Sample records for mpumalanga province south

  1. Predictability of Malaria Transmission Intensity in the Mpumalanga Province, South Africa, Using Land Surface Climatology and Autoregressive Analysis

    NASA Technical Reports Server (NTRS)

    Grass, David; Jasinski, Michael F.; Govere, John

    2003-01-01

    There has been increasing effort in recent years to employ satellite remotely sensed data to identify and map vector habitat and malaria transmission risk in data sparse environments. In the current investigation, available satellite and other land surface climatology data products are employed in short-term forecasting of infection rates in the Mpumalanga Province of South Africa, using a multivariate autoregressive approach. The climatology variables include precipitation, air temperature and other land surface states computed by the Off-line Land-Surface Global Assimilation System (OLGA) including soil moisture and surface evaporation. Satellite data products include the Normalized Difference Vegetation Index (NDVI) and other forcing data used in the Goddard Earth Observing System (GEOS-1) model. Predictions are compared to long- term monthly records of clinical and microscopic diagnoses. The approach addresses the high degree of short-term autocorrelation in the disease and weather time series. The resulting model is able to predict 11 of the 13 months that were classified as high risk during the validation period, indicating the utility of applying antecedent climatic variables to the prediction of malaria incidence for the Mpumalanga Province.

  2. Occurrence of Emerging Micropollutants in Water Systems in Gauteng, Mpumalanga, and North West Provinces, South Africa.

    PubMed

    Wanda, Elijah M M; Nyoni, Hlengilizwe; Mamba, Bhekie B; Msagati, Titus A M

    2017-01-13

    The ubiquitous occurrence of emerging micropollutants (EMPs) in water is an issue of growing environmental-health concern worldwide. However, there remains a paucity of data regarding their levels and occurrence in water. This study determined the occurrence of EMPs namely: carbamazepine (CBZ), galaxolide (HHCB), caffeine (CAF), tonalide (AHTN), 4-nonylphenol (NP), and bisphenol A (BPA) in water from Gauteng, Mpumalanga, and North West provinces, South Africa using comprehensive two-dimensional gas chromatography coupled to high resolution time-of-flight mass spectrometry (GCxGC-HRTOFMS). Kruskal-Wallis test and ANOVA were performed to determine temporal variations in occurrence of the EMPs. Principal component analysis (PCA) and Surfer Golden Graphics software for surface mapping were used to determine spatial variations in levels and occurrence of the EMPs. The mean levels ranged from 11.22 ± 18.8 ng/L for CAF to 158.49 ± 662 ng/L for HHCB. There was no evidence of statistically significant temporal variations in occurrence of EMPs in water. Nevertheless, their levels and occurrence vary spatially and are a function of two principal components (PCs, PC1 and PC2) which controlled 89.99% of the variance. BPA was the most widely distributed EMP, which was present in 62% of the water samples. The detected EMPs pose ecotoxicological risks in water samples, especially those from Mpumalanga province.

  3. Occurrence of Emerging Micropollutants in Water Systems in Gauteng, Mpumalanga, and North West Provinces, South Africa

    PubMed Central

    Wanda, Elijah M. M.; Nyoni, Hlengilizwe; Mamba, Bhekie B.; Msagati, Titus A. M.

    2017-01-01

    The ubiquitous occurrence of emerging micropollutants (EMPs) in water is an issue of growing environmental-health concern worldwide. However, there remains a paucity of data regarding their levels and occurrence in water. This study determined the occurrence of EMPs namely: carbamazepine (CBZ), galaxolide (HHCB), caffeine (CAF), tonalide (AHTN), 4-nonylphenol (NP), and bisphenol A (BPA) in water from Gauteng, Mpumalanga, and North West provinces, South Africa using comprehensive two-dimensional gas chromatography coupled to high resolution time-of-flight mass spectrometry (GCxGC-HRTOFMS). Kruskal-Wallis test and ANOVA were performed to determine temporal variations in occurrence of the EMPs. Principal component analysis (PCA) and Surfer Golden Graphics software for surface mapping were used to determine spatial variations in levels and occurrence of the EMPs. The mean levels ranged from 11.22 ± 18.8 ng/L for CAF to 158.49 ± 662 ng/L for HHCB. There was no evidence of statistically significant temporal variations in occurrence of EMPs in water. Nevertheless, their levels and occurrence vary spatially and are a function of two principal components (PCs, PC1 and PC2) which controlled 89.99% of the variance. BPA was the most widely distributed EMP, which was present in 62% of the water samples. The detected EMPs pose ecotoxicological risks in water samples, especially those from Mpumalanga province. PMID:28098799

  4. Changes in malaria morbidity and mortality in Mpumalanga Province, South Africa (2001- 2009): a retrospective study

    PubMed Central

    2012-01-01

    Background Malaria remains a serious epidemic threat in Mpumalanga Province. In order to appropriately target interventions to achieve substantial reduction in the burden of malaria and ultimately eliminate the disease, there is a need to track progress of malaria control efforts by assessing the time trends and evaluating the impact of current control interventions. This study aimed to assess the changes in the burden of malaria in Mpumalanga Province during the past eight malaria seasons (2001/02 to 2008/09) and whether indoor residual spraying (IRS) and climate variability had an effect on these changes. Methods This is a descriptive retrospective study based on the analysis of secondary malaria surveillance data (cases and deaths) in Mpumalanga Province. Data were extracted from the Integrated Malaria Information System. Time series model (Autoregressive Integrated Moving Average) was used to assess the association between climate and malaria. Results Within the study period, a total of 35,191 cases and 164 deaths due to malaria were notified in Mpumalanga Province. There was a significant decrease in the incidence of malaria from 385 in 2001/02 to 50 cases per 100,000 population in 2008/09 (P < 0.005). The incidence and case fatality (CFR) rates for the study period were 134 cases per 100,000 and 0.54%, respectively. Mortality due to malaria was lower in infants and children (CFR < 0.5%) and higher in those >65 years, with the mean CFR of 2.1% as compared to the national target of 0.5%. A distinct seasonal transmission pattern was found to be significantly related to changes in rainfall patterns (P = 0.007). A notable decline in malaria case notification was observed following apparent scale-up of IRS coverage from 2006/07 to 2008/09 malaria seasons. Conclusions Mpumalanga Province has achieved the goal of reducing malaria morbidity and mortality by over 70%, partly as a result of scale-up of IRS intervention in combination with other control strategies. These

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

    PubMed

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

    2016-01-01

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

  6. Determination of the water quality index ratings of water in the Mpumalanga and North West provinces, South Africa

    NASA Astrophysics Data System (ADS)

    Wanda, Elijah M. M.; Mamba, Bhekie B.; Msagati, Titus A. M.

    2016-04-01

    This study reports on the water quality index (WQI) of wastewater and drinking water in the Mpumalanga and North West provinces of South Africa. The WQI is one of the most effective tools available to water sustainability researchers, because it provides an easily intelligible ranking of water quality on a rating scale from 0 to 100, based on the ascription of different weightings to several different parameters. In this study the WQI index ratings of wastewater and drinking water samples were computed according to the levels of pH, electrical conductivity (EC), biochemical oxygen demand (BOD), E. coli, temperature, turbidity and nutrients (nitrogen and phosphates) found in water samples collected from the two provinces between June and December, 2014. This study isolated three groups of WQ-rated waters, namely: fair (with a WQI range = 32.87-38.54%), medium (with a WQI range = 56.54-69.77%) and good (with a WQI range = 71.69-81.63%). More specifically, 23%, 23% and 54% of the sampled sites registered waters with fair, medium and good WQ ratings respectively. None of the sites sampled during the entire period of the project registered excellent or very good water quality ratings, which would ordinarily indicate that no treatment is required to make it fit for human consumption. Nevertheless, the results obtained by the Eerstehoek and Schoemansville water treatment plants in Mpumalanga and North West provinces, respectively, suggest that substantial improvement in the quality of water samples is possible, since the WQI values for all of the treated samples were higher than those for raw water. Presence of high levels of BOD, low levels of dissolved oxygen (DO), E. coli, nitrates and phosphates especially in raw water samples greatly affected their overall WQ ratings. It is recommended that a point-of-use system should be introduced to treat water intended for domestic purposes in the clean-water-deprived areas.

  7. Evaluation of an operational malaria outbreak identification and response system in Mpumalanga Province, South Africa.

    PubMed

    Coleman, Marlize; Coleman, Michael; Mabuza, Aaron M; Kok, Gerdalize; Coetzee, Maureen; Durrheim, David N

    2008-04-27

    To evaluate the performance of a novel malaria outbreak identification system in the epidemic prone rural area of Mpumalanga Province, South Africa, for timely identification of malaria outbreaks and guiding integrated public health responses. Using five years of historical notification data, two binomial thresholds were determined for each primary health care facility in the highest malaria risk area of Mpumalanga province. Whenever the thresholds were exceeded at health facility level (tier 1), primary health care staff notified the malaria control programme, which then confirmed adequate stocks of malaria treatment to manage potential increased cases. The cases were followed up at household level to verify the likely source of infection. The binomial thresholds were reviewed at village/town level (tier 2) to determine whether additional response measures were required. In addition, an automated electronic outbreak identification system at town/village level (tier 2) was integrated into the case notification database (tier 3) to ensure that unexpected increases in case notification were not missed.The performance of these binomial outbreak thresholds was evaluated against other currently recommended thresholds using retrospective data. The acceptability of the system at primary health care level was evaluated through structured interviews with health facility staff. Eighty four percent of health facilities reported outbreaks within 24 hours (n = 95), 92% (n = 104) within 48 hours and 100% (n = 113) within 72 hours. Appropriate response to all malaria outbreaks (n = 113, tier 1, n = 46, tier 2) were achieved within 24 hours. The system was positively viewed by all health facility staff. When compared to other epidemiological systems for a specified 12 month outbreak season (June 2003 to July 2004) the binomial exact thresholds produced one false weekly outbreak, the C-sum 12 weekly outbreaks and the mean + 2 SD nine false weekly outbreaks. Exceeding the binomial

  8. Census and vaccination coverage of owned dog populations in four resource-limited rural communities, Mpumalanga province, South Africa.

    PubMed

    Conan, Anne; Geerdes, Joy A C; Akerele, Oluyemisi A; Reininghaus, Bjorn; Simpson, Gregory J G; Knobel, Darryn

    2017-09-22

    Dogs (Canis familiaris) are often free-roaming in sub-Saharan African countries. Rabies virus circulates in many of these populations and presents a public health issue. Mass vaccination of dog populations is the recommended method to decrease the number of dog and human rabies cases. We describe and compare four populations of dogs and their vaccination coverage in four different villages (Hluvukani, Athol, Utah and Dixie) in Bushbuckridge Municipality, Mpumalanga province, South Africa. Cross-sectional surveys were conducted in the villages of Athol, Utah and Dixie, while data from a Health and Demographic Surveillance System were used to describe the dog population in Hluvukani village. All households of the villages were visited to obtain information on the number, sex, age and rabies vaccination status of dogs. From May to October 2013, 2969 households were visited in the four villages and 942 owned dogs were reported. The populations were all young and skewed towards males. No differences were observed in the sex and age distributions (puppies 0-3 months excluded) among the villages. Athol had a higher proportion of dog-owning households than Hluvukani and Utah. Vaccination coverages were all above the 20% - 40% threshold required for herd immunity to rabies (38% in Hluvukani, 51% in Athol, 65% in Dixie and 74% in Utah). For the preparation of vaccination campaigns, we recommend the use of the relatively stable dog:human ratio (between 1:12 and 1:16) to estimate the number of dogs per village in Bushbuckridge Municipality.

  9. How social stigma sustains the HIV treatment gap for MSM in Mpumalanga, South Africa.

    PubMed

    Maleke, Kabelo; Daniels, Joseph; Lane, Tim; Struthers, Helen; McIntyre, James; Coates, Thomas

    2017-11-01

    There are gaps in HIV care for men who have sex with men (MSM) in African settings, and HIV social stigma plays a significant role in sustaining these gaps. We conducted a three-year research project with 49 HIV-positive MSM in two districts in Mpumalanga Province, South Africa, to understand the factors that inform HIV care seeking behaviors. Semi-structured focus group discussions and interviews were conducted in IsiZulu, SiSwati, and some code-switching into English, and these were audio-recorded, transcribed, and translated into English. We used a constant comparison approach to analyze these data. HIV social stigma centered around gossip that sustained self-diagnosis and delayed clinical care with decisions to use traditional healers to mitigate the impact of gossip on their lives. More collaboration models are needed between traditional healers and health professionals to support the global goals for HIV testing and treatment.

  10. Older people as resources in South Africa: Mpumalanga households.

    PubMed

    Kimuna, Sitawa R; Makiwane, Monde

    2007-01-01

    The extended family used to be relied upon to provide subsistence and care for older people in sub-Saharan Africa. However, recently South Africa has seen a reversal of roles, where older people now provide subsistence and care to younger generations; this role reversal is being accelerated by HIV/AIDS deaths among young adults. In most rural households, the non-contributory old age pension (OAP) that is means-tested is an important factor in making older people breadwinners. Using data from the 2004 Mpumalanga Older People's Survey, we examined the changing role of older people, which has been influenced mainly by changes in household structure and old age pension. Findings show that in 63% of matrifocal, multigenerational households, 76% of older people are the sole providers of household necessities, caring for the sick and grandchildren in increasingly skip-generation households.

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

    PubMed

    Lavin, T; Pattinson, R C

    2018-01-01

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

  12. Cultural practices, gender inequality and inconsistent condom use increase vulnerability to HIV infection: narratives from married and cohabiting women in rural communities in Mpumalanga province, South Africa.

    PubMed

    Madiba, Sphiwe; Ngwenya, Nomsa

    Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention priority, little is known about the influence of sociocultural contexts on safe-sex practice by women, particularly older women in rural communities in South Africa. This study aimed to examine how older women in a rural patriarchal society negotiate safer sex within marital and long-term cohabitation relationships, and their perceptions and experiences of barriers that influence condom use. Focus group discussions were conducted with married and cohabiting women aged 40-60 years recruited from primary health facilities in a rural district in Mpumalanga province, South Africa. A thematic analysis approach was used to analyse the data. We found that although women reported negotiating safe sex in their relationships, they dreaded the possible consequences of suggesting condom use with their partners. Many factors made negotiating safe sex complex for these women: living in a patriarchal society where women play no part in sexual decision making, the fear of possible consequences of insisting on condom use, women's inferior social position in marital relationships, cultural practices such as bride price, and gender inequality were the main barriers to practising safer sex. Older married and cohabiting women dreaded negotiating safer sex in this patriarchal society where women's subordination is legitimized. The findings suggest that the women were at high risk of HIV infection because of their inability to negotiate condom use, or to reject forced sex and non-consensual sex. There is a need for interventions targeting older married and cohabiting couples and key stakeholders within communities to create awareness about cultural practices and beliefs that undermine

  13. Analysis of agro-climatic parameters and their influence on maize production in South Africa

    NASA Astrophysics Data System (ADS)

    Adisa, Omolola M.; Botai, Christina M.; Botai, Joel O.; Hassen, Abubeker; Darkey, Daniel; Tesfamariam, Eyob; Adisa, Alex F.; Adeola, Abiodun M.; Ncongwane, Katlego P.

    2017-11-01

    This study analyzed the variability of the agro-climatic parameters that impact maize production across different seasons in South Africa. To achieve this, four agro-climatic variables (precipitation, potential evapotranspiration, minimum, and maximum temperatures) were considered for the period spanning 1986-2015, covering the North West, Free State, Mpumalanga, and KwaZulu-Natal (KZN) provinces. Results illustrate that there is a negative trend in precipitation for North West and Free State provinces and positive trend in maximum temperature for all the provinces over the study period. Furthermore, the results showed that among other agro-climatic parameters, minimum temperature had the most influence on maize production in North West, potential evapotranspiration (combination of the agro-climatic parameters), minimum and maximum temperature influenced maize production in KZN while maximum temperature influenced maize production in Mpumalanga and Free State. In general, the agro-climatic parameters were found to contribute 7.79, 21.85, 32.52, and 44.39% to variation in maize production during the study period in North West, Free State, Mpumalanga, and KZN, respectively. The variation in maize production among the provinces under investigation could most likely attribute to the variation in the size of the cultivated land among other factors including soil type and land tenure system. There were also difference in yield per hectare between the provinces; KZN and Mpumalanga being located in the humid subtropical areas of South Africa had the highest yield per hectare 5.61 and 4.99 tons, respectively, while Free State and North West which are in the semi-arid region had the lowest yield per hectare 3.86 and 3.03 tons, respectively. Understanding the nature and interaction of the dominant agro-climatic parameters discussed in the present study as well as their impact on maize production will help farmers and agricultural policy makers to understand how climate change

  14. Cultural practices, gender inequality and inconsistent condom use increase vulnerability to HIV infection: narratives from married and cohabiting women in rural communities in Mpumalanga province, South Africa

    PubMed Central

    Madiba, Sphiwe; Ngwenya, Nomsa

    2017-01-01

    ABSTRACT Background: Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention priority, little is known about the influence of sociocultural contexts on safe-sex practice by women, particularly older women in rural communities in South Africa. Objectives: This study aimed to examine how older women in a rural patriarchal society negotiate safer sex within marital and long-term cohabitation relationships, and their perceptions and experiences of barriers that influence condom use. Methods: Focus group discussions were conducted with married and cohabiting women aged 40–60 years recruited from primary health facilities in a rural district in Mpumalanga province, South Africa. A thematic analysis approach was used to analyse the data. Results: We found that although women reported negotiating safe sex in their relationships, they dreaded the possible consequences of suggesting condom use with their partners. Many factors made negotiating safe sex complex for these women: living in a patriarchal society where women play no part in sexual decision making, the fear of possible consequences of insisting on condom use, women’s inferior social position in marital relationships, cultural practices such as bride price, and gender inequality were the main barriers to practising safer sex. Conclusions: Older married and cohabiting women dreaded negotiating safer sex in this patriarchal society where women’s subordination is legitimized. The findings suggest that the women were at high risk of HIV infection because of their inability to negotiate condom use, or to reject forced sex and non-consensual sex. There is a need for interventions targeting older married and cohabiting couples and key stakeholders within communities to

  15. Molecular detection of zoonotic tick-borne pathogens from ticks collected from ruminants in four South African provinces.

    PubMed

    Mtshali, Khethiwe; Khumalo, Zth; Nakao, Ryo; Grab, Dennis J; Sugimoto, Chihiro; Thekisoe, Omm

    2016-01-01

    Ticks carry and transmit a remarkable array of pathogens including bacteria, protozoa and viruses, which may be of veterinary and/or of medical significance. With little to no information regarding the presence of tick-borne zoonotic pathogens or their known vectors in southern Africa, the aim of our study was to screen for Anaplasma phagocytophilum, Borrelia burgdorferi, Coxiella burnetii, Rickettsia species and Ehrlichia ruminantium in ticks collected and identified from ruminants in the Eastern Cape, Free State, KwaZulu-Natal and Mpumalanga Provinces of South Africa. The most abundant tick species identified in this study were Rhipicephalus evertsi evertsi (40%), Rhipicephalus species (35%), Amblyomma hebraeum (10%) and Rhipicephalus decoloratus (14%). A total of 1634 ticks were collected. DNA was extracted, and samples were subjected to PCR amplification and sequencing. The overall infection rates of ticks with the target pathogens in the four Provinces were as follows: A. phagocytophilum, 7%; C. burnetii, 7%; E. ruminantium, 28%; and Rickettsia spp., 27%. The presence of B. burgdorferi could not be confirmed. The findings of this study show that zoonotic pathogens are present in ticks in the studied South African provinces. This information will aid in the epidemiology of tick-borne zoonotic diseases in the country as well as in raising awareness about such diseases in the veterinary, medical and tourism sectors, as they may be the most affected.

  16. Assessing the Food Safety Attitudes and Awareness of Managers of School Feeding Programmes in Mpumalanga, South Africa.

    PubMed

    Sibanyoni, J J; Tabit, F T

    2017-08-01

    The managers of school feeding programmes are responsible for ensuring the safety of the food which is provided to schoolchildren, but very few studies have been conducted on the food safety knowledge and awareness of these managers. The objective of this study is to evaluate the food safety attitudes and awareness of managers of the National School Nutrition Programme (NSNP) in schools in Mpumalanga, a province of South Africa. A cross-sectional survey study was conducted in which questionnaires were used to collect data from 300 NSNP food service managers. The majority of schools offering NSNP meals were located in informal settlements and most were found to lack basic resources such as electricity (power supplies to the food preparation facility) and potable tap water in their kitchens. No school was found to have implemented the hazard analysis and critical control points (HACCP) programme, and only a few staff had received food safety training. Food safety implementation is worst in informal schools in rural areas due to limited resources and infrastructure. The NSNP food service managers in some schools-especially those located in rural settlements-were found to have little knowledge and awareness of HACCP. These results indicate an urgent need to provide NSNP managers with food safety training and resources (potable water supplies, electricity, dedicated food preparation facilities), particularly in schools in rural settlements.

  17. AN ETHNOBOTANICAL STUDY OF MEDICINAL PLANTS USED IN VILLAGES UNDER JONGILANGA TRIBAL COUNCIL, MPUMALANGA, SOUTH AFRICA

    PubMed Central

    Tshikalange, Thilivhali Emmanuel; Mophuting, Boikanyo Calvin; Mahore, James; Winterboer, Stefan; Lall, Namrita

    2016-01-01

    Background: Medicinal plants remain an integral part of the lives of people in rural areas. The aim of this study was to document information about the medicinal plants used by Shangaan people in villages under Jongilanga tribal council, Bushbuckridge municipality, Mpumalanga Province, South Africa. Materials and Methods: An ethnobotanical survey of medicinal plants was conducted using a semi-structured questionnaire with 15 traditional healers as informants; one of them also served as a field guide during data collection. Results were analysed by using various quantitative indices of information consensus factor (ICF), use report (UR), frequency citation (FC) and relative frequency citation (RFC). Results and Methods: The study reported 86 medicinal plants used in villages for the treatment of various ailments, the majority (25 species) of which were used for urino-genital disorders. The Fabaceae family was the most represented family (17 species) of all the medicinal plants recorded in this study. The roots were the most frequently used plant part, accounting for 56% of the plants reported, and decoctions were often used in the preparation of herbal remedies. Respiratory diseases had the highest ICF value recorded among the 8 categories of ailments. The highest use report was reported for Combretum collinum (4), while the FC and RFC values (15) were highest in 12 plant species. The study revealed that medicinal plants are still widely used in rural areas and this documentation can serve as an ethno pharmacological basis for selecting plants with potential pharmaceutical properties. PMID:28480364

  18. AN ETHNOBOTANICAL STUDY OF MEDICINAL PLANTS USED IN VILLAGES UNDER JONGILANGA TRIBAL COUNCIL, MPUMALANGA, SOUTH AFRICA.

    PubMed

    Tshikalange, Thilivhali Emmanuel; Mophuting, Boikanyo Calvin; Mahore, James; Winterboer, Stefan; Lall, Namrita

    2016-01-01

    Medicinal plants remain an integral part of the lives of people in rural areas. The aim of this study was to document information about the medicinal plants used by Shangaan people in villages under Jongilanga tribal council, Bushbuckridge municipality, Mpumalanga Province, South Africa. An ethnobotanical survey of medicinal plants was conducted using a semi-structured questionnaire with 15 traditional healers as informants; one of them also served as a field guide during data collection. Results were analysed by using various quantitative indices of information consensus factor (ICF), use report (UR), frequency citation (FC) and relative frequency citation (RFC). The study reported 86 medicinal plants used in villages for the treatment of various ailments, the majority (25 species) of which were used for urino-genital disorders. The Fabaceae family was the most represented family (17 species) of all the medicinal plants recorded in this study. The roots were the most frequently used plant part, accounting for 56% of the plants reported, and decoctions were often used in the preparation of herbal remedies. Respiratory diseases had the highest ICF value recorded among the 8 categories of ailments. The highest use report was reported for Combretum collinum (4), while the FC and RFC values (15) were highest in 12 plant species. The study revealed that medicinal plants are still widely used in rural areas and this documentation can serve as an ethno pharmacological basis for selecting plants with potential pharmaceutical properties.

  19. Echinococcus felidis in hippopotamus, South Africa.

    PubMed

    Halajian, Ali; Luus-Powell, Wilmien J; Roux, Francois; Nakao, Minoru; Sasaki, Mizuki; Lavikainen, Antti

    2017-08-30

    Hydatid cysts of Echinococcus felidis are described from the hippopotamus (Hippopotamus amphibius) from Mpumalanga Province, South Africa. Among six hippopotami investigated, hepatic hydatids were found in three. The identification was based on mitochondrial and nuclear DNA sequences. In addition, the rostellar hook morphology was analysed. This is the first morphological description of the metacestode of E. felidis, and the first molecularly confirmed report of the intermediate host of E. felidis in South Africa. The definitive host of E. felidis in South Africa is the lion (Panthera leo). Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Hydrochemical modelling of water quality in terms of emerging micropollutants in Mpumalanga, Gauteng and North West Provinces

    NASA Astrophysics Data System (ADS)

    Wanda, Elijah M. M.; Mamba, Bhekie B.; Msagati, Titus A. M.

    2017-08-01

    Emerging micropollutants (EMPs) are ubiquitous in aquatic systems and are associated with a wide range of eco-toxicological effects worldwide. There remains a lack of scientific understanding of the major underlying hydrochemical factors behind variations in concentration heterogeneities of EMPs in time and space. This study was therefore conducted to determine major hydrochemical processes controlling water quality and the occurrence of EMPs mainly, carbamazepine (CBZ), tonalide (AHTN), galaxolide (HHCB), caffeine (CAF), technical 4-nonylphenol (NP) and bisphenol A (BPA) in water from Mpumalanga, Gauteng and North West Provinces in South Africa. Grab water samples were collected bi-monthly between June 2014 and April 2016 from 44 water sources using standard sampling procedures. BPA, NP, CAF, HHCB, AHTN, CBZ were extracted, cleaned and enriched using autotrace-SPE at neutral pH and analyzed using GC × GC-TOFMS. Kruskal Wallis-test was used to test for temporal variations in occurrence of the analytes. The Geochemist's Workbench® Release 11 software, Surfer Golden Graphics for surface mapping, PHREEQC software and bivariate ion plots were used determine the major hydrogeochemical processes. The mean concentrations of EMPs varied from 3.48 μg/L for CAF to 421.53 μg/L for HHCB. Although the Kruskal Wallis test revealed no any statistically significant temporal variations in concentrations of the analytes in water samples at 95% confidence level, their occurrence and distribution vary spatially with BPA being the most widely distributed EMP and was present in 62% of the sampled sites. Municipal waste water inputs, agricultural pollution, ion-exchange reactions, carbonate and silicate weathering were the major processes controlling water quality in the study area. This study may assist water resource managers to ably address and manage water pollution resulting from a number of natural and anthropogenic hydrochemical processes in the study area.

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

    ERIC Educational Resources Information Center

    Mahlangu, Vimbi P.

    2016-01-01

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

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

    ERIC Educational Resources Information Center

    van Niekerk, E. J.

    2012-01-01

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

  3. Tuberculosis cure rates and the ETR.Net: investigating the quality of reporting treatment outcomes from primary healthcare facilities in Mpumalanga province, South Africa.

    PubMed

    Dreyer, A W; Mbambo, D; Machaba, M; Oliphant, C E M; Claassens, M M

    2017-03-10

    Tuberculosis control programs rely on accurate collection of routine surveillance data to inform program decisions including resource allocation and specific interventions. The electronic TB register (ETR.Net) is dependent on accurate data transcription from both paperbased clinical records and registers at the facilities to report treatment outcome data. The study describes the quality of reporting of TB treatment outcomes from facilities in the Ehlanzeni District, Mpumalanga Province. A descriptive crossectional study of primary healthcare facilities in the district for the period 1 January - 31 December 2010 was performed. New smear positive TB cure rate data was obtained from the ETR.Net followed by verification of paperbased clinical records, both TB folders and the TB register, of 20% of all new smear positive cases across the district for correct reporting to the ETR.Net. Facilities were grouped according to high (>70%) and low cure rates (≤ 70%) as well as high (> 20%) and low (≤ 20%) error proportions in reporting. Kappa statistic was used to determine agreement between paperbased record, TB register and ETR.Net. Of the100 facilities (951 patient clinical records), 51(51%) had high cure rates and high error proportions, 14(14%) had a high cure rate and low error proportion whereas 30(30%) had low cure rates and high error proportions and five (5%) had a low cure rate with low error proportion. Fair agreement was observed (Kappa = 0.33) overall and between registers. Of the 473 patient clinical records which indicated cured, 383(81%) was correctly captured onto the ETR.Net, whereas 51(10.8%) was incorrectly captured and 39(8.2%) was not captured at all. Over reporting of treatment success of 12% occurred on the ETR.Net. The high error proportion in reporting onto the ETR.Net could result in a false sense of improvement in the TB control programme in the Ehlanzeni district.

  4. Cervical squamous intraepithelial lesions and associated cervical infections in an HIV-positive population in Rural Mpumalanga, South Africa.

    PubMed

    Swanepoel, P J; Michelow, P; Du Plessis, R; Proudfoot, I G; Tarr, G A; Bockel, S L; Swanepoel, C J

    2013-08-01

    The incidences of genital human papillomavirus (HPV) infection, associated squamous intraepithelial lesions and cervical squamous cell carcinoma are significantly increased in HIV-positive women. The role of other cervicovaginal infections in the acquisition of the HPV infection, cervical carcinogenesis and genital HIV infection remains largely speculative. A retrospective study was conducted including 1087 HIV-positive women in rural Mpumalanga province, South Africa, for the period 1 May 2009 to 31 August 2010. For each patient, the age at first presentation, cervical cytological diagnosis, subsequent follow-up cytology and histology, and microscopically visible infections (including endemic Bilharzia) were tabulated and statistically analysed. The prevalence of low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesion (HSIL), squamous cell carcinoma, atypical squamous cells of undetermined significance (ASC-US) and atypical squamous cells, cannot exclude HSIL (ASC-H) in the study population were 22.1%, 30.9%, 0.6%, 13.5% and 4.0%, respectively. LSIL, HSIL and squamous cell carcinoma were diagnosed, respectively, at the average ages of 35.7, 37.9 and 37.2 years. Four patients with cervical intraepithelial neoplasia grade 1 (CIN1), 32 with CIN2/CIN3 and two with cervical squamous cell carcinoma were also diagnosed with Bilharzia. Of the other infections only bacterial vaginosis had a positive statistical correlation with HPV-induced cervical abnormalities (LSIL, HSIL or squamous cell carcinoma). This study confirms the high prevalence of progressive HPV-associated cervical disease in a rural Southern African HIV-positive population, which is at least equal to or worse than in other African HIV-positive studies. The high incidence of Bilharzia infection in those cases that underwent cervical cone excision suggests a possible relationship with progressive HPV disease and cervical carcinogenesis. Bacterial vaginosis (perhaps in

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

    PubMed

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

    2017-07-20

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

  6. Assessing the Feasibility of Smartphone Apps for HIV-Care Research with MSM and Transgender Individuals in Mpumalanga, South Africa.

    PubMed

    Daniels, Joseph; Lane, Tim; Struthers, Helen; Maleke, Kabelo; Moges, Winta; McIntyre, James; Coates, Thomas

    There is an urgent need to develop the HIV treatment cascade for men who have sex with men (MSM) and transgender individuals in rural Mpumalanga, South Africa. Mhealth tools such as smartphone applications have the potential to support HIV self-care behaviors. We conducted an exploratory study with HIV-positive community leaders to understand their current uses of cell phones and smartphones and to assess their interest in an HIV research study that utilized a smartphone application for HIV care support. A total of 18 community leaders were recruited to complete a questionnaire and focus group. We found that a large proportion of participants had smartphone access and were interested in a research study that utilized a smartphone application with secure access measures. We conclude that smartphone applications for HIV care research are feasible based on access and interest by MSM and transgender individuals in this rural setting.

  7. Ergot species of the Claviceps purpurea group from South Africa.

    PubMed

    van der Linde, Elna J; Pešicová, Kamila; Pažoutová, Sylvie; Stodůlková, Eva; Flieger, Miroslav; Kolařík, Miroslav

    2016-08-01

    Results of a survey and study of the Claviceps purpurea group of species in South Africa are being presented and five new species are described. Morphological descriptions are based on the anamorphs and four nuclear genetic loci. Claviceps fimbristylidis sp. nov. on Fimbristylis complanata was discovered wide-spread across five provinces of the country associated with water and represents the fourth Claviceps species recorded from the Cyperaceae. Claviceps monticola sp. nov. is described from Brachypodium flexum growing in mountain forests in Mpumalanga Province, as well as the northern Drakensberg southwards into the Eastern Cape Province. Claviceps pazoutovae sp. nov. is recorded from Stipa dregeana var. dregeana and Ehrharta erecta var. erecta, also associated with these mountain ranges. Claviceps macroura sp. nov. is recorded from Cenchrus macrourus from the Eastern Cape and Claviceps capensis sp. nov. from Ehrharta villosa var. villosa is recorded from the Western Cape Province. Claviceps cyperi, only recorded from South Africa is included in the study. Ergot alkaloid profiles of all species are provided and showed similarity to C. purpurea. Only C. cyperi and in lesser degree C. capensis, C. macroura, and C. pazoutovae produced ergot alkaloids in clinically significant amounts. Several reported species infect invasive grass species, native to South Africa, and thus represent potentially invasive species. Copyright © 2016 British Mycological Society. Published by Elsevier Ltd. All rights reserved.

  8. HIV/AIDS and Education: A Study on How a Selection of School Governing Bodies in Mpumalanga Understand, Respond to and Implement Legislation and Policies on HIV/AIDS

    ERIC Educational Resources Information Center

    Hartell, C. G.; Maile, S.

    2004-01-01

    Very little research has been done in South Africa on HIV/AIDS and education. This article is a small attempt to plug the gap. The purpose of the research is to investigate the legal and policy provisions and implications regarding HIV/AIDS for rural and township schools in the Mpumalanga district of South Africa. It seeks to answer three…

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

    PubMed

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

    2017-12-01

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

  10. Using a geographical information system to plan a malaria control programme in South Africa.

    PubMed Central

    Booman, M.; Durrheim, D. N.; La Grange, K.; Martin, C.; Mabuza, A. M.; Zitha, A.; Mbokazi, F. M.; Fraser, C.; Sharp, B. L.

    2000-01-01

    INTRODUCTION: Sustainable control of malaria in sub-Saharan Africa is jeopardized by dwindling public health resources resulting from competing health priorities that include an overwhelming acquired immunodeficiency syndrome (AIDS) epidemic. In Mpumalanga province, South Africa, rational planning has historically been hampered by a case surveillance system for malaria that only provided estimates of risk at the magisterial district level (a subdivision of a province). METHODS: To better map control programme activities to their geographical location, the malaria notification system was overhauled and a geographical information system implemented. The introduction of a simplified notification form used only for malaria and a carefully monitored notification system provided the good quality data necessary to support an effective geographical information system. RESULTS: The geographical information system displays data on malaria cases at a village or town level and has proved valuable in stratifying malaria risk within those magisterial districts at highest risk, Barberton and Nkomazi. The conspicuous west-to-east gradient, in which the risk rises sharply towards the Mozambican border (relative risk = 4.12, 95% confidence interval = 3.88-4.46 when the malaria risk within 5 km of the border was compared with the remaining areas in these two districts), allowed development of a targeted approach to control. DISCUSSION: The geographical information system for malaria was enormously valuable in enabling malaria risk at town and village level to be shown. Matching malaria control measures to specific strata of endemic malaria has provided the opportunity for more efficient malaria control in Mpumalanga province. PMID:11196490

  11. Confidential inquiry into malaria deaths.

    PubMed Central

    Dürrheim, D. N.; Frieremans, S.; Kruger, P.; Mabuza, A.; de Bruyn, J. C.

    1999-01-01

    The results of a confidential inquiry into mortality attributed to malaria in South Africa's Mpumalanga Province are being used to guide the design of strategies for improving the management of cases and reducing the probability of deaths from the disease. PMID:10212518

  12. Medical education and the quality improvement spiral: A case study from Mpumalanga, South Africa

    PubMed Central

    Bergh, Anne-Marie; Etsane, Mama E.; Hugo, Jannie

    2015-01-01

    Background: The short timeframe of medical students’ rotations is not always conducive to successful, in-depth quality-improvement projects requiring a more longitudinal approach. Aim: To describe the process of inducting students into a longitudinal quality-improvement project, using the topic of the Mother- and Baby-Friendly Initiative as a case study; and to explore the possible contribution of a quality-improvement project to the development of student competencies. Setting: Mpumalanga clinical learning centres, where University of Pretoria medical students did their district health rotations. Method: Consecutive student groups had to engage with a hospital's compliance with specific steps of the Ten Steps to Successful Breastfeeding that form the standards for the Mother- and Baby-Friendly Initiative. Primary data sources included an on-site PowerPoint group presentation (n = 42), a written group report (n = 42) and notes of individual interviews in an end-of-rotation objectively structured clinical examination station (n = 139). Results: Activities in each rotation varied according to the needs identified through the application of the quality-improvement cycle in consultation with the local health team. The development of student competencies is described according to the roles of a medical expert in the CanMEDS framework: collaborator, health advocate, scholar, communicator, manager and professional. The exposure to the real-life situation in South African public hospitals had a great influence on many students, who also acted as catalysts for transforming practice. Conclusion: Service learning and quality-improvement projects can be successfully integrated in one rotation and can contribute to the development of the different roles of a medical expert. More studies could provide insight into the potential of this approach in transforming institutions and student learning. PMID:26245606

  13. Health risks of travelers in South Africa.

    PubMed

    Waner, S

    1999-09-01

    Large numbers of tourists visit South Africa every year. Travelers to urban areas are at little risk of contracting an infectious disease, however the adventure traveler is at increased risk. Yellow fever is not known to occur in South Africa. Malaria is endemic in Mpumalanga and KwaZula-Natal. Schistosomiasis is endemic in large parts of the country. Although rabies is found throughout the country, only a small number of human cases is reported. High risk areas are KwaZulu-Natal, the eastern Cape and Mpumalanga provinces. The incidence of human immunodeficiency virus (HIV) infection is high and counseling regarding sexually transmitted diseases is important. Sanitation of water is excellent in most large cities and towns; however travelers to rural areas should exercise caution. Arbovirus infections do occur but relatively few cases are reported. The hiker is at risk for tick bite fever and should be counseled. Since the abolition of apartheid, South Africa has been seen as an inexpensive, high quality destination by many tourists. In 1997, a total of 5,436,848 travelers from many different countries visited the country. Areas most frequently visited include Johannesburg, Cape Town, Durban, the Garden Route, Kruger National Park, KwaZulu-Natal and Pretoria. The most common reason for visiting the country was holiday (44%), followed by visiting friends and relatives (23%), business travel (27%) other (6%).1 Travelers, to the larger cities such as Johannesburg, Cape Town and Durban are at little risk of acquiring an infectious disease. The adventure traveler however is at greater risk as parts of the country are endemic for malaria, schistosomiasis, rabies, food and waterborne diseases, sexually transmitted diseases and arbovirus infections. Accidental deaths due to motor vehicle accidents and interpersonal violence are important health risks in South Africa. Travelers visiting popular attractions are at significantly lower risk. However this has never been

  14. Origin of the South Atlantic igneous province

    NASA Astrophysics Data System (ADS)

    Foulger, Gillian R.

    2018-04-01

    The South Atlantic Igneous Province comprises the Paraná Basalts, Rio Grande Rise, Tristan archipelago and surrounding guyot province, Walvis Ridge, Etendeka basalts and, in some models, the alkaline igneous lineament in the Lucapa corridor, Angola. Although these volcanics are often considered to have a single generic origin, complexities that suggest otherwise are observed. The Paraná Basalts erupted 5 Ma before sea-floor spreading started in the neighborhood, and far more voluminous volcanic margins were emplaced later. A continental microcontinent likely forms much of the Rio Grande Rise, and variable styles of volcanism built the Walvis Ridge and the Tristan da Cunha archipelago and guyot province. Such complexities, coupled with the northward-propagating mid-ocean ridge crossing a major transverse transtensional intracontinental structure, suggest that fragmentation of Pangaea was complex at this latitude and that the volcanism may have occurred in response to distributed extension. The alternative model, a deep mantle plume, is less able to account for many observations and no model variant can account for all the primary features that include eruption of the Paraná Basalts in a subsiding basin, continental breakup by rift propagation that originated far to the south, the absence of a time-progressive volcanic chain between the Paraná Basalts and the Rio Grande Rise, derivation of the lavas from different sources, and the lack of evidence for a plume conduit in seismic-tomography- and magnetotelluric images. The region shares many common features with the North Atlantic Igneous Province which also features persistent, widespread volcanism where a propagating mid-ocean ridge crossed a transverse structural discontinuity in the disintegrating supercontinent.

  15. Changing Perceptions of Teachers Regarding the Importance and Competence of Their Principals as Leaders

    ERIC Educational Resources Information Center

    Grobler, Bernardus; Bisschoff, Thomas; Beeka, Amrat

    2012-01-01

    We examined the perceptions of teachers on the importance and competence of principals as leaders before and after an intervention programme on holistic leadership. The research was quantitative and contextualized in the Secunda region of Mpumalanga province in South Africa. The methodology followed a literature study and an empirical…

  16. Continuous country rock contamination and hydrothermal alteration of the Ni-Cu-PGE sulphide-bearing (ultra-)basic Uitkomst Complex, South Africa

    NASA Astrophysics Data System (ADS)

    Gauert, Christoph; Globig, Jan

    2014-05-01

    highly variable Cu/(Cu+Ni) ratios. In areas of thorough alteration nickel can almost completely reside in sulphide minerals. The country rock contamination in the marginal zones and the alteration appear to continue along the downdip extension with nearly constant intensity over a distance of at least 9 km towards north-west. References: De Waal, S.A., Maier, W., Armstrong, R. and Gauert, C.D.K., 2001. Chemical constraints on the differentiation and emplacement of the Uitkomst Complex, Mpumalanga Province, South Africa, Canadian Mineralogist: 39, 557-571. Gauert, C.D.K., 1998. The Petrogenesis of the Uitkomst Complex, Mpumalanga Province, South Africa. Unpublished Ph.D. thesis, University of Pretoria, 315p. Guenther, C., and Gauert, C., 2013 The spatial distribution and geochemical characteristics of the talc-carbonate alteration of the Uitkomst Complex. 12th biennial SGA meeting, Uppsala, Sweden. Proceedings: 3, 993-996. Joubert, P.L., 2013. Syn- to post-intrusive deformation in the Chromitiferous Harzburgite Unit of the Uitkomst Complex, Nkomati Mine, Mpumalanga Province. Unpublished M.Sc. thesis, University of the Free State, Bloemfontein, South Africa, 155p. Sarkar, A., Ripley, E.M., Li, C., Maier, W.D., 2008. Stable isotope, fluid inclusion, and mineral chemistry constraints on contamination and hydrothermal alteration in the Uitkomst Complex, South Africa. - Chemical Geology, v. 257: 129-138.

  17. Management of non-marital fertility in two South African communities.

    PubMed

    Madhavan, Sangeetha; Harrison, Abigail; Sennott, Christie

    2013-01-01

    In this analysis, we draw on qualitative data to examine the management of non-marital fertility among young women in two rural, Black communities situated in different provinces of South Africa: KwaZulu-Natal and Mpumalanga. While the two communities share a history of economic and social disadvantage and limited access to the labour market, there are, nonetheless, distinctive features that are evident in the management of non-marital fertility. We show that young women in both communities aspire to an ideal ordering of events that places finishing education before getting married and having children, but this is not easily attained. However, there are important differences in the ways young women and their families respond to union formation and childbearing that often occurs outside of a recognised union. In Hlabisa, KwaZulu-Natal, formal processes for legitimising non-marital pregnancies through union recognition are still in place whereas, in Agincourt, Mpumalanga, more emphasis is placed on securing support and paternal recognition for the child rather than on cementing the union between the young woman and her partner. We also find that the older generation in Agincourt at times views education as a threat to marriage while this is not common in Hlabisa. Our findings have important implications for intervention programmes that often treat Black communities as homogeneous wholes.

  18. The Impact of Computer Simulations as Interactive Demonstration Tools on the Performance of Grade 11 Learners in Electromagnetism

    ERIC Educational Resources Information Center

    Kotoka, Jonas; Kriek, Jeanne

    2014-01-01

    The impact of computer simulations on the performance of 65 grade 11 learners in electromagnetism in a South African high school in the Mpumalanga province is investigated. Learners did not use the simulations individually, but teachers used them as an interactive demonstration tool. Basic concepts in electromagnetism are difficult to understand…

  19. Mental health service use among South Africans for mood, anxiety and substance use disorders.

    PubMed

    Seedat, Soraya; Williams, David R; Herman, Allen A; Moomal, Hashim; Williams, Stacey L; Jackson, Pamela B; Myer, Landon; Stein, Dan J

    2009-05-01

    Europe and North America have low rates of mental health service use despite high rates of mental disorder. Little is known about mental health service use among South Africans. A nationally representative survey of 4351 adults. Twelve-month DSM-IV (Diagnostic and Statistical Manual, 4th edition) diagnoses, severity, and service utilisation were determined using the World Health Organization Composite International Diagnostic Interview (CIDI). Twelve-month treatment was categorised by sector and province. South Africans in households and hostel quarters were interviewed between 2002 and 2004 in all nine provinces. 4 317 respondents 18 years and older were analysed. Bivariate logistic regression models predicted (i) 12-month treatment use of service sectors by gender, and (ii) 12-month treatment use by race by gender. Of respondents with a mental disorder, 25.2% had sought treatment within the previous 12 months; 5.7% had used any formal mental health service. Mental health service use was highest for adults with mood and anxiety disorders, and among those with a mental disorder it varied by province, from 11.4% (Western Cape) to 2.2% (Mpumalanga). More women received treatment, and this was largely attributable to higher rates of treatment in women with mood disorders. Age, income, education and marital status were not significantly associated with mental health service use. Race was associated with the treatment sector accessed in those with a mental disorder. There is a substantial burden of untreated mental disorders in the South African population, across all provinces and even in those with substantial impairment. Greater allocation of resources to mental health services and more community awareness initiatives are needed to address the unmet need.

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

    ERIC Educational Resources Information Center

    Melwa, Irene T.; Oduntan, Olalekan A.

    2012-01-01

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

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

    PubMed

    Rispel, Laetitia C; Angelides, George

    2014-01-01

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

  2. Switching on After Nine: Black gay-identified men's perceptions of sexual identities and partnerships in South African towns.

    PubMed

    Mantell, Joanne E; Tocco, Jack Ume; Osmand, Thomas; Sandfort, Theo; Lane, Tim

    2016-01-01

    There is considerable diversity, fluidity and complexity in the expressions of sexuality and gender among men who have sex with men (MSM). Some non-gay identified MSM are known colloquially by gay-identified men in Mpumalanga, Province, South Africa, as 'After-Nines' because they do not identify as gay and present as straight during the day but also have sex with other men at night. Based on, key informant interviews and focus group discussions in two districts in Mpumalanga, we explored Black gay-identified men's perceptions of and relationships with After-Nine men, focusing on sexual and gender identities and their social consequences. Gay-identified men expressed ambivalence about their After-Nine partners, desiring them for their masculinity, yet often feeling dissatisfied and exploited in their relationships with them. The exchange of sex for commodities, especially alcohol, was common. Gay men's characterisation of After-Nines as men who ignore them during the day but have sex with them at night highlights the diversity of how same-sex practicing men perceive themselves and their sexual partners. Sexual health promotion programmes targeting 'MSM' must understand this diversity to effectively support the community in developing strategies for reaching and engaging different groups of gay and non-gay identified men.

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

    PubMed Central

    Rispel, Laetitia C.; Angelides, George

    2014-01-01

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

  4. Rural–urban variations in age at menarche, adult height, leg-length and abdominal adiposity in black South African women in transitioning South Africa

    PubMed Central

    2018-01-01

    Abstract Background: The pre-pubertal socioeconomic environment may be an important determinant of age at menarche, adult height, body proportions and adiposity: traits closely linked to adolescent and adult health. Aims: This study explored differences in age at menarche, adult height, relative leg-length and waist circumference between rural and urban black South African young adult women, who are at different stages of the nutrition and epidemiologic transitions. Subjects and methods: We compared 18–23 year-old black South African women, 482 urban-dwelling from Soweto and 509 from the rural Mpumalanga province. Age at menarche, obstetric history and household socio-demographic and economic information were recorded using interview-administered questionnaires. Height, sitting-height, hip and waist circumference were measured using standardised techniques. Results: Urban and rural black South African women differed in their age at menarche (at ages 12.7 and 14.5 years, respectively). In urban women, a one-year increase in age at menarche was associated with a 0.65 cm and 0.16% increase in height and relative leg-length ratio, respectively. In both settings, earlier age at menarche and shorter relative leg-length were independently associated with an increase in waist circumference. Conclusions: In black South African women, the earlier onset of puberty, and consequently an earlier growth cessation process, may lead to central fat mass accumulation in adulthood. PMID:29557678

  5. Tissue distribution of perfluoroalkyl acids and health status in wild Mozambique tilapia (Oreochromis mossambicus) from Loskop Dam, Mpumalanga, South Africa.

    PubMed

    Bangma, Jacqueline T; Reiner, Jessica L; Botha, Hannes; Cantu, Theresa M; Gouws, Marco A; Guillette, Matthew P; Koelmel, Jeremy P; Luus-Powell, Wilmien J; Myburgh, Jan; Rynders, Olivia; Sara, Joseph R; Smit, Willem J; Bowden, John A

    2017-11-01

    This study examined concentrations of 15 perfluoroalkyl acids (PFAAs) in tissues from male Mozambique tilapia (Oreochromis mossambicus) collected at Loskop Dam, Mpumalanga, South Africa in 2014 and 2016. Nine of the 15 PFAAs were detected frequently and were included in statistical analysis and included two of the most commonly known PFAAs, perfluorooctanesulfonic acid (PFOS) (median, 41.6ng/g) and perfluorooctanoic acid (PFOA) (median, 0.0825ng/g). Of the tissues measured, plasma (2016 and 2014 median, 22.2ng/g) contained the highest PFAA burden followed by (in descending order): liver (median, 11.6ng/g), kidney (median, 9.04ng/g), spleen (median, 5.92ng/g), adipose (median, 2.54ng/g), and muscle (median, 1.11ng/g). Loskop Dam tilapia have been affected by an inflammatory disease of the adipose tissue known as pansteatitis, so this study also aimed to investigate relationships between PFAA tissue concentrations and incidence of pansteatitis or fish health status. Results revealed that healthy tilapia exhibited an overall higher (p-value<0.05) PFAA burden than pansteatitis-affected tilapia across all tissues. Further analysis showed that organs previously noted in the literature to contain the highest PFAA concentrations, such as kidney, liver, and plasma, were the organs driving the difference in PFAA burden between the two tilapia groups. Care must be taken in the interpretations we draw from not only the results of our study, but also other PFAA measurements made on populations (human and wildlife alike) under differing health status. Copyright © 2017. Published by Elsevier B.V.

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

    ERIC Educational Resources Information Center

    Monobe, Ratau John

    2011-01-01

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

  7. Context matters: Community social cohesion and health behaviors in two South African areas.

    PubMed

    Lippman, Sheri A; Leslie, Hannah H; Neilands, Torsten B; Twine, Rhian; Grignon, Jessica S; MacPhail, Catherine; Morris, Jessica; Rebombo, Dumisani; Sesane, Malebo; El Ayadi, Alison M; Pettifor, Audrey; Kahn, Kathleen

    2018-03-01

    Understanding how social contexts shape HIV risk will facilitate development of effective prevention responses. Social cohesion, the trust and connectedness experienced in communities, has been associated with improved sexual health and HIV-related outcomes, but little research has been conducted in high prevalence settings. We conducted population-based surveys with adults 18-49 in high HIV prevalence districts in Mpumalanga (n = 2057) and North West Province (n = 1044), South Africa. Community social cohesion scores were calculated among the 70 clusters. We used multilevel logistic regression stratified by gender to assess individual- and group-level associations between social cohesion and HIV-related behaviors: recent HIV testing, heavy alcohol use, and concurrent sexual partnerships. Group-level cohesion was protective in Mpumalanga, where perceived social cohesion was higher. For each unit increase in group cohesion, the odds of heavy drinking among men were reduced by 40% (95%CI 0.25, 0.65); the odds of women reporting concurrent sexual partnerships were reduced by 45% (95%CI 0.19, 1.04; p = 0.06); and the odds of reporting recent HIV testing were 1.6 and 1.9 times higher in men and women, respectively. We identified potential health benefits of cohesion across three HIV-related health behaviors in one region with higher overall evidence of group cohesion. There may be a minimum level of cohesion required to yield positive health effects. Copyright © 2018 Elsevier Ltd. All rights reserved.

  8. 'Behaving well': the transition to respectable womanhood in rural South Africa.

    PubMed

    Sennott, Christie; A Mojola, Sanyu

    2017-07-01

    Few studies of the transition to adulthood in Africa analyse young people's own definitions of the events that confer adult status, and how adulthood is actually attained. This paper examines the experience of transitioning to womanhood in rural Mpumalanga Province, South Africa, drawing on interviews with 18 women aged 18-39. Three primary experiences characterised this transition: puberty and emerging body awareness, spending time with boys, and having a child. More important than the timing of these experiences, however, was whether women 'behaved well' and maintained respectability as they transitioned to adulthood. Behavioural standards reinforcing ideal femininity were focused on dress, manner and talk, and were particularly stringent for mothers. Findings emphasise the value of emic models of adulthood for understanding how youth experience this transition and provide an important counter-narrative to the literature focused primarily on the risk African youth face during this period of change in the life course.

