Lowe, S; Le Mercier du Quesnay, D R; Gayle, Pmh; Henry-Pinnock, F; Wedderburn-Buddo, T
2015-06-30
This is a special case report on Jamaica's first use of hyperbaric oxygen therapy (HBOT) in stroke recovery, presented at the 56 th Annual Conference of the Association of Surgeons in Jamaica, Kingston, Jamaica. The literature and story behind the trial ‒ covering case history, diagnosis and discussion of outcome ‒ technical issues, costing, insurance and possibilities for income earning and health tourism are explored.
NASA Astrophysics Data System (ADS)
Evans, Amanda M.
2007-12-01
Jamaica sloops were vernacular watercraft designed, built, and utilized by Caribbean colonists beginning in the late-17th century. Despite their popularity, no design or construction records or even a specific definition of their form survive, and many sources simply describe them as an early version of the Bermuda sloop. Vernacular Jamaica sloops were a unique adaptation by English colonists to combat the effects of piracy, and their design was specific to the economic, geographic, and political circumstances of colonial Jamaica. This article proposes a set of characteristics that can be used to define vernacular Jamaica sloops, firstly to distinguish them from the eighteenth-century naval Jamaica-class sloops but also to better understand them as a social response to external stimuli within the complex relationship between maritime economy, piracy and colonial control executed through the navy.
Gateway National Recreation Area, Jamaica Bay Unit : Jamaica Bay Greenway Missing Links Study.
DOT National Transportation Integrated Search
2010-09-24
Based on both a field site reconnaissance and workshop, this study developed a conceptual plan for the location and design of bicyle facilites to complete a "missing link" of the Jamaica Bay through the Rockaway region of Brooklyn and Queens in New Y...
Ball Mountain Lake, Jamaica, Vermont. Master Plan for Recreation Resources Development.
1977-12-01
Springfield, Vermont 15,695 Brattleboro, Vermont 21,294 Bennington , Vermont 22,536 The balance of the population in the Ball Mountain area is contained...A CORPS OF ENGINEERS WALTHAM A NEW ENGLAND DIV F/6 13/2 DECL MUNTAIN LAKE, JAMAICA. VERMONT . MASTER PL.AN FOR RECREATIO--ETCIU) DE 7ENLSIFE ESG EN-Eh...JAMAICA, VERMONT MASTERPA FOR RECREATION RESOURCES DEVELOPMENT JO - 0 DESIGN MEMORANDUM DW~RIBtMfON STATIEMNT -A DE E B R 1977 Approved for public releris
Snead, Margaret Christine; Wiener, Jeffrey; Ewumi, Sinmisola; Phillips, Christi; Flowers, Lisa; Hylton-Kong, Tina; Medley-Singh, Natalie; Legardy-Williams, Jennifer; Costenbader, Elizabeth; Papp, John; Warner, Lee; Black, Carolyn; Kourtis, Athena P
2017-01-01
Background There is limited information on rates of STIs in Jamaica due to syndromic management and limited aetiological surveillance. We examined the prevalence of Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Trichomonas vaginalis (TV) and characteristics associated with STIs among sexually active women who participated in a randomised trial of a progestin implant initiation in Jamaica (the Sino-Implant Study (SIS)). Methods SIS was a randomised trial conducted in Kingston, Jamaica, from 2012 to 2014 to evaluate whether initiation of the Sino-Implant (II) led to more unprotected sex among women ages 18–44 years. Data collected included self-reported demographic, sexual behaviour information; and vaginal swabs collected at baseline, 1-month and 3-month follow-up visits for a biomarker of recent semen exposure (prostate-specific antigen (PSA)) and for STIs. We examined associations between STIs and PSA, demographics, sexual behaviour and insertion of an implant, with a repeated-measures analysis using generalised estimating equations (SAS Institute, V.9.3). Results Remnant vaginal swabs from 254 of 414 study participants were tested for STIs. At baseline, 29% of participants tested for STIs (n=247) had laboratory-confirmed CT, 5% NG, 23% TV and 45% any STI. In a repeated-measures analysis adjusted for study arm (immediate vs delayed implant insertion), those with PSA detected did not have an increased prevalence of any STI (prevalence ratio (PR)=1.04 (95% CI 0.89 to 1.21)), whereas prevalence decreased for each 1-year increase in age (PR=0.98 (95% CI 0.97 to 0.99)). Immediate implant insertion was not associated with increases in any STI in subsequent visits (PR=1.09 (95% CI 0.94 to 1.27)). Conclusions Although the prevalence of laboratory-confirmed STIs was high, the immediate initiation of a contraceptive implant was not associated with higher STI prevalence rates over 3 months. Trial registration number NCT01684358. PMID:28476913
Conceptualizations of School Leadership among High School Principals in Jamaica
ERIC Educational Resources Information Center
Newman, Mairette
2013-01-01
Drawing on evidence from research that adopted a qualitative case study design and used grounded theory methods of data analysis, this study examined how selected high school principals in Jamaica conceptualize school leadership. Data were sourced from semi-structured interviews, field observations as well as from school, principal and official…
ERIC Educational Resources Information Center
Boufoy-Bastick, Beatrice
Economic globalization make it increasingly important for Caribbean professionals to be able to communicate effectively in English, French, and Spanish. Accordingly, the University of Technology in Jamaica is developing French and Spanish courses designed to teach culturally appropriate and successful communication for specific professions. The…
ERIC Educational Resources Information Center
Rose, Hyacinth P.
2010-01-01
This article reports a descriptive case study portraying a teaching-practice program designed to highlight the preparation of student-teachers for teaching practice, using the Joint Board of Teacher Education (JBTE) benchmarks, in a teachers' college in Jamaica. At Church Teachers' College (CTC) 22 informants of mixed gender were selected for the…
Simmonds-Gordon, R N; Collins-Fairclough, A M; Stewart, C S; Roye, M E
2014-10-01
Jatropha gossypifolia is a weed that is commonly found with yellow mosaic symptoms growing along the roadside and in close proximity to cultivated crops in many farming communities in Jamaica. For the first time, the complete genome sequence of a new begomovirus, designated jatropha mosaic virus-[Jamaica:Spanish Town:2004] (JMV-[JM:ST:04]), was determined from field-infected J. gossypifolia in the western hemisphere. DNA-A nucleotide sequence comparisons showed closest identity (84 %) to two tobacco-infecting viruses from Cuba, tobacco mottle leaf curl virus-[Cuba:Sancti Spiritus:03] (TbMoLCV-[CU:SS:03]) and tobacco leaf curl Cuba virus-[Cuba:Taguasco:2005] (TbLCuCUV-[CU:Tag:05]), and two weed-infecting viruses from Cuba and Jamaica, Rhynchosia rugose golden mosaic virus-[Cuba:Camaguey:171:2009] (RhRGMV- [CU:Cam:171:09]) and Wissadula golden mosaic St. Thomas virus-[Jamaica:Albion:2005] (WGMSTV-[JM:Alb:05]). Phylogenetic analysis revealed that JMV-[JM:ST:04] is most closely related to tobacco and tomato viruses from Cuba and WGMSTV-[JM:Alb:05], a common malvaceous-weed-infecting virus from eastern Jamaica, and that it is distinct from begomoviruses infecting Jatropha species in India and Nigeria.
Current state of prostate cancer treatment in Jamaica.
Morrison, Belinda F; Aiken, William D; Mayhew, Richard
2014-01-01
Prostate cancer is the commonest cancer in Jamaica as well as the leading cause of cancer-related deaths. One report suggested that Jamaica has the highest incidence rate of prostate cancer in the world, with an age-standardised rate of 304/100,000 per year. The Caribbean region is reported to have the highest mortality rate of prostate cancer worldwide. Prostate cancer accounts for a large portion of the clinical practice for health-care practitioners in Jamaica. The Jamaica Urological Society is a professional body comprising 19 urologists in Jamaica who provide most of the care for men with prostate cancer in collaboration with medical oncologists, radiation oncologists, and a palliative care physician. The health-care system is structured in two tiers in Jamaica: public and private. The urologist-to-patient ratio is high, and this limits adequate urological care. Screening for prostate cancer is not a national policy in Jamaica. However, the Jamaica Urological Society and the Jamaica Cancer Society work synergistically to promote screening as well as to provide patient education for prostate cancer. Adequate treatment for localised prostate cancer is available in Jamaica in the forms of active surveillance, nerve-sparing radical retropubic prostatectomy, external beam radiation, and brachytherapy. However, there is a geographic maldistribution of centres that provide prostate cancer treatment, which leads to treatment delays. Also, there is difficulty in affording some treatment options in the private health-care sectors. Androgen deprivation therapy is available for treatment of locally advanced and metastatic prostate cancer and is subsidised through a programme called the National Health Fund. Second-line hormonal agents and chemotherapeutic agents are available but are costly to most of the population. The infrastructure for treatment of prostate cancer in Jamaica is good, but it requires additional technological advances as well as additional specialist services.
Achieving Energy Security in the Caribbean Basin
2009-04-01
however. Jamaica Broilers Ethanol, a subsidiary of the private company Jamaica Broilers Group, is spending an additional $15 million to expand its...limited basis. Jamaica Broilers , for example, produces 5MW of energy, but it is investing approximately $5 million to generate an additional 10MW of...Minister Upbeat about Jamaica’s Ethanol Prospects," 16 Dec 08 50 The BioEnergySite News Desk, "Jamaica Broilers Ethanol to Double Capacity," Feb 09
Sustaining Jamaica's forests: The protected areas resource conservation project
NASA Astrophysics Data System (ADS)
Berke, Philip R.; Beatley, Timothy
1995-07-01
This study examines Jamaica's attempt to protect a tropical forest reserve. The biophysical setting, and the types and magnitude of forest development pressures are reviewed. Next, Jamaica's approach to developing new land-use strategies and compatible environmental protection and economic development programs are examined. Finally, the practical and theoretical implications by which institutions can be designed to encourage planning for sustainable development are reviewed. The implications suggest how to provide an appropriate mix of cooperation and market competition, by which people acting in their own interests accomplish socially equitable economic development, while protecting the environment for the benefit of future generations. The experience illustrates that effective long-term protection of natural areas requires the building of local relationships and support, the development of local economic activities supportive of conservation, the defining of clear boundaries, and significant monitoring and enforcement. Long-term protection of the Blue and John Crow mountains, and other important natural areas of Jamaica, will also require the development of a workable and enforceable system of land-use planning for the island, and adjustments to the economic incentive structure so that sustainable, nonextractive uses of natural capital are placed on equal footing with other economic uses (e.g., coffee production).
A mixed-methods study of health worker migration from Jamaica.
Tomblin Murphy, Gail; MacKenzie, Adrian; Waysome, Benjamin; Guy-Walker, Joan; Palmer, Rowena; Elliott Rose, Annette; Rigby, Janet; Labonté, Ronald; Bourgeault, Ivy Lynn
2016-06-30
This study sought to better understand the drivers of migration, its consequences, and the various strategies countries have employed to mitigate its negative impacts. The study was conducted in four countries-Jamaica, India, the Philippines, and South Africa-that have historically been 'sources' of health workers migrating to other countries. The aim of this paper is to present the findings from the Jamaica portion of the study. Data were collected using surveys of Jamaica's generalist and specialist physicians, nurses, midwives, and dental auxiliaries, as well as structured interviews with key informants representing government ministries, professional associations, regional health authorities, healthcare facilities, and educational institutions. Quantitative data were analyzed using descriptive statistics and regression models. Qualitative data were analyzed thematically. Multiple stakeholder engagement workshops were held across Jamaica to share and validate the study findings and discuss implications for the country. Migration of health workers from Jamaica continues to be prevalent. Its causes are numerous, long-standing, and systemic, and are largely based around differences in living and working conditions between Jamaica and 'destination' countries. There is minimal formal tracking of health worker migration from Jamaica, making scientific analysis of its consequences difficult. Although there is evidence of numerous national and international efforts to manage and mitigate the negative impacts of migration, there is little evidence of the implementation or effectiveness of such efforts. Potential additional strategies for better managing the migration of Jamaica's health workers include the use of information systems to formally monitor migration, updating the national cadre system for employment of health personnel, ensuring existing personnel management policies, such as bonding, are both clearly understood and equitably enforced, and providing greater formal and informal recognition of health personnel. Although historically common, migration of Jamaica's health workers is poorly monitored and understood. Improved management of the migration of Jamaica's health workers requires collaboration from stakeholders across multiple sectors. Indeed, participating stakeholders identified a wide range of potential strategies to better manage migration of Jamaica's health workers, the implementation and testing of which will have potential benefits to Jamaica as well as other 'source' countries.
Code of Federal Regulations, 2010 CFR
2010-01-01
... Bahrain Barbados Belize Botswana Brazil Chile Colombia Costa Rica Dominica Dominican Republic Ecuador El Salvador Fiji Gabon Grenada Guatemala Honduras Jamaica Malaysia Malta Mauritius Morocco Namibia Panama...
Code of Federal Regulations, 2011 CFR
2011-01-01
... Bahrain Barbados Belize Botswana Brazil Chile Colombia Costa Rica Dominica Dominican Republic Ecuador El Salvador Fiji Gabon Grenada Guatemala Honduras Jamaica Malaysia Malta Mauritius Morocco Namibia Panama...
A history of cardiology in Jamaica.
Denbow, C E
2004-06-01
The history of cardiology in Jamaica is conveniently considered in decades beginning in the 1950s. The decade of the 1950s was characterized by early descriptions of the pattern of cardiac disease in adults and children in Jamaica, the establishment of a cardiac clinic at the University Hospital of the West Indies and early cardiac surgical landmarks. Extensive preparatory experimental work in the canine laboratory with respect to cardiopulmonary bypass in the early to mid-1960s culminated in the successful completion of the first open heart surgical procedure in April, 1968. Cardiac catheterization was also increasingly developed in the decade of the 1960s. A highlight of the decade of the 1970s was the establishment of the Heart Foundation of Jamaica which began contributing greatly to preventive cardiology in Jamaica by providing a variety of programmes of prevention. In the decade of the 1980s, non-invasive cardiac diagnostic facilities in Jamaica were considerably enhanced by the introduction and development of echocardiography, treadmill exercise testing and ambulatory electrocardiography. In addition, the very important National Rheumatic Fever prevention programme was established. The cardiac catheterization laboratory was re-opened in the 1990s, thus allowing the performance of coronary arteriography in Jamaica for the first time, and interventional cardiology procedures soon followed. The Jamaica Foundation for Cardiac disease was also established in this decade. The vision for the new millennium of "A heart healthy Jamaica in the 21st century" is achievable, but will require appropriate emphasis on expanded preventive and curative cardiology programmes.
Knight-Madden, Jennifer; Gray, Robert
2008-01-01
Background The number of physicians per 10,000 population is a basic health indicator used to determine access to health care. Studies from the United States of America and Europe indicate that their physician registration databases may be flawed. Clinical research activities have suggested that the current records of physicians registered to practice in Jamaica may not be accurate. Our objective was to determine whether the Medical Council of Jamaica (MCJ) accurately records and reports the identities, number and specialty designation of physicians in Jamaica. An additional aim was to determine the countries in which these physicians were trained. Methods Data regarding physicians practicing in Jamaica in 2005 were obtained from multiple sources including the MCJ and the telephone directory. Intense efforts at tracing were undertaken in a sub-sample of physicians, internists and paediatricians to further improve the accuracy of the data. Data were analysed using SPSS, version 11.5. Results The MCJ listed 2667 registered physicians of which 118 (4.4%) were no longer practicing in Jamaica. Of the subset of 150 physicians who were more actively traced, an additional 11 were found to be no longer in practice. Thus at least 129 (4.8%) of the physicians on the MCJ list were not actively practising in Jamaica. Twenty-nine qualified physicians who were in practice, but not currently on the Jamaican register, were identified from other data sources. This yielded an estimate of 2567 physicians or 9.68 physicians per 10,000 persons. Seven hundred and twenty six specialists were identified, 118 from the MCJ list only, 452 from other sources, in particular medical associations, and 156 from both the MCJ list and other sources. Sixty-six percent of registered doctors completed medical school at the University of the West Indies (UWI). Conclusion These data suggest that the MCJ list includes some physicians no longer practicing in Jamaica while underestimating the number of specialists. Difficulty in accurately estimating the number of practicing physicians has been reported in studies done in other countries but the under-reporting of the number of specialists is uncommon. Additional consideration should be given to strategies to ensure compliance with the annual registration that is mandated by law and to changing the law to include registration of specialist qualifications. PMID:19077244
Cruickshank, J K; Richardson, J H; Morgan, O S; Porter, J; Klenerman, P; Knight, J; Newell, A L; Rudge, P; Dalgleish, A G
1990-01-01
OBJECTIVE--To compare the prevalence of antibody to and proviral DNA of the retrovirus HTLV-I in relatives of 11 British patients with tropical spastic paraparesis who had migrated from Jamaica before they developed symptoms, and to examine factors possibly related to transmission of HTLV-I. DESIGN--Migrant, family study. Antibody state was determined by several methods and confirmed by western blotting; the polymerase chain reaction was used to detect proviral DNA. SETTING--Britain and Jamaica. SUBJECTS--All available first degree relatives: those born and still resident in Jamaica (group 1); those born in Jamaica who migrated to Britain (group 2); and index patients' children who were born and resident in Britain (group 3). All had been breast fed and none had had blood transfusions. RESULTS--Of the 66 living relatives, 60 were traced. Seroprevalence among those born in Jamaica (irrespective of current residence) was 22% (10/46; 95% confidence limits 9 to 34%) compared with zero among British born offspring (0/14) and was higher in group 2 at 33% (7/21; 12 to 55%) than in group 1 at 12% (3/25; 0 to 25%). (Patients in group 1 had the greatest mean age.) Proviral DNA was not detected in any subject negative for HTLV-I antibody, making prolonged viral incubation in those negative for the antibody unlikely. CONCLUSION--In this sample factors related to place of birth and early residence were more important in transmission of HTLV-I than maternal or age effects. In areas with a low to moderate prevalence policies of preventing mothers who are carriers of the virus from breast feeding would be premature. PMID:2106960
Differences in misreporting of sexual behavior over time: implications for HIV trials.
Gallo, Maria F; Warner, Lee; Hobbs, Marcia M; Jamieson, Denise J; Hylton-Kong, Tina; Steiner, Markus J
2015-03-01
We used data from a prospective study of 300 women attending a sexually transmitted infection clinic in Kingston, Jamaica, to compare participant self-report of recent semen exposure to actual semen exposure measured by prostate-specific antigen in vaginal swabs. Underreporting of semen exposure was significantly more frequent at follow-up than baseline, suggesting that the accuracy of reports of sexual behavior may vary over time.
Predictors of anemia among pregnant women in Westmoreland, Jamaica
Charles, Alyson M.; Campbell-Stennett, Dianne; Yatich, Nelly; Jolly, Pauline E.
2010-01-01
Anemia in pregnancy is a worldwide problem, but it is most prevalent in the developing world. This research project was conducted to determine the predictors of anemia in pregnant women in Westmoreland, Jamaica. A cross-sectional study design was conducted and descriptive, bivariate, and multiple logistic regression analyses were used. Body mass index, Mid-upper arm circumference, and the number of antenatal care visits showed a statistically significant association with anemia. Based on the results, we believe that maintaining a healthy body weight, and frequently visiting an antenatal clinic, will help to lower the prevalence of anemia among pregnant women in Westmoreland. PMID:20526925
USDA-ARS?s Scientific Manuscript database
Cacao is an economically important commodity in Jamaica. Knowledge of the genetic diversity in Jamaican cacao germplasm is essential for their conservation and management. In spite of cacao's economic importance in Jamaica, the crop is understudied therefore limiting sound decisions towards improvin...
Jamaica: A Development Perspective.
ERIC Educational Resources Information Center
Scott, Rosalind; And Others
Jamaica is known mainly as a tourist playground and the home of Reggae music. This Jamaican teaching unit dispels stereotypes and shows Jamaica for what it really is--an economically-troubled, developing nation. The unit illustrates the challenges this island nation is facing in its struggle toward economic development. Contents are: Teacher…
Investigating gender violence in Jamaica.
Spiring, Fred
2014-01-01
As Jamaica moves through implementation of their National Policy on Gender Equality and develops harassment legislation, this article attempts to investigate current levels and trends of gender-based violence in Jamaica. All analyses make use of existing data and data formats in developing performance indicators that illustrate the current state of gender violence in Jamaica. The analyses provide a baseline for the future assessment and comparison with internationally accepted gender-based violence indicators. All source data has been included to facilitate comparisons and discussions regarding related levels and trends of violence as well as addressing performance indicator effectiveness.
Sharon Ritter
2008-01-01
While it wasn't quite as good as actually going to Jamaica, visiting with Jamaican forest managers on the Bitterroot was still fun. In late September 2007, the Northern Region hosted a visit from Marilyn Headley - Conservator of Forests, Keith Porter - Senior Director (both from the Forestry Department) and Lorna Jones - Lee from the Cabinet Office in Jamaica;...
Evolution of Counseling in Jamaica: Past, Present, and Future Trends
ERIC Educational Resources Information Center
Palmer, Geoffrey J.; Palmer, Ransford W.; Payne-Borden, Jacqueline
2012-01-01
Counseling maintains a small yet growing presence in Jamaica as a profession. Practitioners are confronted with several societal problems. The authors provide a historical overview of Jamaica and a synopsis of the development of counseling. The emergence of counseling services through the limitations of psychiatry and psychology sets the stage for…
Adult Education, Social Change and Development in Post-Colonial Jamaica
ERIC Educational Resources Information Center
Barrett, Shermaine Ann Marie
2014-01-01
The purpose of this qualitative case study was to demonstrate how adult education enabled the process of economic and social change, and national development in Jamaica through a critical review of two cases of adult education provisions in Jamaica since the country gained independence in 1962. Content analysis of various documents from primary…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hoy, M.A.; Jeyaprakash, A.; Clarke-Harris, D.
These data indicate that the population of A. citricola in Jamaica probably originated from the Australian (Thailand), rather than from the Taiwan, population. This is consistent with what is currently known about the origin of the established Ageniaspis population in Florida (Alvarez 2000). It is not known when, or how, A. citricola arrived in Jamaica, although the CLM was detected there in 1994. The fortuitous establishment of A. citricolaon the CLM in Jamaica is not the only such establishment of a natural enemy discovered during this 2004 survey of citrus. The parasitoid Lipolexis oregmae Gahan (Hymenoptera: Aphidiidae) was found attackingmore » the brown citrus aphid, Toxoptera citricida Kirkaldy (Hemiptera: Aphididae) (Hoy et al., unpublished data), and the eulophid parasitoid Tamarixia radiata Waterston was found attacking the Asian citrus psyllid, Diaphorina citri Kuwayama (Hemiptera: Psyllidae). The fact that 3 natural enemies of 3 invasive citrus pests were found in Jamaica, none of which were purposefully imported and released, suggests that pest-infested citrus trees were imported into Jamaica without going through appropriate quarantine procedures. Because each pest arrived at different times, the parasitoids probably arrived at different times, as well. This indicates that an analysis is needed to identify the critical control points within those services in Jamaica that support border protection, and that procedures may require strengthening. (author)« less
The Impact of Information Technology on the Efficacy of Tuition Fee Collection: A Case in Jamaica
ERIC Educational Resources Information Center
Chevers, Delroy; Archie, Jonathon; Kerr-Gordon, Latoya; Hazel, Kerry
2018-01-01
Most governments in both developed and developing countries are reducing their financial support to universities. This condition is further compounded in Jamaica because the Jamaican government has shifted its focus and support from tertiary to early childhood education. As a result, both students and universities in Jamaica are experiencing…
ERIC Educational Resources Information Center
Ivey, Paul W.; Henry, Martin
2016-01-01
The purpose of this paper is to highlight, using examples, how the University of Technology, Jamaica (UTech, Jamaica) is strategically using a modest internal research development fund, which is managed by the research managers in its research and innovation management office, to support impactful research projects. Critical reflection and the…
Using CT imaging, we found that rapidly deteriorating marshes in Jamaica Bay had significantly less belowground mass and abundance of coarse roots and rhizomes at depth (< 10 cm) compared to more stable areas in the Jamaica Bay Estuary. In addition, the rhizome diameters and pea...
50 CFR 24.12 - Designated ports.
Code of Federal Regulations, 2010 CFR
2010-10-01
... Orlando, Florida Honolulu, Hawaii New Orleans, Louisiana Hoboken, New Jersey (Port of New York) Jamaica, New York San Juan, Puerto Rico Brownsville, Texas El Paso, Texas Houston, Texas Seattle, Washington (b... Chicago, Illinois Baton Rouge, Louisiana New Orleans, Louisiana Bangor, Maine Portland, Maine Baltimore...
First report of the complete sequence of Sida golden yellow vein virus from Jamaica.
Stewart, Cheryl S; Kon, Tatsuya; Gilbertson, Robert L; Roye, Marcia E
2011-08-01
Begomoviruses are phytopathogens that threaten food security [18]. Sida spp. are ubiquitous weed species found in Jamaica. Sida samples were collected island-wide, DNA was extracted via a modified Dellaporta method, and the viral genome was amplified using degenerate and sequence-specific primers [2, 11]. The amplicons were cloned and sequenced. Sequence analysis revealed that a DNA-A molecule isolated from a plant in Liguanea, St. Andrew, was 90.9% similar to Sida golden yellow vein virus-[United States of America:Homestead:A11], making it a strain of SiGYVV. It was named Sida golden yellow vein virus-[Jamaica:Liguanea 2:2008] (SiGYVV-[JM:Lig2:08]). The cognate DNA-B, previously unreported, was successfully cloned and was most similar to that of Malvastrum yellow mosaic Jamaica virus (MaYMJV). Phylogenetic analysis suggested that this virus was most closely related to begomoviruses that infect malvaceous hosts in Jamaica, Cuba and Florida in the United States.
Enriquillo–Plantain Garden fault zone in Jamaica: paleoseismology and seismic hazard
Koehler, R.D.; Mann, P.; Prentice, Carol S.; Brown, L.; Benford, B.; Grandison-Wiggins, M.
2013-01-01
The countries of Jamaica, Haiti, and the Dominican Republic all straddle the Enriquillo–Plantain Garden fault zone ( EPGFZ), a major left-lateral, strike-slip fault system bounding the Caribbean and North American plates. Past large earthquakes that destroyed the capital cities of Kingston, Jamaica (1692, 1907), and Port-au-Prince, Haiti (1751, 1770), as well as the 2010 Haiti earthquake that killed more than 50,000 people, have heightened awareness of seismic hazards in the northern Caribbean. We present here new geomorphic and paleoseismic information bearing on the location and relative activity of the EPGFZ, which marks the plate boundary in Jamaica. Documentation of a river bank exposure and several trenches indicate that this fault is active and has the potential to cause major destructive earthquakes in Jamaica. The results suggest that the fault has not ruptured the surface in at least 500 yr and possibly as long as 28 ka. The long period of quiescence and subdued geomorphic expression of the EPGFZ indicates that it may only accommodate part of the ∼7–9 mm=yr plate deformation rate measured geodetically and that slip may be partitioned on other undocumented faults. Large uncertainties related to the neotectonic framework of Jamaica remain and more detailed fault characterization studies are necessary to accurately assess seismic hazards.
Johnston, Rory; Crooks, Valorie A; Ormond, Meghann
2015-07-04
Medical tourism is now targeted by many hospitals and governments worldwide for further growth and investment. Southeast Asia provides what is perhaps the best documented example of medical tourism development and promotion on a regional scale, but interest in the practice is growing in locations where it is not yet established. Numerous governments and private hospitals in the Caribbean have recently identified medical tourism as a priority for economic development. We explore here the projects, activities, and outlooks surrounding medical tourism and their anticipated economic and health sector policy implications in the Caribbean country of Jamaica. Specifically, we apply Pocock and Phua's previously-published conceptual framework of policy implications raised by medical tourism to explore its relevance in this new context and to identify additional considerations raised by the Jamaican context. Employing case study methodology, we conducted six weeks of qualitative fieldwork in Jamaica between October 2012 and July 2013. Semi-structured interviews with health, tourism, and trade sector stakeholders, on-site visits to health and tourism infrastructure, and reflexive journaling were all used to collect a comprehensive dataset of how medical tourism in Jamaica is being developed. Our analytic strategy involved organizing our data within Pocock and Phua's framework to identify overlapping and divergent issues. Many of the issues identified in Pocock and Phua's policy implications framework are echoed in the planning and development of medical tourism in Jamaica. However, a number of additional implications, such as the involvement of international development agencies in facilitating interest in the sector, cyclical mobility of international health human resources, and the significance of health insurance portability in driving the growth of international hospital accreditation, arise from this new context and further enrich the original framework. The framework developed by Pocock and Phua is a flexible common reference point with which to document issues raised by medical tourism in established and emerging destinations. However, the framework's design does not lend itself to explaining how the underlying health system factors it identifies work to facilitate medical tourism's development or how the specific impacts of the practice are likely to unfold.
A paediatric and perinatal HIV/AIDS leadership initiative in Kingston, Jamaica.
Christie, C D C
2004-10-01
In Jamaica 1-2% of pregnant women are HIV-positive; 876 HIV-positive pregnant women will deliver and at least 283 newly infected HIV-infected infants will be born in 2003; HIV/AIDS is the leading cause of death in children aged one to four years. We describe a collaborative "Town and Gown" programme to address the paediatric and perinatal HIV epidemic in Kingston. A team of academic and government healthcare personnel, comprising paediatricians, obstetricians, public health practitioners, nurses, microbiologists, data management and information technology personnel collaborated to address this public health emergency. A five-point plan was implemented This comprised leadership and training of a core group of paediatric/perinatal HIVprofessionals to serve Greater Kingston and St Catherine and be a model for the rest of Jamaica. Mother-to-child transmission of HIV/AIDS is prevented by counselling and HIV-testing women in the antenatal clinics, giving azidothymidine (AZT) to HIV pregnant women beginning at 28 weeks gestation, throughout labour and to the HIV-exposed infants for the first six weeks of life. A unified parallel programme for identifying the HIV-infected infant and delivering paediatric HIV care at the major paediatric centres was implemented In three years, over 30,000 pregnant women are being tested for HIV; 600 HIV-exposed babies are being identified and about 140 paediatric HIV infections will be prevented The team is building research capacity which emphasizes a strong outcomes-based research agenda and implementation of clinical trials. We are collaborating, locally, regionally and internationally. Collaboratively, the mission of reducing mother-to-child transmission of HIV/AIDS and improving the quality of life for those already living and affected by HIV/AIDS can be achieved.
Linehan, D.
1984-01-01
In the 19th and 20th centuries, many Jesuit geophysical stations and obervatories were established in such areas as Cuba, the Philippine Islands, China, Madagascar, Lebanon, Bolivia, Ecuador, Argentina, Colombia, Venezuela, Spain, and Jamaica. Some of these stations are no longer in operation; most have augmented their origional euqipment with instruments of recent design.
NASA Astrophysics Data System (ADS)
Jennings, Zellynne
2012-04-01
Different strategies are being employed worldwide to prepare school-leavers for the world of work. Central to the Reform of Secondary Education (ROSE) in Jamaica in the 1990s was the achievement of goals of access, equity and quality through the implementation of a common curriculum in all schools. Within this reform, Resource and Technology (R&T) was an innovation designed to develop the creative potential in technology and to transform pedagogical practices from being teacher-centred to being student-centred. This paper examines how teachers and principals involved in the implementation of R&T perceive its attributes, such as need and relevance and observability. The findings reveal how the achievement of goals was frustrated and which challenges the users faced, including a lack of clarity of the means for implementing R&T.
Nitrogen Loading in Jamaica Bay, Long Island, New York: Predevelopment to 2005
Benotti, Mark J.; Abbene, Irene; Terracciano, Stephen A.
2007-01-01
Nitrogen loading to Jamaica Bay, a highly urbanized estuary on the southern shore of western Long Island, New York, has increased from an estimated rate of 35.6 kilograms per day (kg/d) under predevelopment conditions (pre-1900), chiefly as nitrate plus nitrite from ground-water inflow, to an estimated 15,800 kilograms per day as total nitrogen in 2005. The principal point sources are wastewater-treatment plants, combined sewer overflow/stormwater discharge during heavy precipitation, and subway dewatering, which account for 92 percent of the current (2005) nitrogen load. The principal nonpoint sources are landfill leachate, ground-water flow, and atmospheric deposition, which account for 8 percent of the current nitrogen load. The largest single source of nitrogen to Jamaica Bay is wastewater-treatment plants, which account for 89 percent of the nitrogen load. The current and historic contributions of nitrogen from seawater are unknown, although at present, the ocean likely serves as a sink for nitrogen from Jamaica Bay. Currently, concentrations of nitrogen in surface water are high throughout Jamaica Bay, but some areas with relatively little mixing have concentrations that are five times higher than areas that are well mixed.
Closeup of headstones in Section 4 of soldiers from Brazil, ...
Close-up of headstones in Section 4 of soldiers from Brazil, Italy, Argentina, and Britain, view to southwest - Cypress Hills National Cemetery, Jamaica Avenue Unit, 625 Jamaica Avenue, Brooklyn, Kings County, NY
DOE Office of Scientific and Technical Information (OSTI.GOV)
Doris, Elizabeth; Stout, Sherry; Peterson, Kimberly
This technical report discusses the effectiveness of the Jamaica Public Service Company Limited Net-Billing Pilot Program. The National Renewable Energy Laboratory (NREL) collected and analyzed data from a wide range of stakeholders, conducted in-country research, and compared program elements to common interconnection practices to form programmatic recommendations for the Jamaica context. NREL finds that the net-billing pilot program has successfully contributed to the support of the emerging solar market in Jamaica with the interconnection of 80 systems under the program for a total of 1.38 megawatts (MW) at the time of original analysis.
Toxic hypoglycemic syndrome--Jamaica, 1989-1991.
1992-01-31
In January and February 1991, the health officer in the parish of St. Ann, Jamaica, received reports of eight persons with toxic hypoglycemic syndrome (THS), an illness associated with consumption of unripe ackee fruit and, possibly, renta yam; two cases were fatal. On July 25, the Jamaican Ministry of Health (JMH) contacted CDC for assistance in investigating the continued occurrence of THS; the collaborative JMH and CDC epidemiologic investigation focused on characterizing the epidemiology of THS in Jamaica and assessing the role of ackee fruit, renta yams, and other factors.
Mental Health Needs of Sexual Minorities in Jamaica
White, Yohann R. G.; Barnaby, Loraine; Swaby, Antoneal; Sandfort, Theo
2010-01-01
This study examined the prevalence of Axis I disorders and associated risk factors in a sample of sexual minority men and women in Jamaica, a country that is widely known for its high societal rejection of homosexuality. Poor relationships with family, negative or abusive experiences related to one’s sexual orientation, and greater openness about one’s sexual orientation were independent risk factors for Axis I disorders. Prevention of mental disorders in sexual minorities in Jamaica should focus on rebuilding family support and promoting social acceptance of sexual minorities. PMID:21052478
A Collaborative Approach to Flood Early Warning Systems In South East Westmoreland, Jamaica
NASA Astrophysics Data System (ADS)
Hyman, T. A.
2015-12-01
Jamaica is prone to climatic, tectonic and technological hazards, with climatic hazards being the most prevalent. Specifically, flood events from cyclonic activity are the most common and widespread. Jamaica also experiences frequent flash floods, usually with insufficient lead time to enact efficient and targeted responses. On average, there is at least one disastrous flood every four years in Jamaica, and from 1800 to 2003 fifty-four major floods took place, causing 273 fatalities and economic losses of over US2 billion. Notably, the 1979 flood event in Western Jamaica caused 41 deaths and economic losses of US 27 Million, and which also has a 50 year return period. To date, no Flood Warning System exists in Western Jamaica and there are limited rain and river gauges. Additionally, responses to climatic events within South-East Westmoreland communities are ad hoc, with little coordination. Many of the hazard responses have been reactive and some stakeholders have delayed to their detriment.[1] The use of Flood Early Warning Systems (FEWS) to address such challenges is thus an option being considered by the community associations. The Rio Cobre FEWS in the parish of St. Catherine serves as a best practice example of community driven flood warning systems in Jamaica. This is because of the collaborative approach to flood risk, strengthened by institutional arrangements between the Meteorological Service, Water Resources Authority, Office of Disaster Management, Scientists and residents of the surrounding communities. The Community Associations in South-East Westmoreland are thus desirous of implementing a FEWS similar to the Rio Cobre FEWS. This paper thus aims to analyse the implementation process in terms of key stakeholders involved, governance approach and the socio-economic impact of a collaborative approach on infrastructure and livelihoods, in the case of future flooding events. [1] (especially in the case of Hurricane Ivan 2004)
Leadership in Surgery for Public Sector Hospitals in Jamaica: Strategies for the Operating Room
Cawich, Shamir O; Harding, Hyacinth E; Crandon, Ivor W; McGaw, Clarence D; Barnett, Alan T; Tennant, Ingrid; Evans, Necia R; Martin, Allie C; Simpson, Lindberg K; Johnson, Peter
2013-01-01
The barriers to health care delivery in developing nations are many: underfunding, limited support services, scarce resources, suboptimal health care worker attitudes, and deficient health care policies are some of the challenges. The literature contains little information about health care leadership in developing nations. This discursive paper examines the impact of leadership on the delivery of operating room (OR) services in public sector hospitals in Jamaica. Delivery of OR services in Jamaica is hindered by many unique cultural, financial, political, and environmental barriers. We identify six leadership goals adapted to this environment to achieve change. Effective leadership must adapt to the environment. Delivery of OR services in Jamaica may be improved by addressing leadership training, workplace safety, interpersonal communication, and work environment and by revising existing policies. Additionally, there should be regular practice audits and quality control surveys. PMID:24355903
Film Handbook. Communication Manual. 2nd Edition.
ERIC Educational Resources Information Center
Beuthner, Reginald, Comp.; And Others
Reference material is provided in this book for editors, producers, camera and sound technicians, others working in film, and film students. Each chapter is a self-contained unit about specific aspects of film-making, designed to accompany film courses being offered by the University of the West Indies, the Jamaica Broadcasting Corporation, and…
The epidemiology of suicide in Jamaica 2002-2010: rates and patterns.
Abell, W D; James, K; Bridgelal-Nagassar, R; Holder-Nevins, D; Eldemire, H; Thompson, E; Sewell, C
2012-08-01
Suicide is increasingly recognized as a worldwide problem. There is a paucity of quality data pertaining to suicide in developing countries. Epidemiological analysis of suicide data elucidates prevailing patterns that facilitate risk factor identification and the development of germane programmatic responses. This paper analyses temporal variations in suicide rates for the years 2002-2010 in Jamaica and describes the sociodemographic profile of cases and method of suicide for the latter four years. Data pertaining to suicides were extracted from the police (The Jamaica Constabulary Force) records. These were summarized and analysed with respect to person, place and time. Population statistics for the computation of rates were obtained from publications of the Statistical Institute of Jamaica. Age-standardized rates were generated for comparison of trends over time. Poisson and binomial probabilities were used to determine statistically significant differences in rates. Suicide rates in Jamaica have remained relatively stable for the period reviewed with mean overall annual incidence of 2.1 per 100 000 population. Rates for males were significantly higher than those for females. The majority (90.4%) of suicide cases were males. A trend for higher rates of suicide was generally noted in the 25-34-year and the 75-year and over age groups. Hanging was the main method used to commit suicide (77.5%). Age-adjusted rates of suicide indicate no significant changes in Jamaica over the period 2002 to 2010. Continued surveillance of suicide as well as improved recording of the circumstances surrounding suicides are recommended to promote greater understanding of suicides and this will ultimately inform intervention strategies.
Code of Federal Regulations, 2011 CFR
2011-04-01
..., eucalyptus oil, ginger (Jamaica), lemon oil (terpeneless), licorice root extract, lobeline (in the form of... such OTC drug product containing cloves, coriander, eucalyptus oil, ginger (Jamaica), lemon oil...
Code of Federal Regulations, 2013 CFR
2013-04-01
..., eucalyptus oil, ginger (Jamaica), lemon oil (terpeneless), licorice root extract, lobeline (in the form of... such OTC drug product containing cloves, coriander, eucalyptus oil, ginger (Jamaica), lemon oil...
Code of Federal Regulations, 2010 CFR
2010-04-01
..., eucalyptus oil, ginger (Jamaica), lemon oil (terpeneless), licorice root extract, lobeline (in the form of... such OTC drug product containing cloves, coriander, eucalyptus oil, ginger (Jamaica), lemon oil...
Code of Federal Regulations, 2014 CFR
2014-04-01
..., eucalyptus oil, ginger (Jamaica), lemon oil (terpeneless), licorice root extract, lobeline (in the form of... such OTC drug product containing cloves, coriander, eucalyptus oil, ginger (Jamaica), lemon oil...
Code of Federal Regulations, 2012 CFR
2012-04-01
..., eucalyptus oil, ginger (Jamaica), lemon oil (terpeneless), licorice root extract, lobeline (in the form of... such OTC drug product containing cloves, coriander, eucalyptus oil, ginger (Jamaica), lemon oil...
Logie, Carmen H; Lacombe-Duncan, Ashley; Brien, Natasha; Jones, Nicolette; Lee-Foon, Nakia; Levermore, Kandasi; Marshall, Annecka; Nyblade, Laura; Newman, Peter A
2017-04-04
Young men who have sex with men (MSM) in Jamaica have the highest HIV prevalence in the Caribbean. There is little information about HIV among transgender women in Jamaica, who are also overrepresented in the Caribbean epidemic. HIV-related stigma is a barrier to HIV testing among Jamaica's general population, yet little is known of MSM and transgender women's HIV testing experiences in Jamaica. We explored perceived barriers and facilitators to HIV testing among young MSM and transgender women in Kingston, Jamaica. We implemented a community-based research project in collaboration with HIV and lesbian, gay, bisexual and transgender (LGBT) agencies in Kingston. We held two focus groups, one with young (aged 18-30 years) transgender women (n = 8) and one with young MSM (n = 10). We conducted 53 in-depth individual semi-structured interviews focused on HIV testing experiences with young MSM (n = 20), transgender women (n = 20), and community-based key informants (n = 13). We conducted thematic analysis to identify, analyze, and report themes. Participant narratives revealed social-ecological barriers and facilitators to HIV testing. Barriers included healthcare provider mistreatment, confidentiality breaches, and HIV-related stigma: these spanned interpersonal, community and structural levels. Healthcare provider discrimination and judgment in HIV testing provision presented barriers to accessing HIV services (e.g. treatment), and resulted in participants hiding their sexual orientation and/or gender identity. Confidentiality concerns included: clinic physical arrangements that segregated HIV testing from other health services, fear that healthcare providers would publicly disclose their status, and concerns at LGBT-friendly clinics that peers would discover they were getting tested. HIV-related stigma contributed to fear of testing HIV-positive; this intersected with the stigma of HIV as a "gay" disease. Participants also anticipated healthcare provider mistreatment if they tested HIV positive. Participants identified individual (belief in benefits of knowing one's HIV status), social (social support) and structural (accessible testing) factors that can increase HIV testing uptake. Findings suggest the need for policy and practice changes to enhance confidentiality and reduce discrimination in Jamaica. Interventions to challenge HIV-related and LGBT stigma in community and healthcare settings can enhance access to the HIV prevention cascade among MSM and transgender youth in Jamaica.
The lived experiences of adolescents with sickle cell disease in Kingston, Jamaica.
Forrester, Andrea Brown; Barton-Gooden, Antoinette; Pitter, Cynthia; Lindo, Jascinth L M
2015-01-01
To explore the lived experiences of adolescents with sickle cell disease, in Kingston, Jamaica. A descriptive qualitative design was used for this research. In-depth interviews were conducted with six adolescents with sickle cell disease at a Sickle Cell Unit operated by the University of the West Indies. Interviews were audiotaped, transcribed, and thematically analyzed. The majority of the adolescents demonstrated a positive self-concept. They reported strong family, school, and peer support which made them feel accepted. All were actively engaged in social activities such as parties, but had challenges participating in sporting activities. Various coping strategies were utilized to address challenges of the disease including praying, watching television, and surfing the Internet. Sickle cell disease can be very challenging for the adolescent, but with positive self-concept and increased social support, especially from family and peers, these adolescents were able to effectively cope with their condition and live productive lives.
2010-12-10
the ruling People’s National Party (PNP) and Fidel Castro, communist leader of Cuba . The opposition party at the time was the Jamaica Labour Party...Sea. It is approximately, 145 kilometers (90 miles) south of Cuba . Its coastline extends for 1,022 kilometers (634 miles). Jamaica practices a...Qin, Chairman Mao Tse-tung, Deng Xiaoping and Jiang Zemin. The foundation principles of Marxism are revered and built upon by the respective military
"Nature" and the "Environment" in Jamaica's Primary School Curriculum Guides
ERIC Educational Resources Information Center
Ferguson, Therese
2008-01-01
In cases where environmental education is institutionalised within schools, the curriculum can affect what and how students learn about "nature" and the "environment". In Jamaica, schools are considered important settings for environmental education; the curriculum therefore includes environmental issues. Using content…
Hurricane-induced Sediment Transport and Morphological Change in Jamaica Bay, New York
NASA Astrophysics Data System (ADS)
Hu, K.; Chen, Q. J.
2016-02-01
Jamaica Bay is located in Brooklyn and Queens, New York on the western end of the south shore of the Long Island land mass. It experienced a conversion of more than 60% of the vegetated salt-marsh islands to intertidal and subtidal mudflats. Hurricanes and nor'easters are among the important driving forces that reshape coastal landscape quickly and affect wetland sustainability. Wetland protection and restoration need a better understanding of hydrodynamics and sediment transport in this area, especially under extreme weather conditions. Hurricane Sandy, which made landfall along east coast on October 30, 2012, provides a critical opportunity for studying the impacts of hurricanes on sedimentation, erosion and morphological changes in Jamaica Bay and salt marsh islands. The Delft3D model suit was applied to model hydrodynamics and sediment transport in Jamaica Bay and salt marsh islands. Three domains were set up for nesting computation. The local domain covering the bay and salt marshes has a resolution of 10 m. The wave module was online coupled with the flow module. Vegetation effects were considered as a large number of rigid cylinders by a sub-module in Delft3D. Parameters in sediment transport and morphological change were carefully chosen and calibrated. Prior- and post-Sandy Surface Elevation Table (SET)/accretion data including mark horizon (short-term) and 137Cs and 210Pb (long-term) at salt marsh islands in Jamaica Bay were used for model validation. Model results indicate that waves played an important role in hurricane-induced morphological change in Jamaica Bay and wetlands. In addition, numerical experiments were carried out to investigate the impacts of hypothetic hurricanes. This study has been supported by the U.S. Geological Survey Hurricane Sandy Disaster Recovery Act Funds.
The Dangerous Drugs Act Amendment in Jamaica: Reviewing goals, implementation, and challenges.
Davenport, Steven; Pardo, Bryce
2016-11-01
After decades of internal discussion, the Government of Jamaica recently amended its laws to create a regulated and licensed cannabis industry for medical and scientific purposes. The new law also decriminalizes personal possession and use of cannabis; allows cannabis to be used by individuals for religious, medical, scientific and therapeutic purposes; and permits home cultivation of up to five plants. We first describe the statutory changes under the Dangerous Drugs (Amendment) Act of 2015 and compare it with other jurisdictions. We provide an analytical framework for understanding how the DDA Amendment affects key populations and achieves its stated goals, drawing on publicly available information and unstructured interviews with non-governmental stakeholders in Jamaica. The Amendment's primary goals are to deliver economic impact and reduce criminal justice costs. A relaxed policy of enforcement toward possession and use seems to have occurred even before the law's passage; after the law's passage, enforcement remains limited. To access medical cannabis under the DDA residents must receive authorization from a certified health professional in Jamaica; tourists may self-declare their medical need; and Rastafarians may grow and exchange non-commercially for religious purposes. Internally, many see "ganja" as an industry sorely needed to drive economic growth in Jamaica. Indeed, the potential impacts could be large, especially if Jamaica draws additional tourism or creates a viable export industry. A growing cannabis-related tourism industry seems more realistic. We maintain that policymakers and observers should proceed in an orderly fashion, continuing to identify and resolve remaining uncertainties, initiate new types of data collection, and make decisions based on realistic assessments of potentials for economic impact. Copyright © 2016 Elsevier B.V. All rights reserved.
Francis, Sheena; Saavedra-Rodriguez, Karla; Perera, Rushika; Paine, Mark; Black, William C.
2017-01-01
The emergence of novel diseases spread by the Aedes aegypti mosquito in Jamaica and the Caribbean, has prompted studies on insecticide resistance towards effective management of the vector. Though Jamaica has been using the organophosphate insecticide malathion in its vector control program for more than 30 years, resistance to the pesticide has not been tested in over a decade. We analyzed resistance to malathion and the pyrethroid insecticide, permethrin on mosquitoes collected across St. Andrew, Jamaica, and analyzed the molecular basis of resistance. The Center for Disease Control (CDC) bioassay revealed that Ae. aegypti mosquitoes from St. Andrew, Jamaica were resistant to permethrin (15 μg/bottle) with mortalities at 0–8% at 30 minute exposure time, while contact with malathion (50 μg/bottle) revealed ≤ 50% mortality at 15 minutes, which increased to 100% at 45 minutes. The standard susceptible New Orleans (NO) strain exhibited 100% mortality within15 minutes. The activities of multifunction oxidases and p-nitro phenyl-acetate esterases were significantly greater in most Jamaican populations in comparison to the NO strain, while activities of glutathione-S-transferase, acetylcholinesterase, α-esterase and ß-esterase activity were relatively equal, or lower than that of the control strain. The frequency of knockdown resistance mutations in the voltage dependent sodium channel gene were measured. All collections were fixed for Cys1,534 while 56% of mosquitoes were Ile1,016/Val1,016 heterozygotes, and 33% were Ile1,016 homozygotes. Aedes aegypti from St. Andrew Jamaica are resistant to permethrin with variations in the mode of mechanism, and possibly developing resistance to malathion. Continued monitoring of resistance is critically important to manage the spread of the vector in the country. PMID:28650966
ERIC Educational Resources Information Center
Population Council, New York, NY.
A profile of Jamaica is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the island; population - size, growth patterns, age structure, rural/urban distribution, ethnic and religious composition, literacy, future…
Ferguson, T S; Tulloch-Reid, M K; Cunningham-Myrie, C A; Davidson-Sadler, T; Copeland, S; Lewis-Fuller, E; Wilks, R J
2011-07-01
With the advent of the epidemiological transition, chronic non-communicable diseases (CNCDs) have emerged as the leading cause of death globally. In this paper we present an overview of the burden of CNCDs in the Caribbean region and use Jamaica as a case-study to review the impact of policy initiatives and interventions implemented in response to the CNCD epidemic. The findings show that while Jamaica has implemented several policy initiatives aimed at stemming the tide of the CNCD epidemic, a comparison of data from two national health and lifestyle surveys conducted in Jamaica in 2000/01 and 2007/08 revealed that there was an increase in the prevalence of intermediate CNCD risk factors such as hypertension and obesity. We therefore present recommended strategies which we believe will enhance the current CNCD response and thus reduce, or at least stem, the current epidemic of CNCDs.
Bourne, Paul Andrew
2009-08-01
An extensive review of the literature revealed that no study exists that has examined poverty, not seeking medical care, inflation, self-reported illness, and mortality in Jamaica. The current study will bridge the gap by providing an investigation of poverty; not seeking medical care; illness; health insurance coverage; inflation and mortality in Jamaica. Using two decades (1988-2007), the current study used three sets of secondary data published by the (1) Planning Institute of Jamaica and the Statistical Institute of Jamaica (Jamaica Survey of Living Conditions) (2) the Statistical Institute of Jamaica (Demographic Statistics) and (3) the Bank of Jamaica (Economic Report). Scatter diagrams were used to examine correlations between the particular dependent and independent variables. For the current study, a number of hypotheses were tested to provide explanation morality in Jamaica. The average percent of Jamaicans not seeking medical care over the last 2 decades was 41.9%; and the figure has been steadily declining over the last 5 years. In 1990, the most Jamaicans who did not seek medical care were 61.4% and this fell to 52.3% in 1991; 49.1% in 1992 and 48.2% the proceeding year. Based on the percentages, in the early 1990s (1990-1994), the percent of Jamaicans not seeking medical care was close to 50% and in the latter part of the decade, the figure was in the region of 30% and the low as 31.6% in 1999. In 2006, the percent of Jamaicans not seeking medical care despite being ill was 30% and this increased by 4% the following year. Concomitantly, poverty fell by 3.1 times over the 2 decades to 9.9% in 2007, while inflation increased by 1.9 times, self-reported illness was 15.5% in 2007 with mortality averaging 15,776 year of the 2 decades. There is a significant statistical correlation between not seeking medical-care and prevalence of poverty (r = 0.759, p< 0.05). There is a statistical correlation between not seeking medical care and unemployment; but the association is a non-linear one. The relationship between mortality and unemployment was an unsure one, with there being no clear linear or non-linear correlation. The findings revealed that there is a strong direct association between not seeking medical care and inflation rate (r = 0.752). A strong negative statistical correlation was found between mortality and prevalence of poverty (r=0.717). There is a non-linear statistical association between not seeking medical care and illness/injury. Not seeking medical care is not a good indicator of premature mortality; but that this percentage must be excess of 55%. While this study cannot confirm a clear rate of premature mortality, there are some indications that this occurs beyond a certain level of not seeking care for illness.
