fissure systems now exposed as dike swarms. Dikes, elongate plutons, and coeval normal faults trend generally northward and are believed to have resulted from east-west crustal extension. In the extensional province, gold silver mineralization is closely related to Tertiary igneous activity. Similarities in ore, structural setting, and rock types define a metallogenic district of high potential for exploration. The ERTS imagery also provides a basis for regional inventory of small faults which cut alluvium. This capability for efficient regional surveys of Recent faulting should be considered in land use planning, geologic hazards study, civil engineering and hydrology.

  10. Urinary cadmium level in children between nine to fifteen years old in three Sub-districts of Tak Province in Thailand

    NASA Astrophysics Data System (ADS)

    Chaiwong, S.; Sthiannopkao, S.; Kim, K. W.; Chuenchoojit, S.; Poopatpiboon, K.; Poodendean, C.; Supanpaiboon, W.

    2009-07-01

    Urinary cadmium (UCd) is an indicator of the long term exposure of human health. The objective of this research was to study UCd of people aged between 9 to 12 and 13 to 15 years old in both sexes in Prathadpadeang, in Mae Tao and Mae Ku. 849 urines were collected, and determined by using the ICP-MS. The results revealed that 64.30% had UCd less than 1 μg/gCr. XUCd in 3 Sub-districts were 0.132 μg/gCr in Prathadpadeang, 0.141 μg/gCr in Mae Tao, and 0.105 μg/gCr in Mae Ku. The difference in the 3 Sub-districts was significant. XUCd were 0.125 μg/gCr and 0.129 μg/gCr in boys and girls, and 0.119 μg/gCr and 0.135 μg/gCr in age group 9-12 and 13-15 years old.

  11. A rapid assessment of a community health worker pilot programme to improve the management of hypertension and diabetes in Emfuleni sub-district of Gauteng Province, South Africa.

    PubMed

    Ndou, Tshipfuralo; van Zyl, Greer; Hlahane, Salamina; Goudge, Jane

    2013-01-24

    Non-communicable diseases (NCD) and infectious chronic illnesses are recognised as significant contributing factors to the burden of disease globally, specifically in South Africa, yet clinical management is often poor. The involvement of community health workers (CHWs) in TB and HIV care in South Africa, and other low- and middle-income settings, suggests that they could make an important contribution in the management of NCDs. Using a rapid assessment, this study examines the outcomes of a pilot CHW programme to improve the management of hypertension and diabetes in Gauteng province, South Africa. A record review compared outcomes of patients receiving home visits (n56) with a control group (n168) attending the clinic, matched, as far as possible, on age, gender, and condition. Focus group discussions and semi-structured interviews with CHWs, patients, district, clinic, and NGO staff were used to obtain descriptions of the functioning of the programme and patient experiences. Despite the greater age and co-morbidity among those in the pilot programme, the findings suggest that control of hypertension was improved by CHW home visits in comparison to usual clinic care. However, too few doctor visits, insufficient monitoring of patient outcomes by clinic staff, and a poor procurement process for supplies required by the CHWs hampered the programme's activities. The role of CHWs in the management of hypertension should be given greater consideration, with larger studies being conducted to provide more robust evidence. Adequate training, supervision, and operational support will be required to ensure success of any CHW programme.

  12. Risk Factors of Porcine Cysticercosis in the Eastern Cape Province, South Africa

    PubMed Central

    Krecek, Rosina Claudia; Mohammed, Hamish; Michael, Lynne Margaret; Schantz, Peter Mullineaux; Ntanjana, Lulama; Morey, Liesl; Werre, Stephen Rakem; Willingham, Arve Lee

    2012-01-01

    There is a high prevalence of Taenia solium taeniosis/cysticercosis in humans and pigs in the Eastern Cape Province (ECP) of South Africa. The objective of this study was to identify risk factors of porcine cysticercosis in select districts of the ECP. Data were collected in 2003 by interviewing 217 pig producers from the area. Blood samples were collected from 261 of their pigs, which were tested using two enzyme-linked immunosorbent assays (ELISA) for the presence of antibodies to cysticercosis. Frequencies of both owner- and pig-level characteristics were determined. For pig-level analysis, all bivariable and multivariable associations were determined using the surveylogistic procedure of the SAS/STAT® software to accommodate for the intraclass correlation that exists for clusters of pigs within one owner and for clusters of owners within a district. All tests for significance were performed at the α = 0.05 level, and adjusted odds ratios (aOR) and 95% confidence intervals (CI) were determined. Among the respondents, 48% of their households lacked a latrine, 98% slaughtered pigs at home, and 99% indicated that meat inspection services were not available. On bivariable analysis, there was a significant association between porcine infection and district (p = 0.003), breed (p = 0.041) and the absence of a latrine (p = 0.006). On multivariable analysis, the absence of a latrine was the only variable significantly associated with porcine infection (aOR = 1.89; 95% CI = 1.07, 3.35) (p = 0.028). The increased odds of porcine infection with households lacking a latrine contributes to our understanding of the transmission of this parasite in the ECP. Determining and addressing the risk factors for T. solium infection can potentially lower the very high prevalence in humans and pigs in this endemic area. PMID:22655065

  13. Distribution of the Population at Risk of Cholangiocarcinoma in Bua Yai District, Nakhon Ratchasima of Thailand Using Google Map.

    PubMed

    Kaewpitoon, Soraya J; Rujirakul, Ratana; Sangkudloa, Amnat; Kaewthani, Sarochinee; Khemplila, Kritsakorn; Cherdjirapong, Karuna; Kujapun, Jirawoot; Norkaew, Jun; Chavengkun, Wasugree; Ponphimai, Sukanya; Polsripradist, Poowadol; Padchasuwan, Natnapa; Joosiri, Apinya; Wakkhuwattapong, Parichart; Loyd, Ryan A; Matrakool, Likit; Tongtawee, Taweesak; Panpimanmas, Sukij; Kaewpitoon, Natthawut

    2016-01-01

    Cholangiocarcinoma (CCA), a major problem of health in Thailand, particularly in Northeastern and Northern regions, is generally incurable and rapidly lethal because of presentation in stage 3 or 4. Early diagnosis of stage 1 and 2 could allow better survival. Therefore, this study aimed to provide a distribution map of populations at risk for CCA in BuaYai district of Nakhon Ratchasima province, Northeast Thailand. A cross-sectional survey was carried out in 10 sub-districts and 122 villages, during June and November 2015. The populations at risk for CCA were screened using the Korat CCA verbal screening test (KCVST) and then risk areas were displayed by using Google map (GM). A total of 11,435 individuals from a 26,198 population completed the KCVST. The majority had a low score of risk for CCA (1-4 points; 93.3%). High scores with 6, 7 and 8 points accounted for 1.20%, 0.13% and 0.02%. The population at risk was found frequently in sub-district municipalities, followed by sub-district administrative organization and town municipalities, (F=396.220, P-value=0.000). Distribution mapping comprised 11 layers: 1, district; 2, local administrative organization; 3, hospital; 4, KCVST opisthorchiasis; 5, KCVST praziquantel used; 6, KCVST cholelithiasis; 7, KCVST raw fish consumption; 8, KCVST alcohol consumption; 9, KCVST pesticide used; 10, KCVST relative family with CCA; and 11, KCVST naive northeastern people. Geovisual display is now available online. This study indicated that the population at high risk of CCA in Bua Yai district is low, therefore setting a zero model project is possible. Key success factors for disease prevention and control need further study. GM production is suitable for further CCA surveillance and monitoring of the population with a high risk score in this area.

  14. An ethnobotanical survey of mosquito repellent plants in uMkhanyakude district, KwaZulu-Natal province, South Africa.

    PubMed

    Mavundza, E J; Maharaj, R; Finnie, J F; Kabera, G; Van Staden, J

    2011-10-11

    The aim of the study was to document plants traditionally used to repel mosquitoes in the uMkhanyakude district, KwaZulu-Natal, South Africa. The specific objectives of the study were to: (1) identify plant species and their parts being used; (2) determine the condition of plant material used and the method of application. Data was collected from 60 respondents in five villages in the district using standardised and pre-tested questionnaires. Thirteen plant species are used in the study area to repel mosquitoes. These species belong to 11 genera from 9 families. Meliaceae and Anacardiaceae were the most represented families with two species each. The most frequently recorded species were Lippia javanica (91.67%), followed by Aloe ferox (11.67%), Sclerocarya birrea (5%), Melia azedarach (3%), Balanite maughamii (3%) and Mangifera indica (3%). Leaves were the most (38%) common plant part used. The majority (82%) of the plant parts were used in a dry state. Burning of plant materials to make smoke was the most (92%) common method of application. Nine plant species, namely: A. ferox, Calausena anista, Croton menyharthii, S. birrea, B. maughamii, Olax dissitiflora, Trichilia emetic, M. indica, and Atalaya alata are documented for the first time as mosquito repellents. This documentation provides the basis for further studies in developing new, effective, safe and affordable plant-derived mosquito repellents especially for Africa where malaria is highly prevalent. The study also plays a part in documenting and conserving traditional knowledge of mosquito repellent plants for future use. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  15. Estimation of small reservoir storage capacities in the São Francisco, Limpopo, Bandama and Volta river basins using remotely sensed surface areas

    NASA Astrophysics Data System (ADS)

    Rodrigues, Lineu; Senzanje, Aidan; Cecchi, Philippe; Liebe, Jens

    2010-05-01

    People living in areas with highly variable rainfall, experience droughts and floods and often have insecure livelihoods. Small multi-purpose reservoirs (SR) are a widely used form of infrastructures to provide people in such areas with water during the dry season, e.g. in the basins of São Francisco, Brazil, Limpopo, Zimbabwe, Bandama, Ivory Coast and Volta, Ghana. In these areas, the available natural flow in the streams is sometimes less than the flow required for water supply or irrigation, however water can be stored in times of surplus, for example, from a wet season to a dry season. Efficient water management and sound reservoir planning are hindered by the lack of information about the functioning of these reservoirs. Reservoirs in these regions were constructed in a series of projects funded by different agencies, at different times, with little or no coordination among the implementing partners. Poor record keeping and the lack of appropriate institutional support result in deficiencies of information on the capacity, operation, and maintenance of these structures. Estimating the storage capacity of dams is essential to the responsible management of water diversion. Most of SR in these basins have never been evaluated, possibly because the tools currently used for such measurement are labor-intensive, costly and time-consuming. The objective of this research was to develop methodology to estimate small reservoir capacities as a function of their remotely sensed surface areas in the São Francisco, Limpopo, Bandama and Volta basins, as a way to contribute to improve the water resource management in those catchments. Remote sensing was used to identify, localize and characterize small reservoirs. The surface area of each was calculated from satellite images. A sub-set of reservoirs was selected. For each reservoir in the sub-set, the surface area was estimated from field surveys, and storage capacity was estimated using information on reservoir surface

  16. Application of standard photogeologic techniques to LANDSAT imagery for mineral exploration in the basin and range province of Utah and Nevada

    NASA Technical Reports Server (NTRS)

    Lattman, L. H. (Principal Investigator)

    1977-01-01

    The author has identified the following significant results. Standard photogeologic techniques were applied to LANDSAT imagery of the basin and range province of Utah and Nevada to relate linear, tonal, textural, drainage, and geomorphic features to known mineralized areas in an attempt to develop criteria for the location of mineral deposits. No consistent correlation was found between lineaments, mapped according to specified criteria, and locations of mines, mining districts, or intrusive outcrops. Tonal and textural patterns were more closely related to geologic outcrop patterns than to mineralization. A statistical study of drainage azimuths of various length classes as measured on LANDSAT showed significant correlation with mineralized districts in the length class of 3-6 km. Alignments of outcrops of basalt, a rock type highly visible on LANDSAT imagery, appear to be colinear with acidic and intermediate intrusive centers in some areas and may assist on the recognition of regional fracture systems for mineral exploration.

  17. INVESTIGATION OF MEASLES OUTBREAK IN A DISTRICT OF BALOCHISTAN PROVINCE, PAKISTAN.

    PubMed

    Saeed, Abid; Butt, Zahid Ahmad; Malik, Tabinda

    2015-01-01

    Measles is a communicable viral disease which is a major public health problem and a leading cause of morbidity and mortality in the developing countries including Pakistan with implications for outbreaks. An outbreak was reported from Ibrahim Khan Village of Manzari union council (UC), Pishin District by medical officer during polio campaign on 15th April 2014. A team was sent to investigate the outbreak and suggest control measures. Rapid assessment of outbreak was done by collecting data from house-to-house from April 16th-20th, 2014. Case was defined as "a person of any age, resident of village Ibrahim Khan village with non-vesicular maculopapular rash and fever along with one of the symptoms of cough, coryza and conjunctivitis from April 4th-20th, 2014". Routine immunization (RI) was assessed through recall and immunization cards and BCG scars were checked. Line list was developed and data was analyzed. Fifty-five cases (attack rate = 11.27%) including 4 deaths (Case Fatality Rates = 7.27%) were found. Mean age of children was 47 months (4-132 Months). Age-group 0-5 years was most affected (n = 48, 87.27%). Along-with maculopapular rash and fever. Other predominant symptoms were: coryza (n = 52, 95%), conjunctivitis (n = 51, 92%) and pneumonia (n = 42, 77%). RI status assessment showed that none of these children had been immunized. About 56.36% of the respondents were unaware about RI, 16.36% mentioned that vaccinator had not visited their homes, 14.54% reported that health facility is far away and 12.72% reported that even if they could get access to a health facility, the vaccines were not available. Functionalization of EPI centre, vaccinations of all children and mass education was strongly recommended. Surveillance system for vaccine preventable diseases (VPDs) should be strengthened to prevent such outbreaks. Outreach activity must be carried out regularly to reach scattered population.

  18. Characterization and utilization potential of basalt rock from East-Lampung district

    NASA Astrophysics Data System (ADS)

    Isnugroho, K.; Hendronursito, Y.; Birawidha, D. C.

    2018-01-01

    The aim of this research was to study the petrography and chemical properties of basalt rock from East Lampung district, Lampung province. Petrography analysis was performed using a polarization microscope, and analysis of chemical composition using X-RF method. From the analysis of basalt rock samples, the mineral composition consists of pyroxene, plagioclase, olivine, and opaque minerals. Basic mass of basalt rock samples is, composed of plagioclase and pyroxene with subhedral-anhedral shape, forming intergranular texture, and uniform distribution. Mineral plagioclase is colorless and blade shape, transformed into opaque minerals with a size of <0.2 mm, whereas pyroxene present among the blades of plagioclase, with a greenish tint looked and a size of <0.006 mm. Mineral opaque has a rectangular shape to irregular, with a size of <0.16 mm. The chemical composition of basalt rock samples, consisting of 37.76-59.64 SiO2; 10.10-20.93 Fe2O3; 11.77-14.32 Al2O3; 5.57-14.75 CaO; 5.37-9.15 MgO; 1.40-3.34 Na2O. From the calculation, obtained the value of acidity ratio (Ma) = 3.81. With these values, indicate that the basalt rock from East Lampung district has the potential to be utilized as stone wool fiber.

  19. Are we doing enough? Evaluation of the Polio Eradication Initiative in a district of Pakistan's Punjab province: a LQAS study

    PubMed Central

    2010-01-01

    Background The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. The aim of the study was to establish valid and reliable estimate for: routine oral polio vaccine (OPV) coverage, logistics management and the quality of monitoring systems in health facilities, NIDs OPV coverage, the quality of NIDs service delivery in static centers and mobile teams, and to ultimately provide scientific evidence for tailoring future interventions. Methods A cross-sectional study using lot quality assessment sampling was conducted in the District Nankana Sahib of Pakistan's Punjab province. Twenty primary health centers and their catchment areas were selected randomly as 'lots'. The study involved the evaluation of 1080 children aged 12-23 months for routine OPV coverage, 20 health centers for logistics management and quality of monitoring systems, 420 households for NIDs OPV coverage, 20 static centers and 20 mobile teams for quality of NIDs service delivery. Study instruments were designed according to WHO guidelines. Results Five out of twenty lots were rejected for unacceptably low routine immunization coverage. The validity of coverage was questionable to extent that all lots were rejected. Among the 54.1% who were able to present immunization cards, only 74.0% had valid immunization. Routine coverage was significantly associated with card availability and socioeconomic factors. The main reasons for routine immunization failure were absence of a vaccinator and unawareness of need for immunization. Health workers (96.9%) were a major source of information. All of the 20 lots were rejected for poor compliance in logistics management and quality of monitoring systems. Mean compliance score and compliance percentage for logistics management were 5.4 ± 2.0 (scale 0-9) and 59.4% while

  20. Are we doing enough? Evaluation of the Polio Eradication Initiative in a district of Pakistan's Punjab province: a LQAS study.

    PubMed

    Mushtaq, Muhammad Umair; Majrooh, Muhammad Ashraf; Ullah, Mohsin Zia Sana; Akram, Javed; Siddiqui, Arif Mahmood; Shad, Mushtaq Ahmad; Waqas, Muhammad; Abdullah, Hussain Muhammad; Ahmad, Waqar; Shahid, Ubeera; Khurshid, Usman

    2010-02-09

    The success of the Global Polio Eradication Initiative was remarkable, but four countries - Afghanistan, Pakistan, India and Nigeria - never interrupted polio transmission. Pakistan reportedly achieved all milestones except interrupting virus transmission. The aim of the study was to establish valid and reliable estimate for: routine oral polio vaccine (OPV) coverage, logistics management and the quality of monitoring systems in health facilities, NIDs OPV coverage, the quality of NIDs service delivery in static centers and mobile teams, and to ultimately provide scientific evidence for tailoring future interventions. A cross-sectional study using lot quality assessment sampling was conducted in the District Nankana Sahib of Pakistan's Punjab province. Twenty primary health centers and their catchment areas were selected randomly as 'lots'. The study involved the evaluation of 1080 children aged 12-23 months for routine OPV coverage, 20 health centers for logistics management and quality of monitoring systems, 420 households for NIDs OPV coverage, 20 static centers and 20 mobile teams for quality of NIDs service delivery. Study instruments were designed according to WHO guidelines. Five out of twenty lots were rejected for unacceptably low routine immunization coverage. The validity of coverage was questionable to extent that all lots were rejected. Among the 54.1% who were able to present immunization cards, only 74.0% had valid immunization. Routine coverage was significantly associated with card availability and socioeconomic factors. The main reasons for routine immunization failure were absence of a vaccinator and unawareness of need for immunization. Health workers (96.9%) were a major source of information. All of the 20 lots were rejected for poor compliance in logistics management and quality of monitoring systems. Mean compliance score and compliance percentage for logistics management were 5.4 +/- 2.0 (scale 0-9) and 59.4% while those for quality of

  1. Cohort Profile: The Ecuador Life (ECUAVIDA) study in Esmeraldas Province, Ecuador

    PubMed Central

    Cooper, Philip J; Chico, Martha E; Platts-Mills, Thomas AE; Rodrigues, Laura C; Strachan, David P; Barreto, Mauricio L

    2015-01-01

    The ECUAVIDA birth cohort is studying the impact of exposures to soil-transmitted helminth (STH) parasites and early-life microbial exposures on the development of atopy, allergic diseases and immune responses in childhood. A total of 2404 newborns were recruited between 2006 and 2009 in a public hospital serving the rural district of Quininde, Esmeraldas Province, in a tropical region of coastal Ecuador. Detailed measurements were done around the time of the birth, at 7 and 13 months and at 2 and 3 years, and data collection is ongoing at 5 and 8 years. Data being collected include questionnaires for: sociodemographic, lifestyle, psychosocial (at 4–6 years only) and dietary (at 6–7 years only) factors; childhood morbidity and clinical outcomes; stool samples for parasites; blood samples for DNA, measurements of vaccine responses and other measures of immune function/inflammation; and anthropometrics. Allergen skin prick test reactivity is done from 2 years and measures of airway function and inflammation at 8 years. PMID:24990475

  2. An Analysis of the Readiness and Implementation of 2013 Curriculum in the West Part of Seram District, Maluku Province, Indonesia

    ERIC Educational Resources Information Center

    Rumahlatu, Dominggus; Huliselan, Estevanus K.; Takaria, Johanis

    2016-01-01

    The changes of curriculum by government always generate pros and cons endlessly. Similarly, the implementation of 2013 Curriculum, which has been established by the government, makes most of the school educators throughout Indonesia including West Seram district try hard to implement the curriculum. Given that there are a lot schools in the West…

  3. California's Districts of Choice

    ERIC Educational Resources Information Center

    Kronholz, June

    2014-01-01

    This article describes the results of a California state law established in 2010 that created "Districts of Choice." The District of Choice law was meant to encourage districts to compete for students by offering innovative programs and this-school-fits-my-child options that parents wanted. This designation meant that children from any…

  4. Zero Energy Districts

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Polly, Benjamin J

    This presentation shows how NREL is approaching Zero Energy Districts, including key opportunities, design strategies, and master planning concepts. The presentation also covers URBANopt, an advanced analytical platform for district that is being developed by NREL.

  5. Heuweltjies (earth mounds) in the Clanwilliam district, Cape Province, South Africa: 4000-year-old termite nests.

    PubMed

    Moore, J M; Picker, M D

    1991-05-01

    Examination of eroded and intact earth mounds in the Clanwilliam district, South Africa, indicates that they are well-established active termitaria of the harvester termite Microhodotermes viator. Unoccupied lower portions of the mounds contain ubiquitous trace-fossil evidence of earlier inhabitation by the same species. Previous studies indicating that fossorial molerats played a major role in the formation of the mounds are not supported by the observations presented here. Calcretization of the basal parts of the earth mounds has been caused by groundwater interaction with the more alkaline mound soil. 14 C dating of this calcrete indicates that the earth mounds have been in existence for at least 4000 years, an order of magnitude greater than any previously recorded longevity for termitarium inhabitation.