  9. South Sumatra Basin Province, Indonesia; the Lahat/Talang Akar-Cenozoic total petroleum system

    USGS Publications Warehouse

    Bishop, Michele G.

    2000-01-01

    Oil and gas are produced from the onshore South Sumatra Basin Province. The province consists of Tertiary half-graben basins infilled with carbonate and clastic sedimentary rocks unconformably overlying pre-Tertiary metamorphic and igneous rocks. Eocene through lower Oligocene lacustrine shales and Oligocene through lower Miocene lacustrine and deltaic coaly shales are the mature source rocks. Reserves of 4.3 billion barrels of oil equivalent have been discovered in reservoirs that range from pre-Tertiary basement through upper Miocene sandstones and carbonates deposited as synrift strata and as marine shoreline, deltaic-fluvial, and deep-water strata. Carbonate and sandstone reservoirs produce oil and gas primarily from anticlinal traps of Plio-Pleistocene age. Stratigraphic trapping and faulting are important locally. Production is compartmentalized due to numerous intraformational seals. The regional marine shale seal, deposited by a maximum sea level highstand in early middle Miocene time, was faulted during post-depositional folding allowing migration of hydrocarbons to reservoirs above the seal. The province contains the Lahat/Talang Akar-Cenozoic total petroleum system with one assessment unit, South Sumatra.

  10. Variables Associated with Grade R English Additional Language Acquisition in Multilingual Rural Mpumalanga Schools

    ERIC Educational Resources Information Center

    Moodley, P.; Kritzinger, A.; Vinck, B.

    2016-01-01

    In a previous study Moodley, Kritzinger and Vinck (2014) found that formal English Additional Language (EAL) instruction contributed significantly better to listening and speaking skills in Grade R learners, than did a play-based approach. The finding in multilingual rural Mpumalanga schools was in agreement with numerous studies elsewhere.…

  11. The African swine fever control zone in South Africa and its current relevance.

    PubMed

    Magadla, Noluvuyo R; Vosloo, Wilna; Heath, Livio; Gummow, Bruce

    2016-05-23

    African swine fever (ASF) has been reported in South Africa since the early 20th century. The disease has been controlled and confined to northern South Africa over the past 80 years by means of a well-defined boundary line, with strict control measures and movement restrictions north of this line. In 2012, the first outbreak of ASF outside the ASF control zone since 1996 occurred. The objective of this study was to evaluate the current relevance of the ASF control line as a demarcation line between endemic ASF (north) areas and ASF-free (south) area and to determine whether there was a need to realign its trajectory, given the recent outbreaks of ASF, global climate changes and urban development since the line's inception. A study of ASF determinants was conducted in an area 20 km north and 20 km south of the ASF control line, in Limpopo, Mpumalanga, North West and Gauteng provinces between May 2008 and September 2012. The study confirmed that warthogs, warthog burrows and the soft tick reservoir, Ornithodoros moubata, are present south of the ASF control line, but no virus or viral DNA was detected in these ticks. There appears to be an increasing trend in the diurnal maximum temperature and a decrease in humidity along the line, but the impact of these changes is uncertain. No discernible changes in minimum temperatures and average rainfall along the disease control line were observed between 1992 and 2014. Even though the reservoirs were found south of the ASF boundary line, the study concluded that there was no need to realign the trajectory of the ASF disease control line, with the exception of Limpopo Province. However, the provincial surveillance programmes for the reservoir, vector and ASF virus south of this line needs to be maintained and intensified as changing farming practices may favour the spread of ASF virus beyond the control line.

  12. The employment environment for youth in rural South Africa: A mixed-methods study

    PubMed Central

    Wilkinson, Andra; Pettifor, Audrey; Rosenberg, Molly; Halpern, Carolyn; Thirumurthy, Harsha; Collinson, Mark A.; Kahn, Kathleen

    2016-01-01

    South Africa has high youth unemployment. This paper examines the predictors of youth employment in rural Agincourt, Mpumalanga Province. A survey of 187 out-of-school 18–24 year olds found only 12% of women and 38% of men were currently employed. Men with skills/training were significantly more likely to report employment, mostly physical labour (aOR: 4.5; CI: 1.3, 15.3). In-depth interviews with 14 of the youth revealed women are perceived more suitable for formal employment, which is scarce informing why women were more likely to pursue further education and yet less likely to be employed. Ten key informants from local organisations highlighted numerous local youth employment resources while, in contrast, all youth in the sample said no resources were available, highlighting a need for the organisations to extend their services into rural areas. As these services are focused on entrepreneurship, programs to increase financial literacy and formal employment opportunities are also needed. PMID:28190915

  13. The employment environment for youth in rural South Africa: A mixed-methods study.

    PubMed

    Wilkinson, Andra; Pettifor, Audrey; Rosenberg, Molly; Halpern, Carolyn; Thirumurthy, Harsha; Collinson, Mark A; Kahn, Kathleen

    2017-01-01

    South Africa has high youth unemployment. This paper examines the predictors of youth employment in rural Agincourt, Mpumalanga Province. A survey of 187 out-of-school 18-24 year olds found only 12% of women and 38% of men were currently employed. Men with skills/training were significantly more likely to report employment, mostly physical labour (aOR: 4.5; CI: 1.3, 15.3). In-depth interviews with 14 of the youth revealed women are perceived more suitable for formal employment, which is scarce informing why women were more likely to pursue further education and yet less likely to be employed. Ten key informants from local organisations highlighted numerous local youth employment resources while, in contrast, all youth in the sample said no resources were available, highlighting a need for the organisations to extend their services into rural areas. As these services are focused on entrepreneurship, programs to increase financial literacy and formal employment opportunities are also needed.

  14. Use of indigenous and indigenised medicines to enhance personal well-being: a South African case study.

    PubMed

    Cocks, Michelle; Møller, Valerie

    2002-02-01

    An estimated 27 million South Africans use indigenous medicines (Mander, 1997, Medicinal plant marketing and strategies for sustaining the plant supply in the Bushbuckridge area and Mpumalanga Province. Institute for Natural Resources, University of Natal. Pietermaritzburg, South Africa). Although herbal remedies are freely available in amayeza stores, or Xhosa chemists, for self-medication, little is known about the motivations of consumers. According to African belief systems, good health is holistic and extends to the person's social environment. The paper makes a distinction between traditional medicines which are used to enhance personal well-being generally and for cultural purposes, on the one hand, and medicines used to treat physical conditions only, on the other. Drawing on an eight-month study of Xhosa chemists in Eastern Cape Province, South Africa, in 1996, the paper identifies 90 medicines in stock which are used to enhance personal well-being. Just under one-third of all purchases were of medicines to enhance well-being. Remedies particularly popular included medicines believed to ward off evil spirits and bring good luck. The protection of infants with medicines which repel evil spirits is a common practice. Consumer behaviours indicate that the range of medicines available is increased by indigenisation of manufactured traditional medicines and cross-cultural borrowing. Case studies confirm that self- and infant medication with indigenous remedies augmented by indigenised medicines plays an important role in primary health care by allaying the fears and anxieties of everyday life within the Xhosa belief system. thereby promoting personal well-being.

  15. Air Quality, Energy Budget, and Offset Policy in South Africa's Low-Income Settlements

    NASA Astrophysics Data System (ADS)

    Hersey, S. P.; Piketh, S.; Burger, R.

    2014-12-01

    Urban and exurban residential populations in South Africa reside primarily in low-income settlements, including many townships remaining from Apartheid. Over 3 million free government homes have been built in the last 20 years, but the number of people living in informal settlements is the same as at the end of Apartheid in 1994 - a consequence of rapid urbanization. Despite availability of electricity to the vast majority of South Africans, ~80% of electrified homes in low-income areas also burn coal and/or wood as supplementary fuels for cooking and heating. These domestic burning activities represent 70-85% of total PM10mass during winter in South Africa's low-income settlements. Here we analyze data from observations of human-atmosphere systems in: 1) 19 ground monitoring sites in Gauteng Province (Johannesburg and Pretoria), and 2) an intensive sampling campaign in a township in Mpumalanga Province (Industrial Highveld). From ground monitoring, we quantitatively describe seasonal and diurnal trends in PM10 and PM2.5 typical in low-income settlements as compared with industrial and developed suburban areas, and demonstrate the impact of low-income settlements on regional air quality. We also explore the implications of economic development in townships (increased household income, expanded commercialization and widespread electricity usage) on local and regional air quality. Data from the intensive township sampling study provides a seasonal energy budget for domestic burning in low-income settlements and suggests that indoor and ambient air quality are independent systems requiring unique interventions. We conclude with a preview of innovative strategies being developed by industry, government, and academic stakeholders for a not-like-for-like emissions offset policy in South Africa, focused on investments directly into low-income settlements that are aimed at reducing PM exposure.

  16. 'Taking care' in the age of AIDS: older rural South Africans' strategies for surviving the HIV epidemic.

    PubMed

    Angotti, Nicole; Mojola, Sanyu A; Schatz, Enid; Williams, Jill R; Gómez-Olivé, F Xavier

    2018-03-01

    Older adults have been largely overlooked in community studies of HIV in highly endemic African countries. In our rural study site in Mpumalanga Province, South Africa, HIV prevalence among those aged 50 and older is 16.5%, suggesting that older adults are at risk of both acquiring and transmitting HIV. This paper utilises community-based focus-group interviews with older rural South African men and women to better understand the normative environment in which they come to understand and make decisions about their health as they age in an HIV endemic setting. We analyse the dimensions of an inductively emerging theme: ku ti hlayisa (to take care of yourself). For older adults, 'taking care' in an age of AIDS represented: (1) an individualised pathway to achieving old-age respectability through the taking up of responsibilities and behaviours that characterise being an older person, (2) a set of gendered norms and strategies for reducing one's HIV risk, and (3) a shared responsibility for attenuating the impact of the HIV epidemic in the local community. Findings reflect the individual, interdependent and communal ways in which older rural South Africans understand HIV risk and prevention, ways that also map onto current epidemiological thinking for improving HIV-related outcomes in high-prevalence settings.

  17. Assessment of undiscovered oil and gas resources of the South Africa Coastal Province, Africa

    USGS Publications Warehouse

    Brownfield, Michael E.; Schenk, Christopher J.; Charpentier, Ronald R.; Klett, Timothy R.; Cook, Troy A.; Pollastro, Richard M.

    2012-01-01

    The South Africa Coastal Province along the South Africa coast recently was assessed for undiscovered, technically recoverable oil, natural gas, and natural gas liquids resources as part of the U.S. Geological Survey's (USGS) World Oil and Gas Assessment. Using a geology-based assessment methodology, the USGS estimated mean volumes of 2.13 billion barrels of oil, 35.96 trillion cubic feet of natural gas, and 1,115 million barrels of natural gas liquids.

  18. Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga Province, South Africa.

    PubMed

    Rodriguez, Violeta J; Cook, Ryan R; Peltzer, Karl; Jones, Deborah L

    2017-05-01

    Pregnant women living with HIV (WLHIV) in South Africa (SA) report higher rates of suicidal ideation than those who are HIV uninfected, and antenatal suicidal ideation has been previously associated with adverse maternal and neonatal outcomes. Few studies have attempted to identify correlates and psychosocial predictors of suicidal ideation in this population. In this study, we sought to estimate the prevalence of and identify risk factors for suicidal ideation among pregnant WLHIV in rural SA (N = 673). Thirty-nine percent of women endorsed suicidal ideation (95% CI: 35.2% to 42.3%) and in multivariable logistic regression analysis, suicidal ideation was associated with intimate partner violence and stigma, which interacted to multiplicatively increase the odds of suicidal thoughts. Given the high rates of reported suicidal ideation identified in this sample, and the potential harm to mothers and neonates, suicide risk assessment and management protocols for pregnant WLHIV should be considered for inclusion in the standard of care in rural SA.

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

    PubMed

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

    2017-10-10

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

  20. Assessment of shale-gas resources of the Karoo Province, South Africa and Lesotho, Africa, 2016

    USGS Publications Warehouse

    Brownfield, Michael E.; Schenk, Christopher J.; Klett, Timothy R.; Pitman, Janet K.; Tennyson, Marilyn E.; Gaswirth, Stephanie B.; Le, Phuong A.; Leathers-Miller, Heidi M.; Mercier, Tracey J.; Finn, Thomas M.

    2016-07-08

    Using a geology-based assessment methodology, the U.S. Geological Survey estimated undiscovered, technically recoverable mean resource of 44.5 trillion cubic feet of shale gas in the Karoo Province of South Africa and Lesotho, Africa.

  1. Adolescent pregnancy and associated factors in South African youth.

    PubMed

    Mchunu, G; Peltzer, K; Tutshana, B; Seutlwadi, L

    2012-12-01

    Adolescent pregnancy, occurring in girls aged 10-19 years, remains a serious health and social problem worldwide, and has been associated with numerous risk factors evident in the young people's family, peer, school, and neighbourhood contexts. To assess the prevalence of adolescent pregnancy and associated factors in the South African context, as part of a population-based household survey that formed part of an evaluation of the impact of loveLife, South Africa's national HIV prevention campaign for young people. A cross-sectional population-based household survey was conducted using a multi-stage stratified cluster sampling approach. The total sample included 3123 participants, aged 18-24, 54.6% men and 45.4% women, from four of nine provinces in South Africa (Eastern Cape, Gauteng, KwaZulu-Natal and Mpumalanga). Among female youth 19.2% said that they had an adolescent pregnancy, while 5.8% of male youth indicated that they had impregnated a girl when they were an adolescent (12-19 years), 16.2% of the women indicated that they ever had an unwanted pregnancy and 6.7% had ever terminated a pregnancy. In multivariable analysis among women it was found that being employed or unemployed, greater poverty, having higher sexually permissive attitudes and scoring higher on the contraceptive or the condom use index was associated with adolescent pregnancy, and among men wanting the pregnancy and having a sense of the future were associated with adolescent pregnancy. Adolescent pregnancy was found to be high in this sample of South African youth. Multiple factors contributing to adolescent pregnancy have been identified which can be used in targeting young people on the prevention of adolescent pregnancy.

  2. Assessment of coalbed gas resources of the Central and South Sumatra Basin Provinces, Indonesia, 2016

    USGS Publications Warehouse

    Schenk, Christopher J.; Klett, Timothy R.; Tennyson, Marilyn E.; Mercier, Tracey J.; Brownfield, Michael E.; Pitman, Janet K.; Gaswirth, Stephanie B.; Finn, Thomas M.

    2016-12-09

    Using a geology-based assessment methodology, the U.S. Geological Survey estimated a mean of 20 trillion cubic feet of undiscovered, technically recoverable coalbed gas resource in the Central and South Sumatra Basin Provinces of Indonesia.

  3. Differences in antiretroviral scale up in three South African provinces: the role of implementation management

    PubMed Central

    2010-01-01

    Background South Africa’s antiretroviral programme is governed by defined national plans, establishing treatment targets and providing funding through ring-fenced conditional grants. However, in terms of the country’s quasi-federal constitution, provincial governments bear the main responsibility for provision of health care, and have a certain amount of autonomy and therefore choice in the way their HIV/AIDS programmes are implemented. Methods The paper is a comparative case study of the early management of ART scale up in three South African provincial governments – Western Cape, Gauteng and Free State – focusing on both operational and strategic dimensions. Drawing on surveys of models of ART care and analyses of the policy process conducted in the three provinces between 2005 and 2007, as well as a considerable body of grey and indexed literature on ART scale up in South Africa, it draws links between implementation processes and variations in provincial ART coverage (low, medium and high) achieved in the three provinces. Results While they adopted similar chronic disease care approaches, the provinces differed with respect to political and managerial leadership of the programme, programme design, the balance between central standardisation and local flexibility, the effectiveness of monitoring and evaluation systems, and the nature and extent of external support and programme partnerships. Conclusions This case study points to the importance of sub-national programme processes and the influence of factors other than financing or human resource capacity, in understanding intervention scale up. PMID:20594370

  4. The Kimberlites and related rocks of the Kuruman Kimberlite Province, Kaapvaal Craton, South Africa

    NASA Astrophysics Data System (ADS)

    Donnelly, Cara L.; Griffin, William L.; O'Reilly, Suzanne Y.; Pearson, Norman J.; Shee, Simon R.

    2011-03-01

    The Kuruman Kimberlite Province is comprised of 16 small pipes and dikes and contains some of the oldest known kimberlites (>1.6 Ga). In this study, 12 intrusions are subdivided into three groups with distinct petrology, age, and geochemical and isotopic compositions: (1) kimberlites with groundmass perovskites defining a Pb-Pb isochron age of 1787 ± 69 Ma, (2) orangeite with a U-Pb perovskite age of 124 ± 16 Ma, and (3) ultramafic lamprophyres (aillikite and mela-aillikite) with a zircon U-Pb age of 1642 ± 46 Ma. The magma type varies across the Province, with kimberlites in the east, lamprophyres in the west and orangeite and ultramafic lamprophyres to the south. Differences in the age and petrogenesis of the X007 orangeite and Clarksdale and Aalwynkop aillikites suggest that these intrusions are probably unrelated to the Kuruman Province. Kimberlite and orangeite whole-rock major and trace element compositions are similar to other South African localities. Compositionally, the aillikites typically lie off kimberlite and orangeite trends. Groundmass mineral chemistry of the kimberlites has some features more typical of orangeites. Kimberlite whole-rock Sr and Nd isotopes show zoning across the Province. When the kimberlites erupted at ~1.8 Ga, they sampled a core volume (ca 50 km across) of relatively depleted SCLM that was partially surrounded by a rim of more metasomatized mantle. This zonation may have been related to the development of the adjacent Kheis Belt (oldest rocks ~2.0 Ga), as weaker zones surrounding the more resistant core section of SCLM were more extensively metasomatized.

  5. DNA sequence analyses reveal co-occurrence of novel haplotypes of Fasciola gigantica with F. hepatica in South Africa and Zimbabwe.

    PubMed

    Mucheka, Vimbai T; Lamb, Jennifer M; Pfukenyi, Davies M; Mukaratirwa, Samson

    2015-11-30

    The aim of this study was to identify and determine the genetic diversity of Fasciola species in cattle from Zimbabwe, the KwaZulu-Natal and Mpumalanga provinces of South Africa and selected wildlife hosts from Zimbabwe. This was based on analysis of DNA sequences of the nuclear ribosomal internal transcribed spacer (ITS1 and 2) and mitochondrial cytochrome oxidase 1 (CO1) regions. The sample of 120 flukes was collected from livers of 57 cattle at 4 abattoirs in Zimbabwe and 47 cattle at 6 abattoirs in South Africa; it also included three alcohol-preserved duiker, antelope and eland samples from Zimbabwe. Aligned sequences (ITS 506 base pairs and CO1 381 base pairs) were analyzed by neighbour-joining, maximum parsimony and Bayesian inference methods. Phylogenetic trees revealed the presence of Fasciola gigantica in cattle from Zimbabwe and F. gigantica and Fasciola hepatica in the samples from South Africa. F. hepatica was more prevalent (64%) in South Africa than F. gigantica. In Zimbabwe, F. gigantica was present in 99% of the samples; F. hepatica was found in only one cattle sample, an antelope (Hippotragus niger) and a duiker (Sylvicapra grimmia). This is the first molecular confirmation of the identity Fasciola species in Zimbabwe and South Africa. Knowledge on the identity and distribution of these liver flukes at molecular level will allow disease surveillance and control in the studied areas. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Factors influencing the retention of registered nurses in the Gauteng Province of South Africa.

    PubMed

    Mokoka, Kgaogelo E; Ehlers, Valerie J; Oosthuizen, Martha J

    2011-12-14

    South Africa is a source country for many destination countries that recruit registered nurses who emigrate for personal and/or professional reasons. A large number of South African nurses belong to the baby boomer generation (born between 1943 and 1964) who will retire within the foreseeable future. Statistics from the South African Nursing Council show a decline of 42.0% in the number of nurses who completed their training in South Africa from 1996 to 2005. These aspects combine to predict a potential dire shortage of nurses in South Africa within the foreseeable future. Retention of registered nurses should be the focus of health-care planners to avoid crises in South Africa's health-care services. This study attempted to identify factors that would influence registered nurses' decisions to stay with their current employers in the Gauteng Province of South Africa. An exploratory descriptive quantitative design was adopted and questionnaires were sent to a sample of nurses, registered with the South African Nursing Council (SANC), with addresses in the Gauteng Province. A total of 108 nurses completed and returned questionnaires, of whom 77 (73.1%) had considered leaving their current employers. The most important factors that would influence more than 90.0% of these nurses' decisions to stay with their current employers related to finances, safety and security, equipment and/or supplies, management, staff and patients. In terms of Maslow's Hierarchy of Needs Theory, deficiency needs (physiological, safety and social needs) should be met by improved salaries revised on an annual basis, paying long-service and outstanding-service bonuses, and improving the safety and security, as well the available equipment and supplies, at institutions. Sufficient numbers of nurses should be employed and vacancies should be filled rapidly. However, not all changes required to enhance nurses' retention rates involve increased costs. Managers should lead by example and respect

  7. Assessment of continuous oil and gas resources of the South Sumatra Basin Province, Indonesia, 2016

    USGS Publications Warehouse

    Schenk, Christopher J.; Tennyson, Marilyn E.; Klett, Timothy R.; Finn, Thomas M.; Mercier, Tracey J.; Gaswirth, Stephanie B.; Marra, Kristen R.; Le, Phuong A.; Hawkins, Sarah J.

    2016-12-09

    Using a geology-based assessment methodology, the U.S. Geological Survey estimated undiscovered, technically recoverable mean resources of 689 million barrels of continuous shale oil and 3.9 trillion cubic feet of shale gas in the South Sumatra Basin Province in Indonesia.

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

    PubMed Central

    2013-01-01

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

  9. Spatiotemporal characteristics of severe dry and wet conditions in the Free State Province, South Africa

    NASA Astrophysics Data System (ADS)

    Mbiriri, M.; Mukwada, G.; Manatsa, D.

    2018-02-01

    This paper assesses the spatiotemporal characteristics of agricultural droughts and wet conditions in the Free State Province of South Africa for the period between 1960 and 2013. Since agriculturally, the Free State Province is considered the bread basket of the country, understanding the variability of drought and wet conditions becomes necessary. The Standardised Precipitation Index (SPI) computed from gridded monthly precipitation data was used to assess the rainfall extreme conditions. Hot spot analysis was used to divide the province into five homogenous clusters where the spatiotemporal characteristics for each cluster were analysed. The results show a west to east increase in seasonal average total precipitation. However, the eastern part of the province demonstrates higher occurrences of droughts, with SPI ≤ - 1.282. This is despite the observation that the region shows a recent increase in droughts unlike the western region. It is also noted that significant differences in drought/wet intensities between clusters are more pronounced during the early compared to the late summer period.

  10. Lead exposure in adult males in urban Transvaal Province, South Africa during the apartheid era.

    PubMed

    Hess, Catherine A; Cooper, Matthew J; Smith, Martin J; Trueman, Clive N; Schutkowski, Holger

    2013-01-01

    Human exposure to lead is a substantial public health hazard worldwide and is particularly problematic in the Republic of South Africa given the country's late cessation of leaded petrol. Lead exposure is associated with a number of serious health issues and diseases including developmental and cognitive deficiency, hypertension and heart disease. Understanding the distribution of lifetime lead burden within a given population is critical for reducing exposure rates. Femoral bone from 101 deceased adult males living in urban Transvaal Province (now Gauteng Province), South Africa between 1960 and 1998 were analyzed for lead concentration by Inductively Coupled Plasma Mass Spectrometry (ICP-MS). Of the 72 black and 29 white individuals sampled, chronic lead exposure was apparent in nearly all individuals. White males showed significantly higher median bone lead concentration (ME = 10.04 µg·g(-1)), than black males (ME = 3.80 µg·g(-1)) despite higher socioeconomic status. Bone lead concentration covaries significantly, though weakly, with individual age. There was no significant temporal trend in bone lead concentration. These results indicate that long-term low to moderate lead exposure is the historical norm among South African males. Unexpectedly, this research indicates that white males in the sample population were more highly exposed to lead.

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

    ERIC Educational Resources Information Center

    Makhalemele, Thabo; Nel, Mirna

    2016-01-01

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

  12. Determining the Depth of Infinite Horizontal Cylindrical Sources from Spontaneous Polarization Data

    NASA Astrophysics Data System (ADS)

    Cooper, G. R. J.; Stettler, E. H.

    2017-03-01

    Previously published semi-automatic interpretation methods that use ratios of analytic signal amplitudes of orders that differ by one to determine the distance to potential field sources are shown also to apply to self-potential (S.P.) data when the source is a horizontal cylinder. Local minima of the distance (when it becomes closest to zero) give the source depth. The method was applied to an S.P. anomaly from the Bourkes Luck potholes district in Mpumalanga Province, South Africa, and gave results that were confirmed by drilling.

  13. Development and Evaluation of Clear-Water Pier and Contraction Scour Envelope Curves in the Coastal Plain and Piedmont Provinces of South Carolina

    DOT National Transportation Integrated Search

    2016-08-01

    The U.S. Geological Survey in cooperation with the South Carolina Department of Transportation collected clear-water pier- and contraction-scour data at 116 bridges in the Coastal Plain and Piedmont Physiographic Provinces of South Carolina. Pier-sco...

  14. Fauna and Geographical Distribution of Scorpions in Ilam Province, South Western Iran.

    PubMed

    Sharifinia, Narges; Gowhari, Iman; Hoseiny-Rad, Manijeh; Aivazi, Ali Ashraf

    2017-06-01

    Scorpions' stings and their own mortalities place them among the most important health and medical problems. The dreadful features and especially their poisonous stings are considered a major cause of human stress and abhorrence/phobia. The current study aimed to study the scorpion fauna of Ilam Province, south western Iran in order to manage scorpionism related problems. In this field-laboratory investigation during March 2014 to February 2015, different parts of Ilam Province were surveyed. Nine sampling parts were selected based on geographical situation, scorpionism reports, weather, flora, and local data. Capturing scorpion was done employing a black light, and a long forceps from dusk to midnight. The collected scorpions were placed to 70% ethyl alcohol. All specimens were determined based on the valid taxonomic keys, furthermore their sexes were studied. Out of the 391 collected scorpions, 11 species were identified as follows: Hottentotta saulcyi , Mesobuthus eupeus , Compsobuthus matthiesseni , Razianus zarudnyi , Hemiscorpius lepturus , Androctonus crassicauda , Orthochirus iranus , Odontobuthus bidentatus , Buthacus macrocentrus , Scorpio maurus , and Polisius persicus . Eleven species of Buthidae, Scorpionidae and Hemiscorpiidae families from high risk areas were identified. Despite the low surface of the province, such different species reveals a diverse scorpion fauna that, in turn, shows good and suitable habits of scorpions, as considered by health staff.

  15. Is a 10-sow unit economically sustainable? A profitability assessment of productivity amongst small-holder pig farmers, Mpumalanga, South Africa.

    PubMed

    Munzhelele, Priscilla; Oguttu, James W; Fasina, Folorunso O

    2016-05-12

    The majority of small-holder pig farmers in Mpumalanga had between 1- and 10-sow herds. The main aim of this study is to evaluate the current government agricultural intervention (supply of 10 sows and a boar) in terms of technical and economic feasibilities and ascertain whether the small-scale pig value chain system alleviates poverty. Data were obtained from 220 randomly selected small-holder pig farmers using a semi-structured questionnaire. The results showed that 58% farrowed ≤ 10 piglets/born/sow/litter, 44.2% practiced no weaning method and many fed swill and leftovers alone (41.6%). Pair-wise association revealed that the feeding of commercial feeds had a relationship with pigs in relatively good to very good body condition. Pigs in poor body condition were positively correlated with the feeding of swill alone. The economic models for the 10-sow unit proved that pig farming is unprofitable if the current management and feeding systems that operate in the commercial industry are utilised. However, only through a combination of cooperative systems, benefits of economies of scale, reduction of preweaning mortalities and structured government inputs can pig production be profitable at this scale of production.

  16. Maps showing geology, oil and gas fields, and geological provinces of South America

    USGS Publications Warehouse

    Schenk, C. J.; Viger, R.J.; Anderson, C.P.

    1999-01-01

    This digitally compiled map includes geology, geologic provinces, and oil and gas fields of South America. The map is part of a worldwide series on CD-ROM by World Energy Project released of the U.S. Geological Survey . The goal of the project is to assess the undiscovered, technically recoverable oil and gas resources of the world and report these results by the year 2000. For data management purposes the world is divided into eight energy regions corresponding approximately to the economic regions of the world as defined by the U.S. Department of State. South America (Region 6) includes Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, Falkland Islands, French Guiana, Guyuna, Netherlands, Netherlands Antilles, Paraguay, Peru, Suriname, Trinidad and Tobago, Uruguay, and Venezuela.

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

    NASA Astrophysics Data System (ADS)

    Kennedy, William James; Klinger, Herbert Christian

    2013-12-01

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

  18. Factors associated with short-course antiretroviral prophylaxis (dual therapy) adherence for PMTCT in Nkangala district, South Africa.

    PubMed

    Peltzer, Karl; Sikwane, Elisa; Majaja, Mmapaseka

    2011-09-01

    To identify factors that influence adherence to short-course antiretroviral (ARV) prophylaxis by pregnant women and mothers participating in the HIV prevention of mother to child (PMTCT) programme. The sample interviewed included 139 HIV-positive antenatal women (mean gestational age 32 weeks; sexually transmitted diseases [STD] = 2.8, range 4-9 months) and 607 postnatal HIV-positive women, with either having an infant aged 1-10 weeks (30.8%), 11 weeks to 6 months (36.7%) or 7-12 months (32.5%) from Nkangala district, Mpumalanga province, South Africa. A large percentage of antenatal and postnatal women in this study initiated ARV prophylaxis for PMTCT or were on ARV (85.6% and 98%, respectively). Sixty-one per cent of antenatal and 85.9% of postnatal women reported complete adherence to the appropriate medication schedule in the 4 days preceding the interview or prior to delivery. In multivariate analysis, it was found that women with higher HIV status disclosure and less discrimination were better in maternal AZT adherence, women with higher male involvement were better in maternal and infant nevirapine adherence. Adherence to maternal and infant dual therapy prophylaxis was found to be less than optimal. Community factors (discrimination, HIV disclosure, male involvement) contribute to adherence to short-course ARV prophylaxis in this largely rural setting in South Africa. © 2011 The Author(s)/Acta Paediatrica © 2011 Foundation Acta Paediatrica.

  19. Assessment of undiscovered oil and gas resources of the Assam, Bombay, Cauvery, and Krishna-Godavari Provinces, South Asia, 2011

    USGS Publications Warehouse

    Klett, T.R.; Schenk, Christopher J.; Wandrey, Craig J.; Charpentier, Ronald R.; Cook, Troy A.; Brownfield, Michael E.; Pitman, Janet K.; Pollastro, Richard M.

    2012-01-01

    Using a geology-based assessment methodology, the U.S. Geological Survey estimated volumes of undiscovered, technically recoverable, conventional petroleum resources for the Assam, Bombay, Cauvery, and Krishna–Godavari Provinces, South Asia. The estimated mean volumes are as follows: (1) Assam Province, 273 million barrels of crude oil, 1,559 billion cubic feet of natural gas, and 43 million barrels of natural gas liquids; (2) Bombay Province, 1,854 million barrels of crude oil, 15,417 billion cubic feet of natural gas, and 498 million barrels of natural gas liquids; (3) Cauvery Province, 941 million barrels of crude oil, 25,208 billion cubic feet of natural gas, and 654 million barrels of natural gas liquids; and (4) Krishna–Godavari Province, 466 million barrels of crude oil, 37,168 billion cubic feet of natural gas, and 484 million barrels of natural gas liquids. The totals for the four provinces are 3,534 million barrels of crude oil, 79,352 billion cubic feet of natural gas, and 1,679 million barrels of natural gas liquids.

  20. Late Triassic granites from Bangka, Indonesia: A continuation of the Main Range granite province of the South-East Asian Tin Belt

    NASA Astrophysics Data System (ADS)

    Ng, Samuel Wai-Pan; Whitehouse, Martin J.; Roselee, Muhammad H.; Teschner, Claudia; Murtadha, Sayed; Oliver, Grahame J. H.; Ghani, Azman A.; Chang, Su-Chin

    2017-05-01

    The South-East Asian Tin Belt is one of the most tin-productive regions in the world. It comprises three north-south oriented granite provinces, of which the arc-related Eastern granite province and the collision-related Main Range granite province run across Thailand, Singapore, and Indonesia. These tin-producing granite provinces with different mineral assemblages are separated by Paleo-Tethyan sutures exposed in Thailand and Malaysia. The Eastern Province is usually characterised by granites with biotite ± hornblende. Main Range granites are sometimes characterised by the presence of biotite ± muscovite. However, the physical boundary between the two types of granite is not well-defined on the Indonesian Tin Islands, because the Paleo-Tethyan suture is not exposed on land there. Both hornblende-bearing (previously interpreted as I-type) and hornblende-barren (previously interpreted as S-type) granites are apparently randomly distributed on the Indonesian Tin Islands. Granites exposed on Bangka, the largest and southernmost Tin Island, no matter whether they are hornblende-bearing or hornblende-barren, are geochemically similar to Malaysian Main Range granites. The average ɛNd(t) value obtained from the granites from Bangka (average ɛNd(t) = -8.2) falls within the range of the Main Range Province (-9.6 to -5.4). These granites have SIMS zircon U-Pb ages of ca. 225 Ma and ca. 220 Ma, respectively that are both within the period of Main Range magmatism (∼226-201 Ma) in the Peninsular Malaysia. We suggest that the granites exposed on Bangka represent the continuation of the Main Range Province, and that the Paleo-Tethyan suture lies to the east of the island.

  1. Analysing post-apartheid gender and racial transformation in medical education in a South African province.

    PubMed

    Khan, Taskeen; Thomas, Leena S; Naidoo, Shan

    2013-01-24

    In light of global concerns about insufficient numbers of doctors, midwives, and nurses, the World Health Organization (WHO) has identified the scale-up of the production of medical professionals who are competent and responsive to community needs as urgent and necessary. Coincident with this imperative, South African medical schools have also had to consider redressing apartheid-era inequities in access to medical education and changing the racial and gender profile of medical graduates to be representative of the population. In this article, we explore progress and challenges with regard to transformation, defined as intentional and planned changes aimed at addressing historical disadvantages, in the Gauteng Province of South Africa. A cross-sectional, descriptive analysis was conducted using data on medical school admissions and graduations from the Health and Education Departments for the period 1999-2011. Admission and graduation statistics of 1999, 2005, 2008, and 2011 were analysed according to race and gender. The results show that there has been progress in transforming the race and gender composition of medical students and graduates, in line with the transformation strategies of the South African government. In 1999, black African enrolments and graduates were conspicuously low in two of the three medical schools in the Gauteng province. By 2011, an almost six-fold increase in black African student enrolments was seen in one medical school that was previously designated as a white institution. In contrast, at the historically black medical school, whites only represented 0.40% of enrolments in 1999 and 7.4% in 2011. Since 1999, the number and proportion of female medical enrolments and graduates has also increased substantially. While there has been progress with redressing historical disparities and inequities in terms of race and gender, further efforts are needed to ensure that student intakes and graduations are in line with the South African

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

    NASA Astrophysics Data System (ADS)

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

    2017-10-01

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

  3. Molecular detection of Porcine circovirus type 2 in swine herds of Eastern Cape Province South Africa.

    PubMed

    Afolabi, Kayode Olayinka; Iweriebor, Benson Chuks; Obi, Larry Chikwelu; Okoh, Anthony Ifeanyi

    2017-11-02

    Porcine circovirus type 2 (PCV2) remains the main causative viral pathogen of porcine circovirus-associated diseases (PCVAD) of great economic importance in pig industry globally. This present study aims at determining the occurrence of the viral pathogen in swine herds of the Province. The data obtained revealed that 15.93% of the screened samples (54/339) from the swine herds of the studied areas were positive for PCV2; while the severity of occurrence of the viral pathogen as observed at farm level ranges from approximately 5.6 to 60% in the studied farms. The majority (15 out of 17 = 88%) of the analyzed sequences were found clustering with other PCV2b strains in the phylogenetic analysis. More interestingly, two other sequences obtained were also found clustering within PCV2d genogroup, which is presently another fast-spreading genotype with observable higher virulence in global swine herds. This is the first report of PCV2 in swine herds of the Province and the first detection of PCV2b and PCV2d in South African swine herds. It follows the first reported case of PCV2a in an outbreak of porcine multisystemic wasting syndrome (PMWS) in Gauteng Province, South Africa more than one decade ago. This finding confirmed the presence of this all-important viral pathogen in pigs of the region; which could result in a serious outbreak of PCVAD and huge economic loss at the instances of triggering factors if no appropriate measures are taken to effectively curb its spread.

  4. Management of non-marital fertility in two South African communities

    PubMed Central

    Madhavan, Sangeetha; Harrison, Abigail; Sennott, Christie

    2013-01-01

    In this analysis, we draw on qualitative data to examine the management of non-marital fertility among young women in two rural, Black communities situated in different provinces of South Africa: KwaZulu–Natal and Mpumalanga. While the two communities share a history of economic and social disadvantage and limited access to the labour market, there are, nonetheless, distinctive features that are evident in the management of non-marital fertility. We show that young women in both communities aspire to an ideal ordering of events that places finishing education before getting married and having children but this is not easily attained. However, there are important differences in the ways young women and their families respond to union formation and childbearing that often occurs outside of a recognized union. In Hlabisa, formal processes for legitimising non-marital pregnancies through union recognition are still in place whereas, in Agincourt, more emphasis is placed on securing support and paternal recognition for the child rather than on cementing the union between the young woman and her partner. We also find that the older generation in Agincourt at times views education as a threat to marriage while this is not common in Hlabisa. Our findings have important implications for intervention programmes that often treat Black communities as homogeneous wholes. PMID:23600721

  5. Student Perceptions of Agricultural Education Programme Processes at Selected High Schools in KwaZulu-Natal Province, South Africa

    ERIC Educational Resources Information Center

    Kidane, T. T.; Worth, S. H.

    2014-01-01

    Purpose: This study investigates student perceptions of different aspects of Agricultural Education and Training (AET) programme processes that have been offered in secondary schools by the formal educational sector in the province of KwaZulu-Natal, South Africa. The study seeks to identify the existing shortcomings in the implementation of the…

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

    PubMed

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

    2015-03-01

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

  7. Awareness, treatment, and control of dyslipidemia in rural South Africa: The HAALSI (Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa) study.

    PubMed

    Reiger, Sheridan; Jardim, Thiago Veiga; Abrahams-Gessel, Shafika; Crowther, Nigel J; Wade, Alisha; Gomez-Olive, F Xavier; Salomon, Joshua; Tollman, Stephen; Gaziano, Thomas A

    2017-01-01

    Dyslipidemia is a primary driver for chronic cardiovascular conditions and there is no comprehensive literature about its management in South Africa. The objective of this study was to assess the prevalence, awareness, treatment, and control of dyslipidemia in rural South Africa and how they are impacted by different behaviors and non-modifiable factors. To fulfill this objective we recruited for this cohort study adults aged ≥40 years residing in the Agincourt sub-district of Mpumalanga Province. Data collection included socioeconomic and clinical data, anthropometric measures, blood pressure (BP), HIV-status, point-of-care glucose and lipid levels. Framingham CVD Risk Score was ascribed to patients based upon categories for 10 year cardiovascular risk of low (<3%), moderate (≥3% and <15%), high (≥15% and <30%), and very high (≥30%).LDL cholesterol control by risk category was defined according to South African Guidelines. Multivariable logistic regression models were built to identify factors that were significantly associated with dyslipidemia and awareness of dyslipidemia From 5,059 respondents a total of 4247 subjects (83.9%) had their cholesterol levels measured and were included in our analysis. Overall, 67.3% (2860) of these met criteria for dyslipidemia, only 30 (1.05%) were aware of their condition, and only 21 subjects (0.73%) were on treatment. The majority have abnormalities in triglycerides (59.3%). As cardiovascular risk increased the rates of lipid control according to LDL level dropped. Multivariate logistic regression analyses showed that being overweight was predictive of dyslipidemia (OR 1.76; 95%CI 1.51-2.05, p<0.001) and dyslipidemia awareness (OR 2.58; 95%CI 1.19-5.58; p = 0.017). In conclusion, the very low awareness and treatment of dyslipidemia in this cohort indicate a greater need for systematic screening and education within the population and demonstrate that there are multiple opportunities to allay this burden.

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

    PubMed Central

    Tosin, Oni. H.

    2016-01-01

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

  9. Assessment of undiscovered oil and gas resources of the Williston Basin Province of North Dakota, Montana, and South Dakota, 2010

    USGS Publications Warehouse

    ,

    2011-01-01

    Using a geology-based assessment method, the U.S. Geological Survey estimated mean undiscovered volumes of 3.8 billion barrels of undiscovered oil, 3.7 trillion cubic feet of associated/dissolved natural gas, and 0.2 billion barrels of undiscovered natural gas liquids in the Williston Basin Province, North Dakota, Montana, and South Dakota. The U.S. Geological Survey (USGS) recently completed a comprehensive oil and gas assessment of the Williston Basin, which encompasses more than 90 million acres in parts of North Dakota, eastern Montana, and northern South Dakota. The assessment is based on the geologic elements of each total petroleum system (TPS) defined in the province, including hydrocarbon source rocks (source-rock maturation, hydrocarbon generation, and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and hydrocarbon traps (trap formation and timing). Using this geologic framework, the USGS defined 11 TPS and 19 Assessment Units (AU).

  10. Success Factors and Challenges of an Information Communication Technology Network in Rural Schools

    ERIC Educational Resources Information Center

    Mihai, Maryke A.

    2017-01-01

    In April 2008, an interactive information communication technology (ICT) network was established in Mpumalanga, South Africa. the network involved the implementation of SMART board interactive whiteboards (IWBs) and collaboration between a leading school and several disadvantaged schools. the main purpose of the Mpumalanga IWB project was to reach…

  11. Analysing post-apartheid gender and racial transformation in medical education in a South African province

    PubMed Central

    Khan, Taskeen; Thomas, Leena S.; Naidoo, Shan

    2013-01-01

    Introduction In light of global concerns about insufficient numbers of doctors, midwives, and nurses, the World Health Organization (WHO) has identified the scale-up of the production of medical professionals who are competent and responsive to community needs as urgent and necessary. Coincident with this imperative, South African medical schools have also had to consider redressing apartheid-era inequities in access to medical education and changing the racial and gender profile of medical graduates to be representative of the population. In this article, we explore progress and challenges with regard to transformation, defined as intentional and planned changes aimed at addressing historical disadvantages, in the Gauteng Province of South Africa. Methods A cross-sectional, descriptive analysis was conducted using data on medical school admissions and graduations from the Health and Education Departments for the period 1999–2011. Admission and graduation statistics of 1999, 2005, 2008, and 2011 were analysed according to race and gender. Results The results show that there has been progress in transforming the race and gender composition of medical students and graduates, in line with the transformation strategies of the South African government. In 1999, black African enrolments and graduates were conspicuously low in two of the three medical schools in the Gauteng province. By 2011, an almost six-fold increase in black African student enrolments was seen in one medical school that was previously designated as a white institution. In contrast, at the historically black medical school, whites only represented 0.40% of enrolments in 1999 and 7.4% in 2011. Since 1999, the number and proportion of female medical enrolments and graduates has also increased substantially. Conclusion While there has been progress with redressing historical disparities and inequities in terms of race and gender, further efforts are needed to ensure that student intakes and graduations

  12. "The child can remember your voice": parent-child communication about sexuality in the South African context.

    PubMed

    Vilanculos, Esmeralda; Nduna, Mzikazi

    2017-03-01

    There is a wealth of research on parent-child communication about sexual and reproductive health and rights (SRHR) and its influence on young people's sexual behaviours. However, most of it is from the global North. The aim of this study was to explore parent-child communication in three South African provinces: Eastern Cape, KwaZulu-Natal (KZN) and Mpumalanga. Nine, peer, focus group discussions (FGDs) were conducted with young and adult black African men and women in their spoken languages. Data were analysed thematically. Findings revealed that cultural and religious constructions of taboo silenced direct communication and restricted the discussed topics. Parents' older age, low educational level, lack of knowledge, and discomfort in talking about sexuality matters were reported to restrict conversations with children about sex and sexuality. The influence of these factors differed for parents residing in an urban setting who were more liberal than their counterparts residing in more rural areas. The child's age and gender were also reported to be a consideration in approaching these conversations. There is a need for interventions to assist parents on how to communicate with their children about SRHR topics beyond pregnancy and HIV/AIDS. These interventions should take into account and address factors that seem to influence parent-child communication.

  13. Positive practice environments influence job satisfaction of primary health care clinic nursing managers in two South African provinces.

    PubMed

    Munyewende, Pascalia Ozida; Rispel, Laetitia Charmaine; Chirwa, Tobias

    2014-05-15

    Nurses constitute the majority of the health workforce in South Africa and they play a major role in providing primary health care (PHC) services. Job satisfaction influences nurse retention and successful implementation of health system reforms. This study was conducted in light of renewed government commitment to reforms at the PHC level, and to contribute to the development of solutions to the challenges faced by the South African nursing workforce. The objective of the study was to determine overall job satisfaction of PHC clinic nursing managers and the predictors of their job satisfaction in two South African provinces. During 2012, a cross-sectional study was conducted in two South African provinces. Stratified random sampling was used to survey a total of 111 nursing managers working in PHC clinics. These managers completed a pre-tested Measure of Job Satisfaction questionnaire with subscales on personal satisfaction, workload, professional support, training, pay, career prospects and standards of care. Mean scores were used to measure overall job satisfaction and various subscales. Predictors of job satisfaction were determined through multiple logistic regression analysis. A total of 108 nursing managers completed the survey representing a 97% response rate. The mean age of respondents was 49 years (SD = 7.9) and the majority of them (92%) were female. Seventy-six percent had a PHC clinical training qualification. Overall mean job satisfaction scores were 142.80 (SD = 24.3) and 143.41 (SD = 25.6) for Gauteng and Free State provinces respectively out of a maximum possible score of 215. Predictors of job satisfaction were: working in a clinic of choice (RRR = 3.10 (95% CI: 1.11 to 8.62, P = 0.030)), being tired at work (RRR = 0.19 (95% CI: 0.08 to 0.50, P = 0.001)) and experience of verbal abuse (RRR = 0.18 (95% CI: 0.06 to 0.55, P = 0.001). Allowing nurses greater choice of clinic to work in, the prevention of violence

  14. Positive practice environments influence job satisfaction of primary health care clinic nursing managers in two South African provinces

    PubMed Central

    2014-01-01

    Background Nurses constitute the majority of the health workforce in South Africa and they play a major role in providing primary health care (PHC) services. Job satisfaction influences nurse retention and successful implementation of health system reforms. This study was conducted in light of renewed government commitment to reforms at the PHC level, and to contribute to the development of solutions to the challenges faced by the South African nursing workforce. The objective of the study was to determine overall job satisfaction of PHC clinic nursing managers and the predictors of their job satisfaction in two South African provinces. Methods During 2012, a cross-sectional study was conducted in two South African provinces. Stratified random sampling was used to survey a total of 111 nursing managers working in PHC clinics. These managers completed a pre-tested Measure of Job Satisfaction questionnaire with subscales on personal satisfaction, workload, professional support, training, pay, career prospects and standards of care. Mean scores were used to measure overall job satisfaction and various subscales. Predictors of job satisfaction were determined through multiple logistic regression analysis. Results A total of 108 nursing managers completed the survey representing a 97% response rate. The mean age of respondents was 49 years (SD = 7.9) and the majority of them (92%) were female. Seventy-six percent had a PHC clinical training qualification. Overall mean job satisfaction scores were 142.80 (SD = 24.3) and 143.41 (SD = 25.6) for Gauteng and Free State provinces respectively out of a maximum possible score of 215. Predictors of job satisfaction were: working in a clinic of choice (RRR = 3.10 (95% CI: 1.11 to 8.62, P = 0.030)), being tired at work (RRR = 0.19 (95% CI: 0.08 to 0.50, P = 0.001)) and experience of verbal abuse (RRR = 0.18 (95% CI: 0.06 to 0.55, P = 0.001). Conclusion Allowing nurses greater choice of clinic

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

    PubMed

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

    2016-09-01

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

  16. The use of dual or two methods for pregnancy and HIV prevention amongst 18-24-year-olds in a cross-sectional study conducted in South Africa.

    PubMed

    Seutlwadi, Lebogang; Peltzer, Karl

    2013-06-01

    The use of dual (for pregnancy and disease prevention) or two methods of contraceptives is recommended for the prevention of unwanted pregnancies and protection against sexually transmitted diseases such as HIV. The study aims to assess the prevalence and explore factors associated with the use of dual or two methods among young people aged 18 to 24 years in South Africa. Factors associated with use of dual or two methods among young people aged 18 to 24 years in South Africa were investigated by individual interviews. The final sample included 1127 males and 1007 females from four provinces (Eastern Cape, Gauteng, KwaZulu-Natal and Mpumalanga) who reported to have ever had sex. The study found among men (18-24 years) 10.4% and among women (18-24 years) 15.4%, current use of dual or two methods was reported. In multivariate analyses, among women, lower poverty, not being unemployed, having concurrent sexual partners and higher sexual intercourse frequency in the past month were associated with use of dual or two methods, while for men, contraceptive methods knowledge, greater relationship control and higher sexual intercourse frequency in the past month were associated with use of dual or two methods. The use of dual or two methods remains low. Innovative ways are needed for the promotion and increased use of dual or two methods. Copyright © 2013 Elsevier Inc. All rights reserved.

  17. Glass injuries seen in the emergency department of a South African district hospital

    PubMed Central

    Nzaumvila, Doudou; Kramer, Efraim B.

    2015-01-01

    Background The emergency department of Embhuleni Hospital frequently manages patients with glass-related injuries. This study assessed these injuries and the glass that caused them in more detail. Aim The objectives of our study included determining the type of glass causing these injuries and describing the circumstances associated with different types of glass injuries. Setting The emergency department of Embhuleni Hospital in Elukwatini, Mpumalanga province, South Africa. Methods This was a cross-sectional study with a sample size of 104 patients. Descriptive statistics were used to assess the characteristics of the glass injuries. Results Five different types of glass were reported to have caused the injuries, namely car glass (7.69%), glass ampoules (3.85%), glass bottles (82.69%), glass windows (3.85%) and street glass shards (1.92%). Glass bottle injuries were mainly caused by assaults (90.47%) and most victims were mostly young males (80.23%). The assaults occurred at alcohol-licensed premises in 65.11% of cases. These injuries occurred mostly over weekends (83.72%), between 18:00 and 04:00. The face (34.23%) and the scalp (26.84%) were the sites that were injured most often. Conclusion Assault is the most common cause of glass injuries, usually involving young men at alcohol-licensed premises. Glass injuries generally resulted in minor lacerations, with few complications (2.68%). PMID:26466399

  18. Variations of annual and seasonal runoff in Guangdong Province, south China: spatiotemporal patterns and possible causes

    NASA Astrophysics Data System (ADS)

    Zhang, Qiang; Xiao, Mingzhong; Singh, Vijay P.; Xu, Chong-Yu; Li, Jianfeng

    2015-06-01

    In this study, we thoroughly analyzed spatial and temporal distributions of runoff and their relation with precipitation changes based on monthly runoff dataset at 25 hydrological stations and monthly precipitation at 127 stations in Guangdong Province, south China. Trends of the runoff and precipitation are detected using Mann-Kendall trend test technique. Correlations between runoff and precipitation are tested using Spearman's and Pearson's correlation coefficients. The results indicate that: (1) annual maximum monthly runoff is mainly in decreasing tendency and significant increasing annual minimum monthly runoff is observed in the northern and eastern Guangdong Province. In addition, annual mean runoff is observed to be increasing at the stations located in the West and North Rivers and the coastal region; (2) analysis of seasonal runoff variations indicates increasing runoff in spring, autumn and winter. Wherein, significant increase of runoff is found at 8 stations and only 3 stations are dominated by decreasing runoff in winter; (3) runoff changes of the Guangdong Province are mainly the results of precipitation changes. The Guangdong Province is wetter in winter, spring and autumn. Summer is coming to be drier as reflected by decreasing runoff in the season; (4) both precipitation change and water reservoirs also play important roles in the increasing of annual minimum monthly streamflow. Seasonal shifts of runoff variations may pose new challenges for the water resources management under the influences of climate changes and intensifying human activities.