Bourne, Paul Andrew
2009-01-01
Background: An extensive review of the literature revealed that no study exists that has examined poverty, not seeking medical care, inflation, self-reported illness, and mortality in Jamaica. The current study will bridge the gap by providing an investigation of poverty; not seeking medical care; illness; health insurance coverage; inflation and mortality in Jamaica. Materials and Method: Using two decades (1988-2007), the current study used three sets of secondary data published by the (1) Planning Institute of Jamaica and the Statistical Institute of Jamaica (Jamaica Survey of Living Conditions) (2) the Statistical Institute of Jamaica (Demographic Statistics) and (3) the Bank of Jamaica (Economic Report). Scatter diagrams were used to examine correlations between the particular dependent and independent variables. For the current study, a number of hypotheses were tested to provide explanation morality in Jamaica. Results: The average percent of Jamaicans not seeking medical care over the last 2 decades was 41.9%; and the figure has been steadily declining over the last 5 years. In 1990, the most Jamaicans who did not seek medical care were 61.4% and this fell to 52.3% in 1991; 49.1% in 1992 and 48.2% the proceeding year. Based on the percentages, in the early 1990s (1990-1994), the percent of Jamaicans not seeking medical care was close to 50% and in the latter part of the decade, the figure was in the region of 30% and the low as 31.6% in 1999. In 2006, the percent of Jamaicans not seeking medical care despite being ill was 30% and this increased by 4% the following year. Concomitantly, poverty fell by 3.1 times over the 2 decades to 9.9% in 2007, while inflation increased by 1.9 times, self-reported illness was 15.5% in 2007 with mortality averaging 15,776 year of the 2 decades. There is a significant statistical correlation between not seeking medical-care and prevalence of poverty (r = 0.759, p< 0.05). There is a statistical correlation between not seeking medical care and unemployment; but the association is a non-linear one. The relationship between mortality and unemployment was an unsure one, with there being no clear linear or non-linear correlation. The findings revealed that there is a strong direct association between not seeking medical care and inflation rate (r = 0.752). A strong negative statistical correlation was found between mortality and prevalence of poverty (r=0.717). There is a non-linear statistical association between not seeking medical care and illness/injury. Conclusions: Not seeking medical care is not a good indicator of premature mortality; but that this percentage must be excess of 55%. While this study cannot confirm a clear rate of premature mortality, there are some indications that this occurs beyond a certain level of not seeking care for illness. PMID:22666679
Contribution of Cultural Eutrophication to Marsh Loss in Jamaica Bay (NY)
Loss of salt marsh area in the Jamaica Bay Estuary (NY) has accelerated in recent years, with loss rates as high as 45 acres per year. A contributing factor to this acceleration is likely cultural eutrophication due to over 6 decades of sewage effluent inputs. We examined marsh...
Childrearing and Child Participation in Jamaican Families
ERIC Educational Resources Information Center
Brown, Janet; Johnson, Sharon
2008-01-01
Existing research in Jamaica on children and families has focused on family structure and function. The recent worldwide focus on the rights of children, particularly young children, has highlighted the absence of research on child rights in Jamaica. This article explores the implementation of protection and participation rights within the family,…
Status and Power in Rural Jamaica. A Study of Educational and Political Change.
ERIC Educational Resources Information Center
Foner, Nancy
Documenting the demise of the plural society in Jamaica, this study deals with the interrelationship between local and national educational and occupational status aspirations. As the formal educational system, the nonagricultural sectors, and the political parties have developed and examined, the opportunities for educational and occupational…
Adult-Literacy Education in Jamaica.
ERIC Educational Resources Information Center
Miller, Harry; And Others
Some 42% of Jamaica's adult population was not functionally literate in 1962--figures that precipitated expansion in adult literacy and Basic Education programs as described in this survey report. Following a seven-page introductory historical profile, the authors note attempts made to assess adult illiteracy, such as the 1975 survey that found…
Balancing the Curricula in the Arts: The Caribbean Connection. Jamaica, Trinidad, and Tobago.
ERIC Educational Resources Information Center
Jackson, Fran R., Comp.; Henderson, Lana T., Comp.
This curriculum unit evolves from a 5-week study program to the Caribbean by cultural arts teachers from North Carolina. The program was designed: (1) to enhance educators' knowledge of the Caribbean influence on Western culture; (2) to understand the history of the Caribbean and its impact on the arts; and (3) to infuse this information into the…
Family relationships and sexual orientation disclosure to family by gay and bisexual men in Jamaica
White, Yohann; Sandfort, Theo; Morgan, Kai; Carpenter, Karen; Pierre, Russell
2016-01-01
Gay and bisexual men in Jamaica encounter stigma and discrimination due to criminalization of and negative attitudes towards same-sex sexuality. Disclosure of sexual orientation may be self-affirming, but could increase exposure to negative responses and stressors. Outcomes of an online survey among 110 gay and bisexual Jamaican men ages 18 to 56 years suggest that disclosure to family is affected by level of economic independence. Furthermore, negative familial responses to sexual identity significantly predicted depression. Social and structural interventions, and efforts to strengthen positive family relationships, are needed to foster an environment that enables well-being among sexual minorities in Jamaica. PMID:28243342
Identification of Childhood Disability in Jamaica: The Ten Question Screen.
ERIC Educational Resources Information Center
Thorburn, Marigold; And Others
1992-01-01
This study evaluated use of the Ten Question Screen (TQ) to identify disability in a 2-stage population-based survey of 5,478 children aged 2-9 years in Clarendon, Jamaica. Findings indicated varied sensitivity by different subgroups (age, gender, and disability) and an unacceptably high false positive rate. (Author/DB)
Gender Differences in Adult Health: An International Comparison.
ERIC Educational Resources Information Center
Rahman, Omar; And Others
1994-01-01
Used data from United States, Jamaica, Malaysia, and Bangladesh to explore gender differences in adult health. Found that women fared worse than men across variety of self-reported health measures in all four countries. Data from Jamaica indicated that gender disparities in adult health arose early and persisted throughout the life cycle, with…
ERIC Educational Resources Information Center
Jules, Tavis D.
2013-01-01
This paper focuses on the socialist underpinnings of education policies in three small (and micro) states: Guyana, Jamaica and Grenada. It explores the role of education underneath ideological pluralism in constructing socialist citizens through cooperative socialism in Guyana, democratic socialism in Jamaica and revolutionary socialism in…
ERIC Educational Resources Information Center
International Planned Parenthood Federation, London (England).
Data relating to population and family planning in ten foreign countries are presented in these situation reports. Countries included are Burma, Chile, German Democratic Republic, Indonesia, Jamaica, Poland, Singapore, St. Christopher/Nevis, Trinidad and Tobago, and Venezuela. Information is provided, where appropriate and available, under two…
Enhancing National Security in Jamaica Through the Development and Employment of Special Forces
2005-06-01
face Jamaica. This study examines the value, utility, and possible roles of such a unit in the Jamaican security landscape, and makes recommendations...and possible roles of such a unit in the Jamaican security landscape, and makes recommendations for the establishment and employment of such a unit...
Influence of Accountability on the Administration of Student Loans in Jamaica
ERIC Educational Resources Information Center
McDonald, Sharon A.
2014-01-01
Lack of accountability and transparency in governance was among the challenges that influenced Jamaica's corruption rating of 3.3, resulting in an 87th ranking out of 183 countries in 2011. Although the monitoring of internal control business structures supported accountability, evidence of their presence was limited in government offices. The…
ERIC Educational Resources Information Center
Jennings, Zellynne
1993-01-01
Asserts that many educational innovations introduced into developing nations from developed nations fail. Describes a project utilizing community involvement and individualized instruction that was introduced into Jamaica after successful development and implementation in the Philippines. Concludes that the project failed. (CFR)
78 FR 75346 - Ocean Transportation Intermediary License Revocations and Terminations
Federal Register 2010, 2011, 2012, 2013, 2014
2013-12-11
... revoked or terminated for the reason shown pursuant to section 19 of the Shipping Act of 1984 (46 U.S.C...: 159-15 Rockaway Blvd., Jamaica, NY 11434. Date Revoked: October 21, 2013. Reason: Voluntary Surrender... Street, Jamaica, NY 11413. Date Revoked: November 12, 2013. Reason: Voluntary Surrender of License...
Sáyago-Ayerdi, Sonia G; Mateos, Raquel; Ortiz-Basurto, Rosa I; Largo, Carlota; Serrano, José; Granado-Serrano, Ana Belén; Sarriá, Beatriz; Bravo, Laura; Tabernero, María
2014-04-01
Dietary fibre (DF) obtained from Agave tequilana, which is rich in fructans and insoluble DF, and jamaica calyces (Hibiscus sabdariffa), which is rich in DF and phenolic compounds, were assessed as new potential functional ingredients using the hypercholesterolemic animal model. Wistar rats (200-250 g) were divided into 3 groups (n=8) and fed with cholesterol-rich diets supplemented with cellulose (CC, control), agave DF (ADF) or ADF with jamaica calyces (ADF-JC). After consuming the test diets for 5 weeks, weight gain in the ADF-JC group was significantly lower than in the other groups. The ADF and ADF-JC groups had a reduced concentration of cholesterol transporters in the caecum tissue, although no changes were observed in the plasma lipid profile. Both treatments improved the redox status by reducing the malondialdehyde serum levels and protein oxidative damage, compared to the CC group. DF from A. tequilana alone, or in combination with jamaica calyces, shows promising potential as a bioactive ingredient. Copyright © 2013 Elsevier Ltd. All rights reserved.
Dengue among American missionaries returning from Jamaica, 2012.
Moncayo, Abelardo C; Baumblatt, Jane; Thomas, Dana; Harvey, Kira A; Atrubin, David; Stanek, Danielle; Sotir, Mark; Hunsperger, Elizabeth; Muñoz-Jordan, Jorge L; Jentes, Emily S; Sharp, Tyler M; Arguello, D Fermin
2015-01-01
Dengue is an acute febrile illness caused by any of four mosquito-transmitted dengue virus (DENV) types. Dengue is endemic in Jamaica, where an epidemic occurred in 2012. An investigation was conducted by multiple agencies for 66 missionaries traveling from nine US states to Jamaica after 1 missionary from the group was confirmed to have dengue. Travelers were offered diagnostic testing, and a survey was administered to assess knowledge, behaviors, and illness. Of 42 survey respondents, 9 (21%) respondents reported an acute febrile illness during or after travel to Jamaica. Of 15 travelers that provided serum specimens, 4 (27%) travelers had detectable anti-DENV immunoglobulin M antibody, and 1 traveler also had DENV-1 detected by reverse transcriptase polymerase chain reaction. Recent or past infection with a DENV was evident in 93% (13 of 14) missionaries with available sera. No behavioral or demographic factors were significantly associated with DENV infection. This investigation shows that even trips of short duration to endemic areas present a risk of acquiring dengue. © The American Society of Tropical Medicine and Hygiene.
Suicidal Ideation and Suicide Attempt Among Adolescents in Western Jamaica
Kukoyi, Omobolawa Y.; Shuaib, Faisal M.; Campbell-Forrester, Sheila; Crossman, Lisabeth; Jolly, Pauline E.
2017-01-01
Background Although extensive studies on adolescent suicidal behavior have been conducted in developed countries such as the United States, little data exist on risk factors for suicide among adolescents in culturally and socially disadvantages settings, such as Jamaica. Aims To conduct a preliminary investigation of risk factors associated with suicide ideation and attempt among youths in Western Jamaica. Methods We conducted a cross-sectional study of 342 adolescents aged 10–19 years from 19 schools. Results Multivariate analysis showed that a history of self-violence, violent thoughts toward others, mental health diagnoses other than depression, and a history of sexual abuse were positively associated with suicide attempt. Sexual abuse, mental health diagnoses other than depression, self-violence, and ease of access to lethal substances/weapons were positively associated with suicide ideation. Conclusions We found a relatively high prevalence of suicide ideation and suicide attempts among adolescents living in Western Jamaica. An accurate understanding of the prevailing risk factors for suicide attempts will promote a more sympathetic approach to victims and facilitate prevention efforts. PMID:21190930
DOE Office of Scientific and Technical Information (OSTI.GOV)
Deforest, Thomas J.; VanDyke, Damon S.
2012-03-01
Operational Testing and Evaluation Plan - Kingston Container Terminal, Port of Kingston, Jamaica was written for the Second Line of Defense Megaports Initiative. The purpose of the Operational Testing and Evaluation (OT&E) phase of the project is to prepare for turnover of the Megaports system supplied by U.S. Department of Energy/National Nuclear Security Administration (DOE/NNSA) located at the Kingston Container Terminal (KCT) of the Port of Kingston, Jamaica to the Government of Jamaica (GOJ). Activities conducted during the OT&E phase must demonstrate that the Megaports system can be operated effectively in real time by Jamaica Customs and KCT personnel tomore » the satisfaction of the DOE/NNSA. These activities will also determine if the Megaports system, as installed and accepted, is performing according to the Megaports Program objectives such that the system is capable of executing the mission of the Second Line of Defense Megaports Initiative. The OT&E phase of the project also provides an opportunity to consider potential improvements to the system and to take remedial action if performance deficiencies are identified during the course of evaluation. Changes to the system should be considered under an appropriate change-control process. DOE/NNSA will determine that OT&E is complete by examining whether the Megaports system is performing as intended and that the GOJ is fully capable of operating the system independently without continued onsite support from the U.S. team.« less
Results of an exercise to estimate the costs of interpersonal violence in Jamaica.
Ward, E; McCartney, T; Brown, D W; Grant, A; Butchart, A; Taylor, M; Bhoorasingh, P; Wong, H; Morris, C; Deans-Clarke, A M; East, J; Valentine, C; Dundas, S; Pinnock, C
2009-11-01
This report describes the application of a draft version of the World Health Organization (WHO)/ United States Centers for Disease Control and Prevention (CDC) Manual for estimating the economic costs of injuries due to interpersonal and self-directed violence to measure costs of injuries from interpersonal violence. Fatal incidence data was obtained from the Jamaica Constabulary Force. The incidence of nonfatal violence-related injuries that required hospitalization was estimated using data obtained from patients treated at and/or admitted to three Type A government hospitals in 2006. During 2006, direct medical cost (J$2.1 billion) of injuries due to interpersonal violence accounted for about 12% of Jamaica's total health budget while productivity losses due to violence-related injuries accounted for approximately J$27.5 billion or 160% of Jamaica's total health expenditure and 4% of Jamaica's Gross Domestic Product. The availability of accurate and reliable data of the highest quality from health-related information systems is critical for providing useful data on the burden of violence and injury to decision-makers. As Ministries of Health take a leading role in violence and injury prevention, data collection and information systems must have a central role. This study describes the results of one approach to examining the economic burden of interpersonal violence in developing countries where the burden of violence is heaviest. The WHO-CDC manual also tested in Thailand and Brazil is a first step towards generating a reference point for resource allocation, priority setting and prevention advocacy.
Logie, Carmen H; Wang, Ying; Lacombe-Duncan, Ashley; Jones, Nicolette; Ahmed, Uzma; Levermore, Kandasi; Neil, Ava; Ellis, Tyrone; Bryan, Nicolette; Marshall, Annecka; Newman, Peter A
2017-04-06
Transgender women are disproportionately impacted by HIV. Transgender women involved in sex work may experience exacerbated violence, social exclusion, and HIV vulnerabilities, in comparison with non-sex work-involved transgender women. Scant research has investigated sex work among transgender women in the Caribbean, including Jamaica, where transgender women report pervasive violence. The study objective was to examine factors associated with sex work involvement among transgender women in Jamaica. In 2015, we implemented a cross-sectional survey using modified peer-driven recruitment with transgender women in Kingston and Ocho Rios, Jamaica, in collaboration with a local community-based AIDS service organization. We conducted multivariable logistic regression analyses to identify factors associated with paid sex and transactional sex. Exchanging oral, anal or vaginal sex for money only was categorized as paid sex. Exchanging sex for survival needs (food, accommodation, transportation), drugs or alcohol, or for money along with survival needs and/or drugs/alcohol, was categorized as transactional sex. Among 137 transgender women (mean age: 24.0 [SD: 4.5]), two-thirds reported living in the Kingston area. Overall, 25.2% reported being HIV-positive. Approximately half (n = 71; 51.82%) reported any sex work involvement, this included sex in exchange for: money (n = 64; 47.06%); survival needs (n = 27; 19.85%); and drugs/alcohol (n = 6; 4.41%). In multivariable analyses, paid sex and transactional sex were both associated with: intrapersonal (depression), interpersonal (lower social support, forced sex, childhood sexual abuse, intimate partner violence, multiple partners/polyamory), and structural (transgender stigma, unemployment) factors. Participants reporting transactional sex also reported increased odds of incarceration perceived to be due to transgender identity, forced sex, homelessness, and lower resilience, in comparison with participants reporting no sex work involvement. Findings reveal high HIV infection rates among transgender women in Jamaica. Sex work-involved participants experience social and structural drivers of HIV, including violence, stigma, and unemployment. Transgender women involved in transactional sex also experience high rates of incarceration, forced sex and homelessness in comparison with non-sex workers. Taken together, these findings suggest that social ecological factors elevate HIV exposure among sex work-involved transgender women in Jamaica. Findings can inform interventions to advance human rights and HIV prevention and care cascades with transgender women in Jamaica.
Logie, Carmen H; Wang, Ying; Lacombe-Duncan, Ashley; Jones, Nicolette; Ahmed, Uzma; Levermore, Kandasi; Neil, Ava; Ellis, Tyrone; Bryan, Nicolette; Marshall, Annecka; Newman, Peter A
2017-01-01
Abstract Introduction: Transgender women are disproportionately impacted by HIV. Transgender women involved in sex work may experience exacerbated violence, social exclusion, and HIV vulnerabilities, in comparison with non-sex work-involved transgender women. Scant research has investigated sex work among transgender women in the Caribbean, including Jamaica, where transgender women report pervasive violence. The study objective was to examine factors associated with sex work involvement among transgender women in Jamaica. Methods: In 2015, we implemented a cross-sectional survey using modified peer-driven recruitment with transgender women in Kingston and Ocho Rios, Jamaica, in collaboration with a local community-based AIDS service organization. We conducted multivariable logistic regression analyses to identify factors associated with paid sex and transactional sex. Exchanging oral, anal or vaginal sex for money only was categorized as paid sex. Exchanging sex for survival needs (food, accommodation, transportation), drugs or alcohol, or for money along with survival needs and/or drugs/alcohol, was categorized as transactional sex. Results: Among 137 transgender women (mean age: 24.0 [SD: 4.5]), two-thirds reported living in the Kingston area. Overall, 25.2% reported being HIV-positive. Approximately half (n = 71; 51.82%) reported any sex work involvement, this included sex in exchange for: money (n = 64; 47.06%); survival needs (n = 27; 19.85%); and drugs/alcohol (n = 6; 4.41%). In multivariable analyses, paid sex and transactional sex were both associated with: intrapersonal (depression), interpersonal (lower social support, forced sex, childhood sexual abuse, intimate partner violence, multiple partners/polyamory), and structural (transgender stigma, unemployment) factors. Participants reporting transactional sex also reported increased odds of incarceration perceived to be due to transgender identity, forced sex, homelessness, and lower resilience, in comparison with participants reporting no sex work involvement. Conclusions: Findings reveal high HIV infection rates among transgender women in Jamaica. Sex work-involved participants experience social and structural drivers of HIV, including violence, stigma, and unemployment. Transgender women involved in transactional sex also experience high rates of incarceration, forced sex and homelessness in comparison with non-sex workers. Taken together, these findings suggest that social ecological factors elevate HIV exposure among sex work-involved transgender women in Jamaica. Findings can inform interventions to advance human rights and HIV prevention and care cascades with transgender women in Jamaica. PMID:28406598
Guidance for Optimizing Remedy Evaluation, Selection, and Design
2004-04-01
attenuation [MNA] and phytovolatilization) and to enhance these processes using low energy techniques (PRB and engineered phytoremediation ) for...technically and commercially viable. This approach promotes the in situ treatment of contaminants through several means such as phytoremediation ... Mercury Burial Sites I and II and Site 11 – Former Waste Oil Tanks 6 and 7) within the boundaries of the Jamaica Island Landfill (JILF). The JILF
Comparative Policy Brief: Status of Intellectual Disabilities in Jamaica
ERIC Educational Resources Information Center
Thorburn, Marigold J.
2008-01-01
A population-based prevalence study in one region of Jamaica in 1987-1989 indicated that about 8% of the childhood population had cognitive (intellectual) disability. Some harmful beliefs and practices persist about child rearing, violence towards women, and child abuse of all types. A lack of knowledge is apparent about the efficacy of home-based…
ERIC Educational Resources Information Center
Bell, Deanne M.
2016-01-01
Critical participatory action research is a form of community engagement and knowledge generation which, when represented semiotically, may promote social transformation. In this paper, I describe a critical participatory action research project I undertook as a liberation psychologist and researcher in (post)colonial Jamaica. I summarise a…
The Rise of Private Higher Education in Jamaica: Neo-Liberalism at Work?
ERIC Educational Resources Information Center
Coates, Chad O.
2012-01-01
The rise of private higher education in Jamaica plays a key role in expanding educational access to the masses. The shift towards the neo-liberal perspective has directed the focus of education policy reforms toward emphasizing economic efficiency, diversity in choice, and market mechanisms. The purpose of this qualitative study was to gain…
ERIC Educational Resources Information Center
Kinkead-Clark, Zoyah
2017-01-01
This qualitative study aims to contribute to the dearth of literature pertaining to the impact of globalisation on education in Jamaica. Focussing on the early childhood level, it outlines the perceptions of stakeholders regarding the trajectory of sector development and highlights how they have had to accommodate their practices. Teachers,…
ERIC Educational Resources Information Center
Ferguson, Therese; Chevannes, Pauletta
2018-01-01
The Small Island Developing State of Jamaica, in the Caribbean region, is facing significant environmental, economic, and social challenges. Violence has become a serious challenge for Jamaica and several other countries in the region; the level of violence against and among children is particularly disturbing. Perhaps even more troubling is the…
CAT scan imaging is currently being used to examine below-ground peat and root structure in cores collected from salt marshes of Jamaica Bay, part of the Gateway National Recreation Area (NY). CAT scans or Computer-Aided Tomography scans use X-ray equipment to produce multiple i...
New Horizons for Primary Schools in Jamaica: Inputs, Outcomes and Impact. Revised
ERIC Educational Resources Information Center
Lockheed, Marlaine; Harris, Abigail; Gammill, Paul; Barrow, Karima; Jayasundera, Tamara
2006-01-01
The New Horizons for Primary Schools (NHP) was implemented in 72 government schools in Jamaica, from 1998-2005. The program provided support to schools on the basis of needs identified through the preparation of a School Development Plan (also called a School Improvement Plan). This independent evaluation report first compares the schools in the…
Technology In the Hands of the Extension Officers--Agricultural Extension in Jamaica and Ghana.
ERIC Educational Resources Information Center
Walker, David
2000-01-01
Describes a technology-based research pilot project undertaken by The Commonwealth of Learning with Jamaica and Ghana to investigate the use of video in demonstrating farming techniques. Maintains that video production done at the regional level will allow farmers to relate to information relevant to their own agricultural situations. (Contains 3…
Getting Past the Gatekeeper: Safeguarding and Access Issues in Researching HIV+ Children in Jamaica
ERIC Educational Resources Information Center
Miller, Paul; Kelly, Kemesha; Spawls, Nicola
2013-01-01
This article is derived from a recently completed research study on the "Schooling Experiences of HIV+ Children in Jamaica". It is written against the background of researching children generally, and also in the context of researching vulnerable children, specifically those who are HIV+. Research carries with it various notions of power…
Rep. Turner, Robert L. [R-NY-9
2012-06-18
Senate - 07/24/2012 Received in the Senate and Read twice and referred to the Committee on Environment and Public Works. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:
ERIC Educational Resources Information Center
Applegate, Carey; Rex, Cathy
2018-01-01
Within this article, we convey ideas about stereotypes and ethnic supremacy that many university students tend to hold about Jamaica and the challenges of disabusing travellers of these notions and to achieve educational goals related to equity, diversity and inclusivity. We explore the concept of the "tourism imaginary" and key ideas in…
Maternal and Paternal Age Are Jointly Associated with Childhood Autism in Jamaica
ERIC Educational Resources Information Center
Rahbar, Mohammad H.; Samms-Vaughan, Maureen; Loveland, Katherine A.; Pearson, Deborah A.; Bressler, Jan; Chen, Zhongxue; Ardjomand-Hessabi, Manouchehr; Shakespeare-Pellington, Sydonnie; Grove, Megan L.; Beecher, Compton; Bloom, Kari; Boerwinkle, Eric
2012-01-01
Several studies have reported maternal and paternal age as risk factors for having a child with Autism Spectrum Disorder (ASD), yet the results remain inconsistent. We used data for 68 age- and sex-matched case-control pairs collected from Jamaica. Using Multivariate General Linear Models (MGLM) and controlling for parity, gestational age, and…
ERIC Educational Resources Information Center
Stockfelt, Shawanda
2015-01-01
The paper discusses factors impacting on boys' educational aspirations at two case-study schools in urban Jamaica. It focuses on boys' experience of their educational environment in relation to social, cultural and economic factors, which shapes the nature of their aspirations towards higher education. The study utilised Bourdieu's notion of…
School Improvement Plans and Student Learning in Jamaica
ERIC Educational Resources Information Center
Lockheed, Marlaine; Harris, Abigail; Jayasundera, Tamara
2010-01-01
A school improvement program that provided support to poor-performing schools on the basis of needs identified in a school improvement plan was implemented in 72 government schools in Jamaica, from 1998 to 2005. In this independent evaluation of the program, we use propensity score matching to create, post hoc, a control group of schools that were…
Technology Training for Teacher Education in Jamaica: A Case for Needs Assessment
ERIC Educational Resources Information Center
Peart, Moses; Sheffield, Caryl J.
2002-01-01
The major challenges facing education systems in the information age include issues of how to prepare for and capitalize on the technological revolution and how to integrate computer technology into the curriculum. Jamaica, like most developing countries, is taking on these challenges with perhaps as much focus and increased importance as any…
Politics, Religion and Social Connections: Pillars for Progression among Primary Teachers in Jamaica
ERIC Educational Resources Information Center
Miller, Paul
2015-01-01
Perceptions about teacher progression among Jamaica's primary schoolteachers should force society to stop and ask itself several questions. Are these perceptions accurate? If not, how did these perceptions emerge and what can national leaders and those in positions of authority do to "manage" if not resolve these perceptions? If there is…
Sympathetic Resonance: A New Use for an Old Demonstration
ERIC Educational Resources Information Center
Greenslade, Thomas B., Jr.
2012-01-01
I spent the 1972-73 academic year on sabbatical leave at the Kingston, Jamaica, campus of the University of the West Indies. One of my duties was to give Saturday morning enrichment lectures to the students, and the best one was on suspension bridges. The demonstration lecture then went on tour to high schools in Jamaica and the Cayman Islands.…
ERIC Educational Resources Information Center
Smith-Sherwood, Heather
2018-01-01
This qualitative multi-case study investigated three exemplary pre-service teacher education programs in Jamaica and Michigan in order to provide an account of how they are structured in different contexts of tertiary institutions and, to identify how they ensure that their graduates are prepared to function effectively in today's schools. Five…
ERIC Educational Resources Information Center
Lewis-Fokum, Yewande; Colvin, Carolyn
2017-01-01
In an attempt to understand how a narrowed version of accountability in the form of high-stakes assessment deepens inequity rather than improves educational equity, we examine three education documents in Jamaica using critical discourse analysis. Our two research questions were: How did each government document position the Grade Four Literacy…
ERIC Educational Resources Information Center
Chisholm, Mervin E.; Jimma, Tefera Tadesse; Tatsuya, Natsume; Manathunga, Catherine
2012-01-01
The purpose of this dialogue was to begin grappling with notions of neutrality and academic development in three non-western contexts: (1) Jamaica; (2) Ethiopia; and (3) Japan. The authors were asked to describe the political geography of academic development in their countries and to explore questions of neutrality. This dialogue therefore tries…
Morphology and sedimentation in Caribbean montane streams" examples from Jamaica and Puerto Rico
R. Ahmad; F.N. Scatena; A Gupta
1993-01-01
This paper presents a summary description of the morphology, sedimentation, and behaviour of the montane streams of eastern Jamaica and eastern Puerto Rico. The area is located within a 200 km wide seismically active zone of Neogene left-lateral strike-slip deformation which defines the plate boundary between the Caribbean and North American Plates. Tropical storms,...
Quality of customer service: perceptions from guests in all-inclusive resorts in Jamaica
Joel L. Frater
2007-01-01
With data collected from guests in all-inclusive resorts in Jamaica, West Indies, the purposes of this study were to: (1) delineate unique dimensions of customer service perceptions among guests and (2) report the finding of a study that measured guests' perceptions of the quality of customer service in all-inclusive resorts. The study asked the following research...
Sexual Violence and Reproductive Health among Young People in Three Communities in Jamaica
ERIC Educational Resources Information Center
Geary, Cynthia Waszak; Wedderburn, Maxine; McCarraher, Donna; Cuthbertson, Carmen; Pottinger, Audrey
2006-01-01
A secondary analysis of data collected from 1,130 young people ages 15 to 24 in a population-based household survey to assess the reproductive health needs of young people in three communities in Jamaica was conducted to determine the relationships among three measures of sexual violence, background variables, three measures of sexual risk taking…
ERIC Educational Resources Information Center
Baker-Henningham, Helen; Meeks-Gardner, Julie; Chang, Susan; Walker, Susan
2009-01-01
Objective: The aim of this study was to examine the relationship between children's experiences of three different types of violence and academic achievement among primary school children in Kingston, Jamaica. Methods: A cross-sectional study of 1300 children in grade 5 [mean (S.D.) age: 11 (0.5) years] from 29 government primary schools in urban…
Theatre-Arts Pedagogy for Social Justice: Case Study of the Area Youth Foundation in Jamaica
ERIC Educational Resources Information Center
Hickling-Hudson, Anne
2013-01-01
In this paper I describe and analyse the socio-educational significance of a theatre arts approach to learning for young adults in Jamaica, implemented by the Area Youth Foundation (AYF). Briefly outlining the genesis and development of the AYF, I provide snapshots of the experiences and destinations of some of its young participants. The paper…
ERIC Educational Resources Information Center
Cross, Beth
2006-01-01
Over the last 20 years educational policies across the globe have become more closely aligned with industry interests. Jamaica is no exception. But what does this mean when the country's leading "industry" is tourism? It is no coincidence that in this decade the Ministry for Education became the Ministry for Education and Culture. When…
Overcoming Smallness through Education Development: A Comparative Analysis of Jamaica and Singapore
ERIC Educational Resources Information Center
Welsh, Richard O.
2012-01-01
Between 1960 and 2010, Singapore's real gross domestic product (GDP) per capita skyrocketed from $4,383 to $55,862, while Jamaica's barely increased from $6,417 to $8,539. It is plausible that differing rates of GDP growth are associated with differences in the development of education systems but causally the linkage is not well understood. Using…
A case report of a Hymenolepis diminuta infection in a child in St James Parish, Jamaica.
Cohen, I P
1989-03-01
Hymenolepsis diminuta is a tapeworm which is an intestinal parasite of rats and mice. Rarely, through accidental ingestion of an infected arthropod, man can become the definitive host. This report documents, for the first time, that such infections occur in Jamaica, West Indies. The life cycle of the parasite and its treatment are also discussed.
Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-03
... establish a Vessel Waste No-Discharge Zone (NDZ) for the Jamaica Bay that covers an area of approximately 20... vessel waste discharges. Jamaica Bay is a component of the National Park Service's (NPS) Gateway National... State (NYSDOS) as a Significant Coastal Fish and Wildlife Habitat. The diversity of bird species and...
ERIC Educational Resources Information Center
Miller, Paul
2014-01-01
Perceptions about teacher progression among Jamaica's primary school teachers should force society to stop and ask itself several questions. Are these perceptions accurate? If not, how did these perceptions emerge and what can national leaders and those in positions of authority do to "manage" if not resolve these perceptions? If there…
Gender differences in the effects of urban neighborhood on depressive symptoms in Jamaica.
Mullings, Jasneth Asher; McCaw-Binns, Affette Michelle; Archer, Carol; Wilks, Rainford
2013-12-01
To explore the mental health effects of the urban neighborhood on men and women in Jamaica and the implications for urban planning and social development. A cross-sectional household sample of 2 848 individuals 15-74 years of age obtained from the Jamaica Health and Lifestyle Survey 2007-2008 was analyzed. Secondary analysis was undertaken by developing composite scores to describe observer recorded neighborhood features, including infrastructure, amenities/services, physical conditions, community socioeconomic status, and green spaces around the home. Depressive symptoms were assessed using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Bivariate and multivariate methods were used to explore the associations among gender, neighborhood factors, and risk of depressive symptoms. While no associations were found among rural residents, urban neighborhoods were associated with increased risk of depressive symptoms. Among males, residing in a neighborhood with poor infrastructure increased risk; among females, residing in an informal community/unplanned neighborhood increased risk. The urban neighborhood contributes to the risk of depression symptomatology in Jamaica, with different environmental stressors affecting men and women. Urban and social planners need to consider the physical environment when developing health interventions in urban settings, particularly in marginalized communities.
Privatisation of veterinary services in Jamaica: a case study.
Lopez, V; Alexander, F C; Bent, C L
2004-04-01
Clinical veterinary services were privatised in Jamaica in September 1992. Using the limited official data, the authors briefly examine the premise and logistics behind transferring the responsibility for clinical services, which may be regarded as 'a private good', to private veterinary practitioners. There are indications that this privatisation model can work for farmers, despite financial problems in the livestock industry and a decline in production, caused by trade liberalisation policies and the substitution of cheaper imports. In addition, other national fiscal problems, such as a downturn in the economy, have left veterinarians attempting to boost production in a livestock industry which lacks adequate financial structuring and resources. The authors express concern that various unpublished projections since the last official agricultural survey in 1996 indicate that the livestock industry in Jamaica is diminishing. It is possible that valuable genetic breeding stock may never recover. A comprehensive study of the future of the livestock industry and its associated services is strongly urged. Ten years after the event, the authors reflect on the privatisation of clinical veterinary services in Jamaica and offer some suggestions to improve on the quality of the services offered by private veterinary practitioners.
Logie, Carmen H.; Lacombe-Duncan, Ashley; Brien, Natasha; Jones, Nicolette; Lee-Foon, Nakia; Levermore, Kandasi; Marshall, Annecka; Nyblade, Laura; Newman, Peter A.
2017-01-01
Abstract Introduction: Young men who have sex with men (MSM) in Jamaica have the highest HIV prevalence in the Caribbean. There is little information about HIV among transgender women in Jamaica, who are also overrepresented in the Caribbean epidemic. HIV-related stigma is a barrier to HIV testing among Jamaica’s general population, yet little is known of MSM and transgender women’s HIV testing experiences in Jamaica. We explored perceived barriers and facilitators to HIV testing among young MSM and transgender women in Kingston, Jamaica. Methods: We implemented a community-based research project in collaboration with HIV and lesbian, gay, bisexual and transgender (LGBT) agencies in Kingston. We held two focus groups, one with young (aged 18–30 years) transgender women (n = 8) and one with young MSM (n = 10). We conducted 53 in-depth individual semi-structured interviews focused on HIV testing experiences with young MSM (n = 20), transgender women (n = 20), and community-based key informants (n = 13). We conducted thematic analysis to identify, analyze, and report themes. Results: Participant narratives revealed social-ecological barriers and facilitators to HIV testing. Barriers included healthcare provider mistreatment, confidentiality breaches, and HIV-related stigma: these spanned interpersonal, community and structural levels. Healthcare provider discrimination and judgment in HIV testing provision presented barriers to accessing HIV services (e.g. treatment), and resulted in participants hiding their sexual orientation and/or gender identity. Confidentiality concerns included: clinic physical arrangements that segregated HIV testing from other health services, fear that healthcare providers would publicly disclose their status, and concerns at LGBT-friendly clinics that peers would discover they were getting tested. HIV-related stigma contributed to fear of testing HIV-positive; this intersected with the stigma of HIV as a “gay” disease. Participants also anticipated healthcare provider mistreatment if they tested HIV positive. Participants identified individual (belief in benefits of knowing one’s HIV status), social (social support) and structural (accessible testing) factors that can increase HIV testing uptake. Conclusions: Findings suggest the need for policy and practice changes to enhance confidentiality and reduce discrimination in Jamaica. Interventions to challenge HIV-related and LGBT stigma in community and healthcare settings can enhance access to the HIV prevention cascade among MSM and transgender youth in Jamaica. PMID:28406274
ERIC Educational Resources Information Center
Henry, Annette
2015-01-01
Much has been written about Stuart Hall's intellectual and theoretical contributions especially after the mid-1960s. This interpretive and social biography places Stuart Hall's life from 1932 to 1959 in a socio-historical context, beginning with his childhood in Jamaica and his early years in England. I draw on Hall's own biographical reflections…
ERIC Educational Resources Information Center
Oram-Sterling, Jacqueline
2009-01-01
This dissertation is a biographical study of the life of a retired high school principal in Jamaica. Joan Miller Wint was born on May 10, 1946, in the small rural district of Success in Westmoreland, Jamaica. This study of Wint's life centers on school transformation and organizational change, exploring her leadership as a principal through the…
Children at Risk: A Review of Sexual Abuse Incidents and Child Protection Issues in Jamaica
ERIC Educational Resources Information Center
Miller, Paul
2014-01-01
The right of children to be protected from abuse is grounded in international law. Children should be free to enjoy their childhoods and to engage with their physical environment without fear for their safety. In recent years, girls and women in Jamaica have been targeted by men who rape and/or otherwise sexually assault them. This is without…
ERIC Educational Resources Information Center
International Planned Parenthood Federation, London (England).
Data relating to population and family planning in 21 foreign countries are presented in these situation reports. Countries included are Austria, Cameroon, Canada, Czechoslovakia, Denmark, Egypt, France, German Federal Republic, Greece, Hungary, Irish Republic, Jamaica, Malta, Norway, Sabah, Sarawak, Spain, Tahiti, Tonga, Turkey, and United…
ERIC Educational Resources Information Center
Leslie, Hewlett Steve
2017-01-01
The purpose of the study was to examine the relationship of gender equity to faculty compensation, career advancement, and access to leadership roles in colleges of business in Finland, Jamaica and the United States. This quantitative study, anchored by feminist, human capital and socialization theories supported the emergence of a conceptual…
ERIC Educational Resources Information Center
Davids, Melva P.
2013-01-01
This paper seeks to examine the role of the official and "de facto" languages of anglophone Caribbean islands such as Jamaica. In reflecting on their statuses as users of language, tertiary level students registered in a Year One Performing Arts Program provided much insights into the interplay of both languages that coexist in society…
Coverage of Jamaica in the U.S. and Canadian Press in 1976: A Study of Press Bias and Effect.
ERIC Educational Resources Information Center
Cuthbert, Marlene; Sparkes, Vernone
In 1976, Jamaican government officals claimed that their island had received an especially negative press in the United States during 1975 and 1976 with serious consequences for the economy and tourist trade. This accusation was not made about Canadian coverage, with one major exception, and Canadian tourism to Jamaica increased during those years…
Magnitude, distribution, and estimated level of underreporting of acute gastroenteritis in Jamaica.
Fletcher, Stephanie M; Lewis-Fuller, Eva; Williams, Hank; Miller, Zahra; Scarlett, Henroy P; Cooper, Collin; Gordon-Johnson, Kelly-Ann; Vickers, Ivan; Shaw, Karen; Wellington, Iyanna; Thame, Jennifer; Pérez, Enrique; Indar, Lisa
2013-12-01
Jamaica is the third largest island in the Caribbean. The epidemiology of acute gastroenteritis (AGE) is important to Jamaica, particularly in the areas of health, tourism, and because of the potential impact on the local workforce and the economy. Data collected by the National Surveillance Unit on the prevalence of AGE transmitted by food are not accurate. To determine the true magnitude, risk factors, and the extent of underreporting of AGE in Jamaica, we conducted a cross-sectional, population-based retrospective survey during the periods of 21 February-7 March and 14-27 June 2009, corresponding to high- and low-AGE season respectively. Of the total 1,920 persons selected randomly by a multistage cluster-sampling process, 1,264 responded (response rate 65.8%). Trained interviewers administered a standardized, validated questionnaire during face-to-face interviews. The overall prevalence of self-reported AGE was 4.0% (95% CI 2.9-5.1) at a rate of 0.5 episodes/per person-year. The highest monthly prevalence of AGE (14.6%) was found among the 1-4 year(s) age-group and the lowest (2.1%) among the 25-44 years age-group. Of the 18 cases (36%) who sought medical care, 11% were hospitalized, 33% were treated with antibiotics, and 66.7% received oral rehydration fluids. Only 2 cases who sought medical care reportedly submitted stool specimens. The mean duration of diarrhoea was 3.1 days, which resulted in a mean loss of 4 productive days, with over half of the cases requiring someone to care for them. The burden of syndromic AGE for 2009 was extrapolated to be 122,711 cases, showing an underreporting factor of 58.9. For every laboratory-confirmed AGE case, it was estimated that 383 more cases were occurring in the population. This research confirms that the prevalence of AGE is underreported in Jamaica and not being adequately detected by the current surveillance system. The components of the integrated surveillance system for AGE in Jamaica, particularly the laboratory aspect, need to be strengthened.
NASA Astrophysics Data System (ADS)
Cochran, William J.; Spotila, James A.; Prince, Philip S.; McAleer, Ryan J.
2017-11-01
The effect of rapid erosion on kinematic partitioning along transpressional plate margins is not well understood, particularly in highly erosive climates. The Blue Mountains restraining bend (BMRB) of eastern Jamaica, bound to the south by the left-lateral Enriquillo-Plantain Garden fault (EPGF), offers an opportunity to test the effects of highly erosive climatic conditions on a 30-km-wide restraining bend system. No previous thermochronometric data exists in Jamaica to describe the spatial or temporal pattern of rock uplift and how oblique (> 20°) plate motion is partitioned into vertical strain. To define the exhumation history, we measured apatite (n = 10) and zircon (n = 6) (U-Th)/He ages, 40Ar/39Ar (n = 2; amphibole and K-spar) ages, and U/Pb zircon (n = 2) crystallization ages. Late Cretaceous U/Pb and 40Ar/39Ar ages (74-68 Ma) indicate rapid cooling following shallow emplacement of plutons during north-south subduction along the Great Caribbean Arc. Early to middle Miocene zircon helium ages (19-14 Ma) along a vertical transect suggest exhumation and island emergence at 0.2 mm/yr. Older zircon ages 10-15 km to the north (44-35 Ma) imply less rock uplift. Apatite helium ages are young (6-1 Ma) across the entire orogen, suggesting rapid exhumation of the BMRB since the late Miocene. These constraints are consistent with previous reports of restraining bend formation and early emergence of eastern Jamaica. An age-elevation relationship from a vertical transect implies an exhumation rate of 0.8 mm/yr, while calculated closure depths and thermal modeling suggests exhumation as rapid as 2 mm/yr. The rapid rock uplift rates in Jamaica are comparable to the most intense transpressive zones worldwide, despite the relatively slow (5-7 mm/yr) strike-slip rate. We hypothesize highly erosive conditions in Jamaica enable a higher fraction of plate motion to be accommodated by vertical deformation. Thus, strike-slip restraining bends may evolve differently depending on erosivity and local climate.
Mapping resilience not risk: Turning the tide in New York City and Jamaica Bay
NASA Astrophysics Data System (ADS)
Parris, A. S.; Sanderson, E. W.
2015-12-01
Resilience in urban coastal areas is affected by actions at multiple levels from individuals to community groups to city, state and federal governments. At any level, actions can be a response to immediate hazards (e.g. flooding of coastal homes) or long-term drivers of change (e.g. sea level rise). Jamaica Bay, a highly urbanized estuary within New York City, exemplifies the Nation's coastal zone challenges. Prior to Hurricane Sandy, city, state, and federal governments had made the estuary a major focal point for habitat restoration, improvements to public access and outdoor recreation, and sustainable development. Sandy caused the highest flood level in the recorded history of New York City, eventually claiming 44 lives and costing over $19 billion. Electrical system failure caused four of NYCs wastewater pollution control plants to shutdown, discharging untreated sewage into Jamaica Bay. The Sea Level Rise Tool for Sandy Recovery (the Tool), a flood mapping tool developed by several government agencies including FEMA, NYC, and the Executive Branch, integrated science from the National Flood Insurance Program and the New York City Panel on Climate Change (NPCC). While compound flooding hazards (stormwater plus coastal flooding) remain an important uncertainty, the Tool and subsequent NPCC mapping efforts provide sufficient evidence for science-based discourse around coastal flood risks in Jamaica Bay. But toward what outcome? Coastal flood risk reduction measures and other management actions are managed within existing regulatory frameworks. Disaster relief funds appropriated by Congress in the immediate aftermath of Sandy have provided critical resources to the Jamaica Bay region. However, the challenge now is to transition from the short-term response to long-term resilience planning, a challenge which requires new institutional capacity. This transition to resilience planning and implementation is not only critical in New York City, but in other coastal cities around the nation. The Science and Resilience Institute at Jamaica Bay is a rare partnership between the City of New York, the National Park Service and a consortium of nine research institutions, focused on collaborative problem solving. Central to the Institute's to success will be the question - can we start mapping resilience and not risk?
Cochran, William J.; Spotila, James A.; Prince, Philip S.; McAleer, Ryan J.
2017-01-01
The effect of rapid erosion on kinematic partitioning along transpressional plate margins is not well understood, particularly in highly erosive climates. The Blue Mountains restraining bend (BMRB) of eastern Jamaica, bound to the south by the left-lateral Enriquillo-Plantain Garden fault (EPGF), offers an opportunity to test the effects of highly erosive climatic conditions on a 30-km-wide restraining bend system. No previous thermochronometric data exists in Jamaica to describe the spatial or temporal pattern of rock uplift and how oblique (> 20°) plate motion is partitioned into vertical strain. To define the exhumation history, we measured apatite (n = 10) and zircon (n = 6) (U-Th)/He ages, 40Ar/39Ar (n = 2; amphibole and K-spar) ages, and U/Pb zircon (n = 2) crystallization ages. Late Cretaceous U/Pb and 40Ar/39Ar ages (74–68 Ma) indicate rapid cooling following shallow emplacement of plutons during north-south subduction along the Great Caribbean Arc. Early to middle Miocene zircon helium ages (19–14 Ma) along a vertical transect suggest exhumation and island emergence at ~ 0.2 mm/yr. Older zircon ages 10–15 km to the north (44–35 Ma) imply less rock uplift. Apatite helium ages are young (6–1 Ma) across the entire orogen, suggesting rapid exhumation of the BMRB since the late Miocene. These constraints are consistent with previous reports of restraining bend formation and early emergence of eastern Jamaica. An age-elevation relationship from a vertical transect implies an exhumation rate of 0.8 mm/yr, while calculated closure depths and thermal modeling suggests exhumation as rapid as 2 mm/yr. The rapid rock uplift rates in Jamaica are comparable to the most intense transpressive zones worldwide, despite the relatively slow (5–7 mm/yr) strike-slip rate. We hypothesize highly erosive conditions in Jamaica enable a higher fraction of plate motion to be accommodated by vertical deformation. Thus, strike-slip restraining bends may evolve differently depending on erosivity and local climate.
Numerical modeling of salt marsh morphological change induced by Hurricane Sandy
Hu, Kelin; Chen, Qin; Wang, Hongqing; Hartig, Ellen K.; Orton, Philip M.
2018-01-01
The salt marshes of Jamaica Bay serve as a recreational outlet for New York City residents, mitigate wave impacts during coastal storms, and provide habitat for critical wildlife species. Hurricanes have been recognized as one of the critical drivers of coastal wetland morphology due to their effects on hydrodynamics and sediment transport, deposition, and erosion processes. In this study, the Delft3D modeling suite was utilized to examine the effects of Hurricane Sandy (2012) on salt marsh morphology in Jamaica Bay. Observed marsh elevation change and accretion from rod Surface Elevation Tables and feldspar Marker Horizons (SET-MH) and hydrodynamic measurements during Hurricane Sandy were used to calibrate and validate the wind-waves-surge-sediment transport-morphology coupled model. The model results agreed well with in situ field measurements. The validated model was then used to detect salt marsh morphological change due to Sandy across Jamaica Bay. Model results indicate that the island-wide morphological changes in the bay's salt marshes due to Sandy were in the range of −30 mm (erosion) to +15 mm (deposition), and spatially complex and heterogeneous. The storm generated paired deposition and erosion patches at local scales. Salt marshes inside the west section of the bay showed erosion overall while marshes inside the east section showed deposition from Sandy. The net sediment amount that Sandy brought into the bay is only about 1% of the total amount of reworked sediment within the bay during the storm. Numerical experiments show that waves and vegetation played a critical role in sediment transport and associated wetland morphological change in Jamaica Bay. Furthermore, without the protection of vegetation, the marsh islands of Jamaica Bay would experience both more erosion and less accretion in coastal storms.
The molecular characterisation of a Sida-infecting begomovirus from Jamaica.
Stewart, Cheryl; Kon, Tatsuya; Rojas, Maria; Graham, André; Martin, Darren; Gilbertson, Robert; Roye, Marcia
2014-02-01
The complete DNA sequence of both genome components of a new begomovirus (Sida golden mosaic Buckup virus-[Jamaica:St. Elizabeth:2004]; SiGMBuV-[JM:SE:04]) was determined from a field-infected Sida sp. sample from Buckup, St. Elizabeth, Jamaica. Phylogenetically, both genome components of SiGMBuV-[JM:SE:04] are most closely related to malvaceous weed-infecting Floridian and Mexican begomoviruses. Its DNA-B is a recombinant molecule, the majority of which was derived from a virus resembling Sida yellow mosaic Yucatan virus-[Mexico:Yucatan:2005] (SiYMYuV-[MX:Yuc:05]), while nucleotides 43-342 were derived from a virus resembling Sida golden mosaic virus-[United States of America:Florida] (SiGMV-[US:Flo]). Symptomatic infectivity of our cloned SiGMBuV-[JM:SE:04] components was confirmed in Nicotiana benthamiana.
2013-11-14
Rica, Ecuador , El Salvador, Guatemala, Guyana, Haiti, Honduras, Jamaica, Nicaragua, Panama, Paraguay, Peru, Saint Lucia (American Red Cross, n.d.c) 3...contribute to society. (Children International, n.d.a) Currently or previously involved in SOUTHCOM: Honduras, Ecuador , Guatemala, Chile, Honduras...Republic, El Salvador, Guatemala, Guyana, Haiti, Honduras, Jamaica, Nicaragua, Columbia, Ecuador , Bolivia, Brazil, Peru, Paraguay, Chile, and Argentina
Oshi, Daniel C; Mckenzie, Jordan; Baxter, Martin; Robinson, Royelle; Neil, Stephan; Greene, Tayla; Wright, Wayne; Lodge, Jeorghino
2018-02-26
There is a high and increasing proportion of single-parent families in Jamaica. This has raised concerns about the potential impact of single-parent families on the social, cognitive and behavioural development of children, including their sexual relationships. The aim of this study was to investigate the association between being raised in a single-parent family and age of sexual debut among young people in Jamaica. The study was cross-sectional in design, and based on a multi-stage sampling procedure. The study was conducted in July/September 2016. The study sample comprised 233 respondents (110 males and 123 females) aged from 18 to 35 years (mean 26.37 years; SD 5.46). Respondents completed a self-administered questionnaire with questions on socio-demographic characteristics, family structure, sexual debut and current sexual behaviour. Ninety-seven (41.7%) respondents grew up in single-parent families. A total of 201 (86.3%) had had sex (102 males and 99 females). Their mean age of sexual debut was 15.51 years (SD 3.41). Sixty-five (32.3%) had early sexual debut (<16 years). Respondents from single-parent families were more likely to have had early sexual debut (56.9%; n=37) compared with those from two-parent families (43.1%, n=28; p=0.004). Only 44.6% (n=29) of those who experienced early sexual debut used a condom during their first sexual encounter compared with 73% (n=100) of those who had a later sexual debut (≥16 years; p=<0.001). A single-father family structure was a significant predictor of early sexual debut (AOR 5.5; 95%CI: 1.1-25.8). The study found a significant association between single-parent family structure and age of sexual debut.