  6. Province, Indonesia

    PubMed

    Endarti, Dwi; Satibi, Satibi; Kristina, Susi Ari; Farida, Muhaya Almira; Rahmawanti, Yuni; Andriani, Tika

    2018-04-27

    Objective: To determine knowledge, perception, and acceptance related to cervical cancer, HPV vaccination and screening for cervical cancer among Indonesian women, particularly in Yogyakarta province. Methods: A convenience sample of 392 women consists of 192 young women, 100 mothers of girls aged 12 – 15 years, and 100 adult women in Yogyakarta province, Indonesia was participated in this study. A self-administered paper-based questionnaire was used to determine demographics characteristics of respondents, as well as their knowledge – perception – acceptance related to cervical cancer, HPV vaccination, and screening for cervical cancer. Data collection were conducted during December 2013 to March 2014. Descriptive statistics was used to analyze description of demographics characteristics, knowledge, perception, and acceptance; while crosstab analysis using Chi-Square was used to analyze the relationship between demographics characteristics versus knowledge, perception, and acceptance. Results: This study found that knowledge and perception regarding cervical cancer, HPV vaccination, and screening for cervical cancer among women in Indonesia, particularly in Yogyakarta Province were still insufficient, however the acceptance was good. Among female young women, 64% had good knowledge, 62% had positive perception of cervical cancer and HPV vaccination, and 92% tended to accept HPV vaccination. Among mothers of girls aged 12 – 15 years, 44% had good knowledge, 46% had positive perception of cervical cancer and HPV vaccination, and 91% tended to accept HPV vaccination for their daughters. Among adult women, 68% had good knowledge, 57% had positive perception of cervical cancer and screening for cervical cancer, and 90% tended to accept cervical cancer screening. In general, demographics characteristics of having experience and exposure to information had significant relationship with knowledge, perception, and acceptance of HPV vaccination and screening for

  7. Knowledge of free delivery policy among women who delivered at health facilities in Oudomxay Province, Lao PDR.

    PubMed

    Chankham, Tengbriacheu; Yamamoto, Eiko; Reyer, Joshua A; Arafat, Rahman; Khonemany, Innoukham; Panome, Sayamoungkhoun; Hongkham, Dalavong; Bounfeng, Phommalaysith; Anonh, Xeuthvongsa; Hamajima, Nobuyuki

    2017-02-01

    To promote the utilization of maternal health services and reduce financial barriers, the Laos government introduced its "Free Maternal Health Services Policy" in 2012. This policy provides free maternal health services for pregnant women, which includes costs related to treatment, transportation, food fees, referral and an incentive for four antenatal care appointments. This study aims to ascertain the knowledge level regarding this policy among Lao women and determine their level of satisfaction with the maternal service provision. This is a cross-sectional study conducted in Xay district, La district, and Namore district of Oudomxay province, in August 2015. Three hundred and sixty women who delivered their children at the health facilities from July 2014 to June 2015 were randomly selected from the list of mothers who lived in each area. The majority of women had heard about the free delivery policy and knew that the main health services related to delivery and pregnancy were free of charge. Logistic regression analysis showed that education level (P=0.026), length of stay (P<0.0001) and receiving transportation support (P=0.005) had significant associations with the knowledge level. The women were highly satisfied with the quality of the services, health care providers, and health facilities. However, most mothers were not satisfied with accessibility to health facilities. To increase utilization of health facilities and reduce the maternal mortality ratio in rural areas, the government needs to improve people's education status and health care accessibility.

  8. Influenza-like illness in a Vietnamese province: epidemiology in correlation with weather factors and determinants from the surveillance system.

    PubMed

    Minh An, Dao Thi; Ngoc, Nguyen Thi Bich; Nilsson, Maria

    2014-01-01

    Seasonal influenza affects from 5 to 15% of the world's population annually and causes an estimated 250,000-500,000 deaths worldwide. The World Health Organization (WHO) recommends 'sentinel surveillance' for influenza-like illness (ILI) because it is simple and calls for standardized methods at a relatively low cost that can be implemented throughout the world. In Vietnam, ILI is a key priority for public health also because of its annually recurring temporal pattern. Two major factors, on which the spread of influenza depends, are the strain of the virus and its rate of mutation, since flu strains constantly mutate as they compete with host immune systems. In the context of global climate change, the role of climatic factors has been discussed, as they may significantly contribute to the cause of large outbreaks of ILI. 1) To describe the epidemiology of ILI in Ha Nam province, Vietnam; 2) to seek scientific evidence on the association of ILI occurrence with weather factors in Ha Nam province; and 3) to analyze factors from the Ha Nam ILI surveillance system that contribute to explaining the correlation between the ILI and the weather factors. A data set of 89,270 monthly reported ILI cases from 2008 to 2012 in Ha Nam was used to describe ILI epidemiological characteristics. Spearman correlation analyses between ILI cases and weather factors were conducted to identify which preceding period of months and weather patterns influenced the occurrence of ILI cases. Ten in-depth interviews with health workers in charge of recording and reporting ILI cases at different levels of the ILI surveillance system were conducted to gain a deeper understanding of factors contributing to explaining the relation between the ILI and the weather factors. The results indicated that the ILI occurred annually in all districts of the Ha Nam province in the five studied years. An epidemic occurred in 2009 with the number of cases three times higher than the average threshold. There was a

  9. District Support of School Improvement: Highlights from Three Districts. Newsletter

    ERIC Educational Resources Information Center

    Center for Comprehensive School Reform and Improvement, 2009

    2009-01-01

    This newsletter addresses various supports that districts are utilizing to help keep students in school and on the path to graduation. Described herein are three districts that have been particularly successful in raising student achievement--even though they differ in their specific strategies, fund allocation, and demographic composition. A…

  10. Sorption characteristics of cadmium in a clay soil of Mae Ku creek, Tak Province, Thailand

    NASA Astrophysics Data System (ADS)

    Thunyawatcharakul, P.; Chotpantarat, S.

    2018-05-01

    Mae Sot is a district in Tak province, the northern part of Thailand where has encountered with cadmium (Cd) contaminated in soils. Exposure of Cd can lead to severe health effect, for examples, bone softening, osteoporosis, renal dysfunction, and Itai-Itai disease. This study aims at elucidating sorption behavior of Cd in the contaminated soil collected from Mae Ku creek, Mae Sot district, Thailand. Batch sorption experiment was conducted in order to investigate sorption characteristics of Cd onto the contaminated soil. The soil sample taken from the study area consists of 26% sand, 16% silt 58% clay, which categorized as a clay soil, based on USDA classification. Soil pH is slightly alkaline (pH∼7.7) and organic matter in the soil is 2.93%. The initial concentration in the batch sorption experiment was in the range from 0- 200 ppm. The result from the batch sorption experiment showed that soil sample can adsorb Cd up to 173.5 ppm and the sorption behavior of the soil sample can be well described by Freundlich isotherm, indicating the multilayer sorption (R2 = 0.9964), with Freundlich constants of 0.312 and 1.760 L g-1 for 1/n and Kf, respectively.

  11. DDT exposure of frogs: A case study from Limpopo Province, South Africa.

    PubMed

    Viljoen, Ignatius M; Bornman, Riana; Bouwman, Hindrik

    2016-09-01

    Amphibians are globally under pressure with environmental contaminants contributing to this. Despite caution aired more than 80 years ago of threats posed to amphibians by DDT spraying for disease vector control, no data have been published on concentrations or effects of DDT contamination in frogs from areas where DDT is actively sprayed to control the insect vectors of malaria. In this study, we sampled fat bodies of Xenopus laevis and Xenopus muelleri naturally occurring in an area where indoor residual spraying of DDT is employed and from adjacent, non-sprayed, areas. ΣDDT concentrations ranged between 

  12. Crustal extension and magmatism during the mid-Cenozoic ignimbrite flare-up in the Guazapares Mining District and Cerocahui basin regions, northern Sierra Madre Occidental, western Chihuahua, Mexico

    NASA Astrophysics Data System (ADS)

    Murray, Bryan Patrick

    Silicic large igneous provinces are significant in the geologic record, due to their unusually extensive areal coverage (>100,000 km2) and large volumes (>250,000 km3), and may be characteristic of continental regions undergoing broad lithospheric extension. The Sierra Madre Occidental of northwestern Mexico is the biggest and best-preserved silicic large igneous province of the Cenozoic and is considered part of the extensive mid-Cenozoic ignimbrite flare-up that affected much of the southwestern North American Cordillera. Despite its size and preservation, very little is known about the geology of the Sierra Madre Occidental, and the timing and spatial extent of ignimbrite flare-up volcanism in relation to crustal extension is relatively unknown. This study presents new geologic mapping, stratigraphy, zircon U-Pb laser ablation ICP-MS dating, modal analysis, and geochemical data from the Guazapares Mining District and Cerocahui basin regions, two adjacent areas of the northern Sierra Madre Occidental in western Chihuahua. The rock exposure and topographic relief in this previously unmapped ~450 km2 area make it ideal for studying the relationships between silicic large igneous province volcanism and crustal extension. Three informal formations are identified in the study area: (1) the ca. 27.5 Ma Parajes formation, a ~1-km-thick succession of primarily welded silicic outflow ignimbrite sheets erupted from sources within ~50--100 km of the study area that were active during the Early Oligocene pulse of the mid-Cenozoic ignimbrite flare-up; (2) the ca. 27--24.5 Ma Temoris formation, composed primarily of locally erupted mafic-intermediate lavas and associated intrusions with interbedded alluvial deposits, likely related to rocks of the Southern Cordillera basaltic andesite province that were intermittently erupted across all of the northern Sierra Madre Occidental following the Early Oligocene ignimbrite pulse; and (3) the ca. 24.5--23 Ma Sierra Guazapares

  13. Establishing a Computerized Substance Abuse Surveillance System for District Social Workers in the Western Cape Province, South Africa: Methods, Successes and Challenges

    ERIC Educational Resources Information Center

    Burnhams, Nadine Harker; Myers, Bronwyn; Fakier, Nuraan; Parry, Charles; Carelse, Jermaine

    2011-01-01

    The provision of accurate, in-depth data on substance abuse trends and service needs has become increasingly important in light of the growing wave of substance abuse in South Africa and particularly in the Western Cape Province. This article describes the design and implementation of an electronic substance abuse surveillance system (SASS)…

  14. Nitrate-nitrogen contamination in groundwater: Spatiotemporal variation and driving factors under cropland in Shandong Province, China

    NASA Astrophysics Data System (ADS)

    Liu, J.; Jiang, L. H.; Zhang, C. J.; Li, P.; Zhao, T. K.

    2017-08-01

    High groundwater nitrate-N is a serious problem especially in highly active agricultural areas. In study, the concentration and spatialtemporal distribution of groundwater nitrate-N under cropland in Shandong province were assessed by statistical and geostatistical techniques. Nitrate-N concentration reached a maximum of 184.60 mg L-1 and 29.5% of samples had levels in excess of safety threshold concentration (20 mg L-1). The median nitrate-N contents after rainy season were significantly higher than those before rainy season, and decreased with increasing groundwater depth. Nitrate-N under vegetable and orchard area are significantly higher than ones under grain. The kriging map shows that groundwater nitrate-N has a strong spatial variability. Many districts, such as Weifang, Linyi in Shandong province are heavily contaminated with nitrate-N. However, there are no significant trends of NO3 --N for most cities. Stepwise regression analysis showed influencing factors are different for the groundwater in different depth. But overall, vegetable yield per unit area, percentages of orchard area, per capita agricultural production, unit-area nitrogen fertilizer, livestock per unit area, percentages of irrigation areas, population per unit area and annual mean temperature are significant variables for groundwater nitrate-N variation.

  15. Snakebites in Two Rural Districts in Lao PDR: Community-Based Surveys Disclose High Incidence of an Invisible Public Health Problem.

    PubMed

    Vongphoumy, Inthanomchanh; Phongmany, Panom; Sydala, Sengdao; Prasith, Nouda; Reintjes, Ralf; Blessmann, Joerg

    2015-01-01

    The Lao PDR (Laos) is one of the least developed countries in Asia with an estimated 25% of the population living in poverty. It is the habitat of some highly venomous snakes and the majority of the population earns their living from agricultural activities. Under these circumstances the incidence of snakebites is expected to be high. Two cross-sectional, community-based surveys were performed in Champone and Phin district, Savannakhet province, Lao PDR to estimate snakebite incidence. Multistage random sampling was used. In the first stage approximately 40% of all villages in each district were randomly selected. In the second stage 33% of all households in each village were randomly chosen. Members of the selected households were interviewed about snakebites during the previous 12 months. Thirty-five of 9856 interviewees reported a snakebite in a 12 month period in Champone district and 79 of 7150 interviewees in Phin district. The estimated incidence is 355 snakebites per 100,000 persons per year and 1105 per 100,000 in Champone and Phin district respectively. All snakebite victims received treatment by traditional healers or self-treatment at home and nobody went to a hospital. Incidence of snakebites, calculated on the basis of hospital records of 14 district hospitals and Savannakhet provincial hospital, ranged from 3 to 14 cases per 100,000 persons per year between 2012 and 2014. Incidence of snakebites is high in rural communities in Laos with significant regional differences. Poverty most likely contributes significantly to the higher number of snakebites in Phin district. Hospital statistics profoundly underestimates snakebite incidence, because the majority of snakebite victims receive only treatment by traditional healers or self-treatment in their village. There is an urgent need to train medical staff and students in management of snakebite patients and make snake antivenom available to cope effectively with this important public health problem in

  16. 7 CFR 946.31 - Districts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... included in either the Quincy or South Irrigation Districts which lies east of township vertical line R27E... Irrigation Districts which lies west of township line R28E. (c) District No. 3—The counties of Benton...

  17. 7 CFR 946.31 - Districts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... included in either the Quincy or South Irrigation Districts which lies east of township vertical line R27E... Irrigation Districts which lies west of township line R28E. (c) District No. 3—The counties of Benton...

  18. Districts for 104th Congress

    USGS Publications Warehouse

    ,

    1990-01-01

    This is a polygon coverage of 104th Congressional District boundaries obtained from the U.S. Bureau of the Census. The 103rd Congress was the first Congress that reflected the reapportionment and delineation of congressional districts based on the 1990 census. The next (104th) Congress reflects redelineation of districts that occurred for six states: Georgia, Louisiana, Maine, Minnesota, South Carolina, and Virginia. Congressional Districts U.S. House of Representatives Census TIGER/Line Files

  19. The comprehensive community-based traffic safety program : phase I, problem identification for District 2 and District 7.

    DOT National Transportation Integrated Search

    1986-01-01

    This report contains the initial Problem Identification for the Comprehensive Community-Based Traffic Safety Program (CCBP). Two DMV districts, District 2 and District 7, have been selected as the pilot areas for the CCBP, and because both districts ...

  20. Reforming Districts: How Districts Support School Reform. A Research Report. Document R-03-6

    ERIC Educational Resources Information Center

    McLaughlin, Milbrey; Talbert, Joan

    2003-01-01

    School districts have participated in multiple rounds of education reform activity in the past few decades, yet few have made headway on system-wide school improvement. This paper addresses the questions of whether districts matter for school reform progress and what successful "reforming" districts do to achieve system change and to…

  1. Factors associated with the use of mosquito bed nets: results from two cross-sectional household surveys in Zambézia Province, Mozambique.

    PubMed

    Moon, Troy D; Hayes, Caleb B; Blevins, Meridith; Lopez, Melanie L; Green, Ann F; González-Calvo, Lazaro; Olupona, Omo

    2016-04-11

    Malaria remains a major threat to some 3.2 billion persons globally. Malaria contributes heavily to the overall disease burden in Mozambique and is considered endemic. A cornerstone of Mozambique's vector control strategy has been to strive for universal coverage of insecticide-treated nets (ITN). The study is a population-based cross-sectional survey of female heads-of-household in Zambézia Province, Mozambique conducted during August-September, 2010 and April-May, 2014. Analyses accounted for a stratified two-stage cluster sample design. Outcomes of interest included sleeping under a mosquito net during the previous night. Descriptive statistics were calculated for three oversampled districts and for the entire province. Multivariable logistic regression analysis was used to estimate factors associated with both changes over time and increased mosquito bed net usage. Of the 3916 households interviewed in 2010 and 3906 households in 2014, 64.3% were in possession of at least one mosquito bed net. A higher proportion of households in Namacurra (90%) reported possession of a mosquito net, compared to Alto Molócuè (77%) and Morrumbala (34%), respectively in 2014. Of pregnant respondents, 58.6% reported sleeping under a mosquito net the previous night in 2010 compared to 68.4% in 2014. Fifty percent of children 0-59 months slept under a mosquito net the previous night in 2010 compared to 60% in 2014. Factors associated with use of a mosquito net for female head-of-household respondents were higher education, understanding Portuguese, larger household size, having electricity in the household, and larger household monthly income. As travel time to a health facility increased (per 1 h), respondents had 13% lower odds of sleeping under a mosquito net (OR 0.87; 95% CI 0.74-1.01, p = 0.07). Pregnant women in 2014 had a 2.4 times higher odds of sleeping under a bed net if they lived in Namacurra compared to Alto Molócuè (95% CI 0.91-6.32, p = 0.002 for district

  2. Seroprevalence and Determinants of Immunity to Diphtheria for Children Living in Two Districts of Contrasting Incidence During an Outbreak in East Java, Indonesia.

    PubMed

    Hughes, Gareth J; Mikhail, Amy F W; Husada, Dominicus; Irawan, Eveline; Kafatos, George; Bracebridge, Samantha; Pebody, Richard; Efstratiou, Androulla

    2015-11-01

    In 2012, an ongoing outbreak of diphtheria in Indonesia was focused in the province of East Java. There was a need to assess vaccine coverage and immunity gaps in children. We conducted a cross-sectional seroprevalence and vaccine coverage survey of children 1-15 years of age in 2 districts of East Java: one of high incidence (on the island of Madura) and one of low incidence (on the mainland). From each district, we sampled 150 children (10 children per year of age). Sera and throat swabs were taken to determine immunity and carriage status. Immunity was defined as ≥0.1 international unit/mL of antibody to diphtheria toxin. A total of 297 children were selected to participate in the study. Coverage of three doses of combined vaccine for diphtheria, tetanus and pertussis was significantly lower (P < 0.001) in the high incidence district compared with the low [57%, 95% confidence interval (CI): 36-78 vs. 97%, 95% CI: 93-100]. Despite this higher vaccine coverage, seroprevalence of immunity was lower in the low incidence district compared with the high (71%, 95% CI: 63-80 vs. 83%, 95% CI: 76-90). Immunity in the high incidence district was associated with increased age, increased prevalence of toxigenic Corynebacterium diphtheriae carriers and with receipt of multiple (and likely more recent) boosters. Significant variation exists in vaccine coverage and seroprevalence of immunity to diphtheria in East Java. Immunity in high incidence districts is likely because of natural immunity acquired through exposure to toxigenic C. diphtheriae. Booster vaccines are essential for achieving protective levels of immunity.

  3. Leadership Academies: A District Office Perspective

    ERIC Educational Resources Information Center

    Doll, Rick

    2016-01-01

    This article investigates district-level administrators' perceptions regarding the value of the partnership academies. The article uses input from seven district administrators who provided feedback regarding the value of the district and university partnership, specific benefits to the district, the differences between participants who envision…

  4. Cost analysis and efficiency of sub-district health facilities in two districts in Ghana.

    PubMed

    Aboagye, Anthony Q Q; Degboe, Arnold N K

    2011-01-01

    To establish the full costs borne by sub-district health facilities in providing services, we analysed the costs and revenues of 10 sub-district health facilities located in two districts in Ghana. The full costs were obtained by considering staff costs, cost of utilities, cost of using health facility equipment, cost of non-drug consumables, equipment maintenance expenses, amounts spent on training, community information sessions and other outreach activities as well as all other costs incurred in running the facilities. We found that (i) a large proportion of sub-district health facility costs is made up of staff salaries; (ii) at all facilities, internally generated funds (IGFs) are substantially lower than costs incurred in running the facilities; (iii) average IGF is several times higher in one district than the other; (iv) wide variations exist in efficiency indicators and (v) there is some evidence that sub-district health facilities may not necessarily be financially more efficient than hospitals in using financial resources. We suggest that the study should be replicated in other districts; but in the mean time, the health authorities should take note of the conclusions and recommendations of this study. Efforts should also be made to improve record keeping at these facilities. Copyright © 2010 John Wiley & Sons, Ltd.

  5. Pakistan: Summary Report. Education Financing and People's Aspirations in Pakistan. Asia-South Pacific Education Watch

    ERIC Educational Resources Information Center

    Lozada, Rebecca, Ed.

    2008-01-01

    This study was conducted across the country in a total of 23 districts, 5 districts each in the four provinces of Pakistan, i.e. Balochistan, Punjab, Sindh, North Western Frontier Province (NWFP), and 2 districts in Azad Jammu & Kashmir (AJK). The main purpose of the paper was to unravel the intricate budgeting process in the education sector,…

  6. Completion of potential conflicts of interest through optimization of Rukoh reservoir operation in Pidie District, Aceh Province, Indonesia

    NASA Astrophysics Data System (ADS)

    Azmeri, Hadihardaja, Iwan K.; Shaskia, Nina; Admaja, Kamal Surya

    2017-11-01

    Rukoh Reservoir's construction was planned to be built in Krueng Rukoh Watershed with supplet ion from Krueng Tiro River. Rukoh Reservoir operating system as a multipurpose reservoir raised potential conflict of interest between raw water and irrigation water. In this study, the operating system of Rukoh Reservoirs was designed to supply raw water in Titeu Sub-District and replenish water shortage in Baro Irrigation Area which is not able to be served by the Keumala Weir. Reservoir operating system should be planned optimally so that utilization of water in accordance with service area demands. Reservoir operation method was analyzed by using optimization technique with nonlinear programming. Optimization of reservoir operation is intended to minimize potential conflicts of interest in the operation. Suppletion discharge from Krueng Tiro River amounted to 46.62%, which was calculated based on ratio of Baro and Tiro irrigation area. However, during dry seasons, water demands could not be fully met, so there was a shortage of water. By considering the rules to minimize potential conflicts of interest between raw water and irrigation water, it would require suppletion from Krueng Tiro amounted to 52.30%. The increment of suppletion volume could minimize conflicts of interest. It produced l00% reservoir reliability for raw water and irrigation demands. Rukoh reservoir could serve raw water demands of Titeu Sub-District and irrigation demands of Baro irrigation area which is covering an area of 6,047 hectars. Reservoir operation guidelines can specify reservoir water release to balance the demands and the target storage.