  19. Diversity of use and local knowledge of wild and cultivated plants in the Eastern Cape province, South Africa.

    PubMed

    Maroyi, Alfred

    2017-08-08

    Traditional ecological knowledge among indigenous communities plays an important role in retaining cultural identity and achieving sustainable natural resource management. Hundreds of millions of people mostly in developing countries derive a substantial part of their subsistence and income from plant resources. The aim of this study was to assess useful plant species diversity, plant use categories and local knowledge of both wild and cultivated useful species in the Eastern Cape province, South Africa. The study was conducted in six villages in the Eastern Cape province, South Africa between June 2014 and March 2017. Data on socio-economic characteristics of the participants, useful plants harvested from the wild, managed in home gardens were documented by means of questionnaires, observation and guided field walks with 138 participants. A total of 125 plant species belonging to 54 genera were recorded from the study area. More than half of the species (59.2%) are from 13 families, Apiaceae, Apocynaceae, Araliaceae, Asparagaceae, Asphodelaceae, Asteraceae, Fabaceae, Lamiaceae, Malvaceae, Myrtaceae, Poaceae, Rosaceae and Solanaceae. More than a third of the useful plants (37.6%) documented in this study are exotic to South Africa. About three quarters of the documented species (74.4%) were collected from the wild, while 20.8% were cultivated and 4.8% were spontaneous. Majority of the species (62.4%) were used as herbal medicines, followed by food plants (30.4%), ethnoveterinary medicine (18.4%), construction timber and thatching (11.2%). Other minor plant use categories (1-5%) included firewood, browse, live fence, ornamentals, brooms and crafts. This study demonstrated that local people in the Eastern Cape province harbour important information on local vegetation that provides people with food, fuel and medicines, as well as materials for construction and the manufacturing of crafts and many other products. This study also demonstrated the dynamism of

  20. Coping with hygiene in South Africa, a water scarce country.

    PubMed

    Duse, A G; da Silva, M P; Zietsman, I

    2003-06-01

    The burden of infectious diseases may be reduced by adopting effective infection control measures. Some of these are dependent on the provision of adequate and safe water supplies for maintenance of basic standards of personal, domestic and healthcare hygiene. Consequences of scarce, and sometimes unsafe, waters supplies in South Africa are highlighted with reference to healthcare-associated infections, community acquired infectious intestinal diseases and domestic practices as infection sources. Availability of water in more than 67% of South African municipal hospitals and primary health care facilities (delivered by water tanker in 12.5% of satellite clinics, 5% from river or dam sources, 12.4% relying on rainwater) does not necessarily guarantee that it's quality is safe for utilisation. In the Northern Province and Mpumalanga, water needs to be purified prior to usage in 14.4 and 33% of satellite clinics respectively. Simple, low maintenance and low-cost interventions to maximise use and safety of limited water resources may be implemented: micro-organism (S. dysenteriae) inactivation by direct UV-exposure in sunlight abundant environments, water purification by filtration mechanisms and making use of iron pots in the community for pasteurisation, decontamination and boiling procedures. Education is paramount in promoting healthy domestic food handling practices, changing cultural perceptions of hygiene, hand-washing technique and mechanisms of domestic environmental decontamination. Water provision cannot be separated from other inter-related factors such as sanitation. Although the present government has taken initiatives to reduce the number of people not having access to water by 50% in 2002, provision of sanitation has been slower (>38% inadequate sanitation in 2002). Adoption of integrated environmental management approaches in conjunction with community participation (WASH Campaign--2002), by the government, aims to address the sanitation problems.

  1. Isolation and identification of entomopathogenic nematodes from citrus orchards in South Africa and their biocontrol potential against false codling moth.

    PubMed

    Malan, Antoinette P; Knoetze, Rinus; Moore, Sean D

    2011-10-01

    A survey was conducted to determine the diversity and frequency of endemic entomopathogenic nematodes (EPN) in citrus orchards in the Western Cape, Eastern Cape and Mpumalanga provinces of South Africa. The main aim of the survey was to obtain nematodes as biological control agents against false codling moth (FCM), Thaumatotibia leucotreta, a key pest of citrus in South Africa. From a total of 202 samples, 35 (17%) tested positive for the presence of EPN. Of these, four isolates (11%) were found to be steinernematids, while 31 (89%) were heterorhabditids. Sequencing and characterisation of the internal transcribed spacer (ITS) region was used to identify all nematode isolates to species level. Morphometrics, morphology and biology of the infective juvenile (IJ) and the first-generation male were used to support molecular identification and characterisation. The Steinernema spp. identified were Steinernema khoisanae, Steinernema yirgalemense and Steinernema citrae. This is the first report of S. yirgalemense in South Africa, while for S. citrae it is the second new steinernematid to be identified from South Africa. Heterorhabditis species identified include Heterorhabditis bacteriophora, Heterorhabditis zealandica and an unknown species of Heterorhabditis. Laboratory bioassays, using 24-well bioassay disks, have shown isolates of all six species found during the survey, to be highly virulent against the last instar of FCM larvae. S. yirgalemense, at a concentration of 50IJs/FCM larva caused 100% mortality and 74% at a concentration of 200IJs/pupa. Using a sand bioassay, S. yirgalemense gave 93% control of cocooned pupae and emerging moths at a concentration of 20IJs/cm(2). This is the first report on the potential use of EPN to control the soil-borne life stages of FCM, which includes larvae, pupae and emerging moths. It was shown that emerging moths were infected with nematodes, which may aid in control and dispersal. Copyright © 2011 Elsevier Inc. All rights

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

    PubMed

    Ntuli, Samuel T; Maboya, Edwin

    2017-09-27

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

  3. A Systems Dynamic Model for Drug Abuse and Drug-Related Crime in the Western Cape Province of South Africa

    PubMed Central

    Coetzee, Lezanie

    2017-01-01

    The complex problem of drug abuse and drug-related crimes in communities in the Western Cape province cannot be studied in isolation but through the system they are embedded in. In this paper, a theoretical model to evaluate the syndemic of substance abuse and drug-related crimes within the Western Cape province of South Africa is constructed and explored. The dynamics of drug abuse and drug-related crimes within the Western Cape are simulated using STELLA software. The simulation results are consistent with the data from SACENDU and CrimeStats SA, highlighting the usefulness of such a model in designing and planning interventions to combat substance abuse and its related problems. PMID:28555161

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

    PubMed

    Komen, Kibii

    2017-06-01

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

  5. Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa

    PubMed Central

    Gómez-Olivé, Francesc X.; Rohr, Julia K.; Houle, Brian C.; Kabudula, Chodziwadziwa W.; Wagner, Ryan G.; Salomon, Joshua A.; Kahn, Kathleen; Berkman, Lisa F.; Tollman, Stephen M.; Bärnighausen, Till

    2017-01-01

    Objective: To identify the unmet needs for HIV prevention among older adults in rural South Africa. Methods: We analyzed data from a population-based sample of 5059 men and women aged 40 years and older from the study Health and Aging in Africa: Longitudinal Studies of INDEPTH Communities (HAALSI), which was carried out in the Agincourt health and sociodemographic surveillance system in the Mpumalanga province of South Africa. We estimated the prevalence of HIV (laboratory-confirmed and self-reported) and key sexual behaviors by age and sex. We compared sexual behavior profiles across HIV status categories with and without age–sex standardization. Results: HIV prevalence was very high among HAALSI participants (23%, 95% confidence interval [CI]: 21 to 24), with no sex differences. Recent sexual activity was common (56%, 95% CI: 55 to 58) across all HIV status categories. Condom use was low among HIV-negative adults (15%, 95% CI: 14 to 17), higher among HIV-positive adults who were unaware of their HIV status (27%, 95% CI: 22 to 33), and dramatically higher among HIV-positive adults who were aware of their status (75%, 95% CI: 70 to 80). Casual sex and multiple partnerships were reported at moderate levels, with slightly higher estimates among HIV-positive compared to HIV-negative adults. Differences by HIV status remained after age–sex standardization. Conclusions: Older HIV-positive adults in an HIV hyperendemic community of rural South Africa report sexual behaviors consistent with high HIV transmission risk. Older HIV-negative adults report sexual behaviors consistent with high HIV acquisition risk. Prevention initiatives tailored to the particular prevention needs of older adults are urgently needed to reduce HIV risk in this and similar communities in sub-Saharan Africa. PMID:27926667

  6. Correlates of Mandrax use and condom beliefs in preventing sexually transmitted infections among a cohort of South African prison inmates

    PubMed Central

    Stephens, Torrance T.; Gardner, Darius; Jones, Keena; Sifunda, Sibusiso; Braithwaite, Ronald; Smith, Selina E.

    2016-01-01

    Background This study was designed to identify the extent to which self-reported Mandrax use impacts condom-use beliefs amongst South African prison inmates. Methods Participants were inmates from four prisons in the provinces of KwaZulu-Natal and Mpumalanga. In total, 357 inmates participated in the parent study of which 121 are included in this analysis based on their self-reported use of Mandrax. The questionnaire was developed in English, translated into Zulu, and back translated into English. Age significantly predicted the use of Mandrax: younger prison inmates reported higher use. Linear regression analysis was conducted to determine whether the use of Mandrax was associated with length of incarceration and other demographic variables, as well as participants' self-reported condom use beliefs behavior. Results Regression results indicated that two factors operationalizing condom-use beliefs were impacted by Mandrax use: 1) it is important to use condoms every time you have sex (p<0.01); 2) condoms work well to prevent the spread of HIV (p<0.02). Both factors were also inversely related to Mandrax use. Conclusion STI prevention programs among prison inmates that seek to promote safer sex behaviors among men must address attitudes to condom use, specifically consistent and correct use of latex condoms and reducing substance misuse. PMID:26316220

  7. OF BELGOROD PROVINCE].

    PubMed

    Prisniy, Yu A

    2016-01-01

    The article provides a list of 30 species of the family Tabanidae, recorded in Belgorod Province. Forest and forest-steppe species dominate (60 %), being found at edges of oak forests, deciduous and mixed forests, and in mesophytic meadows. These species are distributed over the entire area of the region. The fraction of taiga-forest species in the region is small (10 %). These species are found in western and northern areas where large forests and sphagnum bogs are present. The fraction of steppe species constitutes 13.3 %, these species are found mainly in eastern and south-eastern parts of the Province, where areas of steppe and cretaceous outcrops are found. Desert species (6.7 %) and a single Mediterranean coastal species were also recorded in the region. Mass emergence of horseflies in Belgorod Province begins in June and lasts until mid-August.

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

    PubMed Central

    Netshandama, Vhonani O.; Francis, Joseph

    2016-01-01

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

  9. Measuring the Quality of Communication Linkages between Farmers and the Agricultural Agencies Responsible for the Diffusion of Innovations in the South West Province of Cameroon. A Summary Report of Research. Department Information Bulletin.

    ERIC Educational Resources Information Center

    Peters, Bridget Ayuk

    The quality of communication linkages between farmers and the agricultural agencies responsible for diffusion of innovations in the South West Province of Cameroon was examined in a study of all 25 researchers and 150 extension agents in the province and 385 farmers who were randomly selected from the province's 3,000 farmers. Data were collected…

  10. Highlights from Johannesburg, Gauteng Province, South Africa

    NASA Technical Reports Server (NTRS)

    2002-01-01

    the cooler highveld to the south. The large round feature near the north-west corner indicates an ancient volcanic crater in the Pilanesberg National Park. Many bright, buff-colored rectangular patches around Johannesburg are associated with mining activities, and at least two of these areas (situated 40 kilometers southeast of the city) hold large amounts of water. The Sterkfontein Caves (now included within the recently created 'Cradle of Humankind' World Heritage Site) are located about 35 kilometers northwest of Johannesburg. In the southern portion of the images, a section of the Vredefort Hills are apparent to the west, and to the east the Vaal River and a large water body contained by the Vaal Dam delineate the border between the Gauteng and Free State provinces.

    The Multi-angle Imaging SpectroRadiometer observes the daylit Earth continuously from pole to pole, and views almost the entire globe every 9 days. This image is a portion of the data acquired during Terra orbit 13266, and covers an area of about 190 kilometers x 221 kilometers. It utilizes data from blocks 111 to 112 within World Reference System-2 path 170.

    MISR was built and is managed by NASA's Jet Propulsion Laboratory, Pasadena, CA, for NASA's Office of Earth Science, Washington, DC. The Terra satellite is managed by NASA's Goddard Space Flight Center, Greenbelt, MD. JPL is a division of the California Institute of Technology.

  11. HIV knowledge, disclosure and sexual risk among pregnant women and their partners in rural South Africa

    PubMed Central

    Shikwane, Molatelo Elisa; Villar-Loubet, Olga M.; Weiss, Stephen M.; Peltzer, Karl; Jones, Deborah L.

    2014-01-01

    Partner involvement has been deemed fundamental for the prevention of mother-to-child transmission (PMTCT) of HIV, although it remains difficult to achieve. This study aimed to explore the attitudes and behaviours of pregnant women and their partners who participated in a behavioural risk reduction intervention in six community health centres in the Mpumalanga province of South Africa. Qualitative methods only were used in this study. Women and their partners took part in four gender-concordant groups that addressed HIV, PMTCT, disclosure of HIV status and safer sex practices. The results indicate that men value and understand the importance of being involved in women's reproductive health, although some components of the PMTCT programme such as condom use were still met with some resistance. Participants demonstrated high levels of HIV- and sexually transmitted infection-related knowledge. Men lacked knowledge about PMTCT but were interested in acquiring information so that they could support their partners. All groups highlighted the emotional and physical benefits of disclosing one's HIV status. The involvement of men in antenatal care has the potential to prevent women from becoming infected with HIV both during pregnancy and post-partum when they are more vulnerable to infection and have a high risk of transmission to the infant. There is a need for interventions that focus on both increasing male involvement and promoting condom use during pregnancy. PMID:24405286

  12. Occurrence of Clinostomum complanatum in Aphanius dispar (Actinoptrygii: Cyprinodontidae) collected from Mehran River, Hormuzgan Province, South of Iran

    PubMed Central

    Gholami, Z; Mobedi, I; Esmaeili, HR; Kia, EB

    2011-01-01

    Objective To investigate the possibility of Aphanius dispar (A.dispar) acting as intermediate host for Clinostomum complanatum (C. complanatum), from Mehran River, Hormuzgan Province of Iran. Methods During a biological study of A. dispar in Mehran River, Hormuzgan Province, South of Iran, a total of 97 fish specimens were collected in 24 January 2006. Results 4 specimens (4.12%) including 1 male and 3 female were found infected with C. complanatum metacercaria. These metacercaria were coiled in the epiderm on the body surface of infected fishes. The infection is known as yellow spot disease. The parasite abundance, intensity and prevalence were 0.05%, 1.25% and 4.12%, respectively. The infection was higher in females than males. Conclusions To the best of our knowledge, this is the first report on occurrence of C. complanatum metacercaria in A. dispar in Iran. PMID:23569757

  13. Health care capacity and allocations among South Africa's provinces: infrastructure-inequality traps after the end of apartheid.

    PubMed

    Stuckler, David; Basu, Sanjay; McKee, Martin

    2011-01-01

    We assessed the determinants of health care funding allocations among South Africa's provinces and their effects on health care from 1996 through 2007. We performed multivariate regression of funding allocation data against measures of disease burden and health system infrastructure by province. Disease burden was increasingly negatively correlated with funding allocations and explained less than one quarter of the variation in allocations among provinces. Nearly three quarters of the variation in allocations was explained by preexisting hospital infrastructure and health care workers. The density of private hospitals in the preceding year was associated with greater government allocations (b(private) = 0.12; 95% confidence interval [CI] = 0.08, 0.15), but public hospital density in the preceding year was not (b(public) = 0.05; 95% CI = -0.02, 0.11). Greater allocations were associated with a higher number of doctors (b = 0.54; 95% CI = 0.34, 0.75) but fewer nurses (b = -0.37; 95% CI = -0.72,-0.25) in the same year. Regions with a greater capacity to spend funds received more funding and created more infrastructure than those with greater health needs. Historical infrastructure inequalities may have created an infrastructure-inequality trap, in which the distribution of funds to those with greater "absorptive capacity" exacerbates inequalities.

  14. Petrogenesis of early Jurassic basalts in southern Jiangxi Province, South China: Implications for the thermal state of the Mesozoic mantle beneath South China

    NASA Astrophysics Data System (ADS)

    Cen, Tao; Li, Wu-xian; Wang, Xuan-ce; Pang, Chong-jin; Li, Zheng-xiang; Xing, Guang-fu; Zhao, Xi-lin; Tao, Jihua

    2016-07-01

    Early Jurassic bimodal volcanic and intrusive rocks in southern South China show distinct associations and distribution patterns in comparison with those of the Middle Jurassic and Cretaceous rocks in the area. It is widely accepted that these rocks formed in an extensional setting, although the timing of the onset and the tectonic driver for extension are debated. Here, we present systematic LA-ICP-MS zircon U-Pb ages, whole-rock geochemistry and Sr-Nd isotope data for bimodal volcanic rocks from the Changpu Formation in the Changpu-Baimianshi and Dongkeng-Linjiang basins in southern Jiangxi Province, South China. Zircon U-Pb ages indicate that the bimodal volcanic rocks erupted at ca. 190 Ma, contemporaneous with the Fankeng basalts ( 183 Ma). A compilation of geochronological results demonstrates that basin-scale basaltic eruptions occurred during the Early Jurassic within a relatively short interval (< 5 Ma). These Early Jurassic basalts have tholeiitic compositions and OIB-like trace element distribution patterns. Geochemical analyses show that the basalts were derived from depleted asthenospheric mantle, dominated by a volatile-free peridotite source. The calculated primary melt compositions suggest that the basalts formed at 1.9-2.1 GPa, with melting temperatures of 1378 °C-1405 °C and a mantle potential temperature (TP) ranging from 1383 °C to 1407 °C. The temperature range is somewhat hotter than normal mid-ocean-basalt (MORB) mantle but similar to an intra-plate continental mantle setting, such as the Basin and Range Province in western North America. This study provides an important constraint on the Early Jurassic mantle thermal state beneath South China. Reference: Raczek, I., Stoll, B., Hofmann, A.W., Jochum, K.P. 2001. High-precision trace element data for the USGS reference materials BCR-1, BCR-2, BHVO-1, BHVO-2, AGV-1, AGV-2, DTS-1, DTS-2, GSP-1 and GSP-2 by ID-TIMS and MIC-SSMS. Geostandards Newsletter 25(1), 77-86.

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

    PubMed

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

    1999-09-01

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

  16. Self-enrolment antenatal health promotion data as an adjunct to maternal clinical information systems in the Western Cape Province of South Africa

    PubMed Central

    Heekes, Alexa; Tiffin, Nicki; Dane, Pierre; Mutemaringa, Themba; Smith, Mariette; Zinyakatira, Nesbert; Barron, Peter; Seebregts, Chris; Boulle, Andrew

    2018-01-01

    Information systems designed to support health promotion in pregnancy, such as the MomConnect programme, are potential sources of clinical information which can be used to identify pregnancies prospectively and early on. In this paper we demonstrate the feasibility and value of linking records collected through the MomConnect programme, to an emergent province-wide health information exchange in the Western Cape Province of South Africa, which already enumerates pregnancies from a range of other clinical data sources. MomConnect registrations were linked to pregnant women known to the public health services using the limited identifiers collected by MomConnect. Three-quarters of MomConnect registrations could be linked to existing pregnant women, decreasing over time as recording of the national identifier decreased. The MomConnect records were usually the first evidence of pregnancy in pregnancies which were subsequently confirmed by other sources. Those at lower risk of adverse pregnancy outcomes were more likely to register. In some cases, MomConnect was the only evidence of pregnancy for a patient. In addition, the MomConnect records provided gestational age information and new and more recently updated contact numbers to the existing contact registry. The pilot integration of the data in the Western Cape Province of South Africa demonstrates how a client-facing system can augment clinical information systems, especially in contexts where electronic medical records are not widely available. PMID:29713507

  17. Self-enrolment antenatal health promotion data as an adjunct to maternal clinical information systems in the Western Cape Province of South Africa.

    PubMed

    Heekes, Alexa; Tiffin, Nicki; Dane, Pierre; Mutemaringa, Themba; Smith, Mariette; Zinyakatira, Nesbert; Barron, Peter; Seebregts, Chris; Boulle, Andrew

    2018-01-01

    Information systems designed to support health promotion in pregnancy, such as the MomConnect programme, are potential sources of clinical information which can be used to identify pregnancies prospectively and early on. In this paper we demonstrate the feasibility and value of linking records collected through the MomConnect programme, to an emergent province-wide health information exchange in the Western Cape Province of South Africa, which already enumerates pregnancies from a range of other clinical data sources. MomConnect registrations were linked to pregnant women known to the public health services using the limited identifiers collected by MomConnect. Three-quarters of MomConnect registrations could be linked to existing pregnant women, decreasing over time as recording of the national identifier decreased. The MomConnect records were usually the first evidence of pregnancy in pregnancies which were subsequently confirmed by other sources. Those at lower risk of adverse pregnancy outcomes were more likely to register. In some cases, MomConnect was the only evidence of pregnancy for a patient. In addition, the MomConnect records provided gestational age information and new and more recently updated contact numbers to the existing contact registry. The pilot integration of the data in the Western Cape Province of South Africa demonstrates how a client-facing system can augment clinical information systems, especially in contexts where electronic medical records are not widely available.

  18. Establishing a Computerized Substance Abuse Surveillance System for District Social Workers in the Western Cape Province, South Africa: Methods, Successes and Challenges

    ERIC Educational Resources Information Center

    Burnhams, Nadine Harker; Myers, Bronwyn; Fakier, Nuraan; Parry, Charles; Carelse, Jermaine

    2011-01-01

    The provision of accurate, in-depth data on substance abuse trends and service needs has become increasingly important in light of the growing wave of substance abuse in South Africa and particularly in the Western Cape Province. This article describes the design and implementation of an electronic substance abuse surveillance system (SASS)…

  19. The association between artificial light at night and prostate cancer in Gwangju City and South Jeolla Province of South Korea.

    PubMed

    Kim, Ka Young; Lee, Eunil; Kim, Yun Jeong; Kim, Jinsun

    2017-01-01

    ABSRACT Exposure to artificial light at night (ALAN) has been reported to be associated with various pathological changes including sleep deprivation, circadian rhythm disruption, and melatonin suppression with increase in various cancers such as breast or prostate cancers. In this study, we sought to elucidate the association between ALAN and prostate cancer in 27 districts within Gwangju City and urban and rural areas from South Jeolla Province in South Korea. We analyzed the correlation between ALAN and the incidence of a range of cancers by Poisson regression analysis, after adjustment for confounding risk factors, such as smoking, drinking, obesity, stress, air pollution (particulate matter <10 μm in diameter), urbanization (proportion of urbanized area), and the cancer screening rate. Interestingly, the incidence of prostate cancer was significantly associated with ALAN (risk ratio = 1.02, p = 0.0369) and urbanization (risk ratio = 1.06, p = 0.0055). In particular, comparing the prostate cancer incidence at 25% and 75% level of ALAN, the risk ratio was 1.726 (12.6 over 7.3, respectively). No significant association was observed between ALAN and other cancers, including stomach, esophageal, liver, pancreatic, laryngeal, lung and tracheal, bladder, and brain and central nervous system cancers, as well as lymphoma and multiple myeloma. In conclusion, this study shows that a high incidence of prostate cancer may be independently associated with light pollution and urbanization, which represent significant factors in the rapid process of industrialization of South Korea.

  20. [Epidemic research in the south of Fujian Province in modern times from the viewpoints of overseas communication].

    PubMed

    Lin, Nan; Zhang, Sun-Biao; Zeng, Yi-Ling

    2012-09-01

    Under the particular geographical environment and social structure, different spatiality of epidemics was observed in the south of Fujian Province. Some important factors cannot be ignored in the study of local epidemics, such as its developed overseas communication, prosperous commercial activities between the East and the West and deep-rooted overseas emigration tradition. In modern times, public health ideas, therapies and prevention measures of west medicine were introduced, taking epidemic disease prevention as a turning point in this area, which promoted medical development of this area objectively, and valuable experience in disease prevention was accumulated.

  1. Association of Neighbourhood and Individual Social Capital, Neighbourhood Economic Deprivation and Self-Rated Health in South Africa – a Multi-Level Analysis

    PubMed Central

    Chola, Lumbwe; Alaba, Olufunke

    2013-01-01

    Introduction Social capital is said to influence health, mostly in research undertaken in high income countries' settings. Because social capital may differ from one setting to another, it is suggested that its measurement be context specific. We examine the association of individual and neighbourhood level social capital, and neighbourhood deprivation to self-rated health using a multi-level analysis. Methods Data are taken from the 2008 South Africa National Income Dynamic Survey. Health was self-reported on a scale from 1 (excellent) to 5 (poor). Two measures of social capital were used: individual, measured by two variables denoting trust and civic participation; and neighbourhood social capital, denoting support, association, behaviour and safety in a community. Results Compared to males, females were less likely to report good health (Odds Ratio 0.82: Confidence Interval 0.73, 0.91). There were variations in association of individual social capital and self-rated health among the provinces. In Western Cape (1.37: 0.98, 1.91) and North West (1.39: 1.13, 1.71), trust was positively associated with reporting good health, while the reverse was true in Limpopo (0.56: 0.38, 0.84) and Free State (0.70: 0.48, 1.02). In Western Cape (0.60: 0.44, 0.82) and Mpumalanga (0.72: 0.55, 0.94), neighbourhood social capital was negatively associated with reporting good health. In North West (1.59: 1.27, 1.99) and Gauteng (1.90: 1.21, 2.97), increased neighbourhood social capital was positively associated with reporting good health. Conclusion Our study demonstrated the importance of considering contextual factors when analysing the relationship between social capital and health. Analysis by province showed variations in the way in which social capital affected health in different contexts. Further studies should be undertaken to understand the mechanisms through which social capital impacts on health in South Africa. PMID:23976923

  2. Health Care Capacity and Allocations Among South Africa's Provinces: Infrastructure–Inequality Traps After the End of Apartheid

    PubMed Central

    Basu, Sanjay; McKee, Martin

    2011-01-01

    Objectives. We assessed the determinants of health care funding allocations among South Africa's provinces and their effects on health care from 1996 through 2007. Methods. We performed multivariate regression of funding allocation data against measures of disease burden and health system infrastructure by province. Results. Disease burden was increasingly negatively correlated with funding allocations and explained less than one quarter of the variation in allocations among provinces. Nearly three quarters of the variation in allocations was explained by preexisting hospital infrastructure and health care workers. The density of private hospitals in the preceding year was associated with greater government allocations (bprivate = 0.12; 95% confidence interval [CI] = 0.08, 0.15), but public hospital density in the preceding year was not (bpublic = 0.05; 95% CI = −0.02, 0.11). Greater allocations were associated with a higher number of doctors (b = 0.54; 95% CI = 0.34, 0.75) but fewer nurses (b = −0.37; 95% CI = −0.72,−0.25) in the same year. Conclusions. Regions with a greater capacity to spend funds received more funding and created more infrastructure than those with greater health needs. Historical infrastructure inequalities may have created an infrastructure–inequality trap, in which the distribution of funds to those with greater “absorptive capacity” exacerbates inequalities. PMID:21148716

  3. National Assessment of Oil and Gas Project: Petroleum systems and assessment of undiscovered oil and gas in the Denver Basin Province, Colorado, Kansas, Nebraska, South Dakota, and Wyoming - USGS Province 39

    USGS Publications Warehouse

    Higley, Debra K.

    2007-01-01

    The purpose of the U.S. Geological Survey's (USGS) National Oil and Gas Assessment is to develop geologically based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the United States. The USGS recently completed an assessment of undiscovered oil and gas resources of the Denver Basin Province (USGS Province 39), Colorado, Kansas, Nebraska, South Dakota, and Wyoming. Petroleum is produced in the province from sandstone, shale, and limestone reservoirs that range from Pennsylvanian to Upper Cretaceous in age. This assessment is based on geologic principles and uses the total petroleum system concept. The geologic elements of a total petroleum system include hydrocarbon source rocks (source rock maturation, hydrocarbon generation and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and hydrocarbon traps (trap formation and timing). The USGS used this geologic framework to define seven total petroleum systems and twelve assessment units. Nine of these assessment units were quantitatively assessed for undiscovered oil and gas resources. Gas was not assessed for two coal bed methane assessment units due to lack of information and limited potential; oil resources were not assessed for the Fractured Pierre Shale Assessment Unit due to its mature development status.

  4. Malaria programme personnel's experiences, perceived barriers and facilitators to implementing malaria elimination strategy in South Africa.

    PubMed

    Hlongwana, Khumbulani Welcome; Sartorius, Benn; Tsoka-Gwegweni, Joyce

    2018-01-10

    South Africa has set an ambitious goal targeting to eliminate malaria by 2018, which is consistent with the United Nations Sustainable Development Goals' call to end the epidemic of malaria by 2030 across the globe. There are conflicting views regarding the feasibility of malaria elimination, and furthermore studies investigating malaria programme personnel's perspectives on strategy implementation are lacking. The study was a cross-sectional survey conducted in 2014 through a face-to-face investigator-administered semi-structured questionnaire to all eligible and consenting malaria programme personnel (team leader to senior manager levels) in three malaria endemic provinces (KwaZulu-Natal, Mpumalanga, and Limpopo) of South Africa. The overall response rate was 88.6% (148/167) among all eligible malaria personnel. The mean age of participants was 47 years (SD 9.7, range 27-70), and the mean work experience of 19.4 years (SD 11.1, range 0-42). The majority were male (78.4%), and 66.9% had secondary level education. Awareness of the malaria elimination policy was high (99.3%), but 89% contended that they were never consulted when the policy was formulated and few had either seen (29.9%) or read (23%) the policy, either in full or in part. Having read the policy was positively associated with professional job designations (managers, EHPs and entomologists) (p = 0.010) and tertiary level education (p = 0.042). There was a sentiment that the policy was neither sufficiently disseminated to all key healthcare workers (76.4%) nor properly adapted (68.9%) for the local operational context in the elimination strategy. Most (89.1%) participants were not optimistic about eliminating malaria by 2018, as they viewed the elimination strategy in South Africa as too theoretical with unrealistic targets. Other identified barriers included inadequate resources (53.5%) and high cross-border movements (19.8%). Most participants were not positive that South Africa could achieve

  5. Relationship between Receipt of a Social Protection Grant for a Child and Second Pregnancy Rates among South African Women: A Cohort Study.

    PubMed

    Rosenberg, Molly; Pettifor, Audrey; Nguyen, Nadia; Westreich, Daniel; Bor, Jacob; Bärnighausen, Till; Mee, Paul; Twine, Rhian; Tollman, Stephen; Kahn, Kathleen

    2015-01-01

    Social protection programs issuing cash grants to caregivers of young children may influence fertility. Grant-related income could foster economic independence and/or increase access to job prospects, education, and health services, resulting in lower pregnancy rates. In the other direction, these programs may motivate family expansion in order to receive larger grants. Here, we estimate the net effect of these countervailing mechanisms among rural South African women. We constructed a retrospective cohort of 4845 women who first became eligible for the Child Support Grant with the birth of their first child between 1998 and 2008, with data originally collected by the Agincourt Health and Socio-Demographic Surveillance System in Mpumalanga province, South Africa. We fit Cox regression models to estimate the hazard of second pregnancy in women who reported grant receipt after birth of first child, relative to non-recipients. As a secondary analysis to explore the potential for grant loss to incentivize second pregnancy, we exploited a natural experiment created by a 2003 expansion of the program's age eligibility criterion from age seven to nine. We compared second pregnancy rates between (i) women with children age seven or eight in 2002 (recently aged out of grant eligibility) to (ii) women with children age seven or eight in 2003 (remained grant-eligible). The adjusted hazard ratio for the association between grant exposure and second pregnancy was 0.66 (95% CI: 0.58, 0.75). Women with first children who aged out of grant eligibility in 2002 had similar second pregnancy rates to women with first children who remained grant-eligible in 2003 [IRR (95% CI): 0.9 (0.5, 1.4)]. Across both primary and secondary analyses, we found no evidence that the Child Support Grant incentivizes pregnancy. In harmony with South African population policy, receipt of the Child Support Grant may result in longer spacing between pregnancies.

  6. Assessment of undiscovered oil resources in the Bakken and Three Forks Formations, Williston Basin Province, Montana, North Dakota, and South Dakota, 2013

    USGS Publications Warehouse

    Gaswirth, Stephanie B.; Marra, Kristen R.; Cook, Troy A.; Charpentier, Ronald R.; Gautier, Donald L.; Higley, Debra K.; Klett, Timothy R.; Lewan, Michael D.; Lillis, Paul G.; Schenk, Christopher J.; Tennyson, Marilyn E.; Whidden, Katherine J.

    2013-01-01

    Using a geology-based assessment methodology, the U.S. Geological Survey estimated mean undiscovered volumes of 7.4 billion barrels of oil, 6.7 trillion cubic feet of associated/dissolved natural gas, and 0.53 billion barrels of natural gas liquids in the Bakken and Three Forks Formations in the Williston Basin Province of Montana, North Dakota, and South Dakota.

  7. Household food security and hunger in rural and urban communities in the Free State Province, South Africa.

    PubMed

    Walsh, Corinna M; van Rooyen, Francois C

    2015-01-01

    Household food security impacts heavily on quality of life. We determined factors associated with food insecurity in 886 households in rural and urban Free State Province, South Africa. Significantly more urban than rural households reported current food shortage (81% and 47%, respectively). Predictors of food security included vegetable production in rural areas and keeping food for future use in urban households. Microwave oven ownership was negatively associated with food insecurity in urban households and using a primus or paraffin stove positively associated with food insecurity in rural households. Interventions to improve food availability and access should be emphasized.

  8. The use of hospital-based nurses for the surveillance of potential disease outbreaks.

    PubMed Central

    Durrheim, D. N.; Harris, B. N.; Speare, R.; Billinghurst, K.

    2001-01-01

    OBJECTIVE: To study a novel surveillance system introduced in Mpumalanga Province, a rural area in the north-east of South Africa, in an attempt to address deficiencies in the system of notification for infectious conditions that have the potential for causing outbreaks. METHODS: Hospital-based infection control nurses in all of Mpumalanga's 32 public and private hospitals were trained to recognize, report, and respond to nine clinical syndromes that require immediate action. Sustainability of the system was assured through a schedule of regular training and networking, and by providing feedback to the nurses. The system was evaluated by formal review of hospital records, evidence of the effective containment of a cholera outbreak, and assessment of the speed and appropriateness of responses to other syndromes. FINDINGS: Rapid detection, reporting and response to six imported cholera cases resulted in effective containment, with only 19 proven secondary cholera cases, during the two-year review period. No secondary cases followed detection and prompt response to 14 patients with meningococcal disease. By the end of the first year of implementation, all facilities were providing weekly zero-reports on the nine syndromes before the designated time. Formal hospital record review for cases of acute flaccid paralysis endorsed the value of the system. CONCLUSION: The primary goal of an outbreak surveillance system is to ensure timely recognition of syndromes requiring an immediate response. Infection control nurses in Mpumalanga hospitals have excelled in timely weekly zero-reporting, participation at monthly training and feedback sessions, detection of priority clinical syndromes, and prompt appropriate response. This review provides support for the role of hospital-based nurses as valuable sentinel surveillance agents providing timely data for action. PMID:11217663

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

    PubMed

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

    2012-01-01

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

  10. Development and evaluation of clear-water pier and contraction scour envelope curves in the Coastal Plain and Piedmont Provinces of South Carolina

    USGS Publications Warehouse

    Benedict, Stephen T.; Caldwell, Andral W.

    2016-01-01

    The U.S. Geological Survey in cooperation with the South Carolina Department of Transportation collected clear-water pier- and contraction-scour data at 116 bridges in the Coastal Plain and Piedmont Physiographic Provinces of South Carolina. Pier-scour depths collected in both provinces ranged from 0 to 8.0 feet. Contraction-scour depths collected in the Coastal Plain ranged from 0 to 3.9 feet. Using hydraulic data estimated with a one-dimensional flow model, predicted clear-water scour depths were computed with scour equations from the Federal Highway Administration Hydraulic Engineering Circular 18 and compared with measured scour. This comparison indicated that predicted clear-water scour depths, in general, exceeded measured scour depths and at times were excessive. Predicted clear-water contraction scour, however, was underpredicted approximately 30 percent of the time by as much as 7.1 feet. The investigation focused on clear-water pier scour, comparing trends in the laboratory and field data. This comparison indicated that the range of dimensionless variables (relative depth, flow intensity, relative grain size) used in laboratory investigations of pier scour, were similar to the range for field data in South Carolina, further indicating that laboratory relations may have some applicability to field conditions in South Carolina. Variables determined to be important in developing pier scour in laboratory studies were investigated to understand their influence on the South Carolina field data, and many of these variables appeared to be insignificant under field conditions in South Carolina. The strongest explanatory variables were pier width and approach velocity. Envelope curves developed from the field data are useful tools for evaluating reasonable ranges of clear-water pier and contraction scour in South Carolina. A modified version of the Hydraulic Engineering Circular 18 pier-scour equation also was developed as a tool for evaluating clearwater pier

  11. Mycotoxin contamination of dietary and medicinal wild plants in the Eastern Cape Province of South Africa.

    PubMed

    Sewram, Vikash; Shephard, Gordon S; van der Merwe, Lize; Jacobs, Thomas V

    2006-07-26

    Nineteen dietary and 30 medicinal wild plants used by residents of the Eastern Cape Province of South Africa were investigated for the presence of fumonisin B1 and aflatoxin B1. The plants were extracted in water, and cleanup was undertaken on immunoaffinity cartridges; analysis was by HPLC using fluorescence detection. None of the plant extracts contained detectable levels of aflatoxin B1; however, eight plants, four dietary and four medicinal, were positive for fumonisin B1 at levels ranging from 34 to 524 microg/kg and from 8 to 1553 microg/kg, respectively. The presence of fumonisin B1 was confirmed by LC-MS/MS using positive ion electrospray ionization. Fumonisin B1 provided characteristic fragment ions at m/z 704, 686, 546, 528, 370, and 352 corresponding to sequential loss of H2O and tricarboxylic acid moieties from the alkyl backbone. These results indicate that exposure to fumonisin B1 is much more widespread than initially thought and is the first report of mycotoxin contamination in South African medicinal and dietary wild plants.

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

    PubMed

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

    2009-03-01

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

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

    PubMed

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

    2017-01-01

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

  14. Optimization of hydrothermal synthesis of pure phase zeolite Na-P1 from South African coal fly ashes.

    PubMed

    Musyoka, Nicholas M; Petrik, Leslie F; Gitari, Wilson M; Balfour, Gillian; Hums, Eric

    2012-01-01

    This study was aimed at optimizing the synthesis conditions for pure phase zeolite Na-P1 from three coal fly ashes obtained from power stations in the Mpumalanga province of South Africa. Synthesis variables evaluated were: hydrothermal treatment time (12-48 hours), temperature (100-160°C) and varying molar quantities of water during the hydrothermal treatment step (H(2)O:SiO(2) molar ratio ranged between 0-0.49). The optimum synthesis conditions for preparing pure phase zeolite Na-P1 were achieved when the molar regime was 1 SiO(2): 0.36 Al(2)O(3): 0.59 NaOH: 0.49 H(2)O and ageing was done at 47°C for 48 hours. The optimum hydrothermal treatment time and temperature was 48 hours and 140°C, respectively. Fly ashes sourced from two coal-fired power plants (A, B) were found to produce nearly same high purity zeolite Na-P1 under identical conditions whereas the third fly ash (C) lead to a low quality zeolite Na-P1 under these conditions. The cation exchange capacity for the high pure phase was found to be 4.11 meq/g. These results highlight the fact that adjustment of reactant composition and presynthesis or synthesis parameters, improved quality of zeolite Na-P1 can be achieved and hence an improved potential for application of zeolites prepared from coal fly ash.

  15. Executive function associated with sexual risk in young South African women: Findings from the HPTN 068 cohort

    PubMed Central

    Pettifor, Audrey; Duta, Mihaela; Demeyere, Nele; Wagner, Ryan G.; Selin, Amanda; MacPhail, Catherine; Laeyendecker, Oliver; Hughes, James P.; Stein, Alan; Tollman, Stephen; Kahn, Kathleen

    2018-01-01

    Purpose Heightened sexual risk in adolescence and young adulthood may be partially explained by deficits in executive functioning, the set of cognitive processes used to make reasoned decisions. However, the association between executive function and sexual risk is understudied among adolescent girls and young women, particularly in low- and middle-income countries. Methods In a cohort of 853 young women age 18–25 in rural Mpumalanga province, South Africa, we evaluated executive function with three non-verbal cognitive tests: I. a rule-finding test, II. a trail-making test, and III. a figure drawing test. Using log-binomial regression models, we estimated the association between lower executive function test scores and indicators of sexual risk (unprotected sex acts, concurrent partnerships, transactional sex, and recent HSV-2 infection). Results In general, young women with lower executive function scores reported higher frequencies of sexual risk outcomes, though associations tended to be small with wide confidence intervals. Testing in the lowest quintile of Test I was associated with more unprotected sex [aPR (95% CI): 1.4 (1.0, 1.8)]. Testing in the lowest quintile of Test II was associated with more concurrent relationships and transactional sex [aPR (95% CI): 1.6 (1.1, 2.5) and 1.7 (1.3, 2.4), respectively], and testing in the lowest four quintiles of Test III was associated with more concurrent relationships [aPR (95% CI): 1.7 (1.0, 2.7)]. Conclusions These results demonstrate an association between low executive function and sexual risk in South African young women. Future work should seek to understand the nature of this association and whether there is promise in developing interventions to enhance executive function to reduce sexual risk. PMID:29608615

  16. A retrospective study of anthrax on the Ghaap Plateau, Northern Cape province of South Africa, with special reference to the 2007-2008 outbreaks.

    PubMed

    Hassim, Ayesha; Dekker, Edgar H; Byaruhanga, Charles; Reardon, Tommy; Van Heerden, Henriette

    2017-09-28

    Anthrax is a zoonotic disease caused by the gram-positive, endospore-forming and soil-borne bacterium Bacillus anthracis. When in spore form, the organism can survive in dormancy in the environment for decades. It is a controlled disease of livestock and wild ungulates in South Africa. In South Africa, the two enzootic regions are the Kruger National Park and the Ghaap Plateau in the Northern Cape province. Farms on the Plateau span thousands of hectares comprising of wildlife - livestock mixed use farming. In 2007-2008, anthrax outbreaks in the province led to government officials intervening to aid farmers with control measures aimed at preventing further losses. Because of the ability of the organism to persist in the environment for prolonged periods, an environmental risk or isolation survey was carried out in 2012 to determine the efficacy of control measures employed during the 2007-2008, anthrax outbreaks. No B. anthracis could be isolated from the old carcass sites, even when bone fragments from the carcasses were still clearly evident. This is an indication that the control measures and protocols were apparently successful in stemming the continuity of spore deposits at previously positive carcass sites.

  17. Switching on after nine: Black gay-identified men’s perceptions of sexual identities and partnerships in South African towns

    PubMed Central

    Mantell, Joanne; Tocco, Jack; Osmand, Thomas; Sandfort, Theo; Lane, Tim

    2016-01-01

    There is considerable diversity, fluidity and complexity in the expressions of sexuality and gender among men who have sex with men (MSM). Some non-gay identified MSM are known colloquially by gay-identified men in Mpumalanga, South Africa, as “After-Nines” because they do not identify as gay and present as straight during the day but also have sex with other men at night. Based on targeted ethnography, including structured observations, key informant interviews and focus group discussions in two districts in Mpumalanga, we explored Black gay-identified men’s perceptions of and relationships with After-Nine men, focusing on sexual and gender identities and their social consequences. Gay-identified men expressed ambivalence about their After-Nine partners, desiring them for their masculinity, yet often feeling dissatisfied and exploited in their relationships with them. The exchange of sex for commodities, especially alcohol, was common. Gay men’s characterisation of After-Nines as men who ignore them during the day but have sex them at night highlights the diversity of how same-sex practicing men perceive themselves and their sexual partners. Sexual health promotion programmes targeting ‘MSM’ must understand this diversity to effectively support the community in developing strategies for reaching and engaging different groups of gay and non-gay identified men. PMID:26878380

  18. Lamniform Shark Teeth from the Late Cretaceous of Southernmost South America (Santa Cruz Province, Argentina)

    PubMed Central

    Schroeter, Elena R.; Egerton, Victoria M.; Ibiricu, Lucio M.; Lacovara, Kenneth J.

    2014-01-01

    Here we report multiple lamniform shark teeth recovered from fluvial sediments in the (Campanian-Maastrichtian) Cerro Fortaleza Formation, Santa Cruz Province, Argentina. This small tooth assemblage is compared to various lamniform sharks possessing similar dental morphologies, including Archaeolamna, Cretalamna, Dwardius, Dallasiella, and Cretodus. Although the teeth share numerous morphological features with the genus Archaeolamna, including a developed neck that maintains a relatively consistent width along the base of the crown, the small sample size and incomplete nature of these specimens precludes definitive taxonomic assignment. Regardless, the discovery of selachian teeth unique from those previously described for the region broadens the known diversity of Late Cretaceous South American sharks. Additionally, the discovery of the teeth in fluvial sandstone may indicate a euryhaline paleobiology in the lamniform taxon or taxa represented by this tooth assemblage. PMID:25141301

  19. Lamniform shark teeth from the late cretaceous of southernmost South America (Santa Cruz province, Argentina).

    PubMed

    Schroeter, Elena R; Egerton, Victoria M; Ibiricu, Lucio M; Lacovara, Kenneth J

    2014-01-01

    Here we report multiple lamniform shark teeth recovered from fluvial sediments in the (Campanian-Maastrichtian) Cerro Fortaleza Formation, Santa Cruz Province, Argentina. This small tooth assemblage is compared to various lamniform sharks possessing similar dental morphologies, including Archaeolamna, Cretalamna, Dwardius, Dallasiella, and Cretodus. Although the teeth share numerous morphological features with the genus Archaeolamna, including a developed neck that maintains a relatively consistent width along the base of the crown, the small sample size and incomplete nature of these specimens precludes definitive taxonomic assignment. Regardless, the discovery of selachian teeth unique from those previously described for the region broadens the known diversity of Late Cretaceous South American sharks. Additionally, the discovery of the teeth in fluvial sandstone may indicate a euryhaline paleobiology in the lamniform taxon or taxa represented by this tooth assemblage.

  20. Palystes kreutzmanni sp. n. - a new huntsman spider species from fynbos vegetation in Western Cape Province, South Africa (Araneae, Sparassidae, Palystinae.

    PubMed

    Jäger, Peter; Kunz, Dirk

    2010-11-10

    Palystes kreutzmannisp. n. is described from habitats close to Kleinmond, in the Western Cape Province, South Africa. Spiders of this new species live in the typical fynbos vegetation of the Western Cape region. They build retreats between apical leaves of Leucadendron bushes. The systematic position of Palystes kreutzmannisp. n. is discussed. Male and female show characters of different species groups, especially the female copulatory organ seems to be unique within the genus Palystes L. Koch, 1875.

  1. Knowledge of High School Learners Regarding Substance Use within High School Premises in the Buffalo Flats of East London, Eastern Cape Province, South Africa

    ERIC Educational Resources Information Center

    Manu, Emmanuel; Maluleke, Xavela T.; Douglas, Mbuyiselo

    2017-01-01

    South Africa has a high rate of substance abuse among youths both in and out of school with East London in the Eastern Cape Province experiencing an increase in young people ages 20 years and below seeking treatment for substance abuse. The purpose of the study was to explore the knowledge of high school learners (grades 10 to 12) regarding…

  2. Male Teachers' Experiences of Own Aggression

    ERIC Educational Resources Information Center

    Botha, Johan; Myburgh, Chris; Poggenpoel, Marie

    2013-01-01

    We describe an exploratory, descriptive, and contextual study on the lived experiences of 17 male teachers' own aggression in the Gert Sibande district in Mpumalanga province. Individual phenomenological interviews were used to collect data from these volunteers for this qualitative research. The data were analysed by means of an open coding…

  3. Sero-prevalence of Taenia spp. infections in cattle and pigs in rural farming communities in Free State and Gauteng provinces, South Africa.

    PubMed

    Tsotetsi-Khambule, A M; Njiro, S; Katsande, T C; Thekisoe, O M M; Harrison, L J S

    2017-08-01

    The aim of this study was to determine sero-prevalence of bovine and porcine cysticercosis in cattle and pigs in rural farming communities in Free State and Gauteng Provinces, Republic of South Africa. Blood samples were collected for a period of twelve months from live cattle (n=1315; 1159) and pigs (n=436; 240) and the serum extracted and stored before analysis by a monoclonal antibody based (HP10) antigen detection ELISA. Results revealed a generally high sero-prevalence and wide distribution throughout the two provinces with Free State having a higher sero-prevalence in both cattle and pigs (23% and 34%) than Gauteng province (15% and 14%). Consumption of infected meat that is either not inspected/missed at meat inspection; poor livestock management practices and limited sanitation in rural communities might have contributed to the occurrence of Taenia spp. infections in the two provinces. It is therefore, recommended that cysticercosis status of animals be established before slaughter. This would assist in ensuring that infected animals are not slaughtered for human consumption or zoonosis preventive measures are taken. Furthermore, public awareness programs on life cycles of T. saginata, T. solium and T. hydatigena and the use of more sensitive diagnostic tools are recommended as part of effective control strategies against taeniid infections. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Patient satisfaction with nurse-delivery primary health care services in Free State and Gauteng provinces, South Africa: A comparative study.

    PubMed

    Nunu, Wilfred N; Munyewende, Pascalia O

    2017-04-28

    The majority of health care users in South Africa utilise primary health care (PHC) services where these services are free at the point of entry. There is a dearth of knowledge on the factors influencing patient satisfaction with PHC clinic services. This study compared patient satisfaction with PHC services in the Free State (FS) and Gauteng (GP) provincesSetting: Secondary data analysis was conducted on a cross-sectional survey obtained from the Research on the State of Nursing Project run by the Centre for Health Policy in 2012. A pre-tested satisfaction survey questionnaire with questions on facility evaluation, experience with providers and receipt of medication was administered to 1110 systematically randomly sampled adult patients attending antiretroviral, hypertension, diabetes and tuberculosis services. Of 1110 respondents, 1096 responded to the patient satisfaction survey signifying a 98.8% response rate. Over 60% of respondents were women in both provinces. Over 90% of patients were satisfied with PHC services in both provinces. Factors associated with satisfaction in GP and FS were time spent waiting for consultation, nurses listened, being given information on condition and being treated politely. Having privacy respected came out as a significant factor in FS. High levels of satisfaction with PHC services were experienced by study participants in both provinces. Satisfied patients adhere to treatment plans and have better health-seeking behaviour, which translates to improved clinical outcomes. Therefore, nurses should continue listening, respecting and treating their patients with politeness, and also implement efficient work schedules to reduce patient waiting times.

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

    PubMed Central

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

    2017-01-01

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

  6. Predictors of condom use and refusal among the population of Free State province in South Africa

    PubMed Central

    2012-01-01

    Background This study investigated the extent and predictors of condom use and condom refusal in the Free State province in South Africa. Methods Through a household survey conducted in the Free Sate province of South Africa, 5,837 adults were interviewed. Univariate and multivariate survey logistic regressions and classification trees (CT) were used for analysing two response variables ‘ever used condom’ and ‘ever refused condom’. Results Eighty-three per cent of the respondents had ever used condoms, of which 38% always used them; 61% used them during the last sexual intercourse and 9% had ever refused to use them. The univariate logistic regression models and CT analysis indicated that a strong predictor of condom use was its perceived need. In the CT analysis, this variable was followed in importance by ‘knowledge of correct use of condom’, condom availability, young age, being single and higher education. ‘Perceived need’ for condoms did not remain significant in the multivariate analysis after controlling for other variables. The strongest predictor of condom refusal, as shown by the CT, was shame associated with condoms followed by the presence of sexual risk behaviour, knowing one’s HIV status, older age and lacking knowledge of condoms (i.e., ability to prevent sexually transmitted diseases and pregnancy, availability, correct and consistent use and existence of female condoms). In the multivariate logistic regression, age was not significant for condom refusal while affordability and perceived need were additional significant variables. Conclusions The use of complementary modelling techniques such as CT in addition to logistic regressions adds to a better understanding of condom use and refusal. Further improvement in correct and consistent use of condoms will require targeted interventions. In addition to existing social marketing campaigns, tailored approaches should focus on establishing the perceived need for condom-use and

  7. Compassion satisfaction, burnout and secondary traumatic stress among termination of pregnancy providers in two South African provinces.

    PubMed

    Teffo, Mantshi E; Levin, Jonathan; Rispel, Laetitia C

    2018-05-23

    Focusing on compassion satisfaction, burnout and secondary traumatic stress (STS) among termination of pregnancy (TOP) providers, a cross - sectional study was conducted among these providers in Gauteng and North West provinces of South Africa during 2014 and 2015. During 2014 and 2015, a cross-sectional study was conducted among TOP service providers in Gauteng and North West provinces. Consented providers completed a self-administered professional quality of life (PRoQOL) questionnaire, sociodemographic information and possible reasons for working as TOP providers. STATA 13 was used for data analysis. We recruited 105 TOP providers, obtaining 98% response rate. Participants mean age was 43.4 (standard deviation [SD] = 8.7), majority were nurses (70.9%), female (82%), married (47.6%) and 63% were working in hospitals. The overall mean score for compassion satisfaction was high at 42 (SD 5.5). Predictors of compassion satisfaction were finding work stimulating, belief in making a difference, enjoying relationships with other nurses and years of TOP service (P < 0.05). Province and gender were significant, with significant interaction. Burnout mean scores were average at 33 (SD = 4.0), with belief in helping women to make informed choices a marginally significant predictor of burnout. The overall STS mean score was average with a mean of 23 (SD = 6.8). Significant predictors of STS scores were finding work stimulating, belief in women's rights, belief in allowing informed choices, age and gender. Health policy makers and managers should endeavor to provide employee assistance programs that enhance compassion satisfaction and reduce burnout and STS among TOP providers. © 2018 Japan Society of Obstetrics and Gynecology.