Dotson, S J; Howard, M D; Aung, M; Keenan, J A; Jolly, P E
2015-05-08
To investigate the epidemiology of prostate cancer (PCa) in western Jamaica and describe the health-seeking behaviour of at-risk men. This study contained both quantitative and qualitative components. The quantitative portion consisted of a retrospective, matched case-control study of two hundred and four men attending outpatient clinics who completed an interviewer-administered questionnaire. The qualitative component consisted of two focus group discussions designed to further investigate health-seeking behaviour and preferred educational channels regarding PCa. Four risk factors were identified: family history of PCa (OR 3.39, 95% CI 1.73, 6.66), age (OR 1.97, 95% CI 1.41, 2.74), any sexually transmitted disease (STD) history (OR 2.02, 95% CI 1.07, 3.83) and alcohol consumption (OR 1.86, 95% CI 1.00, 3.47). Knowledge of primary risk factors was low, especially for race (37%). Although 81% of controls knew tests were available, a stigma was associated with testing. The screening rate was higher than previously reported but still low (56% of controls), and PCa in the western region is discovered by symptoms 61% of the time. Focus group participants blamed a "male mentality" that is antagonistic to routine medical care and preventive testing. Family history, age, STDs and alcohol consumption were identified as risk factors for PCa in western Jamaica. Sexually transmitted disease history and alcohol consumption are interesting results that merit further investigation. Prostate cancer continues to be diagnosed primarily by symptoms, indicating that routine testing is not widespread enough to catch the disease in its early stages when treatment is most effective. A negative image of prostate screenings persists, and targeted educational interventions are needed to improve outcomes.
Latin America Report, No. 2687
1983-06-06
Jamaica Action Banana Company in Debt to Government for $118 Million (THE DAILY GLEANER, 9 May 83) 96 Reynolds Layoffs Cause Stir; Bauxite...8217/’-■ This he"^ said is in keeping with the ex-j peeled rise in production levels in accordance with the aims of the...CSO: 3298/590 95 COUNTRY SECTION JAMAICA BANANA COMPANY IN DEBT TO GOVERNMENT FOR $118 MILLION Kingston THE DAILY GLEANER in English 9 May 83 p
In Search of an Identity: The Caribbean Military and National Security in the Twenty-First Century
2001-06-01
This assistance was rendered effectively during hurricanes Hugo and Mitch, as well as the recent volcanic eruption in Montserrat . Trinidad and Tobago...include Bahamas, Belize, Jamaica, St. Kitts and Nevis, Antigua and Barbuda, Montserrat , Dominica, St. Lucia, St. Vincent and the Grenadiens, Grenada...1627), Nevis (1628), Montserrat and Antigua (1632), and Jamaica (1655). The British garrison in the West Indies had a critically important function: the
NASA Astrophysics Data System (ADS)
Clarke, Cheryl; Roff, John C.
1990-10-01
During 1985-1986 weekly collections of zooplankton were made off Lime Cay, Jamaica, which is representative of the cays area off southern Jamaica. The dominant (non-copepod) herbivorous taxa, Larvacea, Thaliacea, Cladocera and Pteropoda, were enumerated, and their daily biomasses were estimated by direct weighing or from length-weight regressions. The dominant taxa, in abundance, were the Oikopleuridae and Fritillaridae (49·8% and 35·8%, respectively), but the dominant taxon in terms of biomass was Thalia democratica-on average 75·2% of the total. These herbivorous taxa generally exhibited pronounced variations in abundance which, with the exception of an inverse relationship between Fritillaria spp. and the picoplankton, were not correlated with any size fraction of the phytoplankton. Calculations suggest that, in total, these "other" herbivorous groups may equal the copepods in terms of annual production, and may on occasions exceed them by nearly three-fold.
Ferguson, Gail M; Bornstein, Marc H
2015-03-01
Remote acculturation is a modern form of non-immigrant acculturation identified among early adolescents in Jamaica as "Americanization". This study aimed to replicate the original remote acculturation findings in a new cohort of early adolescents in Jamaica ( n = 222; M = 12.08 years) and to extend our understanding of remote acculturation by investigating potential vehicles of indirect and intermittent intercultural contact. Cluster analyses replicated prior findings: Relative to Traditional Jamaican adolescents (62%), Americanized Jamaican adolescents (38%) reported stronger European American cultural orientation, lower Jamaican orientation, lower family obligations, and greater conflict with parents. More U.S. media (girls) and less local media and local sports (all) were the primary vehicles of intercultural contact predicting higher odds of Americanization. U.S. food, U.S. tourism, and transnational communication were also linked to U.S. orientation. Findings have implications for acculturation research and for practice and policy targeting Caribbean youth and families.
Lehnert, Matthew S; Kramer, Valerie R; Rawlins, John E; Verdecia, Vanessa; Daniels, Jaret C
2017-07-10
The Homerus swallowtail, Papilio ( Pterourus ) homerus Fabricius, is listed as an endangered species and is endemic to the Caribbean island of Jamaica. The largest butterfly in the Western Hemisphere, P. homerus once inhabited seven of Jamaica's 14 parishes and consisted of at least three populations; however, now only two stronghold populations remain, a western population in the rugged Cockpit Country and an eastern population in the Blue and John Crow Mountains. Despite numerous studies of its life history, much about the population biology, including estimates of total numbers of individuals in each population, remains unknown. In addition, a breeding program is needed to establish an experimental population, which could be used to augment wild populations and ensure the continued survival of the species. Here, we present a review of the biology of P. homerus and recommendations for a conservation plan.
Davison, Colleen M; Kahwa, Eulalia; Atkinson, Uki; Hepburn-Brown, Cerese; Aiken, Joyette; Dawkins, Pauline; Rae, Tania; Edwards, Nancy; Roelofs, Susan; MacFarlane, Denise
2013-02-01
As part of a multinational program of research, we undertook a community-based participatory research project in Jamaica to strengthen nurses' engagement in HIV and AIDS policy. Three leadership hubs were purposefully convened and included small groups of people (6-10) from diverse HIV and AIDS stakeholder groups in Jamaica: frontline nurses and nurse managers in primary and secondary care settings; researchers; health care decision makers; and other community members. People living with HIV or AIDS were among the hub members. Using a relational public health ethics framework, we outline some of the ethical challenges and opportunities experienced by the research team and the leadership hubs. Data included research assistant field notes and hub progress reports. Emerging ethical concerns were associated with relational personhood, social justice, relational autonomy, relational solidarity, and sustainability of the hub activities.
Psychological health and life experiences of pregnant adolescent mothers in Jamaica.
Wilson-Mitchell, Karline; Bennett, Joanna; Stennett, Rosain
2014-04-30
A recent Jamaican school-based survey revealed that 23.1% of 13-15 year-olds, had attempted suicide one or more times during the last 12 months. Research that links adolescent pregnancy and suicidal behaviour is lacking in Jamaica. Psychological distress and suicidal behaviours amongst pregnant adolescents elsewhere in the Americas has been documented at prevalence of between 13.3%-20%. The purpose of the study was to explore the experiences and the impact of pregnancy on pregnant adolescent psychological health. Individual interviews and focus groups were conducted with adolescents in two Jamaican antenatal clinics. One clinic was designed as a 'Teen Pregnancy Clinic' and the other used the standard antenatal clinic design. The following themes were identified: decision-making, resilience, social support, community support system, distress, and perceptions of service. Participants reported positively on the specific interventions tailored to their needs at the Teen Clinic. Although motherhood is valued, none of the pregnancies in this study were planned by the mother. Of the 30 adolescents interviewed, seven cases were referred for counseling due to their need for emotional and psychological support. One of the adolescents reported recent sexual violence and another reported having experienced childhood sexual abuse. Historically, Jamaican adolescent mothers faced barriers to education, self determination, and family planning. Empowering, adolescent-centred healthcare and comprehensive reproductive health education may mitigate psychosocial distress.
Psychological Health and Life Experiences of Pregnant Adolescent Mothers in Jamaica
Wilson-Mitchell, Karline; Bennett, Joanna; Stennett, Rosain
2014-01-01
A recent Jamaican school-based survey revealed that 23.1% of 13–15 year-olds, had attempted suicide one or more times during the last 12 months. Research that links adolescent pregnancy and suicidal behaviour is lacking in Jamaica. Psychological distress and suicidal behaviours amongst pregnant adolescents elsewhere in the Americas has been documented at prevalence of between 13.3%–20%. The purpose of the study was to explore the experiences and the impact of pregnancy on pregnant adolescent psychological health. Individual interviews and focus groups were conducted with adolescents in two Jamaican antenatal clinics. One clinic was designed as a ‘Teen Pregnancy Clinic’ and the other used the standard antenatal clinic design. The following themes were identified: decision-making, resilience, social support, community support system, distress, and perceptions of service. Participants reported positively on the specific interventions tailored to their needs at the Teen Clinic. Although motherhood is valued, none of the pregnancies in this study were planned by the mother. Of the 30 adolescents interviewed, seven cases were referred for counseling due to their need for emotional and psychological support. One of the adolescents reported recent sexual violence and another reported having experienced childhood sexual abuse. Historically, Jamaican adolescent mothers faced barriers to education, self determination, and family planning. Empowering, adolescent-centred healthcare and comprehensive reproductive health education may mitigate psychosocial distress. PMID:24785743
2014-12-01
Government . IRB Protocol number ____N/A____. 12a. DISTRIBUTION / AVAILABILITY STATEMENT Approved for public release; distribution is unlimited...control many of the major industries. Jamaica is also a free-market economy, but the government takes a fairly active role in attracting business to the...Polanyi countered Smith’s idea that markets arose spontaneously. Polanyi argued that governments create markets and direct and regulate them to protect
1987-01-01
The U.S. State Department's background notes on the Caribbean island nation of Jamaica discusses geography, people, history, government, defense and foreign relations, with lengthier sections on politics and economy. Jamaica, lying south of Cuba, has 10,991 sq. km., 2.3 million people of African and African-European origin primarily, a growth rate of 1.1%, infant mortality rate of 28/1000 and life expectancy of 71 years. The island has diverse climatic regions, mountainous structure, rich resources in bauxite, and agriculture. It was settled in the 1500s by Spain, occupied since 1670 Britain, and became independent in 1962. The first election in 1945 established the roots of the government, modeled after the British system. The 2 major parties, derived from preceding labor unions, are the Jamaican Labour Party, centrist but favoring private business and agriculture, and the People's National Party, more populist and socialist. The economy has suffered in recent years from recession, unemployment, high interest rates, international trade deficit and government spending deficits, as well as a brief alignment with Cuba that discouraged both tourism and foreign investment. Initiatives from U.S. investors have begun to reverse the trend, concentrating on establishment of light industry such as garment making and data entry. Jamaica's wealth in her stable government, literate population, natural resources, fertile soil, and good relations with other nations and institutions suggest that she will rise above her economic troubles.
2003-06-06
Graduate Degree Programs Philip J. Brookes, Ph.D. The opinions and conclusions expressed herein are those of the student author and do not necessarily...hope I will be forgiven if I only mention a few: Prof. Ernest Evans, Dr. Philip Brookes, Mrs. Helen Davis, Mrs. Jacqueline Goulbourne, Ms. Mary Glaser...the Caribbean. Jamaica has had a number of confrontations, particularly with Honduras, regarding illegal fishing at its Pedro and Morant Cays. This
1976-09-01
the New York Harbor area and especially the Jamaica Bay complex was used to determine the effects of 13 different hurricane surge barrier plans on...vary directly with the total cross-sectional area of the naviga- tion opening and tidal openings. d. barrier plans B, C-l, C-2, and C-3 would have... plan C-1 with a conservative dye source seaward of the barrier indicated that average dye concentrations will be increased slightly in most areas in
Application of decision science to resilience management in Jamaica Bay
Eaton, Mitchell; Fuller, Angela K.; Johnson, Fred A.; Hare, M. P.; Stedman, Richard C.; Sanderson, E.W.; Solecki, W. D.; Waldman, J.R.; Paris, A. S.
2016-01-01
This book highlights the growing interest in management interventions designed to enhance the resilience of the Jamaica Bay socio-ecological system. Effective management, whether the focus is on managing biological processes or human behavior or (most likely) both, requires decision makers to anticipate how the managed system will respond to interventions (i.e., via predictions or projections). In systems characterized by many interacting components and high uncertainty, making probabilistic predictions is often difficult and requires careful thinking not only about system dynamics, but also about how management objectives are specified and the analytic method used to select the preferred action(s). Developing a clear statement of the problem(s) and articulation of management objectives is often best achieved by including input from managers, scientists and other stakeholders affected by the decision through a process of joint problem framing (Marcot and others 2012; Keeney and others 1990). Using a deliberate, coherent and transparent framework for deciding among management alternatives to best meet these objectives then ensures a greater likelihood for successful intervention. Decision science provides the theoretical and practical basis for developing this framework and applying decision analysis methods for making complex decisions under uncertainty and risk.
"Head take you": causal attributions of mental illness in Jamaica.
Arthur, Carlotta M; Whitley, Rob
2015-02-01
Causal attributions are a key factor in explanatory models of illness; however, little research on causal attributions of mental illness has been conducted in developing nations in the Caribbean, including Jamaica. Explanatory models of mental illness may be important in understanding illness experience and be a crucial factor in mental health service seeking and utilization. We explored causal attributions of mental illness in Jamaica by conducting 20 focus groups, including 16 community samples, 2 patient samples, and 2 samples of caregivers of patients, with a total of 159 participants. The 5 most commonly endorsed causal attributions of mental illness are discussed: (a) drug-related causes, including ganja (marijuana); (b) biological causes, such as chemical imbalance, familial transmission, and "blood"; (c) psychological causes, including stress and thinking too much; (d) social causes, such as relationship problems and job loss; and (e) spiritual or religious causes, including Obeah. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
Zotto, Matteo Dal; Leasi, Francesca; Todaro, M. Antonio
2018-01-01
Abstract The study falls within the framework of a wider research programme aimed at investigating the gastrotrich diversity of the Tropical North-Western Atlantic (TNWA). A new macrodasyidan gastrotrich is described from fine-medium sand collected at Duncans Bay, Jamaica. The description is based on observations carried out on living specimens using differential interference contrast microscopy. Paraturbanella xaymacana sp. n., the third gastrotrich taxon reported from Jamaica, is a mid-sized species, up to 564 μm long, with a feeble peribuccal swelling. The most obvious autapomorphic traits pertain to the testes and the male pore, both of which are located approximately at mid body, rather than at- or near the pharyngo-intestinal junction as occur in the other species of the genus. Additional differences with congeners are discussed and a key to the Paraturbanella species is provided, in the hope it will be useful to both gastrotrich experts and marine ecologists who discover these microscopic metazoans during their research. PMID:29674856
Ferguson, Gail M.; Bornstein, Marc H.
2015-01-01
Remote acculturation is a modern form of non-immigrant acculturation identified among early adolescents in Jamaica as “Americanization”. This study aimed to replicate the original remote acculturation findings in a new cohort of early adolescents in Jamaica (n = 222; M = 12.08 years) and to extend our understanding of remote acculturation by investigating potential vehicles of indirect and intermittent intercultural contact. Cluster analyses replicated prior findings: Relative to Traditional Jamaican adolescents (62%), Americanized Jamaican adolescents (38%) reported stronger European American cultural orientation, lower Jamaican orientation, lower family obligations, and greater conflict with parents. More U.S. media (girls) and less local media and local sports (all) were the primary vehicles of intercultural contact predicting higher odds of Americanization. U.S. food, U.S. tourism, and transnational communication were also linked to U.S. orientation. Findings have implications for acculturation research and for practice and policy targeting Caribbean youth and families. PMID:25709142
Family planning in the workplace in Jamaica.
1987-08-01
The Jamaica Family Planning Association started holding presentations and discussions in the workplace in January 1986, now reaching 8000 people in 32 companies. The firms are primarily manufacturers (21) and hotels(7), but also include publishing, construction, printing and supermarket businessess. In these companies as well as many of the 480 members of the Jamaica Chamber of Commerce, employees are usually women of reproductive age who cannot afford to take time off to attend a clinic. There is a great demand for information and discussion on sexually transmitted diseases and clarification of the contraindications of various contraceptive methods. At the end of the discussions, educators offer pills, condoms and neo-sampoon, and may refer people for clinical services. Almost new acceptors have been recruited. The success of the project depends heavily on cooperation of management, supervisors and union representatives. In some cases union representives or company nurses act as distributors of contraceptives. This project has been so successful that some companies expressed an interest in participating in the Associations's resource development program.
Interdisciplinary approach to the demography of Jamaica
2012-01-01
Background The trans-Atlantic slave trade dramatically changed the demographic makeup of the New World, with varying regions of the African coast exploited differently over roughly a 400 year period. When compared to the discrete mitochondrial haplotype distribution of historically appropriate source populations, the unique distribution within a specific source population can prove insightful in estimating the contribution of each population. Here, we analyzed the first hypervariable region of mitochondrial DNA in a sample from the Caribbean island of Jamaica and compared it to aggregated populations in Africa divided according to historiographically defined segments of the continent's coastline. The results from these admixture procedures were then compared to the wealth of historic knowledge surrounding the disembarkation of Africans on the island. Results In line with previous findings, the matriline of Jamaica is almost entirely of West African descent. Results from the admixture analyses suggest modern Jamaicans share a closer affinity with groups from the Gold Coast and Bight of Benin despite high mortality, low fecundity, and waning regional importation. The slaves from the Bight of Biafra and West-central Africa were imported in great numbers; however, the results suggest a deficit in expected maternal contribution from those regions. Conclusions When considering the demographic pressures imposed by chattel slavery on Jamaica during the slave era, the results seem incongruous. Ethnolinguistic and ethnographic evidence, however, may explain the apparent non-random levels of genetic perseverance. The application of genetics may prove useful in answering difficult demographic questions left by historically voiceless groups. PMID:22360861
Brand, C.J.; Windingstad, R.M.; Siegfried, Lynne M.; Duncan, R.M.; Cook, R.M.
1988-01-01
During the summers of 1981 and 1982, studies were conducted at Jamaica Bay Wildlife Refuge, Long Island, New York, to determine whether annual water-level drawdowns used to create shorebird habitat also led to the occurrence of avian botulism (Clostridium botulinum type C). Low levels of morbidity and mortality from avian botulism occurred on the two ponds throughout both summers, but there was no apparent relationship between the occurrence or rates of botulism losses and drawdowns of the ponds. Botulism also occurred throughout both summers on other areas of the refuge. Botulinal toxin was found in fly larvae associated with avian carcasses, including birds that did not die from botulism. Toxin was not found in other samples of aquatic biota in the ponds, although it was demonstrated in a single sample of decomposing sea lettuce (Ulva lactuca) in Jamaica Bay. Aspergillosis (Aspergillus fumigatus) and salmonellosis (Salmonella spp.) were also frequently-diagnosed causes of morbidity and mortality. We believe that botulinal toxin present in carcasses of birds dying from botulism, or produced postmortem in birds dying from other causes, on the two ponds and other areas in Jamaica Bay were a major source of botulinal toxin. Toxin could be ingested by birds through direct scavenging on carcasses, or by consumption of toxic fly larvae associated with carcasses. Diligent carcass pickup at the two ponds is recommended to reduce mortality from avian botulism.
A view of personality disorder from the colonial periphery.
Hickling, F W; Walcott, G
2013-01-01
To examine the history of personality disorder in the context of contemporary post-colonial Jamaican society. The literature outlining the development and classification of personality disorder is reviewed. The social, psychiatric and epidemiological studies of personality disorder in Jamaica are presented. A categorical classification system of personality disorder has been in use by the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM) from the mid 20th century. Challenging that approach is the Minnesota Multiphasic Personality Inventory (MMPI), which represents the dimensional method, which views pathology as a continuum from normal personality traits. Both systems suffer from an absence of cultural flexibility, an absence of a a system of severity, and a lack of treatment specificity, which foster misdiagnosis while making treatment planning difficult and unreliable. The proposed DSM-5 attempts to integrate a prototypematching system and identification of personality traits promises disappointing outcomes. The University of the West Indies, Section of Psychiatry, proposes a phenomenological nosological approach, advocating an alternate DSM Axis I category called Shakatani derived from Swahili shaka (problem), tani (power), and developing a 38-item Jamaica Personality Disorder Inventory (JPDI) screening questionnaire for diagnosing this condition. The epidemiological results using this instrument are reviewed, and the Jamaican print, broadcast and social media responses to this research in Jamaica are described. The heritage of slavery and colonial oppression in Jamaica has resulted in maladaptive personality disorders that have led to extremely high rates of homicide, violence and transgressive behaviour.
Interdisciplinary approach to the demography of Jamaica.
Deason, Michael L; Salas, Antonio; Newman, Simon P; Macaulay, Vincent A; St A Morrison, Errol Y; Pitsiladis, Yannis P
2012-02-23
The trans-Atlantic slave trade dramatically changed the demographic makeup of the New World, with varying regions of the African coast exploited differently over roughly a 400 year period. When compared to the discrete mitochondrial haplotype distribution of historically appropriate source populations, the unique distribution within a specific source population can prove insightful in estimating the contribution of each population. Here, we analyzed the first hypervariable region of mitochondrial DNA in a sample from the Caribbean island of Jamaica and compared it to aggregated populations in Africa divided according to historiographically defined segments of the continent's coastline. The results from these admixture procedures were then compared to the wealth of historic knowledge surrounding the disembarkation of Africans on the island. In line with previous findings, the matriline of Jamaica is almost entirely of West African descent. Results from the admixture analyses suggest modern Jamaicans share a closer affinity with groups from the Gold Coast and Bight of Benin despite high mortality, low fecundity, and waning regional importation. The slaves from the Bight of Biafra and West-central Africa were imported in great numbers; however, the results suggest a deficit in expected maternal contribution from those regions. When considering the demographic pressures imposed by chattel slavery on Jamaica during the slave era, the results seem incongruous. Ethnolinguistic and ethnographic evidence, however, may explain the apparent non-random levels of genetic perseverance. The application of genetics may prove useful in answering difficult demographic questions left by historically voiceless groups.
Shelton, Jeremy B; Barocas, Daniel A; Conway, Frances; Hart, Kathleen; Nelson, Kinloch; Richstone, Lee; Gonzalez, Ricardo R; Raman, Jay D; Scherr, Douglas S
2005-05-01
To estimate the incidence of prostate cancer among African-American men and Caribbean immigrants to the United States, to assess the applicability of large-scale prostate screening trials to a community screening program, and to recruit unscreened men. African-American and Caribbean-American men were targeted with a community-based prostate cancer screening program in Jamaica, New York. Serum prostate-specific antigen determination and digital rectal examination were used to determine abnormal findings. The incidence of an abnormal screening examination was used to project the incidence of prostate cancer, which was compared with that in other reported trials. The projected incidence of prostate cancer among African-Americans and Caribbean-Americans older than 50 years was 8% and 7%, respectively, similar to that reported in other trials of African-American men. The projected incidence of prostate cancer in Caribbean-American men aged 40 to 49 years was 1%, the same as the high rate reported among Caribbean men. As in other trials, a family history of prostate cancer and age were strong predictors of abnormal findings. Of the recruited men older than 50 years, 58% had never been screened compared with 42% nationally. Large population-based screening trials have identified ethnic groups at high risk of prostate cancer. This trial detected high rates of abnormal screening findings by targeting ethnicity. The incidence of an abnormal examination was high in Caribbean-American men younger than 50 years old. Finally, this trial successfully recruited underscreened men.
Age- specific incidence of cancer in Kingston and St. Andrew, Jamaica. Part I: 1978-1982.
Brooks, S E; Wolff, C
1991-09-01
A total of 3,396 malignant neoplasms were recorded in Kingston and St. Andrew, Jamaica during 1978 to 1982. There were 1,477 males and 1,919 females. Histological confirmation was achieved in 88.4%. The crude incidence rate for males for all age groups was 107.8 per 100,000 per year; in females, the figure was 123.0. The age-standardized rates (world population) were 157.9 for males and 159.1 for females. Age-specific rates by site, sex, and age are tabulated.
Medical opinion on abortion in Jamaica: a national Delphi survey of physician, nurses, and midwives.
Smith, K A; Johnson, R L
1976-12-01
A national sample of 120 Jamaican physicians, public health nurses, and licensed midwives participated in a two-stage Delphi survey to identify medical opinion on proposed liberlization of Jamaica's abortion law, and to predict the likely impact of such legislative action on existing health and family planning services. More than 80 percent of the respondents favored legalization of abortion, and most supported changes in the health service delivery system to accommodate the expected demand. They believed that clandestine abortion, involving pharmacists and physicians, is already widely practiced.
Logie, Carmen H; Lacombe-Duncan, Ashley; Kenny, Kathleen S; Levermore, Kandasi; Jones, Nicolette; Baral, Stefan D; Wang, Ying; Marshall, Annecka; Newman, Peter A
2018-01-01
Globally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex may experience intersectional stigma and intensified social marginalization, yet have largely been overlooked in epidemiological and social HIV research. In Jamaica, where same sex practices and sex work are criminalized, scant research has investigated sex selling among MSM, including associations with HIV vulnerability. We aimed to examine social ecological factors associated with selling sex among MSM in Jamaica, including exchanging sex for money, shelter, food, transportation, or drugs/alcohol (past 12 months). We conducted a cross-sectional survey with a peer-driven sample of MSM in Kingston, Ocho Rios, and Montego Bay. Multivariable logistic regression analyses were conducted to estimate intrapersonal/individual, interpersonal/social, and structural factors associated with selling sex. Among 556 MSM, one-third (n = 182; 32.7%) reported selling sex. In the final multivariable model, correlates of selling sex included: individual/intrapersonal (lower safer sex self-efficacy [AOR: 0.85, 95% CI: 0.77, 0.94]), interpersonal/social (concurrent partnerships [AOR: 5.52, 95% CI: 1.56, 19.53], a higher need for social support [AOR: 1.08, 95% CI: 1.03, 1.12], lifetime forced sex [AOR: 2.74, 95% 1.65, 4.55]) and structural-level factors (sexual stigma [AOR: 1.09, 95% CI: 1.04, 1.15], food insecurity [AOR: 2.38, 95% CI: 1.41, 4.02], housing insecurity [AOR: 1.94, 95% CI: 1.16, 3.26], no regular healthcare provider [AOR: 2.72, 95% CI: 1.60, 4.64]). This study highlights social ecological correlates of selling sex among MSM in Jamaica, in particular elevated stigma and economic insecurity. Findings suggest that MSM in Jamaica who sell sex experience intensified social and structural HIV vulnerabilities that should be addressed in multi-level interventions to promote health and human rights.
Logie, Carmen H.; Lacombe-Duncan, Ashley; Kenny, Kathleen S.; Levermore, Kandasi; Jones, Nicolette; Baral, Stefan D.; Wang, Ying; Marshall, Annecka; Newman, Peter A.
2018-01-01
ABSTRACT Background: Globally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex may experience intersectional stigma and intensified social marginalization, yet have largely been overlooked in epidemiological and social HIV research. In Jamaica, where same sex practices and sex work are criminalized, scant research has investigated sex selling among MSM, including associations with HIV vulnerability. Objective: We aimed to examine social ecological factors associated with selling sex among MSM in Jamaica, including exchanging sex for money, shelter, food, transportation, or drugs/alcohol (past 12 months). Methods: We conducted a cross-sectional survey with a peer-driven sample of MSM in Kingston, Ocho Rios, and Montego Bay. Multivariable logistic regression analyses were conducted to estimate intrapersonal/individual, interpersonal/social, and structural factors associated with selling sex. Results: Among 556 MSM, one-third (n = 182; 32.7%) reported selling sex. In the final multivariable model, correlates of selling sex included: individual/intrapersonal (lower safer sex self-efficacy [AOR: 0.85, 95% CI: 0.77, 0.94]), interpersonal/social (concurrent partnerships [AOR: 5.52, 95% CI: 1.56, 19.53], a higher need for social support [AOR: 1.08, 95% CI: 1.03, 1.12], lifetime forced sex [AOR: 2.74, 95% 1.65, 4.55]) and structural-level factors (sexual stigma [AOR: 1.09, 95% CI: 1.04, 1.15], food insecurity [AOR: 2.38, 95% CI: 1.41, 4.02], housing insecurity [AOR: 1.94, 95% CI: 1.16, 3.26], no regular healthcare provider [AOR: 2.72, 95% CI: 1.60, 4.64]). Conclusions: This study highlights social ecological correlates of selling sex among MSM in Jamaica, in particular elevated stigma and economic insecurity. Findings suggest that MSM in Jamaica who sell sex experience intensified social and structural HIV vulnerabilities that should be addressed in multi-level interventions to promote health and human rights. PMID:29338660
Baker-Henningham, Helen; Meeks-Gardner, Julie; Chang, Susan; Walker, Susan
2009-05-01
The aim of this study was to examine the relationship between children's experiences of three different types of violence and academic achievement among primary school children in Kingston, Jamaica. A cross-sectional study of 1300 children in grade 5 [mean (S.D.) age: 11 (0.5) years] from 29 government primary schools in urban areas of Kingston and St. Andrew, Jamaica, was conducted. Academic achievement (mathematics, reading, and spelling) was assessed using the Wide Range Achievement Test. Children's experiences of three types of violence - exposure to aggression among peers at school, physical punishment at school, and exposure to community violence - were assessed by self-report using an interviewer administered questionnaire. Fifty-eight percent of the children experienced moderate or high levels of all three types of violence. Boys had poorer academic achievement and experienced higher levels of aggression among peers and physical punishment at school than girls. Children's experiences of the three types of violence were independently associated with all three indices of academic achievement. There was a dose-response relationship between children's experiences of violence and academic achievement with children experiencing higher levels of violence having the poorest academic achievement and children experiencing moderate levels having poorer achievement than those experiencing little or none. Exposure to three different types of violence was independently associated with poor school achievement among children attending government, urban schools in Jamaica. Programs are needed in schools to reduce the levels of aggression among students and the use of physical punishment by teachers and to provide support for children exposed to community violence. Children in Jamaica and the wider Caribbean experience significant amounts of violence in their homes, communities, and schools. In this study, we demonstrate a dose-response relationship between primary school children's experiences of three different types of violence and their academic achievement. The study points to the need for validated violence prevention programs to be introduced in Jamaican primary schools. Such programs need to train teachers in appropriate classroom management and discipline strategies and to promote children's social and emotional competence and prevent aggression.
Stewart, Cheryl; Kon, Tatsuya; Rojas, Maria; Graham, André; Martin, Darren; Gilbertson, Robert; Roye, Marcia
2014-09-01
Begomoviruses impose serious constraints on agriculture throughout the temperate, tropical and subtropical regions. Previously, we characterised a sida golden yellow vein virus isolate, SiGYVV-[JM:Lig2:08] (HQ009519-20) from a symptomatic Sida jamaicensis plant. With the aim of establishing whether it was hosting a mixed infection that could facilitate recombination, PCR-RFLP was done on DNA extracted from this plant, and the results suggested the presence of two additional genetically distinct DNA-A molecules. Sequence analysis of these two DNA-A molecules (relying on BLAST searches and the CLUSTAL V algorithm within the DNASTAR MegAlign module) revealed that they belonged to novel species, and we have tentatively named these viruses sida golden mosaic Braco virus-[Jamaica:Liguanea:2008] and sida golden mosaic Liguanea virus-[Jamaica:1:2008]. Using RDP4 (recombination detection program), we determined that all three viruses were recombinant, with bases ~10 to ~440 of both SiGMLigV-[JM:Lig:08] and SiGYVV-[JM:Lig2:08] having been derived from a relative of SiGMBV-[JM:Lig:08] (P<2.070×10(-7) for all seven of the recombination detection methods). SiGMBV-[JM:Lig:08] was itself a product of recombination, deriving bases ~490-1195 from a virus that was ~92% similar to malvastrum yellow mosaic Helshire virus. Phylogenetically, these DNA-A components are most closely related to those of malvaceous weed-infecting begomoviruses from Jamaica, Cuba, Florida and Mexico. The SiGMBV DNA-A was able to elicit symptomatic infection in N. benthamiana.
Figueroa, J Peter; Weir, Sharon S; Byfield, Lovette; Hall, Alison; Cummings, Stirling M; Suchindran, Chirayath M
2010-08-01
To determine whether a site-based Priorities for Local AIDS Control Efforts (PLACE) HIV prevention intervention in Kingston, Jamaica increased condom use among persons with new or multiple sex partners. A total of 147 sites where persons go to meet new sex partners were grouped into 50 geographic clusters and randomized to receive or not receive a multilevel PLACE prevention intervention. Baseline cross-sectional surveys of sites and patrons at sites were conducted in 2005 to determine the nature of social activities at sites to better plan the intervention and to ensure that the two arms of the trial were similar. The intervention was delivered by 50 trained outreach workers between January and June 2006. After the intervention two cross-sectional surveys were conducted to assess the extent of intervention implementation and to estimate the proportion of patrons at sites with recent new or concurrent partnerships and inconsistent condom use. Characteristics of sites and patrons were similar for most variables at intervention and control sites at both baseline and post-intervention. A total of 1535 patrons (723 men, 812 women) were interviewed at intervention sites and 1324 patrons (661 men, 663 women) at control sites 6-9 months after the intervention. There were no significant differences between intervention and control groups in the proportions of men (37.8% and 31.6%) and women (24.6% and 22.6%) who reported new or multiple relationships in the past year and inconsistent condom use. There was no significant difference in the proportion of men or women showing a condom at interview, having a HIV test in the past 12 months or being exposed to the intervention. An intent-to-treat analysis did not show any intervention effect. This was probably because of difficulty in implementing the intervention, the extent of patron mixing among sites, the intensity of national education campaigns, delay in conducting the post-intervention survey and evidence of other interventions at some control sites.
Wright, Racquel J.; Lee, Ken S.; Hyacinth, Hyacinth I.; Hibbert, Jacqueline M.; Reid, Marvin E.; Wheatley, Andrew O.
2017-01-01
Moringa oleifera trees grow well in Jamaica and their parts are popularly used locally for various purposes and ailments. Antioxidant activities in Moringa oleifera samples from different parts of the world have different ranges. This study was initiated to determine the antioxidant activity of Moringa oleifera grown in Jamaica. Dried and milled Moringa oleifera leaves were extracted with ethanol/water (4:1) followed by a series of liquid–liquid extractions. The antioxidant capacities of all fractions were tested using a 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay. IC50 values (the amount of antioxidant needed to reduce 50% of DPPH) were then determined and values for the extracts ranged from 177 to 4458 μg/mL. Extracts prepared using polar solvents had significantly higher antioxidant capacities than others and may have clinical applications in any disease characterized by a chronic state of oxidative stress, such as sickle cell anemia. Further work will involve the assessment of these extracts in a sickle cell model of oxidative stress. PMID:29065510
Wang, Hongqing; Chen, Qin; Hu, Kelin; Snedden, Gregg A.; Hartig, Ellen K.; Couvillion, Brady R.; Johnson, Cody L.; Orton, Philip M.
2017-03-29
The salt marshes of Jamaica Bay, managed by the New York City Department of Parks & Recreation and the Gateway National Recreation Area of the National Park Service, serve as a recreational outlet for New York City residents, mitigate flooding, and provide habitat for critical wildlife species. Hurricanes and extra-tropical storms have been recognized as one of the critical drivers of coastal wetland morphology due to their effects on hydrodynamics and sediment transport, deposition, and erosion processes. However, the magnitude and mechanisms of hurricane effects on sediment dynamics and associated coastal wetland morphology in the northeastern United States are poorly understood. In this study, the depth-averaged version of the Delft3D modeling suite, integrated with field measurements, was utilized to examine the effects of Hurricane Sandy and future potential hurricanes on salt marsh morphology in Jamaica Bay, New York City. Hurricane Sandy-induced wind, waves, storm surge, water circulation, sediment transport, deposition, and erosion were simulated by using the modeling system in which vegetation effects on flow resistance, surge reduction, wave attenuation, and sedimentation were also incorporated. Observed marsh elevation change and accretion from a rod surface elevation table and feldspar marker horizons and cesium-137- and lead-210-derived long-term accretion rates were used to calibrate and validate the wind-waves-surge-sediment transport-morphology coupled model.The model results (storm surge, waves, and marsh deposition and erosion) agreed well with field measurements. The validated modeling system was then used to detect salt marsh morphological change due to Hurricane Sandy across the entire Jamaica Bay over the short-term (for example, 4 days and 1 year) and long-term (for example, 5 and 10 years). Because Hurricanes Sandy (2012) and Irene (2011) were two large and destructive tropical cyclones which hit the northeast coast, the validated coupled model was run to predict the effects of Sandy-like and Irene-like hurricanes with different storm tracks and wind intensities on wetland morphology in Jamaica Bay. Model results indicate that, in Jamaica Bay salt marshes, the morphological changes (greater than 5 millimeters [mm] determined by the long-term marsh accretion rate) caused by Hurricane Sandy were complex and spatially heterogeneous. Most of the erosion (5–40 mm) and deposition (5–30 mm) were mainly characterized by fine sand for channels and bay bottoms and by mud for marsh areas. Hurricane Sandy-generated deposition and erosion were generated locally. The storm-induced net sediment input through Rockaway Inlet was only about 1 percent of the total amount of the sediment reworked by the hurricane. Salt marshes inside the western part of the bay showed erosion overall while marshes inside the eastern part showed deposition from Hurricane Sandy. Model results indicated that most of the marshes could recover from Hurricane Sandy-induced erosion after 1 year and demonstrated continued marsh accretion after the hurricane over the course of long simulation periods although the effect (accretion) was diminished. Local waves and currents generated by Hurricane Sandy appeared to play a critical role in sediment transport and associated wetland morphological change in Jamaica Bay. Hypothetical hurricanes, depending on their track and intensity, cause variable responses in spatial patterns of sediment deposition and erosion compared to simulations without the hurricane. In general, hurricanes passing west of the Jamaica Bay estuary appear to be more destructive to the salt marshes than those passing the east. Consequently, marshes inside the western part of the bay were likely to be more vulnerable to hurricanes than marshes inside the eastern part of the bay.
Jamaica plans petchem JV with Israel
DOE Office of Scientific and Technical Information (OSTI.GOV)
NONE
1995-11-22
Israel`s Dankner group is negotiating with the Jamaican government for conversion of the Pertojam refinery into a petrochemical complex. The plan represents a revival of a year-old proposal by the Jamaican opposition leader Edward Seaga. It calls for a $120-million upgrade of the refinery, including a catalytic cracker and a $150-million chlor-alkali facility to produce 550,000 m.t./year of chlorine that would in turn be used to produce 300,000 m.t./year of polvinyl chloride. Jamaica is a major importer of caustic soda, consuming about 330,000 m.t./year in its bauxite industry.
Cunningham-Myrie, Colette; Younger-Coleman, Novie; Tulloch-Reid, Marshall; McFarlane, Shelly; Francis, Damian; Ferguson, Trevor; Gordon-Strachan, Georgiana; Wilks, Rainford
2013-11-01
The objective of this study was to provide valid estimates of the burden of and risk factors for diabetes mellitus by sex in Jamaica, a predominantly Black, middle-income and developing country. The Jamaica Health and Lifestyle Survey 2008 examined a nationally representative sample of 2848 Jamaicans aged 15-74. Parameter estimates and 95% confidence intervals [CI] were weighted for non-response as well as age and sex of the source population. Sex differences in risk factors and diabetes prevalence, awareness, treatment and control were estimated in multivariable models. Population-attributable fractions (PAFs) of obesity on diabetes mellitus were estimated in both sexes. The prevalence of diabetes mellitus was 7.9% (95% CI: 6.7-9.1%), significantly higher in women than men 9.3% vs. 6.4% (P = 0.02) and increasing with age. Seventy-six percentage of persons with diabetes mellitus were aware of their status; urban women and rural men were less likely to be aware. Diabetes control (43% overall) was less common in higher-income men, but more common in higher-income women. Persons without health insurance were less likely to control their diabetes. The prevalence of diabetes risk factors was higher in women than men. Increased waist circumference (≥94 cm [men]/≥80 cm [women]), overweight/obesity (body mass index ≥ 25 kg/m(2)) and low physical activity/inactivity were associated with PAFs for diabetes mellitus of 27%, 37% and 15%, respectively, in men and 77%, 54% and 24%, respectively, in women. Prevalence of diabetes mellitus and its risk factors is high in Jamaica, especially among women, and national programmes to stem the diabetes mellitus epidemic should take these sex differences into consideration. © 2013 John Wiley & Sons Ltd.
Hickling, F W; Robertson-Hickling, H A
2013-01-01
To ascertain whether the public scholarship of the epidemiology of personality disorder (PD) in Jamaica prompted a health promotion outcome. A January 2011 to December 2012 trawl of news media articles linking 'PD' to published public scholarship articles on the epidemiology of PD recorded titles and contents of the reports that were culled to capture the emotional responses and psychological defence mechanisms expressed. These were analysed with concomitant social, psychological or behavioural activities occurring in Jamaica, using SPSS version 17 software. Two public scholarship interventions to two major broadsheet newspapers triggered 25 contributed articles, which in turn prompted 160 responses from the public, five commentaries on leading radio stations and four Internet blogs. One hundred and sixty-six (84.2%) of the titles targeted PD in the Jamaican nation; 31 (13.7) articles targeted PD in leaders, athletes, inmates, individuals, families and productivity in Jamaica. One hundred and fifty-five (79.1%) expressed agreement with the scientific epidemiological observations, while 20.9% (n = 41) expressed disagreement. Eighty-two (41.8%) of the responses expressed rationalizations, 47 (24%) were expressions of reaction formation, 27 (13.8%) were in frank denial, while 25 (12.8%) were expressing open acting out responses or blunt projection (15, 7.7%) to the published epidemiology. The difference between 139 (70.9%) popular media responses to contemporary social problems and 57 (29.1%) reports that made no reference to social problems was statistically significant (p < 0.03). The hypothesis that public scholarship reports prompted a popular media response, generating a health promotion outcome linking contemporary social events to this medical research is confirmed.
Agency, lapse in condom use and relationship intimacy among female sex workers in Jamaica.
Bailey, Althea E; Figueroa, John Peter
2018-05-01
This paper explores barriers to consistent condom use among female sex workers in Jamaica in a qualitative study using grounded theory. Multiple perspectives were sought through 44 in-depth interviews conducted with female sex workers, clients, the partners of sex workers and facilitators of sex work. Poverty and lack of education or skills, severely limited support systems as well as childhood abuse served to push the majority of participants into sex work and created vulnerability to HIV and other STIs. Despite these constraints, women found ways to exercise agency, ensure condom use, adopt protective measures and gain economic advantage in various aspects of the Jamaican sex trade. Perceived relationship intimacy between sex workers and their clients and/or their main partners emerged as the main factor contributing to reduced risk perception and inconsistent condom use. Relationship intimacy, with associated trust and affirmation of self, is the most important factor influencing sexual decision-making with respect to lapse in condom use among female sex workers in Jamaica. Study findings provide important insights that can enhance individual psychosocial, interpersonal and community-based interventions as well as inform environmental, structural and policy interventions to reduce risk and vulnerability among female sex workers.
Mary Grant Seacole: the first nurse practitioner.
Messmer, P R; Parchment, Y
1998-01-01
Mary Grant Seacole was born in 1805, in Kingston, Jamaica, to a Jamaican doctress (medicine woman) and a Scottish naval officer. Later Seacole became a doctress, nursing British soldiers during epidemics of cholera, dysentery, and yellow fever in Jamaica, Cuba, and Panama. After refusals by both the British government and Florence Nightingale to be allowed to practice in Scutari, she financed her own way to the scene of the Crimean War and then established the British Hotel to serve both the comfort and medical needs of the wounded soldiers. At night, Seacole worked side by side with Nightingale at Scutari as a volunteer nurse. Seacole's fame grew proportionately after she was seen helping wounded soldiers on the battlefields even while the battles were still raging. Seacole died on May 14, 1881, in London. One hundred years later, many members of the London black community, a few members of the Nurses Association of Jamaica and the Friends of Mary Seacole marched to her grave, honoring her as one of the greatest women of all times. Mary Grant Seacole rose above the barriers of racial prejudice and demonstrated the determinism, compassion, and caring that have became the hallmark of nurse practitioners.
Lee, Mellesia F; Cadogan, Paul; Eytle, Sarah; Copeland, Sonia; Walochnik, Julia; Lindo, John F
2017-01-01
Giardia spp. are the causative agents of intestinal infections in a wide variety of mammals including humans and companion animals. Dogs may be reservoirs of zoonotic Giardia spp.; however, the potential for transmission between dogs and humans in Jamaica has not been studied. Conventional PCR was used to screen 285 human and 225 dog stool samples for Giardia targeting the SSU rDNA gene followed by multilocus sequencing of the triosephosphate isomerase (tpi), glutamate dehydrogenase (gdh), and β-giardin (bg) genes. Prevalence of human infections based on PCR was 6.7 % (19/285) and canine infections 19.6 % (44/225). Nested PCR conducted on all 63 positive samples revealed the exclusive presence of assemblage A in both humans and dogs. Sub-assemblage A-II was responsible for 79.0 % (15/19) and 70.5 % (31/44) of the infections in humans and dogs, respectively, while sub-assemblage A-I was identified at a rate of 15.8 % (3/19) and 29.5 % (13/44) in humans and dogs, respectively. The predominance of a single circulating assemblage among both humans and dogs in Jamaica suggests possible zoonotic transmission of Giardia infections.
Baker-Henningham, Helen; Scott, Stephen; Jones, Kelvyn; Walker, Susan
2012-08-01
There is an urgent need for effective, affordable interventions to prevent child mental health problems in low- and middle-income countries. To determine the effects of a universal pre-school-based intervention on child conduct problems and social skills at school and at home. In a cluster randomised design, 24 community pre-schools in inner-city areas of Kingston, Jamaica, were randomly assigned to receive the Incredible Years Teacher Training intervention (n = 12) or to a control group (n = 12). Three children from each class with the highest levels of teacher-reported conduct problems were selected for evaluation, giving 225 children aged 3-6 years. The primary outcome was observed child behaviour at school. Secondary outcomes were child behaviour by parent and teacher report, child attendance and parents' attitude to school. The study is registered as ISRCTN35476268. Children in intervention schools showed significantly reduced conduct problems (effect size (ES) = 0.42) and increased friendship skills (ES = 0.74) through observation, significant reductions to teacher-reported (ES = 0.47) and parent-reported (ES = 0.22) behaviour difficulties and increases in teacher-reported social skills (ES = 0.59) and child attendance (ES = 0.30). Benefits to parents' attitude to school were not significant. A low-cost, school-based intervention in a middle-income country substantially reduces child conduct problems and increases child social skills at home and at school.
Promoting Resilience in High-risk Children in Jamaica: A Pilot Study of a Multimodal Intervention.
Guzder, Jaswant; Paisley, Vanessa; Robertson-Hickling, Hilary; Hickling, Frederick W
2013-05-01
To assess the effectiveness of a multimodal afterschool and summer intervention called the Dream-A-World (DAW) Project for a cohort of school-aged Jamaican children from an impoverished, disadvantaged inner-city community in Kingston, Jamaica. Children were selected by their teachers based on severe disruptive disorders and academic underachievement and compared with a matched control group. The pilot was a child focused therapeutic modality without parental intervention for disruptive conduct and academic failure. A group psychotherapeutic intervention of creative arts therapies and remedial academic support adapted for the Jamaican context was implemented with 30 children from an inner-city primary school. The intervention was implemented over 2½ years spanning grade three to six with evaluation of outcomes using the ASEBA Teacher Report Form (TRF) and end of term grades for the intervention group versus matched controls who were offered usual school supports. The intervention group made significant improvements in school social and behavior adjustment measured by the TRF, with more successful outcome amongst boys for behavioral gains. No significant improvements were made by the girls. Limitations of cohort size, lack of parent data and questions of gender disparities in outcome were unresolved interpretative issues. This multi-modal mental health and academic intervention for high-risk children living in an impoverished, violent neighbourhood, improved global functioning of boys more than girls, and raised questions for design of further preventive planning.
ERIC Educational Resources Information Center
Dobson, Stephan, Ed.
This document contains information from and about a world assembly on creativity and democratic governance in adult learning that was held by the International Council for Adult Education (ICAE) and its partner organizations in the Caribbean. The proceedings begin with English, French, and Spanish translations of the address…
Paleoenvironmental History of JoCo Marsh, Jamaica Bay, New York
NASA Technical Reports Server (NTRS)
Liberman, Louisa; Peteet, Dorothy; Hansen, James E. (Technical Monitor)
2001-01-01
Sediment cores from JoCo Marsh, located in Jamaica Bay, NY were analyzed for plant macrofossil and foraminifera records. These records reflect changes in vegetation, sea level, climate and human intervention. Better understanding of past environmental changes provides information for future preservation and protection of the estuary. A 2.81 m core was retrieved from JoCo, a high marsh area located on the eastern side of Jamaica Bay. The lithology of the core differs from high levels of sand, with small amounts of clay, in the bottom 0.8 meters, to salt marsh peat in the upper 2 meters of the core. Basal wood in the sand was dated to about 2060 yr BP. Elphidium foraminifera dominate the basal sands, along with Scirpus seeds, wood, and charcoal. These sands include fish scales which are tentatively identified as killifish, suggesting shallow pools. The transition to marsh peat is dominated by sedge seeds, and declines in charcoal. The peat appears to be dominated by salt marsh grasses. At 2 m the foraminifera change to include mainly Trochammina species and other undifferentiated agglutinates. The upper portion of the core is dominated by Salicornia seeds along with Trochammina and Miliammina or Quinqueloculia. The history of this marsh will be integrated with other records of marsh environmental change along the US eastern seaboard.
A geological interpretation of Seasat-SAR imagery of Jamaica
NASA Technical Reports Server (NTRS)
Wadge, G.; Dixon, T. H.
1984-01-01
Spaceborne radar imagery obtained from Seasat allows an unobscured large-scale view of Jamaica that can be used for geological interpretation. Lineaments and textures visible in these images were mapped and compared with the known geology of the Tertiary karst limestones covering the central and western parts of the island. Some of these radar textures correlate with lithological units, while others follow tectonically-controlled zones or structural blocks. Mapping of radar lineaments has led to the recognition of three new aspects of Jamaican faults: (1) a major through-going NE-SW fault system, termed here the Vere-Annotto lineament; (2) a series of curving scissor faults in the central part of the island; and (3) the related observation that the dominant NNW-SSE tectonic fabric of the central part of the island takes the form of an elongate sigmoid in plan view. During most of the Neogene Jamaica has been part of an active zone of left-lateral transform motion between the Caribbean and North American plates and is a region of anomalous uplift. The radar imagery is a sensitive recorder of the deformation undergone by the karst limestones in this tectonic regime. Some of the observations are explained with models for a complex, evolving shear zone.
Perceptions about the management of dyslipidaemia among physicians in Jamaica and Trinidad.
Monsanto, H A; Prann, M; Quijada, J G
2007-09-01
Proper management of dyslipidaemia in patients may reduce morbidity and mortality related to coronary heart disease. To determine physician perceptions of the management of dyslipidaemia in Jamaica and Trinidad Personal interviews were conducted from March to May, 2005, by an independent research firm using a structured questionnaire. A total of 111 interviews were conducted, 61 in Jamaica and 50 in Trinidad Respondents were mostly primary care physicians (PCP) or internal medicine physicians (76.5%) and 58% were in private practice. The most important factors for prescribing a drug for dyslipidaemia were related to efficacy (76%), safety (59%) and price (36%). The majority (92%) reported using treatment guidelines. The National Cholesterol Education Program (NCEP) guidelines were the most widely mentioned by physicians but there were reports of using guidelines from other organizations and physician groups. Nearly a third of all physicians, most of whom were PCPs, had not heard of the NCEP The LDL-C level at which drug therapy should be started and the LDL-C treatment goals were higher among Jamaican physicians. Physicians are aware of the existence of treatment guidelines for dyslipidaemia. However, the source and adherence to the guidelines varies according to country and specialty. Information about the proper management of dyslipidaemia must be reinforced by professional societies and government agencies.
Okoro, C K; Wilson, B S; Lorenzo-Morales, J; Robinson, R D
2016-03-01
An investigation into the potential for transmission of gastrointestinal helminths from wild hogs to livestock and humans was prompted by concerns of recreational wild-hog hunting in the Caribbean region and the recent practice, by livestock farmers in Jamaica, of co-rearing wild and domesticated swine. Thirty-one wild hogs from the Hellshire Hills, a dry limestone forest in southern Jamaica, were necropsied during the period June 2004 to August 2006. Thirteen of the captured animals were male and 18 female. Four species of adult helminths were recovered from the gastrointestinal tracts of the wild hogs: Hyostrongylus rubidus (77%), Globocephalus urosubulatus (48%), Oesophagostomum dentatum (42%) and Macroacanthorhynchus hirudinaceus (77%). Two (6.2%), ten (32.2%) and 18 (58.0%) hogs harboured one, two and three species of helminths, respectively. Mean infection intensities varied from 8.1 for M. hirudinaceus, to 115.5 for O. dentatum. There was no association between any of the recovered helminths and sex of the host; however, a multivariate analysis indicated a positive association between the prevalence of G. urosubulatus and host age (odds ratio (OR) = 6.517). Domesticated hogs co-reared with wild hogs are potentially at risk of infection with all four helminths, while wild-hog hunters and pig farmers may be exposed to M. hirudinaceus.