  7. 7 CFR 958.27 - Districts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...; (2) changes in the relative position of existing districts with respect to onion production; (3) the... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE ONIONS GROWN IN CERTAIN DESIGNATED... Districts. (a) For the purpose of selecting committee members, the following districts of the production...

  8. Plasmodium prevalence and artemisinin-resistant falciparum malaria in Preah Vihear Province, Cambodia: a cross-sectional population-based study.

    PubMed

    Bosman, Philippe; Stassijns, Jorgen; Nackers, Fabienne; Canier, Lydie; Kim, Nimol; Khim, Saorin; Alipon, Sweet C; Chuor Char, Meng; Chea, Nguon; Dysoley, Lek; Van den Bergh, Rafael; Etienne, William; De Smet, Martin; Ménard, Didier; Kindermans, Jean-Marie

    2014-10-06

    Intensified efforts are urgently needed to contain and eliminate artemisinin-resistant Plasmodium falciparum in the Greater Mekong subregion. Médecins Sans Frontières plans to support the Ministry of Health in eliminating P. falciparum in an area with artemisinin resistance in the north-east of Cambodia. As a first step, the prevalence of Plasmodium spp. and the presence of mutations associated with artemisinin resistance were evaluated in two districts of Preah Vihear Province. A cross-sectional population-based study using a two-stage cluster sampling was conducted in the rural districts of Chhaeb and Chey Saen, from September to October 2013. In each district, 30 clusters of 10 households were randomly selected. In total, blood samples were collected for 1,275 participants in Chhaeb and 1,224 in Chey Saen. Prevalence of Plasmodium spp. was assessed by PCR on dried blood spots. Plasmodium falciparum positive samples were screened for mutations in the K13-propeller domain gene (PF3D7_1343700). The prevalence of Plasmodium spp. was estimated at 1.49% (95% CI 0.71-3.11%) in Chhaeb and 2.61% (95% CI 1.45-4.66%) in Chey Saen. Twenty-seven samples were positive for P. falciparum, giving a prevalence of 0.16% (95% CI 0.04-0.65) in Chhaeb and 2.04% (95% CI 1.04-3.99%) in Chey Saen. Only 4.0% of the participants testing positive presented with fever or history of fever. K13-propeller domain mutant type alleles (C580Y and Y493H) were found, only in Chey Saen district, in seven out of 11 P. falciparum positive samples with enough genetic material to allow testing. The overall prevalence of P. falciparum was low in both districts but parasites presenting mutations in the K13-propeller domain gene, strongly associated with artemisinin-resistance, are circulating in Chey Saen.The prevalence might be underestimated because of the absentees - mainly forest workers - and the workers of private companies who were not included in the study. These results confirm the need to

  9. District, Know Thyself

    ERIC Educational Resources Information Center

    Tupa, Megan; McFadden, Ledyard

    2009-01-01

    Finalists for the Broad Prize for Urban Education demonstrate that identifying strategies that fit the local context is essential in creating success for students. Long Beach Unified School District in California and Broward County Public Schools in Florida demonstrate how districts can use different strategies to achieve the same goals.

  10. 22 CFR 92.3 - Consular districts.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Consular districts. 92.3 Section 92.3 Foreign Relations DEPARTMENT OF STATE LEGAL AND RELATED SERVICES NOTARIAL AND RELATED SERVICES Introduction § 92.3 Consular districts. Where consular districts have been established, the geographic limits of the district...

  11. Protozoan Parasites of Rodents and Their Zoonotic Significance in Boyer-Ahmad District, Southwestern Iran

    PubMed Central

    Seifollahi, Zeinab; Motazedian, Mohammad Hossein; Asgari, Qasem; Ranjbar, Mohammad Javad; Abdolahi Khabisi, Samaneh

    2016-01-01

    Backgrounds. Wild rodents are reservoirs of various zoonotic diseases, such as toxoplasmosis, babesiosis, and leishmaniasis. The current study aimed to assess the protozoan infection of rodents in Boyer-Ahmad district, southwestern Iran. Materials and Methods. A total of 52 rodents were collected from different parts of Boyer-Ahmad district, in Kohgiluyeh and Boyer-Ahmad province, using Sherman live traps. Each rodent was anesthetized with ether, according to the ethics of working with animals, and was dissected. Samples were taken from various tissues and stool samples were collected from the contents of the colon and small intestines. Moreover, 2 to 5 mL of blood was taken from each of the rodents and the sera were examined for anti-Leishmania antibodies, by ELISA, or anti-T. gondii antibodies, by modified agglutination test (MAT). DNA was extracted from brain tissue samples of each rodent and PCR was used to identify the DNA of T. gondii. Results. Of the 52 stool samples of rodents studied by parasitological methods, intestinal protozoa infection was seen in 28 cases (53.8%). From 52 rodents, 19 (36.5%) were infected with Trichomonas, 10 (19.2%) with Giardia muris, and 11 (21.2%) with Entamoeba spp. Also, 10 cases (19.2%) were infected with Blastocystis, 3 (5.8%) were infected with Chilomastix, 7 (13.5%) were infected with Endolimax, 1 (1.9%) was infected with Retortamonas, 3 (5.77%) were infected with T. gondii, and 6 (11.54%) were infected with Trypanosoma lewisi. Antibodies to T. gondii were detected in the sera of 5 (9.61%) cases. Results of the molecular study showed T. gondii infection in 3 (5.77%) of the rodents. Findings of this study showed that rodents in Kohgiluyeh and Boyer-Ahmad province, southwestern Iran, are infected with several blood and intestinal parasites; some of them might be potential risks to residents and domestic animals in the region. PMID:26998380

  12. Assessing rural small community water supply in Limpopo, South Africa: water service benchmarks and reliability.

    PubMed

    Majuru, Batsirai; Jagals, Paul; Hunter, Paul R

    2012-10-01

    Although a number of studies have reported on water supply improvements, few have simultaneously taken into account the reliability of the water services. The study aimed to assess whether upgrading water supply systems in small rural communities improved access, availability and potability of water by assessing the water services against selected benchmarks from the World Health Organisation and South African Department of Water Affairs, and to determine the impact of unreliability on the services. These benchmarks were applied in three rural communities in Limpopo, South Africa where rudimentary water supply services were being upgraded to basic services. Data were collected through structured interviews, observations and measurement, and multi-level linear regression models were used to assess the impact of water service upgrades on key outcome measures of distance to source, daily per capita water quantity and Escherichia coli count. When the basic system was operational, 72% of households met the minimum benchmarks for distance and water quantity, but only 8% met both enhanced benchmarks. During non-operational periods of the basic service, daily per capita water consumption decreased by 5.19l (p<0.001, 95% CI 4.06-6.31) and distances to water sources were 639 m further (p ≤ 0.001, 95% CI 560-718). Although both rudimentary and basic systems delivered water that met potability criteria at the sources, the quality of stored water sampled in the home was still unacceptable throughout the various service levels. These results show that basic water services can make substantial improvements to water access, availability, potability, but only if such services are reliable. Copyright © 2012 Elsevier B.V. All rights reserved.

  13. State-Level Guidance and District-Level Policies and Practices for Food Marketing in US School Districts.

    PubMed

    Merlo, Caitlin L; Michael, Shannon; Brener, Nancy D; Blanck, Heidi

    2018-06-07

    State agencies play a critical role in providing school districts with guidance and technical assistance on school nutrition issues, including food and beverage marketing practices. We examined associations between state-level guidance and the policies and practices in school districts regarding food and beverage marketing and promotion. State policy guidance was positively associated with districts prohibiting advertisements for junk food or fast food restaurants on school property. Technical assistance from states was negatively associated with 2 district practices to restrict marketing of unhealthy foods and beverages, but positively associated with 1 practice to promote healthy options. These findings may help inform the guidance that states provide to school districts and help identify which districts may need additional assistance to address marketing and promotion practices.

  14. Antiretroviral Therapy Program Expansion in Zambézia Province, Mozambique: Geospatial Mapping of Community-Based and Health Facility Data for Integrated Health Planning

    PubMed Central

    Moon, Troy D.; Ossemane, Ezequiel B.; Green, Ann F.; Ndatimana, Elisée; José, Eurico; Buehler, Charlotte P.; Wester, C. William; Vermund, Sten H.; Olupona, Omo

    2014-01-01

    Objective To generate maps reflecting the intersection of community-based Voluntary Counseling and Testing (VCT) delivery points with facility-based HIV program demographic information collected at the district level in three districts (Ile, Maganja da Costa and Chinde) of Zambézia Province, Mozambique; in order to guide planning decisions about antiretroviral therapy (ART) program expansion. Methods Program information was harvested from two separate open source databases maintained for community-based VCT and facility-based HIV care and treatment monitoring from October 2011 to September 2012. Maps were created using ArcGIS 10.1. Travel distance by foot within a 10 km radius is generally considered a tolerable distance in Mozambique for purposes of adherence and retention planning. Results Community-based VCT activities in each of three districts were clustered within geographic proximity to clinics providing ART, within communities with easier transportation access, and/or near the homes of VCT volunteers. Community HIV testing results yielded HIV seropositivity rates in some regions that were incongruent with the Ministry of Health’s estimates for the entire district (2–13% vs. 2% in Ile, 2–54% vs. 11.5% in Maganja da Costa, and 23–43% vs. 14.4% in Chinde). All 3 districts revealed gaps in regional disbursement of community-based VCT activities as well as access to clinics offering ART. Conclusions Use of geospatial mapping in the context of program planning and monitoring allowed for characterizing the location and size of each district’s HIV population. In extremely resource limited and logistically challenging settings, maps are valuable tools for informing evidence-based decisions in planning program expansion, including ART. PMID:25329169

  15. 7 CFR 930.6 - District.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false District. 930.6 Section 930.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and... Definitions § 930.6 District. District means one of the subdivisions of the production area described in § 930...

  16. 7 CFR 930.6 - District.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 8 2011-01-01 2011-01-01 false District. 930.6 Section 930.6 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and... Definitions § 930.6 District. District means one of the subdivisions of the production area described in § 930...

  17. A District Level Planning Model.

    ERIC Educational Resources Information Center

    McHenry, W. E.; Achilles, C. M.

    This report examines school district planning models in South Carolina. It focuses on three questions: (1) Of those school districts conducting some type of systematic planning, how many are producing strategic plans? Long-range plans? Accountability reports? (2) In those same districts, how many are preparing adequate program-management…

  18. Significance of informal (on-the-job) learning and leadership development in health systems: lessons from a district finance team in South Africa

    PubMed Central

    Choonara, S; Goudge, J; Nxumalo, N; Eyles, J

    2017-01-01

    Background The district health system (DHS) has a critical role to play in the delivery of primary healthcare (PHC). Effective district management, particularly leadership is considered to be crucial element of the DHS. Internationally, the debate around developing leadership competencies such as motivation or empowerment of staff, managing relationships, being solution driven as well as fostering teamwork are argued to be possible through approaches such as formal and informal training. Despite growing multidisciplinary evidence in fields such as engineering, computer sciences and health sciences there remains little empirical evidence of these approaches, especially the informal approach. Findings are based on a broader doctoral thesis which explored district financial management; although the core focus of this paper draws attention to the significance of informal learning and its practical value in developing leadership competencies. Methods A qualitative case study was conducted in one district in the Gauteng province, South Africa. Purposive and snowballing techniques yielded a sample of 18 participants, primarily based at a district level. Primary data collected through in-depth interviews and observations (participant and non-participant) were analysed using thematic analysis. Findings Results indicate the sorts of complexities, particularly financial management challenges which staff face and draws attention to the use of two informal learning strategies—learning from others (how to communicate, delegate) and fostering team-based learning. Such strategies played a role in developing a cadre of leaders at a district level who displayed essential competencies such as motivating staff, and problem solving. Conclusions It is crucial for health systems, especially those in financially constrained settings to find cost-effective ways to develop leadership competencies such as being solution driven or motivating and empowering staff. This study illustrates that

  19. Significance of informal (on-the-job) learning and leadership development in health systems: lessons from a district finance team in South Africa.

    PubMed

    Choonara, S; Goudge, J; Nxumalo, N; Eyles, J

    2017-01-01

    The district health system (DHS) has a critical role to play in the delivery of primary healthcare (PHC). Effective district management, particularly leadership is considered to be crucial element of the DHS. Internationally, the debate around developing leadership competencies such as motivation or empowerment of staff, managing relationships, being solution driven as well as fostering teamwork are argued to be possible through approaches such as formal and informal training. Despite growing multidisciplinary evidence in fields such as engineering, computer sciences and health sciences there remains little empirical evidence of these approaches, especially the informal approach. Findings are based on a broader doctoral thesis which explored district financial management; although the core focus of this paper draws attention to the significance of informal learning and its practical value in developing leadership competencies. A qualitative case study was conducted in one district in the Gauteng province, South Africa. Purposive and snowballing techniques yielded a sample of 18 participants, primarily based at a district level. Primary data collected through in-depth interviews and observations (participant and non-participant) were analysed using thematic analysis. Results indicate the sorts of complexities, particularly financial management challenges which staff face and draws attention to the use of two informal learning strategies-learning from others (how to communicate, delegate) and fostering team-based learning. Such strategies played a role in developing a cadre of leaders at a district level who displayed essential competencies such as motivating staff, and problem solving. It is crucial for health systems, especially those in financially constrained settings to find cost-effective ways to develop leadership competencies such as being solution driven or motivating and empowering staff. This study illustrates that it is possible to develop such

  20. Genetic diversity of merozoite surface protein-2 in Plasmodium falciparum isolates from Aceh province, Indonesia

    NASA Astrophysics Data System (ADS)

    Jamil, K. F.; Supargiyono, S.; Syafruddin, D.; Pratama, N.; Silvy, S.

    2018-03-01

    Estimated 3.3 million Indonesian population were infected with malaria. However, extensive genetic polymorphism of the field isolates MSP-2 of P. falciparum represents a major obstacle for the development of malaria treatment. The aim of this study to investigate the genetic diversity of MSP-2 genotype in field isolates of P. falciparum collected in Aceh Province. A total of 90 patients enrolled in this study who were selected from positive malaria from eleven district Hospitals in Aceh from 2013-2015. Data was collected by anamnesis, complete physical examination and laboratory tests for MSP-2. All protocol to diagnose malaria assigned following the WHO 2010 guideline. All samples were stored in Eijkman Biology Molecular Institute, Jakarta.Among 90 samples were 57.7% male and 42.3% female with the most cases ages between 21-30 years old. Allele typing analysis displayed the polymorphic nature of P. falciparum. The MSP-2 have two alleles, 62.2% (56/90) for FC27 type and 58.9% (53/90) for 3D7 type and 21.2% (19/90) for mixed FC27 and 3D7 infection were identified. Diverse allele types from Aceh Province was identified in MSP-2 P. falciparum patients; there is the almost similar number of patients infected with both allele. A moderate level of the mixed allele was also observed.

  1. Blood cholinesterase activity levels of farmers in winter and hot season of Mae Taeng District, Chiang Mai Province, Thailand.

    PubMed

    Hongsibsong, Surat; Kerdnoi, Tanyaporn; Polyiem, Watcharapon; Srinual, Niphan; Patarasiriwong, Vanvimol; Prapamontol, Tippawan

    2018-03-01

    Organophosphate and carbamate pesticides have been widely used by farmers for crop protection and pest control. Inhibition of acetylcholinesterase (AChE) in erythrocyte and butyrylcholinesterase (BChE) in plasma is the predominant toxic effect of organophosphate and carbamate pesticides. Mae Taeng District, Chiang Mai Province, is one of the large areas of growing vegetables and fruits. Due to their regular exposure to these pesticides, the farmers are affected by this toxicity. The objective of the study was to examine the AChE and the BChE activity levels in the blood of 102 farmers for comparison of exposure in two cropping seasons, winter and hot. Blood samples were collected in December 2013 (winter) and April-June 2014 (hot). A total of 102 farmers joined the study, represented by 76 males (74.5 %) and 26 females (25.5 %). The age of most of the farmers was 53.4 ± 8.7 years. Out of 102, 21 farmers used carbamate pesticides. The results showed that the AChE and the BChE activity levels of all the farmers were 3.27 ± 0.84 Unit/mL and 2.15 ± 0.58 Unit/mL, respectively. The AChE and the BChE activity levels in males were 3.31 ± 0.88 Unit/mL and 1.97 ± 0.60 U/mL, respectively, during winter and 3.27 ± 0.82 Unit/mL and 2.15 ± 0.58 U/mL, respectively, during the hot season, and AChE and the BChE activity levels in females were 3.27 ± 0.82 U/mL and 2.44 ± 0.56 U/mL, respectively, during the hot season. The cholinesterase activity levels, both AChE and BChE, in the male farmers' blood had significant difference between the two seasons, while in the case of the female farmers, there was significant difference in the BChE activity levels, at p < 0.05. The BChE activity level was found to significantly correlate with self-spray (p < 0.05), which implies that the BChE activity decreased when they sprayed by themselves. The cholinesterase activity levels of the present study were lower than those of the other

  2. 137Caesium in samples of wild-grown Boletus edulis Bull. from Lucca province (Tuscany, Italy) and other Italian and European geographical areas.

    PubMed

    Betti, Laura; Palego, Lionella; Lucacchini, Antonio; Giannaccini, Gino

    2017-01-01

    Samples of the edible mushroom Boletus edulis Bull. were studied to assess the risk for human health related to their content of the artificial radionuclide 137 Cs. Fresh B. edulis carpophores were collected in four undeveloped microhabitats of Lucca province (Tuscany, North-Central Italy). Dried non-cultivated samples coming from this same district and 11 other Italian provinces or European countries were instead purchased fromcommercial sources. Contents of 137 Cs, reported as Bq kg ‒1 dry weight (dw), were measured by γ-spectrometry. The radionuclide concentration varied depending on the gathering site in fresh samples, with 41.8 ± 5.2 Bq kg ‒1 dw at site 1 (Tosco-Emiliani Apennine) and four-fold less, 12.8 ± 1.3 Bq kg ‒1 dw, at site 2 (Apuan Alps). Moreover, fresh or dried carpophores from Lucca province displayed among the lowest 137 Cs contents in Europe. Average 137 Cs levels in all analysed samples were substantially below the legal threshold for edible mushrooms, 600 Bq kg ‒1 dw. Conclusively, we report that 137 Cs amounts in B. edulis depend on both the distance from the Chernobyl accident and multifactorial features of collection sites. We also show that the consumption of European B. edulis does not represent a major health risk with respect to 137 Cs radio contamination.

  3. Reinstating district nursing: A UK perspective.

    PubMed

    Morris, Hannah

    2017-09-01

    As policy directives gather pace for service provision to be delivered in primary care, district nursing has not been recognised as a valuable asset to facilitate this agenda. Investment in district nursing and specialist district nursing education has fallen. This is concurrent with an ageing district nursing workforce, a lack of recruitment and growing caseloads, as district nursing adapts to meet the challenges of the complexities of contemporary healthcare in the community. The district nurse role is complex and multifaceted and includes working collaboratively and creatively to coordinate care. Redressing the shortages of specialist district nurse practitioners with increased numbers of health care support workers will not replace the skill, knowledge, experience required to meet the complex care needs of today's society. District nursing needs to be reinstated as the valuable asset it is, through renewed investment in the service, research development and in specialist practice education. To prevent extinction district nurses need to be able to demonstrate and articulate the complexities and dynamisms of the role to reinstate themselves to their commissioners as a valuable asset for contemporary practice that can meet current health and social care needs effectively. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  4. Mosquito (Diptera: culicidae) fauna of qom province, iran.

    PubMed

    Saghafipour, A; Abai, Mr; Farzinnia, B; Nafar, R; Ladonni, H; Azari-Hamidian, S

    2012-01-01

    There is very little information about the mosquito fauna of Qom Province, central Iran. By now only three species; Anopheles claviger, An. multicolor, and An. superpictus have been reported in the province. To study mosquito fauna and providing a primary checklist, an investigation was carried out on a collection of mosquitoes in this province. TO STUDY THE MOSQUITO (DIPTERA: Culicidae) fauna, larval collections were carried out from different habitats on 19 occasions using the standard dipping technique during spring and summer 2008 and 2009. In total, 371 mosquito larvae were collected and morphologically identified including 14 species representing four genera: Anopheles claviger, An. marteri, An. turkhudi, An. superpictus, Culex arbieeni, Cx. hortensis, Cx. mimeticus, Cx. modestus, Cx. pipiens, Cx. territans, Cx. theileri, Culiseta longiareolata, Cs. subochrea, and Ochlerotatus caspius s.l. All species except for An. claviger and An. superpictus were collected for the first time in the province. All larvae were found in natural habitats. The association occasions and percentages of the mosquito larvae in Qom Province were discussed. There are some potential or proven vectors of different human and domesticated animal pathogens in Qom Province. The ecology of these species and the unstudied areas of Qom Province need to be investigated extensively.