  8. The pattern of self-harm in Fars Province in South Iran: A population-based study.

    PubMed

    Gholamzadeh, Saeid; Zahmatkeshan, Mozhghan; Zarenezhad, Mohammad; Ghaffari, Elaheh; Hoseni, Sanaz

    2017-10-01

    Non-suicidal self-harm includes cutting, scratching, burning and minor overdosing. There have been few studies that have examined the rate and pattern of self-harm among different individuals of the society. We performed a population-based study to determine different aspects of non-suicidal self-harm in cases referred to legal medicine organization of Fars Province and south Iran. In a population-based longitudinal survey, we applied data from cases referred to legal medicine organization of Fars province. The survey included questions about the history, method, frequency, age of onset and help-seeking for non-suicidal self-harm. The data about non-suicidal self-harm were collected since 2007 to 2011 and analyzed using students' T-test for continuous data and χ 2 for binary or categorical data using SPSS ver. 21.0. Totally 2166 individuals were diagnosed who had ever harmed themselves. Self-injuries such as cutting, scratching and self-hitting were the most common forms of non-suicidal self-harm (83.2%). The mean age of onset was 25.7 ± 2.6 years. Self-injury was more frequent in males and individuals with lower education levels mostly unemployed. The most frequent injury site was posterior side of the body for example shoulders (157; 9.8%) and the most type of the injury was bruise in 398(55.26%) cases. Hard objects (1197; 55.26%) were the most used devices for self-injury followed by cutting and sharp devices. Among those who reported non-suicidal self-harm, 56% had sought help while self-injury. We found a high prevalence of non-suicidal self-harm in different individuals of the society in Fars province since 2007 to 2011. Many mental-health symptoms as well as legal and financial gains should be evaluated for any association with this behavior. Copyright © 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  9. Trend of hepatocellular carcinoma incidence after Bayesian correction for misclassified data in Iranian provinces.

    PubMed

    Hajizadeh, Nastaran; Baghestani, Ahmad Reza; Pourhoseingholi, Mohamad Amin; Ashtari, Sara; Fazeli, Zeinab; Vahedi, Mohsen; Zali, Mohammad Reza

    2017-05-28

    To study the trend of hepatocellular carcinoma incidence after correcting the misclassification in registering cancer incidence across Iranian provinces in cancer registry data. Incidence data of hepatocellular carcinoma were extracted from Iranian annual of national cancer registration reports 2004 to 2008. A Bayesian method was implemented to estimate the rate of misclassification in registering cancer incidence in neighboring province. A beta prior is considered for misclassification parameter. Each time two neighboring provinces were selected to be entered in the Bayesian model based on their expected coverage of cancer cases which is reported by medical university of the province. It is assumed that some cancer cases from a province that has an expected coverage of cancer cases lower than 100% are registered in their neighboring facilitate province with more than 100% expected coverage. There is an increase in the rate of hepatocellular carcinoma in Iran. Among total of 30 provinces of Iran, 21 provinces were selected to be entered to the Bayesian model for correcting the existed misclassification. Provinces with more medical facilities of Iran are Tehran (capital of the country), Razavi Khorasan in north-east of Iran, East Azerbaijan in north-west of the country, Isfahan in central part and near to Tehran, Khozestan and Fars in south and Mazandaran in north of the Iran, had an expected coverage more than their expectation. Those provinces had significantly higher rates of hepatocellular carcinoma than their neighboring provinces. In years 2004 to 2008, it was estimated to be on average 34% misclassification between North Khorasan province and Razavi Khorasan, 43% between South Khorasan province and Razavi Khorasan, 47% between Sistan and balochestan province and Razavi Khorasan, 23% between West Azerbaijan province and East Azerbaijan province, 25% between Ardebil province and East Azerbaijan province, 41% between Hormozgan province and Fars province, 22

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

    PubMed Central

    Sebothoma, Ben; Kgare, Khomotjo S.

    2017-01-01

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

  11. Estimating retention in HIV care accounting for patient transfers: A national laboratory cohort study in South Africa.

    PubMed

    Fox, Matthew P; Bor, Jacob; Brennan, Alana T; MacLeod, William B; Maskew, Mhairi; Stevens, Wendy S; Carmona, Sergio

    2018-06-01

    little when tightening or relaxing matching procedures. We found strong differences in retention by province, ranging from 74.2% (95% CI: 73.2%-75.2%) in Western Cape to 52.2% (95% CI: 50.6%-53.7%) in Mpumalanga at 6 years. National attrition was higher among patients initiating at lower CD4 counts and higher viral loads, and among patients initiating ART at larger facilities. The study's main limitation is lack of perfect cohort matching, which may lead to over- or underestimation of retention. We also did not have data from KwaZulu-Natal province prior to 2010. In this study, HIV care retention was substantially higher when viewed from a national perspective than from a facility perspective. Our results suggest that traditional clinical cohorts underestimate retention.

  12. Serum uric acid is associated with dietary and lifestyle factors in elderly women in suburban Guangzhou in Guangdong province of south China.

    PubMed

    Xiong, Z; Zhu, C; Qian, X; Zhu, J; Wu, Z; Chen, L

    2013-01-01

    To estimate the prevalence of hyperuricemia and lifestyle risk factors for hyperuricemia in elderly women. Cross-sectional study. The suburban area of Guangzhou, Guangdong province, China. The study included 856 Chinese women aged 60 to 102 years who received their annual health examinations in the suburban area of Guangzhou, south China in 2002. Information on anthropometric measurements and lifestyle factors were obtained via a questionnaire processed by the attending physicians or nurses. Blood biochemistry was performed after subjects fasted for 8-14 h. Unconditional logistic regression analysis was used to investigate associations between hyperuricemia, meat intake quintiles, physical activity quintiles, and alcohol intake quintiles. The prevalence of hyperuricemia in the studied population was 12.01%. Alcohol, meat and seafood consumption; being overweight or obese; hypertension; and abnormal triglyceride levels were strongly associated with a higher prevalence of hyperuricemia. Physical activity was inversely related to the prevalence of hyperuricemia. The odds ratios for hyperuricemia for quintiles of physical activity were 1.00, 0.74, 0.72, 0.63, and 0.55 (P<0.01). Our data suggest that the prevalence of hyperuricemia is high in elderly women in suburban Guangzhou in Guangdong province of South China. Obesity, meat and seafood intake and alcohol consumption are associated with a higher prevalence of hyperuricemia, whereas daily physical activity is inversely related to the prevalence of hyperuricemia.

  13. Gully erosion: A comparison of contributing factors in two catchments in South Africa

    NASA Astrophysics Data System (ADS)

    Mararakanye, Ndifelani; Sumner, Paul D.

    2017-07-01

    Gully erosion is an environmental, agricultural and social problem requiring extensive research and mitigation actions to control. This study assesses the influence of factors contributing to gully erosion using Geographic Information System (GIS) and Information Value (InfVal) statistics from two catchments coded X12 and W55 in the Mpumalanga province of South Africa. Existing spatial data representing contributing factors; soil, geology, vegetation and land use were analyzed. Topographic variables were extracted from a 10 m Digital Elevation Model (DEM) interpolated from map contours, and gullies were mapped from aerial photos with 0.5 m spatial resolution. A zonal approach was used to extract the proportion of gullies in each of the contributing factor classes using GIS software packages, and InfVal weighting was performed to determine the influence of each class. Comparison of the results shows the variation in the level of influence of factors contributing to gully erosion. The findings in catchment X12 support a commonly held assumption that gully formation is influenced by duplex soils underlain by colluvium and alluvial deposits on a lower slope position where overland flow converges and accumulates, resulting in high soil moisture. Gullies were also influenced by soils developed over weathered granite, gneiss and ultramafic rocks. The influence of a granite rock was further highlighted in catchment W55 where there is a variable thickness of very deep Hutton dominant soil form and shallow Lithosols with sandy texture, on an area of moderate to steep slopes where overland flow converges and accumulates, with high stream power in overgrazed grassland. An understanding of these factors will assist future modelling of the vulnerability to gully erosion over a wider geographical area.

  14. Palystes kreutzmanni sp. n. – a new huntsman spider species from fynbos vegetation in Western Cape Province, South Africa (Araneae, Sparassidae, Palystinae

    PubMed Central

    Jäger, Peter; Kunz, Dirk

    2010-01-01

    Abstract Palystes kreutzmanni sp. n. is described from habitats close to Kleinmond, in the Western Cape Province, South Africa. Spiders of this new species live in the typical fynbos vegetation of the Western Cape region. They build retreats between apical leaves of Leucadendron bushes. The systematic position of Palystes kreutzmanni sp. n. is discussed. Male and female show characters of different species groups, especially the female copulatory organ seems to be unique within the genus Palystes L. Koch, 1875. PMID:21594031

  15. Research evidence and policy: qualitative study in selected provinces in South Africa and Cameroon.

    PubMed

    Naude, Celeste E; Zani, Babalwa; Ongolo-Zogo, Pierre; Wiysonge, Charles S; Dudley, Lillian; Kredo, Tamara; Garner, Paul; Young, Taryn

    2015-09-03

    . Policymaking is complicated, lengthy and mostly done at national level. Provinces/regions are tasked with implementation, with more room for adaptation in South Africa than in Cameroon. Research evidence plays a role in policy but does not drive it and is seen as mostly unavailable. Researchers need a thorough understanding of the policy process and environment, how the health system operates, as well as the priorities of policymakers. This can inform effective dialogue between researchers and policymakers, and contribute to enhancing use of research evidence in decision-making.

  16. Petrogenesis of Late Jurassic granodiorites from Gutian, Fujian Province, South China: Implications for multiple magma sources and origin of porphyry Cu-Mo mineralization

    NASA Astrophysics Data System (ADS)

    Li, Bin; Jiang, Shao-Yong; Lu, An-Huai; Lai, Jian-Qing; Zhao, Kui-Dong; Yang, Tao

    2016-11-01

    .%) and trace element (ppm) concentrations of Gutian intrusions in Fujian Province, South China. Supplemental Table S5. Sr and Nd isotopic compositions of the studied rocks from the Gutian porphyry deposit in Fujian Province, South China. Supplemental Table S6. Pb isotopic compositions of the studied rocks from the Gutian porphyry deposit in South China. Supplemental Table S7. Re-Os isotopic compositions of molybdenite from the Gutian porphyry deposit in South China.

  17. Nature, diversity of deposit types and metallogenic relations of South China

    USGS Publications Warehouse

    Zaw, K.; Peters, S.G.; Cromie, P.; Burrett, C.; Hou, Z.

    2007-01-01

    The South China Region is rich in mineral resources and has a wide diversity of deposit types. The region has undergone multiple tectonic and magmatic events and related metallogenic processes throughout the earth history. These tectonic and metallogenic processes were responsible for the formation of the diverse styles of base and precious metal deposits in South China making it one of the resource-rich regions in the world. During the Proterozoic, the South China Craton was characterised by rifting of continental margin before eruption of submarine volcanics and development of platform carbonate rocks, and the formation of VHMS, stratabound copper and MVT deposits. The Phanerozoic metallogeny of South China was related to opening and closing of the Tethyan Ocean involving multiple orogenies by subduction, back-arc rifting, arc-continent collision and post-collisional extension during the Indosinian (Triassic), Yanshanian (Jurassic to Cretaceous) and Himalayan (Tertiary) Orogenies. The Late Palaeozoic was a productive metallogenic period for South China resulting from break-up and rifting of Gondwana. Significant stratabound base and precious metal deposits were formed during the Devonian and Carboniferous (e.g., Fankou and Dabaoshan deposits). These Late Palaeozoic SEDEX-style deposits have been often overprinted by skarn systems associated with Yanshanian magmatism (e.g., Chengmenshan, Dongguashan and Qixiashan). A number of Late Palaeozoic to Early Mesozoic VHMS deposits also developed in the Sanjiang fold belt in the western part of South China (e.g., Laochang and Gacun). South China has significant sedimentary rock-hosted Carlin-like deposits, which occur in the Devonian- to Triassic-aged accretionary wedge or rift basins at the margin of the South China Craton. They are present in a region at the junction of Yunnan, Guizhou, and Guangxi Provinces called the 'Southern Golden Triangle', and are also present in NW Sichuan, Gansu and Shaanxi, in an area known as

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

    PubMed Central

    2016-01-01

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

  19. An evaluation of the competencies of primary health care clinic nursing managers in two South African provinces

    PubMed Central

    Munyewende, Pascalia O.; Levin, Jonathan; Rispel, Laetitia C.

    2016-01-01

    Background Managerial competencies to enhance individual and organisational performance have gained currency in global efforts to strengthen health systems. Competent managers are essential in the implementation of primary health care (PHC) reforms that aim to achieve universal health coverage. Objective To evaluate the competencies of PHC clinic nursing managers in two South African provinces. Design A cross-sectional study was conducted in two South African provinces. Using stratified random sampling, 111 PHC clinic nursing managers were selected. All supervisors (n=104) and subordinate nurses (n=383) were invited to participate in the survey on the day of data collection. Following informed consent, the nursing managers, their supervisors, and subordinate nurses completed a 40-item, 360-degree competency assessment questionnaire, with six domains: communication, leadership and management, staff management, financial management, planning and priority setting, and problem-solving. Standard deviations, medians, and inter-quartile ranges (IQRs) were computed separately for PHC nursing managers, supervisors, and subordinate nurses for competencies in the six domains. The Tinsley and Weiss index was used to assess agreement between each of the three possible pairs of raters. Results A 95.4% response rate was obtained, with 105 nursing managers in Gauteng and Free State completing the questionnaires. There was a lack of agreement about nursing managers’ competencies among the three groups of raters. Overall, clinic nursing managers rated themselves high on the five domains of communication (8.6), leadership and management (8.67), staff management (8.75), planning and priority setting (8.6), and problem-solving (8.83). The exception was financial management with a median score of 7.94 (IQR 6.33–9.11). Compared to the PHC clinic managers, the supervisors and subordinate nurses gave PHC nursing managers lower ratings on all six competency domains, with the lowest

  20. An evaluation of the competencies of primary health care clinic nursing managers in two South African provinces.

    PubMed

    Munyewende, Pascalia O; Levin, Jonathan; Rispel, Laetitia C

    2016-01-01

    Managerial competencies to enhance individual and organisational performance have gained currency in global efforts to strengthen health systems. Competent managers are essential in the implementation of primary health care (PHC) reforms that aim to achieve universal health coverage. To evaluate the competencies of PHC clinic nursing managers in two South African provinces. A cross-sectional study was conducted in two South African provinces. Using stratified random sampling, 111 PHC clinic nursing managers were selected. All supervisors ( n =104) and subordinate nurses ( n =383) were invited to participate in the survey on the day of data collection. Following informed consent, the nursing managers, their supervisors, and subordinate nurses completed a 40-item, 360-degree competency assessment questionnaire, with six domains: communication, leadership and management, staff management, financial management, planning and priority setting, and problem-solving. Standard deviations, medians, and inter-quartile ranges (IQRs) were computed separately for PHC nursing managers, supervisors, and subordinate nurses for competencies in the six domains. The Tinsley and Weiss index was used to assess agreement between each of the three possible pairs of raters. A 95.4% response rate was obtained, with 105 nursing managers in Gauteng and Free State completing the questionnaires. There was a lack of agreement about nursing managers' competencies among the three groups of raters. Overall, clinic nursing managers rated themselves high on the five domains of communication (8.6), leadership and management (8.67), staff management (8.75), planning and priority setting (8.6), and problem-solving (8.83). The exception was financial management with a median score of 7.94 (IQR 6.33-9.11). Compared to the PHC clinic managers, the supervisors and subordinate nurses gave PHC nursing managers lower ratings on all six competency domains, with the lowest rating for financial management

  1. Preliminary inventory and classification of indigenous afromontane forests on the Blyde River Canyon Nature Reserve, Mpumalanga, South Africa

    PubMed Central

    Lötter, Mervyn C; Beck, Hans T

    2004-01-01

    Background Mixed evergreen forests form the smallest, most widely distributed and fragmented biome in southern Africa. Within South Africa, 44% of this vegetation type has been transformed. Afromontane forest only covers 0.56 % of South Africa, yet it contains 5.35% of South Africa's plant species. Prior to this investigation of the indigenous forests on the Blyde River Canyon Nature Reserve (BRCNR), very little was known about the size, floristic composition and conservation status of the forest biome conserved within the reserve. We report here an inventory of the forest size, fragmentation, species composition and the basic floristic communities along environmental gradients. Results A total of 2111 ha of forest occurs on Blyde River Canyon Nature Reserve. The forest is fragmented, with a total of 60 forest patches recorded, varying from 0.21 ha to 567 ha in size. On average, patch size was 23 ha. Two forest communities – high altitude moist afromontane forest and low altitude dry afromontane forest – are identified. Sub-communities are recognized based on canopy development and slope, respectively. An altitudinal gradient accounts for most of the variation within the forest communities. Conclusion BRCNR has a fragmented network of small forest patches that together make up 7.3% of the reserve's surface area. These forest patches host a variety of forest-dependent trees, including some species considered rare, insufficiently known, or listed under the Red Data List of South African Plants. The fragmented nature of the relatively small forest patches accentuates the need for careful fire management and stringent alien plant control. PMID:15287991

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

    PubMed

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

    2015-01-01

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

  3. [Spatiotemporal differentiation of construction land expansion in a typical town of south Jiangsu Province].

    PubMed

    Zhou, Rui; Li, Yue-hui; Hu, Yuan-man; Su, Hai-long; Wang, Jin-nian

    2011-03-01

    Choosing Xinzhuang Town in south Jiangsu Province as study area, and by using 1980, 1991, 2001, and 2009 high-resolution remote sensing images and GIS spatial analysis technology, an integrated expansion degree index model was established based on the existing indicators of construction land expansion, and the general and spatiotemporal differentiation characteristics of construction land expansion in the Town in three time periods of 1980-2009 were quantitatively analyzed. In 1980-2009, with the acceleration of rural urbanization and industrialization, the area of construction land in the Town increased significantly by 19.24 km2, and especially in 2001-2009, the expanded area, expanded contribution rate, and expansion intensity reached the maximum. The construction land expansion had an obvious spatial differentiation characteristic. In 1980-1991, the newly increased construction land mainly concentrated in town area. After 1991, the focus of construction land gradually spread to the villages with developed industries. Most of the increased construction lands were converted from paddy field and dry land, accounting for 88.1% of the total increased area, while the contribution from other land types was relatively small.

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

    PubMed Central

    2014-01-01

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

  5. Qualitative study exploring healthy eating practices and physical activity among adolescent girls in rural South Africa.

    PubMed

    Sedibe, Heather M; Kahn, Kathleen; Edin, Kerstin; Gitau, Tabitha; Ivarsson, Anneli; Norris, Shane A

    2014-08-26

    Dietary behaviours and physical activity are modifiable risk factors to address increasing levels of obesity among children and adolescents, and consequently to reduce later cardiovascular and metabolic disease. This paper explores perceptions, attitudes, barriers, and facilitators related to healthy eating and physical activity among adolescent girls in rural South Africa. A qualitative study was conducted in the rural Agincourt subdistrict, covered by a health and sociodemographic surveillance system, in Mpumalanga province, South Africa. Semistructured "duo-interviews" were carried out with 11 pairs of adolescent female friends aged 16 to 19 years. Thematic content analysis was used. The majority of participants considered locally grown and traditional foods, especially fruits and vegetables, to be healthy. Their consumption was limited by availability, and these foods were often sourced from family or neighbourhood gardens. Female caregivers and school meal programmes facilitated healthy eating practices. Most participants believed in the importance of breakfast, even though for the majority, limited food within the household was a barrier to eating breakfast before going to school. The majority cited limited accessibility as a major barrier to healthy eating, and noted the increasing intake of "convenient and less healthy foods". Girls were aware of the benefits of physical activity and engaged in various physical activities within the home, community, and schools, including household chores, walking long distances to school, traditional dancing, and extramural activities such as netball and soccer. The findings show widespread knowledge about healthy eating and the benefits of consuming locally grown and traditional food items in a population that is undergoing nutrition transition. Limited access and food availability are strong barriers to healthy eating practices. School meal programmes are an important facilitator of healthy eating, and breakfast

  6. Assessing the Likelihood of Gene Flow From Sugarcane (Saccharum Hybrids) to Wild Relatives in South Africa.

    PubMed

    Snyman, Sandy J; Komape, Dennis M; Khanyi, Hlobisile; van den Berg, Johnnie; Cilliers, Dirk; Lloyd Evans, Dyfed; Barnard, Sandra; Siebert, Stefan J

    2018-01-01

    Pre-commercialization studies on environmental biosafety of genetically modified (GM) crops are necessary to evaluate the potential for sexual hybridization with related plant species that occur in the release area. The aim of the study was a preliminary assessment of factors that may contribute to gene flow from sugarcane ( Saccharum hybrids) to indigenous relatives in the sugarcane production regions of Mpumalanga and KwaZulu-Natal provinces, South Africa. In the first instance, an assessment of Saccharum wild relatives was conducted based on existing phylogenies and literature surveys. The prevalence, spatial overlap, proximity, distribution potential, and flowering times of wild relatives in sugarcane production regions based on the above, and on herbaria records and field surveys were conducted for Imperata, Sorghum, Cleistachne , and Miscanthidium species. Eleven species were selected for spatial analyses based on their presence within the sugarcane cultivation region: four species in the Saccharinae and seven in the Sorghinae. Secondly, fragments of the nuclear internal transcribed spacer (ITS) regions of the 5.8s ribosomal gene and two chloroplast genes, ribulose-bisphosphate carboxylase ( rbcL ), and maturase K ( matK ) were sequenced or assembled from short read data to confirm relatedness between Saccharum hybrids and its wild relatives. Phylogenetic analyses of the ITS cassette showed that the closest wild relative species to commercial sugarcane were Miscanthidium capense, Miscanthidium junceum , and Narenga porphyrocoma. Sorghum was found to be more distantly related to Saccharum than previously described. Based on the phylogeny described in our study, the only species to highlight in terms of evolutionary divergence times from Saccharum are those within the genus Miscanthidium , most especially M. capense , and M. junceum which are only 3 million years divergent from Saccharum . Field assessment of pollen viability of 13 commercial sugarcane

  7. Qualitative study exploring healthy eating practices and physical activity among adolescent girls in rural South Africa

    PubMed Central

    2014-01-01

    Background Dietary behaviours and physical activity are modifiable risk factors to address increasing levels of obesity among children and adolescents, and consequently to reduce later cardiovascular and metabolic disease. This paper explores perceptions, attitudes, barriers, and facilitators related to healthy eating and physical activity among adolescent girls in rural South Africa. Methods A qualitative study was conducted in the rural Agincourt subdistrict, covered by a health and sociodemographic surveillance system, in Mpumalanga province, South Africa. Semistructured “duo-interviews” were carried out with 11 pairs of adolescent female friends aged 16 to 19 years. Thematic content analysis was used. Results The majority of participants considered locally grown and traditional foods, especially fruits and vegetables, to be healthy. Their consumption was limited by availability, and these foods were often sourced from family or neighbourhood gardens. Female caregivers and school meal programmes facilitated healthy eating practices. Most participants believed in the importance of breakfast, even though for the majority, limited food within the household was a barrier to eating breakfast before going to school. The majority cited limited accessibility as a major barrier to healthy eating, and noted the increasing intake of “convenient and less healthy foods”. Girls were aware of the benefits of physical activity and engaged in various physical activities within the home, community, and schools, including household chores, walking long distances to school, traditional dancing, and extramural activities such as netball and soccer. Conclusions The findings show widespread knowledge about healthy eating and the benefits of consuming locally grown and traditional food items in a population that is undergoing nutrition transition. Limited access and food availability are strong barriers to healthy eating practices. School meal programmes are an important

  8. Assessing the Likelihood of Gene Flow From Sugarcane (Saccharum Hybrids) to Wild Relatives in South Africa

    PubMed Central

    Snyman, Sandy J.; Komape, Dennis M.; Khanyi, Hlobisile; van den Berg, Johnnie; Cilliers, Dirk; Lloyd Evans, Dyfed; Barnard, Sandra; Siebert, Stefan J.

    2018-01-01

    Pre-commercialization studies on environmental biosafety of genetically modified (GM) crops are necessary to evaluate the potential for sexual hybridization with related plant species that occur in the release area. The aim of the study was a preliminary assessment of factors that may contribute to gene flow from sugarcane (Saccharum hybrids) to indigenous relatives in the sugarcane production regions of Mpumalanga and KwaZulu-Natal provinces, South Africa. In the first instance, an assessment of Saccharum wild relatives was conducted based on existing phylogenies and literature surveys. The prevalence, spatial overlap, proximity, distribution potential, and flowering times of wild relatives in sugarcane production regions based on the above, and on herbaria records and field surveys were conducted for Imperata, Sorghum, Cleistachne, and Miscanthidium species. Eleven species were selected for spatial analyses based on their presence within the sugarcane cultivation region: four species in the Saccharinae and seven in the Sorghinae. Secondly, fragments of the nuclear internal transcribed spacer (ITS) regions of the 5.8s ribosomal gene and two chloroplast genes, ribulose-bisphosphate carboxylase (rbcL), and maturase K (matK) were sequenced or assembled from short read data to confirm relatedness between Saccharum hybrids and its wild relatives. Phylogenetic analyses of the ITS cassette showed that the closest wild relative species to commercial sugarcane were Miscanthidium capense, Miscanthidium junceum, and Narenga porphyrocoma. Sorghum was found to be more distantly related to Saccharum than previously described. Based on the phylogeny described in our study, the only species to highlight in terms of evolutionary divergence times from Saccharum are those within the genus Miscanthidium, most especially M. capense, and M. junceum which are only 3 million years divergent from Saccharum. Field assessment of pollen viability of 13 commercial sugarcane cultivars using

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

    PubMed Central

    Heeren, Gudrun A; Tyler, Joanne; Mandeya, Andrew

    2003-01-01

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

  10. Rapid immunochromatographic diagnosis and Rolling Back Malaria--experiences from an African control program.

    PubMed

    Durrheim, D N; Govere, J; la Grange, J J; Mabuza, A

    2001-01-01

    Malaria is a re-emerging disease in much of Africa. In response, the World Health Organization launched the Roll Back Malaria (RBM) initiative. One of six key principles adopted is the early detection of malaria cases. However, the importance of definitive diagnosis and potential value of field deployment of rapid malaria tests in RBM has been largely ignored. The Lowveld Region of Mpumalanga Province, South Africa, is home to a predominantly non-immune population, of approximately 850000 inhabitants, who are at risk of seasonal Plasmodium falciparum malaria. Malaria treatment in this area is usually only initiated on detection of malaria parasites in the peripheral bloodstream, as many other rickettsial and viral febrile illness mimic malaria. The malaria control programme traditionally relied on light microscopy of Giemsa-stained thick blood films for malaria diagnosis. This review summarizes operational research findings that led to the introduction of rapid malaria card tests for primary diagnosis of malaria throughout the Mpumalanga malaria area. Subsequent operational research and extensive experience over a four-year period since introducing the ICT Malaria Pf test appears to confirm the local appropriateness of this diagnostic modality. A laboratory is not required and clinic staff are empowered to make a prompt definitive diagnosis, limiting delays in initiating correct therapy. The simple, accurate and rapid non-microscopic means now available for diagnosing malaria could play an important role in Rolling Back Malaria in selected areas.

  11. E-W strike slip shearing of Kinwat granitoid at South East Deccan Volcanic Province, Kinwat, Maharashtra, India

    NASA Astrophysics Data System (ADS)

    Kaplay, R. D.; Kumar, T. Vijay; Mukherjee, Soumyajit; Wesanekar, P. R.; Babar, Md; Chavan, Sumeet

    2017-07-01

    We study the margin of South East Deccan Volcanic Province around Kinwat lineament, Maharashtra, India, which is NW extension of the Kaddam Fault. Structural field studies document ˜ E-W strike-slip mostly brittle faults from the basement granite. We designate this as `Western boundary East Dharwar Craton Strike-slip Zone' (WBEDCSZ). At local level, the deformation regime from Kinwat, Kaddam Fault, micro-seismically active Nanded and seismically active Killari corroborate with the nearby lineaments. Morphometric analyses suggest that the region is moderately tectonically active. The region of intense strike-slip deformation lies between seismically active fault along Tapi in NW and Bhadrachalam in the SE part of the Kaddam Fault/lineament. The WBEDCSZ with the surface evidences of faulting, presence of a major lineaments and intersection of faults could be a zone of intraplate earthquake.

  12. Generation, migration, and entrapment of Precambrian oils in the Eastern Flank Heavy Oil province, south Oman

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

    Konert, G.; Van Den Brink, H.A.; Visser, W.

    1991-08-01

    The prolific Eastern Flank Heavy Oil province east of the South Oman Salt basin is unique because of the widespread occurrence of Precambrian source rocks from which the hydrocarbons originated. Fission-track analysis and burial studies suggest that most of these source rocks became mature and generated hydrocarbons in the Ordovician; subsequently, the source beds were uplifted and did not re-enter the oil window. Its uniqueness is also based on the all-important role played by Precambrian salt. The traps in Palaeozoic clastics were initially structured by halokinesis, and subsequently by salt dissolution. The latter process gradually removed the salt from themore » area is largely responsible for the present-day structure with palaeo-withdrawal basins inverted in present-day turtles. Present-day traps are mainly post-Late Jurassic in age, significantly post-dating the time of oil generation. Detailed field studies indicate that charge phases appear to correlate with periods of increased salt dissolution in the Late Jurassic-Early Cretaceous, Late Cretaceous, and Tertiary. Oil was probably stored in intermediate traps below and within the salt. It was gradually released upon progressive tilting of the basin flank; it migrated updip toward the basinward retreating salt edge, and subsequently (back) spilled into the stratigraphically younger traps. Also, removal of the top seal of intra-salt and sub-salt traps by salt dissolution allowed upward remigration. It follows that charge concepts in the Eastern Flank Heavy Oil province depend on defining salt-edge-related hydrocarbon release areas, rather than on kitchen modeling.« less

  13. An evaluation of the emergency care training workshops in the province of KwaZulu-Natal, South Africa.

    PubMed

    Naidoo, Mergan

    2017-03-30

    Emergency care in South Africa is both complex and complicated which is further compromised by inadequately trained healthcare workers. Academic disciplines at the University of KwaZulu-Natal have run emergency care workshops for doctors and nurses providing primary emergency care, in the province for the last 14 years. This delivery of such training has evolved over time. The aim of this study was to evaluate the feedback and knowledge of participants attending the last nine workshops. An evaluation questionnaire asked participants to assess the workshops held in the province and to rate their perceived improvement in knowledge. A multiple choice questionnaire was conducted in the last few workshops and was administered pre- and postworkshop. The data were extracted onto an Excel spreadsheet and analysed in Stata version 13. Outcome measures were generated using percentages. A paired t-test was used to compare knowledge scores. Open-ended questions were also used to identify areas for future improvement. The majority (89.4%) of the participants worked in the primary emergency care setting. All participants found the quality of training, the facilitators and the training material good or excellent. Participants' perceived improvement in knowledge and skills and the objective measure of knowledge improved significantly (p < 0.001). Emergency care education using a combination of inter-professional simulation and lecture-based teaching has the potential of contributing towards better educational outputs in both undergraduate and postgraduate curricula.

  14. Onychostoma brevibarba, a new cyprinine fish (Pisces: Teleostei) from the middle Chang Jiang basin in Hunan Province, South China.

    PubMed

    Song, Xue-Ling; Cao, Liang; Zhang, E

    2018-04-16

    Onychostoma brevibarba, a new cyprinid species, is described from two tributaries flowing into the Xiang Jiang (= River) of the middle Chang Jiang basin in Hunan Province, South China. The new species is morphologically similar to two Chinese congeners, O. minnanense and O. barbatulum, but differs from them in the anteromedian extension of the postlabial groove. It further differs from O. minnanense in the maxillary-barbel length, shape and body coloration, and from O. barbatulum in the number of lateral-line perforated scales and the width of the mouth opening. The validity of the new species and its close relationship with these two species were affirmed by a molecular phylogenetic analysis based on the mitochondrial cyt b and CO1 genes.

  15. Phylogeny and colonization history of Pringlea antiscorbutica (Brassicaceae), an emblematic endemic from the South Indian Ocean Province.

    PubMed

    Bartish, Igor V; Aïnouche, Abdelkader; Jia, Dongrui; Bergstrom, Dana; Chown, Steven L; Winkworth, Richard C; Hennion, Françoise

    2012-11-01

    The origins and evolution of sub-Antarctic island floras are not well understood. In particular there is uncertainty about the ages of the contemporary floras and the ultimate origins of the lineages they contain. Pringlea R. Br. (Brassicaceae) is a monotypic genus endemic to four sub-Antarctic island groups in the southern Indian Ocean. Here we used sequences from both the chloroplast and nuclear genomes to examine the phylogenetic position of this enigmatic genus. Our analyses confirm that Pringlea falls within the tribe Thelypodieae and provide a preliminary view of its relationships within the group. Divergence time estimates and ancestral area reconstructions imply Pringlea diverged from a South American ancestor ~5 Myr ago. It remains unclear whether the ancestor of Pringlea dispersed directly to the South Indian Ocean Province (SIOP) or used Antarctica as a stepping-stone; what is clear, however, is that following arrival in the SIOP several additional long-distance dispersal events must be inferred to explain the current distribution of this species. Our analyses also suggest that although Pringlea is likely to have inherited cold tolerance from its closest relatives, the distinctive morphology of this species evolved only after it split from the South American lineage. More generally, our results lend support to the hypothesis that angiosperms persisted on the sub-Antarctic islands throughout the Pliocene and Pleistocene. Taken together with evidence from other sub-Antarctic island plant groups, they suggest the extant flora of sub-Antarctic is likely to have been assembled over a broad time period and from lineages with distinctive biogeographic histories. Copyright © 2012 Elsevier Inc. All rights reserved.

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

    USGS Publications Warehouse

    Finch, Warren Irvin

    1996-01-01

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

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

    PubMed

    Jooste, Karien; Mothiba, Tebogo Maria

    2014-10-01

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

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

    PubMed Central

    2014-01-01

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

  19. Geology and Assessment of Undiscovered Oil and Gas Resources of the East Barents Basins Province and the Novaya Zemlya Basins and Admiralty Arch Province, 2008

    USGS Publications Warehouse

    Klett, Timothy R.; Moore, Thomas E.; Gautier, D.L.

    2017-11-15

    The U.S. Geological Survey (USGS) recently assessed the potential for undiscovered petroleum resources of the East Barents Basins Province and the Novaya Zemlya Basins and Admiralty Arch Province as part of its Circum-Arctic Resource Appraisal. These two provinces are situated northeast of Scandinavia and the northwestern Russian Federation, on the Barents Sea Shelf between Novaya Zemlya to the east and the Barents Platform to the west. Three assessment units (AUs) were defined in the East Barents Basins Province for this study: the Kolguyev Terrace AU, the South Barents and Ludlov Saddle AU, and the North Barents Basin AU. A fourth AU, defined as the Novaya Zemlya Basins and Admiralty Arch AU, coincides with the Novaya Zemlya Basins and Admiralty Arch Province. These four AUs, all lying north of the Arctic Circle, were assessed for undiscovered, technically recoverable resources, resulting in total estimated mean volumes of ~7.4 billion barrels of crude oil, 318 trillion cubic feet (TCF) of natural gas, and 1.4 billion barrels of natural-gas liquids.

  20. Subsurface Structure of the Bushveld Igneous Complex, South Africa: An Application of Geophysics

    NASA Astrophysics Data System (ADS)

    Vallejo, G.; Galindo, B. L.; Carranza, V.; Gomez, C. D.; Ortiz, K.; Castro, J. G.; Falzone, C.; Guandique, J.; Emry, E.; Webb, S. J.; Nyblade, A.

    2014-12-01

    South Africa is host to the largest single known platinum group metal supply in the world. The Bushveld Igneous Complex, spanning 300x400 kilometers, hosts hundreds of years' worth of platinum, chromite, vanadium, and other ore. Its wealth of these metals is tied directly to the large layered igneous intrusion that formed roughly 2061 million years ago. The extraction of platinum is vital to the industrial world - as these metals are widely used in the automotive industry, dental restorations, computer technology, in addition to many other applications. In collaboration with the Africa Array geophysics field school and the Penn State Summer Research Opportunities Program (SROP), we surveyed the Modikwa mine located along the border of the provinces of Mpumalanga and Limpopo in South Africa. The following techniques were applied to survey the area of interest: seismic refraction and reflection, gravity, magnetics, electrical resistivity, and electromagnetics. The data collected were used to determine the depth to bedrock and to identify potential mining hazards from dykes and faults in the bedrock. Several areas were studied and with the combination of the above-mentioned methods several possible hazards were identified. One broad, major dyke that was located in a prior aeromagnetic survey and several previously undetected, parallel, minor dykes were identified in the region. The overburden thickness was determined to be ̴4-5 meters in some regions, and as thin as several centimeters in others. This section of rock and soil lies above an area where platinum will likely be mined in the future. The removal of overburden can be accomplished by using power shovels or scrapers; while remaining material can be contained with the use of galvanized steel culverts. Additionally, a number of joints were located that may have allowed water to accumulate underground. The models created from the data permit us to estimate which hazards could be present in different parts of the

  1. Petroleum systems of the Malay Basin Province, Malaysia

    USGS Publications Warehouse

    Bishop, Michele G.

    2002-01-01

    The offshore Malay Basin province is a Tertiary oil and gas province composed of a complex of half grabens that were filled by lacustrine shales and continental clastics.These deposits were overlain by clastics of a large delta system that covered the basin.Delta progradation was interupted by transgressions of the South China Sea to the southeast, which finally flooded the basin to form the Gulf of Thailand.Oil and gas from the Oligocene to Miocene lacustrine shales and Miocene deltaic coals is trapped primarily in anticlines formed by inversion of the half grabens during the late Miocene.Hydrocarbon reserves that have been discovered amount to 12 billion barrels of oil equivalent.The U.S. Geological Survey assessment of the estimated quantities of conventional oil, gas and condensate that have the potential to be added to reserves by the year 2025 for this province is 6.3 billion barrels of oil equivalent (BBOE) (U. S. Geological Survey World Energy Assessment Team, 2000).

  2. Modification of Selected South Carolina Bridge-Scour Envelope Curves

    DOT National Transportation Integrated Search

    2012-01-01

    Historic scour was investigated at 231 bridges in the Piedmont and Coastal Plain physiographic provinces of South Carolina by the U.S. Geological Survey in cooperation with the South Carolina Department of Transportation. These investigations led to ...

  3. Acceptability and Feasibility of Cash Transfers for HIV Prevention among Adolescent South African Women

    PubMed Central

    MacPhail, Catherine; Adato, Michelle; Kahn, Kathleen; Selin, Amanda; Twine, Rhian; Khoza, Samson; Rosenberg, Molly; Nguyen, Nadia; Becker, Elizabeth; Pettifor, Audrey

    2013-01-01

    Women are at increased risk of HIV infection in much of sub-Saharan Africa. Longitudinal and cross-sectional studies have found an association between school attendance and reduced HIV risk. We report feasibility and acceptability results from a pilot of a cash transfer intervention conditional on school attendance paid to young women and their families in rural Mpumalanga, South Africa for the prevention of HIV infection. Twenty-nine young women were randomised to intervention or control and a cash payment based on school attendance made over a 2 month period. Quantitative (survey) and qualitative (focus group and interview) data collection was undertaken with young women, parents, teachers and young men in the same school. Qualitative analysis was conducted in Atlas.ti using a framework approach and basic descriptive analysis in Excel was conducted on the quantitative data. Results indicate it was both feasible and acceptable to introduce such an intervention among this population in rural South Africa. There was good understanding of the process of randomisation and the aims of the study, although some rumours developed in the study community. We address some of the changes necessary to ensure acceptability and feasibility of the main trial. PMID:23435698

  4. The Epidemiology of Meningitis among Adults in a South African Province with a High HIV Prevalence, 2009-2012.

    PubMed

    Britz, Erika; Perovic, Olga; von Mollendorf, Claire; von Gottberg, Anne; Iyaloo, Samantha; Quan, Vanessa; Chetty, Verushka; Sriruttan, Charlotte; Ismail, Nazir A; Nanoo, Ananta; Musekiwa, Alfred; Reddy, Carl; Viljoen, Karien; Cohen, Cheryl; Govender, Nelesh P

    Meningitis is a major cause of mortality in southern Africa. We aimed to describe the aetiologies and frequencies of laboratory-confirmed fungal and bacterial meningitis among adults in a South African province with an 11% HIV prevalence, over 4 years. We conducted a retrospective, observational study of secondary laboratory data, extracted on all cerebrospinal fluid (CSF) specimens submitted to public-sector laboratories in Gauteng province from 2009 through 2012. We calculated cause-specific incidence rates in the general and HIV-infected populations and used Poisson regression to determine if trends were significant. We identified 11,891 (10.7%) incident cases of meningitis from 110,885 CSF specimens. Cryptococcal meningitis, tuberculous meningitis and pneumococcal meningitis accounted for 62.3% (n = 7,406), 24.6% (n = 2,928) and 10.1% (n = 1,197) of cases over the four-year period. The overall incidence (cases per 100,000 persons) of cryptococcal meningitis declined by 23% from 24.4 in 2009 to 18.7 in 2012 (p <0.001) and decreased by 19% among HIV-infected persons from 178.2 to 144.7 (p <0.001). Tuberculous meningitis decreased by 40% from 11.3 in 2009 to 6.8 in 2012 (p <0.001) and decreased by 36% among HIV-infected persons from 54.4 to 34.9 (p <0.001). Pneumococcal meningitis decreased by 41% from 4.2 in 2009 to 2.5 in 2012 (p <0.001) and decreased by 38% among HIV-infected persons from 28.0 to 17.5 (p <0.001). Among cases of other bacterial meningitis (248/11,891, 2.1%), Neisseria meningitidis (n = 93), Escherichia coli (n = 72) and Haemophilus influenzae (n = 20) were the most common organisms identified. In this high HIV-prevalence province, cryptococcal meningitis was the leading cause of laboratory-confirmed meningitis among adults. Over a 4-year period, there was a significant decrease in incidence of cryptococcal, tuberculous and pneumococcal meningitis. This coincided with expansion of the national antiretroviral treatment programme, enhanced

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

    NASA Astrophysics Data System (ADS)

    Pharoe, Benedict Kinshasa; Liu, Kuiwu

    2018-07-01

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

  6. Shaded Relief of South Africa, Northern Cape Province

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Located north of the Swartberg Mountains in South Africa's Northern Cape Province, this topographic image shows a portion of the Great Karoo region. Karoo is an indigenous word for 'dry thirst land.' The semi-arid area is known for its unique variety of flora and fauna. The topography of the area, with a total relief of 200 meters (650 feet), reveals much about the geologic history of the area. The linear features seen in the image are near-vertical walls of once-molten rock, or dikes, that have intruded the bedrock. The dikes are more resistant to weathering and, therefore, form the linear wall-like features seen in the image. In relatively flat arid areas such as this, small changes in the topography can have large impacts on the water resources and the local ecosystem. These data can be used by biologists to study the distribution and range of the different plants and animals. Geologists can also use the data to study the geologic history of this area in more detail.

    This shaded relief image was generated using topographic data from the Shuttle Radar Topography Mission. A computer-generated artificial light source illuminates the elevation data to produce a pattern of light and shadows. Slopes facing the light appear bright, while those facing away are shaded. On flatter surfaces, the pattern of light and shadows can reveal subtle features in the terrain. Colors show the elevation as measured by SRTM. Colors range from green at the lowest elevations to reddish at the highest elevations. Shaded relief maps are commonly used in applications such as geologic mapping and land use planning.

    The Shuttle Radar Topography Mission (SRTM), launched on February 11, 2000, uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. The mission is designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data

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

    PubMed

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

    2015-08-01

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

  8. Telemedicine in South Africa: success or failure?

    PubMed

    Gulube, S M; Wynchank, S

    2001-01-01

    A national telemedicine system for South Africa was planned in 1998. In the first phase, starting in 1999, 28 pilot sites were established in six provinces. The initial applications were teleradiology, tele-ultrasound for antenatal services, telepathology and tele-ophthalmology. Telemedicine equipment was connected by ISDN at 256 kbit/s. From January to September 2000, 2663 radiographic studies were performed at the three Northwest Province teleradiology transmission sites, of which 264 studies (10%) were selected for specialist radiologist reporting by teleradiology. From June to August 2000, nine antenatal care tele-ultrasound consultations were performed in the Northern Cape Province and four transfers were avoided through the use of telemedicine. One area of concern is the relatively low usage of the telemedicine system, which raises questions about its cost-effectiveness. The experience of telemedicine in South Africa confirmed, as others have found, that common problems relate to the technical and organizational challenges of introducing telemedicine.

  9. GIS-based groundwater vulnerability modelling: A case study of the Witbank, Ermelo and Highveld Coalfields in South Africa

    NASA Astrophysics Data System (ADS)

    Sakala, E.; Fourie, F.; Gomo, M.; Coetzee, H.

    2018-01-01

    In the last 20 years, the popular mineral systems approach has been used successfully for the exploration of various mineral commodities at various scales owing to its scientific soundness, cost effectiveness and simplicity in mapping the critical processes required for the formation of deposits. In the present study this approach was modified for the assessment of groundwater vulnerability. In terms of the modified approach, water drives the pollution migration processes, with various analogies having been derived from the mineral systems approach. The modified approach is illustrated here by the discussion of a case study of acid mine drainage (AMD) pollution in the Witbank, Ermelo and Highveld coalfields of the Mpumalanga and KwaZulu-Natal Provinces in South Africa. Many AMD cases have been reported in these provinces in recent years and are a cause of concern for local municipalities, mining and environmental agencies. In the Witbank, Ermelo and Highveld coalfields, several areas have been mined out while mining has not yet started in others, hence the need to identify groundwater regions prone to AMD pollution in order to avoid further impacts on the groundwater resources. A knowledge-based fuzzy expert system was built using vulnerability factors (energy sources, ligands sources, pollutant sources, transportation pathways and traps) to generate a groundwater vulnerability model of the coalfields. Highly vulnerable areas were identified in Witbank coalfield and the eastern part of the Ermelo coalfield which are characterised by the presence of AMD sources, good subsurface transport coupled with poor AMD pollution trapping properties. The results from the analysis indicate significant correlations between model values and both groundwater sulphate concentrations as well as pH. This shows that the proposed approach can indeed be used as an alternative to traditional methods of groundwater vulnerability assessment. The methodology only considers the AMD pollution

  10. Differential respirable dust related lung function effects between current and former South African coal miners.

    PubMed

    Naidoo, Rajen N; Robins, Thomas G; Seixas, Noah; Lalloo, Umesh G; Becklake, Margaret

    2005-05-01

    Dust-related dose-response decrements in lung function among coal miners have been reported in several studies, with varying magnitudes across populations. Few studies have compared differences between current and former coal miners. No studies on dose response relationships with lung function have been conducted in South African coal mines, one of the top three producers of coal internationally. The objectives of this study were (1) to describe the relationship between respirable dust exposure and lung function among current and former South African coal miners and to determine whether differential dust related effects were present between these employment categories; (2) to examine dust related dose response relationships, controlling for potential confounding by smoking and a history of tuberculosis (TB). Six hundred and eighty-four current and 188 ex-miners from three bituminous coal mines in Mpumalanga Province were studied. Interviews assessing work histories, smoking profiles and other risk factors were conducted. Work histories were also obtained from company records. Standardised spirometry was performed by trained technicians. Cumulative respirable dust exposure (CDE) estimates were constructed from company-collected sampling and measurements conducted by the researchers. Regression models examined the associations of CDE with per cent predicted FEV(1) and FVC, controlling for smoking, past history of TB and employment status. A statistically significant decline in FEV(1) of 1.1 and 2.2 ml/mg-year/m(3) was found in representative 40-year-old, 1.7-m tall current and former miners, respectively. Significant differences were found between the highest and medium exposure categories. Ex-miners had a lower mean per cent predicted lung function than current miners for each cumulative exposure category, suggesting a "healthy worker" effect. Past history of TB contributed to 21 and 14% declines in per cent predicted FEV(1) and FVC, respectively. Thus, in this

  11. Ground-water provinces of Brazil

    USGS Publications Warehouse

    Schneider, Robert

    1962-01-01

    As part of a study of the status of investigations and development of ground water in Brazil, made under the auspices of the United States International Cooperation Administration and with the cooperation of the Government of Brazil, the country was divided into seven ground-water provinces. The identification and delineation of the provinces were based on the regional distribution of the dominant geologic units which are known or inferred to have distinctive water-bearing characteristics. Three of the provinces, covering most of the country, are underlain by Precambrian crystalline rocks. Three others coincide in part with four extensive sedimentary basins--the Parnaiba or Maranhfio basin and the contiguous Sao Francisco basin in the northeast and east, the Amazon basin in the north and northwest, and the Paranfi basin in the south and southwest. In addition, the narrow, discontinuous coastal plain is considered as a province. the occurrence of ground water is discussed briefly, and pertinent data are given on the more important aquifers, together with information on some existing wells. Because of the widespread distribution of crystalline rocks of low permeability, it is difficult in many areas to develop large or even adequate ground-water supplies. In general, satisfactory supplies of water are available in most of the rest of the country. Some problems include the relative deficiency of rainfall in the northeast together with the occurrence, in parts of this region, of mineralized water in the crystalline rocks. Also, there is a potential problem of excessive lowering of water levels and interference among wells in the intensively developed area of the city of Sao Paulo.

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

    PubMed Central

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

    2016-01-01

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

  13. Inventory of geomorphosites with educational purposes in the Province of Málaga (South of Spain).

    NASA Astrophysics Data System (ADS)

    Martínez-Murillo, Juan F.; Ruiz-Sinoga, José D.; Ferre-Bueno, Emilio

    2017-04-01

    The geomorphological landscape, as it was defined by Reynard (2004) can be considered a portion of the geomorphological context that is viewed, perceived, (and sometimes ex- ploited) by Man and, when perceived by humans and characterised by certain attributes, it may be considered a wider geomorphosite (Reynard and Panizza, 2005) or a complex of geomorphosites inside of which single geomorphosites can be individuated. Moreover, single geomorphosites belong to a landscape system that is dynamic, and thus the comprehension of a geomorphosite mechanism requires good observations, measurements and quantifications of processes (Reynard 2004). Since 1990s, interest on geomorphosite studies has increased, especially, due to their educational. The aim of this study is to present a complete inventory of the main geomorphosites that can be found in the Province of Málaga, with educational purposes. The Province of Málaga, located in the South of Spain, in the Mediterranean Coast but very close to the Atlantic Ocean, is characterised by a wide range of geomorphological landscape, with many different landforms and very dynamic land uses. The methodology follows that proposed by the Spanish Geological and Mining Institute (IGME, 2014). In total, more than 100-geomorphosites were recognised, inventoried and classified in order to achieve a better comprehension and improve the learning of high academic level students. References IGME, 2014. Documento metodológico para la elaboración del inventario español de lugares de interés geológico (IELIG). Instituto Geológico y Minero de España, Madrid, España, pp. 64. Pelfini, M., Bollati, I. 2014. Landforms and geomorphosites ongoing changes: concepts and implications for geoheritage promotion. Quaestiones Geographicae, 33-1: 131-143. Reynard E., 2004. Géotopes, géo(morpho)sites et paysag- es géomorphologiques. In: E. Reynard, J.P. Pralong (eds), Paysages géomorphologiques, Institut de géographie, Travaux et Recherches

  14. Using diaries to explore the work experiences of primary health care nursing managers in two South African provinces.

    PubMed

    Munyewende, Pascalia O; Rispel, Laetitia C

    2014-01-01

    South Africa is on the brink of another wave of major health system reforms that underscore the centrality of primary health care (PHC). Nursing managers will play a critical role in these reforms. The aim of the study was to explore the work experiences of PHC clinic nursing managers through the use of reflective diaries, a method hitherto under-utilised in health systems research in low- and middle-income countries. During 2012, a sub-set of 22 PHC nursing managers was selected randomly from a larger nurses' survey in two South African provinces. After informed consent, participants were requested to keep individual diaries for a period of 6 weeks, using a clear set of diary entry guidelines. Reminders consisted of weekly short message service reminders and telephone calls. Diary entries were analysed using thematic content analysis. A diary feedback meeting was held with all the participants to validate the findings. Fifteen diaries were received, representing a 68% response rate. The majority of respondents (14/15) were female, each with between 5 and 15 years of nursing experience. Most participants made their diary entries at home. Diaries proved to be cathartic for individual nursing managers. Although inter-related and not mutually exclusive, the main themes that emerged from the diary analysis were health system deficiencies; human resource challenges; unsupportive management environment; leadership and governance; and the emotional impact of clinic management. Diaries are an innovative method of capturing the work experiences of managers at the PHC level, as they allow for confidentiality and anonymity, often not possible with other qualitative research methods. The expressed concerns of nursing managers must be addressed to ensure the success of South Africa's health sector reforms, particularly at the PHC level.

  15. Using diaries to explore the work experiences of primary health care nursing managers in two South African provinces

    PubMed Central

    Munyewende, Pascalia O.; Rispel, Laetitia C.