Birmann, Brenda M; Breen, Elizabeth C; Stuver, Sherri; Cranston, Beverly; Martínez-Maza, Otoniel; Falk, Kerstin I; Okayama, Akihiko; Hanchard, Barrie; Mueller, Nancy; Hisada, Michie
2009-02-01
The natural history of human T-lymphotropic virus type I (HTLV-I) has been shown to differ markedly by geographic area. The differences include contrasting patterns of risk of adult T-cell lymphoma (ATL) and HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP), which may be due in part to differences in host immune response to infection. To characterize variations in host immunity across populations, we compared serologic immune marker patterns in HTLV-I-endemic populations in Japan and Jamaica. We matched 204 participants with archived blood from the Miyazaki Cohort Study (Japan) and the Food Handlers Study (Jamaica)-i.e., 51 HTLV-I-positive ("carriers") and 51 HTLV-I-negative individuals ("noncarriers") from each population-by age, sex and blood collection year. We compared plasma concentrations of markers of T-cell-mediated (antigen-specific) and nonspecific immunity using regression models and correlation coefficients. Compared to Jamaican HTLV-I noncarriers, Japanese noncarriers had higher covariate-adjusted mean levels of T-cell activation markers, including antibody to Epstein-Barr virus nuclear antigen-1 (reciprocal titer 27 vs. 71, respectively, p=0.005), soluble interleukin-2 receptor-alpha (477 vs. 623 pg/mL, p=0.0008) and soluble CD30 (34 vs. 46 U/mL, p=0.0001) and lower levels of C-reactive protein (1.1 vs. 0.43 microg/mL, p=0.0004). HTLV-I infection was associated with activated T-cell immunity in Jamaicans but with diminished T-cell immunity in Japanese persons. The observed population differences in background and HTLV-I-related host immunity correspond closely to the divergent natural histories of infection observed among HTLV-I carriers in Japan and Jamaica and corroborate a role for host immune status in the contrasting patterns of ATL and HAM/TSP risk. Copyright (c) 2008 Wiley-Liss, Inc.
Parenting and depressive symptoms among adolescents in four Caribbean societies
2012-01-01
Background The strategies that parents use to guide and discipline their children may influence their emotional health. Relatively little research has been conducted examining the association of parenting practices to depressive symptoms among Caribbean adolescents. This project examines the association of parenting styles to levels of depressive symptoms among adolescents in Jamaica, the Bahamas, St. Kitts and Nevis, and St. Vincent. Methods Adolescents attending grade ten of academic year 2006/2007 in Jamaica, the Bahamas, St. Vincent, and St. Kitts and Nevis were administered the Parenting Practices Scale along with the BDI-II. Authoritative, Authoritarian, Permissive and Neglectful parenting styles were created using a median split procedure of the monitoring and nurturance subscales of the Parenting Practices Scale. Multiple regression analyses were used to examine the relationships of parenting styles to depressive symptoms. Results A wide cross-section of tenth grade students in each nation was sampled (n = 1955; 278 from Jamaica, 217 from the Bahamas, 737 St. Kitts and Nevis, 716 from St. Vincent; 52.1% females, 45.6% males and 2.3% no gender reported; age 12 to 19 years, mean = 15.3 yrs, sd = .95 yrs). Nearly half (52.1%) of all adolescents reported mild to severe symptoms of depression with 29.1% reporting moderate to severe symptoms of depression. In general, authoritative and permissive parenting styles were both associated with lower levels of depressive symptoms in adolescents. However, the relationship of parenting styles to depression scores was not consistent across countries (p < .05). In contrast to previous research on Caribbean parenting, caregivers in this study used a mixture of different parenting styles with the two most popular styles being authoritative and neglectful parenting. Conclusions There appears to be an association between parenting styles and depressive symptoms that is differentially manifested across the islands of Jamaica, the Bahamas, St. Kitts and Nevis and St. Vincent. PMID:22998793
1982-03-01
Price increases in the Jamaica CSM program went into effect on August 31, 1981. The program began in 1975. While the need for higher prices has been under discussion for the past 3 years, this is the 1st time the requisite approval from the Jamaica Price Commission has been obtained. The Jamaica National Family Planning Board (JNFPB) reports that the Panther 3-pack (condom) is up US$0.15 to US$0.30. Each Perle package (oral contraceptive) was increased by US$0.20. Single cycle Perle now sells for US$0.50, and 3-pack Perle sells for US$1.10. The 6-year price stagnation experienced by the CSM program resulted in a decreasing operational budget as program costs continued to rise. Marketing costs alone during this period escalated by 100-300%. For example, Panther pop-up display cartons cost the project US 16U each in 1975. By 1979 the same product cost US 49U. Newspaper advertisements have increased from the 1975 cost of US$68.00 to nearly $200.00 per placement. The overall inflation rate in Jamaica during the last 5 years has averaged more than 20% annually. In the face of these rising costs, outlet expansion for Perle has been prevented, wholesaler margins have been unavailable, and new retailer training has been discontinued. It is projected that the new prices will result in an annual increased revenues of US$80,000 which will be used to reinstate these essential marketing activities. The JNFPB is also planning to introduce a Panther 12-pack and Panther strips to the CSM product line. According to Marketing Manager Aston Evans, "We believe the public is now ready for this type of packaging" which is scheduled to be available soon. Panther is presently only available in a 3-pack, but annual sales have been steady. The new 12-pack will be stocked on supermarket shelves to provide higher product visibility and wider distribution. The selling price has been set as US$1.20 and is expected to yield a 25% increase in sales during the 1st year. A complete sales promotion and advertising campaign will accompany the 12-pack introduction. The marketing plan for Panther strips emphasizes placement in government and private sector offices and factories throughout the country. In the deep rural areas the strips will be available for sale in shops, bars, nightclubs, and other distribution points. full text
Variation in survivorship of a migratory songbird throughout its annual cycle
Sillett, T. Scott; Holmes, Richard T.
2002-01-01
1. Demographic data from both breeding and non-breeding periods are needed to manage populations of migratory birds, many of which are declining in abundance and are of conservation concern. Although habitat associations, and to a lesser extent, reproductive biology, are known for many migratory species, few studies have measured survival rates of these birds at different parts of their annual cycle. 2. Cormack-Jolly-Seber models and Akaike's information criterion model selection were used to investigate seasonal variation in survival of a Nearctic - Neotropical migrant songbird, the black-throated blue warbler, Dendroica caerulescens. Seasonal and annual survival were estimated from resightings of colour-ringed individuals on breeding grounds in New Hampshire, USA from 1986 to 2000 and on winter quarters in Jamaica, West Indies from 1986 to 1999. Warblers were studied each year during the May-August breeding period in New Hampshire and during the October-March overwinter period in Jamaica. 3. In New Hampshire, males had higher annual survival (0.51 + 0.03) and recapture probabilities (0.93 + 0.03) than did females (survival: 0.40 + 0.04; recapture: 0'87 + 0.06). In Jamaica, annual survival (0.43 + 0.03) and recapture (0'95 + 0.04) probabilities did not differ between sexes. Annual survival and recapture probabilities of young birds (i.e. yearlings in New Hampshire and hatch-year birds in Jamaica) did not differ from adults, indicating that from the time hatch-year individuals acquire territories on winter quarters in mid-October, they survive as well as adults within the same habitat. 4. Monthly survival probabilities during the summer (May-August) and winter (October-March) stationary periods were high: 1'0 for males in New Hampshire, and 0.99 + 0.01 for males in Jamaica and for females in both locations. 5. These annual and seasonal survival estimates were used to calculate warbler survival for the migratory periods. Monthly survival probability during migration ranged from 0.77 to 0.81 -+ 0.02. Thus, apparent mortality rates were at least 15 times higher during migration compared to that in the stationary periods, and more than 85% of apparent annual mortality of D. caerulescens occurred during migration. 6. Additional data from multiple species, especially measures of habitat-specific demography and dispersal, will improve our understanding of the relative impacts of the breeding, migratory, and winter periods on population dynamics of migratory birds and thus enhance future conservation efforts.
Variation in survivorship of a migratory songbird throughout its annual cycle
Scott, Sillett T.; Holmes, Richard T.
2002-01-01
1. Demographic data from both breeding and non-breeding periods are needed to manage populations of migratory birds, many of which are declining in abundance and are of conservation concern. Although habitat associations, and to a lesser extent, reproductive biology, are known for many migratory species, few studies have measured survival rates of these birds at different parts of their annual cycle. 2. Cormack-Jolly-Seber models and Akaike's information criterion model selection were used to investigate seasonal variation in survival of a Nearctic - Neotropical migrant songbird, the black-throated blue warbler, Dendroica caerulescens. Seasonal and annual survival were estimated from resightings of colour-ringed individuals on breeding grounds in New Hampshire, USA from 1986 to 2000 and on winter quarters in Jamaica, West Indies from 1986 to 1999. Warblers were studied each year during the May-August breeding period in New Hampshire and during the October-March overwinter period in Jamaica. 3. In New Hampshire, males had higher annual survival (0.51 ?? 0.03) and recapture probabilities (0.93 ?? 0.03) than did females (survival: 0.40 ?? 0.04; recapture: 0.87 ?? 0.06). In Jamaica, annual survival (0.43 ?? 0.03) and recapture (0.95 ?? 0.04) probabilities did not differ between sexes. Annual survival and recapture probabilities of young birds (i.e. yearlings in New Hampshire and hatch-year birds in Jamaica) did not differ from adults, indicating that from the time hatch-year individuals acquire territories on winter quarters in mid-October, they survive as well as adults within the same habitat. 4. Monthly survival probabilities during the summer (May-August) and winter (October-March) stationary periods were high: 1.0 for males in New Hampshire, and 0.99 ?? 0.01 for males in Jamaica and for females in both locations. 5. These annual and seasonal survival estimates were used to calculate warbler survival for the migratory periods. Monthly survival probability during migration ranged from 0.77 to 0.81 ?? 0.02. Thus, apparent mortality rates were at least 15 times higher during migration compared to that in the stationary periods, and more than 85% of apparent annual mortality of D. caerulescens occurred during migration. 6. Additional data from multiple species, especially measures of habitat-specific demography and dispersal, will improve our understanding of the relative impacts of the breeding, migratory, and winter periods on population dynamics of migratory birds and thus enhance future conservation efforts.
Maloney, K C; Ferguson, T S; Stewart, H D; Myers, A A; De Ceulaer, K
2017-11-01
Background Epidemiological studies in systemic lupus erythematosus have been reported in the literature in many countries and ethnic groups. Although systemic lupus erythematosus in Jamaica has been described in the past, there has not been a detailed evaluation of systemic lupus erythematosus patients in urban Jamaica, a largely Afro-Caribbean population. The goal of this study was to describe the clinical features, particularly disease activity, damage index and immunological features, of 150 systemic lupus erythematosus subjects. Methods 150 adult patients (≥18 years) followed in rheumatology clinic at a tertiary rheumatology hospital centre (one of two of the major public referral centres in Jamaica) and the private rheumatology offices in urban Jamaica who fulfilled Systemic Lupus International Collaborating Clinics (SLICC) criteria were included. Data were collected by detailed clinical interview and examination and laboratory investigations. Hence demographics, SLICC criteria, immunological profile, systemic lupus erythematosus disease activity index 2000 (SLEDAI-2K) and SLICC/American College of Rheumatology (ACR) damage index (SDI) were documented. Results Of the 150 patients, 145 (96.7%) were female and five (3.3%) were male. The mean age at systemic lupus erythematosus onset was 33.2 ± 10.9. Mean disease duration was 11.3 ± 8.6 years. The most prevalent clinical SLICC criteria were musculoskeletal, with 141 (94%) of subjects experiencing arthralgia/arthritis, followed by mucocutaneous manifestations of alopecia 103 (68.7%) and malar rash 46 (30.7%), discoid rash 45 (30%) and photosensitivity 40 (26.7%). Lupus nephritis (biopsy proven) occurred in 42 (28%) subjects and 25 (16.7%) met SLICC diagnostic criteria with only positive antinuclear antibodies/dsDNA antibodies and lupus nephritis on renal biopsy. The most common laboratory SLICC criteria were positive antinuclear antibodies 136 (90.7%) followed by anti-dsDNA antibodies 95 (63.3%) and low complement (C3) levels 38 (25.3%). Twenty-seven (18%) met SLICC diagnostic criteria with only positive antinuclear antibodies/anti-dsDNA antibodies and lupus nephritis on renal biopsy. Mean SLEDAI score was 6.9 ± 5.1 with a range of 0-32. Organ damage occurred in 129 (86%) patients; mean SDI was 2.4 ± 1.8, with a range of 0-9. Conclusion These results are similar to the clinical manifestations reported in other Afro-Caribbean populations; however, distinct differences exist with respect to organ involvement and damage, particularly with respect to renal involvement, which appears to be reduced in our participants.
Edwards, Nancy; Kaseje, Dan; Kahwa, Eulalia; Klopper, Hester C; Mill, Judy; Webber, June; Roelofs, Susan; Harrowing, Jean
2016-08-03
The enormous impact of HIV on communities and health services in Sub-Saharan Africa and the Caribbean has especially affected nurses, who comprise the largest proportion of the health workforce in low- and middle-income countries (LMICs). Strengthening action-based leadership for and by nurses is a means to improve the uptake of evidence-informed practices for HIV care. A prospective quasi-experimental study in Jamaica, Kenya, Uganda and South Africa examined the impact of establishing multi-stakeholder leadership hubs on evidence-informed HIV care practices. Hub members were engaged through a participatory action research (PAR) approach. Three intervention districts were purposefully selected in each country, and three control districts were chosen in Jamaica, Kenya and Uganda. WHO level 3, 4 and 5 health care institutions and their employed nurses were randomly sampled. Self-administered, validated instruments measured clinical practices (reports of self and peers), quality assurance, work place policies and stigma at baseline and follow-up. Standardised average scores ranging from 0 to 1 were computed for clinical practices, quality assurance and work place policies. Stigma scores were summarised as 0 (no reports) versus 1 (one or more reports). Pre-post differences in outcomes between intervention and control groups were compared using the Mantel Haenszel chi-square for dichotomised stigma scores, and independent t tests for other measures. For South Africa, which had no control group, pre-post differences were compared using a Pearson chi-square and independent t test. Multivariate analysis was completed for Jamaica and Kenya. Hub members in all countries self-assessed changes in their capacity at follow-up; these were examined using a paired t test. Response rates among health care institutions were 90.2 and 80.4 % at baseline and follow-up, respectively. Results were mixed. There were small but statistically significant pre-post, intervention versus control district improvements in workplace policies and quality assurance in Jamaica, but these were primarily due to a decline in scores in the control group. There were modest improvements in clinical practices, workplace policies and quality assurance in South Africa (pre-post) (clinical practices of self-pre 0.67 (95 % CI, 0.62, 0.72) versus post 0.78 (95 % CI, 0.73-0.82), p = 0.002; workplace policies-pre 0.82 (95 % CI, 0.70, 0.85) versus post 0.87 (95 % CI, 0.84, 0.90), p = 0.001; quality assurance-pre 0.72 (95 % CI, 0.67, 0.77) versus post 0.84 (95 % CI, 0.80, 0.88)). There were statistically significant improvements in scores for nurses stigmatising patients (Jamaica reports of not stigmatising-pre-post intervention 33.9 versus 62.4 %, pre-post control 54.7 versus 64.4 %, p = 0.002-and Kenya pre-post intervention 35 versus 51.6 %, pre-post control 34.2 versus 47.8 %, p = 0.006) and for nurses being stigmatised (Kenya reports of no stigmatisation-pre-post intervention 23 versus 37.3 %, pre-post control 15.4 versus 27 %, p = 0.004). Multivariate results for Kenya and Jamaica were non-significant. Twelve hubs were established; 11 were active at follow-up. Hub members (n = 34) reported significant improvements in their capacity to address care gaps. Leadership hubs, comprising nurses and other stakeholders committed to change and provided with capacity building can collectively identify issues and act on strategies that may improve practice and policy. Overall, hubs did not provide the necessary force to improve the uptake of evidence-informed HIV care in their districts. If hubs are to succeed, they must be integrated within district health authorities and become part of formal, legal organisations that can regularise and sustain them.
Home-grown slaves: women, reproduction, and the abolition of the slave trade, Jamaica 1788-1807.
Turner, Sasha
2011-01-01
Once the British transatlantic slave trade came under abolitionists' scrutiny in 1788, West Indian slaveholders had to consider alternative methods of obtaining well-needed laborers. This article examines changes in enslaved women's working lives as planters sought to increase birth rates to replenish declining laboring populations. By focusing more on variances in work assignment and degrees of punishment rather than their absence, this article establishes that enslaved women in Jamaica experienced a considerable shift in their work responsibilities and their subjection to discipline as slaveholders sought to capitalize on their abilities to reproduce. Enslaved women's reproductive capabilities were pivotal for slavery and the plantation economy's survival once legal supplies from Africa were discontinued.
Rahbar, Mohammad H.; Samms-Vaughan, Maureen; Dickerson, Aisha S.; Loveland, Katherine A.; Ardjomand-Hessabi, Manouchehr; Bressler, Jan; Lee, MinJae; Shakespeare-Pellington, Sydonnie; Grove, Megan L.; Pearson, Deborah A.; Boerwinkle, Eric
2014-01-01
Human exposure to cadmium has adverse effects on the nervous system. Utilizing data from 110 age- and sex-matched case-control pairs (220 children) ages 2–8 years in Kingston, Jamaica, we compared the 75th percentile of blood cadmium concentrations in children with and without Autism Spectrum Disorder (ASD). In both univariable and multivariable Quantile Regression Models that controlled for potential confounding factors, we did not find any significant differences between ASD cases and typically developing (TD) controls with respect to the 75th percentile of blood cadmium concentrations, (P > 0.22). However, we found a significantly higher 75th percentile of blood cadmium concentrations in TD Jamaican children who consumed shellfish (lobsters, crabs) (P <0.05), fried plantain (P <0.01), and boiled dumpling (P <0.01). We also observed that children living in Jamaica have an arithmetic mean blood cadmium concentration of 0.16μg/L which is similar to that of the children in developed countries and much lower than that of children in developing countries. Although our results do not support an association between blood cadmium concentrations and ASD, to our knowledge, this study is the first to report levels of blood cadmium in TD children as well as those with ASD in Jamaica. PMID:25089152
The sediment budget of an urban coastal lagoon (Jamaica Bay, NY) determined using 234Th and 210Pb
NASA Astrophysics Data System (ADS)
Renfro, Alisha A.; Cochran, J. Kirk; Hirschberg, David J.; Bokuniewicz, Henry J.; Goodbred, Steven L.
2016-10-01
The sediment budget of Jamaica Bay (New York, USA) has been determined using the natural particle-reactive radionuclides 234Th and 210Pb. Inventories of excess thorium-234 (234Thxs, half-life = 24.1 d) were measured in bottom sediments of the Bay during four cruises from September 2004 to July 2006. The mean bay-wide inventory for the four sampling periods ranged from 3.5 to 5.0 dpm cm-2, four to six times that expected from 234Th production in the overlying water column. The presence of dissolved 234Th and a high specific activity of 234Thxs on particles at the bay inlet (∼30 dpm g-1) indicated that both dissolved and particulate 234Th could be imported into the bay from the ocean. Based on these observations, a mass balance of 234Th yields an annual input of ∼39 ± 14 × 1010 g sediment into the bay. Mass accumulation rates determined from profiles of excess 210Pb (half-life = 22.3 y) in sediment cores require annual sediment import of 7.4 ± 4.5 × 1010 g. Both radionuclides indicate that there is considerable marine-derived sediment import to Jamaica Bay, consistent with earlier work using 210Pb. Such sediment input may be important in sustaining longer-term accretion rates of salt marshes in the bay.
Access to contraception by minors in Jamaica: a public health concern
Crawford, Tazhmoye V.; McGrowder, Donovan A.; Crawford, Alexay
2009-01-01
Background: Access to contraceptive by minors (pre-adolescents and adolescents) has spurred policy and legislative debates, part of which is that in an effort to successfully meet government's objective of a healthy sexual lifestyle among minors. Aims: This study examined factors affecting sexual reproductive health in minors, namely: access to contraceptive advice and treatment, pregnancy, number of sexual partners, sexually transmitted infections (STIs) and confidentiality. Materials and Methods: This research involved quantitative and qualitative data. Two hundred and thirty eight sexually active cases were investigated in Jamaica by the researchers, during the period 2006-2007. The age group population was 9-11, 12-14, and 15-17. Results: The study showed that access to contraceptive advice and treatment by minors was more favorable to males than females. The difference in access to contraceptive between male and female was statistically significant (x2 = 20.16, p<0.05). Of the 80 male respondents, who are contraceptive users, 11 encountered challenges in legitimately accessing contraceptive methods, while 38 of the 40 female users also encountered challenges. This resulted in unintended pregnancies and impregnation (33.2%), as well as the contracting of STIs (21%). Conclusion: The findings of this study will be important in informing the development of reproductive health services and family life education programs for pre-adolescents and adolescents in Jamaica and other Caribbean countries. PMID:22666704
Identification of helper T cell epitopes of dengue virus E-protein.
Leclerc, C; Dériaud, E; Megret, F; Briand, J P; Van Regenmortel, M H; Deubel, V
1993-05-01
The T cell proliferative response to dengue 2 (Jamaica) E-glycoprotein (495 amino acids) was analyzed in vitro using either killed virus or E-protein fragments or synthetic peptides. Inactivated dengue virus stimulated dengue-specific lymph node (LN) CD4+T cell proliferation in BALB/c (H-2d), C3H (H-2k) and DBA/1 (H-2q) but not in C57BL/6 (H-2b) mice. Moreover, LN cells from dengue-virus primed BALB/c mice proliferated in vitro in response to three purified non-overlapping E-protein fragments expressed in E. coli as polypeptides fused to trpE (f22-205, f267-354, f366-424). To further determine T cell epitopes in the E-protein, synthetic peptides were selected using prediction algorithms for T cell epitopes. Highest proliferative responses were obtained after in vitro exposure of virus-primed LN cells to peptides p135-157, p270-298, p295-307 and p337-359. Peptide p59-78 was able to induce specific B and T cell responses in peptide-primed mice of H-2d, H-2q and H-2k haplotypes. Two peptides p59-78 corresponding to two dengue (Jamaica and Sri Lanka) isolates and differing only at position 71 cross-reacted at the B but not at the T cell level in H-2b mice. This analysis of murine T helper cell response to dengue E-protein may be of use in dengue subunit vaccine design.
NASA Astrophysics Data System (ADS)
Guido, Z.
2017-12-01
Climate information is heralded as helping to build adaptive capacity, improve resource management, and contribute to more effective risk management. However, decision makers often find it challenging to use climate information for reasons attributed to a disconnect between technical experts who produce the information and end users. Consequently, many climate service projects are now applying an end-to-end approach that links information users and producers in the design, development, and delivery of services. This collaboration confronts obstacles that can undermine the objectives of the project. Despite this, few studies in the burgeoning field of climate services have assessed the challenges. To address this gap, I provide a reflective account and analysis of the collaborative challenges experienced in an ongoing, complex four-year project developing climate services for small-scale coffee producers in Jamaica. The project has involved diverse activities, including social data collection, research and development of information tools, periodic engagement with coffee sector representatives, and community-based trainings. Contributions to the project were made routinely by 18 individuals who represent 9 institutions located in three countries. These individuals work for academic and governmental organizations and bring expertise in anthropology, plant pathology, and climatology, among others. In spanning diverse disciplines, large geographic distances, and different cultures, the project team has navigated challenges in communication, problem framing, organizational agendas, disciplinary integration, and project management. I contextualize these experiences within research on transdisciplinary and team science, and share some perspectives on strategies to lessen their impact.
Reliance on medicinal plant therapy among cancer patients in Jamaica.
Foster, Kimberley; Younger, Novie; Aiken, William; Brady-West, Doreen; Delgoda, Rupika
2017-11-01
Patients' perspective of their treatment regime plays a vital role in its success. Recognizing the high prevalence of medicinal plant usage among Jamaicans at large, we investigated the engagement of such remedies by cancer patients, with the aim of uncovering self-medicating habits, perceptions and details of utilized plants. A structured, interviewer-based questionnaire was administered to 100 patients attending the oncology and urology clinics at the University Hospital of the West Indies in Kingston, Jamaica. A method of convenience sampling was employed and the data were analyzed using summary statistics and statistical significance tests. A large proportion (n = 80, 80%) of interviewed patients, engaged medicinal plants in their treatment regimes. Such habits were independent of person's education, economic status and were higher among the 55-74 age groups (p < 0.05) compared with younger patients. The use of herbs was hinged on the patient's strong sense of tradition and positive perspective of herbal efficacy (88%), fueled by anecdotal accounts from fellow patients. Majority of such users (74.7%) were under concomitant treatment with a prescription medicine, and worryingly, only 15% of patients made their oncologists aware. Annona muricata L. and Petiveria alliacea L. were the most commonly used plants for treating breast and prostate cancers, respectively. A large proportion of Jamaican cancer patients use medicinal plants in self-medicating practices and their perceptions and habits need to be considered by physicians, in the design of safe and effective care regimes.
15 CFR 742.17 - Exports of firearms to OAS member countries.
Code of Federal Regulations, 2011 CFR
2011-01-01
..., Belize, Bolivia, Brazil, Canada, Chile, Colombia, Costa Rica, Dominica, Dominican Republic, Ecuador, El Salvador, Grenada, Guatemala, Guyana, Haiti, Honduras, Jamaica, Mexico, Nicaragua, Panama, Paraguay, Peru...
What Role do Nor'Easters have on the Jamaica Bay Wetlands Sediment Budget?
NASA Astrophysics Data System (ADS)
Clarke, R. C.; Bentley, S. J.; Wang, H.; Smith, J.
2017-12-01
The wetlands of Jamaica Bay, located on the outskirts of Queens, New York, have lost over half their surface area in the last 50 years due both anthropogenic and natural causes, including channel dredging, urban drainage construction, and greater tidal amplitudes partially due to rising local sea levels. Superstorm Sandy made landfall in 2014 as a powerful coastal geomorphic agent, highlighting the vulnerability of that region to large cyclonic storms that are more commonly encountered along coastal reaches of southeastern North America. After this event, research aimed at quantifying the geomorphic impact of Superstorm Sandy and to evaluate the record of past documented major winter storms on Jamaica Bay's wetlands. 12 sediment cores were collected from the surface of remaining wetlands in August 2014 by the USGS Wetland and Aquatic Research Center; the cores have been analyzed for Pb-210/Cs-137 geochronology, organic content, and water content to establish chronology of mineral sediment supply to the wetlands over the past 120 years. Most cores were found to be organic-rich, marked with periodic cm-scale beds with increased mineral content. Historic storm data, dating as far back as the late 1800's, were used to identify hurricanes and major winter storms determined by the National Weather Service passing within 100 km of the study area. Likely storm-event deposits in each core were identified as layers with mineral content higher than the core mean plus one standard deviation, and were matched to historic events via radioisotope geochronology, incorporating age-model uncertainty. Overall, 22 out of the 35 defined storm layers match the timing of historic strong storms (within uncertainty ranging from 2 to 5 years) from 1894 to Superstorm Sandy in 2014. Our findings show that over multidecadal timescales, nor'easters and winter storms play a role in the vertical accretion of sediment in the Jamaica Bay wetlands, but are substantially less important than sediment delivery under typical tidal conditions. Event deposits from tropical cyclones are also present, but less common than those produced by frontal storms.
Li, Zhihui; Li, Mingqiang; Fink, Günther; Bourne, Paul; Bärnighausen, Till; Atun, Rifat
2017-06-01
The impact of user-fee policies on the equity of health care utilization and households' financial burdens has remained largely unexplored in Latin American and the Caribbean, as well as in upper-middle-income countries. This paper assesses the short- and long-term impacts of Jamaica's user-fee-removal for children in 2007. This study utilizes 14 rounds of data from the Jamaica Survey of Living Conditions (JSLC) for the periods 1996 to 2012. JSLC is a national household survey, which collects data on health care utilization and among other purposes for planning. Interrupted time series (ITS) analysis was used to examine the immediate impact of the user-fee-removal policy on children's health care utilization and households' financial burdens, as well as the impact in the medium- to long-term. Immediately following the implementation of user-fee-removal, the odds of seeking for health care if the children fell ill in the past 4 weeks increased by 97% (odds ratio 2.0, 95% confidence interval (CI) 1.1 to 3.5, P = 0.018). In the short-term (2007-2008), health care utilization increased at a faster rate among children not in poverty than children in poverty; while this gap narrowed after 2008. There was minimal difference in health care utilization across wealth groups in the medium- to long-term. The household's financial burden (health expenditure as a share of household's non-food expenditures) reduced by 6 percentage points (95% CI: -11 to -1, P = 0.020) right after the policy was implemented and kept at a low level. The difference in financial burden between children in poverty and children not in poverty shrunk rapidly after 2007 and remained small in subsequent years. User-fee-removal had a positive impact on promoting health care utilization among children and reducing their household health expenditures in Jamaica. The short-term and the medium- to long-term results have different indications: In the short-term, the policy deteriorated the equity of access to health care for children, while the equity status improved fast in the medium- to long-term.
Muula, Adamson S; Siziya, Seter; Rudatsikira, Emmanuel
2008-07-28
We conducted this study to estimate the correlates of current cigarette smoking among in-school adolescents in Jamaica 2006 and compare prevalence of smoking and associated factors between 2000 and 2006. In 2006, 1854 participated of whom 49.5 were males and 50.5% females. 1752 adolescents, 48.8% male and 51.2% females participated in the 2000 survey. Between 2000 and 2006, the prevalence of smoking among Jamaican school-going adolescents went up slightly from 15.2% to 16.7% but this was not statistically significant (p = 0.22). The perception that smoking is not harmful increased from 10.9% to 15.9% while parental smoking decreased from 39.4% to 35.5%. There was a decrease in the rates of adolescents exposed to tobacco adverts on billboards (p-value = 0.037) and in newspapers/magazine (p-value < 0.001). The percentage of adolescents who reported having an item with a tobacco brand logo on it increased from 13.9% to 16.4%. The perception that boys and girls who smoked had more friends increased between 2000 and 2006 (p-values = 0.016 and 0.004 respectively). Current smoking was associated with male gender (OR = 1.55; 95% CI [1.09-2.19]), having smoking parents (OR = 1.75; 95% CI [1.23-2.50]), and smoking friends (OR = 14.94; 95% CI [8.61-25.92] for most or all friends smokers and OR = 4.38; 95% CI [2.93-6.56] for some friends smokers)). Results from this study indicate smoking was positively associated with male gender, having smoking friends or parents. We observed a slightly non significant increase in the prevalence of smoking between 2000 and 2006 among adolescents in Jamaica. Although there was a decrease in the rates of adolescents exposed to advertisement, the percentage of those who had an item with a tobacco brand logo had increased. The possible impact of the Jamaica's ratification of the Framework Convention on Tobacco control remains to be observed.
An Audit of Nursing Documentation at Three Public Hospitals in Jamaica.
Lindo, Jascinth; Stennett, Rosain; Stephenson-Wilson, Kayon; Barrett, Kerry Ann; Bunnaman, Donna; Anderson-Johnson, Pauline; Waugh-Brown, Veronica; Wint, Yvonne
2016-09-01
Nursing documentation provides an important indicator of the quality of care provided for hospitalized patients. This study assessed the quality of nursing documentation on medical wards at three hospitals in Jamaica. This cross-sectional study audited a multilevel stratified sample of 245 patient records from three type B hospitals. An audit instrument which assessed nursing documentation of client history, biological data, client assessment, nursing standards, discharge planning, and teaching facilitated data collection. Descriptive statistics were conducted using IBM SPSS, Version 19 (IBM Inc., Armonk, NY, USA). Records from three hospitals (Hospital 1, n = 119, 48.6%; Hospital 2, n = 56, 22.9%; Hospital 3, n = 70, 28.6%) were audited. Documented evidence of the patient's chief complaint (81.6%), history of present illness (78.8%), past health (79.2%), and family health (11.0%) were noted; however, less than a third of the dockets audited recorded adequate assessment data (e.g., occupation or living accommodations of patients). The audit noted 90% of records had a physical assessment completed within 24 hr of admission and entries timed, dated, and signed by a nurse. Less than 5% of dockets had evidence of patient teaching, and 13.5% had documented evidence of discharge planning conducted within 72 hr of admission. This study highlights the weakness in nursing documentation and the need for increased training and continued monitoring of nursing documentation at the hospitals studied. Additional research regarding the factors that affect nursing documentation practice could prove useful. The study provides valuable information for the development of strategic risk management programs geared at improving the quality of care delivered to clients and presents an opportunity for nurse leaders to implement structured interventions geared at improving nursing documentation in Jamaica. In light of Jamaica's epidemiologic transition of chronic diseases, gaps in nurses' documentation of client assessment, patient teaching, and discharge planning should be addressed with urgency. Patient teaching and discharge planning enable the clients to participate more effectively in their health maintenance process. © 2016 Sigma Theta Tau International.
Blake-Scarlettl, B E; Younger, N; McKenzie, C A; Van den Broeck, J; Powell, C; Edwards, S; Win, S S; Wilks, R J
2013-03-01
To estimate the prevalence and correlates of overweight and obesity among children six to ten years old in the North-East Health Region (NEHR) ofJamaica. Weights and heights were measured in a representative sample of 5710 children between the ages of six and ten years in 34 schools between October 2008 and March 2009. Overweight and obesity were defined as body mass index (BMI) Z-score > 1SD and >2SD, respectively based on the World Health Organization (WHO)-endorsed age and gender-specific growth standards for children. Point prevalence estimates of overweight and obesity were calculated. Odds ratios (OR) and 95% confidence intervals (CI) were used to estimate associations between overweight and obesity and age, gender and school location. Overweight and obesity prevalence among children six to ten years old in NEHR, Jamaica, was 10.6% and 7.1%, respectively. Overweight (OR = 1.11, 95% CI: 1.04, 1.18) and obesity (OR = 1.17, 95% CI: 1.08, 1.26) prevalence increased significantly with age. Overweight (OR = 1.51, 95% CI: 1.27, 1.80) and obesity (OR = 1.36, 95% CI: 1.11, 1.67) prevalence was significantly higher among girls than boys. Children attending rural-public schools had less risk of being overweight (OR = 0.57, 95% CI: 0.46, 0.70) and obese (OR = 0.35, 95% CI: 0.28, 0.44) when compared with urban-public schools and private schools. Both overweight (OR = 2.11, 95% CI: 1.60, 2.78) and obesity (OR = 1.68, 95% CI: 1.24, 2.28) were significantly more common among children attending private schools. After adjusting for age and gender the results still remained statistically significant. Overweight/obesity prevalence among children six to ten years old in NEHR of Jamaica is 17.7% with older children and girls having higher rates. Children attending urban-public and private schools have higher prevalence than those attending rural schools. Appropriately targeted interventions are needed to combat this problem.
Cyclofem/Cyclo-Provera: emerging countries' perspective.
Garza-Flores, J
1998-08-01
Cyclo-Provera, the original name of the combination of 25 mg medroxyprogesterone acetate and 5 mg estradiol cypionate, later known as Cyclofem and hereafter referred to MPA/E2C, has proven its use-effectiveness (pregnancy rate less than 1%) in routine service delivery conditions. Overall, the life-table discontinuation rates at 1 year ranged from 33.5% to 71.8%. Only a third of total discontinuations were attributable to the injectable contraceptive method, thus raising the importance of service delivery issues related to its continued use. The results of introductory trials in Mexico, Indonesia, Thailand, Tunisia, Jamaica and, more recently, Brazil, Colombia, Chile and Peru have demonstrated that MPA/E2C is a highly effective contraceptive that could be offered as an alternative to current fertility regulation methods for many women around the world. In addition, the results of studies were the basis for the approval of MPA/E2C by local health authorities and its inclusion in the Ministries of Health Family Planning Programs.
7 CFR 351.2 - Location of inspectors.
Code of Federal Regulations, 2011 CFR
2011-01-01
..., Hoboken, N.J., Honolulu, Hawaii, Houston, Tex., Jacksonville, Fla., Jamaica, L.I., N.Y., Key West, Fla..., Calif., Savannah, Ga., Seattle, Wash., Tampa, Fla., Toledo, Ohio, Washington, DC, West Palm Beach, Fla...
7 CFR 351.2 - Location of inspectors.
Code of Federal Regulations, 2013 CFR
2013-01-01
..., Hoboken, N.J., Honolulu, Hawaii, Houston, Tex., Jacksonville, Fla., Jamaica, L.I., N.Y., Key West, Fla..., Calif., Savannah, Ga., Seattle, Wash., Tampa, Fla., Toledo, Ohio, Washington, DC, West Palm Beach, Fla...
7 CFR 351.2 - Location of inspectors.
Code of Federal Regulations, 2014 CFR
2014-01-01
..., Hoboken, N.J., Honolulu, Hawaii, Houston, Tex., Jacksonville, Fla., Jamaica, L.I., N.Y., Key West, Fla..., Calif., Savannah, Ga., Seattle, Wash., Tampa, Fla., Toledo, Ohio, Washington, DC, West Palm Beach, Fla...
7 CFR 351.2 - Location of inspectors.
Code of Federal Regulations, 2012 CFR
2012-01-01
..., Hoboken, N.J., Honolulu, Hawaii, Houston, Tex., Jacksonville, Fla., Jamaica, L.I., N.Y., Key West, Fla..., Calif., Savannah, Ga., Seattle, Wash., Tampa, Fla., Toledo, Ohio, Washington, DC, West Palm Beach, Fla...
8 CFR 1236.1 - Apprehension, custody, and detention.
Code of Federal Regulations, 2010 CFR
2010-01-01
... release would not pose a danger to the safety of other persons or of property. If an alien meets this..., The Georgia Ghana Grenada Guyana Hungary Jamaica Kazakhstan Kiribati Kuwait Kyrgyzstan Malaysia Malta...
NASA Astrophysics Data System (ADS)
Favalli, A.; Furetta, C.; Zaragoza, E. Cruz; Reyes, A.
The aim of this work is to study the main thermoluminescence (TL) characteristics of the inorganic polyminerals extracted from dehydrated Jamaica flower or roselle (Hibiscus sabdariffa L.) belonging to Malvaceae family of Mexican origin. TL emission properties of the polymineral fraction in powder were studied using the initial rise (IR) method. The complex structure and kinetic parameters of the glow curves have been analysed accurately using the computerized glow curve deconvolution (CGCD) assuming an exponential distribution of trapping levels. The extension of the IR method to the case of a continuous and exponential distribution of traps is reported, such as the derivation of the TL glow curve deconvolution functions for continuous trap distribution. CGCD is performed both in the case of frequency factor, s, temperature independent, and in the case with the s function of temperature.
Fatal parathion poisoning caused by contamination of flour in international commerce.
Diggory, H J; Landrigan, P J; Latimer, K P; Ellington, A C; Kimbrough, R D; Liddle, J A; Cline, R E; Smrek, A L
1977-08-01
In January 1976, 79 persons in Jamaica were acutely poisoned by the organophosphorus insecticide parathion. Seventeen died. Cases occurred in three episodes at separate locations, but all patients had consumed wheat flour from a single lot consisting of 5264 cotton bags. Parathion in concentrations of less than 1 to 9900 ppm was identified in flour from six bags in this lot; three had splash marks. The flour had been milled in Western Europe from European wheat, carried in trucks to a dockside warehouse, and loaded aboard ship after 2-5 days' storage. In Jamaica, the flour had moved from quayside to outbreak locations along separate routes through two import houses. Site inspections and review of shipping records suggested that the likely point of contamination was the European port, where foodstuffs and insecticides were stored in the same warehouse.
Sinkhole management and flooding in Jamaica
NASA Astrophysics Data System (ADS)
Molina, Medardo; McDonald, Franklin
1988-10-01
More than 518 km2 (200 mi2) of prime lands in Jamaica lay on Karstic material where sinkholes are the natural outlet of important streams. Due to increasing social pressure, the lands are inappropriately managed and as a consequence, vegetal debris and silting have plugged the sinkholes which have thus lost their capacity to drain the runoff produced during heavy rainfalls. One of these areas is Cave Valley, which during the last 36 years, has been affected by at least six floodings, some of which have produced losses of life and property, in a sector of the Jamaican population which is already under severe economic hardship. A flood prevention and mitigation project is being implemented including watershed management, river training and community preparedness. A geologic, hydrologic, and hydraulic analysis are also part of this study. All these measures are expected to reduce future losses.
Maternal and Paternal Age are Jointly Associated with Childhood Autism in Jamaica
Samms-Vaughan, Maureen; Loveland, Katherine A.; Pearson, Deborah A.; Bressler, Jan; Chen, Zhongxue; Ardjomand-Hessabi, Manouchehr; Shakespeare-Pellington, Sydonnie; Grove, Megan L.; Beecher, Compton; Bloom, Kari; Boerwinkle, Eric
2013-01-01
Several studies have reported maternal and paternal age as risk factors for having a child with Autism Spectrum Disorder (ASD), yet the results remain inconsistent. We used data for 68 age- and sex-matched case–control pairs collected from Jamaica. Using Multivariate General Linear Models (MGLM) and controlling for parity, gestational age, and parental education, we found a significant (p < 0.0001) joint effect of parental ages on having children with ASD indicating an adjusted mean paternal age difference between cases and controls of [5.9 years; 95% CI (2.6, 9.1)] and a difference for maternal age of [6.5 years; 95% CI (4.0, 8.9)]. To avoid multicollinearity in logistic regression, we recommend joint modeling of parental ages as a vector of outcome variables using MGLM. PMID:22230961
The World Medical Association: can hope triumph over experience?
Richards, T.
1994-01-01
The World Medical Association was set up in 1947 in the wake of outrage about war crimes committed by doctors in Hitler's Germany. For nearly 50 years it has lurched from one controversy to another, arguing within itself about its funding, its voting system, and the representativeness and political affiliation of some of its member medical associations. The BMA withdrew from the association in 1984, supporting a breakaway "Toronto" group including Canada, the Scandinavian countries, the Netherlands, Ireland, and Jamaica. All but Britain and Jamaica have now rejoined and membership is growing, but the association is still struggling to gain credibility and clout. After 20 years of part time stewardship the recent appointment of a new full time secretary general has fuelled expectations that internal reforms will be implemented, and the WMA's standing and profile improved. PMID:8111265
Small-Island Perceptions of Scholarships: Perspectives from Jamaica
NASA Astrophysics Data System (ADS)
Hyman, T. A.
2017-12-01
The Caribbean has the lowest tertiary enrolment in the Western Hemisphere. This figure currently stands at 10% of the population, instead of a desired 30%. [1] Jamaica specifically, has seen a decline in tertiary education enrolment at major institutions such as the University of Technology, Northern Caribbean University, with the only exception being the University of the West Indies showing a marginal increase of 3.6% in 2016. The inability to cover the cost of tertiary education by citizens is a deterrent - despite government subsidies of up to 80%. Scholarship resources exist in Jamaica, but the challenge is the small number of scholarships granted, in proportion to a large applicant pool. Consequently, only the highest performing students are selected at the expense of other higher performing students. Interestingly though, scholarship resources exist internationally for tertiary studies. In the United States for example, US$100 million funds go unclaimed each year due to a lack of awareness. The European Union (EU) will also invest 80 million Euros in research and innovation from 2014 to 2020, with these funds air marked for partnerships between the EU and the rest of the world. The overall aim of this research is to assess the awareness of Jamaicans ages 17 to 45 years, in terms of their knowledge of these international funds, their perceptions of scholarships as a source of tertiary education financing, and preferences for physical locations of study. [1] UWI Professor Archibald McDonald
Suicide among adolescents in Jamaica: what do we know?
Holder-Nevins, D; James, K; Bridgelal-Nagassar, R; Bailey, A; Thompson, E; Eldemire, H; Sewell, C; Abel, W D
2012-08-01
Suicide is increasingly acknowledged as a global problem. Yet little is known worldwide about suicide rates among adolescents. Several social factors that exist in Jamaica present as stressors and may predispose to suicide. Ascertaining prevailing patterns and associated factors is important for crafting interventions. This paper establishes adolescent suicide rates for the years 2007-2010 in Jamaica and provides related epidemiological data. Data pertaining to suicides were extracted from standardized data collected by the police. Information regarding the number of suicides among adolescents, 9-19 years of age, was reviewed for the years 2007-2010. Sociodemographic characteristics of cases: gender, location and occupation along with related variables were also examined. Variation of rates over time was ascertained. Statistically significant associations were determined by reference to p-values and confidence intervals. The incidence for suicide in adolescents was 1.1 per 100 000. Rates for males were significantly higher than females. Most suicide cases were students and the majority of cases was from rural areas (65%). Hanging was the main method used to commit suicide (96.2%). Items of clothing were commonly used for this purpose. Male adolescent suicide rates showed an upward trend in contrast to the downward trend for females in the four-year period studied. Continued surveillance is needed for greater understanding of adolescent suicides. Collaboration among health services, parents, schools and communities is integral in prevention efforts. Recent media coverage of suicides provides a window of opportunity to galvanize support for research and the development of intervention strategies.
In Jamaica, Community Aides for Disabled Pre-School Children.
ERIC Educational Resources Information Center
Thorburn, Marigold J.
1981-01-01
One of the major goals of the Jamaican Early Stimulation Project is to develop a low cost model for providing early identification of disability and intervention services. Journal availability: see EC 133 861. (Author)
7 CFR 354.2 - Administrative instructions prescribing commuted traveltime.
Code of Federal Regulations, 2011 CFR
2011-01-01
... Undesignated ports 3 Idaho: Mountain Home AFB Caldwell 3 Mountain Home AFB Twin Falls 4 Illinois: Chicago 3... Westhampton Beach 3 Islip Westhampton Beach 2 Jamaica, Long Island 2 Lewiston Buffalo 2 Massena Rouses Point 5...
7 CFR 354.2 - Administrative instructions prescribing commuted traveltime.
Code of Federal Regulations, 2013 CFR
2013-01-01
... Undesignated ports 3 Idaho: Mountain Home AFB Caldwell 3 Mountain Home AFB Twin Falls 4 Illinois: Chicago 3... Westhampton Beach 3 Islip Westhampton Beach 2 Jamaica, Long Island 2 Lewiston Buffalo 2 Massena Rouses Point 5...
7 CFR 354.2 - Administrative instructions prescribing commuted traveltime.
Code of Federal Regulations, 2012 CFR
2012-01-01
... Undesignated ports 3 Idaho: Mountain Home AFB Caldwell 3 Mountain Home AFB Twin Falls 4 Illinois: Chicago 3... Westhampton Beach 3 Islip Westhampton Beach 2 Jamaica, Long Island 2 Lewiston Buffalo 2 Massena Rouses Point 5...
7 CFR 354.2 - Administrative instructions prescribing commuted traveltime.
Code of Federal Regulations, 2014 CFR
2014-01-01
... Undesignated ports 3 Idaho: Mountain Home AFB Caldwell 3 Mountain Home AFB Twin Falls 4 Illinois: Chicago 3... Westhampton Beach 3 Islip Westhampton Beach 2 Jamaica, Long Island 2 Lewiston Buffalo 2 Massena Rouses Point 5...
Alumina Calcination in the Fluid-Flash Calciner
NASA Astrophysics Data System (ADS)
Fish, William M.
In the mid 40's, Alcoa turned to fluidized solids techniques as a means of improving the efficiency of the alumina calcining process. This paper traces calciner development from the first pilot operation in 1946 through the first plant fluid-bed unit in 1952, the early "fluid-flash" calciner designs in 1960, the first 300 ton/day fluid-flash calciner at Alcoa's Bauxite, Arkansas plant in 1963, the 600 ton/day calciners installed in Suriname and Australia in 1965 and 1966, up to the 1500 ton/day Mark III calciners now operating in Jamaica, Australia and the United States. These Mark III fluid-flash calciners have provided a 30 to 40 percent fuel saving in addition to major savings in capital investment and maintenance costs.
Homophobia, stigma and HIV in Jamaican prisons
Andrinopoulos, Katherine; Figueroa, J Peter; Kerrigan, Deanna; Ellen, Jonathan M.
2010-01-01
Success in addressing HIV and AIDS among men who have sex with men, a key population in the global epidemic, is impeded by homophobia. Homophobia as a barrier to HIV prevention and AIDS treatment is a particularly acute problem in the prison setting. In this qualitative study, we explore HIV and AIDS, stigma, and homosexuality in the largest all male prison in Jamaica by conducting iterative in-depth interviews with 25 inmates. Participant narratives unveil a purposeful manipulation of beliefs related to homosexuality that impedes an effective response to HIV and AIDS both in prison and wider society. Findings indicate that homophobia is both a social construction and a tangible tool used to leverage power and a sense of solidarity in a larger political and economic landscape. This use of homophobia may not be unique to Jamaica, and is an important issue to address in other low and middle income post-colonialist societies. PMID:20972916
Ncube, Ngqabutho M; Fogo, Christopher; Bessler, Patricia; Jolly, Curtis M; Jolly, Pauline E
2011-01-01
Pesticide poisoning is a major public health concern in developing countries. The authors conducted a population survey among farmers in 3 parishes of northwestern Jamaica to determine the occurrence of acute pesticide poisoning and to identify factors associated with pesticide poisoning. Approximately 16% of 359 farmers who participated in the study reported 1 or more incidents of acute pesticide poisoning within the last 2 years. Only 25% of the farmers reported ever receiving training in pesticide handling or safety. The majority (68%) of farmers who reported pesticide poisoning never sought medical attention for poisoning. The factors found to be associated with pesticide poisoning in this study indicate that implementation of specific intervention strategies and education of farmers is needed in order to improve safe handling, use, and disposal of pesticides and reduce incidents of acute pesticide poisoning.
Ncube, Ngqabutho M.; Fogo, Christopher; Bessler, Patricia; Jolly, Curtis M.; Jolly, Pauline E.
2011-01-01
Pesticide poisoning is a major public health concern in developing countries. We conducted a population survey among farmers in three parishes of northwestern Jamaica to determine the occurrence of acute pesticide poisoning and to identify factors associated with pesticide poisoning. Approximately 16% of 359 farmers who participated in the study reported one or more incidents of acute pesticide poisoning within the last two years. Only 25% of the farmers reported ever receiving training in pesticide handling or safety. The majority (68%) of farmers who reported pesticide poisoning never sought medical attention for poisoning. The factors found to be associated with pesticide poisoning in this study indicate that implementation of specific intervention strategies and education of farmers is needed in order to improve safe handling, use and disposal of pesticides and reduce incidents of acute pesticide poisoning. PMID:24484363
Homophobia, stigma and HIV in Jamaican prisons.
Andrinopoulos, Katherine; Figueroa, J Peter; Kerrigan, Deanna; Ellen, Jonathan M
2011-02-01
Success in addressing HIV and AIDS among men who have sex with men, a key population in the global epidemic, is impeded by homophobia. Homophobia as a barrier to HIV prevention and AIDS treatment is a particularly acute problem in the prison setting. In this qualitative study, we explore HIV and AIDS, stigma and homosexuality in the largest all male prison in Jamaica by conducting iterative in-depth interviews with 25 inmates. Participant narratives unveil a purposeful manipulation of beliefs related to homosexuality that impedes an effective response to HIV and AIDS both in prison and wider society. Findings indicate that homophobia is both a social construction and a tangible tool used to leverage power and a sense of solidarity in a larger political and economic landscape. This use of homophobia may not be unique to Jamaica and is an important issue to address in other low- and middle-income post-colonialist societies.
Socioeconomic factors associated with severe acute malnutrition in Jamaica.
Thompson, Debbie S; Younger-Coleman, Novie; Lyew-Ayee, Parris; Greene, Lisa-Gaye; Boyne, Michael S; Forrester, Terrence E
2017-01-01
Severe acute malnutrition (SAM) is an important risk factor for illness and death globally, contributing to more than half of deaths in children worldwide. We hypothesized that SAM is positively correlated to poverty, low educational attainment, major crime and higher mean soil concentrations of lead, cadmium and arsenic. We reviewed admission records of infants admitted with a diagnosis of SAM over 14 years (2000-2013) in Jamaica. Poverty index, educational attainment, major crime and environmental heavy metal exposure were represented in a Geographic Information System (GIS). Cases of SAM were grouped by community and the number of cases per community/year correlated to socioeconomic variables and geochemistry data for the relevant year. 375 cases of SAM were mapped across 204 urban and rural communities in Jamaica. The mean age at admission was 9 months (range 1-45 months) and 57% were male. SAM had a positive correlation with major crime (r = 0.53; P < 0.001), but not with educational attainment or the poverty index. For every one unit increase in the number of crimes reported, the rate of occurrence of SAM cases increased by 1.01% [Incidence rate ratio (IRR) = 1.01 (95% CI = 1.006-1.014); P P<0.001]. The geochemistry data yielded no correlation between levels of heavy metals and the prevalence of malnutrition. Major crime has an independent positive association with severe acute malnutrition in Jamaican infants. This could suggest that SAM and major crime might have similar sociological origins or that criminality at the community level may be indicative of reduced income opportunities with the attendant increase in poor nutrition in the home.
Psychosocial outcomes in a cohort of perinatally HIV-infected adolescents in Western Jamaica.