  5. Mosquito (Diptera: Culicidae) Fauna of Qom Province, Iran

    PubMed Central

    Saghafipour, A; Abai, MR; Farzinnia, B; Nafar, R; Ladonni, H; Azari-Hamidian, S

    2012-01-01

    Background There is very little information about the mosquito fauna of Qom Province, central Iran. By now only three species; Anopheles claviger, An. multicolor, and An. superpictus have been reported in the province. To study mosquito fauna and providing a primary checklist, an investigation was carried out on a collection of mosquitoes in this province. Methods: To study the mosquito (Diptera: Culicidae) fauna, larval collections were carried out from different habitats on 19 occasions using the standard dipping technique during spring and summer 2008 and 2009. Results: In total, 371 mosquito larvae were collected and morphologically identified including 14 species representing four genera: Anopheles claviger, An. marteri, An. turkhudi, An. superpictus, Culex arbieeni, Cx. hortensis, Cx. mimeticus, Cx. modestus, Cx. pipiens, Cx. territans, Cx. theileri, Culiseta longiareolata, Cs. subochrea, and Ochlerotatus caspius s.l. All species except for An. claviger and An. superpictus were collected for the first time in the province. All larvae were found in natural habitats. The association occasions and percentages of the mosquito larvae in Qom Province were discussed. Conclusion: There are some potential or proven vectors of different human and domesticated animal pathogens in Qom Province. The ecology of these species and the unstudied areas of Qom Province need to be investigated extensively. PMID:23293779

  6. Suburban District Leaders' Perception of Their Practices

    ERIC Educational Resources Information Center

    Garcia France, Roxanne

    2013-01-01

    In the field of district leadership, most studies focus only on the context and conditions existing in large urban districts in need of reform. This study examined whether district leadership practices have applicability to district leaders working within the suburban context. In addition, it determined whether district conditions (i.e., district…

  7. District Consolidation: Rivals Coming Together

    ERIC Educational Resources Information Center

    Mart, Dan

    2011-01-01

    District consolidation is a highly emotional process. One key to success is sticking to the facts. In Iowa, school districts facing financial difficulties or enrollment concerns do not have to move directly to consolidation. In many cases, districts begin by developing sharing agreements. These sharing agreements may start with simple sharing of…

  8. 7 CFR 927.11 - District.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

  9. 7 CFR 927.11 - District.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

  10. 7 CFR 927.11 - District.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

  11. 7 CFR 927.11 - District.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

  12. 7 CFR 927.11 - District.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... District shall include all the counties in the State of Oregon except for Hood River and Wasco counties. (2) Mid-Columbia District shall include Hood River and Wasco counties in the State of Oregon, and the counties of Skamania and Klickitat in the State of Washington. (3) Wenatchee District shall include the...

  13. From Districts to Schools: The Distribution of Resources across Schools in Big City School Districts

    ERIC Educational Resources Information Center

    Rubenstein, Ross; Schwartz, Amy Ellen; Stiefel, Leanna; Amor, Hella Bel Hadj

    2007-01-01

    While the distribution of resources across school districts is well studied, relatively little attention has been paid to how resources are allocated to individual schools inside those districts. This paper explores the determinants of resource allocation across schools in large districts based on factors that reflect differential school costs or…

  14. The Partnership Pact: Fulfilling School Districts' Research Needs with University-District Partnerships

    ERIC Educational Resources Information Center

    Ralston, Nicole; Weitzel, Bruce; Waggoner, Jacqueline; Naegele, Zulema; Smith, Rebecca

    2016-01-01

    There has been a recent shift in university-district partnership models from traditional transactional partnerships, which lack a shared purpose, to transformational partnerships that are mutually beneficial to both universities and school districts. These transformational research-practice partnerships have gained popularity in the United States…

  15. Analysis of County School Districts in Arkansas.

    ERIC Educational Resources Information Center

    Budd, Karol B.; Charlton, J.L.

    The 1948, Arkansas School District Reorganization Act was passed in an effort to reduce the 1589 small school districts to a smaller number. Those districts not consolidated would form county districts. As of the 1967-68 school year, 26 of these county districts remained. The purpose of this study was to provide information drawing attention to…

  16. Increasing the uptake of long-acting and permanent methods of family planning: A qualitative study with village midwives in East Java and Nusa Tenggara Barat Provinces, Indonesia.

    PubMed

    Titaley, Christiana R; Wijayanti, Ratna U; Damayanti, Rita; Setiawan, Agus Dwi; Dadun; Dachlia, Dini; Siagian, Ferdinand; Suparno, Heru; Saputri, Dwi Astuti Yunita; Harlan, Sarah; Wahyuningrum, Yunita; Storey, Douglas

    2017-10-01

    this analysis aims to explore midwives' insights into the provision of long-acting and permanent methods of contraception (LAPMs) in the selected areas of East Java and Nusa Tenggara Barat (NTB) Provinces, Indonesia. a qualitative study using in-depth interviews was conducted with 12 village midwives from 12 villages, to explore their perceptions and experiences in delivering family planning services. the study was carried out in May-June 2013, as part of the baseline assessment in the Improving Contraceptive Method Mix (ICMM) study. We interviewed 12 village midwives working in 12 villages in six study districts: Tuban, Kediri, and Lumajang Districts in East Java Province; and Lombok Barat, Lombok Timur, and Sumbawa Districts in NTB Province. an interview guideline was used in all interviews. It covered several topics, such as community perceptions of LAPMs, availability of contraception and related equipment, availability of human resources, and midwives' efforts to improve LAPM coverage. All interviews were recorded and transcribed. Content and thematic analyses were carried out by grouping and coding the information based on the identified themes and topics. according to village midwives interviewed in this study, community-level acceptance of LAPMs has increased over time; however, some still prefer using short-acting methods for a long period. The reasons include lack of awareness about the benefits and side effects of LAPMs, fear of surgical procedures, rumored consequences (for example, that LAPMs would limit women's ability to perform hard physical labor), and religious beliefs. There were several challenges reported by village midwives in delivering LAPM services, such as confusion about midwives' eligibility to provide LAPM services, lack of Contraceptive Technology Update (CTU) and counseling trainings, and shortage of supporting equipment (such as exam tables and IUD and implant insertion kits). There were several strategies implemented by village

  17. Delayed treatment of tuberculosis patients in rural areas of Yogyakarta province, Indonesia

    PubMed Central

    Mahendradhata, Yodi; Syahrizal, Bobby M; Utarini, Adi

    2008-01-01

    Background In year 2000, the entire population in Indonesia was 201 million and 57.6 percent of that was living in rural areas. This paper reports analyses that address to what extent the rural structure influence the way TB patients seek care prior to diagnosis by a DOTS facility. Methods We documented healthcare utilization pattern of smear positive TB patients prior to diagnosis and treatment by DOTS services (health centre, chest clinic, public and private hospital) in Yogyakarta province. We calculated the delay in treatment as the number of weeks between the onset of symptoms and the start of DOTS treatment. Statistical analysis was carried out with Epi Info version 3.3 (October 5, 2004). Results The only factor which was significantly associated with total delay was urban-rural setting (p = < 0.0001). The median total delay for TB patients in urban districts was 8 (1st Quartile = 4; 3rd Quartile = 12) weeks compared to 12 (1st Quartile = 7; 3rd Quartile = 23) weeks for patients in rural districts. Multivariate analysis suggested no confounding between individual factors and urban-rural setting remained as the main factor for total delay (p = < 0.0001). Primary health centre was the first choice provider for most (38.7%) of these TB patients. Urban-rural setting was also the only factor which was significantly associated with choice of first provider (p = 0.03). Conclusion Improving access to DOTS services in rural areas is an area of vital importance in aiming to make progress toward achieving TB control targets in Indonesia. PMID:19036164

  18. A Cross-Sectional Survey of Intestinal Helminthiases in Rural Communities of Nakhon Ratchasima Province, Thailand.

    PubMed

    Kaewpitoon, Soraya J; Loyd, Ryan A; Kaewpitoon, Natthawut

    2015-05-01

    The public-health problems caused by intestinal helminthic infections have been neglected in rural areas where there remains a lack of hygiene and an inadequate supply ofsanitary water This research was to study the infection rate of intestinal helminthiases and socioeconomic data within two communities in Nakhon Ratchasima province. Intestinal helminthiases were examined using Kato's Thick Smear technique and socio-demographic data was collected using predesigned semi-structured questionnaires. 209 stool samples were collected from 83 male and 126 female participants. Stool examinations showed that 6.22% (13/209) of study participants were infected with intestinal helminths, predominantly hookworm (4.31%, 9/209) followed by Strongyloides stercolaris (1.44%, 2/209), and Taenia sp. (0.48%, 1/209). Males were slightly more likely to be infected than females. Intestinal helminthic infection was more commonlyfound in the 61-70 year age group andpositively associated with occupation ofagriculture. The Tanod sub-district had an intestinal helminthiases rate of 10.59%, higher than in the Wang Sai sub-district. In conclusion, this study shows that intestinal helminthic infections are common parasitic infections among patients presenting for a small scale survey of a rural Thai community. This information may provide invaluable statistics needed for planning meaningful public control programs that aim at reducing the prevalence and morbidity of parasitic infections. Large scale surveys and health education are urgently required.

  19. Assessment Of Carbon Leakage In Multiple Carbon-Sink Projects: ACase Study In Jambi Province, Indonesia

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Boer, Rizaldi; Wasrin, Upik R.; Hendri, Perdinan

    2007-06-01

    Rehabilitation of degraded forest land throughimplementation of carbon sink projects can increase terrestrial carbonstock. However, carbon emissions outside the project boundary, which iscommonly referred to as leakage, may reduce or negate the sequestrationbenefits. This study assessed leakage from carbon sink projects thatcould potentially be implemented in the study area comprised of elevensub-districts in the Batanghari District, Jambi Province, Sumatra,Indonesia. The study estimates the probability of a given land use/coverbeing converted into other uses/cover, by applying a logit model. Thepredictor variables were: proximity to the center of the land use area,distance to transportation channel (road or river), area of agriculturalland, unemploymentmore » (number of job seekers), job opportunities, populationdensity and income. Leakage was estimated by analyzing with and withoutcarbon sink projects scenarios. Most of the predictors were estimated asbeing significant in their contribution to land use cover change. Theresults of the analysis show that leakage in the study area can be largeenough to more than offset the project's carbon sequestration benefitsduring the period 2002-2012. However, leakage results are very sensitiveto changes of carbon density of the land uses in the study area. Byreducing C-density of lowland and hill forest by about 10 percent for thebaseline scenario, the leakage becomes positive. Further data collectionand refinement is therefore required. Nevertheless, this study hasdemonstrated that regional analysis is a useful approach to assessleakage.« less

  20. Epidemiological Study on Cutaneous Leishmaniasis in an Endemic Area, of Qom Province, Central Iran.

    PubMed

    Saghafipour, Abedin; Vatandoost, Hassan; Zahraei-Ramazani, Ali Reza; Yaghoobi-Ershadi, Mohammad Reza; Jooshin, Moharram Karami; Rassi, Yavar; Shirzadi, Mohammad Reza; Akhavan, Amir Ahmad; Hanafi-Bojd, Ahmad Ali

    2017-09-01

    Cutaneous leishmaniasis (CL) is one of the most important health problems in many areas of Iran. There are two forms of the disease in Iran, anthroponotic and zoonotic CL. This study conducted to assess the epidemiological situation of CL in an endemic area of Qom Province, central Iran from Apr to Nov 2015. The sticky paper traps and aspirating tubes were used for collecting adult sand flies. Sherman traps and small insect nets were used to capture rodents and small mammals. Giemsa staining was used for preparing the expanded smear and followed by PCR for identifying the causative agent in human, vectors, and reservoirs. In this study, relative frequency of CL was also calculated. Fourteen species of Phlebotomine sand flies were collected. Phlebotomus papatasi (61.74%) was the predominant species through the period of activity. Overall, 62 Meriones libycus , 8 Nesokia indica , 4 Mus musculus , 16 Allactaga elater and 2 Hemiechinus auritis were caught. PCR technique showed 6 out of 150 P. papatasi (2%), two out of 62 M. libycus (3.23%) and all of suspected human's skin tissue samples (100%) were infected with Leishmania major . The relative frequency of CL was 0.30%. This is the first detection of L. major within P. papatasi , M. libycus and human in Kahak District in Qom Province of Iran. Zoonotic cycle of CL exists in this area, L. major is the causative agent, P. papatasi is the main vector and M. libycus is the main reservoir of the disease.

  1. Exploring the use of social network analysis to measure communication between disease programme and district managers at sub-national level in South Africa.

    PubMed

    Kawonga, Mary; Blaauw, Duane; Fonn, Sharon

    2015-06-01

    With increasing interest in maximising synergies between disease control programmes (DCP) and general health services (GHS), methods are needed to measure interactions between DCP and GHS actors. In South Africa, administrative integration reforms make GHS managers at decentralised level (district managers) responsible for the oversight of DCP operations within districts, with DCP managers (programme managers) providing specialist support. The reforms necessitate interdependence, but these actors work together ineffectively. Communication is crucial for joint working, but no research to assess communication between these actors has been done. This study explores the use of social network analysis (SNA) to measure the extent to which programme and district managers in South Africa communicate, using HIV monitoring and evaluation (M&E) as an exemplar. Data were collected from fifty one managers in two provinces during 2010-2011, to measure: a) one-on-one task-related communication - talking about the collation (verification, reporting) and use of HIV data for monitoring HIV interventions; and b) group communication through co-participating in management committees where HIV data are used for monitoring HIV interventions in districts. SNA measures were computed to describe actor centrality, network density (cohesion), and communication within and between respective manager groups. Block modelling was applied to identify management committees that connect respective manager groups. Results show HIV programme managers located at higher level communicated largely amongst themselves as a group (homophily), seldom talked to the district managers to whom they are supposed to provide specialist HIV M&E support, and rarely participated with them in management committees. This research demonstrates the utility of SNA as a tool for measuring the extent of communication between DCP and GHS actors at sub-national level. Actions are needed to bridge observed communication gaps in

  2. Preface

    NASA Astrophysics Data System (ADS)

    Nel, Jackie M., , Dr; Swart, Hendrik C., , Prof; Reinhardt Botha, J., , Prof

    2016-01-01

    The 6th South African Conference on Photonic Materials took place at Mabula Game Lodge, South Africa, from 4 to 8 May 2015. The conference venue, Mabula Game Lodge, is located in the Waterberg Mountains outside Bela-Bela in the Limpopo Province of South Africa. This part of our beautiful country is home to some of the most impressive bushveld and is particularly renowned for its exceptional private game lodges, Mabula Game Lodge being no exception. It is located a mere two hours' drive from O.R. Tambo International Airport in Gauteng and offers an unforgettable "Big Five" game experience on the malaria free reserve.

  3. One Approach to Increasing Revenues for Your School District. (A Small School District's Successful Struggle).

    ERIC Educational Resources Information Center

    Dombrowski, Richard J.

    In 1983, Channahon School District 17 in Illinois was $1.3 million in debt. Real estate taxes constituted the school district's chief source of revenue, but because the state's oil industry kept its assessed valuations below the actual value of its property through the use of experts and lawyers, the school district was denied much of its income.…

  4. Clinico-epidemiology of arthropod stings and bites in primary hospitals of North Western province of Sri Lanka.

    PubMed

    Kularatne, Senanayake A M; Shahmy, Seyed; Rathnayake, Shantha S; Dawson, Andrew H

    2018-03-06

    Arthropod stinging and bites are common environmental hazards in Sri Lanka. However, their medical importance has not been fully evaluated yet. This study aims to study the burden, epidemiology, and outcome of stings and bites in primary hospitals in the Kurunegala district in North Western Province (NWP) of Sri Lanka. The study was conducted one year from 25th May 2013 to 25th May 2014. Details of all stings and bites admissions and their outcomes were retrospectively extracted from hospital records in all 44 primary hospitals in the district. There were 623 stings and bites with population incidence of 38/100,000 (95% CI 27-52). There were no deaths. Median age was 38 years (IQR: 19-53 years), and 351 (56%) were males. Most of stings and bites (75%) occurred in the daytime. Median time to hospital arrival was 55 minutes (IQR: 30 min to 2 h). The offending arthropods had been identified in 557 (89%) cases, of them, 357 (57%) were Hymenoptera (hornet and bees), 99 centipedes, 61 spiders and 40 scorpions. Local pain occurred in 346 (56%) cases - centipede 69 (70%), Scorpion 24 (60%), spider 36 (59%), Hymenoptera 187 (52%) and unidentified 30 (45%). Hymenoptera stings and spider bites occurred between 06 am to 12 noon, and scorpion stings and centipede bites mostly occurred between 06 pm to 12 midnight. Mild, moderate to severe anaphylaxis reactions occurred in 173 (28%) patients including 110 Hymenoptera stings - mild 39, moderate 62 and severe 9. From primary hospitals, 53(9%) cases had been transferred to tertiary care units for further management. Of them, 41 cases were Hymenoptera stings and 24 (58%) of them had mild, moderate to severe anaphylaxis. In the entire group, 27% severe cases received adrenaline. The primary hospitals in NW province of Sri Lanka manage large numbers of arthropod stings and bites. These include Hymenoptera (hornet and bee), centipedes, spiders, and scorpions. Pain, swellings and anaphylactic reactions were the most common adverse

  5. Heilongjiang Province, China

    NASA Image and Video Library

    2012-12-07

    Acquired by NASA Terra spacecraft, this image shows Heilongjiang, a province of China located in the northeastern part of the country. Farms are small and long skinny rectangles in shape, surrounding regularly spaced villages.

  6. Texas ports and navigation districts : overview.

    DOT National Transportation Integrated Search

    2017-01-01

    The first Navigation District was established in 1909, and there are now 24 Navigation Districts statewide.1 Navigation districts generally provide for the construction and improvement of waterways in Texas for the purpose of navigation. The creation...

  7. Population of Aedes sp in Highland of Wonosobo District and Its Competence as A Dengue Vector

    NASA Astrophysics Data System (ADS)

    Martini, Martini; Widjanarko, Bagoes; Hestiningsih, Retno; Purwantisari, Susiana; Yuliawati, Sri

    2017-02-01

    The increased cases of dengue fever have occurred in the highland of Wonosobo District, and the epidemic taken place in 2009 had 59.3 cases per 100,000 populations. This study aimed to describe of vector competence of the mosquitoes as a dengue vector in the highland of Wonosobo District, Central Java Province. The serial laboratory work was done to measure of vector competence complementary with vector bionomic study. The samples were 20 villages, which were located at Wonosobo sub district. Every village was observed about 15-20 houses. The observed variables were vector competition, bionomic and transovarial infection level, and titer of virus on the mosquitoes after injection. Immunohistochemistry or IHC methods were used to identify transovarial infection status. The number of Ae. aegypti and Ae. albopictus were almost similar and both were found indoors or outdoors. Based on HI and OI index, the larvae density in the highland was enough high than standard of the program. Transovarial infection was found on Ae. aegypti and Ae. albopictus. Environment parameters such as temperature and relative humidity fulfilled the optimum requirement to support the vectors’ life cycle. Transovarial infection has been proven, thus, it indicates that the local transmission has been occurred in this area. Titer of virus was also increasing after day per day. This indicate that the mosquitoes has the ability being vector. As used to do in other area, it is important to conduct breeding places elimination (PSN) indoors as well as outdoors, through active participation of the community in highland area.

  8. Indoor and outdoor radon measurements at lung cancer patients' homes in the dwellings of Rize Province in Turkey.

    PubMed

    Özen, Songül Akbulut; Celik, Necati; Dursun, Emrehan; Taskın, Halim

    2018-06-01

    In this study, indoor and outdoor radon ( 222 Rn) surveys were carried out in the summer and winter seasons in homes of one hundred lung cancer patients in the year 2013-2014. The aim was to investigate the relationship between radon and cancer patients. Lung cancer patients completed a questionnaire concerning their living environment, various physical parameters and living habits. Pearson correlation and t tests revealed no meaningful results between radon concentrations, on one hand, and environmental and personal living habits, on the other hand. Consequently, the BEIR VI model was adapted and 222 Rn exposure was estimated to be responsible for about 12% of the lung cancer incidences in the winter season and around 5% in the summer season in the Rize Province. However, due to the limited number of data and numerous parameters that could lead to lung cancer, the estimations done with the model should be taken very lightly. The annual effective doses due to inhalation of indoor and outdoor 222 Rn were estimated to be, respectively, 1.43 and 0.94 mSv y -1 . The indoor and outdoor annual effective doses were, respectively, close and below the world annual effective dose (1.3 mSv y -1 ). At the district level, the indoor annual effective dose equivalent in the İyidere district was 4.52 mSv y -1 , which was 3.5 times greater than the world average. The number of patients in the majority of the houses in this district was more than one.

  9. MALACOLOGICAL INVESTIGATION OF THE FULLY OPERATIONAL NAM THEUN 2 HYDROELECTRIC DAM PROJECT IN KHAMMOUANE PROVINCE, CENTRAL LAO PDR.

    PubMed

    Sri-aroon, Pusadee; Chusongsang, Phiraphol; Chusongsang, Yupa; Limpanont, Yanin; Surinthwong, Pornpimol; Vongphayloth, Khamsing; Brey, Paul T

    2015-09-01

    We conducted a malacological investigation in four districts of the Nam Theun 2 (NT2) hydroelectric dam project area, Khammouane Province, central Lao PDR (Nakai, Gnommalath, Mahaxai and Xe Bang Fai), after the first and second years of full operation in March 2010 and November 2011 to determine health risks for humans. A total 10,863 snail specimens (10 families/23 species) from 57 sampling stations and 12,902 snail specimens (eight families/21 species) from 66 sampling stations were collected in 2010 and 2011, respectively. Neotricula aperta (gamma race), the intermediate host for Schistosoma mekongi, was found in large numbers (5,853 specimens) in 2010 in Nam Gnom (downstream) at Station 25 (Mueang Gnommalath: Gnommalath District) and in fewer numbers (170 specimens) at Station 26 (Ban Thathod: Gnommalath District). In 2011, significantly fewer numbers (434 specimens) of N. aperta were found at Station 25. No snails were found to be infected with S. mekongi; however, 3.6% and 0.45% of Bithynia (D.). s. goniomphalos specimens collected were found to be infected with Opisthorchis viverrini (human liver fluke) during 2010 and 2011, respectively. Pomacea canaliculata, the rice crop pest, the intermediate host of Angiostrongylus (Parastrongylus) cantonensis, was found in the greatest numbers during 2010 and 2011; the prevalence increased significantly from 1.3% in 2010 to 53.3% in 2011. We also found seasonal variation in snail populations in terms of abundance and diversity. The snail fauna and risk for transmission of parasitic diseases need to be monitored continuously to evaluate the long-term impact of the dam project.