    2014-01-01

    Background South Africa is on the brink of another wave of major health system reforms that underscore the centrality of primary health care (PHC). Nursing managers will play a critical role in these reforms. Objective The aim of the study was to explore the work experiences of PHC clinic nursing managers through the use of reflective diaries, a method hitherto under-utilised in health systems research in low- and middle-income countries. Design During 2012, a sub-set of 22 PHC nursing managers was selected randomly from a larger nurses’ survey in two South African provinces. After informed consent, participants were requested to keep individual diaries for a period of 6 weeks, using a clear set of diary entry guidelines. Reminders consisted of weekly short message service reminders and telephone calls. Diary entries were analysed using thematic content analysis. A diary feedback meeting was held with all the participants to validate the findings. Results Fifteen diaries were received, representing a 68% response rate. The majority of respondents (14/15) were female, each with between 5 and 15 years of nursing experience. Most participants made their diary entries at home. Diaries proved to be cathartic for individual nursing managers. Although inter-related and not mutually exclusive, the main themes that emerged from the diary analysis were health system deficiencies; human resource challenges; unsupportive management environment; leadership and governance; and the emotional impact of clinic management. Conclusions Diaries are an innovative method of capturing the work experiences of managers at the PHC level, as they allow for confidentiality and anonymity, often not possible with other qualitative research methods. The expressed concerns of nursing managers must be addressed to ensure the success of South Africa's health sector reforms, particularly at the PHC level. PMID:25537937

  16. Quality and readability of information pamphlets on hearing and paediatric hearing loss in the Gauteng Province, South Africa.

    PubMed

    Joubert, Karin; Githinji, Esther

    2014-02-01

    The implementation of early hearing detection and intervention (EHDI) programmes is necessary in order to facilitate the early identification of hearing loss. An important component of EHDI is parental education. International and national guidelines stipulating that comprehensive, unbiased and appropriate information pamphlets should be provided to parents as part of EHDI programmes, however little is known about the availability and readability of such materials in South Africa. The objectives of this study were therefore to determine the availability of information pamphlets on hearing and hearing loss in children at public hospitals in the Gauteng Province of South Africa. In addition, the quality and readability levels of these pamphlets were determined. A non-experimental, descriptive research design was employed for this study. Information on the availability of leaflets at public health hospitals was obtained through a telephonic survey. Twenty-one information pamphlets available at these hospitals were then evaluated to determine the quality and readability levels. It was found that 73% of audiology departments at public hospitals in Gauteng had information pamphlets available on hearing and hearing loss in children. Of the pamphlets evaluated, the majority were rated to 'present with serious problems' questioning the quality of the content included. In addition, it was found that on average the readability level of these pamphlets were at a sixth-grade level, much higher that the recommended fourth-grade reading level. The need for development of quality educational material focused on providing parents with unbiased, comprehensive and appropriate information on hearing and hearing loss in children has been highlighted. Proposed guidelines were recommended to assist audiologists in this endeavour. The importance of providing appropriate parental educational materials for the success of EHDI in South Africa should not be underestimated. Copyright © 2013

  17. Ground-water geology of Kordofan Province, Sudan

    USGS Publications Warehouse

    Rodis, Harry G.; Hassan, Abdulla; Wahadan, Lutfi

    1968-01-01

    For much of Kordofan Province, surface-water supplies collected and stored in hafirs, fulas, and tebeldi trees are almost completely appropriated for present needs, and water from wells must serve as the base for future economic and cultural development. This report describes the results of a reconnaissance hydrogeologic investigation of the Province and the nature and distribution of the ground-water resources with respect to their availability for development. Kordofan Province, in central Sudan, lies within the White Nile-Nile River drainage basin. The land surface is largely a plain of low relief; jebels (hills) occur sporadically, and sandy soils are common in most areas except in the south where clayey soils predominate. Seasonal rainfall, ranging from less than 100 millimeters in the north to about 800 millimeters in the south, occurs almost entirely during the summer months, but little runoff ever reaches the Nile or White Nile Rivers. The rocks beneath the surficial depsits (Pleistocene to Recent) in the Province comprise the basement complex (Precambrian), Nawa Series (upper Paleozoic), Nubian Series (Mesozoic), laterite (lower to middle Tertiary), and the Umm Ruwaba Series (Pliocene to Pleistocene). Perennial ground-water supplies in the Province are found chiefly in five hydrologic units, each having distinct geologic or hydrologic characteristics. These units occur in Nubian or Umm Ruwaba strata or both, and the sandstone and conglomerate beds form the :principal aquifers. The water is generally under slight artesian head, and the upper surface of the zone of saturation ranges from about 50 meters to 160 meters below land surface. The surficial deposits and basement rocks are generally poor sources of ground water in most of the Province. Supplies from such sources are commonly temporary and may dissipate entirely during the dry season. Locally, however, perennial supplies are obtained from the surficial deposits and from the basement rocks. Generally

  18. Decline in syphilis seroprevalence among females of reproductive age in Northern Cape Province, South Africa, 2003-2012: utility of laboratory-based information.

    PubMed

    Ballah, Ngormbu J; Kuonza, Lazarus R; De Gita, Gloria; Musekiwa, Alfred; Williams, Seymour; Takuva, Simbarashe

    2017-05-01

    Strengthening current surveillance systems for syphilis is important to track and monitor disease burden. We used routinely collected laboratory information to generate surveillance estimates for syphilis trends among women of reproductive age (12-49 years) in the Northern Cape Province, a high syphilis burden region (2003 [8.6%] to 2011 [3.8%]) in South Africa. We extracted records meeting inclusion criteria from the National Health Laboratory Service electronic database for the period 2003-2012. A total of 286,024 women were included in the analysis. Syphilis seropositivity decreased between 2003 (5.7%) and 2012 (1.8%); p trend = 0.001, which was largely consistent with findings reported in the annual national syphilis and HIV survey from 2003 (8.6%) to 2011 (3.8%). Annually for the period from 2003 to 2012 there was an approximate 14% reduction in the prevalence ratio of syphilis seroprevalence (PR = 0.86, 95% CI = 0.85-0.87, p < 0.001). Three of five districts had significant decreases in syphilis seropositivity over this period. There were also declines in prevalence ratios for syphilis seropositivity for the various age groups for the period. This study shows that the national laboratory database in South Africa can be used as a complimentary surveillance tool to describe and understand trends in syphilis seroprevalence in South Africa.

  19. Mafic subvolcanic intrusions and their petrologic relation with the volcanism in the south hinge Torres Syncline, Paraná-Etendeka Igneous Province, southern Brazil

    NASA Astrophysics Data System (ADS)

    Sarmento, Carla Cecília Treib; Sommer, Carlos Augusto; Lima, Evandro Fernandes

    2017-08-01

    The hypabyssal intrusions investigated in this study are located in the east-central region of the state of Rio Grande do Sul, in the south hinge of the Torres Syncline. The intrusions comprise twenty-four dikes and ten sills, intruding in ponded pahoehoe, compound pahoehoe, rubbly and acidic lava flows of the south sub-Province of the Paraná Igneous Province and the sedimentary rocks of the Botucatu, Pirambóia, Santa Maria and Rio do Rasto Formations, on the edge of the Paraná Basin. The intrusive dikes in the flows have preferred NNW-SSE direction and the intrusive dikes in the sedimentary rocks have preferred NE-SW direction. Regarding the morphology, the dikes were separated into two different groups: symmetrical and asymmetrical. The small variation in facies is characterized by fine to aphanitic equigranular rocks. The rocks were divided into two types: Silica Supersaturated Tholeiite (SST) - dikes and sills consisting of plagioclase and clinopyroxene as essential minerals, with some olivine and felsic mesostasis, predominant intergranular texture and subordinate subophitic texture; and Silica Saturated Olivine Tholeiite (SSOT) - dikes consisting mainly of plagioclase, clinopyroxene and olivine, and predominant ophitic texture. The major and trace element geochemistry allows classifying these hypabyssal bodies as basalts (SSOT), basaltic andesites and trachyandesites (TSS) of tholeiitic affinity. The mineral chemistry data and the REE behavior, combined with the LILE and HFSE patterns, similar to the flows and low-Ti basic intrusions of southern Brazil and northwestern Namibia allow suggesting that these dikes and sills were part of a feeder system of the magmatism in the Paraná-Etendeka Igneous Province. The preferred direction of the intrusive dikes in the sedimentary rocks of the Paraná Basin coincides with tectonic-magmatic lineaments related to extensional processes and faulting systems that served as vents for dike swarms parallel to the Brazilian

  20. The Upper Mantle Flow Field around South-Africa as Reflected by Isotopic Provinciality

    NASA Astrophysics Data System (ADS)

    Meyzen, C.; Blichert-Toft, J.; Ludden, J.; Humler, E.; Mevel, C.; Albarede, F.

    2006-12-01

    Isotopic studies of MORB have established the existence of broad isotopic provinces within the underlying asthenosphere, such as in the Indian Ocean (DUPAL). How these features relate to mantle circulation is, however, still unknown. The steepness of the transition between such isotopic provinces will define the geometry of the velocity field in the upper mantle. In this respect, the transition between the Indian and South Atlantic provinces, two domains that are isotopically contrasted, should be readily identifiable over this long ridge segment. Here, we present Hf isotope data for 60 samples dredged along the SWIR between 35° and 69°E. The new Hf isotope data show that the Indian asthenosphere does not spill directly into the South Atlantic upper mantle: the general decreasing southward gradient observed for ^{176}Hf/^{177}Hf down the mid- Atlantic Ridge, and also for Sr isotopes and model Th/U ratios (derived from Pb isotopes), is overprinted by material with radiogenic Sr, unradiogenic Hf and high Th/U. The Indian domain grades into the South Atlantic around Bouvet, while the South Atlantic collides with the Atlantic province around Tristan. We interpret these features to represent fronts between three adjacent isotopic provinces similar to what has been suggested for the Australian-Antarctic Discordance. The common DUPAL signature of MORB and OIB from the Indian province and the geochemistry of Gulf of Aden MORB and the Afar plume suggest that the source of this distinctive mantle component is deep and lies to the north of the province. This is also what the three-dimensional flow field computed by Behn et al. (2004) from shear-wave splitting shows with a major lower mantle upwelling radiating at the base of the asthenosphere under the Afar plume. Lower mantle gushing out from this source flows southward unimpeded along the Indian ridges, whereas it only reaches the South Atlantic ridge after first having been deflected under the deep roots of the South

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

    PubMed

    Mamabolo, Ramoteme L; Alberts, Marianne

    2014-09-23

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

  2. Biogeography and molar morphology of Pleistocene African elephants: new evidence from Elandsfontein, Western Cape Province, South Africa

    NASA Astrophysics Data System (ADS)

    Smith, Kathlyn M.; Stynder, Deano D.

    2015-05-01

    Elandsfontein (EFT) is a Middle Pleistocene archaeological/paleontological site located in the Western Cape Province of South Africa. The largest herbivore in the assemblage is Loxodonta atlantica zulu, an extinct member of the genus that includes modern African elephants. No Elephas recki specimens were recovered at EFT, despite their common occurrence in other regions of Africa at the same time. Because E. recki and L. atlantica molars are similar in appearance, but the two species are traditionally viewed as dominating different regions of Africa during the Pleistocene, isolated molars may on occasions have been assessed to species level on the basis of geography rather than morphology. The last morphologic evaluation of EFT elephants was conducted in the 1970s, and revisiting this issue with new specimens provides added insight into the evolution of elephants in Africa. Reevaluating morphological characteristics of EFT elephant molars, through qualitative and quantitative description and comparison with Middle Pleistocene E. recki recki, L. atlantica atlantica, and L. atlantica zulu molar morphology, corroborates assessment of EFT elephants as L. a. zulu. Two recently discovered, previously undescribed molars from EFT show that molars of L. a. zulu exhibit greater variation in enamel thickness, lamellar frequency, and occlusal surface morphology than previously reported. An update of the Pleistocene biogeography of Loxodonta and Elephas indicates that fossil remains of both are often found at the same localities in eastern Africa. Their rare co-occurrences in the north and south, however, suggest geographic separation of the two genera in at least some regions of Africa, which may have been based on habitat preference.

  3. An evaluation of serological tests in the diagnosis of bovine brucellosis in naturally infected cattle in KwaZulu-Natal province in South Africa.

    PubMed

    Chisi, Songelwayo L; Marageni, Yoanda; Naidoo, Prebashni; Zulu, Gloria; Akol, George W; Van Heerden, Henriette

    2017-02-28

    The diagnostic sensitivity (DSe) of the Rose Bengal test (RBT), the complement fixation test (CFT), the serum agglutination test (SAT), the competitive enzyme-linked immunosorbent assay (cELISA) and the indirect ELISA (iELISA) were determined in naturally infected cattle in KwaZulu-Natal province of South Africa with known infectious status from culture (gold standard). Natural brucellosis infection status of animals was determined by culturing and identification of Brucella abortus biovar 1 from abomasal fluid, milk, hygroma fluid, lymph nodes or uterine discharges samples. The diagnostic specificity (DSp) of the tests mentioned above was determined using samples from known negative herds. There was no statistically significant difference between the tests in their ability to diagnose brucellosis. The RBT and iELISA had the highest DSe of 95.8%, whereas RBT and CFT had the highest DSp of 100%. In South African laboratories, the RBT and CFT serological tests are used, because of the cost efficacy of CFT when compared to the less labour intensive but more expensive iELISA.

  4. The Epidemiology of Meningitis among Adults in a South African Province with a High HIV Prevalence, 2009-2012

    PubMed Central

    Britz, Erika; Perovic, Olga; von Mollendorf, Claire; von Gottberg, Anne; Iyaloo, Samantha; Quan, Vanessa; Chetty, Verushka; Sriruttan, Charlotte; Ismail, Nazir A.; Nanoo, Ananta; Musekiwa, Alfred; Reddy, Carl; Viljoen, Karien; Cohen, Cheryl; Govender, Nelesh P.

    2016-01-01

    Introduction Meningitis is a major cause of mortality in southern Africa. We aimed to describe the aetiologies and frequencies of laboratory-confirmed fungal and bacterial meningitis among adults in a South African province with an 11% HIV prevalence, over 4 years. Methods We conducted a retrospective, observational study of secondary laboratory data, extracted on all cerebrospinal fluid (CSF) specimens submitted to public-sector laboratories in Gauteng province from 2009 through 2012. We calculated cause-specific incidence rates in the general and HIV-infected populations and used Poisson regression to determine if trends were significant. Results We identified 11,891 (10.7%) incident cases of meningitis from 110,885 CSF specimens. Cryptococcal meningitis, tuberculous meningitis and pneumococcal meningitis accounted for 62.3% (n = 7,406), 24.6% (n = 2,928) and 10.1% (n = 1,197) of cases over the four-year period. The overall incidence (cases per 100,000 persons) of cryptococcal meningitis declined by 23% from 24.4 in 2009 to 18.7 in 2012 (p <0.001) and decreased by 19% among HIV-infected persons from 178.2 to 144.7 (p <0.001). Tuberculous meningitis decreased by 40% from 11.3 in 2009 to 6.8 in 2012 (p <0.001) and decreased by 36% among HIV-infected persons from 54.4 to 34.9 (p <0.001). Pneumococcal meningitis decreased by 41% from 4.2 in 2009 to 2.5 in 2012 (p <0.001) and decreased by 38% among HIV-infected persons from 28.0 to 17.5 (p <0.001). Among cases of other bacterial meningitis (248/11,891, 2.1%), Neisseria meningitidis (n = 93), Escherichia coli (n = 72) and Haemophilus influenzae (n = 20) were the most common organisms identified. Conclusions In this high HIV-prevalence province, cryptococcal meningitis was the leading cause of laboratory-confirmed meningitis among adults. Over a 4-year period, there was a significant decrease in incidence of cryptococcal, tuberculous and pneumococcal meningitis. This coincided with expansion of the national

  5. Factor affecting the whole beef prices in eight provinces in Sumatera, Indonesia

    NASA Astrophysics Data System (ADS)

    Yasin, D.; Harahap, A. A.; Syaputra, M. A.; Mulianda, R.; Adha, T. J.; Harahap, A. S.; Rusdhi, A.; Ibarahim, M. S.; Siregar, A. R.; Purwadi, B.; Ginting, S. P.; Hasnudi; Henuk, Y. L.

    2018-02-01

    A survey has been conducted to study the fluctuation of whole beef prices in eight provinces in Sumatera, namely Lampung. South Sumatera. Jambi. Bengkulu. West Sumatera. Riau. North Sumatera. and NAD with the average cattle weight were 486kg. 492kg. 448kg. 464kg. 500kg. 480kg. 500kg. and 480kg. respectively. Their average prices and total price in these cities were IDR4.1000 & IDR19.926.000; IDR41.500 & IDR20.418.000; IDR43.000 & 19.264.000; IDR42.500 & IDR19.720.000; IDR43.000 & IDR21.500.000; IDR43.000 & IDR20.640.000; IDR42.500 & IDR21.250.000; IDR44.000 & IDR21.120.000.respectively. People West Sumatera, Riau and North Sumatra provinces prefer the final results of processed by products of beef which caused the high price of processed by products from cattle. Whereas, in NAD province. the meat selling price is very high compared to other provinces, while the selling price of processed beef by-products is much cheaper than the people outside NAD province. The selling price of processed beef by-product can not help to reduce the selling price of meat. Average carcass in Sumatera ranged from 49.00% (North Sumatera) - 51.00% (Jambi). Among the eigth provinces, the price of beef in Aceh is more expensive than other provinces not only in Sumatera. but also other provinces in Indonesia.

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

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

    Nemathaga, Felicia; Maringa, Sally; Chimuka, Luke

    2008-07-01

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

  7. Decline in syphilis seroprevalence among females of reproductive age in Northern Cape Province, South Africa, 2003–2012: utility of laboratory-based information

    PubMed Central

    Ballah, Ngormbu J; Kuonza, Lazarus R; De Gita, Gloria; Musekiwa, Alfred; Williams, Seymour; Takuva, Simbarashe

    2017-01-01

    Strengthening current surveillance systems for syphilis is important to track and monitor disease burden. We used routinely collected laboratory information to generate surveillance estimates for syphilis trends among women of reproductive age (12–49 years) in the Northern Cape Province, a high syphilis burden region (2003 [8.6%] to 2011 [3.8%]) in South Africa. We extracted records meeting inclusion criteria from the National Health Laboratory Service electronic database for the period 2003–2012. A total of 286,024 women were included in the analysis. Syphilis seropositivity decreased between 2003 (5.7%) and 2012 (1.8%); p trend = 0.001, which was largely consistent with findings reported in the annual national syphilis and HIV survey from 2003 (8.6%) to 2011 (3.8%). Annually for the period from 2003 to 2012 there was an approximate 14% reduction in the prevalence ratio of syphilis seroprevalence (PR = 0.86, 95% CI = 0.85–0.87, p <0.001). Three of five districts had significant decreases in syphilis seropositivity over this period. There were also declines in prevalence ratios for syphilis seropositivity for the various age groups for the period. This study shows that the national laboratory database in South Africa can be used as a complimentary surveillance tool to describe and understand trends in syphilis seroprevalence in South Africa. PMID:26924504

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

    PubMed

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

    2016-03-01

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

  9. Towards "a different kind of beauty": responses to coal-based pollution in the Witbank coalfield between 1903 and 1948.

    PubMed

    Singer, Michal

    2011-01-01

    This article assesses the changing conceptions of the environmental impact of South African coal mining in the first half of the twentieth century, with special reference to the Witbank coalfield in the Mpumalanga province of South Africa. The anticipated development of the emerging coal town of Witbank was founded on the growing demand for coal. As Witbank's local landscape became visibly scarred, coal-based pollution was continually challenged and redefined. In an attempt to market electricity, and appease the doubts of potential consumers, attempts were made by Escom to romanticise features of Witbank's industrialised environment. Once mines were decommissioned, they were abandoned. Coal production increased dramatically during the Second World War, which provided an economic windfall for the local electrical, steel and chemical industries, placing undue pressure on the coal industry to step up production. The severe damage caused by coal mining during this period resulted in the ecological devastation of affected landscapes. The findings of an inter-departmental committee established to conduct research during the mid-1940s revealed the gravity of coal-based pollution, and set a precedent in the way that the state conceived of the impact of industry and mining. The report of this committee was completed in the wake of the war, by which time the Witbank coalfield had become one of the most heavily polluted regions of South Africa.

  10. Strategic planning for saving the lives of mothers, newborns and children and preventing stillbirths in KwaZulu-Natal province South Africa: modelling using the Lives Saved Tool (LiST).

    PubMed

    McGee, Shelley-Ann; Chola, Lumbwe; Tugendhaft, Aviva; Mubaiwa, Victoria; Moran, Neil; McKerrow, Neil; Kamugisha, Leonard; Hofman, Karen

    2016-01-19

    KwaZulu-Natal province in South Africa has the largest population of children under the age of five and experiences the highest number of child births per annum in the country. Its population has also been ravaged by the dual epidemics of HIV and TB and it has struggled to meet targets for maternal and child mortality. In South Africa's federal system, provinces have decision-making power on the prioritization and allocation of resources within their jurisdiction. As part of strategic planning for 2015-2019, KwaZulu-Natal provincial authorities requested an assessment of current mortality levels in the province and identification and costing of priority interventions for saving additional maternal, newborn and child lives, as well as preventing stillbirths in the province. The Lives Saved Tool (LiST) was used to determine the set of interventions, which could save the most additional maternal and child lives and prevent stillbirths from 2015-2019, and the costs of these. The impact of family planning was assessed using two scenarios by increasing baseline coverage of modern contraception by 0.5 percentage points or 1 percentage point per annum. A total of 7,043 additional child and 297 additional maternal lives could be saved, and 2,000 stillbirths could be prevented over five years. Seventeen interventions account for 75% of additional lives saved. Increasing family planning contributes to a further reduction of up to 137 maternal and 3,168 child deaths. The set of priority interventions scaled up to achievable levels, with no increase in contraception would require an additional US$91 million over five years or US$1.72 per capita population per year. By increasing contraceptive prevalence by one percentage point per year, overall costs to scale up to achievable coverage package, decrease by US$24 million over five years. Focused attention on a set of key interventions could have a significant impact on averting stillbirths and maternal and neonatal mortality in

  11. Crustal extension and transform faulting in the southern Basin Range Province. [California, Arizona, and Nevada

    NASA Technical Reports Server (NTRS)

    Liggett, M. A. (Principal Investigator); Childs, J. F.

    1974-01-01

    The author has identified the following significant results. Field reconnaissance and study of geologic literature guided by analysis of ERTS-1 MSS imagery have led to a hypothesis of tectonic control of Miocene volcanism, plutonism, and related mineralization in part of the Basin Range Province of southern Nevada and northwestern Arizona. The easterly trending right-lateral Las Vegas Shear Zone separates two volcanic provinces believed to represent areas of major east-west crustal extension. One volcanic province is aligned along the Colorado River south of the eastern termination of the Las Vegas Shear Zone; the second province is located north of the western termination of the shear zone in southern Nye County, Nevada. Geochronologic, geophysical, and structural evidence suggests that the Las Vegas Shear Zone may have formed in response to crustal extension in the two volcanic provinces in a manner similar to the formation of a ridge-ridge transform fault, as recognized in ocean floor tectonics.

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

    PubMed

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

    2007-06-01

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

  13. Cape Province, South Africa as seen from STS-58

    NASA Image and Video Library

    1993-10-30

    STS058-77-083 (18 Oct-1 Nov 1993) --- In this scene of the south coast of Africa, Cape Agulhas, the southernmost point on the continent, appears as the leftmost cape. Viewed with the Earth's limb top left, clouds at bottom, the view direction is west and north top right. The Cape of Good Hope, with Cape Town nearby, is the thin spike beyond. The great bay in the foreground is Algoa Bay with the city of Port Elizabeth. This was the first time European voyagers are known to have rounded the Cape of Good Hope in their quest to reach India by sea. The entire fold mountain belt of southern Africa is visible: these mountains appear as green (forested) wavy structures stretching west form the foreground, to the Cape of Good Hope, and then northwards some distance. One theory about their origin is that the Falkland Plateau, now an undersea extension of South America, was jostled up against Africa more than 150 million years ago, in times before the Atlantic Ocean existed, before Africa and South America drifted apart from one another. The jostling caused the evolution of the fold mountain belt.

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

    PubMed

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

    2015-09-30

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

  15. Assessment of Undiscovered Oil and Gas Resources of the Timan-Pechora Basin Province, Russia, 2008

    USGS Publications Warehouse

    Schenk, C.J.; Bird, K.J.; Charpentier, R.R.; Gautier, D.L.; Houseknecht, D.W.; Klett, T.R.; Moore, T.; Pawlewicz, M.J.; Pittman, J.; Tennyson, Marilyn E.

    2008-01-01

    The U.S. Geological Survey (USGS) recently assessed the undiscovered oil and gas potential of the Timan-Pechora Basin Province in Russia as part of the USGS Circum-Arctic Oil and Gas Resource Appraisal program. Geologically, the Timan-Pechora Basin Province is a triangular-shaped cratonic block bounded by the northeast-southwest trending Ural Mountains and the northwest-southeast trending Timan Ridge. The northern boundary is shared with the South Barents Sea Province (fig.1). The Timan-Pechora Basin Province has a long history of oil and gas exploration and production. The first field was discovered in 1930 and, after 75 years of exploration, more than 230 fields have been discovered and more than 5,400 wells have been drilled. This has resulted in the discovery of more than 16 billion barrels of oil and 40 trillion cubic feet of gas.

  16. The ;Sardinian cold-water coral province; in the context of the Mediterranean coral ecosystems

    NASA Astrophysics Data System (ADS)

    Taviani, M.; Angeletti, L.; Canese, S.; Cannas, R.; Cardone, F.; Cau, A.; Cau, A. B.; Follesa, M. C.; Marchese, F.; Montagna, P.; Tessarolo, C.

    2017-11-01

    A new cold-water coral (CWC) province has been identified in the Mediterranean Sea in the Capo Spartivento canyon system offshore the southern coast of Sardinia. The 'Sardinia cold-water coral province' is characterized in the Nora canyon by a spectacular coral growth dominated by the branching scleractinian Madrepora oculata at a depth of 380-460 m. The general biohermal frame is strengthened by the common occurrence of the solitary scleractinian Desmophyllum dianthus and the occasional presence of Lophelia pertusa. As documented by Remotely Operated Vehicle survey, this area is a hotspot of megafaunal diversity hosting among other also live specimens of the deep oyster Neopycnodonte zibrowii. The new coral province is located between the central Mediterranean CWC provinces (Bari Canyon, Santa Maria di Leuca, South Malta) and the western and northern ones (Melilla, Catalan-Provençal-Ligurian canyons). As for all the best developed CWC situations in the present Mediterranean Sea, the new Sardinian province is clearly influenced by Levantine Intermediate Water which appears to be a main driver for CWC distribution and viability in this basin.

  17. Tourism, Transnationality and Ethnolinguistic Vitality: The Welsh in the Chubut Province, Argentina

    ERIC Educational Resources Information Center

    Johnson, Ian

    2010-01-01

    This article aims to develop the concept of ethnolinguistic vitality by adopting a qualitative approach to vitality rather than the statistical approach traditionally used. Ten small-size focus group style interviews were held with members of the Welsh-Argentinean community in the Chubut Province in the south of Argentina in order to explore…

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

    PubMed

    Ramathuba, Dorah U

    2015-11-26

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

  19. Risk Factors of Porcine Cysticercosis in the Eastern Cape Province, South Africa

    PubMed Central

    Krecek, Rosina Claudia; Mohammed, Hamish; Michael, Lynne Margaret; Schantz, Peter Mullineaux; Ntanjana, Lulama; Morey, Liesl; Werre, Stephen Rakem; Willingham, Arve Lee

    2012-01-01

    There is a high prevalence of Taenia solium taeniosis/cysticercosis in humans and pigs in the Eastern Cape Province (ECP) of South Africa. The objective of this study was to identify risk factors of porcine cysticercosis in select districts of the ECP. Data were collected in 2003 by interviewing 217 pig producers from the area. Blood samples were collected from 261 of their pigs, which were tested using two enzyme-linked immunosorbent assays (ELISA) for the presence of antibodies to cysticercosis. Frequencies of both owner- and pig-level characteristics were determined. For pig-level analysis, all bivariable and multivariable associations were determined using the surveylogistic procedure of the SAS/STAT® software to accommodate for the intraclass correlation that exists for clusters of pigs within one owner and for clusters of owners within a district. All tests for significance were performed at the α = 0.05 level, and adjusted odds ratios (aOR) and 95% confidence intervals (CI) were determined. Among the respondents, 48% of their households lacked a latrine, 98% slaughtered pigs at home, and 99% indicated that meat inspection services were not available. On bivariable analysis, there was a significant association between porcine infection and district (p = 0.003), breed (p = 0.041) and the absence of a latrine (p = 0.006). On multivariable analysis, the absence of a latrine was the only variable significantly associated with porcine infection (aOR = 1.89; 95% CI = 1.07, 3.35) (p = 0.028). The increased odds of porcine infection with households lacking a latrine contributes to our understanding of the transmission of this parasite in the ECP. Determining and addressing the risk factors for T. solium infection can potentially lower the very high prevalence in humans and pigs in this endemic area. PMID:22655065

  20. Health-care utilization and associated factors in Gauteng province, South Africa.

    PubMed

    Abera Abaerei, Admas; Ncayiyana, Jabulani; Levin, Jonathan

    2017-01-01

    More than a billion people, mainly in low- and middle-income countries, are unable to access needed health-care services for a variety of reasons. Possible factors influencing health-care utilization include socio-demographic and economic factors such as age, sex, education, employment and income. However, different studies have showed mixed results. Moreover, there are limited studies on health-care utilization. This study aimed to determine health-care utilization and associated factors among all residents aged 18 or over in Gauteng province, South Africa. A cross-sectional study was conducted from data collected for a Quality of Life survey which was carried out by Gauteng City-Region Observatory in 2013. Simple random sampling was used to select participants. A total of 27,490 participants have been interviewed. Data were collected via a digital data collection instrument using an open source system called Formhub. Coarsened Exact Matching (CEM) was used to improve estimation of causal effects. Stepwise multiple logistic regression was employed to identify factors associated with health-care utilization. Around 95.7% reported usually utilizing health-care services while the other 4.3% reported not having sought health-care services of any type. Around 75% of participants reported reduced quality of public health services as a major reason not to visit them. Higher odds of reported health-care utilization were associated with being female (OR = 2.18, 95% CI: 1.88-2.53; p < 0.001), being White compared to being African (OR = 2.28, 95% CI: 1.84-2.74; p < 0.001), and having medical insurance (OR = 5.41, 95% CI: 4.06-7.23; p < 0.001). Lower odds of seeking health-care were associated with being an immigrant (OR = 0.61, 95% CI: 0.53-0.70; p < 0.001). The results indicated that there is a need to improve the quality of public health-care services and perception towards them as improved health-care quality increases the choice of health-care providers.

  1. The nutrition and health transition in the North West Province of South Africa: a review of the THUSA (Transition and Health during Urbanisation of South Africans) study.

    PubMed

    Vorster, Hester H; Venter, Christina S; Wissing, Marié P; Margetts, Barrie M

    2005-08-01

    To describe how urbanisation influences the nutrition and health transition in South Africa by using data from the THUSA (Transition and Health during Urbanisation of South Africans) study. The THUSA study was a cross-sectional, comparative, population-based survey. The North West Province of South Africa. In total, 1854 apparently healthy volunteers, men and women aged 15 years and older, from 37 randomly selected sites. Pregnant and lactating women, those with diagnosed chronic diseases and taking medication, with acute infections or inebriated were excluded but screened for hypertension and diabetes mellitus. Subjects were stratified into five groups representing different levels of urbanisation in rural and urban areas: namely, deep rural, farms, squatter camps, townships and towns/cities. OUTCOME MEASURES AND METHODS: Socio-economic and education profiles, dietary patterns, nutrient intakes, anthropometric and biochemical nutrition status, physical and mental health indicators, and risk factors for non-communicable diseases (NCDs) were measured using questionnaires developed or adapted and validated for this population, as well as appropriate, standardised methods for the biochemical analyses of biological samples. Subjects from the rural groups had lower household incomes, less formal education, were shorter and had lower body mass indices than those in the urban groups. Urban subjects consumed less maize porridge but more fruits, vegetables, animal-derived foods and fats and oils than rural subjects. Comparing women from rural group 1 with the urban group 5, the following shifts in nutrient intakes were observed: % energy from carbohydrates, 67.4 to 57.3; from fats, 23.6 to 31.8; from protein, 11.4 to 13.4 (with an increase in animal protein from 22.2 to 42.6 g day(-1)); dietary fibre, 15.8 to 17.7 g day(-1); calcium, 348 to 512 mg day(-1); iron from 8.4 to 10.4 mg day(-1); vitamin A from 573 to 1246 mug retinol equivalents day(-1); and ascorbic acid from 30

  2. Assessment of undiscovered petroleum resources of the Arctic Alaska Petroleum Province

    USGS Publications Warehouse

    Houseknecht, David W.; Bird, Kenneth J.; Garrity, Christopher P.

    2012-01-01

    The Arctic Alaska Petroleum Province encompasses all lands and adjacent continental shelf areas north of the Brooks Range-Herald arch tectonic belts and south of the northern (outboard) margin of the Alaska rift shoulder. Even though only a small part is thoroughly explored, it is one of the most prolific petroleum provinces in North America, with total known resources (cumulative production plus proved reserves) of about 28 billion barrels of oil equivalent. For assessment purposes, the province is divided into a platform assessment unit, comprising the Alaska rift shoulder and its relatively undeformed flanks, and a fold-and-thrust belt assessment unit, comprising the deformed area north of the Brooks Range and Herald arch tectonic belts. Mean estimates of undiscovered, technically recoverable resources include nearly 28 billion barrels of oil and 122 trillion cubic feet of nonassociated gas in the platform assessment unit and 2 billion barrels of oil and 59 trillion cubic feet of nonassociated gas in the fold-and-thrust belt assessment unit.

  3. South African Learners' Conceptual Understanding about Image Formation by Lenses

    ERIC Educational Resources Information Center

    John, Merlin; Molepo, Jacob Maisha; Chirwa, Max

    2017-01-01

    The purpose of this research was to explore South African Grade 11 learners' conceptual understanding of "image formation by lenses". The participants for this study were 70 Grade 11 learners from a selected senior secondary school in Mthatha, Eastern Cape Province, South Africa. The qualitative approach employed in the study made use of…

  4. South Africa

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This true-color image of South Africa was acquired on May 14, 2000, by NASA's Moderate-resolution Imaging Spectroradiometer, or MODIS. The image was produced using a combination of the sensor's 250-m and 500-m resolution visible wavelength bands. As part of the opening ceremony to begin the joint U.S.-South Africa SAFARI Field Experiment, NASA presented print copies of this image as GIFts to Dr. Ben Ngubane, Minister of Arts, Science and Technology, and Honorable Advocate Ngoaka Ramathlodi, Premier of the Northern Province, South Africa. The area shown in this image encompasses seven capital cities and a number of the region's distinctive geological features can be seen clearly. Toward the northern (top) central part of the image, the browns and tans comprise the Kalahari Desert of southern Botswana. The Tropic of Capricorn runs right through the heart of the Kalahari and the Botswanan capital city of Gaborone sits on the Limpopo River, southeast of the Kalahari. Along the western coastline of the continent is the country of Namibia, where the Namib Desert is framed against the sea by the Kaokoveld Mountains. The Namibian capital of Windhoek is obscured by clouds. Looking closely in the center of the image, the Orange River can be seen running from east to west, demarcating the boundary between Namibia and South Africa. On the southwestern corner of the continent is the hook-like Cape of Good Hope peninsula and Cape Town, the parliamentary capital of South Africa. Running west to east away from Cape Town are the Great Karroo Mountains. The shadow in this image conveys a sense of the very steep grade of the cliffs along the southern coast of South Africa. Port Elizabeth sits on the southeasternmost point of South Africa, and a large phytoplankton bloom can be seen in the water about 100 miles east of there. Moving northward along the east coast, the Drakensberg Mountains are visible. The two small nations of Lesotho and Swaziland are in this region, completely

  5. Methodology and Baseline Results From the Evaluation of a Sexuality Education Activity in Mpumalanga and KwaZulu-Natal, South Africa.

    PubMed

    Speizer, Ilene S; Mandal, Mahua; Xiong, Khou; Hattori, Aiko; Makina-Zimalirana, Ndinda; Kumalo, Faith; Taylor, Stephen; Ndlovu, Muzi S; Madibane, Mathata; Beke, Andy

    2018-04-01

    In South Africa, adolescents and young adults (ages 15-24) are at risk of HIV, sexually transmitted infections, and unintended pregnancies. Recently, the Department of Basic Education has revised its sexuality education content and teaching strategies (using scripted lessons plans) as part of its life orientation curriculum. This paper presents the methodology and baseline results from the evaluation of the scripted lesson plans and supporting activities. A rigorous cluster-level randomized design with random assignment of schools as clusters is used for the evaluation. Baseline results from grade 8 female and male learners and grade 10 female learners demonstrate that learners are at risk of HIV and early and unintended pregnancies. Multivariable analyses demonstrate that household-level food insecurity and living with an HIV-positive person are associated with sexual experience and pregnancy experience. Implications are discussed for strengthening the current life orientation program for future scale-up by the government of South Africa.

  6. Change Analysis on Soil Erosion of Fujian Province from 1990 TO 2015

    NASA Astrophysics Data System (ADS)

    Wang, X. Q.; Zeng, S. J.; Chen, X. G.; Lin, J. L.; Chen, S. M.

    2017-09-01

    Soil erosion is one of major environment problems in the world, and China is one of the most serious soil erosion country. In this paper, Fujian province was used as a study area for its typical red soil region. Based on USLE model, the soil erosion modulus in 1990 and 2015 were calculated and turned to soil erosion intensity. The soil erosion distribution trend in Fujian province was decrease from south-east coastal zone to north-west inland region. In soil erosion areas, the main erosion type was light level with about 80 %, and the soil erosion levels above serious type were mainly sporadic distribution with less than 10 %. The soil erosion improved for the past 25 years. The areas of different erosion types all decreased, and the total erosion area reduced by 26.59 %. The improvement area mainly located in north-east, south and west region. The aggravation area mainly located in the north and some middle hilly regions. The impact of human activities is more significant for erosion control.

  7. Temporal-spatial variation of bacterial diversity in estuary sediments in the south of Zhejiang Province, China.

    PubMed

    Lu, Xiao-Ming; Chen, Chang; Zheng, Tian-Ling; Chen, Jian-Jun

    2016-03-01

    The winter and summer microbial community structure in sediment samples obtained from the estuaries of the wastewater-polluted River Ou (DO and XO), River Feiyun (DF and XF), and River Ao (DA and XA) in the south of Zhejiang Province in China was determined using 454 pyrosequencing. Sediment samples (DD and XD) were also correspondingly collected near the shore far from the estuaries for comparison. For the above sediments, 294,870 effective sequences were obtained to do the bacterial diversity and abundance determination. In total, 1924, 1517, 2071, 1956, 1995, 1800, 2261, and 2097 operational taxonomic units were obtained at 3 % distance cutoff in the DO, XO, DF, XF, DA, XA, DD, and XD sediments, respectively. Bacterial phylotype richness in DD was higher than the other sediments, and XO had the least richness. The most dominant class in the DA, DD, DF, DO, and XA sediments is Gammaproteobacteria. Deltaproteobacteria is the most dominant one in XD, XO, and XF. Circa 14.4 % sequences in XD were found to be affiliated with the Flavobacteriales order. Characterization of the estuarine sediment bacterial communities indicated that chemical pollution has the potential to decrease the natural variability that exists among estuary ecosystems. However, chemical pollutants did not cause clear bio-homogenization in these estuaries.

  8. Construction and Analysis of Long-Term Surface Temperature Dataset in Fujian Province

    NASA Astrophysics Data System (ADS)

    Li, W. E.; Wang, X. Q.; Su, H.

    2017-09-01

    Land surface temperature (LST) is a key parameter of land surface physical processes on global and regional scales, linking the heat fluxes and interactions between the ground and atmosphere. Based on MODIS 8-day LST products (MOD11A2) from the split-window algorithms, we constructed and obtained the monthly and annual LST dataset of Fujian Province from 2000 to 2015. Then, we analyzed the monthly and yearly time series LST data and further investigated the LST distribution and its evolution features. The average LST of Fujian Province reached the highest in July, while the lowest in January. The monthly and annual LST time series present a significantly periodic features (annual and interannual) from 2000 to 2015. The spatial distribution showed that the LST in North and West was lower than South and East in Fujian Province. With the rapid development and urbanization of the coastal area in Fujian Province, the LST in coastal urban region was significantly higher than that in mountainous rural region. The LST distributions might affected by the climate, topography and land cover types. The spatio-temporal distribution characteristics of LST could provide good references for the agricultural layout and environment monitoring in Fujian Province.

  9. ERTS-1 imagery as an aid to the understanding of the regional setting of base metal deposits in the North West Cape Province, South Africa. [mineral exploration

    NASA Technical Reports Server (NTRS)

    Viljoen, R. P.

    1974-01-01

    A number of base metal finds have recently focussed attention on the North Western Cape Province of South Africa as an area of great potential mineral wealth. From the point of view of competitive mineral exploration it was essential that an insight into the regional geological controls of the base metal mineralization of the area be obtained as rapidly as possible. Conventional methods of producing a suitable regional geological map were considered to be too time-consuming and ERTS-1 imagery was consequently examined. This imagery has made a significant contribution in the compilation of a suitable map on which to base further mineral exploration programmes. The time involved in the compilation of maps of this nature was found to be only a fraction of the time necessary for the production of similar maps using other methods. ERTS imagery is therefore considered to be valuable in producing accurate regional maps in areas where little or no geological data are available, or in areas of poor access. Furthermore, these images have great potential for rapidly defining the regional extent of metallogenic provinces.

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

    PubMed

    Thema, Lawrence K; Singh, Shenuka

    2017-07-12

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

  11. The Santa Cruz - Tarija Province of Central South America: Los Monos - Machareti(!) Petroleum System

    USGS Publications Warehouse

    Lindquist, Sandra J.

    1999-01-01

    The Los Monos - Machareti(!) total petroleum system is in the Santa Cruz - Tarija Province of Bolivia, Argentina and Paraguay. Province history is that of a Paleozoic, intracratonic, siliciclastic rift basin that evolved into a Miocene (Andean) foreland fold and thrust belt. Existing fields are typified by alternating reservoir and seal rocks in post-Ordovician sandstones and shales on anticlines. Thick Devonian and Silurian shale source rocks, depositionally and erosionally confined to this province, at a minimum have generated 4.1 BBOE known ultimate recoverable reserves (as of 1995, 77% gas, 15% condensate, 8% oil) into dominantly Carboniferous reservoirs with average 20% porosity and 156 md permeability. Major detachment surfaces within the source rocks contributed to the thin-skinned and laterally continuous nature of the deformation. Tertiary foreland burial adequate for significant source maturation coincided with the formation of compressional traps. Further hydrocarbon discovery in the fold and thrust belt is expected. In the foreland basin, higher thermal gradients and variable burial history - combined with the presence of unconformity and onlap wedges - create potential there for stratigraphic traps and pre-Andean, block-fault and forced-fold traps.

  12. Women as whole blood donors: offers, donations and deferrals in the province of Huelva, south-western Spain.

    PubMed

    Prados Madrona, Dalmiro; Fernández Herrera, María Dolores; Prados Jiménez, Dalmiro; Gómez Giraldo, Sonsoles; Robles Campos, Rita

    2014-01-01

    Women seem more willing to donate blood than men despite the limitations that affect their donation rate. The aim of our study was to determine the role of women in altruistic donation of blood in Huelva, a province in south-western Spain. We registered 87,601 offers to donate whole blood between January 1st, 2005 and December 31st, 2009. We statistically analysed variables such as sex, age, offers, deferrals and donations, problems in venous access, vasovagal reactions, weight and blood pressure to establish their significance according to donor gender. With regards to gender, 52.3% of donors were women and 47.7% men. Of the 87,601 offers to donate blood, 46.5% were from females and 53.5% from males. More females than males made their first donation during the study period. However, 43.9 % of donations were from women, whereas 56.1% were from men. Overall 8.7% of offers were deferred, 62.7% of which due to a low haemoglobin concentration, which was the most frequent cause of deferral in women. Difficulties in venous access and vasovagal reactions were also more frequent in female donors than in male donors. By the end of the study period, donor fidelity was 58.6% for men and 48.6% for women. In the province of Huelva, women are more altruistically inclined than men to give blood, with the percentages of donors and first-time donors being higher among females. However, there are restrictions to women giving blood, especially low haemoglobin concentration, which reduce the number of female blood donations. Women also have more difficulty when blood is withdrawn and are more susceptible to vasovagal reactions, which negatively affect their experience as donors. Measures should be taken to reduce these barriers to encourage women to continue to offer to donate blood, thereby ensuring that they become regular donors, which is a key factor in guaranteeing an adequate supply of blood within the region of Andalusia.

  13. Women as whole blood donors: offers, donations and deferrals in the province of Huelva, south-western Spain

    PubMed Central

    Madrona, Dalmiro Prados; Herrera, María Dolores Fernández; Jiménez, Dalmiro Prados; Giraldo, Sonsoles Gómez; Campos, Rita Robles

    2014-01-01

    Background Women seem more willing to donate blood than men despite the limitations that affect their donation rate. The aim of our study was to determine the role of women in altruistic donation of blood in Huelva, a province in south-western Spain. Materials and methods We registered 87,601 offers to donate whole blood between January 1st, 2005 and December 31st, 2009. We statistically analysed variables such as sex, age, offers, deferrals and donations, problems in venous access, vasovagal reactions, weight and blood pressure to establish their significance according to donor gender. Results With regards to gender, 52.3% of donors were women and 47.7% men. Of the 87,601 offers to donate blood, 46.5% were from females and 53.5% from males. More females than males made their first donation during the study period. However, 43.9 % of donations were from women, whereas 56.1% were from men. Overall 8.7% of offers were deferred, 62.7% of which due to a low haemoglobin concentration, which was the most frequent cause of deferral in women. Difficulties in venous access and vasovagal reactions were also more frequent in female donors than in male donors. By the end of the study period, donor fidelity was 58.6% for men and 48.6% for women. Discussion In the province of Huelva, women are more altruistically inclined than men to give blood, with the percentages of donors and first-time donors being higher among females. However, there are restrictions to women giving blood, especially low haemoglobin concentration, which reduce the number of female blood donations. Women also have more difficulty when blood is withdrawn and are more susceptible to vasovagal reactions, which negatively affect their experience as donors. Measures should be taken to reduce these barriers to encourage women to continue to offer to donate blood, thereby ensuring that they become regular donors, which is a key factor in guaranteeing an adequate supply of blood within the region of Andalusia. PMID

  14. Thermal history and differential exhumation across the Eastern Musgrave Province, South Australia: Insights from low-temperature thermochronology

    NASA Astrophysics Data System (ADS)

    Glorie, Stijn; Agostino, Kate; Dutch, Rian; Pawley, Mark; Hall, James; Danišík, Martin; Evans, Noreen J.; Collins, Alan S.

    2017-04-01

    Multi-method geo- and thermochronological data obtained for Palaeo- and Mesoproterozoic granitoids traversing the main structural architecture of the eastern Musgrave Province within South Australia reveal multiphase cooling histories. Apatite U-Pb dating on six samples yield consistent ages of 1075-1025 Ma, suggesting a thermal reset coinciding with mantle-derived magmatism of the greater Warakurna Large Igneous Province ( 1080-1040 Ma). Apatite fission track (AFT) analysis indicate that four discrete thermal events affected the study area, inducing cooling through the AFT partial annealing zone ( 60-120 °C), supported by apatite and zircon (U-Th-Sm)/He data. Late Neoproterozoic cooling from deep crustal levels to temperatures < 200 °C was discerned, which is thought to be related to exhumation and denudation during the Petermann Orogeny. Subsequent cooling events at 450-400 Ma (Silurian-Devonian) and 310-290 Ma (Late Carboniferous) are interpreted to represent exhumation associated with the Alice Springs Orogeny. The latter event exhumed the sampled plutons to shallow crustal depths. An additional Triassic - early Jurassic thermal event, likely recording elevated geothermal gradients at that time, was observed throughout the study area, however, more data is needed to further support this interpretation. The high sample density across the structural architecture of the study area furthermore reveals patterns of fault reactivation and resulting differential exhumation, indicating shallower exhumation levels in the centre and deeper exhumation towards the margins of the sampled transect. The observed differential exhumation patterns match with existing seismic data and fit a model of an inverted graben system for the Phanerozoic evolution of the eastern Musgraves. The results highlight a complex Phanerozoic thermal history for the eastern Musgraves and help to elucidate the poorly appreciated tectonic evolution of inland Australia. This study further demonstrates

  15. Scaling up kangaroo mother care in South Africa: 'on-site' versus 'off-site' educational facilitation

    PubMed Central

    Bergh, Anne-Marie; van Rooyen, Elise; Pattinson, Robert C

    2008-01-01

    Background Scaling up the implementation of new health care interventions can be challenging and demand intensive training or retraining of health workers. This paper reports on the results of testing the effectiveness of two different kinds of face-to-face facilitation used in conjunction with a well-designed educational package in the scaling up of kangaroo mother care. Methods Thirty-six hospitals in the Provinces of Gauteng and Mpumalanga in South Africa were targeted to implement kangaroo mother care and participated in the trial. The hospitals were paired with respect to their geographical location and annual number of births. One hospital in each pair was randomly allocated to receive either 'on-site' facilitation (Group A) or 'off-site' facilitation (Group B). Hospitals in Group A received two on-site visits, whereas delegates from hospitals in Group B attended one off-site, 'hands-on' workshop at a training hospital. All hospitals were evaluated during a site visit six to eight months after attending an introductory workshop and were scored by means of an existing progress-monitoring tool with a scoring scale of 0–30. Successful implementation was regarded as demonstrating evidence of practice (score >10) during the site visit. Results There was no significant difference between the scores of Groups A and B (p = 0.633). Fifteen hospitals in Group A and 16 in Group B demonstrated evidence of practice. The median score for Group A was 16.52 (range 00.00–23.79) and that for Group B 14.76 (range 07.50–23.29). Conclusion A previous trial illustrated that the implementation of a new health care intervention could be scaled up by using a carefully designed educational package, combined with face-to-face facilitation by respected resource persons. This study demonstrated that the site of facilitation, either on site or at a centre of excellence, did not influence the ability of a hospital to implement KMC. The choice of outreach strategy should be guided by

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

    ERIC Educational Resources Information Center

    Rantao, Masego; Ayo-Yusuf, Olalekan A.

    2012-01-01

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

  17. Occurrence of naproxen, ibuprofen, and diclofenac residues in wastewater and river water of KwaZulu-Natal Province in South Africa.

    PubMed

    Madikizela, Lawrence Mzukisi; Chimuka, Luke

    2017-07-01

    The present paper reports a detailed study that is based on the monitoring of naproxen, ibuprofen, and diclofenac in Mbokodweni River and wastewater treatment plants (WWTPs) located around the city of Durban in KwaZulu-Natal Province of South Africa. Target compounds were extracted from water samples using a multi-template molecularly imprinted solid-phase extraction prior to separation and quantification on a high-performance liquid chromatography equipped with photo diode array detector. The analytical method yielded the detection limits of 0.15, 1.00, and 0.63 μg/L for naproxen, ibuprofen, and diclofenac, respectively. Solid-phase extraction method was evaluated for its performance using deionized water samples that were spiked with 5 and 50 μg/L of target compounds. Recoveries were greater than 80% for all target compounds with RSD values in the range of 4.1 to 10%. Target compounds were detected in most wastewater and river water samples with ibuprofen being the most frequently detected pharmaceutical. Maximum concentrations detected in river water for naproxen, ibuprofen, and diclofenac were 6.84, 19.2, and 9.69 μg/L, respectively. The concentrations of target compounds found in effluent and river water samples compared well with some studies. The analytical method employed in this work is fast, selective, sensitive, and affordable; therefore, it can be used routinely to evaluate the occurrence of acidic pharmaceuticals in South African water resources.

  18. HIV epidemic drivers in South Africa: A model-based evaluation of factors accounting for inter-provincial differences in HIV prevalence and incidence trends.

    PubMed

    Johnson, Leigh F; Dorrington, Rob E; Moolla, Haroon

    2017-01-01

    HIV prevalence differs substantially between South Africa's provinces, but the factors accounting for this difference are poorly understood. To estimate HIV prevalence and incidence trends by province, and to identify the epidemiological factors that account for most of the variation between provinces. A mathematical model of the South African HIV epidemic was applied to each of the nine provinces, allowing for provincial differences in demography, sexual behaviour, male circumcision, interventions and epidemic timing. The model was calibrated to HIV prevalence data from antenatal and household surveys using a Bayesian approach. Parameters estimated for each province were substituted into the national model to assess sensitivity to provincial variations. HIV incidence in 15-49-year-olds peaked between 1997 and 2003 and has since declined steadily. By mid-2013, HIV prevalence in 15-49-year-olds varied between 9.4% (95% CI: 8.5%-10.2%) in Western Cape and 26.8% (95% CI: 25.8%-27.6%) in KwaZulu-Natal. When standardising parameters across provinces, this prevalence was sensitive to provincial differences in the prevalence of male circumcision (range 12.3%-21.4%) and the level of non-marital sexual activity (range 9.5%-24.1%), but not to provincial differences in condom use (range 17.7%-21.2%), sexual mixing (range 15.9%-19.2%), marriage (range 18.2%-19.4%) or assumed HIV prevalence in 1985 (range 17.0%-19.1%). The provinces of South Africa differ in the timing and magnitude of their HIV epidemics. Most of the heterogeneity in HIV prevalence between South Africa's provinces is attributable to differences in the prevalence of male circumcision and the frequency of non-marital sexual activity.