Evans-Gilbert, Tracy; Kasimbie, Kazie; Reid, Gail; Williams, Shelly Ann
2018-02-05
Background Psychosocial factors interact with adolescent development and affect the ability of HIV-infected adolescents to cope with and adhere to treatment. Aim To evaluate psychosocial outcomes in perinatally HIV-infected adolescents (PHIVAs) in Western Jamaica after psychosocial intervention. Methods The Bright Futures Paediatric Symptom Checklist (BF-PSC) was used for psychological screening of PHIVAs in Western Jamaica. Referred patients were evaluated using the Youth version of the Columbia Impairment Scale (CIS). Demographic, laboratory and clinical data obtained between July 2014 and June 2016 were evaluated retrospectively and outcomes were reviewed before and after psychosocial intervention. Results Sixty PHIVAs were enrolled and 36 (60%) had a positive BF-PSC score that necessitated referral. The BF-PSC correctly identified 89% of patients with impaired psychosocial assessment by CIS scores. Referred patients were less likely to adhere to treatment, to be virologically suppressed or to have a CD4+ count of >500 cells/μl, and were more likely to be in the late teenage group or to be of orphan status. After intervention, the prevalence of viral suppression increased and median viral load decreased. A difference in mean CD4+ cell count was detected before but not after intervention in teenage and orphan groups. Conclusions The BF-PSC identified at-risk PHIVAs with impaired psychosocial functioning. Increased vulnerability was noted in orphans and older teenagers. Psychosocial interventions (including family therapy) reduced psychosocial impairment and improved virological suppression. Mental health intervention should be instituted to facilitate improved clinical outcomes, autonomy of care and transition to adult care.
Modeling wave attenuation by salt marshes in Jamaica Bay, New York, using a new rapid wave model
NASA Astrophysics Data System (ADS)
Marsooli, Reza; Orton, Philip M.; Mellor, George
2017-07-01
Using a new rapid-computation wave model, improved and validated in the present study, we quantify the value of salt marshes in Jamaica Bay—a highly urbanized estuary located in New York City—as natural buffers against storm waves. We augment the MDO phase-averaged wave model by incorporating a vegetation-drag-induced energy dissipation term into its wave energy balance equation. We adopt an empirical formula from literature to determine the vegetation drag coefficient as a function of environmental conditions. Model evaluation using data from laboratory-scale experiments show that the improved MDO model accurately captures wave height attenuation due to submerged and emergent vegetation. We apply the validated model to Jamaica Bay to quantify the influence of coastal-scale salt marshes on storm waves. It is found that the impact of marsh islands is largest for storms with lower flood levels, due to wave breaking on the marsh island substrate. However, the role of the actual marsh plants, Spartina alterniflora, grows larger for storms with higher flood levels, when wave breaking does not occur and the vegetative drag becomes the main source of energy dissipation. For the latter case, seasonality of marsh height is important; at its maximum height in early fall, S. alterniflora causes twice the reduction as when it is at a shorter height in early summer. The model results also indicate that the vegetation drag coefficient varies 1 order of magnitude in the study area, and suggest exercising extra caution in using a constant drag coefficient in coastal wetlands.
Factors associated with blood lead concentrations of children in Jamaica
RAHBAR, MOHAMMAD H.; SAMMS-VAUGHAN, MAUREEN; DICKERSON, AISHA S.; LOVELAND, KATHERINE A.; ARDJOMAND-HESSABI, MANOUCHEHR; BRESSLER, JAN; SHAKESPEARE-PELLINGTON, SYDONNIE; GROVE, MEGAN L.; BOERWINKLE, ERIC
2015-01-01
Lead is a heavy metal known to be detrimental to neurologic, physiologic, and behavioral health of children. Previous studies from Jamaica reported that mean lead levels in soil are four times that of lead levels in some other parts of the world. Other studies detected lead levels in fruits and root vegetables, which were grown in areas with lead contaminated soil. In this study, we investigate environmental factors associated with blood lead concentrations in Jamaican children. The participants in this study comprised 125 typically developing (TD) children (ages 2–8 years) who served as controls in an age- and sex-matched case-control study that enrolled children from 2009 – 2012 in Jamaica. We administered a questionnaire to assess demographic and socioeconomic information as well as potential exposures to lead through food. Using General Linear Models (GLMs), we identified factors associated with blood lead concentrations in Jamaican children. The geometric mean blood lead concentration (GMBLC) in the sample of children in this study was 2.80 μg/dL. In univariable GLM analyses, GMBLC was higher for children whose parents did not have education beyond high school compared to those whose parents had attained this level (3.00 μg/dL vs. 2.31 μg/dL; P = 0.05), children living near a high traffic road compared to those who did not (3.43 μg/dL vs. 2.52 μg/dL; P < 0.01), and children who reported eating ackee compared to those who did not eat this fruit (2.89 μg/dL vs. 1.65 μg/dL; P < 0.05). In multivariable analysis, living near a high traffic road was identified as an independent risk factor for higher adjusted GMBLC (3.05 μg/dL vs. 2.19 μg/dL; P = 0.01). While our findings indicate that GMBLC in Jamaican children has dropped by at least 62% during the past two decades, children living in Jamaica still have GMBLC that is twice that of children in more developed countries. In addition, we have identified significant risk factors for higher blood lead concentrations in Jamaican children. We believe increasing awareness among parents regarding these risk factors could potentially lead to a lower level of lead exposure in Jamaican children. PMID:25837555
Gordon, C; Roopchand-Martin, S; Gregg, A
2012-09-01
To explore the possibility of using the Nintendo Wii™ as a rehabilitation tool for children with cerebral palsy (CP) in a developing country, and determine whether there is potential for an impact on their gross motor function. Pilot study with a pre-post-test design. Sir John Golding Rehabilitation Center, Jamaica, West Indies. Seven children, aged 6 to 12 years, with dyskinetic CP were recruited for the study. One child dropped out at week 4. Training with the Nintendo Wii was conducted twice weekly for 6 weeks. The games used were Wii Sports Boxing, Baseball and Tennis. Percentage attendance over the 6-week period, percentage of sessions for which the full duration of training was completed, and changes in gross motor function using the Gross Motor Function Measure (GMFM). All six participants who completed the study had 100% attendance, and all were able to complete the full 45 minutes of training at every session. Those who were wheelchair bound participated in two games, whilst those who were ambulant played three games. The mean GMFM score increased from 62.83 [standard deviation (SD) 24.86] to 70.17 (SD 23.67). The Nintendo Wii has the potential for use as a rehabilitation tool in the management of children with CP. Clinical trials should be conducted in this area to determine whether this could be an effective tool for improving gross motor function. Copyright © 2012 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.
Aircraft Wake Vortex Characteristics from Data Measured at John F. Kennedy International Airport
DOT National Transportation Integrated Search
1978-01-01
Data from 1320 aircraft flybys at Kennedy International Airport, Jamaica, New York, in 1975 were processed and stored in a computerized vortex data management system. The data were selectively recalled to determine vortex characteristics pertinent to...
Marsh Soil Responses to Nutrients: Belowground Structural and Organic Properties
Coastal marsh responses to nutrient enrichment apparently depend upon soil matrix and whether the system is primarily biogenic or minerogenic. Deteriorating organic rich marshes (Jamaica Bay, NY) receiving wastewater effluent had lower belowground biomass, organic matter, and soi...
Marsh Soil Responses to Nutrients: Belowground Structural and Organic Properties.
Coastal marsh responses to nutrient enrichment apparently depend upon soil matrix and whether the system is primarily biogenic or minerogenic. Deteriorating organic rich marshes (Jamaica Bay, NY) receiving wastewater effluent had lower belowground biomass, organic matter, and soi...
Mechanisms of interaction between macroalgae and scleractinians on a coral reef in Jamaica.
River, G F.; Edmunds, P J.
2001-07-01
After several decades of disturbance, many coral reefs in the Caribbean are dominated by macroalgae. One process affecting this transition is coral-macroalgal competition, yet few studies have addressed the mechanisms involved. In this study, we investigated competition between the tall and bushy macroalga Sargassum hystrix (J. Agardh) and the branching coral Porites porites (Pallas) on a shallow reef in Jamaica. Experiments were designed to expose coral branches to different treatments to test the role of shading and abrasion by Sargassum on coral growth and polyp expansion. Corals exposed to Sargassum grew significantly more slowly (80% reduction) than controls, but this effect was absent when corals were caged to prevent physical contact with macroalgae. Light levels were reduced in both the algal and cage treatments, but shading apparently had little effect on the growth of corals in cages. Short-term measurements of integrated net water flow did not detect variation among treatments. In algal-mimic treatments, where clear plastic strips could touch but not shade the corals, growth rates were 25% lower than controls, but this effect was not statistically significant. Thus, the growth of corals in contact with Sargassum was reduced by abrasion and, to a lesser extent, by factors unique to living macroalgae. Analysis of polyp expansion showed that polyps were more frequently retracted when corals were in contact with macroalgae or algal-mimics compared to controls or cage treatment; the frequency of polyp contraction was correlated positively with growth. Together, these results suggest that abrasion-mediated polyp retraction is one of the primary mechanisms of competition utilized by tall (ca. 17 cm) macroalgae against scleractinian corals.
77 FR 60433 - Notice of Agreements Filed
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-03
... FEDERAL MARITIME COMMISSION Notice of Agreements Filed The Commission hereby gives notice of the... on the agreements to the Secretary, Federal Maritime Commission, Washington, DC 20573, within ten... and Jamaica to the geographic scope of the agreement. By Order of the Federal Maritime Commission...
Health Education Intervention. An Annotated Bibliography. Nutrition Education Series Issue 13.
ERIC Educational Resources Information Center
United Nations Educational, Scientific, and Cultural Organization, Paris (France).
This annotated bibliography contains 73 citations describing health education programs around the world. Countries represented include: Bangladesh, Egypt, Gambia, Gilbert Islands, Guatemala, Haiti, Honduras, Jamaica, Kenya, Indonesia, Nicaragua, Peru, Philippines, Swaziland, Thailand, Tunisia, Australia, Colombia, India, United Kingdom, Canada,…
Gateway National Recreation Area, Jamaica Bay Unit alternative transportation feasibility study
DOT National Transportation Integrated Search
2013-07-31
The National Park Service Gateway National Recreation Area (GATE) was created to provide convenient access to outdoor recreation in the National Park System for residents and visitors to the New York City (NYC) area. The Volpe Center completed a numb...
Africa, Asia, Europe, and Latin America.
ERIC Educational Resources Information Center
Loh, Eudora I.
1994-01-01
Annotates 25 publications from 19 countries: Bolivia, Brazil, Cape Verde, Chile, Dominican Republic, Hungary, India, Ireland, Jamaica, Malaysia, Mexico, Morocco, Mozambique, Netherlands, Niger, Nigeria, Peru, South Africa, and Venezuela. Topics include the environment, women's role, and household consumption and expenditures. The publication of an…
7 CFR 351.7 - Regulations governing importation by mail of plant material for immediate export.
Code of Federal Regulations, 2010 CFR
2010-01-01
..., Brownsville, Tex., Hoboken, N.J., Honolulu, Hawaii, Jamaica, L.I., N.Y., Laredo, Tex., Miami, Fla., New Orleans, La., San Francisco, Calif., San Juan, P.R., San Pedro, Calif., or Seattle, Wash., as may be...
Expanding Internationally: OCLC Gears Up.
ERIC Educational Resources Information Center
Chepesiuk, Ron
1997-01-01
Describes the Online Computer Library Center (OCLC) efforts in China, Germany, Canada, Scotland, Jamaica and Brazil. Discusses FirstSearch, an end-user reference service, and WorldCat, a bibliographic database. Highlights international projects developing increased OCLC online availability, database loading software, CD-ROM cataloging,…
Luminescent Mycena: new and noteworthy species
Dennis E. Desjardin; D. Jean Lodge; Cassius V. Stevani; Eiji Nagasawa
2010-01-01
Seven species of Mycena are reported as luminescent, representing specimens collected in Belize, Brazil, Dominican Republic, Jamaica, Japan (Bonin Islands), Malaysia (Borneo) and Puerto Rico. Four of them represent new species (Mycena luxaeterna, M. luxarboricola, M. luxperpetua, M. silvaelucens) and three represent new reports of...
OAS :: Member States : Permanent Representatives
General Assembly Governance H Human Development Human Rights I Indigenous Peoples Integral Development Scholarships School of Governance Science and Technology Social Development Summits of the Americas Sustainable Republic Ecuador El Salvador Grenada Guatemala Guyana Haiti Honduras Jamaica Mexico Nicaragua Panama
Hankins, Jane S.; McCarville, M. Beth; Rankine-Mullings, Angela; Reid, Marvin E.; Lobo, Clarisse L.C.; Moura, Patricia G.; Ali, Susanna; Soares, Deanne; Aldred, Karen; Jay, Dennis W.; Aygun, Banu; Bennett, John; Kang, Guolian; Goldsmith, Jonathan C.; Smeltzer, Matthew P.; Boyett, James M.; Ware, Russell E.
2015-01-01
Children with sickle cell anemia (SCA) and conditional transcranial Doppler (TCD) ultrasound velocities (170-199 cm/sec) may develop stroke. However, with limited available clinical data, the current standard of care for conditional TCD velocities is observation. The efficacy of hydroxyurea in preventing conversion from conditional to abnormal TCD (≥200 cm/sec), which confers a higher stroke risk, has not been studied prospectively in a randomized trial. Sparing Conversion to Abnormal TCD Elevation (SCATE #NCT01531387) was an NHLBI-funded Phase III multicenter international clinical trial comparing alternative therapy (hydroxyurea) to standard care (observation) to prevent conversion from conditional to abnormal TCD velocity in children with SCA. SCATE enrolled 38 children from the United States, Jamaica, and Brazil [HbSS (36), HbSβ0-thalassemia (1), and HbSD (1), median age 5.4 years (range, 2.7-9.8)]. Due to slow patient accrual and administrative delays, SCATE was terminated early. In an intention-to-treat analysis, the cumulative incidence of abnormal conversion was 9% (95% CI 0 to 35%) in the hydroxyurea arm and 47% (95% CI 6 to 81%) in observation arm at 15 months (p=0.16). In post-hoc analysis according to treatment received, significantly fewer children on hydroxyurea converted to abnormal TCD velocities, compared to observation (0% versus 50%, p=0.02). After a mean of 10.1 months, a significant change in mean TCD velocity was observed with hydroxyurea treatment (−15.5 versus +10.2 cm/sec, p=0.02). No stroke events occurred in either arm. Hydroxyurea reduces TCD velocities in children with SCA and conditional velocities. PMID:26414435
Hankins, Jane S; McCarville, Mary Beth; Rankine-Mullings, Angela; Reid, Marvin E; Lobo, Clarisse L C; Moura, Patricia G; Ali, Susanna; Soares, Deanne P; Aldred, Karen; Jay, Dennis W; Aygun, Banu; Bennett, John; Kang, Guolian; Goldsmith, Jonathan C; Smeltzer, Matthew P; Boyett, James M; Ware, Russell E
2015-12-01
Children with sickle cell anemia (SCA) and conditional transcranial Doppler (TCD) ultrasound velocities (170-199 cm/sec) may develop stroke. However, with limited available clinical data, the current standard of care for conditional TCD velocities is observation. The efficacy of hydroxyurea in preventing conversion from conditional to abnormal TCD (≥200 cm/sec), which confers a higher stroke risk, has not been studied prospectively in a randomized trial. Sparing Conversion to Abnormal TCD Elevation (SCATE #NCT01531387) was a National Heart, Lung, and Blood Institute-funded Phase III multicenter international clinical trial comparing alternative therapy (hydroxyurea) to standard care (observation) to prevent conversion from conditional to abnormal TCD velocity in children with SCA. SCATE enrolled 38 children from the United States, Jamaica, and Brazil [HbSS (36), HbSβ(0) -thalassemia (1), and HbSD (1), median age = 5.4 years (range, 2.7-9.8)]. Because of the slow patient accrual and administrative delays, SCATE was terminated early. In an intention-to-treat analysis, the cumulative incidence of abnormal conversion was 9% (95% CI = 0-35%) in the hydroxyurea arm and 47% (95% CI = 6-81%) in observation arm at 15 months (P = 0.16). In post hoc analysis according to treatment received, significantly fewer children on hydroxyurea converted to abnormal TCD velocities when compared with observation (0% vs. 50%, P = 0.02). After a mean of 10.1 months, a significant change in mean TCD velocity was observed with hydroxyurea treatment (-15.5 vs. +10.2 cm/sec, P = 0.02). No stroke events occurred in either arm. Hydroxyurea reduces TCD velocities in children with SCA and conditional velocities. © 2015 Wiley Periodicals, Inc.
Harris, Michelle A; Ferguson, Trevor S; Boyne, Michael S; Figueroa, J Peter
2017-01-01
The aim of the study was to determine the prevalence of dyslipidemia among primary care patients with hypertension and diabetes in Jamaica and the proportion of patients who achieve recommended targets. An audit of 500 dockets of adult patients with chronic disease attending public primary care clinics in Jamaica was conducted between October and December 2013. Data were collected on patient characteristics including medical history, medications, anthropometry, and lipid profiles (since January 1, 2011). Lipid targets were based on the Ministry of Health 2007 management guidelines. Stepwise multivariable logistic regression analysis was performed to determine the predictors of achieving lipid targets. Four hundred and thirty-seven patient records had a lipid profile done and 90% of these had at least one abnormal lipid value. 15.3% of the patients achieved the low density lipoprotein cholesterol (LDL-C) target, 63.2% high density lipoprotein cholesterol (HDL-C), 85.1% triglycerides and 57.4% the total cholesterol target. Statins were prescribed for 49% and these patients were less likely to achieve LDL-C (OR = 0.57; 95% CI: 0.33-0.97; p = 0.04) or total cholesterol (OR = 0.21; 95% CI: 0.13-0.33; p < 0.001) targets. Patients over 80 years were more likely to achieve the LDL-C target (OR = 3.21; 95% CI: 1.64-6.28; p = 0.002) than those less than 50 years old. More men than women achieved total cholesterol targets (OR = 2.2; 95% CI: 1.4-3.6; p = 0.001). Dyslipidemia is widespread among primary care patients with hypertension and diabetes. The proportion of patients who achieve the respective lipid targets must be documented and routinely monitored and appropriate medication and lifestyle changes implemented to improve this.
Gender Norms and Family Planning Practices Among Men in Western Jamaica.
Walcott, Melonie M; Ehiri, John; Kempf, Mirjam C; Funkhouser, Ellen; Bakhoya, Marion; Aung, Maung; Zhang, Kui; Jolly, Pauline E
2015-07-01
The objective of this study was to identify the association between gender norms and family planning practices among men in Western Jamaica. A cross-sectional survey of 549 men aged 19 to 54 years attending or visiting four government-operated hospitals was conducted in 2011. Logistic regression models were used to identify factors associated with taking steps to prevent unwanted pregnancy, intention to have a large family size (three or more children), and fathering children with multiple women. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated from the models. Reduced odds for taking steps to prevent unwanted pregnancy among men with moderate (AOR = 0.5; 95% CI = 0.3-0.8) and high (AOR = 0.3; 95% CI = 0.1-0.6) support for inequitable gender norms was observed. Desiring large family size was associated with moderate (AOR = 2.0; 95% CI = 1.3-2.5) and high (AOR = 2.6; 95% CI = 1.5-4.3) support for macho scores. For men with two or more children (41%), there were increased odds of fathering children with multiple women among those who had moderate (AOR = 2.1; 95% CI = 1.0-4.4) and high (AOR = 2.4; 95% CI = 1.1-5.6) support for masculinity norms. Support for inequitable gender norms was associated with reduced odds of taking steps to prevent unwanted pregnancy, while support for masculinity norms was associated with desiring a large family size and fathering children with multiple women. These findings highlight the importance of including men and gender norms in family planning programs in Jamaica. © The Author(s) 2014.
NASA Astrophysics Data System (ADS)
Sanderson, E. W.; Orton, P. M.; Giampieri, M.; Spagnoli, C.
2015-12-01
History can provide a guide to the future by revealing the physical climatic and geomorphological dynamics with which cities must contend. We used historical maps from the U.S. Coast Survey and the Stevens Estuarine and Coastal Ocean Model (sECOM) to simulate how and where coastal flooding from storm surge affected the Jamaica Bay region of southeastern New York City at different points in time. This area, which houses approximately 1.2 million people today and the John F. Kennedy International Airport, was heavily impacted by coastal flooding during Hurricane Sandy. Historical analysis showed that the Rockaway Peninsula was an active barrier island system up until the early twentieth century, growing approximately 70 meters per year to the west between 1844 - 1891. Older historical maps made by American and European cartographers from 1524 - 1844 suggest that Jamaica Bay may have been a much more open system, with few or no interior marsh islands, at the time of European discovery. From these studies, we constructed digital terrain models and land cover maps for two historical periods: ca. 1870s and ca. 1609, and today. Storm simulations of hurricanes over the historical and present-day landscapes showed how a smaller inlet, shallower channel depths, and larger floodplains all can reduce the height of flooding inside the bay, and suggested a series of leverage experiments that test the efficacy of present-day green infrastructure interventions to lessen peak flood heights while maintaining tidal flushing. By combining history, modelling, and policy-relevant scenarios, we believe we have developed a reshreshing and accessible toolkit for policymakers thinking about resilience measures in coastal cities like New York.
Figueroa, J P; Ward, E; Luthi, T E; Vermund, S H; Brathwaite, A R; Burk, R D
1995-01-01
Human papillomavirus is the major etiologic agent of cervical cancer. Although the incidence of cancer of the cervix is high in Jamaica, the prevalence of human papillomavirus among Jamaican women has not been defined. To estimate the prevalence of human papillomavirus infection and associated risk factors in women attending an STD clinic in Kingston, Jamaica. A cross-sectional survey was done of 202 women attending an STD clinic in Kingston in 1990. Cervical and vaginal cells were collected by lavage, and human papillomavirus genomes were detected in extracted DNA using low-stringency Southern blot hybridization. Fifty-eight (28.7%) women were identified as HPV positive. Prevalence of HPV by age group was 39% in women 15-19 years old, 33% of women 20-24 years old, 31% in women 25-29 years old, and 17% in those 30 years or older. Increasing age was significantly associated with a lower prevalence of human papillomavirus infection (test for trend, P = 0.025). The effect of age was independent of years of sexual activity. Women reporting more than one sexual partner per month on average were found to have a significantly higher HPV prevalence (odds ratio 2.87, 95% confidence Interval 1.29-6.38), as were women who reported more frequent sex (test for trend, P = 0.006). Sexual behavior is associated with risk of human papillomavirus infection. The decrease of human papillomavirus prevalence in older women agrees with other studies that argue in favor of a biological effect, such as increased immunity to human papillomavirus with age. A better understanding of why immunity to human papillomavirus may develop in older women may provide the basis for developing an effective vaccine to prevent cancer of the cervix.
Socioeconomic factors associated with severe acute malnutrition in Jamaica
Thompson, Debbie S.; Younger-Coleman, Novie; Lyew-Ayee, Parris; Greene, Lisa-Gaye; Boyne, Michael S.; Forrester, Terrence E.
2017-01-01
Objectives Severe acute malnutrition (SAM) is an important risk factor for illness and death globally, contributing to more than half of deaths in children worldwide. We hypothesized that SAM is positively correlated to poverty, low educational attainment, major crime and higher mean soil concentrations of lead, cadmium and arsenic. Methods We reviewed admission records of infants admitted with a diagnosis of SAM over 14 years (2000–2013) in Jamaica. Poverty index, educational attainment, major crime and environmental heavy metal exposure were represented in a Geographic Information System (GIS). Cases of SAM were grouped by community and the number of cases per community/year correlated to socioeconomic variables and geochemistry data for the relevant year. Results 375 cases of SAM were mapped across 204 urban and rural communities in Jamaica. The mean age at admission was 9 months (range 1–45 months) and 57% were male. SAM had a positive correlation with major crime (r = 0.53; P < 0.001), but not with educational attainment or the poverty index. For every one unit increase in the number of crimes reported, the rate of occurrence of SAM cases increased by 1.01% [Incidence rate ratio (IRR) = 1.01 (95% CI = 1.006–1.014); P P<0.001]. The geochemistry data yielded no correlation between levels of heavy metals and the prevalence of malnutrition. Conclusion Major crime has an independent positive association with severe acute malnutrition in Jamaican infants. This could suggest that SAM and major crime might have similar sociological origins or that criminality at the community level may be indicative of reduced income opportunities with the attendant increase in poor nutrition in the home. PMID:28291805
Holland, J
1995-01-01
The author posits that female labor force integration in Jamaica accomplishes little in alleviating poverty and making maximum use of human resources. Women are forced into employment in a labor market that limits their productivity. Women have greater needs to increase their economic activity due to price inflation and cuts in government spending. During the 1980s and early 1990s the country experienced stabilization and structural adjustment resulting in raised interest rates, reduced public sector employment, and deflated public expenditures. Urban population is particularly sensitive to monetary shifts due to dependency on social welfare benefits and lack of assets. Current strategies favor low wage creation in a supply-side export-oriented economy. These strategies were a by-product of import-substitution industrialization policies during the post-war period and greater control by multilateral financial institutions in Washington, D.C. The World Bank and US President Reagan's Caribbean Basin Initiative stressed export-oriented development. During the 1980s, Jamaican government failed to control fiscal policy, built up a huge external debt, and limited the ability of private businessmen to obtain money for investment in export-based production. Over the decade, uncompetitive production declined and light manufacturing increased. Although under 10% of new investment was in textile and apparel manufacturing, almost 50% of job creation occurred in this sector and 80% of all apparel workers were low-paid women. Devaluation occurred both in the exchange rate and in workers' job security, fringe benefits, union representation, and returns on skills. During 1977-89 women increased employment in the informal sector, which could not remain competitive under devaluation. Women's stratification in the labor market, high dependency burdens, and declining urban infrastructure create conditions of vulnerability for women in Jamaica.
Does marriage explain murders in a society? In what way is divorce a public health concern?
Bourne, Paul Andrew; Hudson-Davis, Angela; Sharpe-Pryce, Charlene; Clarke, Jeffery; Solan, Ikhalfani; Rhule, Joan; Francis, Cynthia; Watson-Coleman, Olive; Sharma, Anushree; Campbell-Smith, Janinne
2014-01-01
Like medicine, public health practitioners seek to understand causes of mortality, practices of humans and issues that can change population conditions, in order to preserve and care for life. The murder pandemic has been such in Jamaica that the World Bank sponsored a qualitative study on crime in urban areas in Jamaica in the late 1990s to provide a platform to guide policy intervention and programmes. As a result this study will fill the gap in the literature by providing the evidence to support that divorce and marriage are public health concerns from the perspective of murders. To evaluate the role of divorce and marital relationships on murders. The data for this study are taken from various Jamaica Government Publications. The period for this work is from 1950 through 2013. Data were recorded, stored and retrieved using the Statistical Packages for the Social Sciences (SPSS) for Windows, Version 21.0. The level of significance that is used to determine statistical significance is less than 5% (0.05). Ordinary least square (OLS) regression analyses and curve estimations were used to determine models and best fitted models. On average, annually, 523 Jamaicans are murdered (± 484), with there being 9,531 marriages (± 22,747) and 904 divorces (± 468). Logged marriage rate and divorce rate are factors of murder rate, with both independent factors accounting for 82.2% of the variability in the murder rate. Both factors are positively correlated with the murder rate, with the divorce rate accounting for most of the variance in the murder rate (R2 = 79.2%). Death can be extremely devasting to families, however, murder among married couples can severely disrupt the lives of both families along with any children from such relationship.
Taino and African maternal heritage in the Greater Antilles.
Bukhari, Areej; Luis, Javier Rodriguez; Alfonso-Sanchez, Miguel A; Garcia-Bertrand, Ralph; Herrera, Rene J
2017-12-30
Notwithstanding the general interest and the geopolitical importance of the island countries in the Greater Antilles, little is known about the specific ancestral Native American and African populations that settled them. In an effort to alleviate this lacuna of information on the genetic constituents of the Greater Antilles, we comprehensively compared the mtDNA compositions of Cuba, Dominican Republic, Haiti, Jamaica and Puerto Rico. To accomplish this, the mtDNA HVRI and HVRII regions, as well as coding diagnostic sites, were assessed in the Haitian general population and compared to data from reference populations. The Taino maternal DNA is prominent in the ex-Spanish colonies (61.3%-22.0%) while it is basically non-existent in the ex-French and ex-English colonies of Haiti (0.0%) and Jamaica (0.5%), respectively. The most abundant Native American mtDNA haplogroups in the Greater Antilles are A2, B2 and C1. The African mtDNA component is almost fixed in Haiti (98.2%) and Jamaica (98.5%), and the frequencies of specific African haplogroups vary considerably among the five island nations. The strong persistence of Taino mtDNA in the ex-Spanish colonies (and especially in Puerto Rico), and its absence in the French and English excolonies is likely the result of different social norms regarding mixed marriages with Taino women during the early years after the first contact with Europeans. In addition, this article reports on the results of an integrative approach based on mtDNA analysis and demographic data that tests the hypothesis of a southward shift in raiding zones along the African west coast during the period encompassing the Transatlantic Slave Trade. Copyright © 2017 Elsevier B.V. All rights reserved.
NASA Astrophysics Data System (ADS)
Curtis, W. R.; Gamble, D. W.; Popke, J.
2013-12-01
This paper examines some of the implications of climate change for farming in the Caribbean, through an analysis of future crop suitability and a case study of climate variability and agricultural practices in St. Elizabeth Parish, Jamaica. To assess potential changes in Caribbean agriculture, we present results from a water budget model based on a 100-year regional climate projection of temperature and precipitation for the circum-Caribbean basin. We find that future water deficits in the region are climate type-dependent. Savanna climates experience the largest annual changes, while semi-arid environments are greatly impacted in the spring. When the impacts of temperature and precipitation are considered separately, we find that predicted future warming, and the associated increase in evapotranspiration, has a slightly larger climatological effect on crop water need than predicted decreases in precipitation. To illustrate how a changing climate regime may impact agricultural practices, we present results from recent fieldwork in St. Elizabeth Parish, one of the main farming regions on the island of Jamaica. Drawing on data from farmer interviews and a recently-installed weather mesonet, we highlight the ways in which local microclimates influence farmer livelihood strategies and community-level vulnerability. Initial results suggest that farmers are experiencing greater climate variability, and that communities with Savanna and semi-arid type climates may be more susceptible to drought than communities in wetter, higher-elevation microclimates. These changes have enhanced the importance of irrigation technology and water management strategies for successful farming. In this context, we argue, large, well-capitalized farmers may be better able to manage the uncertainties associated with climate change, leading to an uneven landscape of vulnerability across the region.
Targeting U. S. Technologies: A Trend Analysis of Cleared Industry Reporting
2013-01-01
conducted a scientic analysis that traced a particular disease outbreak to one specic London well, and demonstrated that cholera befell only those...Islands Chile Colombia Costa Rica Cuba Curacao Dominica Dominican Republic Ecuador El Salvador Grenada Guatemala Guyana Haiti Honduras Jamaica Mexico
75 FR 3467 - Ocean Transportation Intermediary License; Applicants
Federal Register 2010, 2011, 2012, 2013, 2014
2010-01-21
.../Secretary/ Treasurer. (Qualifying Individual) EB Logistics, LLC, 300 Colonial Center Parkway, Suite 100.... (Qualifying Individual) Tri-Vi-U.S. Logistics Ltd., 147-35 Farmers Blvd., Jamaica, NY 11434, Officers: Yehudit... Logistics LLC, 6 Emerald Court, Princeton Junction, NJ 08550, Yongpeng Jin, Owner. Officer: (Qualifying...
ERIC Educational Resources Information Center
Dean, Kris
1991-01-01
The Caribbean is a rich breeding ground for African-derived music. A synopsis is given of the music of the following countries and styles: (1) Jamaica; (2) Trinidad and Tobago; (3) Calypso; (4) steel pan; (5) Haiti; (6) Dominican Republic; (7) Cuba; (8) Puerto Rico; and (9) other islands. (SLD)
The Elusive Goal of World Literacy.
ERIC Educational Resources Information Center
Bhola, H. S.; And Others
1980-01-01
This issue is devoted to discussions of world literacy and national programs which comparative studies indicate may be used as models for future UNESCO international campaigns. Individual articles explore economic incentives for literacy motivation, radio learning projects, media programs in Jamaica, literacy improvement in Somalia, and a…
Assessment of Roots, Rhizomes, and Soil Respiration in Disturbed Wetlands
Accelerated sea level rise and cultural eutrophication are anthropogenic stressors known to alter the structure and function of salt marsh ecosystems. Many salt marshes in Jamaica Bay (NY) are reported to be disappearing at an alarming rate, approximately 35 - 40 acres per year....
HIV treatment as prevention in Jamaica and Barbados: magic bullet or sustainable response?
Barrow, Geoffrey; Barrow, Christine
2015-01-01
This discursive article introduces HIV treatment as prevention (TasP) and identifies various models for its extrapolation to wider population levels. Drawing on HIV surveillance data for Jamaica and Barbados, the article identifies significant gaps in HIV response programming in relation to testing, antiretroviral treatment coverage, and treatment adherence, thereby highlighting the disparity between assumptions and prerequisites for TasP success. These gaps are attributable, in large part, to sociocultural impediments and structural barriers, severe resource constraints, declining political will, and the redefinition of HIV as a manageable, chronic health issue. Antiretroviral treatment and TasP can realize success only within a combination prevention frame that addresses structural factors, including stigma and discrimination, gender inequality and gender-based violence, social inequality, and poverty. The remedicalization of the response compromises outcomes and undermines the continued potential of HIV programming as an entry point for the promotion of sexual, health, and human rights. © The Author(s) 2013.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Chen, A.A.; Daniel, A.R.; Daniel, S.T.
1990-01-01
Parameters to evaluate the potential for using wind energy to generate electricity in Jamaica were obtained. These include the average wind power scaled to a height of 20 m at existing weather stations and temporary anemometer sites, the variation in annual and monthly wind power, and the frequency distribution of wind speed and wind energy available. Four small commercial turbines were assumed to be operating at some of the sites, and the estimated energy captured by them, the time they operated above their cut-in speed and their capacity factors were also determined. Diurnal variations of wind speed and prevailing windmore » directions are discussed and a map showing wind power at various sites was produced. Two stations with long-term averages, Manley and Morant Point, gave results which warranted further investigation. Results from some temporary stations are also encouraging. Mean wind speeds at two other sites in the Caribbean are given for comparison. A method for estimating the power exponent for scaling the wind speed from climatic data is described in Appendix 2.« less
Scarlett, Henroy P.; Nisbett, Richard A.; Stoler, Justin; Bain, Brendan C.; Bhatta, Madhav P.; Castle, Trevor; Harbertson, Judith; Brodine, Stephanie K.; Vermund, Sten H.
2011-01-01
Global commerce, travel, and emerging and resurging infectious diseases have increased awareness of global health threats and opportunities for collaborative and service learning. We review course materials, knowledge archives, data management archives, and student evaluations for the first 10 years of an intensive summer field course in infectious disease epidemiology and surveillance offered in Jamaica. We have trained 300 students from 28 countries through collaboration between the University of the West Indies and U.S. partner universities. Participants were primarily graduate students in public health, but also included health professionals with terminal degrees, and public health nurses and inspectors. Strong institutional synergies, committed faculty, an emphasis on scientific and cultural competencies, and use of team-based field research projects culminate in a unique training environment that provides participants with career-developing experiences. We share lessons learned over the past decade, and conclude that South-to-North leadership is critical in shaping transdisciplinary, cross-cultural, global health practice. PMID:21896794
ERIC Educational Resources Information Center
Ingman, Stan; Amin, Iftekhar; Clarke, Egerton; Brune, Kendall
2010-01-01
As low income societies experience rapid aging of their populations, they face major challenges in developing educational policies to prepare their workforce for the future. We review modest efforts undertaken to assist colleagues in three societies: Mexico, China, and Jamaica. Graduate education in gerontology has an important opportunity to…
Fieldwork, Heritage and Engaging Landscape Texts
ERIC Educational Resources Information Center
Mains, Susan P.
2014-01-01
This paper outlines and analyses efforts to critically engage with "heritage" through the development and responses to a series of undergraduate residential fieldwork trips held in the North Coast of Jamaica. The ways in which we read heritage through varied "texts"--specifically, material landscapes, guided heritage tours,…
Composition of mixed-species flocks of migrant and resident birds in Cuba
Paul B. Hamel; Arturo Kirkconnell
2005-01-01
Mixed-species flocks are common and obvious in Neotropical habitats. In the Caribbean islands flocks have been noted on Puerto Rico2,5,24,29, Jamaica4, Haiti20, in Dominican Republic18, the virgin Islands7 and on Cuba6,16. Unlike...
Afro-American Identity: The Jamaican Nexus.
ERIC Educational Resources Information Center
Gullick, Charles J. M. R.
1983-01-01
Describes the ethnic history and the economic development of Jamaica from its beginnings as a Spanish colony through British rule to post-World War II independence. Rastafarianism, an extremist Black nationalist movement, arose after independence. Its militancy is due to an overwhelmingly Black majority population, with few countervailing ethnic…
international organization as a federal employee ⹠⺠Search Jobs Professional Field: -- Any Indonesia Iran Iraq Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kosovo Kuwait Kyrgyzstan Laos Lebanon System / UNDP, - (Multiple D/S) Targeted Students and Young Professionals Most professional posts in
Code of Federal Regulations, 2011 CFR
2011-10-01
... Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) Ch.... Israel IL. Italy IT. Ivory Coast CI. Jamaica JM. Japan JP. Jordan JO. Kenya KE. Kiribati KI. Kuwait KW...
Code of Federal Regulations, 2010 CFR
2010-10-01
... Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) Ch.... Israel IL. Italy IT. Ivory Coast CI. Jamaica JM. Japan JP. Jordan JO. Kenya KE. Kiribati KI. Kuwait KW...
75 FR 14160 - Ocean Transportation Intermediary License Applicants
Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-24
... Logistics, Inc., dba Radiant Container Lines, 1227 120th Avenue, NE., Bellevue, WA 98005. Officers: Michael.../Director. Major Consolidation Logistics Inc., 175-01 Rockaway Blvd., Suite 201, Jamaica, NY 11434. Officer..., (Qualifying Individual), Paul Reardon, Director. Link Lines Logistics Inc, 234 Main Street, Unit 1, Lincoln...
Where Do Jamaican Adolescents Turn for Psychological Help?
ERIC Educational Resources Information Center
Williams, Dahra Jackson
2012-01-01
Background: Stigma about mental health is a significant problem in Jamaica and the wider English-speaking Caribbean. In general, negative attitudes and opinions about mental illness have been found to negatively impact psychological help-seeking among several populations. Objective: This study examined Jamaican adolescents' preferential sources of…
An Overview of Science Education in the Caribbean: Research, Policy and Practice.
ERIC Educational Resources Information Center
Sweeney, Aldrin E.
2003-01-01
Analyzes science education in the Caribbean and provides examples of science education policy and practice. Emphasizes large-scale national efforts in Barbados, Bermuda, and Jamaica. Discusses and provides recommendations for future directions in science education in these countries. (Contains 88 references.) (Author/NB)
Principals' Leadership Practices and Mathematics Pass Rate in Jamaican High Schools
ERIC Educational Resources Information Center
Palmer, David; Hermond, Douglas; Gardiner, Carl
2014-01-01
This research was intended to explore the degree to which leadership practices impacted Jamaican schools' mathematics achievement. More specifically, the researchers examined Jamaica's high school students' CSEC mathematics performance in relation to principals' instructional leadership behaviors as measured by teachers' perceptions, using Kouzes…
Bidulescu, Aurelian; Ferguson, Trevor S; Hambleton, Ian; Younger-Coleman, Novie; Francis, Damian; Bennett, Nadia; Griswold, Michael; Fox, Ervin; MacLeish, Marlene; Wilks, Rainford; Harris, E Nigel; Sullivan, Louis W
2017-02-14
Studies have suggested that social inequalities in chronic disease outcomes differ between industrialized and developing countries, but few have directly compared these effects. We explored inequalities in hypertension and diabetes prevalence between African-descent populations with different levels of educational attainment in Jamaica and in the United States of America (USA), comparing disparities within each location, and between countries. We analyzed baseline data from the Jackson Heart Study (JHS) in the USA and Spanish Town Cohort (STC) in Jamaica. Participants reported their highest level of educational attainment, which was categorized as 'less than high school' (
ERIC Educational Resources Information Center
Brock, Colin; Cammish, Nadine
Factors affecting female participation in education in seven developing countries were examined through field visits to the following countries: Bangladesh, Cameroon, India, Jamaica, Seychelles, Sierra Leone, and Vanuatu. In each country, researchers interviewed key personnel, consulted local documentation, and conducted two empirical surveys…
Parent Evaluation of Community Based Rehabilitation in Jamaica.
ERIC Educational Resources Information Center
Thorburn, M. J.
1992-01-01
A survey of parent views of the community-based rehabilitation program in two Jamaican communities is reported. Analysis of the 539 questionnaire responses indicated appreciation of home visits, increased knowledge, and improved attitudes and child-rearing practices. Unmet needs in child and parent education were also identified. (DB)
Monitoring Growth of Hard Corals as Performance Indicators for Coral Reefs
ERIC Educational Resources Information Center
Crabbe, M. James; Karaviotis, Sarah; Smith, David J.
2004-01-01
Digital videophotography, computer image analysis and physical measurements have been used to monitor sedimentation rates, coral cover, genera richness, rugosity, and estimated recruitment dates of massive corals at three different sites in the Wakatobi Marine National Park, Indonesia, and on the reefs around Discovery Bay, Jamaica.…
ERIC Educational Resources Information Center
Wilson, A. T.
2005-01-01
American Organizations bringing assistance to deaf people in developing countries unintentionally create relationships of dependency or oppression rather than relationships of support. Using qualitative methods, the author examined the effectiveness of development assistance provided to the Jamaican Deaf community by two American churches, one…
The Position as Regards Functional Literacy Pilot Projects. Summary.
ERIC Educational Resources Information Center
United Nations Educational, Scientific, and Cultural Organization, Paris (France).
A comparative analysis was made of Experimental World Literacy Program projects in 17 nations (Algeria, Brazil, Chile, Equador, Ethiopia, Guinea, India, Iran, Mali, Jamaica, Madagascar, Nigeria, Sudan, Syria, Tanzania, Tunisia, and Venezuela) after 18 months of operation. Included were functional literacy projects in 10 nations, literacy programs…
76 FR 71034 - Ocean Transportation Intermediary License; Applicants
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-16
... license as a Non-Vessel-Operating Common Carrier (NVO) and/or Ocean Freight Forwarder (OFF)--Ocean Transportation Intermediary (OTI) pursuant to section 19 of the Shipping Act of 1984 as amended (46 U.S.C..., Jamaica, NY 11434. Officer: Demba S. Ba, Owner/Member Manager (Qualifying Individual). Application Type...
CULTURAL FRONTIERS OF THE PEACE CORPS.
ERIC Educational Resources Information Center
TEXTOR, ROBERT B., ED.
THE PRESENT WORK CONTAINS ANALYSES OF PEACE CORPS PROGRAMS IN SELECTED HOST COUNTRIES (THE PHILIPPINES, MALAYA, THAILAND, PERU, BOLIVIA, AFGHANISTAN, SOMALIA, NIGERIA, TANGANYIKA, SIERRA LEONE, TUNISIA, MOROCCO, AND JAMAICA) WRITTEN BY AN AUTHORITY ON EACH COUNTRY. COVERAGE OF DOMESTIC OPERATIONS OF THE PEACE CORPS IS STRICTLY LIMITED TO WHAT IS…
76 FR 62869 - Sunshine Notice-October 27, 2011 Board of Directors Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-11
.... Revised Delegation of Authority 4. Finance Project--Egypt and South Sudan (upon the opening of OPIC Programs) 5. Finance Project--Guatemala 6. Finance Project--Peru 7. Finance Project--Mexico 8. Finance Project--Global 9. Finance Project--Mexico, Ukraine, Brazil, Colombia, Jamaica, Egypt, Vietnam, India and...
Below the Disappearing Marshes of an Urban Estuary: Historic Nitrogen Trends and Soil Structure
Marshes in the urban Jamaica Bay Estuary, New York, USA are disappearing at an average rate of 13 ha/yr, and multiple stressors (e.g., wastewater inputs, dredging activities, groundwater removal, and global warming) may be contributing to marsh losses. Among these stressors, wa...
Jamaica: Background and U.S. Relations
2010-07-09
8 Criminal Deportees ...that it would fast-track several anti-crime and anti-gang measures. Criminal Deportees The deportation of Caribbean citizens from the United States at...times has been a thorny issue in U.S. relations with the region, with challenges centered on criminal deportees and social stigma faced by the
Primary Poetry Workshop. Explore the World through Poetry.
ERIC Educational Resources Information Center
Cullinan, Bee
1997-01-01
This poetry workshop has students read Monica Gunning's poem about her childhood in Jamaica, create lists of what they want to know more about, search for and share the information, then find poems from other parts of the world. The Gunning poem and lists of resources are included. (SM)
Long Island's Black "School War" and the Decline of Segregation in New York State
ERIC Educational Resources Information Center
Mabee, Carleton
1977-01-01
In 1895 a group of local black parents decided to act against Jamaica, Long Island's school segregation policies. That struggle is outlined in this article. Persons and events important in the history of black elementary and secondary education in the area are discussed. (Author/GC)
Maternal Conjugal Multiplicity and Child Development in Rural Jamaica
ERIC Educational Resources Information Center
Dreher, Melanie; Hudgins, Rebekah
2010-01-01
Using field-based observations and standardized measures of the home environment and child development, the authors followed 59 rural Jamaican women and their offspring from birth to age 5. The findings suggest that conjugal multiplicity, a female reproductive pattern characterized by multiple unions, maternal unmarried status, and absent father,…
75 FR 76466 - Ocean Transportation Intermediary License Reissuance
Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-08
... Hollins Ferry Road, Halethorpe, MD 21227. 020253NF Concord October 22, 2010. International Transport, Inc... Logistics, Inc. October 30, 2010. dba LTH Express, 837 East Sandhill Avenue Carson, CA 90746. 021890F Empire Global October 31, 2010. Logistics, LLC, 160- 51 Rockaway Blvd., Suite 206, Jamaica, NY 11434. Sandra L...
Rastafarianism, Reggae and Racism.
ERIC Educational Resources Information Center
Troyna, Barry
This paper is concerned with the relationship between Rastafarianism and black youth in Great Britain. Rastafarianism is considered from three main perspectives: (1) the social, economic, and historical context of the movement's development among poor blacks in Jamaica since the 1930's; (2) the evolution of Reggae as the musical expression of…
Languages in Contemporary Anglophone Caribbean Societies
ERIC Educational Resources Information Center
Davids, Melva P.
2013-01-01
The paper Languages in Contemporary Anglophone Caribbean Societies examines how language is treated in Jamaica and other Anglophone Caribbean societies and the effects of a haphazard approach to language planning on the social dynamics of the society as well as the individual. It briefly explores how Language is handled in Francophone or…
7 CFR 351.3 - Procedure on arrival.
Code of Federal Regulations, 2010 CFR
2010-01-01
... from further plant quarantine examination and endorse his decision thereon; or (b) Divert it to the Plant Quarantine Station at Washington, DC, Brownsville, Tex., Hoboken, N.J., Honolulu, Hawaii, Jamaica, L.I., N.Y., Laredo, Tex., Miami, Fla., New Orleans, La., San Francisco, Calif., San Juan, P.R., San...
Jamaican American Child Disciplinary Practices
ERIC Educational Resources Information Center
Carter, Stephaney
2011-01-01
Little is known about child disciplinary practices in Jamaican American families. Literature on child discipline in Jamaica and other Caribbean nations has mainly focused on physical discipline, and no empirical studies have investigated the types of discipline used in the Jamaican American community. The purpose of this study was to describe…
76 FR 59128 - Ocean Transportation Intermediary License; Revocation
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-23
...: Unico Logistics Inc. Address: 147-04 183rd Street, Suite 203, Jamaica, NY 11413. Date Revoked: August 1... Express Inc. Address: 2130 SW. 58th Way, West Park, FL 33023. Date Revoked: August 25, 2011. Reason.... Name: Titan International Logistics, LLC. Address: 16905 Cherie Place, Carson, CA 90746. Date Revoked...
78 FR 48435 - Ocean Transportation Intermediary License Applicants
Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-08
... Change. Ever Line Logistics Inc. (NVO & OFF), 147-35 Farmers Blvd., Suite 208, Jamaica, NY 11434, Officer: Caihong Yang, President (QI), Application Type: Name Change to Bona Logistics US Inc. Global Container.... (OFF), 2018 Park Row Drive, Suite 6765, Katy, TX 77449, Officers: Frederick D. Coker, President (QI...
Holden and Company: A Separate Piece (of the Curriculum).
ERIC Educational Resources Information Center
Brown, Joanne
An instructor of an adolescent literature course wanted to give the students an opportunity to study some novels not specifically written for an adolescent audience. Examples of such novels were: Harper Lee's "To Kill a Mockingbird," J.D. Salinger's "Catcher in the Rye," and Jamaica Kincaid's "Annie John." Including…
Cybersecurity Strategy in Developing Nations: A Jamaica Case Study
ERIC Educational Resources Information Center
Newmeyer, Kevin Patrick
2014-01-01
Developing nations have been slow to develop and implement cybersecurity strategies despite a growing threat to governance and public security arising from an increased dependency on Internet-connected systems in the developing world and rising cybercrime. Using a neorealist theoretical framework that draws from Gilpin and Waltz, this qualitative…
ERIC Educational Resources Information Center
McLaughlin, Cheryl A.; McLaughlin, Felecia C.; Pringle, Rose M.
2013-01-01
This article presents the experiences of Miss Felecia McLaughlin, a fourth-grade teacher from the island of Jamaica who used the model proposed by Bass et al. (2009) to assess conceptual understanding of four of the six types of simple machines while encouraging collaboration through the creation of learning teams. Students had an opportunity to…
Predictors of Mathematics Achievement in Jamaican Elementary School Children.
ERIC Educational Resources Information Center
Roach, D. A.
1981-01-01
Using 418 sixth-graders in Jamaica, sex, family size, birth order, occupational level, father's presence, preference for conceptual style, field dependence, reading achievement, and mental ability were examined in relationship to mathematics achievement. Mental ability, reading achievement, and family size, in that order, were found to predict…
Old, Black and Poor: Reports from Five Countries.
ERIC Educational Resources Information Center
Chappell, Neena, Ed.; And Others
1995-01-01
This special issue provides international comparisons of black seniors in South Africa, Ghana, Jamaica, Bermuda, and the United States, focusing on policy and program issues. The challenge is to ensure true equality of opportunity so that black seniors in the future will not be in the disadvantaged position of today. (Author)
ERIC Educational Resources Information Center
Ferguson, Gail M.
2013-01-01
The current study tests a prediction of Relational Discrepancy Theory (RDT; i.e., emotional distress will not accompany discrepancies in hierarchical relationships) for family obligations discrepancies among adolescent-parent dyads in Jamaica, a moderately collectivistic and hierarchical society. Ninety-five dyads reported psychological adjustment…
ERIC Educational Resources Information Center
Wehman, Therese; Savage, Michael; White, Jeanne; Lee, Nancy; Grimes, Judy
2011-01-01
This interdisciplinary cross-cultural research project surveyed teachers in elementary schools in five countries: South Africa, Australia, Jamaica, England, and the United States. This study attempted to define and identify best practices used in teaching children considered to be "at-risk" in these five countries: Three research…
U. S. Multinational Corporations and National Security Policy
1975-08-01
tfol/o) action between them. A random .Ci • t° def^ne the areas of inter- Acers A ä^^^-ä z^r***- were no references to foreign or mil^Lf, as1...the rubber of Malaysia ,and the bauxite of Jamaica, Surinam and Australia. The essential characteristics of these natural resource regions have
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-26
..., Haiti, Honduras, India, Jamaica, Laos, Mexico, Nicaragua, Pakistan, Panama, Peru, and Venezuela. A... provinces, are through Iran to Turkey and Western Europe; through Pakistan to Africa, Asia, and the Middle... of opium poppy cultivated in Pakistan is much less than Afghanistan, the country continues to qualify...
Queens Tri-School Confederation, 1991-92 Evaluation Report.
ERIC Educational Resources Information Center
Hannah, Susan; Dworkowitz, Barbara
An evaluation was done of the Queens Tri-School Confederation, three high schools in the New York City Public Schools funded by a federal grant from the Magnet Schools Assistance Program. The grant provided Hillcrest, Jamaica, and Thomas A. Edison High Schools with funds to develop or expand emergency technician programs at Hillcrest; a law…
The US EP A's Regional Environmental Monitoring and Assessment Program (REMAP) conducted a study in 1993/94 to assess the effects of sediment contamination in the Hudson- Raritan area (Upper New York, Raritan Bay, Jamaica Bay, western Long Island Sound and the Bight Apex). This s...