  10. USGS World Petroleum Assessment 2000: New Conventional Provinces

    USGS Publications Warehouse

    Ahlbrandt, T.S.; Klett, T.R.

    2000-01-01

    The USGS has completed a new assessment of the undiscovered oil and gas resources of the world. One hundred and five geologic provinces were analyzed for assessment. Assessment units (AU) that comprise Total Petroleum Systems (TPS) were identified and described for each of these provinces. The AU served as the basis for assessing undiscovered petroleum within these provinces, 157 TPS and 270 AU were assessed. Some of data included in the assessment include the cumulative percent of world known petroleum volume by ranked oil and gas provinces; undiscovered NGL; reserve growth of the worlds largest oil and gas fields; and world potential reserve growth for oil/gas/NGL.

  11. Lessons learnt from a measles outbreak in Madang Province, Papua New Guinea, June 2014 - March 2015.

    PubMed

    Kamac, Karoi; Paterson, Beverley; Flint, James

    2017-01-01

    This study examined measles vaccine wastage during an outbreak response in Madang Province of Papua New Guinea from June 2014 to March 2015. Vaccine wastage was defined as the number of doses received by a health centre minus the total number of doses administered during and returned following the outbreak vaccination campaign. Vaccine data were collected from the Provincial Health Information Office, the Provincial Vaccine Store register and clinic and health centre immunization registers for calculating the vaccine wastage. Interviews were conducted with all 48 health centres involved in the outbreak response using a structured questionnaire to explore the reasons for vaccine wastage. Of the 154 110 doses issued by Madang Province during the outbreak, a total of 85 236 (55%) doses were wasted. The wastage varied by district from 31% to 90%. The total cost of the vaccine wastage was estimated to be 589 810 Kina (US$ 196 604). None of the health centres maintained vaccine stock registers. Most health centres indicated multiple failures in cold chain logistics. Almost 40% of health centres reported incorrectly diluting vaccines. The same percentage of health centres reported using incorrect injection techniques. Regular audits of cold chain logistics, staff training and improved processes for recording vaccine administration and wastage will decrease vaccine wastage during vaccine-preventable disease outbreaks and also benefit routine immunization activities.

  12. Quantification of water resources uncertainties in the Luvuvhu sub-basin of the Limpopo river basin

    NASA Astrophysics Data System (ADS)

    Oosthuizen, N.; Hughes, D.; Kapangaziwiri, E.; Mwenge Kahinda, J.; Mvandaba, V.

    2018-06-01

    In the absence of historical observed data, models are generally used to describe the different hydrological processes and generate data and information that will inform management and policy decision making. Ideally, any hydrological model should be based on a sound conceptual understanding of the processes in the basin and be backed by quantitative information for the parameterization of the model. However, these data are often inadequate in many sub-basins, necessitating the incorporation of the uncertainty related to the estimation process. This paper reports on the impact of the uncertainty related to the parameterization of the Pitman monthly model and water use data on the estimates of the water resources of the Luvuvhu, a sub-basin of the Limpopo river basin. The study reviews existing information sources associated with the quantification of water balance components and gives an update of water resources of the sub-basin. The flows generated by the model at the outlet of the basin were between 44.03 Mm3 and 45.48 Mm3 per month when incorporating +20% uncertainty to the main physical runoff generating parameters. The total predictive uncertainty of the model increased when water use data such as small farm and large reservoirs and irrigation were included. The dam capacity data was considered at an average of 62% uncertainty mainly as a result of the large differences between the available information in the national water resources database and that digitised from satellite imagery. Water used by irrigated crops was estimated with an average of about 50% uncertainty. The mean simulated monthly flows were between 38.57 Mm3 and 54.83 Mm3 after the water use uncertainty was added. However, it is expected that the uncertainty could be reduced by using higher resolution remote sensing imagery.

  13. The Interrelationship of School District Expenditures and Student Academic Achievement in Oklahoma Public Elementary School Districts

    ERIC Educational Resources Information Center

    Moore, Glenn M.

    2012-01-01

    Purpose and Method of Study. The primary purpose of this quantitative study was to analyze the relationship between school district expenditures and student academic achievement in 102 public elementary school districts in the state of Oklahoma. The secondary purpose was to investigate the relationship between school district expenditures and…

  14. Evaluation of Massachusetts Office of District and School Turnaround Assistance to Commissioner's Districts and Schools: Impact of School Redesign Grants

    ERIC Educational Resources Information Center

    LiCalsi, Christina; Citkowicz, Martyna; Friedman, Lawrence B.; Brown, Megan

    2015-01-01

    The Massachusetts Office of District and School Turnaround (ODST) assists the Commissioner's Districts (the 10 largest districts in the state) and schools within those districts. The assistance focuses on turning around the lowest performing schools in the district while building district capacity to support improvement in other district schools.…

  15. Spatial Distribution of Phlebotomine Sand Fly Species (Diptera: Psychodidae) in Qom Province, Central Iran.

    PubMed

    Saghafipour, Abedin; Vatandoost, Hassan; Zahraei-Ramazani, Ali Reza; Yaghoobi-Ershadi, Mohammad Reza; Rassi, Yavar; Shirzadi, Mohammad Reza; Akhavan, Amir Ahmad

    2017-01-01

    Zoonotic cutaneous leishmaniasis (ZCL) is transmitted to humans by phlebotomine sand fly bites. ZCL is a major health problem in Iran, where basic knowledge gaps about sand fly species diversity persist in some ZCL-endemic areas. This paper describes the richness and spatial distribution of sand fly species, collected with sticky traps, in Qom province, a ZCL-endemic area in central Iran, where sand fly fauna has been poorly studied. Collected species were mapped on urban and rural digital maps based on a scale of 1/50,000. All analyses were undertaken with rural- and urban-level precision, i.e., rural and urban levels were our basic units of analysis. After identifying the sand flies, high-risk foci were determined. For spatial analysis of vector species population, the entomological sampling sites were geo-referenced using GPS. Arc GIS 9.3 software was used to determine the foci with leishmaniasis vector species. Following the analyses, two genera (Phlebotomus and Sergentomyia) and 14 species were identified. Based on the mapping and sand fly dispersion analysis, the rural districts were categorized into three groups-infection reported, without infection, and no report. Based on Geographical Information System analyses, Kahak and Markazi districts were identified as high-risk foci with leishmaniasis vector species. These findings can act as a help guide to direct active control measures to the identified high-risk foci and, eventually, lead to reduction in incidence of the disease. © Crown copyright 2016.

  16. STATISTICAL SUMMARY: EMAP-ESTUARIES LOUISIANIAN PROVINCE - 1993

    EPA Science Inventory

    This statistical summmary of the ecological condition of the estuarine resources is based on the results of the 1993 Louisianian Province Demonstration Project. The population of estuarine resources with the Louisianian Province consists of all estuarine areas located along the c...

  17. Jizzax Province, Uzbekistan

    NASA Image and Video Library

    2011-01-10

    This image captured by NASA Terra spacecraft is of the Jizzax Province in eastern Uzbekistan, one of the main agricultural regions of the country. Uzbekistan is the world sixth largest producer and second-largest exporter of cotton.

  18. Budget Stability, Revenue Volatility, and District Relations: Determinants of Georgia ELOST Distribution to Municipal School Districts

    ERIC Educational Resources Information Center

    Reinagel, Tyler P.

    2014-01-01

    School districts across the United States are often forced into situations where limited public funds must be distributed among multiple districts. These are often reliant on distribution rates negotiated by district leadership and elected officials. An example of this is Georgia's 1% Education Local Option Sales Tax (ELOST). The tax is collected…

  19. Floods, landslides and erosion from severe meteorological events in the Benevento Province, southern Italy.

    NASA Astrophysics Data System (ADS)

    Mascellaro, Neri; Guerriero, Luigi; Revellino, Paola; Grelle, Gerardo; Guadagno, Francesco M.

    2017-04-01

    As effect of the ongoing climate change, heavy meteorological events are increasing in frequency all over the world. The Campania Region in southern Italy is among the areas mostly affected by severe rainstorms and is periodically hit by their effect like floods and landslides. In October 2015, two intense rainfall events hit the central and southern regions of Italy but the most destructive effects occurred in the Benevento province (Campania region). The first storm, a self-healing V-shaped storm, began around at 7 p.m. of 14th October and stopped around at 3:00 a.m. of 15th October and was originated by the development of a cyclogenesis. The rain gages recorded a maximum cumulative value of 415.6 mm of rain in Paupisi (BN) and a strong increase in temperature; the maxima for the Benevento province was 24°C. The second storm began around at 12 a.m. of 19th October and stopped around at 7 p.m. of 20th October with a maximum cumulative value of 146.8 mm of rain in Colle Sannita(BN). These storms triggered a set of different effects that devastated more than 60 municipalities of the Sannio Province and were responsible for two casualties, €700 million of damage to infrastructures (estimates from Campania region) and about €1 billion damages to agriculture (Italian farmer Confederation). The the Calore river of the Benevento province and some of its tributaries overflowed destroying the surrounding area; major damages were recorded in the industrial area of the Benevento town. In the central and in the eastern sectors of the Benevento Province characterized by the outcropping of flyschoid units, the heavy rain triggered shallow earth flows, debris flows induced by rilling and soil slides. Debris avalanches and runoff-initiated debris flows reshaped the creeks of the Taburno-Camposauro massif and damaged a lot of infrastructure of the surrounding area. Flood events from the Calore river in the Benevento district have significant historical precedents. The most

  20. What Do Effective District Leaders Do? Strategies for Evaluating District Leadership. Policy Snapshot

    ERIC Educational Resources Information Center

    Hornung, Katie; Yoder, Nick

    2014-01-01

    In the wake of the Common Core State Standards and teacher evaluation reform, school leaders increasingly look to district leaders for support, coaching, and leadership. District leaders--superintendents, assistant or area superintendents, specialists, principal supervisors, and school business administrators--can hold varying and multiple roles…

  1. Anchorage School District Profile of Performance, 1999-2000. Part 1 District Overview. Assessment and Evaluation Report.

    ERIC Educational Resources Information Center

    Anchorage School District, AK.

    This profile is the report card of the Anchorage, Alaska, School District on the academic achievement of Anchorage students. Part 1 provides a summary of performance across the entire district on a variety of important indicators of success. Part 2, published separately, profiles each of the district's schools. Part 1 contains an overview of the…

  2. Conceptual models in exploration geochemistry-The Basin and Range Province of the Western United States and Northern Mexico

    USGS Publications Warehouse

    Lovering, T.G.; McCarthy, J.H.

    1978-01-01

    This summary of geochemical exploration in the Basin and Range Province is another in the series of reviews of geochemical-exploration applications covering a large region; this series began in 1975 with a summary for the Canadian Cordillera and Canadian Shield, and was followed in 1976 by a similar summary for Scandinavia (Norden). Rather than adhering strictly to the type of conceptual models applied in those papers, we have made use of generalized landscape geochemistry models related to the nature of concealment of ore deposits. This study is part of a continuing effort to examine and evaluate geochemical-exploration practices in different areas of the world. Twenty case histories of the application of geochemical exploration in both district and regional settings illustrate recent developments in techniques and approaches. Along with other published reports these case histories, exemplifying generalized models of concealed deposits, provide data used to evaluate geochemical-exploration programs and specific sample media. Because blind deposits are increasingly sought in the Basin and Range Province, the use of new sample media or anomaly-enhancement techniques is a necessity. Analysis of vapors or gases emanating from blind deposits is a promising new technique. Certain fractions of stream sediments show anomalies that are weak or not detected in conventional minus 80-mesh fractions. Multi-element analysis of mineralized bedrock may show zoning patterns that indicate depth or direction of ore. Examples of the application of these and other, more conventional methods are indicated in the case histories. The final section of this paper contains a brief evaluation of the applications of all types of sample media to geochemical exploration in the arid environment of the Basin and Range Province. ?? 1978.

  3. Spatial analysis of malaria in Anhui province, China

    PubMed Central

    Zhang, Wenyi; Wang, Liping; Fang, Liqun; Ma, Jiaqi; Xu, Youfu; Jiang, Jiafu; Hui, Fengming; Wang, Jianjun; Liang, Song; Yang, Hong; Cao, Wuchun

    2008-01-01

    Background Malaria has re-emerged in Anhui Province, China, and this province was the most seriously affected by malaria during 2005–2006. It is necessary to understand the spatial distribution of malaria cases and to identify highly endemic areas for future public health planning and resource allocation in Anhui Province. Methods The annual average incidence at the county level was calculated using malaria cases reported between 2000 and 2006 in Anhui Province. GIS-based spatial analyses were conducted to detect spatial distribution and clustering of malaria incidence at the county level. Results The spatial distribution of malaria cases in Anhui Province from 2000 to 2006 was mapped at the county level to show crude incidence, excess hazard and spatial smoothed incidence. Spatial cluster analysis suggested 10 and 24 counties were at increased risk for malaria (P < 0.001) with the maximum spatial cluster sizes at < 50% and < 25% of the total population, respectively. Conclusion The application of GIS, together with spatial statistical techniques, provide a means to quantify explicit malaria risks and to further identify environmental factors responsible for the re-emerged malaria risks. Future public health planning and resource allocation in Anhui Province should be focused on the maximum spatial cluster region. PMID:18847489

  4. Human resources for health at the district level in Indonesia: the smoke and mirrors of decentralization.

    PubMed

    Heywood, Peter F; Harahap, Nida P

    2009-02-03

    In 2001 Indonesia embarked on a rapid decentralization of government finances and functions to district governments. One of the results is that government has less information about its most valuable resource, the people who provide the services. The objective of the work reported here is to determine the stock of human resources for health in 15 districts, their service status and primary place of work. It also assesses the effect of decentralization on management of human resources and the implications for the future. We enumerated all health care providers (doctors, nurses and midwives), including information on their employment status and primary place of work, in each of 15 districts in Java. Data were collected by three teams, one for each province. Provider density (number of doctors, nurses and midwives/1000 population) was low by international standards--11 out of 15 districts had provider densities less than 1.0. Approximately half of all three professional groups were permanent public servants. Contractual employment was also important for both nurses and midwives. The private sector as the primary source of employment is most important for doctors (37% overall) and increasingly so for midwives (10%). For those employed in the public sector, two-thirds of doctors and nurses work in health centres, while most midwives are located at village-level health facilities. In the health system established after Independence, the facilities established were staffed through a period of obligatory service for all new graduates in medicine, nursing and midwifery. The last elements of that staffing system ended in 2007 and the government has not been able to replace it. The private sector is expanding and, despite the fact that it will be of increasing importance in the coming decades, government information about providers in private practice is decreasing. Despite the promise of decentralization to increase sectoral "decision space" at the district level, the

  5. 7 CFR 982.31 - Grower districts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Grower districts. 982.31 Section 982.31 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... importance of production in each district and the number of growers in each district; (2) the geographic...

  6. 7 CFR 1210.401 - District conventions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false District conventions. 1210.401 Section 1210.401 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... multi-State districts, no one State shall have nominees for more than three of the four district...

  7. District Learning Tied to Student Learning

    ERIC Educational Resources Information Center

    McFadden, Ledyard

    2009-01-01

    Winners and finalists for the annual Broad Prize for Urban Education have consistently outperformed peer districts serving similar student populations. What makes the difference? These districts consistently demonstrate a learning loop that influences the district's ability to learn, which ultimately influences student opportunities to learn.…

  8. Occurrence of Veterinary Antibiotics in Swine Manure from Large-scale Feedlots in Zhejiang Province, China.

    PubMed

    Wang, Hua; Chu, Yixuan; Fang, Chengran

    2017-04-01

    The occurrence and distribution of five sulfonamides and three tetracyclines in swine manure sampled from large-scale feedlots in different areas of Zhejiang Province, China were detected using solid-phase extraction and high-performance liquid chromatography. All eight test antibiotics were detected in most of the manure samples. The dominant antibiotics in swine manure were sulfadiazine, sulfamerazine, sulfadimidine, tetracycline, and chlortetracycline. The maximum concentration of residual antibiotic reached up to 57.95 mg/kg (chlortetracycline). The concentrations and distribution of both types of antibiotics in swine manure of different areas varied greatly. Relatively higher concentrations of sulfonamides were found in swine manure from the Zhejiang area in this experiment compared with previous studies. The results revealed that antibiotics were extensively used in feedlots in this district and that animal manure might act as a non-specific source of antibiotic residues in farmlands and aquatic environments.

  9. 7 CFR 959.24 - Districts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE ONIONS GROWN IN SOUTH TEXAS Order... following districts of the production area are hereby initially established: District No. 1: (Coastal Bend...

  10. State of the District Address, 1982.

    ERIC Educational Resources Information Center

    Koltai, Leslie

    This address by the Chancellor of the Los Angeles Community College District (LACCD) discusses recent and long-term changes in the district's programs, educational quality, and financial standing, and suggests means for future improvements. First, the paper highlights the district's achievements in improving transfer education and developing new…

  11. Conflict Management in Declining School Districts.

    ERIC Educational Resources Information Center

    Boyd, William Lowe; Wheaton, Dennis R.

    1983-01-01

    Professional literature about managing conflicts associated with declining enrollments indicates the existing tension in this area. A research study shows that, while upper-middle class districts may succeed using a rational approach to decision making, lower class districts, for various reasons, may not. Special problems of urban districts are…

  12. Content of Heavy Metal in the Dust of Leisure Squares and Its Health Risk Assessment-A Case Study of Yanta District in Xi'an.

    PubMed

    Shao, Tianjie; Pan, Lihuan; Chen, Zhiqing; Wang, Ruiyuan; Li, Wenjing; Qin, Qing; He, Yuran

    2018-02-25

    Taking Yanta District in Xi'an as the research object, the present study measures the contents of Cadmium (Cd), Lead (Pb), Copper (Cu), Nickel (Ni), and Chromium (Cr) in dust samples and further assesses the health risk of heavy metals intake through dust based on the assessment method of human exposure risk proposed by U.S. EPA, with an aim to investigate the content of heavy metal in the dust of leisure squares and its exposure risk. As the results indicate, the average contents of five heavy metals are obviously higher than the soil background value in Shaanxi Province. Therefore, Cd, Ni, Cu, Pb, and Cr are obviously enriched in urban surface dust in Shaanxi Province, due to the influence of human activities. In addition, it can also be found that the non-carcinogen exposure risk in children is significantly higher than that in adults with the risk values of these five heavy metals all one order of magnitude higher than those of adults. Irrespective of whether addressing the results for children or adults, the non-carcinogen exposure doses of five heavy metals are sorted as Cr > Pb > Cu > Ni > Cd. According to the present situation, for a child, the total non-carcinogenic risk values of five heavy metals have exceeded the safety limit in 11 of the 20 leisure squares in Yanta District of Xi'an. That means the leisure squares are no longer suitable for physical and recreational activities. For the five heavy metals, the average non-carcinogenic risk value of Cr is largest, and causes the largest threat to health in Yanta District, Xi'an. The carcinogenic exposure doses of the heavy metals Cr, Cd, and Ni are very low in respiratory pathways and there is no carcinogenic health risk. In general, the Cr content in dust in domestic cities is higher than that of foreign cities; however, the Pb content is much lower.

  13. Spin systems and Political Districting Problem

    NASA Astrophysics Data System (ADS)

    Chou, Chung-I.; Li, Sai-Ping

    2007-03-01

    The aim of the Political Districting Problem is to partition a territory into electoral districts subject to some constraints such as contiguity, population equality, etc. In this paper, we apply statistical physics methods to Political Districting Problem. We will show how to transform the political problem to a spin system, and how to write down a q-state Potts model-like energy function in which the political constraints can be written as interactions between sites or external fields acting on the system. Districting into q voter districts is equivalent to finding the ground state of this q-state Potts model. Searching for the ground state becomes an optimization problem, where optimization algorithms such as the simulated annealing method and Genetic Algorithm can be employed here.

  14. School District Energy Manual.

    ERIC Educational Resources Information Center

    Association of School Business Officials International, Reston, VA.

    This manual serves as an energy conservation reference and management guide for school districts. The School District Energy Program (SDEP) is designed to provide information and/or assistance to school administrators planning to implement a comprehensive energy management program. The manual consists of 15 parts. Part 1 describes the SDEP; Parts…

  15. Differences in Food and Beverage Marketing Policies and Practices in US School Districts, by Demographic Characteristics of School Districts, 2012.

    PubMed

    Merlo, Caitlin L; Michael, Shannon; Brener, Nancy D; Coffield, Edward; Kingsley, Beverly S; Zytnick, Deena; Blanck, Heidi

    2016-12-15

    Foods and beverages marketed in schools are typically of poor nutritional value. School districts may adopt policies and practices to restrict marketing of unhealthful foods and to promote healthful choices. Students' exposure to marketing practices differ by school demographics, but these differences have not yet been examined by district characteristics. We analyzed data from the 2012 School Health Policies and Practices Study to examine how food and beverage marketing and promotion policies and practices varied by district characteristics such as metropolitan status, size, and percentage of non-Hispanic white students. Most practices varied significantly by district size: a higher percentage of large districts than small or medium-sized districts restricted marketing of unhealthful foods and promoted healthful options. Compared with districts whose student populations were majority (>50%) non-Hispanic white, a higher percentage of districts whose student populations were minority non-Hispanic white (≤50% non-Hispanic white) prohibited advertising of soft drinks in school buildings and on school grounds, made school meal menus available to students, and provided families with information on school nutrition programs. Compared with suburban and rural districts, a higher percentage of urban districts prohibited the sale of soft drinks on school grounds and used several practices to promote healthful options. Preliminary findings showing significant associations between district demographics and marketing policies and practices can be used to help states direct resources, training, and technical assistance to address food and beverage marketing and promotion to districts most in need of improvement.