  19. The noncommunicable disease outcomes of primary healthcare screening in two rural subdistricts of the Eastern Cape Province, South Africa

    PubMed Central

    2017-01-01

    Background Middle and lower income countries are challenged with a double burden of disease: while still coping with the onslaught of Human Immunodeficiency Virus (HIV) and increasing levels of tuberculosis (TB), there is a considerable increase in the level of noncommunicable diseases (NCDs). The poor are especially disadvantaged and are at an increased risk for NCDs. Adequate healthcare resources for this environment can only be allocated once the extent and exact nature of the problem is determined. Aim and setting The aim of this study was to collect demographic and NCD-related data in the poorest community of the poorest province of South Africa in order to determine the extent of the problem and advise on allocation of resources accordingly. Methods Data were collected via a household primary health screening process, which included taking anthropometric measurements, blood pressure and blood glucose and referring to clinics for further testing and treatment where necessary. Results It was found that the population screened was generally older, consisted of women, and had a high incidence of obesity and hypertension. Of note was the fact that in those without known hypertension, close to 40% of individuals had possible newly diagnosed hypertension. This increased with increase in age and body mass index (BMI). The total prevalence of diabetes was close to 5%, but possible new diabetes was considerably lower at approximately 1%. Conclusion In this rural area of the Eastern Cape, South Africa, undiagnosed hypertension is a major concern and renewed efforts at detection and control are warranted. PMID:29113445

  20. Cassini Observes the Active South Pole of Enceladus

    NASA Technical Reports Server (NTRS)

    Porco, C. C.; Helfenstein P.; Thomas, P. C.; Ingersoll, A. P.; Wisdom, J.; West, R.; Neukum, G.; Denk, T.; Wagner, R.; Roatsch, T.; hide

    2007-01-01

    Cassini has identified a geologically active province a the south pole of Saturn's moon Enceladus. The shape of Enceladus suggests a possible intense heating epoch in the past by capture into a 1:4 secondary spin/orbit resonance.

  1. Health system factors affecting implementation of integrated management of childhood illness (IMCI): qualitative insights from a South African province.

    PubMed

    Pandya, Himani; Slemming, Wiedaad; Saloojee, Haroon

    2018-03-01

    The Integrated Management of Childhood Illness (IMCI) strategy has been adopted by 102 countries including South Africa, as the preferred primary health care (PHC) delivery strategy for sick children under 5 years. Despite substantial investment to support IMCI in South Africa, its delivery remains sub-optimal, with varied implementation in different settings. There is scarce research globally, and in the local context, examining the effects of health system characteristics on IMCI implementation. This study explored key determinants of IMCI delivery in a South African province, with a specific focus on health system building blocks using a health system dynamics framework. In-depth interviews were conducted with 38 districts, provincial and national respondents involved with IMCI co-ordination and delivery, exploring their involvement in, and perceptions of, IMCI strategy implementation. Identified barriers included poor definition of elements of a service package for children and how IMCI aligned with this, incompetence of trained nurses exacerbated by inappropriate rotation practices, use of inappropriate indicators to track progress, multiple cadres coordinating similar activities with poor role delineation, and fragmented, vertical governance of programmes included within IMCI, such as immunization. Enabling practices in one district included the use of standardized child health records incorporating IMCI activities and stringent practice monitoring through record audits. Using IMCI as a case study, our work highlights critical health system deficiencies affecting service delivery for young children which need to be resolved to reposition IMCI within the broader child 'survive, thrive and transform' agenda. Recommendations for appropriate health system strengthening include the need for redefining IMCI within a broader PHC service package for children, prioritizing post-training supervision and mentoring of practitioners through appropriate duty allocation and

  2. Did in-place rotation of South America during the Early Cretaceous create both the early South Atlantic rift/salt basin and the Paraná-Etendeka large igneous province? Peter Szatmari1 and Edison J. Milani1 1Petrobras Research Center (CENPES) Geological Research & Development (PDGEO), Ilha do Fundão, Rio de Janeiro, Brazil

    NASA Astrophysics Data System (ADS)

    Szatmari, P.; Milani, E.

    2012-12-01

    Large igneous provinces with continental flood basalts, some related to rifting, have been traditionally attributed to mantle plume heads rising from the lower mantle. The early Cretaceous South Atlantic rift, an archetype of plate tectonics, and the Paraná-Etendeka continental flood basalts on land outside the rift, formed as South America rotated clockwise about a pole in its northeastern tip (Rabinowitz & LaBrecque, 1979), away from Africa and toward the subduction zone on its Pacific margin. This rotation opened the early South Atlantic southward while it kept the Equatorial Atlantic gateway to the Central Atlantic and the Tethys closed by compression. Rifting started in the late Jurassic in the extreme south, near the subduction zone at the continent's southern tip. It rapidly propagated NNE, mainly along inherited late Proterozoic (mostly Ediacaran) fold belts, and reached what has later become the eastern end of the Equatorial margin still in latest Jurassic time. Massive mostly basaltic volcanism peaked about 20 Ma later in Hauterivian time (136 to 130 Ma), forming dike swarms which, in the south, are accompanied by flood basalts of the Paraná-Etendeka large igneous province. The massive rise of mostly tholeiitic magma resulted from hotspot-like high temperatures prevailing beneath the cold and thick Gondwana lithosphere that had remained unbroken since Proterozoic times for about 400 Ma. Early basalt dike swarms trending E-W and SE-NW were transversal to the rift. They are two-three hundred kilometers long and 1000-2000 km apart, penetrating far into the continent's unrifted lithosphere and cutting through all inherited Proterozoic structures that controlled rifting. The successive basalt dike swarms (and their individual dikes) increase in thickness to the southwest, away from the continent's pole of rotation, as does the width of the rift. The E-W-trending Ceará-Mirim dike swarm occurs in the extreme northeast of the continent. Further southwest the

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

    PubMed

    Mabaso, Raymond G; Oduntan, Olalekan A

    2014-11-21

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

  4. Gender Norms, Gender Role Conflict/Stress and HIV Risk Behaviors Among Men in Mpumalanga, South Africa.

    PubMed

    Gottert, Ann; Barrington, Clare; McNaughton-Reyes, Heath Luz; Maman, Suzanne; MacPhail, Catherine; Lippman, Sheri A; Kahn, Kathleen; Twine, Rhian; Pettifor, Audrey

    2018-06-01

    Men's gender role conflict and stress (GRC/S), the psychological strain they experience around fulfilling expectations of themselves as men, has been largely unexplored in HIV prevention research. We examined associations between both men's gender norms and GRC/S and three HIV risk behaviors using data from a population-based survey of 579 18-35 year-old men in rural northeast South Africa. Prevalence of sexual partner concurrency and intimate partner violence (IPV) perpetration in the last 12 months were 38.0 and 13.4%, respectively; 19.9% abused alcohol. More inequitable gender norms and higher GRC/S were each significantly associated with an increased odds of concurrency (p = 0.01; p < 0.01, respectively), IPV perpetration (p = 0.03; p < 0.01), and alcohol abuse (p = 0.02; p < 0.001), controlling for demographic characteristics. Ancillary analyses demonstrated significant positive associations between: concurrency and the GRC/S sub-dimension subordination to women; IPV perpetration and restrictive emotionality; and alcohol abuse and success, power, competition. Programs to transform gender norms should be coupled with effective strategies to prevent and reduce men's GRC/S.

  5. JPRS Report, Near East & South Asia

    DTIC Science & Technology

    1989-01-30

    of Agriculture, "Report by Presiden- tial Mission to Study Agricultural Development in Egypt," (Cairo: Cabinet, 1982). 34. Fahmi Bishay, "Toward...held for the coordination meetings in the provinces and then Mr Musa al- Reza , deputy for the JPRS-NEA-89-007 30 January 1989 66 SOUTH ASIA planning

  6. Lithospheric control on basaltic magma compositions within a long-lived monogenetic magmatic province: the Cainozoic basalts of eastern Victoria, south-eastern Australia

    NASA Astrophysics Data System (ADS)

    Price, R. C.; Nicholls, I. A.; Maas, R.

    2012-12-01

    Basaltic volcanism, ranging in age from Late Jurassic to Holocene and extending across southern Victoria in south-eastern Australia was initiated ~ 95 Ma ago during the earliest stages of rifting associated with opening of the Tasman Sea and Southern Ocean. Volcanic activity has continued sporadically since that time with the only major hiatus being between 18 and 7 Ma (Price et al, 2003). Basaltic rocks with ages in the range 18-90 Ma occur in small lava fields scattered across eastern and south-eastern Victoria and have also been recovered from bore holes in the west of the state. These have in the past been referred to as the "Older Volcanics" to differentiate them from more volumetrically extensive and younger (< 5 Ma) lava fields to the west. Older Volcanics vary in composition from SiO2-undersaturated basanites, basalts and hawaiites through transitional basalts to hypersthene normative tholeiites. Strontium, Nd and Pb isotopic compositions lie between DM and EM 2 in Sr-Nd-Pb isotopic space. They are isotopically similar to Samoan OIB but different from intra-plate rocks of the New Zealand-Antarctic diffuse alkaline magmatic province (DAMP). Trace element compositions are generally characterised by enrichment of Cs, Ba, Rb, Th, U, Nb, K and light REE over heavy REE, Ti, Zr and Y but there is subtle diversity within and between particular lava fields. (La/Yb)n and K/Nb ratios show significant variation and some basalts are relatively enriched in Sr, P and Pb. Potassium and Rb show distinctive relative depletions in some samples and this could be indicating low degree melting with residual phlogopite. When Sr isotope data for Older Volcanics are projected onto an east-west profile they outline distinctive discontinuities that can be related to surface and subsurface structural features within the basement. This has previously been identified in the "Newer Volcanics" (< 5 Ma) province of western Victoria (Price et al., 1997, 2003). Both Proterozoic and

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

    PubMed

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

    2007-06-02

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

  8. Policy Appropriation in Teacher Retention and Attrition: The Case of North-West Province

    ERIC Educational Resources Information Center

    Diko, Nolutho N.; Letseka, Moeketsi

    2009-01-01

    We report on the 2008 study by the Human Sciences Research Council (HSRC) on teacher retention and attrition in South African public schools, with a focus on North-West Province. Data from the study show that some teachers prefer to leave the teaching profession for promotion posts in non-teaching areas within the education sector, while others…

  9. Decentralisation and the Construction of Inclusion Education Policy in South Africa

    ERIC Educational Resources Information Center

    Sayed, Yusuf; Soudien, Crain

    2005-01-01

    This paper critically reviews the ways in which the policy of education decentralisation in post-apartheid South Africa results in both forms of inclusion and new forms of exclusion. Drawing on a two-year research project carried out in three provinces in South Africa, it shows how in the governance of schools, new forms of exclusion are being…

  10. An Assessment of Radiological Hazards from Gold Mine Tailings in the Province of Gauteng in South Africa

    PubMed Central

    Kamunda, Caspah; Mathuthu, Manny; Madhuku, Morgan

    2016-01-01

    Radiological hazards associated with exposure to Naturally Occurring Radionuclides Materials from gold mine tailings in the province of Gauteng in South Africa were evaluated. A comparison was made with soil samples from a control area. In this study, gamma spectroscopy was used to measure the activity concentrations of these radionuclides in 56 soil samples from the mine tailings and 10 soil samples from the control area. The average activity concentrations in Bq∙kg−1 for Uranium-238, Thorium-232, and Potassium-40 from the mine tailings were found to be 785.3 ± 13.7, 43.9 ± 1.0 and 427.0 ± 13.1, respectively. On the other hand, the average activity concentrations in Bq∙kg−1 for Uranium-238, Thorium-232, and Potassium-40 from the control area were found to be 17.0.1 ± 0.4, 22.2 ± 0.5 and 496.8 ± 15.2, respectively. Radiological hazard parameters calculated from these activity concentrations were higher than recommended safe limits. In particular, calculated average values for the external hazard (Hex) and the internal hazard (Hin) from the mine tailings were found to be 2.4 and 4.5. Both these values were higher than unity, posing a significant health risk to the population in the area. PMID:26797624

  11. Analysis on the Change of Vegetation Coverage in Qinghai Province from 2000 TO 2012

    NASA Astrophysics Data System (ADS)

    Wang, J.; Yan, Q.; Liu, Z.; Luo, C.

    2013-07-01

    Qinghai Province is one of the important provinces on the Qinghai-Tibet Plateau in China. Its unique alpine meadow ecosystem makes it become the most concentrated areas of biodiversity in high altitudes in the world. Researching the vegetation coverage and changes of Qinghai province can reflect effectively and timely processing of changes and problems of ecological quality in the region. This research will give a long time series monitoring of the vegetation coverage of Qinghai province based on maximum value composite (MVC) and S-G filtering algorithm using MODIS data of the year of 2000-2012, then analyze the change using coefficient of variability(CV) and trend line analysis. According to research, during the past 13 years, more than half of Qinghai Province's vegetation coverage is well, both the east and south have a high coverage, while the northwest is lower. The changing of vegetation coverage also has showed a steady and improving trend in 13 years. The largest area is slight improved area is about 29.08% of the total area, and the second largest area is significant improved area is about 21.09% of the total area. In this research can learn directly the vegetation coverage and changes of Qinghai province and provide reference and scientific basis for the protection and governance of ecological environment.

  12. Euxinia prior to end-Permian main extinction at Xiaojiaba section, Sichuan Province, South China

    NASA Astrophysics Data System (ADS)

    Wei, H.; Algeo, T. J.; Chen, D.; Yu, H.

    2013-12-01

    Redox conditions in the global ocean prior to, during, and following the end-Permian mass extinction at 252.28 Ma remain contentious. Previous studies in western Australia, South China, and East Greenland have shown that photic-zone euxinia was present at least intermittently from the early Changhsingian through the Dienerian1-3. Here we report a study of organic carbon isotopes, pyrite sulfur isotopes, TOC, pyritic sulfur content, REE, and major and trace elements from the Upper Permian Xiaojiaba section in the Chaotian district of Guangyuan City, Sichuan Province, China. During the Permian-Triassic transition, this section was located on the northwestern margin of the South China Block, facing the Paleo-Tethys Ocean. Our results indicate that suboxic conditions prevailed during the Wuchiapingian and suboxic to anoxic conditions with several pulses of euxinia during the Changhsingian. δ13Corg values are mostly -28‰ to -26‰ but show three positive excursions (to -22‰) prior to the end-Permian mass extinction horizon. These positive excursions are associated with higher Spy concentrations (to ~1%). δ34Spy values are variable (from -41‰ to +5‰) but show a sharp negative excursion in the late Changhsingian (to -43.4‰) that coincided with the most positive δ13Corg values. This horizon is also associated with increases in Eu/Eu*, Baxs, ∑REE, Si, and redox-sensitive metals such as V. These patterns reflect linkage of the C and S cycles during the latest Permian, possibly in response to redox controls. The observed positive excursions in δ13Corg may be due to organic inputs from green sulfur bacteria, which exhibit a smaller photosynthetic fractionation (-12.5‰4) than eukaryotic algae. The pronounced negative excursion of δ34Spy corresponds to a sulfate-sulfide S isotope fractionation of about -60‰, suggesting a large flux of syngenetic framboidal pyrite, which would be indicative of euxinic water-column conditions. We infer that the euxinia prior

  13. The effect of school attendance and school dropout on incident HIV and HSV-2 among young women in rural South Africa enrolled in HPTN 068.

    PubMed

    Stoner, Marie C D; Pettifor, Audrey; Edwards, Jessie K; Aiello, Allison E; Halpern, Carolyn T; Julien, Aimée; Selin, Amanda; Twine, Rhian; Hughes, James P; Wang, Jing; Agyei, Yaw; Gomez-Olive, F Xavier; Wagner, Ryan G; MacPhail, Catherine; Kahn, Kathleen

    2017-09-24

    To estimate the association between school attendance, school dropout, and risk of incident HIV and herpes simplex virus type 2 (HSV-2) infection among young women. We used longitudinal data from a randomized controlled trial in rural Mpumalanga province, South Africa, to assess the association between school days attended, school dropout, and incident HIV and HSV-2 in young women aged 13-23 years. We examined inverse probability of exposure weighted survival curves and used them to calculate 1.5, 2.5, and 3.5-year risk differences and risk ratios for the effect of school attendance on incident HIV and HSV-2. A marginal structural Cox model was used to estimate hazard ratios for the effect of school attendance and school dropout on incident infection. Risk of infection increased over time as young women aged, and was higher in young women with low school attendance (<80% school days) compared with high (≥80% school days). Young women with low attendance were more likely to acquire HIV [hazard ratio (HR): 2.97; 95% confidence interval (CI): 1.62, 5.45] and HSV-2 (HR: 2.47; 95% CI: 1.46, 4.17) over the follow-up period than young women with high attendance. Similarly, young women who dropped out of school had a higher weighted hazard of both HIV (HR 3.25 95% CI: 1.67, 6.32) and HSV-2 (HR 2.70; 95% CI 1.59, 4.59). Young women who attend more school days and stay in school have a lower risk of incident HIV and HSV-2 infection. Interventions to increase frequency of school attendance and prevent dropout should be promoted to reduce risk of infection.

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

  15. Asymptomatic malaria in refugees living in a non-endemic South African city.

    PubMed

    Tsoka-Gwegweni, Joyce M; Okafor, Uchenna

    2014-01-01

    Asymptomatic malaria infection in refugees is both a threat to the lives of the individuals and the public in the host country. Although South Africa has been experiencing an unprecedented influx of refugees since 1994, data on malaria infection among refugees is lacking. Such information is critical since South Africa is among the countries that have planned to eliminate malaria. The objective of this study was to determine prevalence of asymptomatic malaria infection among a refugee population living in a city of KwaZulu-Natal province, South Africa. A survey was conducted on adult refugee participants who attended a faith-based facility offering social services in a city of KwaZulu-Natal province, South Africa. The participants were screened for the presence of malaria using rapid diagnostic tests and microscopy. Demographic data for the participants were obtained using a closed ended questionnaire. Data was obtained for 303 participants consisting of 51.5% females and 47.5% males, ranging from 19 to 64 years old. More than 95% of them originated from sub-Saharan African countries. Two hundred and ninety participants provided a blood sample for screening of malaria. Of these, 3.8% tested positive for rapid diagnostic test and 5.9% for microscopy. The majority of malaria infections were due to Plasmodium falciparum. The study confirms the presence of asymptomatic malaria infections among a refugee population residing in a city of KwaZulu-Natal province that is not endemic for malaria. The results have important implications for both public health and malaria control in South Africa, particularly since the country has decided to eliminate malaria by 2018. To achieve this goal, South Africa needs to expand research, surveillance and elimination activities to include non-endemic areas, particularly with high refugee populations. We further recommend use of powerful diagnostic tests such as PCR for these interventions.

  16. Promoting the Implementation of Inclusive Education in Primary Schools in South Africa

    ERIC Educational Resources Information Center

    Engelbrecht, Petra; Oswald, Marietjie; Forlin, Chris

    2006-01-01

    The British "Index for Inclusion" was selected to be used in three primary schools in the Western Cape Province in South Africa in order to develop a South African model to assist in the development of inclusive schools. The "Index for Inclusion" process entails progression through a series of five developmental phases and this…

  17. Toxic heavy metals in sediments, seawater, and molluscs in the eastern and western coastal waters of Guangdong Province, South China.

    PubMed

    Zhang, Ling; Shi, Zhen; Zhang, Jingping; Jiang, Zhijian; Wang, Fei; Huang, Xiaoping

    2016-05-01

    Heavy metal concentrations and distribution were studied in sediments, seawater, and molluscs, and the possible heavy metal sources in the coastal waters of Guangdong Province, South China were discussed. The results showed that the concentrations of Cu, Pb, Zn, and Cr in sediments in eastern coastal waters were generally higher than those in the western coastal waters. However, concentrations of most metals in seawater and molluscs in western waters were higher than in the eastern waters, which was tightly related to the local economics and urbanization development, especially, the different industrial structure in two regions. The main heavy metal sources were attributed to the industrial and agricultural effluent, domestic sewage, and even waste gas. Furthermore, heavy metal contamination assessment indicated that high contamination levels of Cd, Zn, and Pb occurred in sediments in local areas, especially in the bays and harbors. The metal accumulation levels by molluscs ranked following the order of Cd > Cu > As > Zn > Pb > Cr, and the ecological risks introduced by heavy metals in different areas were in the order of Zhanjiang > Yangmao > Shantou > Shanhui.

  18. Realist evaluation of the antiretroviral treatment adherence club programme in selected primary healthcare facilities in the metropolitan area of Western Cape Province, South Africa: a study protocol

    PubMed Central

    Mukumbang, Ferdinand C; Van Belle, Sara; Marchal, Bruno; Van Wyk, Brian

    2016-01-01

    Introduction Suboptimal retention in care and poor treatment adherence are key challenges to antiretroviral therapy (ART) in sub-Saharan Africa. Community-based approaches to HIV service delivery are recommended to improve patient retention in care and ART adherence. The implementation of the adherence clubs in the Western Cape province of South Africa was with variable success in terms of implementation and outcomes. The need for operational guidelines for its implementation has been identified. Therefore, understanding the contexts and mechanisms for successful implementation of the adherence clubs is crucial to inform the roll-out to the rest of South Africa. The protocol outlines an evaluation of adherence club intervention in selected primary healthcare facilities in the metropolitan area of the Western Cape Province, using the realist approach. Methods and analysis In the first phase, an exploratory study design will be used. Document review and key informant interviews will be used to elicit the programme theory. In phase two, a multiple case study design will be used to describe the adherence clubs in five contrastive sites. Semistructured interviews will be conducted with purposively selected programme implementers and members of the clubs to assess the context and mechanisms of the adherence clubs. For the programme's primary outcomes, a longitudinal retrospective cohort analysis will be conducted using routine patient data. Data analysis will involve classifying emerging themes using the context-mechanism-outcome (CMO) configuration, and refining the primary CMO configurations to conjectured CMO configurations. Finally, we will compare the conjectured CMO configurations from the cases with the initial programme theory. The final CMOs obtained will be translated into middle range theories. Ethics and dissemination The study will be conducted according to the principles of the declaration of Helsinki (1964). Ethics clearance was obtained from the

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

    PubMed Central

    Oduntan, Olalekan A.

    2014-01-01

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

  20. Condom use as part of the wider HIV prevention strategy: experiences from communities in the North West Province, South Africa.

    PubMed

    Versteeg, Marije; Murray, Montagu

    2008-07-01

    Correct and consistent condom usage remains a pivotal strategy in reaching the target set by the South African government to reduce new HIV infections by 50% in the next 5 years. Studies have found that there has been an increase in condom usage by some categories of the population, but usage has not yet reached the desired levels in order to meet the target. This article reports on the findings of a study on condom usage in eight communities in the North West Province, which was part of a wider HIV and AIDS programme evaluation commissioned by the North West Provincial Department of Health. The main aim was to assess accessibility to condoms, and knowledge, attitudes and practices around condom use by four sampled communities in the North West Province. Eight focus group discussions were held and 50 households were interviewed. The study found positive results regarding accessibility and awareness of condoms. However, this often did not lead to the desired behavioural change of using condoms in risky sexual interactions. The majority of respondents still resisted condom usage, used condoms inconsistently, or were not in a position to negotiate protected sexual intercourse. The main reasons reported for this were: reduced pleasure, perceived and real physical side-effects, myths, lack of information, status, financial reasons, distrust in the efficacy of condoms, family planning, cultural reasons, gender-related reasons and trust. Many of the barriers to consistent condom use cannot be overcome by strategies that target the individual. Interventions need to address underlying developmental factors such as the non-biological factors that increase the susceptibility of women to HIV infection. As this falls outside of the scope of the mandate of the Department of Health, various partnerships with other key role players need to be established and/or strengthened, such as with local government, non-governmental organisations and faith-based organisations.

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

    PubMed Central

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

    2007-01-01

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

  2. Seismicity in South Carolina

    USGS Publications Warehouse

    Shedlock, K.M.

    1988-01-01

    The largest historical earthquake in South Carolina, and in the southeastern US, occurred in the Coastal Plain province, probably northwest of Charleston, in 1886. Locations for aftershocks associated with this earthquake, estimated using intensities based on newspaper accounts, defined a northwest trending zone about 250 km long that was at least 100 km wide in the Coastal Plain but widened to a northeast trending zone in the Piedmont. The subsequent historical and instrumentally recorded seismicity in South Carolina images the 1886 aftershock zone. Instrumentally recorded seismicity in the Coastal Plain province occurs in 3 seismic zones or clusters: Middleton Place-Summervile (MPSSZ), Adams Run (ARC), and Bowman (BSZ). Approximately 68% of the Coastal Plain earthquakes occur in the MPSSZ, a north trending zone about 22 km long and 12 km wide, lying about 20 km northwest of Charleston. The hypocenters of MPSSZ earthquakes range in depth from near the surface to almost 12 km. Thrust, strike-slip, and some normal faulting are indicated by the fault plane solutions for Coastal Plain earthquakes. The maximum horizontal compressive stress, inferred from the P-axes of the fault plane solutions, is oriented NE-SW in the shallow crust (<9 km deep) but appears to be diffusely E-W between 9 to 12 km deep. -from Author

  3. Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting: applying a structural equation model.

    PubMed

    Ameh, Soter; Gómez-Olivé, Francesc Xavier; Kahn, Kathleen; Tollman, Stephen M; Klipstein-Grobusch, Kerstin

    2017-03-23

    South Africa faces a complex dual burden of chronic communicable and non-communicable diseases (NCDs). In response, the Integrated Chronic Disease Management (ICDM) model was initiated in primary health care (PHC) facilities in 2011 to leverage the HIV/ART programme to scale-up services for NCDs, achieve optimal patient health outcomes and improve the quality of medical care. However, little is known about the quality of care in the ICDM model. The objectives of this study were to: i) assess patients' and operational managers' satisfaction with the dimensions of ICDM services; and ii) evaluate the quality of care in the ICDM model using Avedis Donabedian's theory of relationships between structure (resources), process (clinical activities) and outcome (desired result of healthcare) constructs as a measure of quality of care. A cross-sectional study was conducted in 2013 in seven PHC facilities in the Bushbuckridge municipality of Mpumalanga Province, north-east South Africa - an area underpinned by a robust Health and Demographic Surveillance System (HDSS). The patient satisfaction questionnaire (PSQ-18), with measures reflecting structure/process/outcome (SPO) constructs, was adapted and administered to 435 chronic disease patients and the operational managers of all seven PHC facilities. The adapted questionnaire contained 17 dimensions of care, including eight dimensions identified as priority areas in the ICDM model - critical drugs, equipment, referral, defaulter tracing, prepacking of medicines, clinic appointments, waiting time, and coherence. A structural equation model was fit to operationalise Donabedian's theory, using unidirectional, mediation, and reciprocal pathways. The mediation pathway showed that the relationships between structure, process and outcome represented quality systems in the ICDM model. Structure correlated with process (0.40) and outcome (0.75). Given structure, process correlated with outcome (0.88). Of the 17 dimensions of care in

  4. Composite Sunrise Butte pluton: Insights into Jurassic–Cretaceous collisional tectonics and magmatism in the Blue Mountains Province, northeastern Oregon

    USGS Publications Warehouse

    Johnson, Kenneth H.; Schwartz, J.J.; Žák, Jiří; Verner, Krystof; Barnes, Calvin G.; Walton, Clay; Wooden, Joseph L.; Wright, James E.; Kistler, Ronald W.

    2015-01-01

    The composite Sunrise Butte pluton, in the central part of the Blue Mountains Province, northeastern Oregon, preserves a record of subduction-related magmatism, arc-arc collision, crustal thickening, and deep-crustal anatexis. The earliest phase of the pluton (Desolation Creek unit) was generated in a subduction zone environment, as the oceanic lithosphere between the Wallowa and Olds Ferry island arcs was consumed. Zircons from this unit yielded a 206Pb/238U age of 160.2 ± 2.1 Ma. A magmatic lull ensued during arc-arc collision, after which partial melting at the base of the thickened Wallowa arc crust produced siliceous magma that was emplaced into metasedimentary rocks and serpentinite of the overthrust forearc complex. This magma crystallized to form the bulk of the Sunrise Butte composite pluton (the Sunrise Butte unit; 145.8 ± 2.2 Ma). The heat necessary for crustal anatexis was supplied by coeval mantle-derived magma (the Onion Gulch unit; 147.9 ± 1.8 Ma).The lull in magmatic activity between 160 and 148 Ma encompasses the timing of arc-arc collision (159–154 Ma), and it is similar to those lulls observed in adjacent areas of the Blue Mountains Province related to the same shortening event. Previous researchers have proposed a tectonic link between the Blue Mountains Province and the Klamath Mountains and northern Sierra Nevada Provinces farther to the south; however, timing of Late Jurassic deformation in the Blue Mountains Province predates the timing of the so-called Nevadan orogeny in the Klamath Mountains. In both the Blue Mountains Province and Klamath Mountains, the onset of deep-crustal partial melting initiated at ca. 148 Ma, suggesting a possible geodynamic link. One possibility is that the Late Jurassic shortening event recorded in the Blue Mountains Province may be a northerly extension of the Nevadan orogeny. Differences in the timing of these events in the Blue Mountains Province and the Klamath–Sierra Nevada Provinces suggest that

  5. Prevalence of gastrointestinal helminths and anthelmintic resistance on small-scale farms in Gauteng Province, South Africa.

    PubMed

    Tsotetsi, Ana Mbokeleng; Njiro, Stephen; Katsande, Tendai Charles; Moyo, Gugulethu; Baloyi, Faculty; Mpofu, Jaison

    2013-03-01

    The present study was conducted to determine the prevalence and distribution of gastrointestinal helminths, to detect the presence of anthelmintic resistance in livestock from small-scale farms and to determine the level of helminthosis awareness among small-scale farmers in Gauteng Province, South Africa. Blood and faecal samples were collected from cattle (n = 314), sheep (n = 256) and goats (n = 311). Faecal egg counts and cultures were done, helminth genera identified and packed cell volume was assessed to detect anaemia. A faecal egg count reduction test was used to determine anthelmintic resistance against albendazole (7.5 mg/kg), levamisole (5 mg/kg) and ivermectin (0.2 mg/kg) on five small ruminant farms. A high prevalence of both nematodes and trematodes was observed; however, only 1 % of cattle had high nematode egg counts compared to goats (30 %) and sheep (32 %). Only 5 % of the animals were anaemic. Haemonchus and Calicophoron were the most dominant helminth genera in the studied ruminants. Anthelmintic resistance was detected against the three tested drugs on all the screened farms, except against albendazole and levamisole in sheep from Hammanskraal and Nigel, respectively. About 88 % of interviewed farmers were aware of veterinary helminthosis, 67 % treated against helminths and 83 % provided their livestock with nutritional supplements. This study showed that a high prevalence of helminthosis and anthelmintic resistance does occur in the study area, thus relevant strategic interventions are recommended.

  6. Hair arsenic levels and prevalence of arsenicosis in three Cambodian provinces.

    PubMed

    Hashim, Jamal Hisham; Radzi, Rozhan Syariff Mohamed; Aljunid, Syed Mohamed; Nur, Amrizal Muhammad; Ismail, Aniza; Baguma, David; Sthiannopkao, Suthipong; Phan, Kongkea; Wong, Ming Hung; Sao, Vibol; Yasin, Mohamed Salleh Mohamed

    2013-10-01

    Natural, inorganic arsenic contamination of groundwater threatens the health of more than 100 million people worldwide, including residents of the densely populated river deltas of South and Southeast Asia. Contaminated groundwater from tube wells in Cambodia was discovered in 2001 leading to the detection of the first cases of arsenicosis in 2006. The most affected area was the Kandal Province. The main objective of this study was to determine the prevalence of arsenicosis in Cambodia based on acceptable criteria, and to investigate the use of hair arsenic as a biomarker not only for arsenicosis-related signs but also for associated symptoms. A cross-sectional epidemiological study of 616 respondents from 3 purposely selected provinces within the Mekong River basin of Cambodia was conducted. The Kandal Province was chosen as a high arsenic-contaminated area, while the Kratie Province and Kampong Cham Province were chosen as moderate and low arsenic-contaminated areas, respectively. The most prevalent sign of arsenicosis was hypomelanosis with a prevalence of 14.5% among all respondents and 32.4% among respondents with a hair arsenic level of ≥1 μg/g. This was followed by hyperkeratosis, hyperpigmentation and mee's lines. Results also suggest a 1.0 μg/g hair arsenic level to be a practical cut off point for an indication of an arsenic contaminated individual. This hair arsenic level, together with the presence of one or more of the classical signs of arsenicosis, seems to be a practical criteria for a confirmed diagnosis. Based on these criteria, the overall prevalence of arsenicosis for all provinces was found to be 16.1%, with Kandal Province recording the highest prevalence of 35.5%. This prevalence is comparatively high when compared to that of other affected countries. The association between arsenicosis and the use of Chinese traditional medicine also needs further investigation. Copyright © 2013 Elsevier B.V. All rights reserved.

  7. DEFINING AND NEGOTIATING THE SOCIAL VALUE OF RESEARCH IN PUBLIC HEALTH FACILITIES: PERCEPTIONS OF STAKEHOLDERS IN A RESEARCH-ACTIVE PROVINCE OF SOUTH AFRICA

    PubMed Central

    Lutge, Elizabeth; Slack, Catherine; Wassenaar, Douglas

    2016-01-01

    This paper reports on qualitative research conducted in KwaZulu-Natal, South Africa, among researchers and gate-keepers of health facilities in the province. Results suggest disparate but not irreconcilable perceptions of the social value of research in provincial health facilities. This study found that researchers tended to emphasise the contribution of research to the generation of knowledge and to the health of future patients while gate-keepers of health facilities tended to emphasise its contribution to the healthcare system and to current patients. Furthermore, relations between research stakeholders were perceived to be somewhat fragile, making it difficult for stakeholders to achieve consensus about the social value of research, as well as on ways to maximise value. Interventions to negotiate a shared perspective on the social value of research would appear to be warranted, and the findings of this study suggest some focus areas for such intervention. PMID:28060430

  8. Eastern South African hydroclimate over the past 270,000 years

    NASA Astrophysics Data System (ADS)

    Simon, Margit H.; Ziegler, Martin; Bosmans, Joyce; Barker, Stephen; Reason, Chris J. C.; Hall, Ian R.

    2015-12-01

    Processes that control the hydrological balance in eastern South Africa on orbital to millennial timescales remain poorly understood because proxy records documenting its variability at high resolution are scarce. In this work, we present a detailed 270,000 year-long record of terrestrial climate variability in the KwaZulu-Natal province based on elemental ratios of Fe/K from the southwest Indian Ocean, derived from X-ray fluorescence core scanning. Eastern South African climate variability on these time scales reflects both the long-term effect of regional insolation changes driven by orbital precession and the effects associated with high-latitude abrupt climate forcing over the past two glacial-interglacial cycles, including millennial-scale events not previously identified. Rapid changes towards more humid conditions in eastern South Africa as the Northern Hemisphere entered phases of extreme cooling were potentially driven by a combination of warming in the Agulhas Current and shifts of the subtropical anticyclones. These climate oscillations appear coherent with other Southern Hemisphere records but are anti-phased with respect to the East Asian Monsoon. Numerical modelling results reveal that higher precipitation in the KwaZulu-Natal province during precession maxima is driven by a combination of increased local evaporation and elevated moisture transport into eastern South Africa from the coast of Mozambique.

  9. Eastern South African hydroclimate over the past 270,000 years.

    PubMed

    Simon, Margit H; Ziegler, Martin; Bosmans, Joyce; Barker, Stephen; Reason, Chris J C; Hall, Ian R

    2015-12-21

    Processes that control the hydrological balance in eastern South Africa on orbital to millennial timescales remain poorly understood because proxy records documenting its variability at high resolution are scarce. In this work, we present a detailed 270,000 year-long record of terrestrial climate variability in the KwaZulu-Natal province based on elemental ratios of Fe/K from the southwest Indian Ocean, derived from X-ray fluorescence core scanning. Eastern South African climate variability on these time scales reflects both the long-term effect of regional insolation changes driven by orbital precession and the effects associated with high-latitude abrupt climate forcing over the past two glacial-interglacial cycles, including millennial-scale events not previously identified. Rapid changes towards more humid conditions in eastern South Africa as the Northern Hemisphere entered phases of extreme cooling were potentially driven by a combination of warming in the Agulhas Current and shifts of the subtropical anticyclones. These climate oscillations appear coherent with other Southern Hemisphere records but are anti-phased with respect to the East Asian Monsoon. Numerical modelling results reveal that higher precipitation in the KwaZulu-Natal province during precession maxima is driven by a combination of increased local evaporation and elevated moisture transport into eastern South Africa from the coast of Mozambique.

  10. Eastern South African hydroclimate over the past 270,000 years

    PubMed Central

    Simon, Margit H.; Ziegler, Martin; Bosmans, Joyce; Barker, Stephen; Reason, Chris J.C.; Hall, Ian R.

    2015-01-01

    Processes that control the hydrological balance in eastern South Africa on orbital to millennial timescales remain poorly understood because proxy records documenting its variability at high resolution are scarce. In this work, we present a detailed 270,000 year-long record of terrestrial climate variability in the KwaZulu-Natal province based on elemental ratios of Fe/K from the southwest Indian Ocean, derived from X-ray fluorescence core scanning. Eastern South African climate variability on these time scales reflects both the long-term effect of regional insolation changes driven by orbital precession and the effects associated with high-latitude abrupt climate forcing over the past two glacial-interglacial cycles, including millennial-scale events not previously identified. Rapid changes towards more humid conditions in eastern South Africa as the Northern Hemisphere entered phases of extreme cooling were potentially driven by a combination of warming in the Agulhas Current and shifts of the subtropical anticyclones. These climate oscillations appear coherent with other Southern Hemisphere records but are anti-phased with respect to the East Asian Monsoon. Numerical modelling results reveal that higher precipitation in the KwaZulu-Natal province during precession maxima is driven by a combination of increased local evaporation and elevated moisture transport into eastern South Africa from the coast of Mozambique. PMID:26686943

  11. The mosses (Bryophyta) of Capitán Prat Province, Aisén Region, southern Chile.

    PubMed

    Larraín, Juan

    2016-01-01

    The bryophytes of Capitán Prat province have remained one of the least explored in Chile. The eventual construction of several dams on the rivers Baker and Pascua required prospection of all groups of organisms including bryophytes, work that was facilitated by the recent construction of vehicular roads that now offer easy access to previously almost unaccessible locations. The results of intense bryophyte collecting during the austral summer of 2007 are here presented. A total of 260 moss taxa are reported for the province, corresponding to 256 species and four infraspecific taxa, of which 211 are new records for the province, 54 are new for Aisén Region, and two are new records for continental Chile ( Pohlia longicollis (Hedw.) Lindb. and Rigodium toxarion var. robustum (Broth.) Zomlefer). Twelve species extend their known distribution ranges to the north, whereas 49 extend them to the south.

  12. The mosses (Bryophyta) of Capitán Prat Province, Aisén Region, southern Chile

    PubMed Central

    Larraín, Juan

    2016-01-01

    Abstract The bryophytes of Capitán Prat province have remained one of the least explored in Chile. The eventual construction of several dams on the rivers Baker and Pascua required prospection of all groups of organisms including bryophytes, work that was facilitated by the recent construction of vehicular roads that now offer easy access to previously almost unaccessible locations. The results of intense bryophyte collecting during the austral summer of 2007 are here presented. A total of 260 moss taxa are reported for the province, corresponding to 256 species and four infraspecific taxa, of which 211 are new records for the province, 54 are new for Aisén Region, and two are new records for continental Chile (Pohlia longicollis (Hedw.) Lindb. and Rigodium toxarion var. robustum (Broth.) Zomlefer). Twelve species extend their known distribution ranges to the north, whereas 49 extend them to the south. PMID:27698577

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

    ERIC Educational Resources Information Center

    Rangongo, Paul; Mohlakwana, Mokgadi; Beckman, Johan

    2016-01-01

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

  14. Gender, HIV Testing and Stigma: The Association of HIV Testing Behaviors and Community-Level and Individual-Level Stigma in Rural South Africa Differ for Men and Women.

    PubMed

    Treves-Kagan, Sarah; El Ayadi, Alison M; Pettifor, Audrey; MacPhail, Catherine; Twine, Rhian; Maman, Suzanne; Peacock, Dean; Kahn, Kathleen; Lippman, Sheri A

    2017-09-01

    Stigma remains a significant barrier to HIV testing in South Africa. Despite being a social construct, most HIV-stigma research focuses on individuals; further the intersection of gender, testing and stigma is yet to be fully explored. We examined the relationship between anticipated stigma at individual and community levels and recent testing using a population-based sample (n = 1126) in Mpumalanga, South Africa. We used multi-level regression to estimate the potential effect of reducing community-level stigma on testing uptake using the g-computation algorithm. Men tested less frequently (OR 0.22, 95% CI 0.14-0.33) and reported more anticipated stigma (OR 5.1, 95% CI 2.6-10.1) than women. For men only, testing was higher among those reporting no stigma versus some (OR 1.40, 95% CI 0.97-2.03; p = 0.07). For women only, each percentage point reduction in community-level stigma, the likelihood of testing increased by 3% (p < 0.01). Programming should consider stigma reduction in the context of social norms and gender to tailor activities appropriately.

  15. Narrative review of EHDI in South Africa

    PubMed Central

    Storbeck, Claudine

    2015-01-01

    Background With 17 babies born with hearing loss every day in South Africa, there is a pressing need for systematic Early Hearing Detection and Intervention (EHDI) services. Progress is being made in offering newborn hearing screening and studies have been conducted to document these processes within South Africa. However, due to the lack of a national and holistic overview of EHDI services to date, an accurate picture of the current status of EHDI within the South African context is required. Objective To document and profile what has been published within the field of EHDI in South Africa over the last two decades (Jan 1995–Sept 2014) in order to gain a comprehensive overview of the current status and practice of screening and diagnosis in the field of paediatric hearing loss. Method A narrative review of peer-reviewed articles related to EHDI in South Africa was conducted by searching the EBSCOHOST, SCOPUS and JSTOR databases for the period January 1995 to September 2014. Results Results indicate that over the last two decades research and publications in the field of EHDI have increased considerably. These publications have revealed extensive knowledge related to paediatric hearing screening and intervention services in South Africa; however, this knowledge seems to be limited primarily to the provinces of Gauteng and the Western Cape. Furthermore, studies pertaining to diagnosis have revealed that, although much has been written on the scientific aspects on tools for diagnosis of hearing loss, there is a lack of comprehensive information on diagnostic protocols and procedures. Conclusion Despite the clear progress being made in South Africa in the field of early hearing detection and intervention, there is a need for comprehensive studies on protocols and procedures in diagnosing paediatric hearing loss. Finally, the narrative review revealed a clear need to ensure that development and growth in the field of EHDI is a national priority and extends beyond the

  16. Factors associated with good TB infection control practices among primary healthcare workers in the Free State Province, South Africa.

    PubMed

    Engelbrecht, Michelle; Janse van Rensburg, André; Kigozi, Gladys; van Rensburg, Hcj Dingie

    2016-11-04

    Despite the availability of TB infection control guidelines, and good levels of healthcare worker knowledge about infection control, often these measures are not well implemented. This study sought to determine the factors associated with healthcare workers' good TB infection control practices in primary health care facilities in the Free State Province, South Africa. A cross-sectional self-administered survey among nurses (n = 202) and facility-based community healthcare workers (n = 34) as well as facility observations were undertaken at all 41 primary health care facilities in a selected district of the Free State Province. The majority of respondents were female (n = 200; 87.7 %) and the average age was 44.19 years (standard deviation ±10.82). Good levels of knowledge were recorded, with 42.8 % (n = 101) having an average score (i.e. 65-79 %) and 31.8 % (n = 75) a good score (i.e. ≥ 80 %). Most respondents (n = 189; 80.4 %) had positive attitudes towards TB infection control practices (i.e. ≥ 80 %). While good TB infection control practices were reported by 72.9 % (n = 161) of the respondents (i.e. ≥75 %), observations revealed this to not necessarily be the case. For every unit increase in attitudes, good practices increased 1.090 times (CI:1.016-1.169). Respondents with high levels of knowledge (≥80 %) were 4.029 (CI: 1.550-10.469) times more likely to have good practices when compared to respondents with poor levels of knowledge (<65 %). The study did not find TB/HIV-related training to be a predictor of good practices. Positive attitudes and good levels of knowledge regarding TB infection control were the main factors associated with good infection control practices. Although many respondents reported good infection control practices - which was somewhat countered by the observations - there are areas that require attention, particularly those related to administrative controls and the use of personal

  17. The chemical composition and fluxes of atmospheric wet deposition at four sites in South Africa

    NASA Astrophysics Data System (ADS)

    Conradie, E. H.; Van Zyl, P. G.; Pienaar, J. J.; Beukes, J. P.; Galy-Lacaux, C.; Venter, A. D.; Mkhatshwa, G. V.

    2016-12-01

    South Africa is the economic hub of southern Africa and is regarded as an important source region of atmospheric pollutants. A nitrogen dioxide (NO2) hotspot is clearly visible from space over the South African Mpumalanga Highveld, while South Africa is also regarded as the 9th largest anthropogenic sulphur (S) emitting country. Notwithstanding the importance of South Africa with regard to nitrogen (N) and S emissions, very limited data has been published on the chemical composition of wet deposition for this region. This paper presents the concentrations of sodium (Na+), ammonium (NH4+), potassium (K+), calcium (Ca2+), magnesium (Mg2+), nitrate (NO3-), chloride (Cl-), sulphate (SO42-) and water-soluble organic acids (OA) in the wet deposition samples collected between 2009 and 2014 at four South African IDAF (IGAC DEBITS Africa) sites, which are regarded as regional representatives of the north-eastern interior. Also, wet deposition fluxes of the ten ions are calculated and presented in this paper. The results show that the total ionic concentrations and fluxes of wet deposition were much higher at the two sites closer to anthropogenic emissions, while the pH of wet deposition at these two sites were lower compared to that of the two sites that were less impacted by anthropogenic emissions. . The major sources of the ten ions included marine, terrigenous (crust), fossil fuel combustion, agriculture and biomass burning. Significant contributions from fossil fuel combustion were determined for the two sites in close proximity to anthropogenic source regions. The results of back trajectory analysis, however, did indicate that the two remote sites are also affected by air masses passing over the source region through anti-cyclonic recirculation. The largest contributions at the two sites distant from the anthropogenic source regions were marine sources, while the impact of biomass burning was also more significant at the remote sites. Comparison to previous wet

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

    PubMed

    Varga, Christine; Brookes, Heather

    2008-06-01

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

  19. Nested PCR detection and phylogenetic analysis of Babesia bovis and Babesia bigemina in cattle from Peri-urban localities in Gauteng Province, South Africa.

    PubMed

    Mtshali, Phillip Senzo; Tsotetsi, Ana Mbokeleng; Thekisoe, Matlhahane Molifi Oriel; Mtshali, Moses Sibusiso

    2014-01-01

    Babesia bovis and Babesia bigemina are tick-borne hemoparasites causing babesiosis in cattle worldwide. This study was aimed at providing information about the occurrence and geographical distribution of B. bovis and B. bigemina species in cattle from Gauteng province, South Africa. A total of 268 blood samples collected from apparently healthy animals in 14 different peri-urban localities were tested using previously established nested PCR assays for the detection of B. bovis and B. bigemina species-specific genes encoding rhoptry-associated protein 1 (RAP-1) and SpeI-AvaI restriction fragment, respectively. Nested PCR assays revealed that the overall prevalence was 35.5% (95% confidence interval [CI]=± 5.73) and 76.1% (95% CI=± 5.11) for B. bovis and B. bigemina, respectively. PCR results were corroborated by sequencing amplicons of randomly selected samples. The neighbor-joining trees were constructed to study the phylogenetic relationship between B. bovis and B. bigemina sequences of randomly selected isolates. Analysis of phylogram inferred with B. bovis RAP-1 sequences indicated a close relationship between our isolates and GenBank strains. On the other hand, a tree constructed with B. bigemina gp45 sequences revealed a high degree of polymorphism among the B. bigemina isolates investigated in this study. Taken together, the results presented in this work indicate the high incidence of Babesia parasites in cattle from previously uncharacterised peri-urban areas of the Gauteng province. These findings suggest that effective preventative and control measures are essential to curtail the spread of Babesia infections among cattle populations in Gauteng.

  20. Better antiretroviral therapy outcomes at primary healthcare facilities: an evaluation of three tiers of ART services in four South African provinces.

    PubMed

    Fatti, Geoffrey; Grimwood, Ashraf; Bock, Peter

    2010-09-21

    There are conflicting reports of antiretroviral therapy (ART) effectiveness comparisons between primary healthcare (PHC) facilities and hospitals in low-income settings. This comparison has not been evaluated on a broad scale in South Africa. A retrospective cohort study was conducted including ART-naïve adults from 59 facilities in four provinces in South Africa, enrolled between 2004 and 2007. Kaplan-Meier estimates, competing-risks Cox regression, generalised estimating equation population-averaged models and logistic regression were used to compare death, loss to follow-up (LTFU) and virological suppression (VS) between PHC, district and regional hospitals. 29 203 adults from 47 PHC facilities, nine district hospitals and three regional hospitals were included. Patients at PHC facilities had more advanced WHO stage disease when starting ART. Retention in care was 80.1% (95% CI: 79.3%-80.8%), 71.5% (95% CI: 69.1%-73.8%) and 68.7% (95% CI: 67.0%-69.7%) at PHC, district and regional hospitals respectively, after 24 months of treatment (P<0.0001). In adjusted regression analyses, LTFU was independently increased at regional hospitals (aHR 2.19; 95% CI: 1.94-2.47) and mortality was independently elevated at district hospitals (aHR 1.60; 95% CI: 1.30-1.99) compared to PHC facilities after 12 months of ART. District and regional hospital patients had independently reduced probabilities of VS, aOR 0.76 (95% CI: 0.59-0.97) and 0.64 (95% CI: 0.56-0.75) respectively compared to PHC facilities over 24 months of treatment. ART outcomes were superior at PHC facilities, despite PHC patients having more advanced clinical stage disease when starting ART, suggesting that ART can be adequately provided at this level and supporting the South African government's call for rapid up-scaling of ART at the primary level of care. Further prospective research is required to determine the degree to which outcome differences are attributable to either facility level characteristics or

  1. Geology and total petroleum systems of the West-Central Coastal province (7203), West Africa

    USGS Publications Warehouse

    Brownfield, Michael E.; Charpentier, Ronald R.

    2006-01-01

    The West-Central Coastal Province of the Sub-Saharan Africa Region consists of the coastal and offshore areas of Cameroon, Equatorial Guinea, Gabon, Democratic Republic of the Congo, Republic of the Congo, Angola (including the disputed Cabinda Province), and Namibia. The area stretches from the east edge of the Niger Delta south to the Walvis Ridge. The West-Central Coastal Province includes the Douala, Kribi-Campo, Rio Muni, Gabon, Congo, Kwanza, Benguela, and Namibe Basins, which together form the Aptian salt basin of equatorial west Africa. The area has had significant exploration for petroleum; more than 295 oil fields have been discovered since 1954. Since 1995, several giant oil fields have been discovered, especially in the deep-water area of the Congo Basin. Although many total petroleum systems may exist in the West-Central Coastal Province, only four major total petroleum systems have been defined. The area of the province north of the Congo Basin contains two total petroleum systems: the Melania-Gamba Total Petroleum System, consisting of Lower Cretaceous source and reservoir rocks, and the Azile-Senonian Total Petroleum System, consisting of Albian to Turonian source rocks and Cretaceous reservoir rocks. Two assessment units are defined in the West-Central Coastal Province north of the Congo Basin: the Gabon Subsalt and the Gabon Suprasalt Assessment Units. The Congo Basin contains the Congo Delta Composite Total Petroleum System, consisting of Lower Cretaceous to Tertiary source and reservoir rocks. The Central Congo Delta and Carbonate Platform and the Central Congo Turbidites Assessment Units are defined in the Congo Delta Composite Total Petroleum System. The area south of the Congo Basin contains the Cuanza Composite Total Petroleum System, consisting of Lower Cretaceous to Tertiary source and reservoir rocks. The Cuanza-Namibe Assessment Unit is defined in the Cuanza Composite Total Petroleum System. The U.S. Geological Survey (USGS) assessed the

  2. An update on the status and management of the Sirex woodwasp in South Africa

    Treesearch

    Brett P. Hurley; Bernard Slippers; Michael J. Wingfield

    2011-01-01

    The woodwasp Sirex noctilio was first detected in South Africa in 1994. By 2009, it had spread to most of the pine-growing provinces in the country, and it continues to move northwards to the remaining pine areas and toward Zimbabwe. In the summer rainfall area of South Africa, S. noctilio has caused serious losses.