DoD Global Emerging Infections System Annual Report, Fiscal Year 2002
2002-01-01
France Grenada Guatemala Guyana Haiti Honduras India Indonesia Jamaica Jordan Kazakhstan Japan Laos Malaysia Maldives Mexico Myanmar Nepal Nicaragua...illness from adenovirus types 7 and 3 in healthy young adults. Clin Infect Dis. 2002;34(3):577-82. 37 55. Ryan MAK, Smith TC, Honner WK, Gray GC. Varicella
Labour Market Outcomes of National Qualifications Frameworks in Six Countries
ERIC Educational Resources Information Center
Allais, Stephanie
2017-01-01
This article presents the major findings of an international study that attempted to investigate the labour market outcomes of qualifications frameworks in six countries--Belize, France, Ireland, Jamaica, Sri Lanka, and Tunisia, as well as the regional framework in the Caribbean. It finds limited evidence of success, but fairly strong support for…
Teachers' Perceptions of the Impact of the Jolly Phonics Program on Students' Literacy
ERIC Educational Resources Information Center
Moodie-Reid, Lorane
2016-01-01
At 2 primary schools in Western Jamaica, students at the Grade 1 level lacked basic literacy skills of comprehension, letter recognition, letter sounds, and oral communication. The purpose of this qualitative evaluation study was to investigate teachers' perceptions of the Jolly Phonics program implemented to improve students' literacy in Grades…
Women in History--Mary Seacole
ERIC Educational Resources Information Center
Harmer, Bonnie
2005-01-01
Born in Jamaica in 1805, Mary Seacole (nee Grant), was the daughter of a Black Creole boarding house owner and a Scottish Army officer. Like many Creole doctress women, Seacole was taught African herbal medicine arts from her mother. In addition to understanding traditional herbal medicine, she gleaned an understanding of Western medicine from the…
African Past: Migrant Present. A Guide to the Exhibition.
ERIC Educational Resources Information Center
Twining, Mary Arnold; Roark-Calnek, Sue
This exhibit guide describes an exhibition of African folk arts produced by seasonal migrant farmworkers in western New York State. Workers come from the American South, Haiti, Puerto Rico, and Jamaica. The exhibition pieces were collected through the BOCES Geneseo Migrant Center's Folk Arts Program and Creative Artists Migrant Program Services…
IFLA General Conference, 1989. Pre-Session Seminar on Interlending and Document Supply. Papers.
ERIC Educational Resources Information Center
International Federation of Library Associations, The Hague (Netherlands).
The papers in this compilation address topics relating to interlending and document supply and include the following: (1) "Training in Interlending" (D. E. K. Wijasuriya, Malaysia); (2) "Resource Collections and Document Supply Centre" (Stephney Ferguson, Jamaica); (3) "Organizing for Interlibrary Loan and Document Supply" (Rodrick S. Mabomba);…
Gender and Education in Jamaica: Who Is Achieving and by Whose Standard?
ERIC Educational Resources Information Center
Bailey, Barbara
2004-01-01
Data presented in this paper point to the fact that in spite of a widely supported thesis of "male disadvantage or underachievement" in education, nonetheless, beyond school males have the competitive advantage in terms of wider social, economic and political outcomes. Any analysis which seeks to understand the educational realities of…
Endorsing Empowerment? A Critical Comparative Study of Peace Education in Jamaica and Peru
ERIC Educational Resources Information Center
Call-Cummings, Meagan; Hook, Margaret Remstad
2015-01-01
Is empowering peace education primarily about providing individuals with skills to respond to violence they experience and capabilities to enhance their own lives? Or is inspiring social transformation to alter forms of injustice that contribute to violence an equally valid and important dimension of an empowering peace education program? This…
Winners and Losers in Single-Sex Science and Mathematics Classrooms.
ERIC Educational Resources Information Center
Baker, Dale; Jacobs, Kathy
This paper discusses the success of single sex science and mathematics education classrooms. Most studies on single sex learning environments come from countries such as Australia, Jamaica, Nigeria, Great Britain, New Zealand, and Thailand, and there is little research on American public schools. This study investigates single sex mathematics and…
Recording Artists in Jamaica: Victims of the System.
ERIC Educational Resources Information Center
Cuthbert, Marlene
Despite the international success of reggae music, a survey of Jamaican recording artists revealed disillusionment, anger and frustration with the national recording industry. Various artists identified a lack of professional ethics and discipline, and above all, lack of an updated copyright law as being at the root of the problem. Since Jamaica…
ERIC Educational Resources Information Center
McLaren, Ingrid Ann Marie
2012-01-01
This paper describes a study which uses quantitative and qualitative methods in determining the relationship between academic, institutional and psychological variables and degree performance for a sample of Jamaican undergraduate students. Quantitative methods, traditionally associated with the positivist paradigm, and involving the counting and…
ERIC Educational Resources Information Center
Dicketts, Sally; Landman, Robin
2011-01-01
During a recent episode of Radio 4's Desert Island Discs, Kirsty Young's guest--one of Britain's most influential women--explained how a further education teacher had changed her life. Heather Rabbatts, who was born in Jamaica and moved to England, found school difficult. She was "picked on for being mixed-race," failed her 11-plus and…
ERIC Educational Resources Information Center
Smithsonian Institution, Washington, DC.
Five studies focus on the cultural components of population issues in Thailand, Jamaica, Korea, Kenya, and Indonesia. The reports explore the influence of cultural factors on contraceptive practice, family planning, abortion, and education. Recommendations are made for policymakers in areas that impinge on population growth. "Birth Control…
Internal Migration. UNITAR News, Vol. 8, 1976.
ERIC Educational Resources Information Center
Isaacs, Laurel, Ed.; McDougall, Christina, Ed.
This UNITAR News Issue presents the background and working papers prepared and utilized by the participants in a workshop on Planning for Internal Migration held in Jamaica and Cuba in April 1976. This workshop, attended by planners and government officials from the Caribbean and some Latin American countries, convened to discuss mutual problems…
Many organic-rich salt marshes in the northeastern USA are disappearing at an alarming rate. In the Jamaica Bay Estuary (NY), marshes are reported to be eroding at approximately 14-16 hectares per year. These losses are due to multiple stressors, including sewage effluent inputs,...
ERIC Educational Resources Information Center
Miller, Paul
2015-01-01
School leadership is an exciting although challenging job. Principals of schools located in rural and remote communities, particular small schools, experience and encounter many challenges that their counterparts in suburban and urban areas do not experience. Concerns over staffing, the quality and availability of materials, facilities,…
Country Reports on Terrorism 2009
2010-08-01
by stronger government responses. Ecuador and Panama have responded with a mix of containment and non-confrontation with Colombian narco-terrorist...Spanish government officials, security and military forces, politicians, and judicial figures, but the group also targeted journalists and tourist areas...Dominican Republic Ecuador El Salvador Guatemala Haiti Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru Suriname Trinidad and
Computer-aided Tomography (CT) imaging was utilized to quantify wet mass of coarse roots, rhizomes, and peat in cores collected from organic-rich (Jamaica Bay, NY) and mineral (North Inlet, SC) Spartina alterniflora soils. Calibration rods composed of materials with standard dens...
No Easy Harvest: Policies and Priorities for Agriculture in Jamaica.
ERIC Educational Resources Information Center
Floyd, Barry N.
1983-01-01
The crisis in Jamaican agriculture is due to environmental factors like climate conditions and to social and economic factors like the plantation system. Along with mining, tourism, and manufacturing, agriculture has a key role to play in the Jamaican economy. Suggests ways to improve productivity by aid to family farms. (CS)
19 CFR 122.153 - Limitations on airport of entry or departure.
Code of Federal Regulations, 2012 CFR
2012-04-01
... 19 Customs Duties 1 2012-04-01 2012-04-01 false Limitations on airport of entry or departure. 122...; DEPARTMENT OF THE TREASURY AIR COMMERCE REGULATIONS Flights to and From Cuba § 122.153 Limitations on airport..., the Miami International Airport, Miami, Florida; the John F. Kennedy International Airport, Jamaica...
19 CFR 122.153 - Limitations on airport of entry or departure.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 19 Customs Duties 1 2011-04-01 2011-04-01 false Limitations on airport of entry or departure. 122...; DEPARTMENT OF THE TREASURY AIR COMMERCE REGULATIONS Flights to and From Cuba § 122.153 Limitations on airport..., the Miami International Airport, Miami, Florida; the John F. Kennedy International Airport, Jamaica...
How Do Jamaica's Unattached Youth View Their Career Prospects and Life Skills?
ERIC Educational Resources Information Center
Saxon, Terrill F.; Hull, Darrell M.; Fearon, Danielle D.; Williams, Lincoln O.; Tindigarukayo, Jimmy K.
2012-01-01
How do unattached Jamaican youth regard their educational and employment prospects? We investigate perceptions by out-of-school, unattached youth, ages 14-24, who are neither employed nor attending training program. From a human capital theoretical perspective, and based on surveys of Jamaican youth, we explore the prevalence and variability of…
ERIC Educational Resources Information Center
Sutherland, Claire Euline
2013-01-01
Many universities have expanded from teaching only to include research goals, requiring shifts in organization behavior. An exploratory case study method was used to examine these dynamics among positive deviant researchers at the University of Technology, Jamaica (UTech), the single case examined, from a social construction perspective. As a…
"Sisters Under the Skin": Race and Gender in Zora Neale Hurston's "Tell My Horse."
ERIC Educational Resources Information Center
Meisenhelder, Susan
1995-01-01
No work by Zora Neale Hurston has received harsher critical evaluation than her anthropological study of Haiti and Jamaica, "Tell My Horse." Although her aim in part was to write a commercially successful popular book, she also aimed, with some success, to offer significant social commentary. (SLD)
ERIC Educational Resources Information Center
Martin, Andrew J.; Martin, Tamica G.; Evans, Paul
2018-01-01
This study explored motivation and engagement among 585 Jamaican middle and high school students. Motivation and engagement were assessed via students' responses to the Motivation and Engagement Scale. Confirmatory factor analysis (CFA) found satisfactory fit, and by most measures, multigroup CFA demonstrated comparable factor structure for males…
ERIC Educational Resources Information Center
United Nations Educational, Scientific and Cultural Organization (UNESCO), 2006
2006-01-01
This report compares, analyses, and summarises findings from twelve case studies commissioned by the United Nations Education, Scientific, and Cultural Organization (UNESCO) in higher education institutions in Brazil, Burkina Faso, China, Democratic Republic of the Congo (DRC), Dominican Republic, Haiti, Jamaica, Lebanon, Lesotho, Suriname,…
The Most Cruel and Revolting Crimes
JONES, MARGARET
2009-01-01
In 1860 the appalling conditions that patients at the lunatic asylum in Kingston, Jamaica, endured came under public scrutiny. The most notorious of the “most cruel and revolting crimes” which were exposed was the practice of tanking – forcibly holding patients under water. Following the death of a patient, the matron and two nurses at the asylum were charged with manslaughter. Although they were acquitted by the jury, the case erupted into a public scandal. This article explores the insights that this shameful episode offers on Jamaica's colonial past. First, it exposes the fractures between the Jamaican governing classes and the imperial government; second, it reveals the internal divisions within colonial society; and third, it highlights the low level of government commitment to the health of the Jamaican people. It concludes by suggesting that the conditions at the asylum were a legacy of slavery and thus looked back to that period; but it also argues that at the same time the scandal acted as a trigger to the metropolitan government to improve colonial hospitals throughout its empire. PMID:20526467
An evaluation of the HemoCue for measuring haemoglobin in field studies in Jamaica.
Hudson-Thomas, M.; Bingham, K. C.; Simmons, W. K.
1994-01-01
The HemoCue system utilizes the principle of oxidation of haemoglobin to hemiglobin by sodium nitrite and the subsequent conversion of hemiglobin to hemiglobinazide by sodium azide. The reagents for these reactions are contained within a small disposable microcuvette of approximately 10 microliters in volume. A venous or capillary sample is introduced into the microcuvette by capillary action and, after reaction with the reagents, the absorbance is read in the HemoCue photometer at 565 and 880 nm. The haemoglobin concentration is then displayed as a digital reading, in either g/dl or mmol/l in 15-45 seconds. We compared haemoglobin values obtained by the HemoCue system with those from the Coulter Counter S-Plus IV in 366 pregnant women in urban Jamaica, and found a highly significant correlation (r = 0.78, P < 0.01). However, because of the convenience and ease of use of this instrument and considering the relatively high cost, we recommend it for use only as a research tool in field studies where accurate and rapid haemoglobin determinations are required. PMID:8062400
Geographical variation in neonatal phenotype
Leary, Sam; Fall, Caroline; Osmond, Clive; Lovel, Hermione; Campbell, Doris; Eriksson, Johan; Forrester, Terrence; Godfrey, Keith; Hill, Jacqui; Jie, Mi; Law, Catherine; Newby, Rachel; Robinson, Sian; Yajnik, Chittaranjan
2009-01-01
Background Recent studies have shown associations between size and body proportions at birth and health outcomes throughout the life cycle, but there are few data on how neonatal phenotype varies in different populations around the world. Methods Data from the UK, Finland, India, Sri Lanka, China, DR Congo, Nigeria and Jamaica (N=22 067) were used to characterise geographical differences in phenotype in singleton, liveborn newborns. Measurements included birthweight, placental weight, length, head, chest, abdominal and arm circumferences and skinfolds. Results Neonates in Europe were the largest, followed by Jamaica, East Asia (China), then Africa and South Asia. Birthweight varied widely (mean values 2730g to 3570g), but in contrast, head circumference was similar in all except China (markedly smaller). The main difference in body proportions between populations was the head to length ratio, with small heads relative to length in China and large heads relative to length in South Asia and Africa. Conclusions These marked geographical differences in neonatal phenotype need to be considered when investigating determinants of fetal growth, and optimal phenotype for short-term and long-term outcomes. PMID:16929412
Ricketts, Phylicia; Fletcher, Horace; Voutchkov, Mitko
2017-08-01
The aim of this study was to investigate the mercury levels in human placenta and its relationship to neonatal anthropometry for a group of selected pregnant women in Kingston and Manchester in Jamaica and St. Joseph in Trinidad & Tobago. The participants were interviewed on their fish intake. Neonatal anthropometric data were also recorded. The placental mercury concentrations ranged from 0.64±0.5μg/kg to 1.4±0.6μg/kg. The most significant associated factor for prenatal mercury exposure was maternal fish intake. Those pregnant women who regularly ate shark recorded the highest placenta mercury concentrations. Their neonates also had slightly smaller mean head circumference and lower birth weight. The mean placental mercury concentrations in this study were found to be lower than the literature values. Therefore it was difficult to detect any significant changes in neonatal anthropometry. This type of study can contribute to the extent of mercury exposure in the region. Copyright © 2017 Elsevier Inc. All rights reserved.
Early origins of the Caribbean plate from deep seismic profiles across the Nicaraguan Rise
NASA Astrophysics Data System (ADS)
Ott, B.; Mann, W. P.
2012-12-01
The offshore Nicaraguan Rise in the maritime zones of Honduras, Jamaica, Nicaragua and Colombia covers a combined area of 500,000 km2, and is one of the least known equatorial Cretaceous-Cenozoic carbonate regions remaining on Earth. The purpose of this study is to describe the Cretaceous to Recent tectonic and stratigraphic history of the deep water Nicaraguan Rise, and to better understand how various types of crustal blocks underlying the Eocene to Recent carbonate cover fused into a single, larger Caribbean plate known today from GPS studies. We interpreted 8700 km of modern, deep-penetration 2D seismic data kindly provided by the oil industry, tied to five wells that penetrated Cretaceous igneous basement. Based on these data, and integration with gravity, magnetic and existing crustal refraction data, we define four crustal provinces for the offshore Nicaraguan Rise: 1) Thicker (15-18 km) Late Cretaceous Caribbean ocean plateau (COP) with rough, top basement surface; 2) normal (6-8 km) Late Cretaceous COP with smooth top basement surface (B") and correlative outcrops in southern Haiti and Jamaica; 3) Precambrian-Paleozoic continental crust (20-22 km thick) with correlative outcrops in northern Central America; and 4) Cretaceous arc crust (>18 km thick) with correlative outcrops in Jamaica. These strongly contrasting basement belts strike northeastward to eastward, and were juxtaposed by latest Cretaceous-Paleogene northward and northwestward thrusting of Caribbean arc over continental crust in Central America, and the western Nicaraguan Rise (84 to 85 degrees west). A large Paleogene to recent, CCW rotation of the Caribbean plate along the Cayman trough faults and into its present day location explains why terranes in Central America and beneath the Nicaraguan Rise have their present, anomalous north-east strike. Continuing, present-day activity on some of these crustal block boundaries is a likely result of intraplate stresses imposed by the surrounding Caribbean plate boundaries.
NASA Astrophysics Data System (ADS)
Cormier, M. H.; Blake, R. E.; Coleman, D. F.; Guerrier, K.; Raineault, N.; Saintilus, N.; Walker, S. L.; Auscavitch, S.; Wagner, J.
2014-12-01
This August 2014, a 14-day expedition of the E/V NAUTILUS of the OCEAN EXPLORATION TRUST will explore the region delimited by two deep straits of the northern Caribbean, the Windward passage and the Jamaica Channel. The morphology of these straits is controlled by two transform faults: The Septentrional fault, which stretches between Cuba and Haiti (slip rate: ~13 mm/yr), and the Enriquillo-Plantain Garden Fault (EPGF), which stretches between Jamaica and Haiti (slip rate: ~9 mm/yr). Together, these faults bound the Gonave microplate, an elongated platelet caught between the North America plate and Caribbean plates. The Septentrional fault ruptured in 1842, devastating the town of Cap Haitien. The EPGF ruptured catastrophically in 2010 near Port-au-Prince (death toll > 100,000). Tsunamis were associated with both earthquakes. Oblique slip on these two faults is presumably controlling the history of uplift and subsidence of the seafloor, and has therefore also been regulating the water exchanges between the north central Atlantic and the Caribbean Sea. New multibeam bathymetric and CHIRP sub-bottom profiling data will be acquired with the E/V NAUTILUS, while the ROV HERCULES will be used to collect video, water and rock samples, as well as water column physical properties. We anticipate that this survey will document the following: (1) The nature of drowned carbonate platforms, which in turn may provide useful markers to assess rates of vertical deformation along the two faults. (2) The extent of major landslides detected on the steep fore reefs from existing multibeam bathymetric data. (3) Whether fluids are actively seeping along the fault traces or in association with the landslides, as has been reported elsewhere around the World. (4) If cold seeps are indeed present, to what extent their associated ecosystems are affected by the bottom currents that flow through these gateways. Altogether, the new findings should contribute to a better understanding of the natural hazards associated with two major transform faults.
Figueroa, J Peter; Cooper, Carol Jones; Edwards, Jessie K; Byfield, Lovette; Eastman, Shashauna; Hobbs, Marcia M; Weir, Sharon S
2015-01-01
This study estimates HIV prevalence among men who have sex with men (MSM) in Jamaica and explores social determinants of HIV infection among MSM. An island-wide cross-sectional survey of MSM recruited by peer referral and outreach was conducted in 2011. A structured questionnaire was administered and HIV/STI tests done. We compared three groups: MSM who accepted cash for sex within the past 3 months (MSM SW), MSM who did not accept cash for sex (MSM non-SW), and MSM with adverse life events (ever raped, jailed, homeless, victim of violence or low literacy). HIV prevalence among 449 MSM was 31.4%, MSM SW 41.1%, MSM with adverse life events 38.5%, 17 transgender MSM (52.9%), and MSM non-SW without adverse events 21.0%. HIV prevalence increased with age and number of adverse life events (test for trend P < 0.001), as did STI prevalence (P = 0.03). HIV incidence was 6.7 cases/100 person-years (95% CI: 3.74, 12.19). HIV prevalence was highest among MSM reporting high-risk sex; MSM SW who had been raped (65.0%), had a STI (61.2%) and who self identified as female (55.6%). Significant risk factors for HIV infection common to all 3 subgroups were participation in both receptive and insertive anal intercourse, high-risk sex, and history of a STI. Perception of no or little risk, always using a condom, and being bisexual were protective. HIV prevalence was high among MSM SW and MSM with adverse life events. Given the characteristics of the sample, HIV prevalence among MSM in Jamaica is probably in the range of 20%. The study illustrates the importance of social vulnerability in driving the HIV epidemic. Programs to empower young MSM, reduce social vulnerability and other structural barriers including stigma and discrimination against MSM are critical to reduce HIV transmission.
Young, J; Barton, M; Richards-Dawson, M A; Trotman, H
2008-01-01
To determine knowledge, perception and practices of healthcare professionals at tertiary level hospitals in Kingston, Jamaica, regarding neonatal pain management. Physicians and nurses actively involved in providing neonatal care at three tertiary level hospitals were invited to participate. A 21-item self-administered questionnaire was used to obtain information on knowledge, perception and practice of neonatal pain management. Descriptive analyses were performed. A total of 147 healthcare workers participated giving a response rate of 85%. Male to female ratio was 1: 4.4. Nurses accounted for 76 (52%) of the respondents while 70 (48%) were physicians. Seventy-three (50%) individuals were unaware of the degree of pain neonates were capable of experiencing and only 38 (27%) knew that premature infants were capable of feeling pain. One hundred and four (71%) respondents were able to identify physiological markers of pain and most respondents were able to discriminate between painful and non-painful procedures. However, 100 (68%) respondents rarely prescribed analgesia for procedures previously rated as painful. Seventy-one (51%) respondents admitted to not using analgesia for alleviating procedural pain in neonates. Twenty-five (18%) individuals thought that the procedure was too short to require analgesic support while 41 (30%) stated that medication was not usually prescribed for procedural pain. Physician scores were significantly higher than those attained by nurses for knowledge (p = 0.003) and for pain perception (p = 0.001) but no significant differences were noted for practice (p = 0.18). There is an overwhelming deficiency in the knowledge, perception and practice of neonatal pain management at tertiary level institutions in Kingston, Jamaica. There is the urgent need for the education of health professionals on neonatal pain management. This will in turn facilitate change in perception and eventually, along with the institution of local policies and protocols, influence practice.
Assessing the Wave Energy Potential of Jamaica, a Greater Antilles Island, through Dynamic Modelling
NASA Astrophysics Data System (ADS)
Daley, A. P., Jr.; Dorville, J. F. M.; Taylor, M. A.
2017-12-01
Globally wave energy has been on the rise as a result of the impacts of climate change and continuous fluctuation in oil prices. The water's inertia provides waves with greater stability than that of other renewable energy sources such as solar and wind. Jamaica is part of the Greater Antilles Arc and has over 1000 km of coast line with an abundance of shallow water approximately 80% within a 50km band. This configuration provides a wealth of sites for wave exploitation even in minimal wave energy conditions. Aside from harnessing the oceans waves converters can be viewed as a tool for protection of coastal areas against natural marine occurrences. Jamica has done extensive studies where solar, hydro and wind resouces are concerned. However, there has been no studies done to date on the country's wave energy resources.The aim of this study is to bridge this gap by characterizing Jamaica's wave energy resources generating in a half-closed Caribbean Sea using data available from: buoys, altimetric satellite, and numerical model. Available data has been used to assess the available resource on the coastal area for the last 12 years. Statistical analysis of the available energy is determined using the sea state (Hs, Tp and Dir) and the atmospheric forcing (10m-wind, atmospheric pressure, sea-air temperature) relating to the season.The chain of dynamical model is presented (WW3-SWAN-SWASH), allowing for the tracking of the propagation of the wave energy from an offshore region to nearshore zone along with their interaction with areas of shallow depth. This will provide a better assessment of the energy and the quality of the waves closer to the electrical grid.Climate prediction is used to estimate the sea state and wave energy exploitable up to 2100. An analysis of the possible usage of the available coastal resource up to 2100. The main results present small but exploitable resources with seasonal variability in the energy available but not wave direction.
Ashley, David V M; Walters, Christine; Dockery-Brown, Cheryl; McNab, André; Ashley, Deanna E C
2004-01-01
In 1996 a study found that approximately one in four tourists to Jamaica were affected with traveler's diarrhea (TD) during their stay. That year the Ministry of Health initiated a program for the prevention and control of TD. The aim of this ongoing program was to reduce attack rates of TD from 25% to 12% over a 5-year period by improving the environmental health and food safety standards of hotels. Hotel-based surveillance procedures for TD were implemented in sentinel hotels in Negril and Montego Bay in 1996, Ocho Rios in 1997, and Kingston in 1999. A structured program provided training and technical assistance to nurses, food and beverage staff, and environmental sanitation personnel in the implementation of Hazard Analysis Critical Control Point principles for monitoring food safety standards. The impact of interventions on TD was assessed in a survey of tourists departing from the international airport in Montego Bay in 1997-1998 and from the international airport in Kingston in 1999-2000. The impact of the training and technical assistance program on food safety standards and practices was assessed in hotels in Ocho Rios as of 1998 and in Kingston from 1999. At the end of May 2002, TD incidence rates were 72% lower than in 1996, when the Ministry of Health initiated its program for the prevention and control of TD. Both hotel surveillance data and airport surveillance data suggest that the vast majority of travelers to Kingston and southern regions are not afflicted with TD during their stay. The training and technical assistance program improved compliance to food safety standards over time. Interventions to prevent and control TD in visitors to Jamaica are positively associated with a reduction in TD in the visitor population and improvements in food safety standards and practices in hotels.
Neighbourhood Factors and Depression among Adolescents in Four Caribbean Countries
Gibson, Roger C.; Halliday, Sharon; Morris, Amrie; Clarke, Nelson; Wilson, Rosemarie N.
2014-01-01
Background Past research suggests that perceived neighbourhood conditions may influence adolescents' emotional health. Relatively little research has been conducted examining the association of perceived neighbourhood conditions with depressive symptoms among Caribbean adolescents. This project examines the association of perceived neighbourhood conditions with levels of depressive symptoms among adolescents in Jamaica, the Bahamas, St. Kitts and Nevis, and St. Vincent. Methods Adolescents attending grade ten of the academic year 2006/2007 in Jamaica, the Bahamas, St. Vincent, and St. Kitts and Nevis were administered the Neighbourhood Characteristics Questionnaire along with the BDI-II. Social cohesion, attachment to the neighbourhood, neighbourhood quality, neighbourhood crime, and neighbourhood disorder scales were created by summing the relevant subscales of the Neighbourhood Characteristics Questionnaire. Multiple regression analyses were used to examine the relationships of perceived neighbourhood conditions to depressive symptoms. Results A wide cross-section of tenth grade students in each nation was sampled (n = 1955; 278 from Jamaica, 217 from the Bahamas, 737 St. Kitts and Nevis, 716 from St. Vincent; 52.1% females, 45.6% males and 2.3% no gender reported; 12 to 19 years, mean = 15.3 yrs, sd = .95 yr). Nearly half (52.1%) of all adolescents reported mild to severe symptoms of depression with 29.1% reporting moderate to severe symptoms of depression. Overall, Jamaican adolescents perceived their neighbourhoods in a more positive manner than those in the Bahamas, St. Vincent and St. Kitts and Nevis. Results of a series of hierarchical multiple regression analyses suggested that a different pattern of neighbourhood factors for each island were associated with depressive symptoms. However, neighbourhood factors were more highly associated with depressive symptoms for Jamaican students than for students in the other three islands. Conclusions Neighbourhood factors appear to be partially associated with adolescents' self-reports of depressive symptoms. However, other factors may mitigate this relationship. PMID:24760035
Knowledge, Attitude, and Practices Regarding Vector-borne Diseases in Western Jamaica.
Alobuia, Wilson M; Missikpode, Celestin; Aung, Maung; Jolly, Pauline E
2015-01-01
Outbreaks of vector-borne diseases (VBDs) such as dengue and malaria can overwhelm health systems in resource-poor countries. Environmental management strategies that reduce or eliminate vector breeding sites combined with improved personal prevention strategies can help to significantly reduce transmission of these infections. The aim of this study was to assess the knowledge, attitudes, and practices (KAPs) of residents in western Jamaica regarding control of mosquito vectors and protection from mosquito bites. A cross-sectional study was conducted between May and August 2010 among patients or family members of patients waiting to be seen at hospitals in western Jamaica. Participants completed an interviewer-administered questionnaire on sociodemographic factors and KAPs regarding VBDs. KAP scores were calculated and categorized as high or low based on the number of correct or positive responses. Logistic regression analyses were conducted to identify predictors of KAP and linear regression analysis conducted to determine if knowledge and attitude scores predicted practice scores. In all, 361 (85 men and 276 women) people participated in the study. Most participants (87%) scored low on knowledge and practice items (78%). Conversely, 78% scored high on attitude items. By multivariate logistic regression, housewives were 82% less likely than laborers to have high attitude scores; homeowners were 65% less likely than renters to have high attitude scores. Participants from households with 1 to 2 children were 3.4 times more likely to have high attitude scores compared with those from households with no children. Participants from households with at least 5 people were 65% less likely than those from households with fewer than 5 people to have high practice scores. By multivariable linear regression knowledge and attitude scores were significant predictors of practice score. The study revealed poor knowledge of VBDs and poor prevention practices among participants. It identified specific groups that can be targeted with vector control and personal protection interventions to decrease transmission of the infections. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Koehler, R. D.; Mann, P.; Brown, L. A.
2009-12-01
The east-west, left lateral strike-slip fault system forming the southern edge of the Gonave microplate crosses the110-km-long and 70-km-wide island of Jamaica. GPS measurements in the northeastern Caribbean are supportive of the microplate interpretation and indicate that ~ half of the Caribbean-North America left-lateral plate motion (8-14 mm/yr) is carried by the Plantain Garden (PGFZ) and associated faults in Jamaica. We performed Neotectonic mapping of the Plantain Garden fault along the southern rangefront of the Blue Mountains and conducted a paleoseismic study of the fault at Morant River. Between Holland Bay and Morant River, the fault is characterized by a steep, faceted, linear mountain front, prominent linear valleys and depressions, shutter ridges, and springs. At the eastern end of the island, the PGFZ is characterized by a left-stepping fault geometry that includes a major, active hot spring. The river cut exposure at Morant River exposes a 1.5-m-wide, sub-vertical fault zone juxtaposing sheared alluvium and faulted Cretaceous basement rocks. This section is overlain by an, unfaulted 3-m-thick fluvial terrace inset into a late Pleistocene terrace that is culturally modified. Upward fault terminations indicate the occurrence of three paleoearthquakes that occurred prior to deposition of the flat lying inset terrace around 341-628 cal yr BP. At this time, our radiocarbon results suggest that we can rule out the PGFZ as the source of the 1907 Kingston earthquake 102 years ago, as well as, the 1692 event that destroyed Port Royal 317 years ago and produced a major landslide at Yallahs. Pending OSL ages will constrain the age of the penultimate and most recent ruptures. Gently to steeply dipping rocks as young as Pliocene exposed in roadcuts within the low coastal hills south of and parallel to the Plantain Garden fault may indicate active folding and blind thrust faulting. These structures are poorly characterized and may accommodate an unknown amount of oblique strain. Reconnaissance mapping was also performed along the South Coast fault in south-central Jamaica north of Portland Ridge, and along the Crawle River-Rio Minho fault near Frankfield in the Central Inlier. The absence of fault scarps or other tectonic geomorphic features across fluvial terraces of the Milk and Minho Rivers indicate that the South Coast fault has not been active in Holocene time. Left laterally offset streams, linear valleys, and saddles support active faulting along the east-west Crawle River-Rio Minho fault that is roughly collinear with the western extension of the Plantain Garden fault.
Wilson, Amy T
American organizations bringing assistance to deaf people in developing countries unintentionally create relationships of dependency or oppression rather than relationships of support. Using qualitative methods, the author examined the effectiveness of development assistance provided to the Jamaican Deaf community by two American churches, one American nongovernmental organization, and one U.S. federal agency. Documents were reviewed and observations were made. Interviews were conducted with more than 60 deaf and hearing people involved with the American organizations, the Jamaican organizations, and deaf Jamaican beneficiaries. The author concludes that the Jamaican Deaf community was often excluded in planning, designing, or evaluating programs, and was unsatisfied with the American assistance it received. Results also indicate that the American organizations were poorly prepared to work with the Deaf community. Suggestions for American organizations wishing to strengthen and empower deaf people through development assistance in developing countries are proposed.
Identification of Childhood Disability in Jamaica: Evaluation of the Ten Question Screen.
ERIC Educational Resources Information Center
Thorburn, Marigold; And Others
1992-01-01
This study examined the internal validity and reasons for false positives for the Ten Question Screen (with and without probes), used by community workers in developing nations to assess type and severity of disability. Results support the use of the screen but only if paired with measurements of hearing and visual impairments. (DB)
The West Indian Americans. The New Americans.
ERIC Educational Resources Information Center
Henke, Holger
This book, which is part of a series on new immigrant groups in the United States, captures the experiences of West Indian Americans who have arrived in the country since 1965. The seven chapters include: (1) "History of Jamaica and the English-Speaking Caribbean" (e.g., from plantation society to the third world and the Creolization of…
ERIC Educational Resources Information Center
Kerr-Campbell, Maureen; Salmon, Frances
2013-01-01
The incorporation of visual resources in academia is becoming increasingly popular. The Cousins Hereward Postcard Collection comprises 212 postcards that depict social, historical, cultural, and economic activities in Jamaica during the period 1900-1912. Illustrations include social conditions of the working class and peasantry, natural history…
ERIC Educational Resources Information Center
Samms-Vaughan, Maureen; Rahbar, Mohammad H.; Dickerson, Aisha S.; Loveland, Katherine A.; Hessabi, Manouchehr; Pearson, Deborah A.; Bressler, Jan; Shakespeare-Pellington, Sydonnie; Grove, Megan L.; Coore-Desai, Charlene; Reece, Jody; Boerwinkle, Eric
2017-01-01
The administration requirements of the Autism Diagnostic Observation Schedule and the Autism Diagnostic Interview-Revised, widely used in high-income countries, make them less feasible for diagnosis of autism spectrum disorder in low- and middle-income countries. The flexible administration requirements of the Childhood Autism Rating Scale have…
Evaluating the Impact of Research Produced by a Mission-Directed Emergent University
ERIC Educational Resources Information Center
Ivey, Paul W.; Oliver, Gossett; Henry, Martin
2014-01-01
The University of Technology, Jamaica (UTech) is quite young, having been granted university status in 1995, a mere 19 years ago. Nevertheless, UTech is acutely aware that it is research that sets a university apart from other post-secondary institutions. Driven by this awareness, it has developed, articulated, and implemented a coherent research…
ERIC Educational Resources Information Center
Collins-Figueroa, Marceline
2012-01-01
This article presents an account of biodiversity education in a national teacher education project in Jamaica. Four case studies are examined here. Document analyses and interviews of educators and student teachers are used to explore how biodiversity was addressed in teacher education curricula, the processes and outcomes of learning in education…
Creating a Digital Jamaican Sign Language Dictionary: A R2D2 Approach
ERIC Educational Resources Information Center
MacKinnon, Gregory; Soutar, Iris
2015-01-01
The Jamaican Association for the Deaf, in their responsibilities to oversee education for individuals who are deaf in Jamaica, has demonstrated an urgent need for a dictionary that assists students, educators, and parents with the practical use of "Jamaican Sign Language." While paper versions of a preliminary resource have been explored…
South-South Collaboration: Cuban Teachers in Jamaica and Namibia
ERIC Educational Resources Information Center
Hickling-Hudson, Anne
2004-01-01
Cuba has concentrated more than most developing countries on building a sound educational system, and as a result, it has been able to collaborate with other countries in their efforts to improve educational planning and practice. Based on recent research in the field, this paper examines the work of Cuban teachers in schools and sports programmes…
Reading the landscape, a reflection on method
Lindsay Campbell; Erika Svendsen; Nancy Falxa-Raymond; Gillian Baine
2014-01-01
Who uses the parks, natural areas, and waterfronts of the Jamaica Bay region, how do they use them, and why? We are systematically searching the terrain of urban green spaces for signs of human use and stewardship in order to answer this question. Social scientists and ecologists from the US Forest Service are collaborating with the NYC Department of Parks &...
The Road to 2012: Looking Towards the Next Two Decades
1993-03-01
Carolina in 1989 and was rated a 4 on the 5-point scale measuring storm intensity? And what about Gilbert, which ravaged Jamaica and Mexico’s Yucatan ...the nutritional 237 The Road to 2012: Looking Tozvai, the Next Two Decades and neuroendo,:rine aspects of aging, and if we develop ways to re- pair
The Impact of Funding Policies on Higher Education in Jamaica
ERIC Educational Resources Information Center
Nkrumah-Young, Kofi K.; Huisman, Jeroen; Powell, Philip
2008-01-01
This paper analyses the changes in the higher education funding policies and resource allocation models of the Jamaican government in the period 1962-2003. Throughout these four decades, four different systems were in force. This paper focuses particularly on the arguments for the funding policies and models and the impact of the models on the…
ERIC Educational Resources Information Center
Janus, Magdalena; Brinkman, Sally A.; Duku, Eric K.
2011-01-01
There is an increasing support from international organizations and the research community for stepping beyond infant or child mortality as the most common child level social indicator and progressing towards an international measure of child development. The Early Development Instrument (EDI) is a teacher-completed measure of children's…
ERIC Educational Resources Information Center
Chouinard, Amy, Ed.
This document presents 12 seminar papers describing research and development efforts in self-instructional programs being undertaken in six countries: the Philippines, Malaysia, Indonesia, Jamaica, Liberia, and Canada. The following are topics covered in the individual papers: research and development activities in primary schools; the technology…
ERIC Educational Resources Information Center
Roofe, Carmel G.; Miller, Paul
2013-01-01
The issue of teacher preparation continues to occupy academic discourse relating to student outcomes and student achievement (Stronge, Ward & Grant, 2011). Research has supported the view that there is an inextricable connection between student outcomes, quality of teaching and teachers, and teacher preparation (Darling-Hammond 2005; Grover…
ERIC Educational Resources Information Center
Hutton, Disraeli M.
2015-01-01
This paper seeks to explore the implementation of three of the critical elements required to improve performance in the education system: governance, accountability and management. The paper examines the education reform processes conducted by five Caribbean countries: Jamaica, Cayman Islands, Guyana, Belize, Trinidad and Tobago, along with those…
Research Focus: Reflections on Science Education Research Presentations at ASE 2012
ERIC Educational Resources Information Center
McGregor, Deb; Oversby, John; Woodhouse, Fiona
2012-01-01
The original call for research papers went out in the summer of 2011 and, by September, there were over thirty abstracts returned for review, from many countries including Hong Kong, Nigeria, Poland, Jamaica, Malta, the United States, Japan, Ireland and, of course, Britain. Of the proposals reviewed and accepted, 21 were finally presented at…
ERIC Educational Resources Information Center
Johnson-Leslie, Natalie; Gaskill, LuAnn R.
2006-01-01
While the process and practices of retail product development in developed countries have been documented, a void exists in descriptive analysis regarding retail product development in an international setting. The primary purpose of this study was to explore small business apparel retailing, and specifically the retail product development process…
OAS :: Coordinating Office for the Offices of the General Secretariat in
General Assembly Governance H Human Development Human Rights I Indigenous Peoples Integral Development Scholarships School of Governance Science and Technology Social Development Summits of the Americas Sustainable (Commonwealth of) Ecuador El Salvador Grenada Guatemala Guyana Haïti Honduras Jamaica México Nicaragua PanamÃ
G. ED. Paper-Book 1974-1984. The Process of Growth of an Innovation.
ERIC Educational Resources Information Center
Verduin-Muller, Henriette, Ed.
Fifteen papers presented at conferences throughout Europe and in the USSR, Nigeria, Japan, Jamaica, and Tunesia provide an introduction to the research work being done by the graduate level Department of Geography for Education (G.ED.) at the University of Utrecht in the Netherlands. An introductory chapter describes the three G.ED. modules, which…
The Development of Collective Moral Leadership among Parents through Education Organizing
ERIC Educational Resources Information Center
Evans, Michael P.; Shirley, Dennis
2008-01-01
It is often assumed that parent participation in schools is primarily based on self-interest and that this is a frequent source of contention between parents and teachers. This article examines the experiences of members of the Jamaica Plain Parent Organizing Project (JP-POP), a community-based organization in Boston, and reveals that some parents…
Striving for a Better World: Lessons from Freire in Grenada, Jamaica and Australia
ERIC Educational Resources Information Center
Hickling-Hudson, Anne
2014-01-01
The author of this paper considers the influence of Paulo Freire's pedagogical philosophy on educational practice in three different geographical/political settings. She begins with reflections on her experience as a facilitator at Freire's seminar, held in Grenada in 1980 for teachers and community educators, on the integration of work and study.…
ERIC Educational Resources Information Center
Nero, Shondel J.
2014-01-01
Using Jamaica, a former British colony where Jamaican Creole (JC) is the mass vernacular but Standard Jamaican English is the official language, as an illustrative case, this critical ethnographic study in three Jamaican schools examines the theoretical and practical challenges of language education policy (LEP) development and implementation in…
ERIC Educational Resources Information Center
Stanistreet, Paul
2008-01-01
When John McAnuff came to London from Jamaica in 1958 he was not planning to stay. Like most of the people who made the crossing to England, frustrated by low pay, little opportunity and poor living conditions, he intended to work hard for a few years before returning home a bit richer. McAnuff, now 72, worked for 10 years as a passenger guard on…
Constructing My Cultural Identity: A Reflection on the Contradictions, Dilemmas, and Reality
ERIC Educational Resources Information Center
Neegan, Erica
2008-01-01
This article provides a critical reflective analysis of my life growing up in Jamaica where I attended colonial school, to making the transition to high school in the Canadian context. I examine the elements that have influenced my cultural/racial identity as a person of African ancestry living in the diaspora. I ask questions such as how has…
33 CFR 117.795 - Jamaica Bay and Connecting Waterways.
Code of Federal Regulations, 2010 CFR
2010-07-01
... Connecting Waterways. (a) The draw of the Marine Parkway bridge, mile 3.0 over Rockaway Inlet, shall open on signal Monday through Friday from 8 a.m. to 4 p.m. At all other times, the draw shall open on signal if at least eight hours notice is given; however, the draw shall open on signal if at least a one hour...
33 CFR 117.795 - Jamaica Bay and Connecting Waterways.
Code of Federal Regulations, 2011 CFR
2011-07-01
... Connecting Waterways. (a) The draw of the Marine Parkway bridge, mile 3.0 over Rockaway Inlet, shall open on signal Monday through Friday from 8 a.m. to 4 p.m. At all other times, the draw shall open on signal if at least eight hours notice is given; however, the draw shall open on signal if at least a one hour...
ERIC Educational Resources Information Center
Black-Chen, Marsha
2013-01-01
One of the most notable trends in the last two decades has been the dramatic increase in continuing education among nontraditional-aged females. This study examined the academic and lived experience of women in Jamaica, specifically women who returned to college to further their education. Emphasis was placed on investigating reasons for…
33 CFR 117.795 - Jamaica Bay and Connecting Waterways.
Code of Federal Regulations, 2014 CFR
2014-07-01
... Connecting Waterways. (a) The draw of the Marine Parkway bridge, mile 3.0 over Rockaway Inlet, shall open on signal Monday through Friday from 8 a.m. to 4 p.m. At all other times, the draw shall open on signal if at least eight hours notice is given; however, the draw shall open on signal if at least a one hour...
33 CFR 117.795 - Jamaica Bay and Connecting Waterways.
Code of Federal Regulations, 2012 CFR
2012-07-01
... Connecting Waterways. (a) The draw of the Marine Parkway bridge, mile 3.0 over Rockaway Inlet, shall open on signal Monday through Friday from 8 a.m. to 4 p.m. At all other times, the draw shall open on signal if at least eight hours notice is given; however, the draw shall open on signal if at least a one hour...
33 CFR 117.795 - Jamaica Bay and Connecting Waterways.
Code of Federal Regulations, 2013 CFR
2013-07-01
... Connecting Waterways. (a) The draw of the Marine Parkway bridge, mile 3.0 over Rockaway Inlet, shall open on signal Monday through Friday from 8 a.m. to 4 p.m. At all other times, the draw shall open on signal if at least eight hours notice is given; however, the draw shall open on signal if at least a one hour...
ERIC Educational Resources Information Center
Gaztambide-Fernandez, Ruben A.
2002-01-01
Examines the film, "The Harder They Come," asserting that narratives constituting the supposedly subversive representation of Jamaican society contribute to mis-recognition of the white Jamaican ruling class and its dominating role that the film portrays. This movie helped mobilize a nationalist political process that included black,…
Tablet Nuff but Life Still Rough: Technology for Early Childhood Sustainable Development in Jamaica
ERIC Educational Resources Information Center
Kelly-Williams, Suzette; Berson, Ilene R.; Berson, Michael J.
2017-01-01
Early childhood education has a role to play in constructing a sustainable society. In particular, increasing global attention has focused on how early childhood may help alleviate poverty among children and their families and promote economic growth. Part of this discourse involves the use of technology as a means to improve the quality of early…
Science Content Knowledge: A Component of Teacher Effectiveness in A Primary School in Jamaica
ERIC Educational Resources Information Center
Robinson, Euphemia
2017-01-01
Empirical evidence from the National Education Inspectorate suggested that teachers at the primary school in this study in an island country in the Caribbean have inadequate science content knowledge. Students' average performance on the science Grade Six Achievement Test (GSAT) has been below 40% for the last 5 years. The purpose of this bounded…
ERIC Educational Resources Information Center
Nicholas, Pauline
2010-01-01
The Internet and the World Wide Web have influenced the new approaches taken in teaching and learning at institutions of higher learning. The nature of the courses offered, the geographical spread of the teaching sites as well as the diverse and distributed student population are the catalysts for the changes. These non-traditional, or distant…
Bray, E.L.
2011-01-01
The article discusses the latest developments in the bauxite and alumina industry, particularly in the U.S., as of June 2011. It claims that the U.S. mainly relies on imports for its bauxite consumption. Several states, including Alabama, Arkansas and Georgia, however, produce small amounts of bauxite and bauxitic clays for nonmetallurgical purposes. The major exporters of alumina to the U.S. include Australia, Brazil and Jamaica.
Cultures Flex: Unearthing Expressions of the Dancing Child
ERIC Educational Resources Information Center
Welsh, Kariamu
2009-01-01
In this article, the author describes the 11th Dance and the Child International (daCi) Conference 2009 which was hosted by the Edna Manley School of the Visual and Performing Arts in Kingston, Jamaica from August 2-8. Nicholeen Degrasse-Johnson, the director of the Edna Manley School of Dance along with daCi officials, including the president of…
ERIC Educational Resources Information Center
Stockfelt, Shawanda
2016-01-01
The author presents the result of a quantitative survey as a part of a larger mixed-methods study conducted across two case study schools in urban Jamaica. It focuses on Black Caribbean boys' levels of educational aspirations in relation to their economic, social, and embodied cultural capital. The study utilizes Bourdieu's notions of capital,…
Children of the World. A Series of Nine Television Programs for Elementary Students.
ERIC Educational Resources Information Center
Larson, Jo Ann
This is a guide to nine, thirty-minute video tape programs that try to develop in elementary school children an awareness of a true family of man. Brazil, Guatemala, Dahomey, Somalia, Nepal, Thailand, Chile, Peru, and Jamaica are the countries in which a child's life, showing the similarities and differences that exist for all humans, is the…
ERIC Educational Resources Information Center
Linder, Kjell
Part I of this report describes projects in progress in nine countries: Bangladesh (Mass Education through Small Local Organizations), China (Multi-purpose Adult Education Schools and Resource Centres), Ethiopia (Literacy and Post-Literacy Programme), Jamaica (Jamaican Movement for the Advancement of Literacy), Nepal (Training for Vocational…
Teaching for Transformation: Insights from Fiji, India, South Africa, and Jamaica
ERIC Educational Resources Information Center
Hill, Jack A.
2005-01-01
How can teaching and living abroad impact our teaching in North America? This article explores how what I do teaching religion and ethics to undergraduates at Texas Christian University has been influenced by twelve years of teaching in the two-thirds world. It is structured in terms of three insights that correlate with what I call the past,…
ERIC Educational Resources Information Center
American Library Association, Chicago, IL. Office for Library Education.
Fact sheets on the general education system and education for librarianship are presented for 49 countries. The following countries are represented: Algeria, Australia, Austria, Burma, Chile, Costa Rica, Cuba, Denmark, Ecuador, Ethiopia, Germany, Ghana, Guatemala, India, Indonesia, Iran, Iraq, Israel, Italy, Jamaica, Japan, Jordan, Korea, Kuwait,…
ERIC Educational Resources Information Center
Evans, Stephanie Y.
2009-01-01
EIn this article, the author presents a little-known but detailed history of Black women's tradition of study abroad. Specifically, she situates Dr. Anna Julia Cooper within the landscape of historic African American students who studied in Japan, Germany, Jamaica, England, Italy, Haiti, India, West Africa, and Thailand, in addition to France. The…
Better Service through Data: Wai Sze (Lacey) Chan--Queens Borough Public Library, Jamaica, NY
ERIC Educational Resources Information Center
Library Journal, 2004
2004-01-01
The New Americans Program at Queens Borough Public Library (QBPL) is well known for the innovative collections and programs it provides to one of the nation's most diverse communities. What is less known is the rigorous analysis of demographic data that provides direction to the program. Wai Sze (Lacey) Chan uses demographics to create as complete…
Social Spending in Latin America: The Story of the 1980s. World Bank Discussion Papers No. 106.
ERIC Educational Resources Information Center
Grosh, Margaret E.
This study traces public sector expenditures for nine Latin American countries in the 1980s in order to determine how social services and social well-being fared during the economic stringencies of the decade. The countries included are Argentina, Bolivia, Brazil, Chile, Costa Rica, the Dominican Republic, El Salvador, Jamaica, and Venezuela. The…
Spence, Adrian; Hanson, Richard E.; Johnson, Toni; Robinson, Claion; Annells, Richard N.
2013-01-01
The biogeochemical fate of organic matter (OM) entering soils is an important issue that must be examined to better understand its roles in nitrogen cycling and as a natural modulator of soil-atmospheric carbon fluxes. Despite these critical roles, there are uncertainties in estimating the contribution of this feedback mechanism due in part to a lack of molecular-level information regarding the origin and labile and refractory inventories of OM in soils. In this study, we used a multi-analytical approach to determine molecular-level information for the occurrence and stabilization of OM in a bird guano concretion of the Late Miocene or Pliocene age in Jamaica. We determined the specific organic structures persisting in the concretion and the possible contribution of fossil organic matter to the OM pool in modern environments. Our results indicate that aliphatic species, presumably of a highly polymethylenic nature [(CH2)n], may significantly contribute to the stable soil-C pool. Although not as significant, proteins and carbohydrates were also enriched in the sample, further suggesting that fossil organic matter may contribute to carbon and nitrogen pools in present day soil organic matter. PMID:23843688
Spence, Adrian; Hanson, Richard E; Johnson, Toni; Robinson, Claion; Annells, Richard N
2013-01-01
The biogeochemical fate of organic matter (OM) entering soils is an important issue that must be examined to better understand its roles in nitrogen cycling and as a natural modulator of soil-atmospheric carbon fluxes. Despite these critical roles, there are uncertainties in estimating the contribution of this feedback mechanism due in part to a lack of molecular-level information regarding the origin and labile and refractory inventories of OM in soils. In this study, we used a multi-analytical approach to determine molecular-level information for the occurrence and stabilization of OM in a bird guano concretion of the Late Miocene or Pliocene age in Jamaica. We determined the specific organic structures persisting in the concretion and the possible contribution of fossil organic matter to the OM pool in modern environments. Our results indicate that aliphatic species, presumably of a highly polymethylenic nature [(CH2)n], may significantly contribute to the stable soil-C pool. Although not as significant, proteins and carbohydrates were also enriched in the sample, further suggesting that fossil organic matter may contribute to carbon and nitrogen pools in present day soil organic matter.
'Men at risk': sex work, tourism, and STI/HIV risk in Jamaica.
Johnson, Lauren C
2016-09-01
Female sex tourism has become an accepted income generator for many underemployed men in Jamaica who seek to reap economic benefits from relationships with visiting tourist women. This issue provides contexts to explore the numerous ways in which health intersects with issues of masculinity, sexuality and marginality. Based on ethnographic fieldwork in a popular Jamaican resort town, this paper examines the health implications of female sex tourism for the local population and tourist visitors. Data from this project indicate the need for improved sexually transmitted infection education and HIV outreach work towards men who are involved in transactional sex with tourist women. Due to prevalent perceptions of masculinity and gendered notions of sexuality, men who engage in sex tourism constitute a population that rarely receives the attention of local and national health authorities. Data from this qualitative study suggest that engaging this particular vulnerable population could potentially decrease the risk of STI and HIV infection in the country's most popular resort areas. Research of this kind is urgently needed to better understand the risk factors and challenges for Caribbean populations, as well as to inform future prevention efforts in the region.
A Framework for Sexual Decision-Making Among Female Sex Workers in Jamaica.
Bailey, Althea; Figueroa, J Peter
2016-05-01
The Jamaican government has provided targeted HIV and sexually transmitted infection prevention, treatment, and other services for female sex workers (FSW) since 1989. HIV prevalence among FSW declined from 20 to 12% between 1989 and 1994, then to 9% in 2005, 5% in 2008, and 4.1% in 2011. This article distills the literature and two decades of experience working with FSW in Jamaica. Drawing on the constant comparative method, we put forward an innovative conceptual framework for explaining sexual decision-making and risk behaviors within both transactional and relational sexual situations. This framework helps fill the gaps in existing models that focus on individual behaviors. The model identifies interactions between environmental and structural elements of sex work, and three individual-level factors: risk perception, perceived relationship intimacy, and perceived control, as the four primary mediating factors influencing sexual decision-making among FSW. We propose that other factors such as violence, socioeconomic vulnerability, and policy/legal frameworks influence sexual decision-making through these primary mediating factors. This conceptual model may offer a useful framework for planning and evaluating prevention interventions among sex workers. However, it remains to be tested in order to establish its value.