  16. Large igneous provinces (LIPs) and carbonatites

    NASA Astrophysics Data System (ADS)

    Ernst, Richard E.; Bell, Keith

    2010-03-01

    There is increasing evidence that many carbonatites are linked both spatially and temporally with large igneous provinces (LIPs), i.e. high volume, short duration, intraplate-type, magmatic events consisting mainly of flood basalts and their plumbing systems (of dykes, sills and layered intrusions). Examples of LIP-carbonatite associations include: i. the 66 Ma Deccan flood basalt province associated with the Amba Dongar, Sarnu-Dandali (Barmer), and Mundwara carbonatites and associated alkali rocks, ii. the 130 Ma Paraná-Etendeka (e.g. Jacupiranga, Messum); iii. the 250 Ma Siberian LIP that includes a major alkaline province, Maimecha-Kotui with numerous carbonatites, iv. the ca. 370 Ma Kola Alkaline Province coeval with basaltic magmatism widespread in parts of the East European craton, and v. the 615-555 Ma CIMP (Central Iapetus Magmatic Province) of eastern Laurentia and western Baltica. In the Superior craton, Canada, a number of carbonatites are associated with the 1114-1085 Ma Keweenawan LIP and some are coeval with the pan-Superior 1880 Ma mafic-ultramafic magmatism. In addition, the Phalaborwa and Shiel carbonatites are associated with the 2055 Ma Bushveld event of the Kaapvaal craton. The frequency of this LIP-carbonatite association suggests that LIPs and carbonatites might be considered as different evolutionary ‘pathways’ in a single magmatic process/system. The isotopic mantle components FOZO, HIMU, EM1 but not DMM, along with primitive noble gas signatures in some carbonatites, suggest a sub-lithospheric mantle source for carbonatites, consistent with a plume/asthenospheric upwelling origin proposed for many LIPs.

  17. Digital geologic map and database of the Chesapeake and Ohio Canal National Historical Park and Potomac River corridor, District of Columbia, Virginia, Maryland, and West Virginia

    USGS Publications Warehouse

    Southworth, C. Scott; Brezinski, David K.; Orndorff, Randall C.; Chirico, Peter G.; Lagueux, Kerry M.

    2001-01-01

    The Chesapeake and Ohio (CO) Canal National Historical Park is unique in that it is the only land within the National Park system that crosses 5 physiographic provinces along a major river. From Georgetown, District of Columbia (D.C.) to Cumberland, Maryland (Md.), the CO Canal provides an opportunity to examine the geologic history of the central Appalachian region and how the canal contributed to the development of this area. The geologic map data covers the 184.5-mile long park in a 2-mile wide corridor centered on the Potomac River

  18. 77 FR 41477 - Designation of 2 Individuals and 2 Entities Pursuant to Executive Order 13224 of September 23...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-13

    ..., Quetta, Balochistan Province, Pakistan; Nasrullah Khan Chowk, Pashtunabad Area, Balochistan Province, Pakistan; Chaman, Balochistan Province, Pakistan; Abdul Satar Food Shop, Eno Mina 0093, Kandahar... Qilla Abdullah, Pakistan; alt. POB Mirmadaw Village, Gereshk District, Helmand Province, Afghanistan...

  19. District heating campaign in Sweden

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Stalebrant, R.E.

    During the fall of 1994 a district heating campaign was conducted in Sweden. The campaign was initiated because the Swedish district heating companies agreed that it was time to increase knowledge and awareness of district heating among the general public, especially among potential customers. The campaign involved many district heating companies and was organized as a special project. Advertising companies, media advisers, consultants and investigators were also engaged. The campaign was conducted in two stages, a national campaign followed by local campaign was conducted in two stages, a national campaign followed by local campaigns. The national campaign was conducted duringmore » two weeks of November 1994 and comprised advertising on commercial TV and in the press.« less

  20. Changing epidemiologic patterns of deliberate self poisoning in a rural district of Sri Lanka

    PubMed Central

    2012-01-01

    Background Acute poisoning is a major public health issue in many parts of the world. The epidemiology and the mortality rate is higher in low and middle income countries, including Sri Lanka. The aim of this study was to provide details about the epidemiology of acute poisoning in a rural Sri Lankan district and to identify the changing patterns and epidemiology of poisoning. Methods A prospective study was conducted from September 2008 to January 2010 in all hospitals with inpatient facilities in Anuradhapura district of North Central Province of Sri Lanka. Acute poisoning data was extracted from patient charts. Selected data were compared to the data collected from a 2005 study in 28 hospitals. Results There were 3813 poisoned patients admitted to the hospitals in the Anuradhapura district over 17 months. The annual population incidence was 447 poisoning cases per 100,000 population. The total number of male and female patients was approximately similar, but the age distribution differed by gender. There was a very high incidence of poisoning in females aged 15–19, with an estimated cumulative incidence of 6% over these five years. Although, pesticides are still the most common type of poison, medicinal drug poisonings are now 21% of the total and have increased 1.6 fold since 2005. Conclusions Acute poisoning remains a major public health problem in rural Sri Lanka and pesticide poisoning remains the most important poison. However, cases of medicinal drug poisoning have recently dramatically increased. Youth in these rural communities remain very vulnerable to acute poisoning and the problem is so common that school-based primary prevention programs may be worthwhile. Lalith Senarathna, Shaluka F Jayamanna, Patrick J Kelly, Nick A Buckley,michael J Dibley, Andrew H Dawson. These authors contributed equally to this work. PMID:22852867

  1. Changing epidemiologic patterns of deliberate self poisoning in a rural district of Sri Lanka.

    PubMed

    Senarathna, Lalith; Jayamanna, Shaluka F; Kelly, Patrick J; Buckley, Nick A; Dibley, Michael J; Dawson, Andrew H

    2012-08-02

    Acute poisoning is a major public health issue in many parts of the world. The epidemiology and the mortality rate is higher in low and middle income countries, including Sri Lanka. The aim of this study was to provide details about the epidemiology of acute poisoning in a rural Sri Lankan district and to identify the changing patterns and epidemiology of poisoning. A prospective study was conducted from September 2008 to January 2010 in all hospitals with inpatient facilities in Anuradhapura district of North Central Province of Sri Lanka. Acute poisoning data was extracted from patient charts. Selected data were compared to the data collected from a 2005 study in 28 hospitals. There were 3813 poisoned patients admitted to the hospitals in the Anuradhapura district over 17 months. The annual population incidence was 447 poisoning cases per 100,000 population. The total number of male and female patients was approximately similar, but the age distribution differed by gender. There was a very high incidence of poisoning in females aged 15-19, with an estimated cumulative incidence of 6% over these five years. Although, pesticides are still the most common type of poison, medicinal drug poisonings are now 21% of the total and have increased 1.6 fold since 2005. Acute poisoning remains a major public health problem in rural Sri Lanka and pesticide poisoning remains the most important poison. However, cases of medicinal drug poisoning have recently dramatically increased. Youth in these rural communities remain very vulnerable to acute poisoning and the problem is so common that school-based primary prevention programs may be worthwhile.Lalith Senarathna, Shaluka F Jayamanna, Patrick J Kelly, Nick A Buckley,michael J Dibley, Andrew H Dawson. These authors contributed equally to this work.

  2. Utilization of Google Earth for Distribution Mapping of Cholangiocarcinoma: a Case Study in Satuek District, Buriram, Thailand.

    PubMed

    Rattanasing, Wannaporn; Kaewpitoon, Soraya J; Loyd, Ryan A; Rujirakul, Ratana; Yodkaw, Eakachai; Kaewpitoon, Natthawut

    2015-01-01

    Cholangiocarcinoma (CCA) is a serious public health problem in the Northeast of Thailand. CCA is considered to be an incurable and rapidly lethal disease. Knowledge of the distribution of CCA patients is necessary for management strategies. This study aimed to utilize the Geographic Information System and Google EarthTM for distribution mapping of cholangiocarcinoma in Satuek District, Buriram, Thailand, during a 5-year period (2008-2012). In this retrospective study data were collected and reviewed from the OPD cards, definitive cases of CCA were patients who were treated in Satuek hospital and were diagnosed with CCA or ICD-10 code C22.1. CCA cases were used to analyze and calculate with ArcGIS 9.2, all of data were imported into Google Earth using the online web page www.earthpoint.us. Data were displayed at village points. A total of 53 cases were diagnosed and identified as CCA. The incidence was 53.57 per 100,000 population (65.5 for males and 30.8 for females) and the majority of CCA cases were in stages IV and IIA. The average age was 67 years old. The highest attack rate was observed in Thung Wang sub-district (161.4 per 100,000 population). The map display at village points for CCA patients based on Google Earth gave a clear visual deistribution. CCA is still a major problem in Satuek district, Buriram province of Thailand. The Google Earth production process is very simple and easy to learn. It is suitable for the use in further development of CCA management strategies.

  3. 7 CFR 983.11 - Districts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE PISTACHIOS GROWN IN CALIFORNIA... where pistachios are produced that are not included in Districts 1 and 2. (4) District 4 consists of the...

  4. Understanding School District Budgets: A Guide For Local Leaders

    ERIC Educational Resources Information Center

    Perry, Mary

    2005-01-01

    A school district budget is more than numbers. It is a record of a district?s past decisions and a spending plan for its future. It shows a district?s priorities whether they have been clearly articulated or simply occurred by default. And it is a communications document that can tell constituents a lot about the district?s priorities and goals. A…

  5. Trend of hepatocellular carcinoma incidence after Bayesian correction for misclassified data in Iranian provinces.

    PubMed

    Hajizadeh, Nastaran; Baghestani, Ahmad Reza; Pourhoseingholi, Mohamad Amin; Ashtari, Sara; Fazeli, Zeinab; Vahedi, Mohsen; Zali, Mohammad Reza

    2017-05-28

    To study the trend of hepatocellular carcinoma incidence after correcting the misclassification in registering cancer incidence across Iranian provinces in cancer registry data. Incidence data of hepatocellular carcinoma were extracted from Iranian annual of national cancer registration reports 2004 to 2008. A Bayesian method was implemented to estimate the rate of misclassification in registering cancer incidence in neighboring province. A beta prior is considered for misclassification parameter. Each time two neighboring provinces were selected to be entered in the Bayesian model based on their expected coverage of cancer cases which is reported by medical university of the province. It is assumed that some cancer cases from a province that has an expected coverage of cancer cases lower than 100% are registered in their neighboring facilitate province with more than 100% expected coverage. There is an increase in the rate of hepatocellular carcinoma in Iran. Among total of 30 provinces of Iran, 21 provinces were selected to be entered to the Bayesian model for correcting the existed misclassification. Provinces with more medical facilities of Iran are Tehran (capital of the country), Razavi Khorasan in north-east of Iran, East Azerbaijan in north-west of the country, Isfahan in central part and near to Tehran, Khozestan and Fars in south and Mazandaran in north of the Iran, had an expected coverage more than their expectation. Those provinces had significantly higher rates of hepatocellular carcinoma than their neighboring provinces. In years 2004 to 2008, it was estimated to be on average 34% misclassification between North Khorasan province and Razavi Khorasan, 43% between South Khorasan province and Razavi Khorasan, 47% between Sistan and balochestan province and Razavi Khorasan, 23% between West Azerbaijan province and East Azerbaijan province, 25% between Ardebil province and East Azerbaijan province, 41% between Hormozgan province and Fars province, 22

  6. Sharing Local Revenue: One District's Perspective

    ERIC Educational Resources Information Center

    Cline, David S.

    2011-01-01

    The vast majority of U.S. school districts are considered independent and have taxing authority; the remaining districts rely on revenue and budgetary approval from their local government. In the latter case, localities often use some form of negotiated process to determine the amount of revenue their school districts will receive. Typically, a…

  7. Better antiretroviral therapy outcomes at primary healthcare facilities: an evaluation of three tiers of ART services in four South African provinces.

    PubMed

    Fatti, Geoffrey; Grimwood, Ashraf; Bock, Peter

    2010-09-21

    There are conflicting reports of antiretroviral therapy (ART) effectiveness comparisons between primary healthcare (PHC) facilities and hospitals in low-income settings. This comparison has not been evaluated on a broad scale in South Africa. A retrospective cohort study was conducted including ART-naïve adults from 59 facilities in four provinces in South Africa, enrolled between 2004 and 2007. Kaplan-Meier estimates, competing-risks Cox regression, generalised estimating equation population-averaged models and logistic regression were used to compare death, loss to follow-up (LTFU) and virological suppression (VS) between PHC, district and regional hospitals. 29 203 adults from 47 PHC facilities, nine district hospitals and three regional hospitals were included. Patients at PHC facilities had more advanced WHO stage disease when starting ART. Retention in care was 80.1% (95% CI: 79.3%-80.8%), 71.5% (95% CI: 69.1%-73.8%) and 68.7% (95% CI: 67.0%-69.7%) at PHC, district and regional hospitals respectively, after 24 months of treatment (P<0.0001). In adjusted regression analyses, LTFU was independently increased at regional hospitals (aHR 2.19; 95% CI: 1.94-2.47) and mortality was independently elevated at district hospitals (aHR 1.60; 95% CI: 1.30-1.99) compared to PHC facilities after 12 months of ART. District and regional hospital patients had independently reduced probabilities of VS, aOR 0.76 (95% CI: 0.59-0.97) and 0.64 (95% CI: 0.56-0.75) respectively compared to PHC facilities over 24 months of treatment. ART outcomes were superior at PHC facilities, despite PHC patients having more advanced clinical stage disease when starting ART, suggesting that ART can be adequately provided at this level and supporting the South African government's call for rapid up-scaling of ART at the primary level of care. Further prospective research is required to determine the degree to which outcome differences are attributable to either facility level characteristics or

  8. A Research Report of Small/Rural School Districts in New Mexico Compared to School Districts of Similiar Size Nationwide.

    ERIC Educational Resources Information Center

    Barker, Bruce O.; Muse, Ivan D.

    A 1982-83 survey produced data used to compare 17 small/rural K-12 New Mexico school districts (900 students or fewer) with 642 similar districts nationwide. Of New Mexico's 88 school districts, 43 were identified as qualifying (48.9%, enrolling 16,648 students), for comparison to 4,125 similar districts nationwide. A questionnaire mailed to…

  9. Differences in Food and Beverage Marketing Policies and Practices in US School Districts, by Demographic Characteristics of School Districts, 2012

    PubMed Central

    Michael, Shannon; Brener, Nancy D.; Coffield, Edward; Kingsley, Beverly S.; Zytnick, Deena; Blanck, Heidi

    2016-01-01

    Introduction Foods and beverages marketed in schools are typically of poor nutritional value. School districts may adopt policies and practices to restrict marketing of unhealthful foods and to promote healthful choices. Students’ exposure to marketing practices differ by school demographics, but these differences have not yet been examined by district characteristics. Methods We analyzed data from the 2012 School Health Policies and Practices Study to examine how food and beverage marketing and promotion policies and practices varied by district characteristics such as metropolitan status, size, and percentage of non-Hispanic white students. Results Most practices varied significantly by district size: a higher percentage of large districts than small or medium-sized districts restricted marketing of unhealthful foods and promoted healthful options. Compared with districts whose student populations were majority (>50%) non-Hispanic white, a higher percentage of districts whose student populations were minority non-Hispanic white (≤50% non-Hispanic white) prohibited advertising of soft drinks in school buildings and on school grounds, made school meal menus available to students, and provided families with information on school nutrition programs. Compared with suburban and rural districts, a higher percentage of urban districts prohibited the sale of soft drinks on school grounds and used several practices to promote healthful options. Conclusion Preliminary findings showing significant associations between district demographics and marketing policies and practices can be used to help states direct resources, training, and technical assistance to address food and beverage marketing and promotion to districts most in need of improvement. PMID:27978408

  10. Accountability in district nursing practice: key concepts.

    PubMed

    Griffith, Richard

    2015-03-01

    Public trust and confidence in district nurses is essential to the nurse-patient relationship that underpins effective care and treatment. That trust and confidence has even greater focus for district nurses who care for patients in their own homes. Those patients need to be able to count on the professionalism and probity of their district nurses. The professionalism and probity of district nurses is based on their accountability, which protects the public by imposing standards on district nurses and holds them answerable for their acts and omissions. This is the first of a series of articles on accountability in district nursing practice to mark the introduction of the revised Nursing and Midwifery Code on the 31 March 2015. This month's article considers the key concepts of accountability.

  11. Malioboro as a value of Special District of Yogyakarta City

    NASA Astrophysics Data System (ADS)

    Cahya, G. A.; Mahendra, Y. K. D.; Damanik, I. I.

    2017-06-01

    Yogyakarta is a province that has a status as a Special District. The specialty of Yogyakarta is set based on its history, because it was led by the Noble and has social culture embedded with Javanese tradition. Recently, the development of Yogyakarta has changed, along with the dynamics urban activities and technologies, into a tourist destination. It is a challenge to enhance the status of ‘privilege’ of Yogyakarta. Malioboro is an important part in the structure of the city of Yogyakarta. Apart from being one of the constituent elements of the north-south axis, Malioboro also serves as a public space that is rich in cultural activities, economic, and social interaction. If it reviewed according to its privileges, Malioboro is one part of the city of Yogyakarta which has an important role in maintaining local values that forms the privilege character of Yogyakarta. As a city that responds to the needs of the society, Yogyakarta provides various supporting infrastructure. Maliboro is located at a strategic area that became the target of investors as site to build public and commercial facilities. Malioboro is an iconic street of Yogyakarta, become one of the tourist destination because of its uniqueness, especially as the affordable shopping area. For that reason, it is necessary to study how Malioboro should maintain its local value to conserve the privilege of Yogyakarta as a special district, but also has ability to adapt nowadays development of Yogyakarta City. This paper will provide the study about the values of Malioboro which conserve the status and the meaning of the privileges for Yogyakarta, when viewed from the historical, social, and cultural. It will continue the discussion about the development of tourism and economic activities that are affected by tourist’s demand. The result of the paper will describe (1) the aspects that we have to keep conserving the privilege of Special District of Yogyakarta and (2) the aspects that we can change or

  12. Analysis on the inbound tourist source market in Fujian Province

    NASA Astrophysics Data System (ADS)

    YU, Tong

    2017-06-01

    The paper analyzes the development and structure of inbound tourism in Fujian Province by Excel software and conducts the cluster analysis on the inbound tourism market by SPSS 23.0 software based on the inbound tourism data of Fujian Province from 2006 to 2015. The results show: the rapid development of inbound tourism in Fujian Province and the diversified inbound tourist source countries indicate the stability of inbound tourism market; the inbound tourist source market in Fujian Province can be divided into four categories according to the cluster analysis, and tourists from the United States, Japan, Malaysia, and Singapore are the key of inbound tourism in Fujian Province.

  13. Do School Districts Matter?

    ERIC Educational Resources Information Center

    Whitehurst, Grover J.; Chingos, Matthew M.; Gallaher, Michael R.

    2013-01-01

    School districts occupy center stage in education reform in the U.S. They manage nearly all public funding and are frequently the locus of federal and state reform initiatives, e.g., instituting meaningful teacher evaluation systems. Financial compensation for district leaders is high, with many being paid more than the chief state school officers…

  14. Colorectal cancer trends in Kerman province, the largest province in Iran, with forecasting until 2016.

    PubMed

    Roya, Nikbakht; Abbas, Bahrampour

    2013-01-01

    Colorectal cancer is one of the most common cancers. The aim of this study is determination its trends in Kerman province and individual cities separately until year 2016. This analytical and modeling study was based of cancer registry data of Kerman University of Medical Sciences, collected during 2001-2010. Among 20,351 cancer case, 792 were colorectal cancer cases in age group 18-93 years with a mean of 59.4 and standard deviation of 15.1. By applying time series and data trends, incidences were predicted until 2016 for the province and each city, with adjustment for population size. In colorectal cases, 413 (52%) were male, and 379 (48%) were female. The annual increasing rate in Kerman province overall was and can be expected to be 6%, and in the cities of the province Rafsanjan, Bardsir, Bam, Kerman, Baft, Sirjan, Jiroft, Kahnuj and Manujan had an increasing range from 5 to 14% by the year 2016. But in Ravar, Zarand and Shahrbabak reduction in rates of at least 2% could be predicted. The time series showed that the trend of colorectal cancer in female will increase 15% and in male 7% by year 2016. Given the trend of this cancer is increasing so that resources will be consumed in the treatment of the patients, efforts shoudlbe focused on prevention and early diagnosis of the disease. Screening could have an important role leading to improved survival.

  15. School District Cash Management. Program Audit.

    ERIC Educational Resources Information Center

    New York State Legislative Commission on Expenditure Review, Albany.