  3. A new genus and species of Platyischnopidae (Amphipoda: Gammaridea) from the Argentine sea, South-West Atlantic ocean.

    PubMed

    Chiesa, Ignacio L; Alonso, Gloria M

    2014-05-30

    The family Platyischnopidae is herein reported for the first time in the Argentine Sea, South-West Atlantic Ocean. A new genus and species, Platyisao holodividum gen. et. sp. nov., collected off the coast of Buenos Aires and Río Negro provinces, is fully described and illustrated. Platyisao gen. nov. is distinguished from the eight other genera of Platyischnopidae by the gnathopods subchelate, and the telson elongate, completely cleft. In addition, the distribution of Tiburonella viscana (Barnard J.L., 1964), up to now known in the South-West Atlantic Ocean from Brazilian waters, is extended to the coast off Buenos Aires province, Argentina.

  4. Cross-shift peak expiratory flow changes are unassociated with respirable coal dust exposure among South African coal miners.

    PubMed

    Naidoo, Rajen N; Robins, Thomas G; Becklake, Margaret; Seixas, Noah; Thompson, Mary Lou

    2007-12-01

    The objectives of this study were to determine whether cross-shift changes in peak expiratory flow rate (PEFR) were related to respirable dust exposure in South African coalminers. Fifty workers were randomly selected from a cohort of 684 miners from 3 bituminous coalmines in Mpumalanga, South Africa. Peak expiratory efforts were measured prior to the commencement of the shift, and at the end of the shift on at least two occasions separated by at least 2 weeks, with full shift personal dust sampling being conducted on each occasion for each participant. Interviews were conducted, work histories were obtained and cumulative exposure estimates were constructed. Regression models examined the associations of cross-shift changes in PEFR with current and cumulative exposure, controlling for shift, smoking and past history of tuberculosis. There were marginal differences in cross-shift PEFR (ranging from 0.1 to 2 L/min). Linear regression analyses showed no association between cross-shift change in PEFR and current or cumulative exposure. The specific shift worked by participants in the study showed no effect. Our study showed no association between current respirable dust exposure and cross-shift changes in PEFR. There was a non-significant protective effect of cumulative dust exposure on the outcome, suggesting the presence of a "healthy worker survivor effect" in this data.

  5. [Investigation of work-related acute pesticide poisoning among farmers in Jiangsu Province and the risk factors].

    PubMed

    Cui, Meng-jing; Tu, Zhi-bin; Gu, Yue; Zhang, Xu-jun

    2013-01-01

    To determine the incidence of work-related acute pesticide poisoning among farmers in Jiangsu Province and to identify the risk factors. Multi-stage stratified sampling and cluster sampling methods were used to randomly select 1490 farmers from the south (Z village), centre (Y village) and north (X village) of Jiangsu Province. The database was established by EpiData 3.1. SPSS 17.0 and SAS 9.13 were used to do chi-square test, trend chi-square test, single factor and multi-factor logistic regression analysis. Among 1490 farmers, 121 people had work-related acute pesticide poisoning in the past year. The incidence rate in Jiangsu Province was 8.1%. 118 farmers (97.5%) were mild pesticide poisoning.3 farmers (2.5%) were moderate pesticide poisoning. The incidence rate of Work-related acute pesticide poisoning in X village of North Jiangsu Province (13.5%, 68/505) is obviously higher than that in Y village of Central Jiangsu Province (4.8%, 19/399) and Z village of South Jiangsu Province (5.8%, 34/586), and the difference is statistically significant (χ(2) = 29.60, P < 0.01). The incidence rate of Work-related acute pesticide poisoning in female (10.4%, 58/557) is obviously higher than that in male (6.8%, 63/933), and the difference is statistically significant (χ(2) = 6.26, P < 0.05). There are lack of safety guidance, unsafety application methods (without alternate row spraying, without backward application, without down-wind application) and risk behaviors in the spraying (without read labels, preparing pesticides without gloves, wiping sweat with hand (s), equipment leakage, body pollution by pesticide, working when feeling sick, without bath after work). If farmers have risk behaviors above, the incidence rate of Work-related acute pesticide poisoning will be obviously higher than farmers who receive safety guidance and have no such dangerous behaviors, and all the differences are statistically significant (P < 0.05). The group of 24 ∼ 34 years old has the

  6. Lessons Learnt from Teachers' Perspectives on Mobile Learning in South Africa with Cultural and Linguistic Constraints

    ERIC Educational Resources Information Center

    Jantjies, Mmaki; Joy, Mike

    2016-01-01

    South Africa's classrooms are characterised by a wide variety of cultural and linguistic differences, providing teachers with educational challenges, particularly in mathematics and science subjects. In response, various mobile learning systems have been developed and piloted in the North West and Gauteng Provinces of South Africa. A framework has…

  7. Defining and Negotiating the Social Value of Research in Public Health Facilities: Perceptions of Stakeholders in a Research-Active Province of South Africa.

    PubMed

    Lutge, Elizabeth; Slack, Catherine; Wassenaar, Douglas

    2017-02-01

    This article reports on qualitative research conducted in KwaZulu-Natal, South Africa, among researchers and gate-keepers of health facilities in the province. Results suggest disparate but not irreconcilable perceptions of the social value of research in provincial health facilities. This study found that researchers tended to emphasize the contribution of research to the generation of knowledge and to the health of future patients while gate-keepers of health facilities tended to emphasize its contribution to the healthcare system and to current patients. Furthermore, relations between research stakeholders were perceived to be somewhat fragile, making it difficult for stakeholders to achieve consensus about the social value of research, as well as on ways to maximize value. Interventions to negotiate a shared perspective on the social value of research would appear to be warranted, and the findings of this study suggest some focus areas for such intervention. © 2017 John Wiley & Sons Ltd.

  8. Alcohol use, sexual relationship power, and unprotected sex among patrons in bars and taverns in rural areas of North West province, South Africa.

    PubMed

    Nkosi, Sebenzile; Rich, Eileen P; Morojele, Neo K

    2014-11-01

    We examined the relative importance of alcohol consumption and sexual relationship power (SRP) in predicting unprotected sex among 406 bar patrons in North West province, South Africa. We assessed participants' demographic characteristics, alcohol consumption, SRP, and number of unprotected sexual episodes in the past 6 months. In correlational analyses, alcohol consumption was significantly associated with frequency of unprotected sex for both males and females. SRP was significantly associated with frequency of unprotected sex for males and marginally associated for females. In multivariate regression analyses, alcohol consumption was significantly associated with frequency of unprotected sex for both males and females. SRP's association was marginally significant for females and not significant for males. Alcohol consumption is more strongly associated with unprotected sex than is SRP among bar patrons. Combination HIV prevention approaches to curb problem drinking and increase condom accessibility, and regular and effective use are needed in tavern settings. SRP needs further examination among tavern populations.

  9. [Spatio-temporal characteristics of agricultural drought in Shaanxi Province, China based on integrated disaster risk index].

    PubMed

    He, Bin; Wang, Quan Jiu; Wu, Di; Zhou, Bei Bei

    2016-10-01

    With the change of climate, agricultural drought has directly threatened the food security. Based on the natural disaster risk theory, we analyzed the spatial and temporal characteristics of agricultural drought in Shanxi Province from 2009 to 2013. Four risk factors (hazard, exposure, vulnerability, and drought resistance ability) were selected with the consideration of influence factors of drought disasters. Subsequently, the index weight was determined by the analytic hierarchy process (AHP) and the aggregative indicator of natural disaster risk was established. The results showed that during the study period, the agricultural drought risk slightly declined in the northern Shaanxi, but increased sharply in the southern Shaanxi, especially in Shangluo City. While for the central part of Shaanxi Province, it maintained good stability, which was the highest in Xianyang City and the lowest in Xi'an City. Generally, the agricultural drought risk in Shaanxi Province gradually increased from south to north.

  10. New Patterns of Disclosure: How HIV-Positive Support Group Members from KwaZulu-Natal Speak of their Status in Oral Narratives

    PubMed Central

    Denis, Philippe

    2014-01-01

    This paper examines the representations and emotions associated with disclosure and stigma in Pietermaritzburg, KwaZulu-Natal, seven years after the start of the South African government’s ARV roll-out programme on the basis of in-depth oral history interviews of HIV-positive support group members. It argues that the wider availability of ARV treatment, the ensuing reduced fatality rate and the increased number of people, including men, who receive counselling and testing, may mean that HIV/AIDS is less stigmatised and that disclosure has become easier. This does not mean that stigma has disappeared and that the confusion created by competing world-views and belief systems has dissipated. Yet the situation of extreme denial and ideological confusion observed, for example, by Deborah Posel and her colleagues in 2003 and 2004 in the Mpumalanga province seems to have lessened. The interviews hint at the possibility that people living with HIV may have, more than a decade before, a language to express the emotions and feelings associated with HIV/AIDS. They were also found to be more assertive in matters of gender relations. These new attitudes would make disclosure easier and stigma more likely to recede. PMID:24775433

  11. "Making a difference" - Medical students' opportunities for transformational change in health care and learning through quality improvement projects.

    PubMed

    Bergh, Anne-Marie; Bac, Martin; Hugo, Jannie; Sandars, John

    2016-07-11

    Quality improvement is increasingly becoming an essential aspect of the medical curriculum, with the intention of improving the health care system to provide better health care. The aim of this study was to explore undergraduate medical students' experiences of their involvement in quality improvement projects during a district health rotation. Student group reports from rotations in learning centres of the University of Pretoria in Mpumalanga Province, South Africa were analysed for the period 2012 to 2015. Interviews were conducted with health care providers at four learning centres in 2013. Three main themes were identified: (1) 'Situated learning', describing students' exposure to the discrepancies between ideal and reality in a real-life situation and how they learned to deal with complex situations, individually and as student group; (2) 'Facing dilemmas', describing how students were challenged about the non-ideal reality; (3) 'Making a difference', describing the impact of the students' projects, with greater understanding of themselves and others through working in teams but also making a change in the health care system. Quality improvement projects can provide an opportunity for both the transformation of health care and for transformative learning, with individual and 'collective' self-authorship.

  12. Confined Floodplain Dynamics on Semi-Arid Systems

    NASA Astrophysics Data System (ADS)

    Entwistle, N. S.

    2017-12-01

    Many watercourses across southern Africa are characterised by a bedrock influenced `macro-channel' created as a result of geologically recent fluvial incision into ancient planation surfaces. The rivers of the Kruger National Park in Mpumalanga Province, South Africa are no exception, displaying a varied set of channel types within a bedrock template. Contemporary flows are largely contained within the confines of this `macro-channel' and a diverse valley bottom morphology and ecology has developed in response to this flow regime coupled with intermittent fine sediment delivery from the catchment. Aerial imagery and field monitoring of the impact of two cyclone driven extreme flows and subsequent recovery phases suggests that flood impact is spatially variable with bedrock exposure greatest along watercourses already severely impacted by previous events. Subsequent system development has been characterised by the redistribution and vegetative colonisation of unconsolidated sandy sediment over bedrock. On less impacted systems vegetative induced recovery has, in contrast, been rapid with many of the species present displaying significant resilience to extreme flows forming residual pockets which are subsequently developing alongside embryonic morphologic recovery. Using these observations a model of valley bottom recovery is presented.

  13. Consanguineous marriages in the province of Antalya, Turkey.

    PubMed

    Alper, O M; Erengin, H; Manguoğlu, A E; Bilgen, T; Cetin, Z; Dedeoğlu, N; Lüleci, G

    2004-01-01

    To assess the trends in the frequency and the medical effects of consanguinity in the south coast of Turkish population using local and national data in the last 11 years. This cross-sectional study was carried out in Manavgat province, which is a major tourism center on the Mediterranean coast of Turkey. The authors studied consanguineous marriages in rural and urban population in the Mediterranean coast, Manavgat province, Turkey, via a 1500 random survey sample of married couples. There has been a significant increase in the incidence of consanguineous marriages in rural areas (40.7%) since 1989 in the southern population of Turkey. The results showed that the most frequent type of marriage was between the first cousins. It is found that there is no statistically significant difference between the consanguineous and non-consanguineous marriages in the different age groups. The results were discussed on the basis of educational status, reasons for having consanguineous marriages and the general medical effects as well as with the relation of congenital malformations. The custom of consanguineous unions in the Mediterranean population of Turkey is still extremely high, and preventive measures should be done to decrease its frequency and associated complications.

  14. Hierarchical, quantitative biogeographic provinces for all North American turtles and their contribution to the biogeography of turtles and the continent

    USGS Publications Warehouse

    Ennen, Joshua R.; Matamoros, Wilfredo A.; Agha, Mickey; Lovich, Jeffrey E.; Sweat, Sarah C.; Hoagstrom, Christopher W.

    2017-01-01

    Our study represents the first attempt to describe biogeographic provinces for North American (México, United States, and Canada) turtles. We analyzed three nested data sets separately: (1) all turtles, (2) freshwater turtles, and (3) aquatic turtles. We georeferenced North American turtle distributions, then we created presence–absence matrices for each of the three data sets. We used watershed unit as biogeographic units. We conducted an unweighted pair-group method with arithmetic mean clustering analysis on each Jaccard index distance matrix from our watershed species matrices to delineate biogeographic provinces. Provinces were then tested for significant differences in species compositions in a global model with the use of a one-way analysis of similarity. We conducted a best subset of environmental variables with maximum (rank) correlation with community dissimilarities that determined the best model of abiotic variables explaining province delineation (i.e., climate, topography, and stream channel). To identify which species contributed the most to province delineations, we conducted an indicator species analysis and a similarity-percentage analysis. There were 16 all-turtle provinces, 15 freshwater provinces, and 13 aquatic provinces. Species compositions delineating the provinces were explained by abiotic variables, including mean annual precipitation, mean precipitation seasonality, and diversity of streams. Province delineations correspond closely with geographical boundaries, many of which have Pleistocene origins. For example, rivers with a history of carrying glacial runoff (e.g., Arkansas, Mississippi) sometimes dissect upland provinces, especially for aquatic and semiaquatic turtles. Compared with freshwater fishes, turtles show greater sensitivity to decreased temperature with restriction of most taxa south of the last permafrost maximum. Turtles also exhibit higher sensitivity to climatic, geomorphic, and tectonic instability, with richness

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

    PubMed Central

    2013-01-01

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

  16. Status of insecticide resistance in high-risk malaria provinces in Afghanistan.

    PubMed

    Ahmad, Mushtaq; Buhler, Cyril; Pignatelli, Patricia; Ranson, Hilary; Nahzat, Sami Mohammad; Naseem, Mohammad; Sabawoon, Muhammad Farooq; Siddiqi, Abdul Majeed; Vink, Martijn

    2016-02-18

    Insecticide resistance seriously threatens the efficacy of vector control interventions in malaria endemic countries. In Afghanistan, the status of insecticide resistance is largely unknown while distribution of long-lasting insecticidal nets has intensified in recent years. The main objective of this study was thus to measure the level of resistance to four classes of insecticides in provinces with medium to high risk of malaria transmission. Adult female mosquitoes were reared from larvae successively collected in the provinces of Nangarhar, Kunar, Badakhshan, Ghazni and Laghman from August to October 2014. WHO insecticide susceptibility tests were performed with DDT (4 %), malathion (5 %), bendiocarb (0.1 %), permethrin (0.75 %) and deltamethrin (0.05 %). In addition, the presence of kdr mutations was investigated in deltamethrin resistant and susceptible Anopheles stephensi mosquitoes collected in the eastern provinces of Nangarhar and Kunar. Analyses of mortality rates revealed emerging resistance against all four classes of insecticides in the provinces located east and south of the Hindu Kush mountain range. Resistance is observed in both An. stephensi and Anopheles culicifacies, the two dominant malaria vectors in these provinces. Anopheles superpictus in the northern province of Badakhshan shows a different pattern of susceptibility with suspected resistance observed only for deltamethrin and bendiocarb. Genotype analysis of knock down resistance (kdr) mutations at the voltage-gated channel gene from An. stephensi mosquitoes shows the presence of the known resistant alleles L1014S and L1014F. However, a significant fraction of deltamethrin-resistant mosquitoes were homozygous for the 1014L wild type allele indicating that other mechanisms must be considered to account for the observed pyrethroid resistance. This study confirms the importance of monitoring insecticide resistance for the development of an integrated vector management in Afghanistan. The

  17. Factors influencing treatment default among tuberculosis patients in a high burden province of South Africa.

    PubMed

    Kigozi, G; Heunis, C; Chikobvu, P; Botha, S; van Rensburg, D

    2017-01-01

    To determine and describe the factors influencing treatment default of tuberculosis (TB) patients in the Free State Province of South Africa. A retrospective records review of pulmonary TB cases captured in the ETR.Net electronic TB register between 2003 and 2012 was performed. Subjects were >15 years of age and had a recorded pre-treatment smear result. The demographic and clinical characteristics of defaulters were described. Multivariate logistic regression analysis was used to determine factors associated with treatment default. The odds ratios (OR) together with their corresponding 95% confidence intervals (CI) were estimated. Statistical significance was considered at 0.05. A total of 7980 out of 110 349 (7.2%) cases defaulted treatment. Significantly higher proportions of cases were male (8.3% vs. female: 5.8%; p<0.001), <25 years old (9.1% vs. 25-34 years: 8.7%; 35-44 years: 7.0%; 45-54 years: 5.2%; 55-64 years: 4.4%; >64 years: 3.9%; p<0.001), undergoing TB retreatment (11.0% vs. new cases: 6.3%; p<0.001), had a negative pre-treatment sputum smear result (7.8% vs. positive smear results: 7.1%; p<0.001), were in the first 2 months of treatment (95.5% vs. >2 months: 4.8%; p<0.001), and had unknown HIV status (7.8% vs. HIV-positive: 7.0% and HIV-negative: 5.7%; p<0.001). After controlling for potential confounders, multivariate analysis revealed a two-fold increased risk of defaulting treatment when being retreated compared to being treated for the first time for TB (adjusted OR (AOR) 2.0, 95% CI 1.85-2.25). Female cases were 40% less likely to default treatment compared to their male counterparts (AOR 0.6, 95% CI 0.51-0.71). Treatment default was less likely among cases >24 years old compared to younger cases (25-34 years: AOR 0.8, 95% CI 0.77-0.87; 35-44 years: AOR 0.6, 95% CI 0.50-0.64; 45-54 years: AOR 0.4, 95% CI 0.32-0.49; 55-64 years: AOR 0.3, 95% CI 0.21-0.43; >64 years: AOR 0.3, 95% CI 0.19-0.35). Co-infected cases receiving antiretroviral therapy

  18. Strengthening the capacity for health promotion in South Africa through international collaboration.

    PubMed

    Van den Broucke, Stephan; Jooste, Heila; Tlali, Maki; Moodley, Vimla; Van Zyl, Greer; Nyamwaya, David; Tang, Kwok-Cho

    2010-06-01

    This paper describes a project to strengthen the capacity for health promotion in two Provinces in South Africa. The project draws on the key health promotion capacity dimensions of partnership and networking, infrastructure, problem-solving capacity, and knowledge transfer. The project was carried out in a partnership between the Provinces, the Ministry of Health of South Africa, the government of Flanders, Belgium, and the World Health Organization (WHO). The project aimed to: (i) integrate health promotion into national, Provincial and district level health policy plans (ii) strengthen the health promotion capacity in the two Provinces; and (iii) support the development of tools to monitor and evaluate health promotion interventions. Starting from a situation analysis and identification of priority health issues and existing actions in each Province, capacity-building workshops were organized for senior participants from various sectors. Community-based health promotion interventions were then planned and implemented in both Provinces. A systematic evaluation of the project involving an internal audit of project activities and results based on document analysis, site visits, focus groups and interviews with key persons demonstrated that stakeholders in both Provinces saw an increase of capacity in terms of networking, knowledge transfer, problem solving, and to a lesser extent infrastructure. Health promotion had been well integrated in the Provincial health plans, and roll-out processes with local stakeholders had started after the conclusion of the project. The development of tools for monitoring and evaluation of health promotion was less well achieved. The project illustrates how capacities to deliver health promotion interventions in a developing country can be enhanced through international collaboration. The conceptual model of capacity building that served as a basis for the project provided a useful framework to plan, identify and assess the key

  19. Realist evaluation of the antiretroviral treatment adherence club programme in selected primary healthcare facilities in the metropolitan area of Western Cape Province, South Africa: a study protocol.

    PubMed

    Mukumbang, Ferdinand C; Van Belle, Sara; Marchal, Bruno; Van Wyk, Brian

    2016-04-04

    Suboptimal retention in care and poor treatment adherence are key challenges to antiretroviral therapy (ART) in sub-Saharan Africa. Community-based approaches to HIV service delivery are recommended to improve patient retention in care and ART adherence. The implementation of the adherence clubs in the Western Cape province of South Africa was with variable success in terms of implementation and outcomes. The need for operational guidelines for its implementation has been identified. Therefore, understanding the contexts and mechanisms for successful implementation of the adherence clubs is crucial to inform the roll-out to the rest of South Africa. The protocol outlines an evaluation of adherence club intervention in selected primary healthcare facilities in the metropolitan area of the Western Cape Province, using the realist approach. In the first phase, an exploratory study design will be used. Document review and key informant interviews will be used to elicit the programme theory. In phase two, a multiple case study design will be used to describe the adherence clubs in five contrastive sites. Semistructured interviews will be conducted with purposively selected programme implementers and members of the clubs to assess the context and mechanisms of the adherence clubs. For the programme's primary outcomes, a longitudinal retrospective cohort analysis will be conducted using routine patient data. Data analysis will involve classifying emerging themes using the context-mechanism-outcome (CMO) configuration, and refining the primary CMO configurations to conjectured CMO configurations. Finally, we will compare the conjectured CMO configurations from the cases with the initial programme theory. The final CMOs obtained will be translated into middle range theories. The study will be conducted according to the principles of the declaration of Helsinki (1964). Ethics clearance was obtained from the University of the Western Cape. Dissemination will be done through

  20. Small Area Indices of Multiple Deprivation in South Africa

    ERIC Educational Resources Information Center

    Noble, Michael; Barnes, Helen; Wright, Gemma; Roberts, Benjamin

    2010-01-01

    This paper presents the Provincial Indices of Multiple Deprivation that were constructed by the authors at ward level using 2001 Census data for each of South Africa's nine provinces. The principles adopted in conceptualising the indices are described and multiple deprivation is defined as a weighted combination of discrete dimensions of…

  1. The costs and cost effectiveness of providing first-trimester, medical and surgical safe abortion services in KwaZulu-Natal Province, South Africa.

    PubMed

    Lince-Deroche, Naomi; Fetters, Tamara; Sinanovic, Edina; Devjee, Jaymala; Moodley, Jack; Blanchard, Kelly

    2017-01-01

    Despite a liberal abortion law, access to safe abortion services in South Africa is challenging for many women. Medication abortion was introduced in 2013, but its reach remains limited. We aimed to estimate the costs and cost effectiveness of providing first-trimester medication abortion and manual vacuum aspiration (MVA) services to inform planning for first-trimester service provision in South Africa and similar settings. We obtained data on service provision and outcomes from an operations research study where medication abortion was introduced alongside existing MVA services in public hospitals in KwaZulu-Natal province. Clinical data were collected through interviews with first-trimester abortion clients and summaries completed by nurses performing the procedures. In parallel, we performed micro-costing at three of the study hospitals. Using a model built in Excel, we estimated the average cost per medical and surgical procedure and determined the cost per complete abortion performed. Results are presented in 2015 US dollars. A total of 1,129 women were eligible for a first trimester abortion at the three study sites. The majority (886, 78.5%) were eligible to choose their abortion procedure; 94.1% (n = 834) chose medication abortion. The total average cost per medication abortion was $63.91 (52.32-75.51). The total average cost per MVA was higher at $69.60 (52.62-86.57); though the cost ranges for the two procedures overlapped. Given average costs, the cost per complete medication abortion was lower than the cost per complete MVA despite three (0.4%) medication abortion women being hospitalized and two (0.3%) having ongoing pregnancies at study exit. Personnel costs were the largest component of the total average cost of both abortion methods. This analysis supports the scale-up of medication abortion alongside existing MVA services in South Africa. Women can be offered a choice of methods, including medication abortion with MVA as a back-up, without

  2. The costs and cost effectiveness of providing first-trimester, medical and surgical safe abortion services in KwaZulu-Natal Province, South Africa

    PubMed Central

    Devjee, Jaymala; Moodley, Jack

    2017-01-01

    Background Despite a liberal abortion law, access to safe abortion services in South Africa is challenging for many women. Medication abortion was introduced in 2013, but its reach remains limited. We aimed to estimate the costs and cost effectiveness of providing first-trimester medication abortion and manual vacuum aspiration (MVA) services to inform planning for first-trimester service provision in South Africa and similar settings. Methods We obtained data on service provision and outcomes from an operations research study where medication abortion was introduced alongside existing MVA services in public hospitals in KwaZulu-Natal province. Clinical data were collected through interviews with first-trimester abortion clients and summaries completed by nurses performing the procedures. In parallel, we performed micro-costing at three of the study hospitals. Using a model built in Excel, we estimated the average cost per medical and surgical procedure and determined the cost per complete abortion performed. Results are presented in 2015 US dollars. Results A total of 1,129 women were eligible for a first trimester abortion at the three study sites. The majority (886, 78.5%) were eligible to choose their abortion procedure; 94.1% (n = 834) chose medication abortion. The total average cost per medication abortion was $63.91 (52.32–75.51). The total average cost per MVA was higher at $69.60 (52.62–86.57); though the cost ranges for the two procedures overlapped. Given average costs, the cost per complete medication abortion was lower than the cost per complete MVA despite three (0.4%) medication abortion women being hospitalized and two (0.3%) having ongoing pregnancies at study exit. Personnel costs were the largest component of the total average cost of both abortion methods. Conclusion This analysis supports the scale-up of medication abortion alongside existing MVA services in South Africa. Women can be offered a choice of methods, including medication

  3. Assessment of rural ecosystem health and type classification in Jiangsu province, China.

    PubMed

    Meng, Lingran; Huang, Jiu; Dong, Jihong

    2018-02-15

    Quantitative analysis of rural ecosystem health (REH) is required to comprehend the spatial differentiation of rural landscape and promote rural sustainable development under the pressure of urbanization and industrialization, especially those with dramatic changes in rural ecology of China and other developing countries. In this study, taking Jiangsu province as the case study, appropriate indicators were selected in the perspective of compound ecosystem and the rural ecosystem health index (REHI) was developed including four rural ecological subsystems of resource, environmental, social and economic. The comprehensive indicator assessment models and geographic information system (GIS) spatial methods were used to analyze the REH status and spatial differentiation of 57 counties in Jiangsu province. The REH scores of 57 rural counties were in a higher range of 0.686-0.882 and fluctuating increased from north to south, indicating that the rural ecosystem in Jiangsu province was at a relatively healthy level and counties in southern Jiangsu were healthier than those in central and northern regions. The spatial concentration of REH in Jiangsu was poor and the spatial distribution of four subsystems health levels were significantly different by spatial Gini coefficient analysis. The REH of 57 counties in Jiangsu province were classified into 13 types according to the identification of the health levels and quantity of four subsystems. Moreover, we analyzed the influencing factors of each type and proposed paths to promote the development and management of rural ecosystem. Copyright © 2017 Elsevier B.V. All rights reserved.

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

    PubMed

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

    2015-11-27

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

  5. Geology and total petroleum systems of the Gulf of Guinea province of West Africa

    USGS Publications Warehouse

    Brownfield, Michael E.; Charpentier, Ronald R.

    2006-01-01

    The Gulf of Guinea Province as defined by the U.S. Geological Survey (USGS) consists of the coastal and offshore areas of Cote d'Ivoire, Ghana, Togo, and Benin, and the western part of the coast of Nigeria, from the Liberian border east to the west edge of the Niger Delta. The province includes the Ivory Coast, Tano, Central, Saltpond, Keta, and Benin Basins and the Dahomey Embayment. The area has had relatively little hydrocarbon exploration since 1968, with only 33 small to moderate-sized oil and gas fields having been discovered prior to the USGS assessment. Most discoveries to 1995 have been located in water depths less than 500 m. Since 1995, only eight new offshore discoveries have been made, with four of the discoveries in the deep-water area of the province. Although as many as five total petroleum systems exist in the Gulf of Guinea Province, only one, the Cretaceous Composite Total Petroleum System, and its assessment unit, the Coastal Plain and Offshore Assessment Unit, had sufficient data to allow assessment. The province shows two important differences compared to the passive-margin basins south of the Niger Delta: (1) the influence of transform tectonics, and (2) the absence of evaporites and salt deformation. The province also lacks long-lived, large deltaic systems that typically result in rapid source rock burial and abundant high-quality hydrocarbon reservoirs. The USGS assessed the potential for undiscovered conventional oil and gas resources in the Gulf of Guinea Province as part of its World Petroleum Assessment 2000, estimating a mean of 1,004 million barrels of conventional undiscovered oil, 10,071 billion cubic feet of gas, and 282 million barrels of natural gas liquids. Most of the hydrocarbon potential is postulated to be in the offshore, deeper waters of the province. Gas resources may be large, as well as accessible, in areas where the zone of hydrocarbon generation is relatively shallow.

  6. Assessment of Permian coalbed gas resources of the Karoo Basin Province, South Africa and Lesotho, 2016

    USGS Publications Warehouse

    Schenk, Christopher J.; Brownfield, Michael E.; Tennyson, Marilyn E.; Klett, Timothy R.; Mercier, Tracey J.; Hawkins, Sarah J.; Gaswirth, Stephanie B.; Marra, Kristen R.; Finn, Thomas M.; Le, Phuong A.; Leathers-Miller, Heidi M.

    2017-02-21

    Using a geology-based assessment methodology, the U.S. Geological Survey estimated undiscovered, technically recoverable mean resources of 5.27 trillion cubic feet of coalbed gas in the Karoo Basin Province.

  7. Optimal feeding systems for small-scale dairy herds in the North West Province, South Africa.

    PubMed

    Manzana, N Patience; McCrindle, Cheryl M E; Sebei, P Julius; Prozesky, Leon

    2014-07-09

    Land redistribution was legislated in 1994; it was designed to resolve historical imbalances inland ownership in South Africa. Between 2002 and 2006, a longitudinal observational studywas conducted with 15 purposively selected small-scale dairy farmers in a land redistributionproject in Central North West Province. Four farmers left the project over the period. For thepurposes of this study, a small-scale dairy farm was defined as a farm that produces less than500 L of milk a day, irrespective of the number of cows or size of the farm. The study wasconducted in three phases. In the first phase, situational analysis using participatory ruralappraisal (PRA) and observation was used to outline the extent of the constraints and designappropriate interventions. Feeds that were used were tested and evaluated. In the secondphase, three different feeding systems were designed from the data obtained from PRA. Thesewere: (1) A semi-intensive farm-based ration using available crops, pastures and crop residueswith minimal rations purchased. (2) An intensive, zero-grazing dairy system using a totalmixed ration. (3) A traditional, extensive or dual-purpose system, where the calf drank fromthe cow until weaning and milking was done only once a day. In the third phase, adoptionwas monitored. By July 2006, all remaining farmers had changed to commercially formulatedrations or licks and the body condition score of the cows had improved. It was concluded thatveterinary extension based on PRA and a holistic systems approach was a good option forsuch complex problems. Mentoring by commercial dairy farmers, veterinary and extensionservices appeared to be viable. Further research should be done to optimise the traditionalmodel of dairy farming, as this was relatively profitable, had a lower risk and was less labourintensive.

  8. Assessment of undiscovered oil and gas resources of the East Coast Mesozoic basins of the Piedmont, Blue Ridge Thrust Belt, Atlantic Coastal Plain, and New England Provinces, 2011

    USGS Publications Warehouse

    Milici, Robert C.; Coleman, James L.; Rowan, Elisabeth L.; Cook, Troy A.; Charpentier, Ronald R.; Kirschbaum, Mark A.; Klett, Timothy R.; Pollastro, Richard M.; Schenk, Christopher J.

    2012-01-01

    During the early opening of the Atlantic Ocean in the Mesozoic Era, numerous extensional basins formed along the eastern margin of the North American continent from Florida northward to New England and parts of adjacent Canada. The basins extend generally from the offshore Atlantic continental margin westward beneath the Atlantic Coastal Plain to the Appalachian Mountains. Using a geology-based assessment method, the U.S. Geological Survey estimated a mean undiscovered natural gas resource of 3,860 billion cubic feet and a mean undiscovered natural gas liquids resource of 135 million barrels in continuous accumulations within five of the East Coast Mesozoic basins: the Deep River, Dan River-Danville, and Richmond basins, which are within the Piedmont Province of North Carolina and Virginia; the Taylorsville basin, which is almost entirely within the Atlantic Coastal Plain Province of Virginia and Maryland; and the southern part of the Newark basin (herein referred to as the South Newark basin), which is within the Blue Ridge Thrust Belt Province of New Jersey. The provinces, which contain these extensional basins, extend across parts of Georgia, South Carolina, North Carolina, Virginia, Maryland, Delaware, Pennsylvania, New Jersey, New York, Connecticut, and Massachusetts.

  9. Professional nurses' attitudes towards providing termination of pregnancy services in a tertiary hospital in the north west province of South Africa.

    PubMed

    Mokgethi, N E; Ehlers, V J; van der Merwe, M M

    2006-03-01

    The Choice on Termination of Pregnancy Act (no 92 of 1996) was implemented during 1997. This study attempted to investigate professional nurses' attitudes towards rendering termination of pregnancy (TOP) services at a tertiary hospital in the North West Province of South Africa. A quantitative descriptive research design was used to study professional nurses' attitudes towards providing TOP services. The research results, obtained from questionnaires completed by professional nurses, indicated that most professional nurses' attitudes included that women should be at least 16 years of age to access these services; women should not be able to access repeated TOPs; nurses would prefer to administer pills rather than to use vacuum aspirations; nurses should work in TOP services by choice only. TOP centers should have better equipment, more resources and more staff members. Nurses working in TOP services would appreciate receiving more support from their families, friends, managers and communities. Some professional nurses experienced guilt, depression, anxiety and religious conflicts as a result of providing TOP services. Despite the legalisation of TOPs, these services remained stigmatised. Professional nurses did not want to work in these services and also did not want to be associated with them.

  10. Compliance with the consumption of iron and folate supplements by pregnant women in Mafikeng local municipality, North West province, South Africa.

    PubMed

    Mbhenyane, Xikombiso; Cherane, Matodzi

    2017-09-01

    Anaemia due to iron deficiency is recognized as one of the major nutritional deficiencies in women and children in developing countries. Daily iron supplementation for pregnant women is recommended in many countries. The aim of the study was to investigate the factors that contribute to compliance to the consumption of iron and folate supplements by pregnant woman in Mafikeng local municipality, North West Province, South Africa. A mixed method of descriptive, exploratory and cross-sectional design was used. Ten clinics were used as a sample frame where 57 pregnant women and 10 health workers were purposefully and conveniently selected. Quantitative techniques were used to collect data on attendance, consumption and nutrition knowledge using the self-reported questionnaire by pregnant women, and structured interview for health workers. Qualitative design was used to conduct in - depth focus-group discussions to gather information on compliance to the consumption of supplements by pregnant women. The findings of the study revealed good antenatal clinic attendance, availability of supplements and 93% compliance to the consumption of iron and folate supplements. High compliance to the consumption of iron and folate supplements by pregnant women was reported, and this should be reinforced.

  11. A rapid assessment of a community health worker pilot programme to improve the management of hypertension and diabetes in Emfuleni sub-district of Gauteng Province, South Africa.

    PubMed

    Ndou, Tshipfuralo; van Zyl, Greer; Hlahane, Salamina; Goudge, Jane

    2013-01-24

    Non-communicable diseases (NCD) and infectious chronic illnesses are recognised as significant contributing factors to the burden of disease globally, specifically in South Africa, yet clinical management is often poor. The involvement of community health workers (CHWs) in TB and HIV care in South Africa, and other low- and middle-income settings, suggests that they could make an important contribution in the management of NCDs. Using a rapid assessment, this study examines the outcomes of a pilot CHW programme to improve the management of hypertension and diabetes in Gauteng province, South Africa. A record review compared outcomes of patients receiving home visits (n56) with a control group (n168) attending the clinic, matched, as far as possible, on age, gender, and condition. Focus group discussions and semi-structured interviews with CHWs, patients, district, clinic, and NGO staff were used to obtain descriptions of the functioning of the programme and patient experiences. Despite the greater age and co-morbidity among those in the pilot programme, the findings suggest that control of hypertension was improved by CHW home visits in comparison to usual clinic care. However, too few doctor visits, insufficient monitoring of patient outcomes by clinic staff, and a poor procurement process for supplies required by the CHWs hampered the programme's activities. The role of CHWs in the management of hypertension should be given greater consideration, with larger studies being conducted to provide more robust evidence. Adequate training, supervision, and operational support will be required to ensure success of any CHW programme.

  12. Crystallisation of mela-aillikites of the Narsaq region, Gardar alkaline province, south Greenland and relationships to other aillikitic carbonatitic associations in the province

    NASA Astrophysics Data System (ADS)

    Upton, B. G. J.; Craven, J. A.; Kirstein, L. A.

    2006-11-01

    Aillikites (carbonated, melilite-free ultramafic lamprophyres grading to carbonatites) are minor components of the Gardar alkaline igneous province. They occur principally as minor intrusions and as clasts in diatremes, but more voluminous aillikitic intrusions crop out near the Ilímaussaq Complex, which they predate by a few million years. These larger intrusions were emplaced at 1160 ± 5 Ma. They are essentially carbonate-free and, consisting almost wholly of ferromagnesian silicate and oxide minerals, are mela-aillikites. Typically the mela-aillikites are fine-grained rocks composed largely of olivine, clinopyroxene, phlogopite and magnetite that crystallised in open systems, permitting loss of volatile-rich residues. The petrography is highly complex, involving at least 28 mineral species. Pyroxenitic veins were emplaced while the host-rocks were still at high temperatures and represent channels through which fluorinated silico-carbonatitic residual melts escaped, with exsolving CO 2 as propellant. Precipitation of Ca-rich minerals including monticellite, perovskite, vesuvianite, wollastonite and cuspidine was a result of dissociation of the calcium carbonate in the residual melts. Late-stage crystallisation was in a highly oxidising environment in which the 'common minerals' attain extreme compositions (almost pure forsterite, ferrian-diopside, highly magnesian ilmenite, Ba-Ti-rich phlogopite and Sr-rich kaersutite). Spatially associated diatremes may be vents through which CO 2-rich gases erupted. The whole-rock compositions are considered to be well removed from those of co-existing melts: compaction and expulsion of highly mobile residual melts is inferred to have left the mela-aillikites as aberrant cumulates. The mela-aillikites are a late-Gardar manifestation of the aillikitic magmatism that occurred intermittently in the province for over 120 Ma. Repetitive formation of metasomite vein systems in the deep lithospheric mantle is postulated. These

  13. Chapter 32: Geology and petroleum potential of the Arctic Alaska petroleum province

    USGS Publications Warehouse

    Bird, K.J.; Houseknecht, D.W.

    2011-01-01

    The Arctic Alaska petroleum province encompasses all lands and adjacent continental shelf areas north of the Brooks Range-Herald Arch orogenic belt and south of the northern (outboard) margin of the Beaufort Rift shoulder. Even though only a small part is thoroughly explored, it is one of the most prolific petroleum provinces in North America with total known resources (cumulative production plus proved reserves) of c. 28 BBOE. The province constitutes a significant part of a displaced continental fragment, the Arctic Alaska microplate, that was probably rifted from the Canadian Arctic margin during formation of the Canada Basin. Petroleum prospective rocks in the province, mostly Mississippian and younger, record a sequential geological evolution through passive margin, rift and foreland basin tectonic stages. Significant petroleum source and reservoir rocks were formed during each tectonic stage but it was the foreland basin stage that provided the necessary burial heating to generate petroleum from the source rocks. The lion's share of known petroleum resources in the province occur in combination structural-stratigraphic traps formed as a consequence of rifting and located along the rift shoulder. Since the discovery of the super-giant Prudhoe Bay accumulation in one of these traps in the late 1960s, exploration activity preferentially focused on these types of traps. More recent activity, however, has emphasized the potential for stratigraphic traps and the prospect of a natural gas pipeline in this region has spurred renewed interest in structural traps. For assessment purposes, the province is divided into a Platform assessment unit (AU), comprising the Beaufort Rift shoulder and its relatively undeformed flanks, and a Fold-and-Thrust Belt AU, comprising the deformed area north of the Brooks Range and Herald Arch tectonic belt. Mean estimates of undiscovered, technically recoverable resources include nearly 28 billion barrels of oil (BBO) and 122 trillion

  14. "She made up a choice for me": 22 HIV-positive women's experiences of involuntary sterilization in two South African provinces.

    PubMed

    Strode, Ann; Mthembu, Sethembiso; Essack, Zaynab

    2012-12-01

    Since 1998 South African law has provided that adults should have access to sterilization but only with their informed consent. However, the right to sterilization and other sexual and reproductive rights have not been fully realized as women struggle to access limited services, and there are allegations of discrimination and sterilization abuses. This qualitative study explores the experiences of 22 HIV-positive women in two provinces who reported being sterilized between 1996 and 2010 without their informed consent (n=18) or without their knowledge (n=4). Key issues reported by participants included failure to respect their autonomy, lack of information given about what sterilization entailed, and subtle or overt pressure to sign the consent form. Although the legal framework was intended to ensure informed decision-making regarding sterilization, these protections appear to have failed the HIV-positive women in this study. The findings suggest that some health professionals may consider a signature on a consent form as sufficient regardless of how it was obtained. Furthermore the women's perceptions that they were singled out as needing to be sterilized simply because they were HIV-positive warrants further investigation. More research is required on the nature of the problem and on other stakeholders' perceptions. Copyright © 2012 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

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

    PubMed

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

    2017-08-25

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

  16. Radiographic outcomes among South African coal miners.

    PubMed

    Naidoo, Rajen N; Robins, Thomas G; Solomon, A; White, Neil; Franzblau, Alfred

    2004-10-01

    This study, the first to document the prevalence of pneumoconiosis among a living South African coal mining cohort, describes dose-response relationships between coal workers' pneumoconiosis and respirable dust exposure, and relationships between pneumoconiosis and both lung function deterioration and respiratory symptoms. A total of 684 current miners and 188 ex-miners from three bituminous-coal mines in Mpumalanga, South Africa, was studied. Chest radiographs were read according to the International Labour Organization (ILO) classification by two experienced readers, one an accredited National Institute for Occupational Safety and Health (NIOSH) "B" reader. Interviews were conducted to assess symptoms, work histories (also obtained from company records), smoking, and other risk factors. Spirometry was performed by trained technicians. Cumulative respirable dust exposure (CDE) estimates were constructed from historical company-collected sampling and researcher-collected personal dust measurements. kappa-Statistics compared the radiographic outcomes predicted by the two readers. An average profusion score was used in the analysis for the outcomes of interest. Because of possible confounding by employment status, most analyses were stratified on current and ex-miner status. The overall prevalence of pneumoconiosis was low (2%-4%). The degree of agreement between the two readers for profusion was moderate to high (kappa=0.58). A significant association (P<0.001) and trend (P<0.001) was seen for pneumoconiosis with increasing categories of CDE among current miners only. A significant (P<0.0001) additional 58 mg-years/m3 CDE was seen among those with pneumoconiosis compared to those without. CDE contributed to a statistically significant 0.19% and 0.11% greater decline in the percent predicted 1-second forced expiration volume (FEV1) and forced vital capacity (FVC), respectively, among current miners with pneumoconiosis than among those without. Logistic regression

  17. Geographical Distribution Patterns of Iodine in Drinking-Water and Its Associations with Geological Factors in Shandong Province, China

    PubMed Central

    Gao, Jie; Zhang, Zhijie; Hu, Yi; Bian, Jianchao; Jiang, Wen; Wang, Xiaoming; Sun, Liqian; Jiang, Qingwu

    2014-01-01

    County-based spatial distribution characteristics and the related geological factors for iodine in drinking-water were studied in Shandong Province (China). Spatial autocorrelation analysis and spatial scan statistic were applied to analyze the spatial characteristics. Generalized linear models (GLMs) and geographically weighted regression (GWR) studies were conducted to explore the relationship between water iodine level and its related geological factors. The spatial distribution of iodine in drinking-water was significantly heterogeneous in Shandong Province (Moran’s I = 0.52, Z = 7.4, p < 0.001). Two clusters for high iodine in drinking-water were identified in the south-western and north-western parts of Shandong Province by the purely spatial scan statistic approach. Both GLMs and GWR indicated a significantly global association between iodine in drinking-water and geological factors. Furthermore, GWR showed obviously spatial variability across the study region. Soil type and distance to Yellow River were statistically significant at most areas of Shandong Province, confirming the hypothesis that the Yellow River causes iodine deposits in Shandong Province. Our results suggested that the more effective regional monitoring plan and water improvement strategies should be strengthened targeting at the cluster areas based on the characteristics of geological factors and the spatial variability of local relationships between iodine in drinking-water and geological factors. PMID:24852390

  18. Geographical distribution patterns of iodine in drinking-water and its associations with geological factors in Shandong Province, China.

    PubMed

    Gao, Jie; Zhang, Zhijie; Hu, Yi; Bian, Jianchao; Jiang, Wen; Wang, Xiaoming; Sun, Liqian; Jiang, Qingwu

    2014-05-19

    County-based spatial distribution characteristics and the related geological factors for iodine in drinking-water were studied in Shandong Province (China). Spatial autocorrelation analysis and spatial scan statistic were applied to analyze the spatial characteristics. Generalized linear models (GLMs) and geographically weighted regression (GWR) studies were conducted to explore the relationship between water iodine level and its related geological factors. The spatial distribution of iodine in drinking-water was significantly heterogeneous in Shandong Province (Moran's I = 0.52, Z = 7.4, p < 0.001). Two clusters for high iodine in drinking-water were identified in the south-western and north-western parts of Shandong Province by the purely spatial scan statistic approach. Both GLMs and GWR indicated a significantly global association between iodine in drinking-water and geological factors. Furthermore, GWR showed obviously spatial variability across the study region. Soil type and distance to Yellow River were statistically significant at most areas of Shandong Province, confirming the hypothesis that the Yellow River causes iodine deposits in Shandong Province. Our results suggested that the more effective regional monitoring plan and water improvement strategies should be strengthened targeting at the cluster areas based on the characteristics of geological factors and the spatial variability of local relationships between iodine in drinking-water and geological factors.

  19. Addressing the Local in Localization: A Case Study of Open Textbook Adoption by Three South African Teachers

    ERIC Educational Resources Information Center

    Jimes, Cynthia; Weiss, Shenandoah; Keep, Renae

    2013-01-01

    This article presents a case study of the adoption and use of open textbooks by three high school teachers in the KwaZulu-Natal province of South Africa. The textbooks, collaboratively authored and distributed through the South African initiative, Siyavula, are available online and are openly licensed, allowing teachers to freely use, modify,…

  20. Evaluating an HIV and AIDS Community Training Partnership Program in Five Diamond Mining Communities in South Africa

    ERIC Educational Resources Information Center

    Rispel, L. C.; Peltzer, K.; Nkomo, N.; Molomo, B.

    2010-01-01

    In 2006, De Beers Consolidated Diamond Mines in South Africa entered into a partnership, with the Soul City Institute for Health and Development Communications to implement an HIV and AIDS Community Training Partnership Program (CTPP), initially in five diamond mining areas in three provinces of South Africa. The aim of CTPP was to improve HIV…

  1. Substance abuse treatment engagement, completion and short-term outcomes in the Western Cape province, South Africa: Findings from the Service Quality Measures Initiative.

    PubMed

    Myers, Bronwyn; Williams, Petal Petersen; Govender, Rajen; Manderscheid, Ron; Koch, J Randy

    2018-04-01

    Optimizing the effectiveness of substance use disorder (SUD) treatment is critical in low-and middle-income countries (LMICs) with limited opportunities for SUD treatment. This is the first study to identify targets for interventions to improve the quality of SUD treatment in a LMIC. We explored correlates of three indicators of treatment quality (treatment engagement, completion and abstinence at treatment exit) using data from a SUD performance measurement system implemented in the Western Cape Province of South Africa. The sample included data from 1094 adult treatment episodes representing 53% of the treatment episodes in 2016. Using multivariate logistic regression analyses, we modeled socio-demographic, substance use and program correlates of treatment engagement, completion, and abstinence at treatment exit. Overall, 59% of patients completed treatment (48% of patients from outpatient services). Treatment completion was associated with greater likelihood of abstinence at treatment exit. Patients were more likely to complete treatment if they engaged in treatment, were older, and had more severe drug problems (characterized by daily drug use and heroin problems) and attended programs of shorter duration. Residential treatment was associated with greater likelihood of treatment engagement, completion, and abstinence at treatment exit. Improving rates of outpatient treatment completion will enhance the effectiveness of South Africa's SUD treatment system. Interventions that promote engagement in treatment, particularly among younger patients; reduce program length through referral to step-down continuing care; and ensure better matching of drug problem to treatment level and type could improve rates of treatment completion. Copyright © 2018 Elsevier B.V. All rights reserved.

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

    PubMed

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

    2018-02-01

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

  3. Demographics and care-seeking behaviors of sexual violence survivors in South Kivu province, Democratic Republic of Congo.

    PubMed

    Bartels, Susan A; Scott, Jennifer A; Leaning, Jennifer; Kelly, Jocelyn T; Joyce, Nina R; Mukwege, Denis; Vanrooyen, Michael J

    2012-12-01

    One of the most striking features of the ongoing conflict in the Democratic Republic of Congo (DRC) is the use of sexual violence. In spite of the brutality of these crimes, the experiences of women affected by sexual violence in Eastern DRC remain poorly characterized. This analysis aimed to (1) provide detailed demographics of sexual violence survivors presenting to Panzi Hospital; (2) examine how demographic factors might impact patterns of sexual violence; and (3) describe care-seeking behavior among sexual violence survivors. The demographics and care-seeking behavior of sexual violence survivors in South Kivu Province were described from a retrospective registry-based study of sexual violence survivors presenting to Panzi Hospital (2004-2008). A total of 4311 records were reviewed. The mean age of survivors was 35 years. Most women (53%) were married, self-identified with the Bashi tribe (65%), and reported agriculture as their livelihood (74%). The mean time delay between sexual assault and seeking care was 10.4 months. Five reasons were identified to help explain the lengthy delays to seeking care: waiting for physical symptoms to develop or worsen before seeking medical attention, lack of means to access medical care, concerns that family would find out about the sexual assault, stigma surrounding sexual violence, and being abducted into sexual slavery for prolonged periods of time. Many sexual assault survivors have very delayed presentations to medical attention. Promoting timely access of medical care may best be facilitated by reducing stigma and by educating women about the benefits of early medical care, even in the absence of injuries or symptoms.

  4. PHYTOCHEMICAL SCREENING, ANTI-INFLAMMATORY AND ANALGESIC PROPERTIES OF PENTANISIA PRUNELLOIDES FROM THE EASTERN CAPE PROVINCE, SOUTH AFRICA.

    PubMed

    Mathews, Miya Gugulethu; Ajayi, Oyemitan Idris; Opeoluwa, Oyedeji Oyehan; Oluwatobi, Oluwafemi Samuel; Benedicta N, Nkeh-Chungag; Phindile, Songca Sandile; Oyedeji; Omowumi, Adebola

    2016-01-01

    Pentanisia prunelloides is a medicinal plant widely used to remedy various ailments including infections, fever and rheumatism in Eastern Cape Province of South Africa. There is scanty report on the phytochemical and biological properties of the plant; hence various solvent extracts of the dried plant materials were phytochemically screened, and its aqueous extract evaluated for acute toxicity effect, analgesic and antiinflammatory properties in rodents. Different extracts of both leaf and rhizome were obtained separately with ethanol, methanol and water. Portions of the filtrate were used for qualitative screening of secondary metabolites and remaining portions were concentrated and dried. Dried grounded leaf and rhizome of the plant were also used for quantitative screening for some major components. The aqueous extract of the leaf and rhizome were used for acute toxicity (LD 50 ) test, antiinflammatory and analgesic activities in rodents. The qualitative phytochemical screening showed the presence of several phytoconstituents with saponins, flavonoids and alkaloids constituting highest constituents in the leaf and rhizome. The LD50: of the aqueous extracts (from leaf or rhizome) was found to be ≥5000 mg/kg orally. The leaf and rhizome aqueous extract (250-500 mg/kg) significantly (p<0.01) reduced egg albumin-induced paw oedema and paw licking in mice induced by formalin, signifying antinociceptive and antiinflammatory activities respectively. It is concluded that the leaf and rhizome of P. prunelloides are rich in various phytochemicals which could be associated with their medicinal uses. The aqueous leaf and rhizome extracts are similarly non-toxic orally, showed antiinflammatory and analgesic potentials thus rationalizing its use in folkloric medicine.

  5. Molecular analysis of tick-borne protozoan and rickettsial pathogens in small ruminants from two South African provinces.