Oshi, Sarah N; Abel, Wendel D; Agu, Chinwendu F; Omeje, Joachim C; Smith, Patrice Whitehorne; Ukwaja, Kingsley N; Ricketts Roomes, Tana; Meka, Ijeoma A; Weaver, Steve; Rae, Tania; Oshi, Daniel C
2018-04-23
The aim of this study was to examine the potential relationship between Jamaican secondary students’ alcohol drinking habits and their family structure. Methods: Data collected from a nationally representative survey of 3,365 students were analysed. Descriptive and inferential statistics were performed. Results: Out of the 3,365 students, 1,044 (31.0%) were from single-parent families. Single-parent families, married-parent families and common law-parent families were significantly associated with lifetime use of alcohol (AOR= 1.72, 95% CI= 1.06 - 2.79; AOR= 1.73, 95% CI= 1.07- 2.81, AOR= 1.94, 95%CI= 1.17- 3.21 respectively). However, family structure was not significantly associated with past year and past month alcohol use. Students whose parents “sometimes” knew their whereabouts were significantly less likely to use alcohol in their lifetime compared to students whose parents “Always” knew where the students were. Conclusion: Family structure is an independent predictor of alcohol use among high school students in Jamaica. Being from single-parent families, married-parent and common- law parent families were significantly associated with increased likelihood for lifetime alcohol use. Creative Commons Attribution License
Revision of the Lima clade (Miconia sect. Lima, Miconieae, Melastomataceae) of the Greater Antilles
Majure, Lucas C.; Bécquer, Eldis R.; Judd, Walter S.
2016-01-01
Abstract Miconia sect. Lima is an entirely Greater Antillean clade that consists of 19 known species of shrubs and small trees, which were previously recognized under the polyphyletic genera Leandra and Ossaea. The highest species richness in the clade is represented on Cuba (10 species), followed by Hispaniola (8 species) and then Jamaica (1 species). Here we present a taxonomic revision of the clade based on the study of species in the field, herbarium specimens, as well as a DNA-based phylogeny reconstruction. The Lima clade most likely originated on Cuba and then spread to Jamaica once and Hispaniola multiple times. Species of this clade can be recognized by the well developed bulla-based hairs of the adaxial leaf surface, as well as the clavate-dendritic hairs produced along the primary, secondary and tertiary veins of the adaxial leaf surface, mostly towards the leaf base, terminal inflorescences, acute petal apices, slightly bulla-based hairs produced subapically along the petal abaxial surface, and anthers with a dorso-basal appendage and a single, dorsally oriented pore. Descriptions, synonymies, along with distribution maps and illustrations/figures, are given for each species. Miconia pagnolensis sp. nov. is newly described in this revision. PMID:27829802
Safe motherhood in Jamaica: from slavery to self-determination.
McCaw-Binns, Affette
2005-07-01
The development of maternal health care in Jamaica is reviewed by examining government documents and publications to identify social and political factors associated with maternal mortality decline. Modern maternity services began with the 1887 establishment of the Victoria Jubilee Hospital and Midwifery School. Community midwives were deployed widely by the 1930s and community antenatal care expanded in the 1950s. Social policies in the 1970s increased women's access to primary health care, education and social support; improved transportation in the 1990s facilitated hospital delivery. Maternal mortality declined rapidly from approximately 600/100 000 in the 1930s to 200/100 000 in 1960, led by a 69% decline in sepsis by 1950, and a 72% decline from all causes thereafter, settling at approximately 100/100 000 in the 1980s. Skilled birth attendant deliveries moved from 39% in 1950 to 95% in 2001 and hospital births from 31% in 1960 to 91% in 2001. Maternal mortality plateaued at 70-80% prevalence of skilled delivery care. Deployment of midwives into rural communities and social development focused on women and children were associated with the observed improvements. Further reductions will require greater attention to the quality of emergency obstetric care.
ERIC Educational Resources Information Center
Ohito, Esther Oganda
2016-01-01
The currents of elitism surging through curriculum studies in the United States have long been of chief concern to critical scholars in the field. Elements of this elitism running along racialized, gendered, classed and other such lines elide to marginalize knowledge generated by and about the "other." For this racialized, gendered,…
DOE Office of Scientific and Technical Information (OSTI.GOV)
None
This profile provides a snapshot of the energy landscape of the Archipelago of San Andres, Providencia, and Santa Catalina (unpopulated), also known as San Andres and Providencia, which is equidistant between Costa Rica and Jamaica and 775 kilometers northwest of Colombia. The archipelago is part of Colombia, though Nicaragua has also laid claim to it.
ERIC Educational Resources Information Center
Bates, A. W.
This report presents case studies on the use of satellites for education in five Commonwealth countries: Australia, Canada, India, Fiji, and Jamaica. Information provided in each of the case studies includes geography, production, the distribution system, regulation and management, and costs. Additional information given for the Australian…
Assessment of a Problem Posing Task in a Jamaican Grade Four Mathematics Classroom
ERIC Educational Resources Information Center
Munroe, Kayan Lloyd
2016-01-01
This paper analyzes how a teacher of mathematics used problem posing in the assessment of the cognitive development of 26 students at the grade-four level. The students, ages 8 to 10 years, were from a rural elementary school in western Jamaica. Using a picture as a prompt, students were asked to generate three arithmetic problems and to offer…
Bray, E.L.
2009-01-01
The article provides information on bauxite and alumina mining. U.S. states like Alabama, Arkansas and Georgia produced small amounts of bauxite and bauxitic clays for nonmetallurgical uses. Total metallurgical-grade bauxite imports in 2008 is cited. The leading suppliers of bauxite to the U.S. are Jamaica, Guinea and Brazil. The estimated domestic production of alumina in 2008 is mentioned. It also discusses consumption and prices of both bauxite and alumina.
2010-07-01
Barbados, Belize, Bolivia, Brazil, Chile , Colombia, Costa Rica, Dominican Republic, Ecuador, El Salvador, Guatemala, Guyana, Haiti, Honduras, Jamaica...19The international liaisons at SOUTHCOM include representatives from eight countries— Argentina, Brazil, Canada, Chile ...Nongovernmental Participants Agua Viva Alliance for Rabies Control FACE Food for the Poor Haiti Resource Development Foundation Hugs Across America
ERIC Educational Resources Information Center
Richardson, John
This report summarizes the proceedings of UNICEF's Global Innocenti Seminar on "Achieving Gender Equality in Families: The Role of Males." The seminar examined how, as more women become economic providers for families, the role of males in families needs to develop new dimensions so that they can contribute to improved health and…
The Changing Capability of the Textile Industry to Support National Defense
1973-06-01
the impact of recent industry developments (including OSHA and EPA regulations) on the Defense Department’s mobilization requirements in the clothing...Man-Made Wool Totals Thailand 27.2 27.2 Rep. So. Africa 24.5 24.5 Malaysia 18.4 1.5 19.9 Austria 4.2 9.9 1.9 16.0 Yugoslavia 10.6 2.4 1.0 14.0 Jamaica
ERIC Educational Resources Information Center
Oram-Sterling, Jacqueline
2009-01-01
This biographical study features the leadership of Joan Miller Wint, now retired, who for 23 years was principal of Denbigh High School, located in a high-poverty rural area in Jamaica. In the article I examine biography as a qualitative research strategy used in "telling" the stories of women leaders; explore the influence of Wint's…
Daniel, Allison I; Bandsma, Robert H; Lytvyn, Lyubov; Voskuijl, Wieger P; Potani, Isabel; van den Heuvel, Meta
2017-01-01
Background The WHO Guidelines for the inpatient treatment of severely malnourished children include a recommendation to provide sensory stimulation or play therapy for children with severe acute malnutrition (SAM). This systematic review was performed to synthesize evidence around this recommendation. Specifically, the objective was to answer the question: “In children with severe acute malnutrition, does psychosocial stimulation improve child developmental, nutritional, or other outcomes?” Methods A review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO 2016: CRD42016036403). MEDLINE, Embase, CINAHL, and PsycINFO were searched with terms related to SAM and psychosocial stimulation. Studies were selected if they applied a stimulation intervention in children with SAM and child developmental and nutritional outcomes were assessed. Findings were presented within a narrative synthesis and a summary of findings table. Quality of the evidence was evaluated using the Cochrane risk of bias tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Findings Only two studies, both non–randomized controlled trials, met the selection criteria for this review. One was conducted in Jamaica (1975) with a follow–up period of 14 years; the other was done in Bangladesh (2002) with a six–month follow–up. At the individual study level, each of the included studies demonstrated significant differences in child development outcomes between intervention and control groups. Only the study conducted in Bangladesh demonstrated a clinically significant increase in weight–for–age z–scores in the intervention group compared to the control group. Conclusions The evidence supporting the recommendation of psychosocial stimulation for children with SAM is not only sparse, but also of very low quality across important outcomes. High–quality trials are needed to determine the effects of psychosocial stimulation interventions on outcomes in children with SAM. PMID:28567278
Daniel, Allison I; Bandsma, Robert H; Lytvyn, Lyubov; Voskuijl, Wieger P; Potani, Isabel; van den Heuvel, Meta
2017-06-01
The WHO Guidelines for the inpatient treatment of severely malnourished children include a recommendation to provide sensory stimulation or play therapy for children with severe acute malnutrition (SAM). This systematic review was performed to synthesize evidence around this recommendation. Specifically, the objective was to answer the question: "In children with severe acute malnutrition, does psychosocial stimulation improve child developmental, nutritional, or other outcomes?" A review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO 2016: CRD42016036403). MEDLINE, Embase, CINAHL, and PsycINFO were searched with terms related to SAM and psychosocial stimulation. Studies were selected if they applied a stimulation intervention in children with SAM and child developmental and nutritional outcomes were assessed. Findings were presented within a narrative synthesis and a summary of findings table. Quality of the evidence was evaluated using the Cochrane risk of bias tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Only two studies, both non-randomized controlled trials, met the selection criteria for this review. One was conducted in Jamaica (1975) with a follow-up period of 14 years; the other was done in Bangladesh (2002) with a six-month follow-up. At the individual study level, each of the included studies demonstrated significant differences in child development outcomes between intervention and control groups. Only the study conducted in Bangladesh demonstrated a clinically significant increase in weight-for-age z-scores in the intervention group compared to the control group. The evidence supporting the recommendation of psychosocial stimulation for children with SAM is not only sparse, but also of very low quality across important outcomes. High-quality trials are needed to determine the effects of psychosocial stimulation interventions on outcomes in children with SAM.
Description of the food safety system in hotels and how it compares with HACCP standards.
Fletcher, Stephanie M; Maharaj, Satnarine R; James, Kenneth
2009-01-01
Tourism is an important earner of foreign exchange in Jamaica; hence, the protection of the visitors' health is very important. A study of travelers to Jamaica in 1996 to 1997 found that travelers' diarrhea (TD) affected almost 25% of visitors. The Ministry of Health (Jamaica) initiated a program for the prevention and control of TD aimed at reducing attack rates from 25.0% to 12.0% over a 5-year period through environmental health and food safety standards of hotels. This article examines the food safety systems in Jamaican hotels located in a popular resort area to find out how comparable they are with the Hazard Analysis Critical Control Point (HACCP) strategy. A cross-sectional study was done of hotels in St. Mary and St. Ann. Quantitative data were obtained from food and beverage/sanitation staff and qualitative data through in-depth interviews with hotel managers. Observation of the food safety operations was also done. The majority (75%) of larger hotels used a combination of HACCP and Ministry of Health food safety strategies (p = 0.02) and offered all-inclusive services (r =-0.705, p = 0.001). Larger hotels were more likely to have a better quality team approach, HACCP plan, and monitoring of critical control points (CCPs) and more likely to receive higher scores (p < 0.05). More than two thirds of hotel staff were knowledgeable of HACCP. Significantly smaller hotels (87.5%) received less than 70% in overall score (r = 0.75, p = 0.01). Identification of CCPs and monitoring of CCPs explained 96.6% of the change in the overall HACCP scores (p = 0.001). Hotel managers felt that some hotels' systems were comparable with HACCP and that larger properties were ready for mandatory implementation. Conclusions. While some components of the HACCP system were observed in larger hotels, there were serious shortcomings in its comparison. Mandatory implementation of HACCP would require that sector-specific policies be developed for smaller hotels and implemented on a phased basis.
Globally optimal trial design for local decision making.
Eckermann, Simon; Willan, Andrew R
2009-02-01
Value of information methods allows decision makers to identify efficient trial design following a principle of maximizing the expected value to decision makers of information from potential trial designs relative to their expected cost. However, in health technology assessment (HTA) the restrictive assumption has been made that, prospectively, there is only expected value of sample information from research commissioned within jurisdiction. This paper extends the framework for optimal trial design and decision making within jurisdiction to allow for optimal trial design across jurisdictions. This is illustrated in identifying an optimal trial design for decision making across the US, the UK and Australia for early versus late external cephalic version for pregnant women presenting in the breech position. The expected net gain from locally optimal trial designs of US$0.72M is shown to increase to US$1.14M with a globally optimal trial design. In general, the proposed method of globally optimal trial design improves on optimal trial design within jurisdictions by: (i) reflecting the global value of non-rival information; (ii) allowing optimal allocation of trial sample across jurisdictions; (iii) avoiding market failure associated with free-rider effects, sub-optimal spreading of fixed costs and heterogeneity of trial information with multiple trials. Copyright (c) 2008 John Wiley & Sons, Ltd.
ERIC Educational Resources Information Center
Seittelman, Elizabeth E., Ed.
This booklet provides abstracts of the proceedings of a conference on reading conducted on 27 April 1974 by the Department of Teacher Preparation of York College of the City University of New York. The following conference presentations are discussed: "Reading Readiness--What Do I Believe?" (Lilyan Peters), "Preschool as a Language Laboratory"…
Evaluation of United States Strategy In Central America
1989-03-03
degree of tranquility and repose which it has never en - joyed even under the palmiest days of Spanish oc- cupation." William Walker was driven out of...fear and focus on Cuban/Soviet en - couragement of insurgencies miss the even greater threat that the Soviet objective for the area will bring. This... Belize , British Virgin Islands, Costa Rica, Dominica, Dominican Republic, El Salvador, Grenada, Guatemala, Haiti, Honduras, Jamaica, Montserrat
Organizational Friction: Urban Crime Control Diminish Effect Theory
2010-12-10
Even the sanctity of homes has been breached by home invaders, who rob and rape and murder with abandon. Business owners now operate with full...Caribbean nations to address somewhat similar situations. From all indications, the measures taken by our sister nations, particularly Jamaica and...adjusted to the new climate and crime gradually increased, both in quantity and severity. Statement of the Problem Like our other sister Caribbean
JPRS Report Latin America Reference Aid Abbreviations and Acronyms in the Latin American Press.
1989-04-26
Haiti Honduras Jamaica Martinique Mexico Montserrat Nicaragua Panama Paraguay Peru St. Kitts-Nevis St. Lucia St. Vincent Suriname...de Mexico Autonomous Associations of Academic Personnel of the National University of Mexico (Me) AAPC Asociaciön de Amistad Portugal-Cuba...organization] (Ch) ADN Acciön Democrätica Nacionalista Nationalist Democratic Action (Bo) ADO Autodefensa Obrera Workers Self-Defense (Co) (Formerly MAO
1981-03-01
OO3 b’ As.nciates for Rusearch in Behavior, 1971 -- 1978. O -3- TABLE 1-1. PRIOR SERVICE SUBSAINPLE SIZES PRIOF SERVICE AMEFS =NAMES# SUBSAYPLE...BLK.266 ST.36 SRVC, kALL DATE TIME INTERV RESULT GCNZALEZNELSOh ANINIC, I- r 111-17 167 ST 2 JAMAICA NV 11433 2 / __ 0 3 4 NA BY CB c B -I
ERIC Educational Resources Information Center
Pan American Health Organization, Washington, DC.
Five years have elapsed since the International Conference on Malnutrition, Learning, and Behavior at the Massachusetts Institute of Technology. The present Seminar was held to examine progress since then. The following papers were presented and discussed: "Malnutrition and the Nervous System," Donald B. Cheek, A. B. Holt, and E. D. Mellits;…
Mycetoma caused by Nocardia madurae.
Saksun, J. M.; Kane, J.; Schachter, R. K.
1978-01-01
Actinomycotic mycetoma was diagnosed in a woman from Jamaica living in Ontario. This is the first case reported in Canada in which the infection was caused by Nocardia madurae. Despite oral therapy with trimethoprim-sulfamethoxazole, local excision of newly appearing nodules was required periodically for clinical improvement. Laboratory procedures were modified to aid in identification of pathogenic actinomycetes. Images FIG. 1 FIG. 2 FIG. 3 FIG. 4 FIG. 5 FIG. 6 PMID:737642
ERIC Educational Resources Information Center
Spencer, Janet Maleson
1979-01-01
Charts the evolution of the notion that the employer bears a certain responsibility for the troubled employee as it has emerged through laws and arbitration and considers the nature and scope of that responsibility. Available from St. John's Law Review, Fromkes Hall, Grand Central and Utopia Parkways, Jamaica, NY 11439. (Author/IRT)
ERIC Educational Resources Information Center
World Confederation of Organizations of the Teaching Profession, Morges (Switzerland).
These conference papers are concerned with the perception of women in their roles as professionals and the current climate in education for the women of the Caribbean region. Among the presentations are: "Women in Education" (F. Saunders); "Teachers Organisations as Trade Unions" (Audley Gayle); and "Women in Jamica's…
Telecommunications Policy in the Caribbean: A Case Study of Telecommunications in Jamaica and Cuba
2013-03-01
official policy or position of the Department of Defense or the U.S. Government . IRB Protocol number ____N/A____. 12a. DISTRIBUTION / AVAILABILITY...STATEMENT Approved for public release; distribution is unlimited 12b. DISTRIBUTION CODE A 13. ABSTRACT (maximum 200 words) Government influence and...nation’s ideology will dictate how governments interact with telecommunications providers and, ultimately, the telecommunications company’s ability to
Shifting State Partnership Program Resources to the Asia-Pacific Region
2013-03-01
deployed along with embedded Soldiers from their partnered states in the form of Bilateral Embedded Support Teams (BEST). In these two cases , Illinois...services, and tourism and their contributions to quality of life.38 SPP built partner capacity to deter, prevent, and prepare for threats to trade and...Bulgaria, Czech Republic, and Macedonia. SOUTHCOM SPP includes Guatamala, Uruguay, Trinidad-Tobago, Jamaica, Venezuela, Guyana, Virgin Islands, Ecuador
DOE Office of Scientific and Technical Information (OSTI.GOV)
King, P.G.
1987-01-01
The history of negotiations between multinational corporations and less-developed countries involved in mineral and petroleum extraction has been widely examined. Virtually all case studies of the history of negotiations over these contracts demonstrate that, over time, the contracts tend to be renegotiated on terms more favorable to the developing country. This thesis begins by examining three case studies of negotiations between Third World countries and mineral or petroleum extracting multinational corporations: bauxite in Jamaica, petroleum in Indonesia, and copper in Chile. Evidence is presented to demonstrate that the history of negotiations in Jamaica and Indonesia is inconsistent with the oftenmore » cited theory (Morgan (1975)) that the LDC's increase in profit-share stems from the country's development of negotiating, supervisory, and operating skills. However, in all of these case studies, renegotiations often took place when the country was experiencing an economic or political crisis. The contract renegotiations appear to be an (often successful) attempt by the ruling regime to maintain power. Another aspect of mineral and petroleum extraction is that investment tends to be lumpy. Typically, mineral and petroleum extraction involves an enormous initial investment within the sovereign territory of the LDC, generally financed by the MNC.« less
Rogers, S J; Tureski, K; Cushnie, A; Brown, A; Bailey, A; Palmer, Q
2014-01-01
While considerable research has documented stigma toward key populations affected by HIV and AIDS - men who have sex with men (MSM), sex workers (SWs) - it provided limited empirical evidence on the presence of layered stigma among health-care professionals providing services for these populations. C-Change conducted a survey among 332 staff of health-care and social service agencies in Jamaica and The Bahamas to understand the levels of stigma toward people living with HIV (PLHIV), including MSM and SWs and factors associated with stigma. While most health-care professionals responding to the survey said that PLHIV, MSM, and SWs deserved quality care, they expressed high levels of blame and negative judgments, especially toward MSM and SWs. Across a stigma assessment involving eight vignette characters, the highest levels of stigma were expressed toward PLHIV who were also MSM or SWs, followed by PLHIV, MSM, and SWs. Differences were assessed by gender, country, type of staff, type of agency, and exposure to relevant training. Findings indicate higher reported stigma among nonclinical vs. clinical staff, staff who worked in general vs. MSM/SW-friendly health facilities, and among untrained vs. training staff. This implies the need for targeted staff capacity strengthening as well as improved facility environments that are MSM/SW-friendly.
Medication Adherence and Health Insurance/Health Benefit in Adult Diabetics in Kingston, Jamaica.
Bridgelal-Nagassar, R J; James, K; Nagassar, R P; Maharaj, S
2015-05-15
To determine the association between health insurance/health benefit and medication adherence amongst adult diabetic patients in Kingston, Jamaica. This was a cross-sectional study. The target population was diabetics who attended the diabetic outpatient clinics in health centres in Kingston. Two health centres were selectively chosen in Kingston. All diabetic patients attending the diabetic clinics and over the age of 18 years were conveniently sampled. The sample size was 260. An interviewer-administered questionnaire was utilized which assessed health insurance/health benefit. Adherence was measured by patients' self-reports of medication usage in the previous week. The Chi-squared test was used to determine the significance of associations. Sample population was 76% female and 24% male. Type 2 diabetics comprised 93.8%. More than 95% of patients were over the age of 40 years. Approximately 32% of participants were employed. Approximately 75% of patients had health insurance/health benefit. Among those who had health insurance or health benefit, 71.5% were adherent and 28.5% were non-adherent. This difference was statistically significant (χ2 = 6.553, p = 0.01). Prevalence of medication non-adherence was 33%. AIn Kingston, diabetic patients who are adherent are more likely to have health insurance/health benefit ( p = 0.01).
Guetterman, Timothy C; Fetters, Michael D; Mawocha, Samkeliso; Legocki, Laurie J; Barsan, William G; Lewis, Roger J; Berry, Donald A; Meurer, William J
2017-01-01
Clinical trials are complicated, expensive, time-consuming, and frequently do not lead to discoveries that improve the health of patients with disease. Adaptive clinical trials have emerged as a methodology to provide more flexibility in design elements to better answer scientific questions regarding whether new treatments are efficacious. Limited observational data exist that describe the complex process of designing adaptive clinical trials. To address these issues, the Adaptive Designs Accelerating Promising Treatments Into Trials project developed six, tailored, flexible, adaptive, phase-III clinical trials for neurological emergencies, and investigators prospectively monitored and observed the processes. The objective of this work is to describe the adaptive design development process, the final design, and the current status of the adaptive trial designs that were developed. To observe and reflect upon the trial development process, we employed a rich, mixed methods evaluation that combined quantitative data from visual analog scale to assess attitudes about adaptive trials, along with in-depth qualitative data about the development process gathered from observations. The Adaptive Designs Accelerating Promising Treatments Into Trials team developed six adaptive clinical trial designs. Across the six designs, 53 attitude surveys were completed at baseline and after the trial planning process completed. Compared to baseline, the participants believed significantly more strongly that the adaptive designs would be accepted by National Institutes of Health review panels and non-researcher clinicians. In addition, after the trial planning process, the participants more strongly believed that the adaptive design would meet the scientific and medical goals of the studies. Introducing the adaptive design at early conceptualization proved critical to successful adoption and implementation of that trial. Involving key stakeholders from several scientific domains early in the process appears to be associated with improved attitudes towards adaptive designs over the life cycle of clinical trial development.
Luce, Bryan R; Connor, Jason T; Broglio, Kristine R; Mullins, C Daniel; Ishak, K Jack; Saunders, Elijah; Davis, Barry R
2016-09-20
Bayesian and adaptive clinical trial designs offer the potential for more efficient processes that result in lower sample sizes and shorter trial durations than traditional designs. To explore the use and potential benefits of Bayesian adaptive clinical trial designs in comparative effectiveness research. Virtual execution of ALLHAT (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial) as if it had been done according to a Bayesian adaptive trial design. Comparative effectiveness trial of antihypertensive medications. Patient data sampled from the more than 42 000 patients enrolled in ALLHAT with publicly available data. Number of patients randomly assigned between groups, trial duration, observed numbers of events, and overall trial results and conclusions. The Bayesian adaptive approach and original design yielded similar overall trial conclusions. The Bayesian adaptive trial randomly assigned more patients to the better-performing group and would probably have ended slightly earlier. This virtual trial execution required limited resampling of ALLHAT patients for inclusion in RE-ADAPT (REsearch in ADAptive methods for Pragmatic Trials). Involvement of a data monitoring committee and other trial logistics were not considered. In a comparative effectiveness research trial, Bayesian adaptive trial designs are a feasible approach and potentially generate earlier results and allocate more patients to better-performing groups. National Heart, Lung, and Blood Institute.
Practical characteristics of adaptive design in phase 2 and 3 clinical trials.
Sato, A; Shimura, M; Gosho, M
2018-04-01
Adaptive design methods are expected to be ethical, reflect real medical practice, increase the likelihood of research and development success and reduce the allocation of patients into ineffective treatment groups by the early termination of clinical trials. However, the comprehensive details regarding which types of clinical trials will include adaptive designs remain unclear. We examined the practical characteristics of adaptive design used in clinical trials. We conducted a literature search of adaptive design clinical trials published from 2012 to 2015 using PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials, with common search terms related to adaptive design. We systematically assessed the types and characteristics of adaptive designs and disease areas employed in the adaptive design trials. Our survey identified 245 adaptive design clinical trials. The number of trials by the publication year increased from 2012 to 2013 and did not greatly change afterwards. The most frequently used adaptive design was group sequential design (n = 222, 90.6%), especially for neoplasm or cardiovascular disease trials. Among the other types of adaptive design, adaptive dose/treatment group selection (n = 21, 8.6%) and adaptive sample-size adjustment (n = 19, 7.8%) were frequently used. The adaptive randomization (n = 8, 3.3%) and adaptive seamless design (n = 6, 2.4%) were less frequent. Adaptive dose/treatment group selection and adaptive sample-size adjustment were frequently used (up to 23%) in "certain infectious and parasitic diseases," "diseases of nervous system," and "mental and behavioural disorders" in comparison with "neoplasms" (<6.6%). For "mental and behavioural disorders," adaptive randomization was used in two trials of eight trials in total (25%). Group sequential design and adaptive sample-size adjustment were used frequently in phase 3 trials or in trials where study phase was not specified, whereas the other types of adaptive designs were used more in phase 2 trials. Approximately 82% (202 of 245 trials) resulted in early termination at the interim analysis. Among the 202 trials, 132 (54% of 245 trials) had fewer randomized patients than initially planned. This result supports the motive to use adaptive design to make study durations shorter and include a smaller number of subjects. We found that adaptive designs have been applied to clinical trials in various therapeutic areas and interventions. The applications were frequently reported in neoplasm or cardiovascular clinical trials. The adaptive dose/treatment group selection and sample-size adjustment are increasingly common, and these adaptations generally follow the Food and Drug Administration's (FDA's) recommendations. © 2017 John Wiley & Sons Ltd.
Henry, Thomas J.
2015-01-01
Abstract The Renodaeus group, a monophyletic assemblage of genera within the New World orthotyline tribe Ceratocapsini, comprising eight genera, including four new ones, is defined; and 48 species are treated, including 26 described as new and 12 transferred from Ceratocapsus Reuter as new combinations. Ceratocapsidea gen. n. is described to accommodate the new species Ceratocapsidea bahamaensis sp. n., from the Bahamas; Ceratocapsidea baranowskii sp. n., from Jamaica; Ceratocapsidea dominicanensis sp. n., from the Dominican Republic; Ceratocapsidea rileyi sp. n., from Texas; Ceratocapsidea taeniola sp. n., from Jamaica; Ceratocapsidea texensis sp. n., from Texas; Ceratocapsidea transversa sp. n., from Mexico (Neuvo León); and Ceratocapsidea variabilis sp. n., from Jamaica; and Ceratocapsus balli Knight, comb. n., Ceratocapsus complicatus Knight, comb. n., Ceratocapsidea consimilis Reuter, comb. n., Ceratocapsus fusiformis Van Duzee, comb. n. (as the type species of the genus), Ceratocapsus nigropiceus Reuter, comb. n., and Ceratocapsus rufistigmus Blatchley, comb. n. [and a neotype designated], Ceratocapsus clavicornis Knight, syn. n. and Ceratocapsus divaricatus Knight, syn. n. are treated as junior synonyms of Ceratocapsus fusiformis Van Duzee. The genus Marininocoris Carvalho and the only included species Marinonicoris myrmecoides Carvalho are redescribed. The genus Pilophoropsis Poppius is redescribed and revised, Renodaeus texanus Knight, comb. n. is transferred into it and the three new species Pilophoropsis bejeanae sp. n., from Sonora, Mexico; Pilophoropsis cunealis sp. n., from Oaxaca, Mexico; Pilophoropsis quercicola sp. n., from Arizona, USA, are described. Pilophoropsidea gen. n. is described to accommodate the 12 new species Pilophoropsidea brailovskyi sp. n., from Federal District, Mexico; Pilophoropsidea cuneata sp. n., from Chiapas, Mexico; Pilophoropsidea dimidiata sp. n., from Durango, Mexico; Pilophoropsidea fuscata sp. n., from Durango, Mexico and Arizona and New Mexico, USA; Pilophoropsidea keltoni sp. n., from Durango, Mexico; Pilophoropsidea maxima sp. n., from Durango, Mexico; Pilophoropsidea pueblaensis sp. n., from Puebla, Mexico; Pilophoropsidea schaffneri sp. n., from Neuvo León and San Luis Potosi, Mexico; Pilophoropsidea serrata sp. n., from Michoacan, Mexico; Pilophoropsidea touchetae sp. n., from Mexico (Puebla); Pilophoropsidea truncata sp. n., from Mexico (Guerrero); Pilophoropsidea tuberculata sp. n., from Mexico (Guerrero); and Ceratocapsus barberi Knight, comb. n., Ceratocapsus camelus Knight, comb. n. (as the type species of the genus), and Ceratocapsus fascipennis Knight, comb. n. Pilophoropsita gen. n. is described to accommodate Pilophoropsidea schaffneri sp. n. from Costa Rica and Mexico (Jalisco, Nayarit, Oaxaca). The genus Renodaeus Distant is redescribed and the new species Renodaeus mimeticus sp. n. from Ecuador is described. The genus Zanchisme Kirkaldy is reviewed and the four known species are redescribed. Zanchismeopsidea gen. n. is described to accommodate Zanchismeopsidea diegoi sp. n. from Argentina (Santiago del Estero). Provided are habitus illustrations for certain adults (Pilophoropsidea camelus, Pilophoropsis brachyptera Poppius, Renodaeus mimeticus, and Zanchisme mexicanus Carvalho & Schaffner), male and female (when available) color digital images and figures of male genitalia of all species, electron photomicrographs of diagnostic characters for selected species, and keys to the genera and their included species. The taxa treated in this paper are arranged alphabetically by genus and species. PMID:25878535
Collins, A M; Mujaddad-ur-Rehman, Malik; Brown, J K; Reddy, C; Wang, A; Fondong, V; Roye, M E
2009-12-01
Partial genome segments of a begomovirus were previously amplified from Wissadula amplissima exhibiting yellow-mosaic and leaf-curl symptoms in the parish of St. Thomas, Jamaica and this isolate assigned to a tentative begomovirus species, Wissadula golden mosaic St. Thomas virus. To clone the complete genome of this isolate of Wissadula golden mosaic St. Thomas virus, abutting primers were designed to PCR amplify its full-length DNA-A and DNA-B components. Sequence analysis of the complete begomovirus genome obtained, confirmed that it belongs to a distinct begomovirus species and this isolate was named Wissadula golden mosaic St. Thomas virus-[Jamaica:Albion:2005] (WGMSTV-[JM:Alb:05]). The genome of WGMSTV-[JM:Alb:05] is organized similar to that of other bipartite Western Hemisphere begomoviruses. Phylogenetic analyses placed the genome components of WGMSTV-[JM:Alb:05] in the Abutilon mosaic virus clade and showed that the DNA-A component is most closely related to four begomovirus species from Cuba, Tobacco leaf curl Cuba virus, Tobacco leaf rugose virus, Tobacco mottle leaf curl virus, and Tomato yellow distortion leaf virus. The putative Rep-binding-site motif in the common region of WGMSTV-[JM:Alb:05] was observed to be identical to that of Chino del tomate virus-Tomato [Mexico:Sinaloa:1983], Sida yellow mosaic Yucatan virus-[Mexico:Yucatan:2005], and Tomato leaf curl Sinaloa virus-[Nicaragua:Santa Lucia], suggesting that WGMSTV-[JM:Alb:05] is capable of forming viable pseudo-recombinants with these begomoviruses, but not with other members of the Abutilon mosaic virus clade. Biolistic inoculation of test plant species with partial dimers of the WGMSTV-[JM:Alb:05] DNA-A and DNA-B components showed that the virus was infectious to Nicotiana benthamiana and W. amplissima and the cultivated species Phaseolus vulgaris (kidney bean) and Lycopersicon esculentum (tomato). Infected W. amplissima plants developed symptoms similar to symptoms observed under field conditions, confirming that this virus is a causal agent of Wissadula yellow mosaic disease in W. amplissima.
Adaptive design clinical trials: a review of the literature and ClinicalTrials.gov
Bothwell, Laura E; Avorn, Jerry; Khan, Nazleen F; Kesselheim, Aaron S
2018-01-01
Objectives This review investigates characteristics of implemented adaptive design clinical trials and provides examples of regulatory experience with such trials. Design Review of adaptive design clinical trials in EMBASE, PubMed, Cochrane Registry of Controlled Clinical Trials, Web of Science and ClinicalTrials.gov. Phase I and seamless Phase I/II trials were excluded. Variables extracted from trials included basic study characteristics, adaptive design features, size and use of independent data monitoring committees (DMCs) and blinded interim analyses. We also examined use of the adaptive trials in new drug submissions to the Food and Drug Administration (FDA) and European Medicines Agency (EMA) and recorded regulators’ experiences with adaptive designs. Results 142 studies met inclusion criteria. There has been a recent growth in publicly reported use of adaptive designs among researchers around the world. The most frequently appearing types of adaptations were seamless Phase II/III (57%), group sequential (21%), biomarker adaptive (20%), and adaptive dose-finding designs (16%). About one-third (32%) of trials reported an independent DMC, while 6% reported blinded interim analysis. We found that 9% of adaptive trials were used for FDA product approval consideration, and 12% were used for EMA product approval consideration. International regulators had mixed experiences with adaptive trials. Many product applications with adaptive trials had extensive correspondence between drug sponsors and regulators regarding the adaptive designs, in some cases with regulators requiring revisions or alterations to research designs. Conclusions Wider use of adaptive designs will necessitate new drug application sponsors to engage with regulatory scientists during planning and conduct of the trials. Investigators need to more consistently report protections intended to preserve confidentiality and minimise potential operational bias during interim analysis. PMID:29440155
78 FR 58318 - Clinical Trial Design for Intravenous Fat Emulsion Products; Public Workshop
Federal Register 2010, 2011, 2012, 2013, 2014
2013-09-23
...] Clinical Trial Design for Intravenous Fat Emulsion Products; Public Workshop AGENCY: Food and Drug... announcing a 1-day public workshop entitled ``Clinical Trial Design for Intravenous Fat Emulsion Products.'' This workshop will provide a forum to discuss trial design of clinical trials intended to support...
Guetterman, Timothy C; Fetters, Michael D; Mawocha, Samkeliso; Legocki, Laurie J; Barsan, William G; Lewis, Roger J; Berry, Donald A; Meurer, William J
2017-01-01
Objectives: Clinical trials are complicated, expensive, time-consuming, and frequently do not lead to discoveries that improve the health of patients with disease. Adaptive clinical trials have emerged as a methodology to provide more flexibility in design elements to better answer scientific questions regarding whether new treatments are efficacious. Limited observational data exist that describe the complex process of designing adaptive clinical trials. To address these issues, the Adaptive Designs Accelerating Promising Treatments Into Trials project developed six, tailored, flexible, adaptive, phase-III clinical trials for neurological emergencies, and investigators prospectively monitored and observed the processes. The objective of this work is to describe the adaptive design development process, the final design, and the current status of the adaptive trial designs that were developed. Methods: To observe and reflect upon the trial development process, we employed a rich, mixed methods evaluation that combined quantitative data from visual analog scale to assess attitudes about adaptive trials, along with in-depth qualitative data about the development process gathered from observations. Results: The Adaptive Designs Accelerating Promising Treatments Into Trials team developed six adaptive clinical trial designs. Across the six designs, 53 attitude surveys were completed at baseline and after the trial planning process completed. Compared to baseline, the participants believed significantly more strongly that the adaptive designs would be accepted by National Institutes of Health review panels and non-researcher clinicians. In addition, after the trial planning process, the participants more strongly believed that the adaptive design would meet the scientific and medical goals of the studies. Conclusion: Introducing the adaptive design at early conceptualization proved critical to successful adoption and implementation of that trial. Involving key stakeholders from several scientific domains early in the process appears to be associated with improved attitudes towards adaptive designs over the life cycle of clinical trial development. PMID:29085638
Reinventing clinical trials: a review of innovative biomarker trial designs in cancer therapies.
Lin, Ja-An; He, Pei
2015-06-01
Recently, new clinical trial designs involving biomarkers have been studied and proposed in cancer clinical research, in the hope of incorporating the rapid growing basic research into clinical practices. Journal articles related to various biomarkers and their role in cancer clinical trial, articles and books about statistical issues in trial design, and regulatory website, documents, and guidance for submission of targeted cancer therapies. The drug development process involves four phases. The confirmatory Phase III is essential in regulatory approval of a special treatment. Regulatory agency has restrictions on confirmatory trials 'using adaptive designs'. No rule of thumb to pick the most appropriate design for biomarker-related trials. Statistical issues to solve in new designs. Regulatory acceptance of the 'newly proposed trial designs'. Biomarker-related trial designs that can resolve the statistical issues and satisfy the regulatory requirement. © The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
Enhancing clinical evidence by proactively building quality into clinical trials.
Meeker-O'Connell, Ann; Glessner, Coleen; Behm, Mark; Mulinde, Jean; Roach, Nancy; Sweeney, Fergus; Tenaerts, Pamela; Landray, Martin J
2016-08-01
Stakeholders across the clinical trial enterprise have expressed concern that the current clinical trial enterprise is unsustainable. The cost and complexity of trials have continued to increase, threatening our ability to generate reliable evidence essential for making appropriate decisions concerning the benefits and harms associated with clinical interventions. Overcoming this inefficiency rests on improving protocol design, trial planning, and quality oversight. The Clinical Trials Transformation Initiative convened a project to evaluate methods to prospectively build quality into the scientific and operational design of clinical trials ("quality-by-design"), such that trials are feasible to conduct and important errors are prevented rather than remediated. A working group evaluated aspects of trial design and oversight and developed the Clinical Trials Transformation Initiative quality-by-design principles document, outlining a series of factors generally relevant to the reliability of trial conclusions and to patient safety. These principles were then applied and further refined during a series of hands-on workshops to evaluate their utility in facilitating proactive, cross-functional dialogue, and decision-making about trial design and planning. Following these workshops, independent qualitative interviews were conducted with 19 workshop attendees to explore the potential challenges for implementing a quality-by-design approach to clinical trials. The Clinical Trials Transformation Initiative project team subsequently developed recommendations and an online resource guide to support implementation of this approach. The Clinical Trials Transformation Initiative quality-by-design principles provide a framework for assuring that clinical trials adequately safeguard participants and provide reliable information on which to make decisions on the effects of treatments. The quality-by-design workshops highlighted the value of active discussions incorporating the different perspectives within and external to an organization (e.g. clinical investigators, research site staff, and trial participants) in improving trial design. Workshop participants also recognized the value of focusing oversight on those aspects of the trial where errors would have a major impact on participant safety and reliability of results. Applying the Clinical Trials Transformation Initiative quality-by-design recommendations and principles should enable organizations to prioritize the most critical determinants of a trial's quality, identify non-essential activities that can be eliminated to streamline trial conduct and oversight, and formulate appropriate plans to define, avoid, mitigate, monitor, and address important errors. © The Author(s) 2016.
Philip G. Cannon; Acelino Couto Alfenas; Rodrigo Neves Graca; Mee-Sook Kim; Tobin L. Peever; Ned B. Klopfenstein
2010-01-01
The rust, Puccinia psidii, was first found on the leaves, stems and fruit of guava in Brazil in 1894 (Winter, 1984). As a result, it was first called guava rust. It has subsequently been identified in other countries of the western hemisphere including Paraguay in 1884, Uruguay in 1989, Puerto Rico in 1913, Colombia in 1913, Cuba in 1926, Jamaica in 1936, Florida in...
Earth Obsersation taken by the Expedition 11 crew
2005-07-07
ISS011-E-10214 (7 July 2005) --- At the time of this Expedition 11 digital still camera's image, Hurricane Dennis was churning northwestward through the Caribbean Sea between Jamaica and eastern Cuba packing winds of up to 115 miles per hour. Even though the hurricane had just attained Category 3 intensity, the eye had not yet cleared. This oblique view, captured with a 70mm lens at 21:12:01 gmt, is looking west.
Adolescent health in the Caribbean region: insights from the Jamaican experience.
Harrison, Abigail; Chambers, Joi; Campbell-Forrester, Sheila
2016-08-01
Adolescent health in Jamaica and the wider English-speaking Caribbean has over the past three decades advanced in achieving improved healthcare services for adolescents. The path taken to achieve success thus far is reviewed - including a historical perspective on the services offered, revision of the relevant policy and legislation frameworks, improved service delivery through education and training of relevant stakeholders and providers, improved youth participation, and sustained involvement of advocates.
A Case Study of Exclusion on the Basis of Behaviour (and Experiences of Migration and Racialisation)
ERIC Educational Resources Information Center
Underwood, Kathryn
2012-01-01
Dwayne is a Grade 6 student who came to Canada from Jamaica at the age of seven. Upon arrival in a new school Dwayne had to adapt to a new culture. In addition, Dwayne was identified as having severe behavioural problems and learning difficulties, and it was recommended within the first month of school that the boy be medicated in order for him to…
ERIC Educational Resources Information Center
Kinkead-Clark, Zoyah
2017-01-01
Within the past 5 years, the island of Jamaica has aimed to address social issues through the development of a National Parenting Program. Schools too have taken on this task and have sought to bridge the gap between home and school by working with parents in meaningful and sustainable ways. This small-scale study highlights how two inner-city…
Area Handbook Series: Islands of the Commonwealth Caribbean; A Regional Study
1989-01-01
and to improve the satis- fying of basic needs and the quality of life through improved housing, nutrition , education, and environmental conditions...hospitals. Community health aides, positions deemphasized in the 1980s, served to educate the public on nutrition , infant care, family planning, and first...Caribbean Food and Nutrition Institute, at the UWI, also served regional research pur- poses. A national blood bank was located in Kingston. Economy Jamaica
Latin America Report, No. 2678
1983-05-16
Returned as Substandard (THE DAILY GLEANER, l6 Apr 83) IOU Oyster Industry Planned Over Next Year for Western Jamaica (THE DAILY GLEANER, l6 Apr 83...Fisherpond in 1 J Barbados’ oil production, now stand- i965 and ll w*s now planned to die ing at a record l 000 barrels a day <ieePer...Murray, head of the _Department of International Economic. : Co-operation in .then Ministry of Economic? / Planning and
Antimisting Fuel Research and Development for Commercial Aircraft
1986-04-01
applied to the same systems operating with AMK. This finding is contrary to that for forced convection, Boeing said, where AiK is a less effective heat ...Ralph Combariati Port. Authority of NY and NJ JFK International Airport Jamaica, NY 11430 Mr. Edward Conklin Sikorsky Aircraft North Main Street...Charter Oak Boulevard Box 10651 West Hartford, CT 06110-0651 Mr. Stanley Jones Pan American World Airways JFK International Airport New York, NY
Investigation of Hazards of Helicopter Operations and Root Causes of Helicopter Accidents
1986-07-01
pressure of perceived economic necessity o qet-home-xtis All of these factors have a similar result when applied to the flight * planning and preflight...visibility for see and avoid 5) Increased baggage space and improved access B. HUMAN FACTORS 1) Improved ECU ( cooling & heating ) 2) Reduced interior noise...Atlantic City, New Jersey 08405 Jim Knoetgen Federal Aviation Administration (212) 995-3390 Eastern Region JFK Airport Jamaica, New York 11430 Ed
Stopping Piracy: Refocusing on Land-based Governance
2012-06-01
control over Guadeloupe, Hispaniola, and Martinique. They also held nominal sway over Tortuga , later to become a pirate safe haven. The Dutch began to...population of Tortuga to move to Jamaica in an effort to reinforce the island’s defenses. By 1665, more than 2,000 pirates operated out of Port Royal...mainly worked out of Tortuga . The French pirate Francois l’Olonais was a particularly brutal criminal, and reportedly decapitated 87 Spanish
Can emergency medicine research benefit from adaptive design clinical trials?
Flight, Laura; Julious, Steven A; Goodacre, Steve
2017-04-01
Adaptive design clinical trials use preplanned interim analyses to determine whether studies should be stopped or modified before recruitment is complete. Emergency medicine trials are well suited to these designs as many have a short time to primary outcome relative to the length of recruitment. We hypothesised that the majority of published emergency medicine trials have the potential to use a simple adaptive trial design. We reviewed clinical trials published in three emergency medicine journals between January 2003 and December 2013. We determined the proportion that used an adaptive design as well as the proportion that could have used a simple adaptive design based on the time to primary outcome and length of recruitment. Only 19 of 188 trials included in the review were considered to have used an adaptive trial design. A total of 154/165 trials that were fixed in design had the potential to use an adaptive design. Currently, there seems to be limited uptake in the use of adaptive trial designs in emergency medicine despite their potential benefits to save time and resources. Failing to take advantage of adaptive designs could be costly to patients and research. It is recommended that where practical and logistical considerations allow, adaptive designs should be used for all emergency medicine clinical trials. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Unique Study Designs in Nephrology: N-of-1 Trials and Other Designs.
Samuel, Joyce P; Bell, Cynthia S
2016-11-01
Alternatives to the traditional parallel-group trial design may be required to answer clinical questions in special populations, rare conditions, or with limited resources. N-of-1 trials are a unique trial design which can inform personalized evidence-based decisions for the patient when data from traditional clinical trials are lacking or not generalizable. A concise overview of factorial design, cluster randomization, adaptive designs, crossover studies, and n-of-1 trials will be provided along with pertinent examples in nephrology. The indication for analysis strategies such as equivalence and noninferiority trials will be discussed, as well as analytic pitfalls. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
Design of Phase II Non-inferiority Trials.
Jung, Sin-Ho
2017-09-01
With the development of inexpensive treatment regimens and less invasive surgical procedures, we are confronted with non-inferiority study objectives. A non-inferiority phase III trial requires a roughly four times larger sample size than that of a similar standard superiority trial. Because of the large required sample size, we often face feasibility issues to open a non-inferiority trial. Furthermore, due to lack of phase II non-inferiority trial design methods, we do not have an opportunity to investigate the efficacy of the experimental therapy through a phase II trial. As a result, we often fail to open a non-inferiority phase III trial and a large number of non-inferiority clinical questions still remain unanswered. In this paper, we want to develop some designs for non-inferiority randomized phase II trials with feasible sample sizes. At first, we review a design method for non-inferiority phase III trials. Subsequently, we propose three different designs for non-inferiority phase II trials that can be used under different settings. Each method is demonstrated with examples. Each of the proposed design methods is shown to require a reasonable sample size for non-inferiority phase II trials. The three different non-inferiority phase II trial designs are used under different settings, but require similar sample sizes that are typical for phase II trials.
Thompson, Jennifer A; Fielding, Katherine; Hargreaves, James; Copas, Andrew
2017-12-01
Background/Aims We sought to optimise the design of stepped wedge trials with an equal allocation of clusters to sequences and explored sample size comparisons with alternative trial designs. Methods We developed a new expression for the design effect for a stepped wedge trial, assuming that observations are equally correlated within clusters and an equal number of observations in each period between sequences switching to the intervention. We minimised the design effect with respect to (1) the fraction of observations before the first and after the final sequence switches (the periods with all clusters in the control or intervention condition, respectively) and (2) the number of sequences. We compared the design effect of this optimised stepped wedge trial to the design effects of a parallel cluster-randomised trial, a cluster-randomised trial with baseline observations, and a hybrid trial design (a mixture of cluster-randomised trial and stepped wedge trial) with the same total cluster size for all designs. Results We found that a stepped wedge trial with an equal allocation to sequences is optimised by obtaining all observations after the first sequence switches and before the final sequence switches to the intervention; this means that the first sequence remains in the control condition and the last sequence remains in the intervention condition for the duration of the trial. With this design, the optimal number of sequences is [Formula: see text], where [Formula: see text] is the cluster-mean correlation, [Formula: see text] is the intracluster correlation coefficient, and m is the total cluster size. The optimal number of sequences is small when the intracluster correlation coefficient and cluster size are small and large when the intracluster correlation coefficient or cluster size is large. A cluster-randomised trial remains more efficient than the optimised stepped wedge trial when the intracluster correlation coefficient or cluster size is small. A cluster-randomised trial with baseline observations always requires a larger sample size than the optimised stepped wedge trial. The hybrid design can always give an equally or more efficient design, but will be at most 5% more efficient. We provide a strategy for selecting a design if the optimal number of sequences is unfeasible. For a non-optimal number of sequences, the sample size may be reduced by allowing a proportion of observations before the first or after the final sequence has switched. Conclusion The standard stepped wedge trial is inefficient. To reduce sample sizes when a hybrid design is unfeasible, stepped wedge trial designs should have no observations before the first sequence switches or after the final sequence switches.
Patient Engagement in Neurological Clinical Trials Design: A Conference Summary.
Cobb, Enesha M; Meurer, William; Harney, Deneil; Silbergleit, Robert; Lake, Bray Patrick; Clark, Christina; Gipson, Debbie; Barsan, William
2015-12-01
The conference objectives included educating patients and advocates about clinical trials, educating the clinical research community about patient perspectives on participating in clinical trial design, and identifying strategies to increase participation in clinical trial design for neurological disorders. Observations were noted during a 1-day conference attended by patients, patient advocates, clinical trial staff, and investigators. The conference offered didactic sessions, small, and large group discussions. Conference participants were patients, patient advocates, clinical trial staff, students, and investigators interested in engaging patients in clinical trial design for neurological disorders. Conference participants were asked to consider lessons learned that could increase patient engagement in clinical trial design. We found that there is growing interest in including patients in the design of clinical trials for neurological disorders. Several themes emerged on how to move forward: networking; the multifaceted roles of advocates in research; training and education; creating patient-researcher partnerships; and clinical trials regulation issues. The conference provided a forum for dialogue regarding stakeholder engagement in the design of clinical trials for neurological disorders. This experience provides a template for replication and dissemination of this conference and informs next steps to accelerate the pathway from dialogue to action. © 2015 Wiley Periodicals, Inc.
A study of inter-particle bonds in dry bauxite waste resulting in atmospheric aerosols
NASA Astrophysics Data System (ADS)
Wagh, Arun S.; Thompson, Bentley
1988-02-01
Bauxite and Alumina production are one of the main activities of several third world countries such as Jamaica, Brazil, India, Guinea, eastern European countries such as Hungary and Rumania and advanced countries such as Australia, West Germany, Japan and the United States. The mining operations lead to dust pollution, but the refining of bauxite to alumina yield large amounts of highly caustic sludge waste, called "Red Mud". Millions of tons of the waste produced in every country are stored in containment dams or natural valleys. This leads to ground water pollution, destruction of plant and bird life and is hazardous to human settlement in earthquake prone regions like Jamaica. As a result several companies have been looking into dry mud stacking which involves thickening the mud in the refining plants and sprying it on the slopes to sun dry it. Typically it involves a drying field of about two hundred acres, which could act as a potential source of caustic dust. In Jamaica one company has started disposing of the mud in this way. The aerosol formation from such areas depends mainly on the integrity of the top dry layers. Presently this is done by studying the approximate parameters such as the friability of the mud. However, following the recent advances in powder technology it has been possible for us to develop an instrument to study the average interparticle forces between the red mud particles. The instrument is based on the principle of a tensometer and a split cell is used to load specimens. A load cell is used to measure the force and a chart recorder is used for plotting separation and the force. The present study reports elemental composition of the dust and its health hazards. It also reports the physical measurement of the average interparticle force as a function of their separation in the Jamaican mud. The effect of ultraviolet radiation on the strength of the material is studied to see the effect of sun-drying of the waste. The five-fold increase in tensile strength indicates that laterisation process is responsible for this phenomenon in Jamaican red mud. The study is crucial to the development of dust free mud stacking by the proper modifications in the process technology. Finally, such a case study is general enough in the characterisation of other sources of aerosols.