    New York State law permits school districts to invest cash not immediately needed for district operation and also specifies the kinds of investments that may be made in order to ensure the safety and liquidity of public funds. This audit examines cash management and investment practices in New York state's financially independent school districts.…

  16. Reading a District Budget: Reporter Guide

    ERIC Educational Resources Information Center

    McNeil, Michele

    2013-01-01

    Every school budget tells a story--about a district's spending plan, its priorities, goals, and financial health. The challenge is to wade through the jargon and numbers to unlock that story. Although budgets can vary significantly from district to district, and state to state, this primer seeks to introduce reporters to the fundamental components…

  17. Municipal solid waste management in Kurdistan Province, Iran.

    PubMed

    Abduli, Mohammad Ali; Nasrabadi, Touraj

    2007-03-01

    Kurdistan Province, with an area of 28,203 square kilometers, is located in a mountainous area in the western part of Iran. From 1967 to 1997, the urban population in the major eight cities of the Kurdistan Province-namely, Baneh, Bijar, Divan Darreh, Saghez, Sanandaj, Ghorveh, Kamyaran, and Marivan-increased from 102,250 to 705,715. The proportion of the population residing in urban areas increased 90 percent during this period. In most of the cities, solid waste handling remains primitive, and well-organized procedures for it have not been established. Traditional methods of disposal, with marginal inclusion of modern conveniences, appear to be the common practice. In general, the shortcomings of the prevailing practices can be summarized as follows: The municipal solid waste management systems (MSWMSs) in this province include unsegregated collection and open dumping of municipal solid wastes. Separation of municipal solid waste in this province is in the hands of scavengers. The MSWMSs in this province lack essential infrastructure. Thus, design and implementation of modern MSWMSs in this province are essential. Principal criteria for and methods of implementing these systems are as follows: (1) rationally evaluating all functional elements so that they operate in a steady-state or equilibrium manner; (2) creating all support elements for the MSWMS in each city; (3) introducing gradual privatization of MSWMS activities; (4) creating guidelines, regulations, and instructions for all elements of MSWMSs; and (5) giving priorities to source separation and recycling programs. This paper reviews the present status of MSWMSs in eight major cities of Kurdistan Province and outlines the principle guidelines and alternatives for MSWMSs.

  18. 33 CFR 3.40-1 - Eighth district.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... District § 3.40-1 Eighth district. (a) The District Office is in New Orleans, La. (b) The Eighth Coast..., Missouri, Kentucky, West Virginia, Tennessee, Arkansas, Oklahoma, New Mexico, Texas, Louisiana, Mississippi...

  19. [Prevalence of extrinsic allergic alveolitis in cattle breeders from the province of Reggio Emilia].

    PubMed

    Ferri, F; Ruggieri, Maria Paola; Guidetti, G; Azzarone, G; Giammartini, Pasquina; Capanni, S; Mantovani, P; Bertani, Marisa

    2003-01-01

    Several new cases of Extrinsic Allergic Alveolitis or Farmer's Lung (FL) in farm workers were reported to Occupational Health Services in the province of Reggio Emilia (Italy). This prompted the Public Health Department to study the prevalence of the disease among milk-cow breeders involved in Parmigiano-Reggiano cheese production: who are the biggest hay users. A suitable questionnaire was sent to 1875 farmers in three of the six districts of the province. Half of them (935: 841 males, 94 females) answered; further contacts and medical history research revealed 33 case of "likely FL". Twenty-three (2 females) (10 "missing"), underwent pulmonary function tests, chest X-rays, precipitins tests against Saccharopolyspora Rectivirgula and other fungal antigens and (22 farmers) bronchoalveolar lavage (BAL). According to the "Società Italiana di Medicina del Lavoro e di Igiene Industriale" diagnostic standards, we found 20 subjects suffering from FL among farmers collecting hay in large cylindrical (round) bales, dried on field (2.6%) and among others still using small (traditional), prismatic bales (0.5%). The prevalence on the whole exposed population (6000-9000 people) was estimated between 1.5% and 3.0% (90-270 people); no difference was found in FL prevalence between flat and hilly or mountain areas; the method of collecting hay in big "round" bales, dried on field, seems to produce higher frequencies of FL cases if compared with the traditional ones (more frequent in mountain areas). The new hay packing methods, using forced air driers, are suggested as a possible solution.

  20. Epidemiological Study on Cutaneous Leishmaniasis in an Endemic Area, of Qom Province, Central Iran

    PubMed Central

    Saghafipour, Abedin; Vatandoost, Hassan; Zahraei-Ramazani, Ali Reza; Yaghoobi-Ershadi, Mohammad Reza; Jooshin, Moharram Karami; Rassi, Yavar; Shirzadi, Mohammad Reza; Akhavan, Amir Ahmad; Hanafi-Bojd, Ahmad Ali

    2017-01-01

    Background: Cutaneous leishmaniasis (CL) is one of the most important health problems in many areas of Iran. There are two forms of the disease in Iran, anthroponotic and zoonotic CL. This study conducted to assess the epidemiological situation of CL in an endemic area of Qom Province, central Iran from Apr to Nov 2015. Methods: The sticky paper traps and aspirating tubes were used for collecting adult sand flies. Sherman traps and small insect nets were used to capture rodents and small mammals. Giemsa staining was used for preparing the expanded smear and followed by PCR for identifying the causative agent in human, vectors, and reservoirs. In this study, relative frequency of CL was also calculated. Results: Fourteen species of Phlebotomine sand flies were collected. Phlebotomus papatasi (61.74%) was the predominant species through the period of activity. Overall, 62 Meriones libycus, 8 Nesokia indica, 4 Mus musculus, 16 Allactaga elater and 2 Hemiechinus auritis were caught. PCR technique showed 6 out of 150 P. papatasi (2%), two out of 62 M. libycus (3.23%) and all of suspected human’s skin tissue samples (100%) were infected with Leishmania major. The relative frequency of CL was 0.30%. Conclusion: This is the first detection of L. major within P. papatasi, M. libycus and human in Kahak District in Qom Province of Iran. Zoonotic cycle of CL exists in this area, L. major is the causative agent, P. papatasi is the main vector and M. libycus is the main reservoir of the disease. PMID:29322057

  1. Prevalence of River Epilepsy in the Orientale Province in the Democratic Republic of the Congo

    PubMed Central

    Colebunders, Robert; Tepage, Floribert; Rood, Ente; Mandro, Michel; Abatih, Emmanuel Nji; Musinya, Gisele; Mambandu, Germain; Kabeya, José; Komba, Michel; Levick, Bethany; Mokili, John L; Laudisoit, Anne

    2016-01-01

    Background An increased prevalence of epilepsy has been reported in many onchocerciasis endemic areas. Objective To determine the prevalence and distribution of epilepsy in an onchocerciasis endemic region in the Democratic Republic of the Congo (DRC). Design/Methods An epilepsy prevalence study was carried out in 2014, in two localities of the Bas-Uélé district, an onchocerciasis endemic region in the Orientale Province of the DRC. Risk factors for epilepsy were identified using a random effects logistic regression model and the distribution of epilepsy cases was investigated using the Moran’s I statistic of spatial auto-correlation. Results Among the 12,776 individuals of Dingila, 373 (2.9%) individuals with epilepsy were identified. In a house-to-house survey in Titule, 68 (2.3%) of the 2,908 people who participated in the survey were found to present episodes of epilepsy. Epilepsy showed a marked spatial pattern with clustering of cases occurring within and between adjacent households. Individual risk of epilepsy was found to be associated with living close to the nearest fast flowing river where blackflies (Diptera: Simuliidae)–the vector of Onchocerca volvulus–oviposit and breed. Conclusions The prevalence of epilepsy in villages in the Bas-Uélé district in the DRC was higher than in non-onchocerciasis endemic regions in Africa. Living close to a blackflies infested river was found to be a risk factor for epilepsy. PMID:27139245

  2. School District Policies and Adolescents’ Soda Consumption

    PubMed Central

    Miller, Gabrielle F.; Sliwa, Sarah; Brener, Nancy D.; Park, Sohyun; Merlo, Caitlin L.

    2016-01-01

    Purpose Sugar-sweetened beverages (SSBs) are a significant source of calories and added sugars for youth ages 14–18 years in the United States. This study examined the relationship between district-level policies and practices and students’ consumption of regular soda, one type of SSB, in 12 large urban school districts. Methods Data from the 2012 School Health Policies and Practices Study and 2013 Youth Risk Behavior Surveillance System were linked by district. The outcome variable was soda consumption and exposure variables were district policies. We used multivariable logistic regression analyses to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) after controlling for student characteristics and district free/reduced-price meal eligibility. Results About 18% of students reported consuming regular soda at least once per day. Most districts required high schools to have nutrition education, maintain closed campuses, and required/recommended that schools restrict promotional products and sale of beverages. Fewer districts required/recommended that schools offer healthful alternative beverages. Students in districts that restricted promotional products had lower odds of regular soda consumption (AOR = .84, 95% CI = .71–1.00), as did students in districts that restricted access to SSBs and offered healthful beverages when other beverages were available (AOR = .72, 95% CI = .54–.93, AOR = .76, 95% CI = .63–.91). Conclusions This study demonstrates that certain district-level policies are associated with student consumption of regular soda. These findings add to a growing consensus that policies and practices that influence the availability of healthier foods and beverages are needed across multiple settings. PMID:27021401

  3. School District Policies and Adolescents' Soda Consumption.

    PubMed

    Miller, Gabrielle F; Sliwa, Sarah; Brener, Nancy D; Park, Sohyun; Merlo, Caitlin L

    2016-07-01

    Sugar-sweetened beverages (SSBs) are a significant source of calories and added sugars for youth ages 14-18 years in the United States. This study examined the relationship between district-level policies and practices and students' consumption of regular soda, one type of SSB, in 12 large urban school districts. Data from the 2012 School Health Policies and Practices Study and 2013 Youth Risk Behavior Surveillance System were linked by district. The outcome variable was soda consumption and exposure variables were district policies. We used multivariable logistic regression analyses to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) after controlling for student characteristics and district free/reduced-price meal eligibility. About 18% of students reported consuming regular soda at least once per day. Most districts required high schools to have nutrition education, maintain closed campuses, and required/recommended that schools restrict promotional products and sale of beverages. Fewer districts required/recommended that schools offer healthful alternative beverages. Students in districts that restricted promotional products had lower odds of regular soda consumption (AOR = .84, 95% CI = .71-1.00), as did students in districts that restricted access to SSBs and offered healthful beverages when other beverages were available (AOR = .72, 95% CI = .54-.93, AOR = .76, 95% CI = .63-.91). This study demonstrates that certain district-level policies are associated with student consumption of regular soda. These findings add to a growing consensus that policies and practices that influence the availability of healthier foods and beverages are needed across multiple settings. Published by Elsevier Inc.

  4. Response to Intervention (RTI) in the Province of Saskatchewan

    ERIC Educational Resources Information Center

    Kemp-Koo, Debra; Claypool, Tim

    2011-01-01

    Response to Intervention (RTI) is at a beginning stage in the Saskatchewan province as well as in other parts of Canada. One needs only to enter RTI and the names of any of the Canadian provinces into any widely used search engine to see the marked difference in the availability of information about RTI when the Canadian provinces and individual…

  5. Circles of Leadership: Oregon District Redefines Coaching Roles to Find a Balance between School and District Goals

    ERIC Educational Resources Information Center

    Petti, Amy D.

    2010-01-01

    In this article, the author describes how an Oregon district redefines coaching roles to find a balance between school and district goals. As director of improvement for North Clackamas School District in Milwaukie, Oregon, near Portland, the author's role of coaching the coach was new, and the coaches welcomed the immediate feedback. Through the…

  6. Income and Well-Being across European Provinces

    ERIC Educational Resources Information Center

    Okulicz-Kozaryn, Adam

    2012-01-01

    The majority of studies investigate the effect of income on life satisfaction at either individual or country level. This study contributes with analysis at the (sub-national) province level across West European countries. I use a unique dataset Eurobarometer 44.2 Bis that is representative of province populations in a multilevel model. Provinces…

  7. Analysis of PAEs contaminants in water sources for agriculture, industrial and residential areas from local city district

    NASA Astrophysics Data System (ADS)

    Chen, Qidan; Chen, Qixian; Wu, Fei; Liao, Jia; Zhao, Xi

    2018-02-01

    The technology of DEHP and DBP detection by high performance liquid chromatography coupled with ultraviolet detection (HPLC-UV) was developed and applied in analysis of local water sources from agriculture, industrial and residential areas. Under the optimized sample pretreatment and detection conditions, DEHP and DBP were well separated and detected in 4 mins. The detection limit of DBP was 0.002 mg/L and DEHP was 0.006 mg/L, and it meets the Chinese National Standard limitations for drinking water quality. The linear correlation coefficient of DBP and DEHP standard calibration curves was 0.9998 and 0.9995. The linear range of DBP was 0.020 mg/L ∼20.0 mg/L, with the standard deviation of 0.560% ∼5.07%, and the linear range of DEHP was 0.060 mg/L ∼15.0 mg/L, with the standard deviation of 0.546% ∼5.74%. Ten water samples from Jinwan district of Zhuhai in Guangdong province of China were analyzed. However, the PAEs amounts found in the water sources from industrial areas were higher than the agriculture and residential areas, industries grow incredibly fast in the district in recently years and more attention should be paid to the increasing risks of water sources pollution.

  8. Out-of-pocket costs for paediatric admissions in district hospitals in Kenya

    PubMed Central

    Barasa, Edwine W; Ayieko, Philip; Cleary, Susan; English, Mike

    2012-01-01

    Objective To describe out-of-pocket costs of inpatient care for children under 5 years of age in district hospitals in Kenya. Methods A total of 256 caretakers of admitted children were interviewed in 2-week surveys conducted in eight hospitals in four provinces in Kenya. Caretakers were asked to report care seeking behaviour and expenditure related to accessing inpatient care. Family socio-economic status was assessed through reported expenditure in the previous month. Results Seventy eight percent of caretakers were required to pay user charges to access inpatient care for children. User charges (mean, US$ 8.1; 95% CI, 6.4–9.7) were 59% of total out-of-pocket costs, while transport costs (mean, US$ 4.9; 95% CI, 3.9–6.0) and medicine costs (mean, US$ 0.7; 95% CI, 0.5–1.0) were 36% and 5%, respectively. The mean total out-of-pocket cost per paediatric admission was US$ 14.1 (95% CI, 11.9–16.2). Out-of-pocket expenditures on health were catastrophic for 25.4% (95% CI, 18.4–33.3) of caretakers interviewed. Out-of-pocket expenditures were regressive, with a greater burden being experienced by households with lower socio-economic status. Conclusion Despite a policy of user fee exemption for children under 5 years of age in Kenya, our findings show that high unofficial user fees are still charged in district hospitals. Financing mechanisms that will offer financial risk protection to children seeking care need to be developed to remove barriers to child survival. PMID:22716184

  9. [Preliminary study of the characteristics of attempted suicide in the province of Granada].

    PubMed

    Martín, Y Mejías; Caro, M P García; Rio-Valle, J Schmidt; Rufián, A Quero; Sánchez, B Gorlat

    2011-01-01

    Suicides account for a number of deaths that is higher than other traumatic deaths in Spain. Non-fatal suicidal behaviour occurs in a greater proportion than such behaviour with a deadly outcome. There are many causes for this behaviour and it is important to become familiar with them if it is to be prevented. The aim of this article is to describe the characteristics of non-mortal suicidal behaviour in the province of Granada. A retrospective descriptive study of the characteristics of non-mortal suicidal behaviour in Granada during the years 2008 and 2009, according to the database of the Provincial 061 Service in Granada. The sample includes the demands made to this service in which the literal reason for the alert included the terms: suicide, self-harm or the threat of suicide. The statistical analysis was done with the SPSS 15.0 program. We analyzed the variable non-mortal suicidal behaviour with respect to the independent variables: sex, age, month, day of the week, time slot, health district, resolution of the demand (assigned priority) and further attempts. In total we analyzed 535 demands typified as intentional self-injury by unspecified means. Statistically significant differences were found when comparing the data for the two years with respect to the month chosen, and in the relationship between age range and time slot of the suicide attempts. Despite its limitations, the characterization of suicidal behaviour in our province offers essential information, and could be useful in designing and developing a program of psychosocial intervention for the prevention of suicidal behaviour adjusted to the specific profiles of our population.

  10. Goiter prevalence in school-going children: A cross-sectional study in two border districts of sub-Himalayan Jammu and Kashmir.

    PubMed

    Gupta, Rajiv Kumar; Langer, Bhavna; Raina, Sunil Kumar; Kumari, Rashmi; Jan, Reyaz; Rani, Renu

    2016-01-01

    Iodine deficiency disorder remains one of the major public health problems, despite it being easily preventable. Initially thought as the disorder of Himalayan goiter belt, the disorder has been found to have a pan-India presence. The study was planned with the aim to assess the prevalence of goiter among 6-12 years school-going children and to identify levels of iodine in salt consumed at the household level in the study area. The study was conducted among 3955 school-going (2162 children from Rajouri and 1793 children from Poonch) children age 6-12 years in Rajouri and Poonch districts of Jammu Province. The children were examined clinically to detect and grade the goiter. Salt samples were collected from subsample ( n = 400) to estimate iodine content in the salt. The prevalence of goiter in the study population was found to be 18.87% and 9.70% in Rajouri and Poonch districts, respectively. Goiter prevalence was higher in 9-12 years age group as compared to 6-9 years age group and the difference in goiter prevalence in males of these two age groups was statistically significant ( P = 0.02). Estimation of iodine content of the salt samples revealed that all of them (100%) had adequate iodine content. Despite the implementation of Universal Iodization Program and adequate content of iodine in salt consumed by the families, the goiter prevalence in both the districts is high. The future research should focus on identifying the reasons for this high prevalence.

  11. Geology and mineralization of the Wyoming Province

    USGS Publications Warehouse

    Hausel, W.D.; Edwards, B.R.; Graff, P.J.; ,

    1991-01-01

    The Wyoming Province is an Archean craton which underlies portions of Idaho, Montana, Nevada, Utah, and much of Wyoming. The cratonic block consists of Archean age granite-gneiss with interspersed greenstone belts and related supracrustal terranes exposed in the cores of several Laramide uplifts. Resources found in the Province and in the adjacent accreted Proterozoic terrane include banded iron formation, Au, Pt, Pd, W, Sn, Cr, Ni, Zn, Cu, and diamonds. The Province shows many similarities to the mineral-rich cratons of the Canadian shield, the Rhodesian and Transvaal cratons of southern Africa, and the Pilbara and Yilgarn blocks of Western Australia, where much of the world's precious and strategic metal and gemstone resources are located.

  12. Malaria Risk Factors in Kaligesing, Purworejo District, Central Java Province, Indonesia: A Case-control Study.

    PubMed

    Cahyaningrum, Pratiwi; Sulistyawati, Sulistyawati

    2018-05-01

    Malaria remains a public health concern worldwide, including Indonesia. Purworejo is a district in which endemic of malaria, they have re-setup to entering malaria elimination in 2021. Accordingly, actions must be taken to accelerate and guaranty that the goal will reach based on an understanding of the risk factors for malaria. Thus, we analysed malaria risk factors based on human and housing conditions in Kaligesing, Purworejo, Indonesia. A case-control study was carried out in Kaligesing subdistrict, Purworejo, Indonesia in July to August 2017. A structured questionnaire and checklist were used to collect data from 96 participants, who consisted of 48 controls and 48 cases. Univariate, bivariate, and multivariate analyses were performed. Bivariate analysis found that education level, the presence of a cattle cage within 100 m of the house, not sleeping under a bednet the previous night, and not closing the doors and windows from 6 p.m. to 5 a.m. were significantly ( p ≤0.25) associated with malaria. Of these factors, only not sleeping under a bednet the previous night and not closing the doors and windows from 6 p.m. to 5 a.m. were significantly associated with malaria. The findings of this study demonstrate that potential risk factor for Malaria should be paid of attention all the time, particularly for an area which is targeting Malaria elimination.

  13. Full-Day Kindergarten: A Case Study on the Perceptions of District Leaders in Four Suburban Pennsylvania School Districts

    ERIC Educational Resources Information Center

    Santoro, Elizabeth A.

    2011-01-01

    This qualitative study explored the reasons why suburban district leaders opted for full-day or half-day kindergarten programming in a sample of four local suburban districts operating such programs in Southeastern, Pennsylvania. The primary data source was interviews with key district leaders including school board members, superintendents,…

  14. Experiences with and expectations of maternity waiting homes in Luapula Province, Zambia: a mixed-methods, cross-sectional study with women, community groups and stakeholders.

    PubMed

    Chibuye, Peggy S; Bazant, Eva S; Wallon, Michelle; Rao, Namratha; Fruhauf, Timothee

    2018-01-25

    Luapula Province has the highest maternal mortality and one of the lowest facility-based births in Zambia. The distance to facilities limits facility-based births for women in rural areas. In 2013, the government incorporated maternity homes into the health system at the community level to increase facility-based births and reduce maternal mortality. To examine the experiences with maternity homes, formative research was undertaken in four districts of Luapula Province to assess women's and community's needs, use patterns, collaboration between maternity homes, facilities and communities, and promising practices and models in Central and Lusaka Provinces. A cross-sectional, mixed-methods design was used. In Luapula Province, qualitative data were collected through 21 focus group discussions with 210 pregnant women, mothers, elderly women, and Safe Motherhood Action Groups (SMAGs) and 79 interviews with health workers, traditional leaders, couples and partner agency staff. Health facility assessment tools, service abstraction forms and registers from 17 facilities supplied quantitative data. Additional qualitative data were collected from 26 SMAGs and 10 health workers in Central and Lusaka Provinces to contextualise findings. Qualitative transcripts were analysed thematically using Atlas-ti. Quantitative data were analysed descriptively using Stata. Women who used maternity homes recognized the advantages of facility-based births. However, women and community groups requested better infrastructure, services, food, security, privacy, and transportation. SMAGs led the construction of maternity homes and advocated the benefits to women and communities in collaboration with health workers, but management responsibilities of the homes remained unassigned to SMAGs or staff. Community norms often influenced women's decisions to use maternity homes. Successful maternity homes in Central Province also relied on SMAGs for financial support, but the sustainability of these

  15. Quaternary geology and sapphire deposits from the BO PHLOI gem field, Kanchanaburi Province, Western Thailand

    NASA Astrophysics Data System (ADS)

    Choowong, Montri

    2002-01-01

    One of the most famous blue sapphire deposits in Thailand and SE Asia is from the Bo Phloi District, Kanchanaburi Province, Western Thailand. This paper presents the results of our gemstone investigation as well as establishing the Bo Phloi depositional sequence as one of the Quaternary Type Sections in the region. Relationships among the sedimentology, depositional sequences and geomorphology were investigated in order to understand the gemstone depositional features. Sedimentary structures and textures of the sequences show that the deposition of gemstones is related genetically to fluvial processes. Gemstones are recognized in floodplain and low terrace deposits where gemstone paystreaks concentrate mostly inside layers of gravel beds and foreset-bedded gravels lithofacies. C-14 dating of wood and peat within gemstone-bearing layers indicated that the deposit formed during the middle to late Pleistocene. The gemstone-bearing gravel bed defines a north-south trend along the incised palaeo-channel of an ancient braided river system in the middle part of the basin.

  16. Rural district hospitals - essential cogs in the district health system - and primary healthcare re-engineering.

    PubMed

    le Roux, K W D P; Couper, I

    2015-06-01

    The re-engineering of primary healthcare (PHC) is regarded as an essential precursor to the implementation of National Health Insurance in South Africa, but improvements in the provision of PHC services have been patchy. The authors contend that the role of well- functioning rural district hospitals as a hub from which PHC services can be most efficiently managed has been underestimated, and that the management of district hospitals and PHC clinics need to be co-located at the level of the rural district hospital, to allow for proper integration of care and effective healthcare provision.

  17. What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts.

    PubMed

    Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

    2015-01-01

    Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors.

  18. Sexual Harassment Policies in Florida School Districts.

    ERIC Educational Resources Information Center

    Rienzo, Barbara A.; Moore, Michele Johnson

    1998-01-01

    Investigated the extent to which Florida's school districts complied with the Florida Department of Education's (FDOE) recommendations for addressing sexual harassment in schools. Surveys of district equity coordinators and analysis of policies indicated that most districts approved sexual harassment policies incorporating many FDOE…

  19. 7 CFR 905.13 - District.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... described as lying within Regulation Area II, and County Commissioner's Districts Four and Five of Volusia County. (d) Citrus District Four shall include the Counties of Manatee, Sarasota, Hardee, Highlands...

  20. The Little District that Could: Literacy Reform Leads to Higher Achievement in California District

    ERIC Educational Resources Information Center

    Kelly, Patricia R.; Budicin-Senters, Antoinette; King, L. McLean

    2005-01-01

    This article describes educational reform developed over a 10-year period in California's Lemon Grove School District, which resulted in a steady and remarkable upward shift in achievement for the students of this multicultural district just outside San Diego. Six elements of literacy reform emerged as the most significant factors affecting…

  1. Gaps in monitoring systems for Implanon NXT services in South Africa: An assessment of 12 facilities in two districts

    PubMed

    Pillay, D; Morroni, C; Pleaner, M; Adeogba, O; Chersich, M; Naidoo, N; Mullick, S; Rees, H

    2017-10-01

    Background. Implanon NXT, a long-acting subdermal contraceptive implant, was introduced in South Africa (SA) in early 2014 as part of an expanded contraceptive method mix. After initial high levels of uptake, reports emerged of frequent early removals and declines in use. Monitoring of progress and challenges in implant service delivery could identify aspects of the programme that require strengthening. Objectives. To assess data management and record keeping within implant services at primary care facilities. Methods. We developed a checklist to assess the tools used for monitoring implant services and data reporting to district offices. The checklist was piloted in seven facilities. An additional six high-volume and six low-volume implant insertion clinics in the City of Johannesburg (CoJ), Gauteng Province, and the Dr Kenneth Kaunda District, North West Province, were selected for assessment. Results. All 12 facilities completed a Daily Head Count Register, which tallied the number of clients attending the clinic, but not information about implant use. A more detailed Tick Register recorded services that clinic attendees received, with nine documenting number of implant insertions and six implant removals. A more specific tool, an Insertion Checklist, collected data on insertion procedures and client characteristics, but was only used in CoJ (five of six facilities). Other registers, which were developed de novo by staff at individual facilities, captured more detailed information about insertions and removals, including reasons. Five of six low-volume insertion facilities used these registers, but only three of six high-volume facilities. No facilities used the form specifically developed by the National Department of Health for implant pharmacovigilance. Nine of 12 clinics reported data on numbers of insertions to the district office, six reported removals and none provided data on reasons for removals. Conclusion. For data to inform effective decision

  2. Energy Assessment of Automated Mobility Districts

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chen, Yuche

    Automated vehicles (AVs) are increasingly being discussed as the basis for on-demand mobility services, introducing a new paradigm in which a fleet of AVs displace private automobiles for day-to-day travel in dense activity districts. This project examines such a concept to displace privately owned automobiles within a region containing dense activity generators (jobs, retail, entertainment, etc.), referred to as an automated mobility district (AMDs). The project reviews several such districts including airport, college campuses, business parks, downtown urban cores, and military bases, with examples of previous attempts to meet the mobility needs apart from private automobiles, some with automated technologymore » and others with more traditional transit based solutions. The issues and benefits of AMDs are framed within the perspective of intra-district, inter-district, and border issues, and the requirements for a modeling framework are identified to adequately reflect the breadth of mobility, energy, and emissions impact anticipated with AMDs.« less

  3. Parasites of domestic and wild animals in South Africa. L. Ixodid ticks infesting horses and donkeys.

    PubMed

    Horak, Ivan G; Heyne, Heloise; Halajian, Ali; Booysen, Shalaine; Smit, Willem J

    2017-02-28

    The aim of the study was to determine the species spectrum of ixodid ticks that infest horses and donkeys in South Africa and to identify those species that act as vectors of disease to domestic livestock. Ticks were collected opportunistically from 391 horses countrywide by their owners or grooms, or by veterinary students and staff at the Faculty of Veterinary Science, University of Pretoria. Ticks were also collected from 76 donkeys in Limpopo Province, 2 in Gauteng Province and 1 in North West province. All the ticks were identified by means of a stereoscopic microscope. Horses were infested with 17 tick species, 72.1% with Rhipicephalus evertsi evertsi, 19.4% with Amblyomma hebraeum and 15.6% with Rhipicephalus decoloratus. Rhipicephalus evertsi evertsi was recovered from horses in all nine provinces of South Africa and R. decoloratus in eight provinces. Donkeys were infested with eight tick species, and 81.6% were infested with R. evertsi evertsi, 23.7% with A. hebraeum and 10.5% with R. decoloratus. Several tick species collected from the horses and donkeys are the vectors of economically important diseases of livestock. Rhipicephalus evertsi evertsi is the vector of Theileria equi, the causative organism of equine piroplasmosis. It also transmits Anaplasma marginale, the causative organism of anaplasmosis in cattle. Amblyomma hebraeum is the vector of Ehrlichia ruminantium, the causative organism of heartwater in cattle, sheep and goats, whereas R. decoloratus transmits Babesia bigemina, the causative organism of babesiosis in cattle.

  4. Vaccines Cold Chain Monitoring: A Cross Sectional Study at Three District In Indonesia

    NASA Astrophysics Data System (ADS)

    Saraswati, L. D.; Ginandjar, P.; Budiyono; Martini; Udiyono, A.; Kairul

    2018-02-01

    Vaccine cold chain is a procedure that is used to keep vaccines at a certain temperature. The aim was to describe the vaccine cold chain management of basic immunization program in health centers district. The study design descriptive observational. The samples was Health Centers (HCs); 12 HCs in Sarolangun Jambi Province, 16 HCs in Brebes Central Java Province, and 24 HCs in Temanggung Central Java Provice. Basic immunization vaccines were BCG, DPT-HB-HIB, Polio, and Measles. The results showed proportion of officers graduated from college in Sorolangun, Brebes, and Temanggung were 66.7%, 81.3%, and 52.0% respectively. Proportion of HC that did not have thermometer and fridge freeze was mostly found in Temanggung (52%) and in Sorolangun (91.7%). The heat-sensitive vaccines arranged near the evaporator mostly found in Temanggung (88%), while freeze-sensitive vaccines prepared away of the evaporator mostly in Brebes (100%). Freezer temperature recording chart is not available mostly found in Sorolangun and Brebes (50%), In Sorolangun 41.7% of the officers monitoring 2 times a day and mostly (91.7%) the refrigerator thermostat tape was not isolated. The officers did not perform daily maintenance (50%), weekly (66.7%), and montly (33.3%) mostly found in Sorolangun. From this study we can conclude there is no vaccine immunization program management in Sarolangun, Brebes, and Temanggung that managed according to Ministry of Health Regulations number 42/2013 on the Implementation of immunization. Improvement oversight, control over management of vaccine and management personal, also managing the temperature of the vaccine were recommended.

  5. Preschool Guidelines: Rural Model (Trimble Local School District).

    ERIC Educational Resources Information Center

    Ohio State Dept. of Education, Columbus. Div. of Educational Services.

    The purpose of this handbook is to guide rural school districts intending to establish a preschool program. The program described was established in the Trimble Local School District in the rural Appalachian area of northern Athens County, the third poorest district in Ohio. Contents concern: (1) the district's beliefs about children; (2)…

  6. Did the Chernobyl atomic plant accident have an influence on the incidence of thyroid carcinoma in the province of Olsztyn?

    PubMed

    Bandurska-Stankiewicz, Elżbieta; Aksamit-Białoszewska, Ewa; Stankiewicz, Aleksander; Shafie, Danuta

    2010-01-01

    A study of incidence rates of thyroid carcinoma was conducted in Olsztyn province from 1 January 1994 to 31 December 2003 within its former boundaries, in spite of Poland's new administrative division. The criteria for register entry were as follows: residence in Olsztyn province, newly-diagnosed case of thyroid malignancy in the given calendar year, and histopathological verification in the Department of Anatomical Pathology of the District Specialist Hospital in Olsztyn. The study of selected risk factors comprised patients included in the register of thyroid carcinoma. For that purpose a questionnaire was prepared which covered information about the Chernobyl accident: place of residence, time of carcinoma diagnosis after the accident, and iodine prophylaxis during the accident. The control group consisted of 589 healthy subjects selected based on age and place of residence. In the years 1993-2003, 462 (395 women and 67 men) cases of thyroid cancer were registered. The questionnaire study comprised 297 patients with thyroid carcinoma and 589 healthy subjects. Study subjects from both the affected and control groups stayed mainly in their place of residence during the Chernobyl accident (97.28% v. 94.24%). Thyroid carcinoma was diagnosed on average 13.58 ± 2.61 years after irradiation. There were no significant differences in iodine prophylaxis during the Chernobyl accident. Lugol's solution was given to 31% of patients and 34% of healthy respondents. 1. It cannot be stated that the Chernobyl disaster had any influence on the incidence rate of thyroid carcinoma in the province of Olsztyn. 2. Iodine prophylaxis using Lugol's solution could have an influence on lack of significant increase of the thyroid carcinoma incidence rate in the age group 1-18 years.

  7. Ground-water provinces of Brazil

    USGS Publications Warehouse

    Schneider, Robert

    1962-01-01

    As part of a study of the status of investigations and development of ground water in Brazil, made under the auspices of the United States International Cooperation Administration and with the cooperation of the Government of Brazil, the country was divided into seven ground-water provinces. The identification and delineation of the provinces were based on the regional distribution of the dominant geologic units which are known or inferred to have distinctive water-bearing characteristics. Three of the provinces, covering most of the country, are underlain by Precambrian crystalline rocks. Three others coincide in part with four extensive sedimentary basins--the Parnaiba or Maranhfio basin and the contiguous Sao Francisco basin in the northeast and east, the Amazon basin in the north and northwest, and the Paranfi basin in the south and southwest. In addition, the narrow, discontinuous coastal plain is considered as a province. the occurrence of ground water is discussed briefly, and pertinent data are given on the more important aquifers, together with information on some existing wells. Because of the widespread distribution of crystalline rocks of low permeability, it is difficult in many areas to develop large or even adequate ground-water supplies. In general, satisfactory supplies of water are available in most of the rest of the country. Some problems include the relative deficiency of rainfall in the northeast together with the occurrence, in parts of this region, of mineralized water in the crystalline rocks. Also, there is a potential problem of excessive lowering of water levels and interference among wells in the intensively developed area of the city of Sao Paulo.

  8. Pannonian Basin Province, Central Europe (Province 4808) -Petroleum Geology, Total Petroleum Systems, and Petroleum Resource Assessment

    USGS Publications Warehouse

    Dolton, Gordon L.

    2006-01-01

    This report deals with the Pannonian Basin Province of Central Europe and summarizes the petroleum geology, which was the basis for assessment, and presents results of that assessment. The Pannonian Basin Province consists of a large compound extensional basin of Neogene age overlying Paleogene basins and interior elements of the greater Alpine foldbelt. Within it, six total petroleum systems (TPS) are defined and six assessment units established for estimation of undiscovered oil and gas resources. Other speculative TPSs were identified but not included for quantitative assessment within this study.

  9. Between-District Test Score Variation, 2009-2012

    ERIC Educational Resources Information Center

    Fahle, Erin; Reardon, Sean

    2016-01-01

    Describing the variation in test scores between and within school districts is critical for: (1) for policy-related and descriptive work that investigates the sorting of students among districts and the differential effectiveness of those districts; and (2) for methodological work planning future experiments or interventions. Intraclass…

  10. 26 CFR 301.7701-10 - District director.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 18 2010-04-01 2010-04-01 false District director. 301.7701-10 Section 301.7701-10 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) PROCEDURE AND ADMINISTRATION PROCEDURE AND ADMINISTRATION Definitions § 301.7701-10 District director. The term district...

  11. The Role of School District Science Coordinators in the District-Wide Appropriation of an Online Resource Discovery and Sharing Tool for Teachers

    NASA Astrophysics Data System (ADS)

    Lee, Victor R.; Leary, Heather M.; Sellers, Linda; Recker, Mimi

    2014-06-01

    When introducing and implementing a new technology for science teachers within a school district, we must consider not only the end users but also the roles and influence district personnel have on the eventual appropriation of that technology. School districts are, by their nature, complex systems with multiple individuals at different levels in the organization who are involved in supporting and providing instruction. Varying levels of support for new technologies between district coordinators and teachers can sometimes lead to counterintuitive outcomes. In this article, we examine the role of the district science coordinator in five school districts that participated in the implementation of an online resource discovery and sharing tool for Earth science teachers. Using a qualitative approach, we conducted and coded interviews with district coordinators and teachers to examine the varied responsibilities associated with the district coordinator and to infer the relationships that were developed and perceived by teachers. We then examine and discuss two cases that illustrate how those relationships could have influenced how the tool was adopted and used to differing degrees in the two districts. Specifically, the district that had high support for online resource use from its coordinator appeared to have the lowest level of tool use, and the district with much less visible support from its coordinator had the highest level of tool use. We explain this difference in terms of how the coordinator's promotion of teacher autonomy took distinctly different forms at those two districts.

  12. An ethnopharmacological evaluation of Navapind and Shahpur Virkanin district Sheikupura, Pakistan for their herbal medicines.

    PubMed

    Zahoor, Maria; Yousaf, Zubaida; Aqsa, Tahreem; Haroon, Manahil; Saleh, Nadia; Aftab, Arusa; Javed, Sadia; Qadeer, Mouzma; Ramazan, Habiba

    2017-05-08

    The chief aim of this study was to enlist the ethnobotanical uses of wild plants in district Sheikhupura, province Punjab, Pakistan. Due to extreme geographical and climatic conditions, Pakistan has a great floral diversity. Plants have been used by the indigenous people for treatment of different ailments since long. They are still dependent on the plants for their domestic purposes. Moreover, plants are used as first aid to treat diverse ailments such as cold, cough, influenza, asthma, cancer, antidote, gastric and hepatic disorders. The traditional uses of medicinal plants lead to the discovery of natural drugs. This is first quantitative ethnobotanical documentation of medicinal plants in NavaPind and ShahpurVirkan district Sheikhupura, province Punjab, Pakistan. This ethnobotanical information was collected from about 400 informants including male and female. Sample size was determined by statistical formula. The informative data was based on semi-structured interviews, group discussions, Questionnaire and field visits. Then the data was analyzed by applying different quantitative indices such as Informant Consent Factor (ICF), Use value (UV), Relative Frequency of Citation (RFC), the Fidelity level (FL) and Jaccard Index (JI). Almost 96 plants belonging to 34 families were reported. Most-frequently cited families were Poaceae (16 species) and Fabaceae (15 species). The most dominant life form was herbs (30.20%). The most-used plant parts were leaves (31.14%), followed by whole plant (24.59%), Most common mode of administration is extraction (81.25%). Generally herbal medicines were acquired from fresh plant material. Among all 54.16% plants were toxic, 31.25% were nontoxic, whereas the remaining 14.58% may be toxic or nontoxic because of their dual attitude. Almost 34 species were reported with their different medicinal uses as has been reported in literature. This ethnobotanical documentation revealed that the plants are still used by natives of rural areas

  13. Understanding the organisational culture of district health services: Mahalapye and Ngamiland health districts of Botswana

    PubMed Central

    Mash, Robert; Phaladze, Nthabiseng

    2015-01-01

    Background Botswana has a shortage of health care workers, especially in primary health care. Retention and high performance of employees are closely linked to job satisfaction and motivation, which are both highest where employees’ personal values and goals are realised. Aim The aim of the study was to evaluate employees’ personal values, and the current and desired organisational culture of the district health services as experienced by the primary health care workers. Setting The study was conducted in the Ngamiland and Mahalapye health districts. Method This was a cross sectional survey. The participants were asked to select 10 values that best described their personal, current organisational and desired organisational values from a predetermined list. Results Sixty and 67 health care workers completed the survey in Mahalapye and Ngamiland districts, respectively. The top 10 prevalent organisational values experienced in both districts were: teamwork, patient satisfaction, blame, confusion, job insecurity, not sharing information and manipulation. When all the current values were assessed, 32% (Mahalapye) and 36% (Ngamiland) selected by health care workers were potentially limiting organisational effectiveness. The organisational values desired by health care workers in both districts were: transparency, professional growth, staff recognition, shared decision-making, accountability, productivity, leadership development and teamwork. Conclusions The experience of the primary health care workers in the two health districts were overwhelmingly negative, which is likely to contribute to low levels of motivation, job satisfaction, productivity and high attrition rates. There is therefore urgent need for organisational transformation with a focus on staff experience and leadership development. PMID:26842516

  14. Exploring the ethos of district nursing, 1885-1985.

    PubMed

    Madsen, Wendy

    2013-06-01

    The history of district nursing in Australia explored in this paper reveals a continuity in the essential values held by district nurses for over a century. These nurses practised holistic, family-centred nursing from the very origins of district nursing service. The events surrounding the establishment of Community Health Centres in the 1970s challenged district nurses to reconsider their role, while at the same time reconfirming their essential ethos. These values that underpinned district nursing practice and challenges to these values are examined in this paper.

  15. What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts

    PubMed Central

    Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

    2015-01-01

    Background Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. Methods All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. Results District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. Conclusions District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors. PMID:26068907

  16. School District Effects and Efficiency. Special Report.

    ERIC Educational Resources Information Center

    Swanson, Austin D.; Engert, Frank

    This paper describes efforts to develop indices of student achievement, school district effort, and school district efficiency. The challenge was to develop measures that are simple to understand, yet allow comparison among districts that are not distorted by socioeconomic differences. Measures were developed for average student achievement,…

  17. First description of Trypanosoma cruzi human infection in Esmeraldas province, Ecuador.

    PubMed

    Guevara, Ángel; Moreira, Juan; Criollo, Hipatia; Vivero, Sandra; Racines, Marcia; Cevallos, Varsovia; Prandi, Rosanna; Caicedo, Cynthia; Robinzon, Francisco; Anselmi, Mariella

    2014-08-06

    Chagas disease was described in Ecuador in 1930 in the province of Guayas and thereafter in various provinces. Triatomine were reported in the province of Esmeraldas but no human infection has been described. Here we report the first evidence that the disease does exist in the province of Esmeraldas. In indigenous Awá communities located in the northwest jungle of the Esmeraldas province, 144 individuals were tested using ELISA and PCR for T.cruzi of which 5 (3.47%) were positive. Twenty eight triatomine were collected, 27 were Triatoma dispar and 1 Pastrongylus rufotuberculatus, T.cruzi was detected in 11 (42.3%) of 26 insects.

  18. Health-Related Quality of Life and Preferred Health-Seeking Institutions among Rural Elderly Individuals with and without Chronic Conditions: A Population-Based Study in Guangdong Province, China

    PubMed Central

    Zhou, Zhiheng; Wang, Caixia; Yang, Huajie; Wang, Xiang; Zheng, Chanjiao; Wang, Jiaji

    2014-01-01

    The aim of this study was to examine health-related quality of life (HRQL) as measured by SF-36 and to identify these factors and the preferred health-seeking institutions of 12,800 persons aged 60 and older with and without chronic conditions in rural areas of Guangdong Province by multistage stratified cluster sampling method. HRQL among rural elderly subjects with chronic conditions was lower than that of elderly subjects with no chronic conditions. Multiple linear regression showed that marital status, living with children, cardiovascular disease, osteoporosis, cataract disease, and mental disease were the main affecting factors of HRQL. The main preferred health-seeking institutions selected by the rural elderly were community/town health service institutions, district hospitals, or secondary hospitals. Our findings indicate that the elderly in rural areas of Guangdong Province have a poor HRQL and incorrect health-seeking pathway. The healthcare policymakers should emphasize the need of developing effective and targeted community services strategies to improve the elderly individuals' HRQL in rural areas of China. PMID:24949425

  19. The School District Organization Handbook.

    ERIC Educational Resources Information Center

    California State Dept. of Education, Sacramento.

    This handbook describes procedures for school-district reorganization in California. Following the introductory chapter, chapter 2 offers a historical overview of school-district reorganization in California. Chapters 3 and 4 outline the organization and responsibilities of the county committee and the role and responsibilities of the State Board…

  20. #GoOpen District Launch Packet

    ERIC Educational Resources Information Center

    Office of Educational Technology, US Department of Education, 2016

    2016-01-01

    Across the country, districts are choosing to #GoOpen and transitioning to the use of openly licensed educational resources to improve student learning in their schools. Openly licensed educational resources enable districts to reallocate significant funds currently spent on inflexible, static learning materials to resources and activities that…