Li, Zhihui; Li, Mingqiang; Fink, Günther; Bourne, Paul; Bärnighausen, Till; Atun, Rifat
2017-01-01
Background The impact of user–fee policies on the equity of health care utilization and households’ financial burdens has remained largely unexplored in Latin American and the Caribbean, as well as in upper–middle–income countries. This paper assesses the short– and long–term impacts of Jamaica’s user–fee–removal for children in 2007. Methods This study utilizes 14 rounds of data from the Jamaica Survey of Living Conditions (JSLC) for the periods 1996 to 2012. JSLC is a national household survey, which collects data on health care utilization and among other purposes for planning. Interrupted time series (ITS) analysis was used to examine the immediate impact of the user–fee–removal policy on children’s health care utilization and households’ financial burdens, as well as the impact in the medium– to long–term. Results Immediately following the implementation of user–fee–removal, the odds of seeking for health care if the children fell ill in the past 4 weeks increased by 97% (odds ratio 2.0, 95% confidence interval (CI) 1.1 to 3.5, P = 0.018). In the short–term (2007–2008), health care utilization increased at a faster rate among children not in poverty than children in poverty; while this gap narrowed after 2008. There was minimal difference in health care utilization across wealth groups in the medium– to long–term. The household’s financial burden (health expenditure as a share of household’s non–food expenditures) reduced by 6 percentage points (95% CI: –11 to –1, P = 0.020) right after the policy was implemented and kept at a low level. The difference in financial burden between children in poverty and children not in poverty shrunk rapidly after 2007 and remained small in subsequent years. Conclusions User–fee–removal had a positive impact on promoting health care utilization among children and reducing their household health expenditures in Jamaica. The short–term and the medium– to long–term results have different indications: In the short–term, the policy deteriorated the equity of access to health care for children, while the equity status improved fast in the medium– to long–term. PMID:28685038
Jamaica: a middle-aged program searches for new horizons.
1984-01-01
The advertising and marketing consultant for Jamaica's Commercial Distribution of Contraceptives (JCDC) program, states that the program has reached a state of maturity that has resulted in some inertia. Although still the leader among contraceptive social marketing (CSM) programs in reaching the greatest percentage of its target market, product sales are no longer on an upswing, and retail outlets are not increasing in number. The project is hoping that the introduction of a new thin condom can help, but more than 1 new product may be needed to recapture momentum. The JCDC began in 1974 when Westinghouse Health Systems won a 3 year Agency for International Development (AID) award to create a Jamaican CSM program. Challenges facing the new social marketing project included: oral contraceptives (OCs) were sold only by prescription; most pharmacies were located in urban areas; many consumers associated condoms with prostitution and disease; and retailers were reluctant to carry contraceptives and ignorant of OC side effects. The 1st breakthrough came when Westinghouse obtained government permission to sell a project pill without prescription. After market research, project managers chose the name "Perle" for the JCDC's pill, manufactured in the US by Syntex as Noriday. "Panther" became the project's condom. Prices were set at US17 cents for a Panther 3-pack and 34 cents for a Perle cycle. Advertising messages appeared on television, radio, bus shelters, cinema screens, billboards, and point of purchase displays. By the end of the 1st year's sales, a soft goods manufacturer had asked permission to produce Panther T-shirts and a Reggae composer had popularized songs about the product. Such promotional tactics boosted sales of all contraceptives on the island. About 690,000 Panther condoms and 450,000 other brands were sold in 1976; 195,000 Perle cycles were purchased compared with 135,000 cycles for all other brands combined. By 1977, Westinghouse was reducing advertising and concentrating on expanding retail sales outlets. Panther was being sold through 1108 outlets; Perle was distributed via 267 predominantly pharmacy outlets. In 1977 AID's contract with Westinghouse ended and the Jamaican National Family Planning Board took over the project management. With its subsidy markedly reduced, the JCDC soon was experiencing difficulty in Jamaica's troubled economy; as well as difficulty in expanding sales outlet. Despite the project's financial pinch, the JCDC has -- with some success -- used imaginative tactics like contests to spur sales.
Biomarker-Guided Non-Adaptive Trial Designs in Phase II and Phase III: A Methodological Review
Antoniou, Miranta; Kolamunnage-Dona, Ruwanthi; Jorgensen, Andrea L.
2017-01-01
Biomarker-guided treatment is a rapidly developing area of medicine, where treatment choice is personalised according to one or more of an individual’s biomarker measurements. A number of biomarker-guided trial designs have been proposed in the past decade, including both adaptive and non-adaptive trial designs which test the effectiveness of a biomarker-guided approach to treatment with the aim of improving patient health. A better understanding of them is needed as challenges occur both in terms of trial design and analysis. We have undertaken a comprehensive literature review based on an in-depth search strategy with a view to providing the research community with clarity in definition, methodology and terminology of the various biomarker-guided trial designs (both adaptive and non-adaptive designs) from a total of 211 included papers. In the present paper, we focus on non-adaptive biomarker-guided trial designs for which we have identified five distinct main types mentioned in 100 papers. We have graphically displayed each non-adaptive trial design and provided an in-depth overview of their key characteristics. Substantial variability has been observed in terms of how trial designs are described and particularly in the terminology used by different authors. Our comprehensive review provides guidance for those designing biomarker-guided trials. PMID:28125057
Clinical trial quality: From supervision to collaboration and beyond.
Meeker-O'Connell, Ann; Glessner, Coleen
2018-02-01
Over the past decade, clinical trial quality has evolved from an after-the-fact, reactive activity to one focused on the important work of evidence generation from well-designed trials. This article explores the role the Clinical Trials Transformation Initiative has played in advancing quality as a core element of clinical trial design, through project work that initially focused on monitoring but evolved into a holistic, prospective, and comprehensive quality by design approach to clinical trial design and conduct.
Southeastern United States and Caribbean Sea from Apollo 8 spacecraft
NASA Technical Reports Server (NTRS)
1968-01-01
Most of the southeastern United States and Caribbean Sea, the U.S. coastline from Chesapeake Bay to the Florida peninsula can be seen from the Apollo 8 spacecraft in orbit above the Earth. The Bahamas and the Islands of Cuba, Jamaica, Hispiniola and Puerto Rico extend across the Caribbean. The light blue of the shallow Bahama banks contrasts with the darker hue of the deeper water especially in the Tongue of the Ocean area.
Lessons learned in developing community mental health care in Latin American and Caribbean countries
RAZZOUK, DENISE; GREGÓRIO, GUILHERME; ANTUNES, RENATO; MARI, JAIR DE JESUS
2012-01-01
This paper summarizes the findings for the Latin American and Caribbean countries of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. It presents an overview of the provision of mental health services in the region; describes key experiences in Argentina, Belize, Brazil, Chile, Cuba, Jamaica and Mexico; and discusses the lessons learned in developing community mental health care. PMID:23024680
Earth Obsersation taken by the Expedition 11 crew
2005-07-07
ISS011-E-10221 (7 July 2005) --- At the time of this Expedition 11 digital still camera's image, Hurricane Dennis was churning northwestward through the Caribbean Sea between Jamaica and eastern Cuba packing winds of up to 115 miles per hour. Even though the hurricane had just attained Category 3 intensity, the eye had not yet cleared. This high-oblique, panoramic view, taken through a 28mm lens at 21:14:00 gmt, is looking southwest.
Heslop, Orville D.; Nyi Nyi, May-Phyo; Abbott, Sean P.; Rainford, Lois E.; Castle, Daphney M.; Coard, Kathleen C. M.
2011-01-01
A 44-year-old diabetic female presented to a hospital in Jamaica with thermal burns. Trichosporon asahii was isolated from facial wounds, sputum, and a meningeal swab. Dissemination of the fungus was demonstrated in stained histological sections of the meninges and a brain abscess at autopsy. Pure growth of the fungus from patient samples submitted and an environmental isolate obtained from a wash basin in the hospital supported the diagnosis. PMID:22012010
Latin America Report, No. 2675.
1983-05-06
returned legal status to the faction led by Guillermo Estevez Boero which had appealed Judge Marquardt’s decision. Another faction led by Victor...borrowing more money." Jamaica’s foreign debt at the end of last year stood at 2.4 billion dollars ( J ) • During 1982 the country had a negative trade...stands and retail grocery stores, a kilogram of eggs reaches a price of 100 pesos. In the self service stores Comercial Mexicana, Blanco , Aurrera
2008-01-04
attention to the equality of rural women, and the freedom to choose a marriage partner, among other things. On October 6, 1999, the U.N. General Assembly...adoption of CEDAW in 1979, including the Convention on the Political Rights of Women (1952), and the Convention on the Consent to Marriage (1957).7...Algeria, Bangladesh, Brazil, China, Croatia, Cuba, Egypt, France, Germany, Ghana, Israel, Italy, Jamaica, Japan, Malaysia , Mauritius, Netherlands
Comparative Power Projectional Capabilities: The Soviet Union and the United States 1980-85.
1981-02-26
income countries, the lowest growth (at least below 3%) has been in Ghana, Chile , Liberia, Zambia, and Argentina. (See Table 1 for growth rate comparisons...capital equipment needed by industrializing LDCs (e.g., Chile , Jamaica, and Zambia) . But the greatest impact is on those LDCs now trying to bring...while in South America, Argentina, Brazil, Bolivia, Peru, and Chile figure prominently on lists of problem states. This period of crisis will provide
ERIC Educational Resources Information Center
White, Kerry-Ann
2012-01-01
Given the lack of computer diffusion studies in the Caribbean, and coupled with the necessity to understand Jamaica in efforts to get a clearer global representation of the digital divide, this study takes an exploratory approach and examines the differences of the computer technology adoption and diffusion attitudes and viewpoints between the…
The urban risk and migration risk factors for schizophrenia: are cats the answer?
Torrey, E Fuller; Yolken, Robert H
2014-11-01
Being born in and/or raised in an urban area is a proven risk factor for developing schizophrenia. Migrating from countries such as Jamaica or Morocco to countries such as England or the Netherlands is also a proven risk factor for developing schizophrenia. The transmission of Toxoplasma gondii oocysts to children is reviewed and proposed as a partial explanation for both of these risk factors. Copyright © 2014 Elsevier B.V. All rights reserved.
NASA Astrophysics Data System (ADS)
Williams, I.; Polunin, N.
2001-05-01
Since the 1970s, macroalgae have become considerably more abundant on many Caribbean reefs and overfishing of grazing fishes has been implicated as a contributory factor. We explored relationships between algal cover and grazers (biomass of herbivorous fishes and abundance of the sea-urchin Diadema antillarum) on mid-depth reefs (12-15 m) in 19 areas at seven locations in Jamaica, Barbados, Belize, Grand Cayman and Cuba, between April 1997 and April 1998. Diadema antillarum density was never >0.01 m-2, while herbivorous fish biomass (acanthurids and scarids ≥12 cm total length) varied from 2-5 g m-2 in Jamaica to 17.1 g m-2 in Barbados, and was strongly correlated, negatively with macroalgal cover and positively with 'cropped' substratum (sum of 'bare', turf and crustose-coralline substrata) cover. However, overfishing of herbivorous fishes alone cannot explain the widespread abundance of macroalgae, as even on lightly fished reefs, macroalgal cover was mostly >20%. Herbivorous fish populations on those reefs were apparently only able to maintain approximately 40-60% of reef substratum in cropped states, but due to low space-occupation by coral and other invertebrates, 70-90% of substratum was available to algae. The abundance of macroalgae on lightly fished reefs may therefore be a symptom of low coral cover in combination with the continuing absence of Diadema antillarum.
Post-mining deterioration of bauxite overburdens in Jamaica: storage methods or subsoil dilution?
NASA Astrophysics Data System (ADS)
Harris, Mark A.; Omoregie, Samson N.
2008-03-01
Rapid degradation of disturbed soil from a karst bauxite mine in Jamaica was recorded. Substantial macronutrient losses were incurred during a short (1 month) or a long (12 months) storage of the replaced topsoils during frequent wet/dry changes. The results suggested very high rates (>70% in the first year) of soil degradation from storage, alongside moderate rates (30%) within the same storage dump. However, higher levels of soil organic matter (SOM) were indicated just below the surface, compared with the surface horizons. It was unlikely that under a high leaching humid tropical rainfall regime, natural degradation processes could have re-emplaced such material firmly intact in the 15-30 cm zone. It was therefore concluded that these SOM anomalies were due to mechanical dilution of surface soil with subsoil material during overburden removal and emplacement rather than from long storage. Increasing the soil organic content during storage could be one corrective approach. However, it is far less costly to exercise greater care to apply more precise overburden removal and emplacement techniques initially, than it is to correct the results of topsoil contamination with subsoil. Although this study was limited to one mine, in the context of imminent large-scale mining expansion and current practices, further investigations are needed to accurately ascertain the proportion of similar subsoil contamination in other bauxite-mined sites.
Petrology and tectonic history of the Green Bay Schist, Portmore, St. Catherine Parish, Jamaica
Abbott, Richard N.; West, David P.; Bandy, Betsy R.; McAleer, Ryan J.
2016-01-01
There are three occurrences of medium- to high-grade metamorphic rocks in Jamaica: amphibolite facies Westphalia Schist, blueschist/greenschist facies Mt. Hibernia Schist, and the hitherto poorly characterized amphibolite facies Green Bay Schist. New trace element data and thermodynamic calculations show that Green Bay Schist is closely related to Westphalia Schist. The protoliths for both are very similiar (basalt-andesitic basalt, C-MORB), consistent with a subducted ocean-ridge tectonic environment, hence arc-related. The protolith for Mt. Hibernia Schist is quite different (basalt, P-MORB), related to the Caribbean Large Igneous Province. Whereas the P-T-t paths for Green Bay Schist and Westphalia Schist prior to the middle Campanian (>78 Ma) are inferred to be similar, the late Campanian, Maastrichtian and Cenozoic P-T-t paths are very different. New 40Ar/39Ar age determinations show the following: (1) While the difference in the late Campanian and Maastrichtian remains problematic, (2) the difference in the Cenozoic clearly reflects the location relative to the NW-trending, NE-dipping Wagwater Fault: Westphalia Schist to the NE (hanging wall); Green Bay Schist to the SW (foot wall). The Cenozoic P-T-t paths are complementary, and consistent with the behavior of the Wagwater Fault: 65-50 Ma, normal motion (transtension); 50-10 Ma, inactive (quiescent); 10 Ma-present, reverse motion (transpression).
Ferguson, T S; Tulloch-Reid, M K; Younger, N O M; Wright-Pascoe, R A; Boyne, M S; McFarlane, S R; Francis, D K; Wilks, R J
2013-03-01
To estimate the prevalence of diabetic foot complications among patients at a specialist diabetes clinic in Jamaica and identify factors associated with foot complications. A stratified random sample of 188 patients were interviewed and examined between 2009 and 2010. Trained nurses obtained demographic and clinical data, measured anthropometrics and performedfoot examinations including inspection for amputations, ulcers or infection and assessment of pain, vibration and pressure perception. Participants included 143 women and 45 men (mean age 56years; mean diabetes duration 16 years). The prevalence of amputations was 8.5% (95% CI 4.5, 12.5%) and was higher among men (22.2%) compared to women (4.2%, p < 0.05). Prevalence of current ulcers and current foot infections was 4.3% and 3.7%, respectively. Overall, 12% ofpatients had at least one of these foot complications. Foot complications were more prevalent among men, patients with high blood pressure (BP > or = 130/80 mmHg) or peripheral neuropathy In multivariable logistic regression models, factors associated with foot complications were: neuropathy (OR 9.3 [95% CI 2.8, 30.3]), high BP (OR 7.9 [1.3, 49.7]) and diabetes duration (OR 1.32 [1.02, 1.72]). Approximately one of every eight patients in this specialist clinic had a major foot complication. Associated factors were neuropathy, high blood pressure and longer duration of diabetes.
Brown, P D; McKenzie, M; Pinnock, M; McGrowder, D
2011-01-01
Leptospirosis, a spirochetal zoonosis, is considered an occupational disease of persons engaged in agriculture, sewage works, forestry, and butchery. To determine the environmental sources and the knowledge, attitude and practices for leptospirosis among butchers and slaughterhouse workers, as well as the seroprevalence of leptospirosis among cattle and pigs presented for slaughter. Using an interviewer administered questionnaire, all 110 butchers and other slaughterhouse workers in the parishes of Kingston and St. Andrew, Jamaica were surveyed. In addition, 179 blood samples from animals presented for slaughter were tested for anti-Leptospira antibodies using the microscopic agglutination test (MAT). Analyses indicated that people with the studied occupations are at risk for developing leptospirosis due to several environmental risk factors that exist in slaughterhouses. Among the risk factors, limited knowledge of the disease and its transmission, lower educational level attained, younger age and unhealthy behaviors (e.g., hand washing and improper or lack of use of personal protective gears), presence of stray dogs and rodents, and inadequate maintenance of physical plants, were found to be important. Of the total number of animal samples tested, 20 (11%) were positive. Canicola and Hardjo (among cattle) and Bratislava (among pigs) were the major seroreactors. Butchers and slaughterhouse workers engaged in animal handling and slaughtering could be frequently exposed to leptospirosis, and hence control strategies targeting at these populations should be implemented.
Subregional precipitation climate of the Caribbean and relationships with ENSO and NAO
NASA Astrophysics Data System (ADS)
Jury, Mark; Malmgren, BjöRn A.; Winter, Amos
2007-08-01
Thirty-five meteorological stations encompassing the Caribbean region (Cuba, Bahamas, Jamaica, Dominican Republic, Puerto Rico, US Virgin Islands, St. Maarten, and Barbados) were analyzed over the time interval 1951-1981 to assess regional precipitation patterns and their relationships with the North Atlantic Oscillation (NAO) and El Niño-Southern Oscillation (ENSO). Application of factor analysis to these series revealed the existence of four geographically distinct precipitation regions, (C1) western Cuba and northwestern Bahamas, (C2) Jamaica, eastern Cuba, and southeastern Bahamas, (C3) Dominican Republic and northwestern Puerto Rico, and (C4) eastern Puerto Rico, US Virgin Islands, St. Maarten, and Barbados. This regionalization is related to different annual cycles and interannual fluctuations of rainfall. The annual cycle is more unimodal and largest in the northwest Caribbean (C1) and becomes increasingly bimodal toward lower latitudes (C4) as expected. Year-to-year variations of precipitation are compared with two well-known climatic indices. The ENSO relationship, represented by Niño 3.4 sea surface temperatures (SST), is positive and stable at all lags, but tends to reverse over the SE Caribbean (C4) in late summer. The NAO influence is weak and seasonally dependent. Early summer rainfall in the northwest Caribbean (C1) increases under El Niño conditions. Clusters 2 and 3 are less influenced by the global predictors and more regional in character.
Below the Disappearing Marshes of an Urban Estuary ...
Marshes in the urban Jamaica Bay Estuary, New York, USA are disappearing at an average rate of 13 ha/yr, and multiple stressors (e.g., wastewater inputs, dredging activities, groundwater removal, and global warming) may be contributing to marsh losses. Among these stressors, wastewater nutrients are suspected to be an important contributing cause of marsh deterioration. We used census data, radiometric dating, stable nitrogen isotopes, and soil surveys to examine the temporal relationships between human population growth and soil nitrogen; and we evaluated soil structure with computer-aided tomography, surface elevation and sediment accretion trends, carbon dioxide emissions, and soil shear strength to examine differences among disappearing (Black Bank and Big Egg) and stable marshes (JoCo). Radiometric dating and nitrogen isotope analyses suggested a rapid increase in human wastewater nutrients beginning in the late 1840s, and a tapering off beginning in the 1930s when wastewater treatment plants (WWTPs) were first installed. Current WWTPs nutrient loads to Jamaica Bay are approximately 13 995 kg N/d and 2767 kg P/d. At Black Bank, the biomass and abundance of roots and rhizomes and percentage of organic matter on soil were significantly lower, rhizomes larger in diameter, carbon dioxide emission rates and peat particle density significantly greater, and soil strength significantly lower compared to the stable JoCo Marsh, suggesting Black Bank has elevated d
‘I need help’: caregivers' experiences of caring for their relatives with mental illness in Jamaica
2013-01-01
The findings reported here form part of a larger research project that examined non-compliance with medication among the mentally ill patients attending public clinics in a specific parish in Jamaica. The aim of the research was to explore the perceptions of caregivers about caring for the mentally ill at two outpatient psychiatric clinics. Caregivers involved in looking after their relatives with mental illness played a vital role in mental health promotion. This study sought to examine the caregivers' perception of mental illness, including how they thought the illness was best controlled, the reasons why their relatives found it difficult to take their medication as instructed, and the coping skills that they employed when caring for their relatives. There were two focus groups, consisting of four individuals each, at two psychiatric clinics. The results revealed the following about the majority of the caregivers. First, it was recognised that caregivers have a good knowledge (and awareness) of medication usage inferred by either the absence or the presence of their relatives' symptoms. Secondly, they sometimes felt sad and hopeless as a result of being the victims of violent attacks by those for whom they provided care. Thirdly, they highlighted issues of cost, accessibility and availability of medications as being problematic. Fourthly, in some cases they received little or no assistance from other family members. PMID:24427177
Youssef, Farid F; Bachew, Raecho; Bodie, Dalecia; Leach, Richanna; Morris, Kevin; Sherma, Glenderia
2014-02-01
Mental illness is a significant contributor to global disease burden and this is expected to increase over the coming decades. Traditionally mental illness has not been well understood by the general public, resulting in poor attitudes towards persons with mental illness and stigmatization. Such conditions are common in the Caribbean where less than 5% of the health budget is allocated to mental illness. To assess knowledge and attitudes towards mental illness among college students within the English-speaking Caribbean. A self-report questionnaire was adapted from previous studies designed to measure knowledge and attitudes of mental illness. Students were sampled from the University of the West Indies campuses in Jamaica, Barbados and Trinidad & Tobago. Responses were collected from 673 persons with a response rate of 84%. While participants were agreed that particular diseases were mental illnesses, overall knowledge scores were low. Knowledge was higher among those persons who knew someone with a mental illness. Attitude scores were suggestive of stigmatization, with drug abuse and schizophrenia seen in a particularly poor light. These results suggest that widespread educational campaigns need to be implemented across the region, designed to both increase knowledge about mental illness and reduce discrimination towards persons suffering with mental illness.
Statistical power, the Belmont report, and the ethics of clinical trials.
Vollmer, Sara H; Howard, George
2010-12-01
Achieving a good clinical trial design increases the likelihood that a trial will take place as planned, including that data will be obtained from a sufficient number of participants, and the total number of participants will be the minimal required to gain the knowledge sought. A good trial design also increases the likelihood that the knowledge sought by the experiment will be forthcoming. Achieving such a design is more than good sense-it is ethically required in experiments when participants are at risk of harm. This paper argues that doing a power analysis effectively contributes to ensuring that a trial design is good. The ethical importance of good trial design has long been recognized for trials in which there is risk of serious harm to participants. However, whether the quality of a trial design, when the risk to participants is only minimal, is an ethical issue is rarely discussed. This paper argues that even in cases when the risk is minimal, the quality of the trial design is an ethical issue, and that this is reflected in the emphasis the Belmont Report places on the importance of the benefit of knowledge gained by society. The paper also argues that good trial design is required for true informed consent.
Dose-finding designs for trials of molecularly targeted agents and immunotherapies
Chiuzan, Cody; Shtaynberger, Jonathan; Manji, Gulam A.; Duong, Jimmy K.; Schwartz, Gary K.; Ivanova, Anastasia; Lee, Shing M.
2017-01-01
Recently, there has been a surge of early phase trials of molecularly targeted agents (MTAs) and immunotherapies. These new therapies have different toxicity profiles compared to cytotoxic therapies. MTAs can benefit from new trial designs that allow inclusion of low-grade toxicities, late-onset toxicities, addition of an efficacy endpoint, and flexibility in the specification of a target toxicity probability. To study the degree of adoption of these methods, we conducted a Web of Science search of articles published between 2008 and 2014 that describe phase 1 oncology trials. Trials were categorized based on the dose-finding design used and the type of drug studied. Out of 1,712 dose-finding trials that met our criteria, 1,591 (92.9%) utilized a rule-based design, and 92 (5.4%; range 2.3% in 2009 to 9.7% in 2014) utilized a model-based or novel design. Over half of the trials tested an MTA or immunotherapy. Among the MTA and immunotherapy trials, 5.8% used model-based methods, compared to 3.9% and 8.3% of the chemotherapy or radiotherapy trials, respectively. While the percentage of trials using novel dose-finding designs has tripled since 2007, only 7.1% of trials use novel designs. PMID:28166468
Design of control-group conditions in clinical trials of behavioral interventions.
Lindquist, Ruth; Wyman, Jean F; Talley, Kristine M C; Findorff, Mary J; Gross, Cynthia R
2007-01-01
To review considerations in the design of placebo (attention) control conditions for community-based clinical trials of health behavior change interventions and to provide practical strategies for the design of control conditions. A well-designed control condition is an essential component of a clinical trial to foster the unambiguous interpretation of study findings. Pitfalls in the design of control conditions in clinical trials of behavioral interventions are identified and strategies to address them are offered. Types of control conditions that have been used in fall prevention trials are described, along with their strengths and weaknesses. The control condition used in the recent fall evaluation and prevention program (FEPP) was designed to overcome limitations of previous trial designs; it is provided to illustrate how to apply specific design principles. Pitfalls in the design of behavioral intervention studies may be avoided with the application of sound design principles. The FEPP active control condition can be used as a model in the design of future studies.
Bibby, Anna C; Torgerson, David J; Leach, Samantha; Lewis-White, Helen; Maskell, Nick A
2018-01-08
The 'trials within cohorts' (TwiC) design is a pragmatic approach to randomised trials in which trial participants are randomly selected from an existing cohort. The design has multiple potential benefits, including the option of conducting multiple trials within the same cohort. To date, the TwiC design methodology been used in numerous clinical settings but has never been applied to a clinical trial of an investigational medicinal product (CTIMP). We have recently secured the necessary approvals to undertake the first CTIMP using the TwiC design. In this paper, we describe some of the considerations and modifications required to ensure such a trial is compliant with Good Clinical Practice and international clinical trials regulations. We advocate using a two-stage consent process and using the consent stages to explicitly differentiate between trial participants and cohort participants who are providing control data. This distinction ensured compliance but had consequences with respect to costings, recruitment and the trial assessment schedule. We have demonstrated that it is possible to secure ethical and regulatory approval for a CTIMP TwiC. By including certain considerations at the trial design stage, we believe this pragmatic and efficient methodology could be utilised in other CTIMPs in future.
Viksveen, Petter; Relton, Clare; Nicholl, Jon
2017-07-06
Trials which test the effectiveness of interventions compared with the status quo frequently encounter challenges. The cohort multiple randomised controlled trial (cmRCT) design is an innovative approach to the design and conduct of pragmatic trials which seeks to address some of these challenges. In this article, we report our experiences with the first completed randomised controlled trial (RCT) using the cmRCT design. This trial-the Depression in South Yorkshire (DEPSY) trial-involved comparison of treatment as usual (TAU) with TAU plus the offer of an intervention for people with self-reported long-term moderate to severe depression. In the trial, we used an existing large population-based cohort: the Yorkshire Health Study. We discuss our experiences with recruitment, attrition, crossover, data analysis, generalisability of results, and cost. The main challenges in using the cmRCT design were the high crossover to the control group and the lower questionnaire response rate among patients who refused the offer of treatment. However, the design did help facilitate efficient and complete recruitment of the trial population as well as analysable data that were generalisable to the population of interest. Attrition rates were also smaller than those reported in other depression trials. This first completed full trial using the cmRCT design testing an intervention for self-reported depression was associated with a number of important benefits. Further research is required to compare the acceptability and cost effectiveness of standard pragmatic RCT design with the cmRCT design. ISRCTN registry: ISRCTN02484593 . Registered on 7 Jan 2013.
ERIC Educational Resources Information Center
Lopez Mora, Sonia E.
2014-01-01
Human acts are sometimes inspired by some desire for survival while on other occasions, however, by a move to show power over others. In this struggle, diverse forces tend to pull people in different directions, yet there is often a group that exhibits more power over the other, while the second group--those with less access to control--ends up…
Where’s Cap Haitien? Validating the Principles of Peace Operations
1999-12-17
health risks to the military with exposure to disease, specifically malaria and dengue fever. Former members of the FAD’H posed potential security...Co (TACON) C/65 EN (L) (DS) (-) 3/58 MP CO (DS) 1/A/125SIGBN(+) DPSE 22 TPT 221 TPT 223 CATPT-2/416CABN SEC/351 AG CO (POSTAL) (DS) (-) MIST...Barbuda, the Bahamas, Barbados, Belize , Dominica, Grenada, Guyana, Jamaica, St. Kitts and Nevis, St. Lucia, St Vincent and the Grenadines, and Trinidad
GenCade Lateral Boundary Conditions
2017-01-01
13 Figure 4. Example pocket beach at Boston Bay, Portland Parish, Jamaica. Beach sediments are mainly locally derived...specify the sediment transport onto and off of each end of the grid. To determine the shoreline position of cell i at time-step “j+1,” (Figure 1...calculating the sediment transport across Cell Walls “i” and “i+1” [denoted as “Q(i,j)” and “Q(i+1,j)”] (plus adding in the user-defined sources and
2007-12-01
Criminal values are derived from norms based on slave holding, sexual activity with minors and their exploitation in prostitution, the farming of humans...values from norms based on slave holding, sexual activity with minors and their exploitation in prostitution, the “farming” of humans for body...de Cocaina, abuso de drogas (Coca Paste and Cocaine: The Abuse of Drugs), Lima: CEDRO, 1990, pp. 301-321; Stephen E. Flynn, The Transnational Drug
Urban population growth and urbanization in the Caribbean.
Hope, K R
1985-01-01
The structure, sources, consequences, and policy implications of urbanization and of the rapid growth of the urban population in the Caribbean are examined. In particular, a comparative analysis of the situation in Barbados, Guyana, Jamaica, and Trinidad and Tobago is presented. Data are from a variety of secondary sources, including those published by the United Nations and the World Bank. The need to reorient policies to favor rural rather than urban areas in order to reduce rural-urban migration is noted.
2006-06-16
ecstasy and heroin but in quantities that constitute personal use or for local sampling. The apparent sporadic availability of drugs other than...is not just simply to say “fix the problem” and hope that by some stroke of magic all the intervening factors fall into place and the issue is 34...include those that are widely abused, such as Heroin, Cocaine. Ecstasy , LSD (Lysergic Acid Diethylamide), and Magic Mushrooms 2. Class B drugs
2008-01-01
34’Sa’tanrrlCl-I’o • ;S0.t..rUt 1\\1ar ,,’ FrankJ’ield" !I; E’ort Antoa"io ~*I~$~’ ’~t:.;:;: "::f;i’I’,":; . ’.. ......... [ilu’c’ 7" IOt ;.s:uc/i’ CaL"es...dissemination), Crime Management Unit, Fraud Squad, Forensic Laboratory, Bureau of Special Investigation, Canine Division, Protective Services, and the National
2017-06-09
revenue was generated from living resources such as fish, non-living resources such as oil, and ecosystems and ecosystem processes such as tourism ...however, based on the size of Jamaica’s tourism industry and other ocean economy related industries it is reasonable to conclude that it is a...and other marine resources eventually leads to damaged beaches and coastlines, and ultimately damages tourism and other industries. Though Jamaicans
Jamaican family structure: the paradox of normalcy.
Dechesnay, M
1986-06-01
The relationship between basic research, theory, and clinical work with families is conceptualized during a discussion of Jamaican family structure and the application of change theory to a clinical case of depression in a Jamaican woman. It was found that three types of family structure are prevalent in Jamaica. The European ideal of a patriarchal-patrifocal structure creates problems for working-class Jamaicans. General system theory provides support for a different model. Change theory is applied to resolve the paradox created by the European model.
1982-01-01
of an incident involving Eastern Airlines Flight 60 from New Orleans, Louisiana, to John F. Kennedy ( JFK ) International Airport , New York, on April 8...1981. The Boeing 727 made an emergency, gear-retracted landing on runway 22R at JFK Airport , followed by an emergency evacuation of the aircraft...runway 22R at John F. Kennedy ( JFK ) International Airport , Jamaica, New York. The landing of the Boeing 727 was followed by an emergency evacuation of
1992-06-01
Roissy/Charles de Gaulle Airport on April 22, 1991 with a revised software version allowing the emission of 5 frequencies in a single acoustic pulse...environmental, economic , and other constraints have not allowed airports to increase capacity to meet demand. Coupled with growing traffic, these constraints... JFK International Airport Jamaica, NY 11430 Donald Altman NW Research Assoc. P.O. Box 3027 Bellevue, WA 98009 Chester W. Anderson FAA AGL-507 2300 E
ERIC Educational Resources Information Center
Bernard Van Leer Foundation, The Hague (Netherlands).
This report focuses on children and the community. In the community. In the opening address, Dr. Willem H. Welling, Executive Director of the van Leer Foundation, describes the history of the foundation and the content of previous seminars. He concludes the address with a discussion of community empowerment. Father Gerard Pantin, the keynote…
Science learning and teaching in a Creole-speaking environment
NASA Astrophysics Data System (ADS)
Lodge, Wilton
2017-09-01
The focus of this response to Charity Hudley and Christine Mallinson's article, `"Its worth our time": A model of culturally and linguistically responsive professional development for K-12 STEM educators', is to underpin a pedagogy that encourages and provides opportunities for the use of non-standard language in the description and practice of science. I discuss this within the context of Jamaica and provide an alternative way of science teaching, one which promotes Jamaican Creole as a mode of instruction for classroom talk and printed material.
1970-01-01
Haiti 041 234 HAI v Columbia 100 246 COL ^, Dominican Republic ’Jamaica 042 051 233 235 DOM JAM -" Venezuela Guyana -"’Ecuador 101 110...Language Groups, United Nations Export Commodities Export Receiving Countries Distribution of Votes by Party Distribution of Seats in the Lower House...indicates that the entry is a total of that variable group for a country, with the exception of export commodities. The export commodity total
Adaptive designs in clinical trials: why use them, and how to run and report them.
Pallmann, Philip; Bedding, Alun W; Choodari-Oskooei, Babak; Dimairo, Munyaradzi; Flight, Laura; Hampson, Lisa V; Holmes, Jane; Mander, Adrian P; Odondi, Lang'o; Sydes, Matthew R; Villar, Sofía S; Wason, James M S; Weir, Christopher J; Wheeler, Graham M; Yap, Christina; Jaki, Thomas
2018-02-28
Adaptive designs can make clinical trials more flexible by utilising results accumulating in the trial to modify the trial's course in accordance with pre-specified rules. Trials with an adaptive design are often more efficient, informative and ethical than trials with a traditional fixed design since they often make better use of resources such as time and money, and might require fewer participants. Adaptive designs can be applied across all phases of clinical research, from early-phase dose escalation to confirmatory trials. The pace of the uptake of adaptive designs in clinical research, however, has remained well behind that of the statistical literature introducing new methods and highlighting their potential advantages. We speculate that one factor contributing to this is that the full range of adaptations available to trial designs, as well as their goals, advantages and limitations, remains unfamiliar to many parts of the clinical community. Additionally, the term adaptive design has been misleadingly used as an all-encompassing label to refer to certain methods that could be deemed controversial or that have been inadequately implemented.We believe that even if the planning and analysis of a trial is undertaken by an expert statistician, it is essential that the investigators understand the implications of using an adaptive design, for example, what the practical challenges are, what can (and cannot) be inferred from the results of such a trial, and how to report and communicate the results. This tutorial paper provides guidance on key aspects of adaptive designs that are relevant to clinical triallists. We explain the basic rationale behind adaptive designs, clarify ambiguous terminology and summarise the utility and pitfalls of adaptive designs. We discuss practical aspects around funding, ethical approval, treatment supply and communication with stakeholders and trial participants. Our focus, however, is on the interpretation and reporting of results from adaptive design trials, which we consider vital for anyone involved in medical research. We emphasise the general principles of transparency and reproducibility and suggest how best to put them into practice.
Methodology Series Module 4: Clinical Trials.
Setia, Maninder Singh
2016-01-01
In a clinical trial, study participants are (usually) divided into two groups. One group is then given the intervention and the other group is not given the intervention (or may be given some existing standard of care). We compare the outcomes in these groups and assess the role of intervention. Some of the trial designs are (1) parallel study design, (2) cross-over design, (3) factorial design, and (4) withdrawal group design. The trials can also be classified according to the stage of the trial (Phase I, II, III, and IV) or the nature of the trial (efficacy vs. effectiveness trials, superiority vs. equivalence trials). Randomization is one of the procedures by which we allocate different interventions to the groups. It ensures that all the included participants have a specified probability of being allocated to either of the groups in the intervention study. If participants and the investigator know about the allocation of the intervention, then it is called an "open trial." However, many of the trials are not open - they are blinded. Blinding is useful to minimize bias in clinical trials. The researcher should familiarize themselves with the CONSORT statement and the appropriate Clinical Trials Registry of India.
Methodology Series Module 4: Clinical Trials
Setia, Maninder Singh
2016-01-01
In a clinical trial, study participants are (usually) divided into two groups. One group is then given the intervention and the other group is not given the intervention (or may be given some existing standard of care). We compare the outcomes in these groups and assess the role of intervention. Some of the trial designs are (1) parallel study design, (2) cross-over design, (3) factorial design, and (4) withdrawal group design. The trials can also be classified according to the stage of the trial (Phase I, II, III, and IV) or the nature of the trial (efficacy vs. effectiveness trials, superiority vs. equivalence trials). Randomization is one of the procedures by which we allocate different interventions to the groups. It ensures that all the included participants have a specified probability of being allocated to either of the groups in the intervention study. If participants and the investigator know about the allocation of the intervention, then it is called an “open trial.” However, many of the trials are not open – they are blinded. Blinding is useful to minimize bias in clinical trials. The researcher should familiarize themselves with the CONSORT statement and the appropriate Clinical Trials Registry of India. PMID:27512184
Globalization and the modernization of medical education.
Stevens, Fred C J; Simmonds Goulbourne, Jacqueline D
2012-01-01
Worldwide, there are essential differences underpinning what educators and students perceive to be effective medical education. Yet, the world looks on for a recipe or easy formula for the globalization of medical education. This article examines the assumptions, main beliefs, and impact of globalization on medical education as a carrier of modernity. The article explores the cultural and social structures for the successful utilization of learning approaches within medical education. Empirical examples are problem-based learning (PBL) at two medical schools in Jamaica and the Netherlands, respectively. Our analysis shows that people do not just naturally work well together. Deliberate efforts to build group culture for effective and efficient collaborative practice are required. Successful PBL is predicated on effective communication skills, which are culturally defined in that they require common points of understanding of reality. Commonality in cultural practices and expectations do not exist beforehand but must be clearly and deliberately created. The globalization of medical education is more than the import of instructional designs. It includes Western models of social organization requiring deep reflection and adaptation to ensure its success in different environments and among different groups.
Jamaican Mothers’ Influences of Adolescent Girls’ Sexual Beliefs and Behaviors
Hutchinson, M. Katherine; Kahwa, Eulalia; Waldron, Norman; Brown, Cerese Hepburn; Hamilton, Pansy I.; Hewitt, Hermi H.; Aiken, Joyette; Cederbaum, Julie; Alter, Emily; Jemmott, Loretta Sweet
2012-01-01
Purpose The purpose of this study was to identify the ways in which urban Jamaican mothers influence their adolescent daughters’ sexual beliefs and behaviors in order to incorporate them into the design of a family-based human immunodeficiency virus (HIV) risk reduction intervention program. Design Focus groups were conducted with 46 14- to 18-year-old adolescent girls and 30 mothers or female guardians of adolescent girls recruited from community-based organizations in and around Kingston and St. Andrew, Jamaica. Separate focus groups were held with mothers and daughters; each included 6 to 10 participants. Focus group sessions were scripted, led by teams that included trained Jamaican and American facilitators and note-takers, and audio-taped to ensure data accuracy. Data were analyzed using qualitative content analysis. Findings Four major maternal influences were identified: mother-daughter relationship quality, mother-daughter sexual communication, monitoring or supervision, and maternal sexual role modeling. Mothers’ and daughters’ reports were consistent; both groups identified positive and negative influences within each category. Conclusions Some maternal influences were positive and health promoting; others were negative and promoted unsafe sexual activity and risk for HIV and other sexually transmitted infections. These influences were incorporated into the design of a culture-specific family-based HIV risk reduction intervention tailored to the needs of urban Jamaican adolescent girls and their mothers. Clinical Relevance In order to be effective, family-based HIV risk reduction interventions should be theory based and tailored to the target audience. The four maternal influences identified in this formative study were incorporated into the subsequent intervention design. PMID:22339731
Toye, Francine; Williamson, Esther; Williams, Mark A; Fairbank, Jeremy; Lamb, Sarah E
2016-08-09
Using an example of qualitative research embedded in a non-surgical feasibility trial, we explore the benefits of including qualitative research in trial design and reflect on epistemological challenges. We interviewed 18 trial participants and used methods of Interpretive Phenomenological Analysis. Our findings demonstrate that qualitative research can make a valuable contribution by allowing trial stakeholders to see things from alternative perspectives. Specifically, it can help to make specific recommendations for improved trial design, generate questions which contextualize findings, and also explore disease experience beyond the trial. To make the most out of qualitative research embedded in quantitative design it would be useful to (a) agree specific qualitative study aims that underpin research design, (b) understand the impact of differences in epistemological truth claims, (c) provide clear thematic interpretations for trial researchers to utilize, and (d) include qualitative findings that explore experience beyond the trial setting within the impact plan. © The Author(s) 2016.
Group sequential designs for stepped-wedge cluster randomised trials.
Grayling, Michael J; Wason, James Ms; Mander, Adrian P
2017-10-01
The stepped-wedge cluster randomised trial design has received substantial attention in recent years. Although various extensions to the original design have been proposed, no guidance is available on the design of stepped-wedge cluster randomised trials with interim analyses. In an individually randomised trial setting, group sequential methods can provide notable efficiency gains and ethical benefits. We address this by discussing how established group sequential methodology can be adapted for stepped-wedge designs. Utilising the error spending approach to group sequential trial design, we detail the assumptions required for the determination of stepped-wedge cluster randomised trials with interim analyses. We consider early stopping for efficacy, futility, or efficacy and futility. We describe first how this can be done for any specified linear mixed model for data analysis. We then focus on one particular commonly utilised model and, using a recently completed stepped-wedge cluster randomised trial, compare the performance of several designs with interim analyses to the classical stepped-wedge design. Finally, the performance of a quantile substitution procedure for dealing with the case of unknown variance is explored. We demonstrate that the incorporation of early stopping in stepped-wedge cluster randomised trial designs could reduce the expected sample size under the null and alternative hypotheses by up to 31% and 22%, respectively, with no cost to the trial's type-I and type-II error rates. The use of restricted error maximum likelihood estimation was found to be more important than quantile substitution for controlling the type-I error rate. The addition of interim analyses into stepped-wedge cluster randomised trials could help guard against time-consuming trials conducted on poor performing treatments and also help expedite the implementation of efficacious treatments. In future, trialists should consider incorporating early stopping of some kind into stepped-wedge cluster randomised trials according to the needs of the particular trial.
Khan, Arif; Kolts, Russell L; Thase, Michael E; Krishnan, K Ranga Rama; Brown, Walter
2004-11-01
The authors examined which, if any, research design features and patient characteristics would significantly differ between successful and unsuccessful antidepressant trials. Clinical trial data were reviewed for nine antidepressants approved by the Food and Drug Administration between 1985 and 2000. From the antidepressant research programs on these medications, 52 clinical trials were included in the study. The authors evaluated trial design features, patient characteristics, and difference in response between placebo and antidepressant. Nine trial design features and patient characteristics were present in the research programs for all nine of the antidepressants. The severity of depressive symptoms before patient randomization, the dosing schedule (flexible versus fixed), the number of treatment arms, and the percentage of female patients were significantly associated with the difference in response to antidepressant and placebo. The duration of the antidepressant trial, number of patients per treatment arm, number of sites, and mean age of the patients were similar in successful trials (with a greater antidepressant-placebo difference) and less successful trials (with a smaller antidepressant-placebo difference). These findings may help in the design of future antidepressant trials.
Paula Soares; Margarida Tome
2000-01-01
In Portugal, several eucalyptus spacing trials cover a relatively broad range of experimental designs: trials with a non-randomized block design with plots of different size and number of trees per plot; trials based on a non-systematic design in which spacings were randomized resulting in a factorial arrangement with plots of different size and shape and equal number...
How individual participant data meta-analyses have influenced trial design, conduct, and analysis
Tierney, Jayne F.; Pignon, Jean-Pierre; Gueffyier, Francois; Clarke, Mike; Askie, Lisa; Vale, Claire L.; Burdett, Sarah; Alderson, P.; Askie, L.; Bennett, D.; Burdett, S.; Clarke, M.; Dias, S.; Emberson, J.; Gueyffier, F.; Iorio, A.; Macleod, M.; Mol, B.W.; Moons, C.; Parmar, M.; Perera, R.; Phillips, R.; Pignon, J.P.; Rees, J.; Reitsma, H.; Riley, R.; Rovers, M.; Rydzewska, L.; Schmid, C.; Shepperd, S.; Stenning, S.; Stewart, L.; Tierney, J.; Tudur Smith, C.; Vale, C.; Welge, J.; White, I.; Whiteley, W.
2015-01-01
Objectives To demonstrate how individual participant data (IPD) meta-analyses have impacted directly on the design and conduct of trials and highlight other advantages IPD might offer. Study Design and Setting Potential examples of the impact of IPD meta-analyses on trials were identified at an international workshop, attended by individuals with experience in the conduct of IPD meta-analyses and knowledge of trials in their respective clinical areas. Experts in the field who did not attend were asked to provide any further examples. We then examined relevant trial protocols, publications, and Web sites to verify the impacts of the IPD meta-analyses. A subgroup of workshop attendees sought further examples and identified other aspects of trial design and conduct that may inform IPD meta-analyses. Results We identified 52 examples of IPD meta-analyses thought to have had a direct impact on the design or conduct of trials. After screening relevant trial protocols and publications, we identified 28 instances where IPD meta-analyses had clearly impacted on trials. They have influenced the selection of comparators and participants, sample size calculations, analysis and interpretation of subsequent trials, and the conduct and analysis of ongoing trials, sometimes in ways that would not possible with systematic reviews of aggregate data. We identified additional potential ways that IPD meta-analyses could be used to influence trials. Conclusions IPD meta-analysis could be better used to inform the design, conduct, analysis, and interpretation of trials. PMID:26186982
Baker-Henningham, H; Walker, S
2018-01-01
Based on extensive piloting work, we adapted the Incredible Years (IY) teacher-training programme to the Jamaican preschool setting and evaluated this adapted version through a cluster-randomised trial. Twenty-four community preschools in Kingston, Jamaica were randomly assigned to intervention (12 schools, 37 teachers) or control (12 schools, 36 teachers). The intervention involved training teachers in classroom management through eight full-day training workshops and four individual 1-h in-class support sessions. Outcome measurements included direct observation of teachers' positive and negative behaviours to the whole class and to high-risk children and four observer ratings: two measures of class-wide child behaviour and two measures of classroom atmosphere. Measures were repeated at a six-month follow-up. Significant benefits of intervention were found for teachers' positive [effect size (ES) = 3.35] and negative (ES = 1.29) behaviours to the whole class and to high-risk children (positive: ES = 0.83; negative: ES = 0.50) and for observer ratings of class-wide child behaviour (ES = 0.73), child interest and enthusiasm (ES = 0.98), teacher warmth (ES = 2.03) and opportunities provided to share and help (ES = 5.72). At 6-month follow-up, significant benefits of intervention were sustained: positive behaviours (ES = 2.70), negative behaviours (ES = 0.98), child behaviour (ES = 0.50), child interest and enthusiasm (ES = 0.78), teacher warmth (ES = 0.91), opportunities to share and help (ES = 1.42). The adapted IY teacher-training programme produced large benefits to teacher's behaviour and to class-wide measures of children's behaviour, which were sustained at 6-month follow-up. Benefits were of a similar magnitude to those found in a pilot study of the minimally adapted version that required significantly more in-class support for teachers.
Cooper, Stephen A; Desjardins, Paul J; Turk, Dennis C; Dworkin, Robert H; Katz, Nathaniel P; Kehlet, Henrik; Ballantyne, Jane C; Burke, Laurie B; Carragee, Eugene; Cowan, Penney; Croll, Scott; Dionne, Raymond A; Farrar, John T; Gilron, Ian; Gordon, Debra B; Iyengar, Smriti; Jay, Gary W; Kalso, Eija A; Kerns, Robert D; McDermott, Michael P; Raja, Srinivasa N; Rappaport, Bob A; Rauschkolb, Christine; Royal, Mike A; Segerdahl, Märta; Stauffer, Joseph W; Todd, Knox H; Vanhove, Geertrui F; Wallace, Mark S; West, Christine; White, Richard E; Wu, Christopher
2016-02-01
This article summarizes the results of a meeting convened by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) on key considerations and best practices governing the design of acute pain clinical trials. We discuss the role of early phase clinical trials, including pharmacokinetic-pharmacodynamic (PK-PD) trials, and the value of including both placebo and active standards of comparison in acute pain trials. This article focuses on single-dose and short-duration trials with emphasis on the perioperative and study design factors that influence assay sensitivity. Recommendations are presented on assessment measures, study designs, and operational factors. Although most of the methodological advances have come from studies of postoperative pain after dental impaction, bunionectomy, and other surgeries, the design considerations discussed are applicable to many other acute pain studies conducted in different settings.
Djulbegovic, Benjamin; Cantor, Alan; Clarke, Mike
2003-01-01
Previous research has identified methodological problems in the design and conduct of randomized trials that could, if left unaddressed, lead to biased results. In this report we discuss one such problem, inadequate control intervention, and argue that it can be by far the most important design characteristic of randomized trials in overestimating the effect of new treatments. Current guidelines for the design and reporting of randomized trials, such as the Consolidated Standards of Reporting Trials (CONSORT) statement, do not address the choice of the comparator intervention. We argue that an adequate control intervention can be selected if people designing a trial explicitly take into consideration the ethical principle of equipoise, also known as "the uncertainty principle."
Biomarker-Guided Adaptive Trial Designs in Phase II and Phase III: A Methodological Review
Antoniou, Miranta; Jorgensen, Andrea L; Kolamunnage-Dona, Ruwanthi
2016-01-01
Background Personalized medicine is a growing area of research which aims to tailor the treatment given to a patient according to one or more personal characteristics. These characteristics can be demographic such as age or gender, or biological such as a genetic or other biomarker. Prior to utilizing a patient’s biomarker information in clinical practice, robust testing in terms of analytical validity, clinical validity and clinical utility is necessary. A number of clinical trial designs have been proposed for testing a biomarker’s clinical utility, including Phase II and Phase III clinical trials which aim to test the effectiveness of a biomarker-guided approach to treatment; these designs can be broadly classified into adaptive and non-adaptive. While adaptive designs allow planned modifications based on accumulating information during a trial, non-adaptive designs are typically simpler but less flexible. Methods and Findings We have undertaken a comprehensive review of biomarker-guided adaptive trial designs proposed in the past decade. We have identified eight distinct biomarker-guided adaptive designs and nine variations from 107 studies. Substantial variability has been observed in terms of how trial designs are described and particularly in the terminology used by different authors. We have graphically displayed the current biomarker-guided adaptive trial designs and summarised the characteristics of each design. Conclusions Our in-depth overview provides future researchers with clarity in definition, methodology and terminology for biomarker-guided adaptive trial designs. PMID:26910238
76 FR 22404 - Analgesic Clinical Trials Innovation, Opportunities, and Networks (ACTION) Initiative
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-21
..., but not limited to, specific research designs and methodological features so as to inform the future... clinical trials. Many experts in analgesic drug development believe that it is the design of the clinical trials that is at fault in this situation and that better trial designs will yield more successful...
Redesigning TRACER trial after TRITON.
Serebruany, Victor L
2015-10-15
Designing of smart clinical trials is critical for regulatory approval and future drug utilization. Importantly, trial design should be reconsidered if the interim analyses suggest unexpected harm, or conflicting results were yielded from the other trials within the same therapeutic area. With regard to antiplatelet agents, the perfect example is redesigning of the ongoing PRoFESS trial by eliminating aspirin from clopidogrel arm after the earlier MATCH trial results became available. The goal was to aseess the unchanged TRACER trial design in light of the evidence yielded from the earlier completed TRITON trial. TRACER was designed as a triple versus dual antiplatelet trial in NSTEMI patients with no previous long-term outcome data supporting such aggressive strategy. TRITON data represented dual versus dual antiplatelet therapy, and became available before TRACER enrollment starts revealing prasugrel front-loaded early vascular benefit predominantly in STEMI patients with the growing over time bleeding and cancer risks. Moreover, large prasugrel NSTEMI TRITON cohort exhibited trend towards excess mortality in experimental arm warning against aggressive TRACER design. The long-term TRITON results in general, and especially in the NSTEMI patients challenge unchanged TRACER trial design. Applying dual, rather than triple antiplatelet therapy protocol modification should be considered in TRACER to minimize bleeding, cancer, and non-cardiovascular death risks. Copyright © 2015. Published by Elsevier Ireland Ltd.