    PubMed

    Ringo, Aaron Edmond; Adjou Moumouni, Paul Franck; Taioe, Moeti; Jirapattharasate, Charoonluk; Liu, Mingming; Wang, Guanbo; Gao, Yang; Guo, Huanping; Lee, Seung-Hun; Zheng, Weiqing; Efstratiou, Artemis; Li, Jixu; Inoue, Noboru; Suzuki, Hiroshi; Thekisoe, Oriel; Xuan, Xuenan

    2018-04-01

    Tick-borne protozoan and rickettsial diseases are a major threat to livestock in tropical and sub-tropical regions of Africa. In this study we investigated the presence and distribution of Theileria spp., Babesia ovis, Anaplasma ovis, Anaplasma phagocytophilum, Ehrlichia ruminantium and SFG Rickettsia in sheep and goats from Free State and KwaZulu-Natal provinces. A total of 91 blood samples were screened in this study, 61 from goats and 30 from sheep. PCR assay was conducted using primers based on Theileria spp. 18S rRNA, Babesia ovis (BoSSU rRNA), Anaplasma ovis (AoMSP4), Anaplasma phagocytophilum epank1, Ehrlichia ruminantium pCS20 and SFG Rickettsia OmpA. Overall infection rates of Theileria spp., Anaplasma ovis and Ehrlichia ruminantium were 18 (19.8%), 33 (36.3%) and 13 (14.3%), respectively. The co-infection of two pathogens were detected in 17/91 (18.7%) of all samples, goats having higher rates of co-infection compared to sheep. Phylogenetic tree analysis sequence of pCS20 gene of E. ruminantium of this study was found to be in the same clade with Kumm2 and Riverside strains both from South Africa. The phylogram of SSU rRNA of Theileria ovis had longer branch length compared to all other sequences most of which were from Asia and Middle East. This study provides important data for understanding the tick-borne diseases occurrence in the study area and it is expected to improve the approach for the diagnosis and control of these diseases. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013)

    PubMed Central

    Sayed, Abdul-Rauf; le Grange, Cynthia; Bhagwan, Susheela; Manga, Nayna; Hellenberg, Derek

    2016-01-01

    Background Major health sector reform and the need for baseline measures of performance to determine impact. Aim Baseline audit of primary healthcare (PHC) performance. Setting Cape Town and Cape Winelands (rural) PHC facilities (PCFs) in Western Cape Province, South Africa. Method The South African cross-culturally validated ZA PCAT to audit PHC performance on 11 subdomains associated with improved health and reduced costs. Adult PCF users systematically sampled. All full-time doctors and nurse practitioners in PCFs sampled and all PCF managers in sub-districts sampled invited into the study. Results Data from 1432 users, 100 clinicians and 64 managers from 13 PCFs in 10 sub-districts analysed (figures show stakeholder percentages scoring subdomain performance ‘acceptable to good’). 11.5% users scored access ‘acceptable to good’; community orientation and comprehensive services provided 20.8% and 39.9%, respectively. Total PHC score for users 50.2%; for managers and practitioners 82.8% and 88.0%, respectively. Among practitioners access was lowest (33.3%); PHC team (98.0%) and comprehensive services available (100.0%) highest. Among managers, access (13.5%) and family centredness (45.6%) are lowest; PHC team (85.9%) and comprehensive services available (90.6%) highest. Managers scored access, family centredness and cultural competence significantly lower than practitioners. Users scored comprehensive services available, comprehensive services provided and community orientation significantly lower than practitioners and managers. Conclusion Gaps between users’ experience and providers’ assessments of PHC performance are identified. Features that need strengthening and alignment with best practice, provincial and national, and health policies are highlighted with implications for practitioner and manager training, health policy, and research. PMID:27247157

  7. Site formation processes at Pinnacle Point Cave 13B (Mossel Bay, Western Cape Province, South Africa): resolving stratigraphic and depositional complexities with micromorphology.

    PubMed

    Karkanas, Panagiotis; Goldberg, Paul

    2010-01-01

    Site PP13B is a cave located on the steep cliffs of Pinnacle Point near Mossel Bay in Western Cape Province, South Africa. The depositional sequence of the cave, predating Marine Isotopic Stage 11 (MIS 11) and continuing to present, is in the form of isolated sediment exposures with different depositional facies and vertical and lateral variations. Micromorphological analysis demonstrated that a suite of natural sedimentation processes operated during the development of the sequence ranging from water action to aeolian activity, and from speleothem formations to plant colonization and root encrustation. At the same time, anthropogenic sediments that are mainly in the form of burnt remains from combustion features (e.g., wood ash, charcoal, and burnt bone) were accumulating. Several erosional episodes have resulted in a complicated stratigraphy, as discerned from different depositional and post-depositional features. The cave is associated with a fluctuating coastal environment, frequent changes in sea level and climate controlled patterns of sedimentation, and the presence or absence of humans. Copyright © 2010 Elsevier Ltd. All rights reserved.

  8. Raising livestock in resource-poor communities of the North West Province of South Africa--a participatory rural appraisal study.

    PubMed

    Getchell, J K; Vatta, A F; Motswatswe, P W; Krecek, R C; Moerane, R; Pell, A N; Tucker, T W; Leshomo, S

    2002-12-01

    A participatory research model was used in six village communities in the Central Region of the North West Province of South Africa in order to achieve the following broad objectives: to obtain information on the challenges owners face in raising livestock in these areas and to evaluate the livestock owners' level of knowledge of internal parasites in their animals. Information obtained at participatory workshops clearly indicated a need for improvements in water supply, schools, job creation, and health services. Lack of pasture for grazing livestock was also cited as being important. Other most frequently mentioned livestock problems included 'gall sickness' (a vaguely defined condition not necessarily referring to anaplasmosis), parasites (both external and internal), chicken diseases and ingestion of plastic bags discarded in the environment. When livestock owners were questioned during individual interviews, most were able to identify the presence of parasites in either the live or dead animal. However, it seems likely that this is limited to the identification of tapeworms. It was found that most livestock owners use a combination of treatments, ranging from traditional to folklore to commercial. There were some difficulties in using the participatory methods since it was the first time that the facilitators and the communities had been exposed to them. Many communities had difficulty in dealing with the concept of finding solutions within the community, which is such an integral part of participatory methods.

  9. Exploring the Sandy Province of Herschel Crater

    NASA Image and Video Library

    2017-09-04

    This view from NASA's Mars Reconnaissance Orbiter shows the downwind stretches of a sand sheet in central part of the much larger Herschel Crater. This sandy province began kilometers upwind in a string of barchan sand dunes. As the north-to-south blowing wind weakened downwind, it could no longer fashion the sand into dunes but rather into amorphously-shaped sand sheets. While perhaps not awe-inspiringly beautiful, sand sheets can tell us about Mars' current and past environmental conditions as a piece of the puzzle for understanding habitability. Having dunes upwind of sheets is the opposite situation Earth has, where upwind sand sheets evolve downwind into sand dunes. This mystery is receiving ongoing research to to understand these sandy differences between Earth and Mars. https://photojournal.jpl.nasa.gov/catalog/PIA21933

  10. Women Principals in South Africa: Gender, Mothering and Leadership

    ERIC Educational Resources Information Center

    Lumby, Jacky; Azaola, Marta Cristina

    2014-01-01

    This paper draws on qualitative data from a mixed-method study that analysed women's access to the principal role and their leadership experiences. The paper draws on a subset of interviews with 54 female head teachers in the Gauteng and North West provinces of South Africa. Since a mothering style of leadership was self-reported by over half of…

  11. Culicinae (Diptera: culicidae) mosquitoes in chabahar county, sistan and baluchistan province, southeastern iran.

    PubMed

    Moosa-Kazemi, Sh; Vatandoost, H; Nikookar, H; Fathian, M

    2009-01-01

    Mosquito-borne diseases are a major public health threat in Iran. The objective of this study was to determine the fauna of culicinae mosquitoes for future mosquito control programs. THREE GENERA AND ELEVEN SPECIES OF THE SUBFAMILY CULICINAE (DIPTERA: Culicidae) were collected by dipping technique and identified in Chabahar County, Sistan and Baluchistan Province, southeastern Iran, during January, February, and March 2007. THE COLLECTED SPECIES INCLUDED: Aedes vexans (new occurrence record for the province), Culex arbieeni, Cx. bitaeniorhynchus, Cx. deserticola, Cx. hortensis, Cx. perexiguus, Cx. pipiens, Cx. pseudovishnui, Cx. pusillus, Cx. quinquefasciatus, Cx. sinaiticus, Cx. theileri, Cx. tritaeniorhynchus, Culiseta longiareolata, Ochlerotatus caballus, Oc. caspius, and Uranotaenia unguiculata. Our observations indicate that, in South of Iran hot and wet climatic conditions support the persistence of culicinae mosquitoes. As our study, regular monitoring of culicinae mosquitoes in this area could be the most useful for mosquito control and mosquito-borne disease prevention.

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

    PubMed

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

    2013-01-01

    Cholera epidemics have a recorded history in eastern Congo dating to 1971. A study was conducted to find out the linkage between climate variability/change and cholera outbreak and to assess the related economic cost in the management of cholera in Congo. This study integrates historical data (20 years) on temperature and rainfall with the burden of disease from cholera in South-Kivu province, eastern Congo. Analyses of precipitation and temperatures characteristics in South-Kivu provinces showed that cholera epidemics are closely associated with climatic factors variability. Peaks in Cholera new cases were in synchrony with peaks in rainfalls. Cholera infection cases declined significantly (P<0.05) with the rise in the average temperature. The monthly number of new Cholera cases oscillated between 5 and 450. For every rise of the average temperature by 0.35 °C to 0.75 °C degree Celsius, and for every change in the rainfall variability by 10-19%, it is likely cholera infection risks will increase by 17 to 25%. The medical cost of treatment of Cholera case infection was found to be of US$50 to 250 per capita. The total costs of Cholera attributable to climate change were found to fall in the range of 4 to 8% of the per capita in annual income in Bukavu town. It is likely that high rainfall favor multiplication of the bacteria and contamination of water sources by the bacteria (Vibrio cholerae). The consumption of polluted water, promiscuity, population density and lack of hygiene are determinants favoring spread and infection of the bacteria among human beings living in over-crowded environments.

  13. Description of Basiria birjandiensis n. sp (Nematoda: Tylenchidae) from South Khorasan province with a checklist of the family Tylenchidae Örley 1880 from Iran.

    PubMed

    Alvani, Somaye; Mahdikhani-Moghadam, Esmat; Rouhani, Hamid; Mohammadi, Abbas; Karssen, Gerrit

    2016-03-03

    In order to identify plant-parasitic nematodes (family Tylenchidae Örley 1880) associated with Ziziphus zizyphus in Iran, 360 soil and root samples were collected from South Khorasan province during 2012-2014. Herein, a new species of Basiria and several known members of the family Tylenchidae are reported. B. birjandiensis n. sp. is characterized by short body length (584-748 µm [660.6±72.3]), lip region with flat apex, stylet 11-12 µm (11.3±0.5), excretory pore position varying from isthmus level to the middle of the basal bulb (78-91 µm from the anterior end of the body), post-vulval uterine sac 8-14 µm (10.7±1.9) long, filiform tail (151-181 µm, c= 3.7-4.2, c´= 14.3-17.2) and body annuli 0.5-1 µm (0.6±0.1) wide. A checklist of Tylenchidae species from Iran is also presented.

  14. Spatio-temporal variability of NDVI-precipitation over southernmost South America: possible linkages between climate signals and epidemics

    NASA Astrophysics Data System (ADS)

    Tourre, Y. M.; Jarlan, L.; Lacaux, J.-P.; Rotela, C. H.; Lafaye, M.

    2008-10-01

    Climate-environment variability affects the rates of incidence of vector-borne and zoonotic diseases and is possibly associated with epidemics outbreaks. Over southernmost South America the joint spatio-temporal evolution of climate-environment is analyzed for the 1982-2004 period. Detailed mapping of normalized difference vegetation index (NDVI) and rainfall variability are then compared to zones with preliminary epidemiological reports. A significant quasi-biennial signal (2.2- to 2.4-year periods, or QB) for joint NDVI-rainfall variability is revealed. From rotated EOFs, dominant NDVI patterns are partitioned according to their lead frequencies: (1) the 'QB group' (2.1-to 3-year periods) includes six modes over southern Brazil, Uruguay, northern-central Argentina (two modes), the southern Paraguay-northern Argentina border, and the Santa Cruz Province; (2) the QB1 (2.4- to 3-year periods) + quasi-quadrennial (QQ) mode over the Misiones Province; and (3) the QB2 (2.1- to 2.5-year periods) + QQ + inter-annual (IA) (3- to 7-year periods) two modes over south-eastern Argentina. Modes within the 'QB group' are positively correlated with global climate signals and SST. The Uruguayan mode is correlated with global ENSO (8-month lag) whilst the southern Entre-Rios/northern Buenos Aires provinces are correlated with central equatorial Pacific SSTs (3-month lag). The Santa Cruz (Patagonia) Province is most correlated with the Pacific South America (PSA) index and SST patterns (3-month lag) along the Antarctica circumpolar current. The spatial distribution of lead NDVI modes includes the Formosa, Misiones, Chaco and Buenos Aires provinces among others, known for being prone to vector-borne epidemics such as dengue fever, malaria, leishmaniasis (American cutaneous leishmaniasis or ACL), hantivirus, chagas and Argentine hemorrhagic fever (AHF). Some provinces also correspond to regions where lead NDVI PCs' modes are associated with high-frequency climate signals such as the

  15. Perceptions of Organizational Functioning in Substance Abuse Treatment Facilities in South Africa

    ERIC Educational Resources Information Center

    Bowles, Steven; Louw, Johann; Myers, Bronwyn

    2011-01-01

    Directors' and treatment staff's perceptions of organizational functioning within substance abuse treatment facilities in four provinces in South Africa were examined via the Texas Christian University's Organizational Readiness for Change instrument. Forty-four treatment facilities (out of 89) participated in the study. Results indicated that…

  16. A study of leptospirosis in South African horses and associated risk factors.

    PubMed

    Simbizi, V; Saulez, M N; Potts, A; Lötter, C; Gummow, B

    2016-11-01

    Most leptospiral infections in horses are asymptomatic; however, acute disease manifestations as well as reproductive failure and recurrent uveitis have been reported. In South Africa, the epidemiology of the disease in horses is not well documented. A serosurvey to determine what serovars were present in horses from Gauteng, KwaZulu-Natal and Western Cape Provinces and to get an estimate of the seroprevalence of leptospirosis was carried out from January 2013 until April 2014 with the assistance of four large equine hospitals located in these provinces. Furthermore, associations between potential risk factors and both seropositive horses to the predominant serovar Bratislava and to Leptospira spp. were statistically evaluated using univariate analysis and multivariable logistic regression models. A total of 663 horse sera were collected and tested against a panel of 24 leptospiral serovars using the microscopic agglutination test. The most predominant serovars in Gauteng were Bratislava [32%, 95% CI: 29-35%]; Djasiman [10.4%, 95% CI: 8-12%] and Arborea [8.9%, 95% CI: 7-11%], in the Western Cape Province, Bratislava [27.35%, 95% CI: 23-32]; Djasiman [15.4%, 95% CI: 12-19%] and Arborea [14.5%, 95% CI: 11-18%] and in KwaZulu-Natal, Bratislava [39.4%, 95% CI: 34-44%]; Arborea [9.6%, 95% CI: 7-13%]; and Tarassovi [7.7%, 95% CI: 5-10%] respectively. Twenty one serovars representing 17 serogroups were detected with serovar Bratislava being the most serodominant. The apparent prevalence to one or more serovars of Leptospira spp. at a serum dilution of 1:100 in Gauteng, KwaZulu-Natal and Western Cape Provinces were 49%; 37% and 32% respectively. The true prevalence was calculated for each province taking into account the clustering effect during the sampling and was found to be between 24 and 74% in Gauteng; 26-39% in the Western Cape and 20-54% in KwaZulu-Natal. Nooitgedacht (South African horse breed) horses were found to be at greater risk of being seropositive to both

  17. Parasites of domestic and wild animals in South Africa. L. Ixodid ticks infesting horses and donkeys.

    PubMed

    Horak, Ivan G; Heyne, Heloise; Halajian, Ali; Booysen, Shalaine; Smit, Willem J

    2017-02-28

    The aim of the study was to determine the species spectrum of ixodid ticks that infest horses and donkeys in South Africa and to identify those species that act as vectors of disease to domestic livestock. Ticks were collected opportunistically from 391 horses countrywide by their owners or grooms, or by veterinary students and staff at the Faculty of Veterinary Science, University of Pretoria. Ticks were also collected from 76 donkeys in Limpopo Province, 2 in Gauteng Province and 1 in North West province. All the ticks were identified by means of a stereoscopic microscope. Horses were infested with 17 tick species, 72.1% with Rhipicephalus evertsi evertsi, 19.4% with Amblyomma hebraeum and 15.6% with Rhipicephalus decoloratus. Rhipicephalus evertsi evertsi was recovered from horses in all nine provinces of South Africa and R. decoloratus in eight provinces. Donkeys were infested with eight tick species, and 81.6% were infested with R. evertsi evertsi, 23.7% with A. hebraeum and 10.5% with R. decoloratus. Several tick species collected from the horses and donkeys are the vectors of economically important diseases of livestock. Rhipicephalus evertsi evertsi is the vector of Theileria equi, the causative organism of equine piroplasmosis. It also transmits Anaplasma marginale, the causative organism of anaplasmosis in cattle. Amblyomma hebraeum is the vector of Ehrlichia ruminantium, the causative organism of heartwater in cattle, sheep and goats, whereas R. decoloratus transmits Babesia bigemina, the causative organism of babesiosis in cattle.

  18. Disparities in Management of Cardiovascular Disease in Rural South Africa: Data From the HAALSI Study (Health and Aging in Africa: Longitudinal Studies of International Network for the Demographic Evaluation of Populations and Their Health Communities).

    PubMed

    Jardim, Thiago Veiga; Reiger, Sheridan; Abrahams-Gessel, Shafika; Crowther, Nigel J; Wade, Alisha; Gómez-Olivé, F Xavier; Salomon, Joshua; Tollman, Stephen; Gaziano, Thomas A

    2017-11-01

    Optimal secondary prevention is critical for the reduction of repeated cardiovascular events, and the control of cardiovascular risk factors in this context is essential. Data on secondary prevention of cardiovascular disease (CVD) in sub-Saharan Africa are needed to inform intervention strategies with a particular focus on local disparities. The aim of this study was to assess CVD management in a rural community in northeast South Africa. We recruited adults aged ≥40 years residing in the Agincourt subdistrict of Mpumalanga province. Data collection included socioeconomic and clinical data, anthropometric measures, blood pressure, human immunodeficiency virus status, and point-of-care glucose and lipid levels. CVD was defined as self-report of myocardial infarction and stroke or angina diagnosed by Rose Criteria. A linear regression model was built to identify variables independently associated with the number of cardiovascular risk factors controlled. Of 5059 subjects, 592 (11.7%) met CVD diagnostic criteria. Angina was reported in 77.0% of these subjects, stroke in 25.2%, and myocardial infarction in 3.7%. Percent controlled of the 5 individual risk factors assessed were as follows: tobacco 92.9%; blood pressure 51.2%; body mass index 33.8%; low-density lipoprotein 31.4%; and waist-to-hip ratio 29.7%. Only 4.4% had all 5 risk factors controlled and 42.4% had ≥3 risk factors controlled. Male sex (β coefficient=0.44; 95% confidence interval, 0.25-0.63; P <0.001), absence of physical disability (β coefficient=0.40; 95% confidence interval, 0.16-0.65; P =0.001), and socioeconomic status (β coefficient=0.10; 95% confidence interval, 0.01-0.19; P =0.035) were directly associated with the number of risk factors controlled. Currently, CVD is not being optimally managed in this rural area of South Africa. There are significant disparities in control of CVD risk factors by sex, socioeconomic status, and level of disability. Efforts to improve secondary prevention

  19. JPRS Report, Near East & South Asia

    DTIC Science & Technology

    1989-04-06

    TIMES OF OMAN 2 Mar] 26 QATAR Rise in Shipping Movements Recorded [GULF TIMES 24 Jan] 26 North Field Gas Project Progress Cited [GULF TIMES 23...the eastern province of Saudi Arabia, Bahrain and Qatar . Stage two will link areas in the South Gulf, Oman and the UAE [United Arab Emirates]. In...current to high-frequency and vice versa. While Bahrain, Qatar , Oman and Kuwait use the first system, Saudi Arabia uses the second. The main

  20. Determination of toxic metals in drinking water sources in the Chief Albert Luthuli Local Municipality in Mpumalanga, South Africa

    NASA Astrophysics Data System (ADS)

    Nthunya, Lebea N.; Masheane, Monaheng L.; Malinga, Soraya P.; Nxumalo, Edward N.; Mamba, Bhekie B.; Mhlanga, Sabelo D.

    2017-08-01

    This study was conducted to determine the presence and levels of toxic metals on selected water sources in a rural community in Lochiel, South Africa. Collection of water samples from identified drinking water sources (open wells, community tanks, water treatment works and boreholes) was done in all seasons of the year (winter, spring, summer and autumn) between 2014 and 2015. The concentrations of identified toxic metals (cobalt, chromium, copper, lead, zinc, manganese and iron) were measured using ICP-OES. Some water sources were found to contain concentrations of toxic metals at levels slightly higher than USEPA, WHO and SANS241 set limits (e.g. manganese and cobalt), while others were found to be within the acceptable limits. This suggested that the residents residing in locations that have water sources containing toxic metals at the concentrations above the set limits are at risk and susceptible to suffer diseases caused by these toxic metals. The side effects of the metals may not be acute; however prolonged exposure to the toxic metals may result in detrimental effects since they are known to bioaccumulate in the body.

  1. Geologic implications of topographic, gravity, and aeromagnetic data in the northern Yukon-Koyukuk province and its borderlands, Alaska

    USGS Publications Warehouse

    Cady, J.W.

    1989-01-01

    The northern Yukon-Koyukuk province is characterized by low elevation and high Bouguer gravity and aeromagnetic anomalies in contrast to the adjacent Brooks Range and Ruby geanticline. Using newly compiled digital topographic, gravity, and aeromagnetic maps, the province is divided into three geophysical domains. The Koyukuk domain, which is nearly equivalent to the Koyukuk lithotectonic terrane, is a horseshoe-shaped area, open to the south, of low topography, high gravity, and high-amplitude magnetic anomalies caused by an intraoceanic magmatic arc. The Angayucham and Kanuti domains are geophysical subdivisions of the Angayucham lithotectonic terrane that occur along the northern and southeastern margins of the Yukon-Koyukuk province, where oceanic rocks have been thrust over continental rocks of the Brooks Range and Ruby geanticline. The modeling supports, but does not prove, the hypothesis that the crust of the Kobuk-Koyukuk basin is 32-35 km thick, consisting of a tectonically thickened section of Cretaceous volcanic and sedimentary rocks and older oceanic crust. -from Author

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

    PubMed Central

    Shamuyarira, Kudakwashe K.; Gumbo, Jabulani R.

    2014-01-01

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

  3. Affects of mining activities on Cd pollution to the paddy soils and rice grain in Hunan province, Central South China.

    PubMed

    Du, Yan; Hu, Xue-Feng; Wu, Xiao-Hong; Shu, Ying; Jiang, Ying; Yan, Xiao-Juan

    2013-12-01

    Located in Central South China, Hunan province is rich in mineral resources. To study the influence of mining on Cd pollution to local agricultural eco-system, the paddy soils and rice grain of Y county in northern Hunan province were intensively monitored. The results were as follows: (1) Total Cd (T-Cd) content in the soils of the county ranges from 0.13 to 6.02 mg kg(-1), with a mean of 0.64 mg kg(-1), of which 57.5% exceed the allowable limit specified by the China Soil Environmental Quality Standards. T-Cd in the soils varies largely, with the coefficient of variation reaching 146.4%. The spatial distribution of T-Cd in the soils quite matches with that of mining and industries. The content of HCl-extractable Cd (HCl-Cd) in the soils ranges from 0.02 to 2.17 mg kg(-1), with a mean of 0.24 mg kg(-1). A significant positive correlation exists between T-Cd and HCl-Cd in the soils (r = 0.770, ρ < 0.01). (2) Cd content in the rice produced in Y county ranges from 0.01 to 2.77 mg kg(-1), with a mean of 0.46 mg kg(-1). The rate of rice with Cd exceeding the allowable limit specified by the Chinese Grain Security Standards reaches 59.6%; that with Cd exceeding 1 mg kg(-1), called as "Cd rice," reaches 11.1%. (3) Cd content in the rice of Y county is positively significantly correlated with HCl-Cd (r = 0.177, ρ < 0.05) but not significantly with T-Cd in the soils (r = 0.091, ρ > 0.05), which suggests that the amount of Cd accumulating in the rice is more affected by its availability in the soils, rather than the total content. (4) The dietary intake of Cd via rice consumption in Y county is estimated to be 179.9 μg day(-1) person(-1) on average, which is far beyond the allowable limit specified by FAO/WHO and the target hazard quotients of Cd much higher than 1, suggesting the high risk on human health from Cd exposure.

  4. Investigation of the relationship between drinking water quality based on content of inorganic components and landform classes using fuzzy AHP (case study: south of Firozabad, west of Fars province, Iran)

    NASA Astrophysics Data System (ADS)

    Mokarram, Marzieh; Sathyamoorthy, Dinesh

    2016-10-01

    In this study, the fuzzy analytic hierarchy process (AHP) is used to study the relationship between drinking water quality based on content of inorganic components and landform classes in the south of Firozabad, west of Fars province, Iran. For determination of drinking water quality based on content of inorganic components, parameters of calcium (Ca), chlorine (Cl), magnesium (Mg), thorium (TH), sodium (Na), electrical conductivity (EC), sulfate (SO4), and total dissolved solids (TDS) were used. It was found that 8.29 % of the study area has low water quality; 64.01 %, moderate; 23.33 %, high; and 4.38 %, very high. Areas with suitable drinking water quality based on content of inorganic components are located in parts of the south-eastern and south-western parts of the study area. The relationship between landform class and drinking water quality based on content of inorganic components shows that drinking water quality based on content of inorganic components is high in the stream, valleys, upland drainages, and local ridge classes, and low in the plain small and midslope classes. In fact we can predict water quality using extraction of landform classes from a digital elevation model (DEM) by the Topographic Position Index (TPI) method, so that streams, valleys, upland drainages, and local ridge classes have more water quality than the other classes. In the study we determined that without measurement of water sample characteristics, we can determine water quality by landform classes.

  5. The costs of accessing abortion in South Africa: women's costs associated with second-trimester abortion services in Western Cape Province.

    PubMed

    Lince-Deroche, Naomi; Constant, Deborah; Harries, Jane; Blanchard, Kelly; Sinanovic, Edina; Grossman, Daniel

    2015-10-01

    To assess women's costs of accessing second-trimester labor induction and dilation and evacuation (D&E) services at four public hospitals in Western Cape Province, South Africa. From April to August 2010, in interviews immediately after completion of their abortion, we asked women about specific direct and indirect costs incurred. We collected information on recurring costs (i.e., per visit) and one-time expenditures and calculated total costs. In total, 194 patients participated (136 D&E; 58 induction). Their median age was 26; 37.6% reported being employed or doing paid work. Most (73.2%) women visited two different facilities, including the study facility, while seeking the procedure. Induction women reported a median of three required visits [interquartile range (IQR) 2.0-3.0] to the study facility, while D&E women reported two required visits [IQR 1.0-2.0]. Twenty-seven percent of women missed work due to the procedure, and few (4.6%) paid for childcare. At each visit, almost all women (180, 92.8%) paid for transportation costs and reported additional one-time costs (177, 91.2%) such as sanitary supplies or doctor's fees. The total median cost incurred per woman was $21.23 [IQR 11.94-44.68]. Roughly half (49.0%) received help with these costs. Although technically offered freely or low cost in the public sector, women accessing second-trimester abortion lost income and incurred costs for transport, fees, supplies and childcare. Their total costs could be reduced by minimizing the number of required visits to facilities and freely offering supplies such as sanitary pads and pregnancy tests. Limited access to second-trimester, safe abortion services in South Africa may result in some women incurring unnecessary costs. Women make multiple visits in attempting to obtain an abortion, often because of facility or health systems requirements, and incur costs for lost income, child care, transport, fees and supplies. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. Social drift of cardiovascular disease risk factors in Africans from the North West Province of South Africa: the PURE study.

    PubMed

    Pisa, P T; Behanan, R; Vorster, H H; Kruger, A

    2012-08-01

    This study examined whether the association between socio-economic status (SES) and cardiovascular disease (CVD) risk factors in black South Africans from the North West Province had shifted from the more affluent groups with higher SES to the less affluent, lower SES groups over a period of nine years. Cross-sectional baseline data of 2 010 urban and rural subjects (35 years and older) participating in the Prospective Urban and Rural (PURE) study and collected in 2005 were analysed to examine the relationship of level of education, employment and urban or rural residence with dietary intakes and other CVD risk factors. These relationships were compared to those found nine years earlier in the Transition and Health during the Urbanisation of South Africans (THUSA) study conducted in the same area. The results showed that urban women had higher body mass index (BMI), serum triglyceride and fasting glucose levels compared to rural women and that both urban men and women had higher blood pressures and followed a more Westernised diet. However, rural men and women had higher plasma fibrinogen levels. The more highly educated subjects (which included both urban and rural subjects) were younger than those with no or only primary school education. Few of the risk factors differed significantly between education groups, except that more highly educated men and women had lower BMIs, and women had lower blood pressure and triglyceride levels. These women also followed a more prudent diet than those with only primary school education. Employed men and women had higher BMIs, higher energy intakes but lower plasma fibrinogen levels, and employed women had lower triglyceride levels. No significant differences in total serum cholesterol values were observed. These results suggest a drift of CVD risk factors from groups with higher SES to groups with a lower SES from 1996 to 2005, indicating that interventions to prevent CVD should also be targeted at Africans living in rural

  7. [Analysis of perfluoroalkyl substances precursors in human milk from 12 provinces of China].

    PubMed

    Yang, Lin; Yu, Xinping; Wang, Meng; Li, Jingguang; Wang, Yuxin; Zhao, Yunfeng; Wu, Yongning

    2015-06-01

    To explore the level of perfluoroalkyl substances (PFASs) precursors in Chinese human milk samples. The human milk samples were collected during the performance of Stockholm convention on survey of human milk in China in 2007. Based on the geographical location and dietary habits, China was divided into the south area and north area which 6 provinces were chosen from each area and there were 12 provinces in all. In each province, one urban site and two rural sites were selected to collect 80-110 samples. Mothers were randomly selected in each site to collect their breast milk. There were 1 237 individual human milk samples in all. For each province, the individual samples from the urban areas and the rural areas were pooled separately resulting in 24 pooled human milk samples. 11 PFAS precursors were measured in pooled samples by ultra-high performance liquid chromatography-tandem quadruple mass spectrometry (UPLC-MS/MS). The dietary exposure assessment of newborns was made. Three PFAS precursors were found above the detection limits, namely, 6:2 FTS, FHUEA, and 6:2 diPAP. Their concentration ranges were < Limit of determination (LOD) -47.46 pg/ml, < LOD -70.68 pg/ml and < LOD -35.08 pg/ml, respectively. The highest total PFAS precursor concentration 77.70 pg/ml was found in urban area samples from Shannxi Province. Rural area samples from Hubei had the lowest total PFAS precursor concentration, which was below the LOD. There were significant differences between rural and urban areas in many provinces, such as Shannxi (rural: 1.51 pg/ml; urban: 77.70 pg/ml), Shanghai (rural: 1.13 pg/ml; urban: 71.88 pg/ml), Jiangxi (rural: 65.39 pg/ml; urban: 0.55 pg/ml) and so on. The ranges estimated daily intake of 6:2 FTS, FHUEA and 6:2 diPAP of the samples from 12 provinces were 0.05-4.51, 1.13-6.72 and 1.15-3.34 ng · kg⁻¹ · d⁻¹. The results suggested the human exposure of PFAS precursors in China and the potential health impact of postnatal exposure through

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

    PubMed

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

    2011-06-01

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

  9. Culicinae (Diptera: Culicidae) Mosquitoes in Chabahar County, Sistan and Baluchistan Province, Southeastern Iran

    PubMed Central

    Moosa-Kazemi, SH; Vatandoost, H; Nikookar, H; Fathian, M

    2009-01-01

    Background Mosquito-borne diseases are a major public health threat in Iran. The objective of this study was to determine the fauna of culicinae mosquitoes for future mosquito control programs. Methods: Three genera and eleven species of the subfamily Culicinae (Diptera: Culicidae) were collected by dipping technique and identified in Chabahar County, Sistan and Baluchistan Province, southeastern Iran, during January, February, and March 2007. Results: The collected species included: Aedes vexans (new occurrence record for the province), Culex arbieeni, Cx. bitaeniorhynchus, Cx. deserticola, Cx. hortensis, Cx. perexiguus, Cx. pipiens, Cx. pseudovishnui, Cx. pusillus, Cx. quinquefasciatus, Cx. sinaiticus, Cx. theileri, Cx. tritaeniorhynchus, Culiseta longiareolata, Ochlerotatus caballus, Oc. caspius, and Uranotaenia unguiculata. Conclusion: Our observations indicate that, in South of Iran hot and wet climatic conditions support the persistence of culicinae mosquitoes. As our study, regular monitoring of culicinae mosquitoes in this area could be the most useful for mosquito control and mosquito-borne disease prevention. PMID:22808369

  10. Poverty and Disability in Eastern and Western Cape Provinces, South Africa

    ERIC Educational Resources Information Center

    Loeb, Mitchell; Eide, Arne H.; Jelsma, Jennifer; Toni, Mzolisi ka; Maart, Soraya

    2008-01-01

    The impact of disability on the living conditions of people living in specifically resource-poor areas in South Africa has not previously been addressed. This paper presents a comparison of people with a disability and their non-disabled peers with respect to some key poverty indicators among a sample of Xhosa speaking individuals in resource-poor…

  11. Accessing medical and surgical first-trimester abortion services: women's experiences and costs from an operations research study in KwaZulu-Natal Province, South Africa.

    PubMed

    Lince-Deroche, Naomi; Fetters, Tamara; Sinanovic, Edina; Blanchard, Kelly

    2017-08-01

    To explore women's experiences accessing services and estimate costs incurred for first-trimester abortion at four public hospitals in KwaZulu-Natal Province, South Africa. Subanalysis from a prospective cohort study (2009-2011) of women aged 18-49years accessing abortion services through 12weeks' gestation. Trained study personnel conducted structured interviews with women about their reason for having an abortion, experiences accessing services and costs incurred. Women who were 9weeks' gestation or less were eligible to choose medication abortion or manual vacuum aspiration (MVA); women 10-12weeks' gestation all had MVA. We enrolled 1167 women; 923 (79.1%) were eligible to choose their procedure. The median age was 25years; most were black African, single and unemployed. Many women reported concerns about the affordability of raising a(nother) child (58.9%) or not being ready for (more) children (43.4%) as their reason for having an abortion. In total, women incurred a median cost of US$9.99 (interquartile range 6.46-14.85) for their procedure which usually required two facility visits. Many had to pay for transportation, a pregnancy test, sanitary pads or pain medication. Despite the availability of government assistance for children through South Africa's "child grant," the affordability of raising a child was a major concern for women. Although theoretically available free of charge in the public sector, women experienced challenges accessing abortion services and incurred costs which may have been burdensome given average local earnings. These potential barriers could be addressed by reducing the number of required visits and improving availability of pregnancy tests and supplies in public facilities. Many women cited concerns about the affordability of having a(nother) child when requesting an abortion. Although public services are technically free or low-cost in South Africa, women incurred costs for first-trimester abortions. Women's costs could be

  12. PHYTOCHEMICAL SCREENING, ANTI-INFLAMMATORY AND ANALGESIC PROPERTIES OF PENTANISIA PRUNELLOIDES FROM THE EASTERN CAPE PROVINCE, SOUTH AFRICA

    PubMed Central

    Mathews, Miya Gugulethu; Ajayi, Oyemitan Idris; Opeoluwa, Oyedeji Oyehan; Oluwatobi, Oluwafemi Samuel; Benedicta N, Nkeh-Chungag; Phindile, Songca Sandile; Oyedeji; Omowumi, Adebola

    2016-01-01

    Background: Pentanisia prunelloides is a medicinal plant widely used to remedy various ailments including infections, fever and rheumatism in Eastern Cape Province of South Africa. There is scanty report on the phytochemical and biological properties of the plant; hence various solvent extracts of the dried plant materials were phytochemically screened, and its aqueous extract evaluated for acute toxicity effect, analgesic and antiinflammatory properties in rodents. Methods and Materials: Different extracts of both leaf and rhizome were obtained separately with ethanol, methanol and water. Portions of the filtrate were used for qualitative screening of secondary metabolites and remaining portions were concentrated and dried. Dried grounded leaf and rhizome of the plant were also used for quantitative screening for some major components. The aqueous extract of the leaf and rhizome were used for acute toxicity (LD50) test, antiinflammatory and analgesic activities in rodents. Results: The qualitative phytochemical screening showed the presence of several phytoconstituents with saponins, flavonoids and alkaloids constituting highest constituents in the leaf and rhizome. The LD50: of the aqueous extracts (from leaf or rhizome) was found to be ≥5000 mg/kg orally. The leaf and rhizome aqueous extract (250-500 mg/kg) significantly (p<0.01) reduced egg albumin-induced paw oedema and paw licking in mice induced by formalin, signifying antinociceptive and antiinflammatory activities respectively. Conclusion: It is concluded that the leaf and rhizome of P. prunelloides are rich in various phytochemicals which could be associated with their medicinal uses. The aqueous leaf and rhizome extracts are similarly non-toxic orally, showed antiinflammatory and analgesic potentials thus rationalizing its use in folkloric medicine. PMID:28480377

  13. Geology and assessment of undiscovered oil and gas resources of the Hope Basin Province, 2008

    USGS Publications Warehouse

    Bird, Kenneth J.; Houseknecht, David W.; Pitman, Janet K.; Moore, Thomas E.; Gautier, Donald L.

    2018-01-04

    The Hope Basin, an independent petroleum province that lies mostly offshore in the southern Chukchi Sea north of the Chukotka and Seward Peninsulas and south of Wrangel Island, the Herald Arch, and the Lisburne Peninsula, is the largest in a series of postorogenic (successor) basins in the East Siberian-Chukchi Sea region and the only one with exploratory-well control and extensive seismic coverage.In spite of the seismic coverage and well data, the petroleum potential of the Hope Basin Province is poorly known. The adequacy of hydrocarbon charge, in combination with uncertainties in source-rock potential and maturation, was the greatest risk in this assessment. A single assessment unit was defined and assessed, resulting in mean estimates of undiscovered, technically recoverable resources that include ~3 million barrels of oil and 650 billion cubic feet of nonassociated gas.

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

    PubMed

    Van Wyk, Ilana C; Boomker, Joop

    2011-11-10

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

  15. Inefficient procurement processes undermine access to medicines in the Western Cape Province of South Africa.

    PubMed

    Magadzire, Bvudzai P; Ward, Kim; Leng, Henry M J; Sanders, David

    2017-06-30

    South Africa (SA) has experienced several stock-outs of life-saving medicines for the treatment of major chronic infectious and non-communicable diseases in the public sector. To identify the causes of stock-outs and to illustrate how they undermine access to medicines (ATM) in the Western Cape Province, SA. This qualitative study was conducted with a sample of over 70 key informants (frontline health workers, sub-structure and provincial health service managers). We employed the critical incident technique to identify significant occurrences in our context, the consequences of which impacted on access to medicines during a defined period. Stock-outs were identified as one such incident, and we explored when, where and why they occurred, in order to inform policy and practice. Medicines procurement is a centralised function in SA. Health service managers unanimously agreed that stock-outs resulted from the following inefficiencies at the central level: (i) delays in awarding of pharmaceutical tenders; (ii) absence of contracts for certain medicines appearing on provincial code lists; and (iii) suppliers' inability to satisfy contractual agreements. The recurrence of stock-outs had implications at multiple levels: (i) health facility operations; (ii) the Chronic Dispensing Unit (CDU), which prepacks medicines for over 300 000 public sector patients; and (iii) community-based medicines distribution systems, which deliver the CDU's prepacked medicines to non-health facilities nearer to patient homes. For instance, stock-outs resulted in omission of certain medicines from CDU parcels that were delivered to health facilities. This increased workload and caused frustration for frontline health workers who were expected to dispense omitted medicines manually. According to frontline health workers, this translated into longer waiting times for patients and associated dissatisfaction. In some instances, patients were asked to return for undispensed medication at a later

  16. Assessment of undiscovered conventional oil and gas resources of South America and the Caribbean, 2012

    USGS Publications Warehouse

    Schenk, Christopher J.; Brownfield, Michael E.; Charpentier, Ronald R.; Cook, Troy A.; Klett, Timothy R.; Kirschbaum, Mark A.; Pitman, Janet K.; Pollastro, Richard M.; Tennyson, Marilyn E.

    2012-01-01

    Using a geology-based assessment methodology, the U.S. Geological Survey estimated means of 126 billion barrels of oil and 679 trillion cubic feet of undiscovered natural gas in 31 geologic provinces of South America and the Caribbean.

  17. Women's Experiences of Principalship in Two South African High Schools in Multiply Deprived Rural Areas: A Life History Approach

    ERIC Educational Resources Information Center

    Faulkner, Caroline

    2015-01-01

    This article draws on data collected from a wider, longitudinal life history study conducted in South Africa between 2010 and 2014. The study focussed specifically on the personal and professional pathways to principalship of a sample of women leaders of co-educational high schools in South Africa, in both rural and peri-urban provinces: a role…

  18. [Temporal and spatial variation of the optimal sowing dates of summer maize based on both statistical and processes models in Henan Province, China].

    PubMed

    Tan, Mei-xiu; Wang, Jing; Yu, Wei-dong; He, Di; Wang, Na; Dai, Tong; Sun, Yan; Tang, Jian-zhao; Chang, Qing

    2015-12-01

    Sowing date is one of the vital factors for determining crop yield. In this study, temporal and spatial variation of optimal sowing date of summer maize was analyzed by statistical model and the APSIM-Maize model in Henan Province, China. The results showed that average summer maize optimal sowing dates ranged from May 30 to June 13 across Henan Province with earlier sowing before June 8 in the southern part and later sowing from June 4 to June 13 in the northern part. The optimal sowing date in mountain area of western Henan Province should be around May 30. Late-maturing variety Nongda 108 should be planted at least two days earlier than middle-maturing variety Danyu 13. Under climate warming background, maize sowing should be postponed for at least 3 days if maize harvesting date could be delayed for a week. It was proposed that sowing should be delayed for about a week for a yearly less precipitation pattern while advanced for about a week for a yearly more precipitation pattern compared to the normal one. Across Henan Province, the optimal sowing dates of summer maize showed no significant change trend in 1971-2010, while the potential sowing period had been extended for some regions, such as south from Zhumadian, Yichuan, Nei-xiang and Nanyang in the middle part of Henan, Linzhou in the northern Henan and Sanmenxia in the western Henan, as a result from advanced maturity of winter wheat due to increasing temperature and winter wheat cultivar change. Optimal sowing dates at 76.7% of the study stations showed no significant difference between the two methods. It was recommended that the northern Henan should sow maize immediately after any rainfall and replant afterward, while the southern Henan should not sow maize until that there were valid precipitation (3.9 mm and 8.3 mm for upper south and south parts, respectively) during sowing period, both required enough precipitation during key water requirement period and optimal temperature during grain

  19. Species Composition of Sand Flies (Diptera: Psychodidae) and Modeling the Spatial Distribution of Main Vectors of Cutaneous Leishmaniasis in Hormozgan Province, Southern Iran.

    PubMed

    Hanafi-Bojd, Ahmad Ali; Khoobdel, Mehdi; Soleimani-Ahmadi, Moussa; Azizi, Kourosh; Aghaei Afshar, Abbas; Jaberhashemi, Seyed Aghil; Fekri, Sajjad; Safari, Reza

    2018-02-28

    Cutaneous Leishmaniasis (CL) is one of the main neglected vector-borne diseases in the Middle East, including Iran. This study aimed to map the spatial distribution and species composition of sand flies in Hormozgan Province and to predict the best ecological niches for main CL vectors in this area. A database that included all earlier studies on sand flies in Hormozgan Province was established. Sand flies were also collected from some localities across the province. Prediction maps for main vectors were developed using MaxEnt model. A total of 27 sand fly species were reported from the study area. Phlebotomus papatasi Scopoli, Phlebotomus sergenti s.l. Parrot, Phlebotomus alexandri Sinton, Sergentomyia sintoni Pringle, Sergentomyia clydei Sinton, Sergentomyia tiberiadis Adler, and Sergentomyia baghdadis Adler (Diptera: Psychodidae) had the widest distribution range. The probability of their presence as the main vectors of CL was calculated to be 0.0003-0.9410 and 0.0031-0.8880 for P. papatasi and P. sergenti s.l., respectively. The best ecological niches for P. papatasi were found in the central south, southeast, and a narrow area in southwest, whereas central south to northern area had better niches for P. sergenti s.l. The endemic areas are in Bandar-e Jask, where transmission occurs, whereas in Bastak, the cases were imported from endemic foci of Fars province. In conclusion, proven and suspected vectors of CL and VL were recorded in this study. Due to the existence of endemic foci of CL, and favorite ecological niches for its vectors, there is potential risk of emerging CL in new areas.

  20. Provision of Mental Health Services in South African Substance Abuse Treatment Facilities

    ERIC Educational Resources Information Center

    Myers, Bronwyn; Fakier, Nuraan

    2009-01-01

    To date, South African research has not examined mental health service provision in substance abuse treatment facilities, even though these services improve client retention and treatment outcomes. To describe the extent to which substance abuse treatment facilities in Gauteng and KwaZulu-Natal provinces provide clients with mental health services…

  1. Resilient or Resigned? Criminal Victimisation and Quality of Life in South Africa

    ERIC Educational Resources Information Center

    Moller, Valerie

    2005-01-01

    A victimisation study conducted among 3300 householders in South Africa's Nelson Mandela Metropolitan Municipality (NMMM) in the Eastern Cape Province aimed to inform a crime prevention strategy for the metropolitan area. The study found that the variables "fear of crime' measured in terms of perceived likelihood of victimisation--and concern…

  2. Leading Schools in Communities of Multiple Deprivation: Women Principals in South Africa

    ERIC Educational Resources Information Center

    Lumby, Jacky

    2015-01-01

    This article explores how leadership and gender are constructed by women principals of schools located in communities of multiple deprivation in two provinces of South Africa. Analysis of interview data uncovers a hierarchy of goals related to establishing a school, recruiting and retaining learners, ensuring they are ready to learn, developing…

  3. Prospect development of local beef cattle from South Kalimantan as supporting to food sovereignty in Indonesia

    NASA Astrophysics Data System (ADS)

    Rahmatullah, S. N.; Sulaiman, A.; Askalani; Azizi, N. M. K.

    2018-04-01

    Development production of Indonesia local cattle didn’t balance increasing of consumption livestock in Indonesian so that’s makes imports are still high both local beef production. Indonesian local cattle is one of cattle the largest contributed the national meat production of ruminant particular group of cattle so that the livestock has the potential to be developed as a profitable business if doing of farmer. One of advantages is potential areas in South Kalimantan mainly swamp lands was very large. It’s one effort in national promoting food sovereignty programme and the provinces especially about introduction of Indonesian local cattle in the swamp area are also important. Availability of region in South Kalimantan spacious and great forage production, then prospects for cattle productivity there is huge so that’s can even increase income for farmers. The programme more serious support from the governance of South Kalimantan province to develop Indonesian local cattle in swamp area and in that’s a real policy for encouraging farmers to maintain Indonesian local cattle to make sustainable food in Indonesia.

  4. Sexual abstinence: What is the understanding and views of secondary school learners in a semi-rural area of North West Province, South Africa?

    PubMed Central

    Mokwena, Kebogile; Morabe, Mamaponesa

    2016-01-01

    Abstract Among strategies to prevent HIV, other sexually transmitted infections (STIs) and unwanted pregnancies, are programs that promote sexual abstinence among adolescents. However, literature suggests that there may be differences in the understanding of abstinence across adolescents, and this study sought to explore the understanding of sexual abstinence among both male and female learners in a secondary school in a semi-rural area of North West Province, South Africa. Focus group discussions were used to collect data from learners who were in grades 8–10 at the time of the study. The findings are that the learners in this area understand sexual abstinence as the decision not to have sex, and this was associated with prevention of HIV, STIs and unwanted pregnancies, which ensures a better future. Barriers to sexual abstinence include peer pressure, myths and wrong perceptions about sex, influence of drugs and alcohol and the influence of television. Based on how it is delivered, school-based sex education was viewed as both an enabler and barrier to sexual abstinence. It is recommended that programs to promote sexual abstinence be strengthened and such programs be community-based. PMID:27315574

  5. Sexual abstinence: What is the understanding and views of secondary school learners in a semi-rural area of North West Province, South Africa?

    PubMed

    Mokwena, Kebogile; Morabe, Mamaponesa

    2016-12-01

    Among strategies to prevent HIV, other sexually transmitted infections (STIs) and unwanted pregnancies, are programs that promote sexual abstinence among adolescents. However, literature suggests that there may be differences in the understanding of abstinence across adolescents, and this study sought to explore the understanding of sexual abstinence among both male and female learners in a secondary school in a semi-rural area of North West Province, South Africa. Focus group discussions were used to collect data from learners who were in grades 8-10 at the time of the study. The findings are that the learners in this area understand sexual abstinence as the decision not to have sex, and this was associated with prevention of HIV, STIs and unwanted pregnancies, which ensures a better future. Barriers to sexual abstinence include peer pressure, myths and wrong perceptions about sex, influence of drugs and alcohol and the influence of television. Based on how it is delivered, school-based sex education was viewed as both an enabler and barrier to sexual abstinence. It is recommended that programs to promote sexual abstinence be strengthened and such programs be community-based.

  6. Application of MAGSAT to lithospheric modeling in South America

    NASA Technical Reports Server (NTRS)

    Keller, G. R.; Lidiak, E. G. (Principal Investigator)

    1982-01-01

    Progress continues on all aspects of the project. The prime emphasis is on the Rayleigh wave study and determination of both group and phase velocity dispersion is almost complete. Existing data sets were prepared for inversion. A paper on the relation of MAGSAT anomalies to the main tectonic provinces of South America was delivered at the annual meeting of the Society of Exploration Geophysicists.

  7. Test of Continental Drift by Comparison of Radiometric Ages: A pre-drift reconstruction shows matching geologic age provinces in West Africa and Northern Brazil.

    PubMed

    Hurley, P M; Rand, J R; Pinson, W H; Fairbairn, H W; de Almeida, F F; Melcher, G C; Cordani, U G; Kawashita, K; Vandoros, P

    1967-08-04

    1) The distribution of age values obtained by potassium-argon determinations and whole-rock rubidium-strontium determinations appears to be almost identical for West African rocks of the pervasive Eburnean Orogenic Cycle and basement rocks at opposite locations in South America. 2) There is also a close correlation, with respect to potassium-argon age determinations on micas, rubidium-strontium determinations on total-rock samples, and the extent to which these two sets of values differ, between rocks of the Pan-African Orogenic Cycle and rocks of the Caririan Orogenic Cycle in Brazil, where these two groups of rocks lie opposite each other in the two continents. 3) When Africa and South America are "fitted together," the sharply defined boundary between the Eburnean and the Pan-African age provinces in West Africa strikes directly toward the corresponding age boundary in northeast Brazil. 4) The transition from the 550-million-year Pan-African age province to the 2000-million-year age province in the Congo Craton in Cameroun-Gabon is matched in the rocks near the corresponding part of the east coast of Brazil. However the geological and age data are insufficient to do more than suggest the possibility of another age-boundary correlation here. 5) The evidence reported here supports the hypothesis of continental drift.

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

    PubMed

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

    2012-07-01

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

  9. Spatiotemporal Risk of Bacillary Dysentery and Sensitivity to Meteorological Factors in Hunan Province, China.

    PubMed

    Xu, Chengdong; Xiao, Gexin; Wang, Jinfeng; Zhang, Xiangxue; Liang, Jinjun

    2017-12-29

    Bacillary dysentery remains a public health concern in the world. Hunan Province is one of the provinces having the highest risk of bacillary dysentery in China, however, the spatial-temporal distribution, variation of bacillary dysentery and sensitivity to meteorological factors in there are unclear. In this paper, a Bayesian space-time hierarchical model (BSTHM) was used to detect space-time variation, and effects of meteorological factors between 2010 and 2015. The risk of bacillary dysentery showed apparent spatial-temporal heterogeneity. The highest risk occurred in the summer season. Economically undeveloped mountainous areas in the west and south of the province had the highest incidence rates. Twenty three (18.9%) and 20 (16.4%) counties were identified as hot and cold spots, respectively. Among the hotspots, 11 counties (47.8%) exhibited a rapidly decreasing trend, suggesting they may become low-risk areas in the future. Of the cold spot counties, six (30%) showed a slowly decreasing trend, and may have a higher risk in the future. Among meteorological factors, air temperature, relative humidity, and wind speed all played a significant role in the spatial-temporal distribution of bacillary dysentery risk. These findings can contribute to the implementation of an early warning system for controlling and preventing bacillary dysentery.

  10. Spatiotemporal Risk of Bacillary Dysentery and Sensitivity to Meteorological Factors in Hunan Province, China

    PubMed Central

    Xu, Chengdong; Xiao, Gexin; Wang, Jinfeng; Zhang, Xiangxue; Liang, Jinjun

    2017-01-01

    Bacillary dysentery remains a public health concern in the world. Hunan Province is one of the provinces having the highest risk of bacillary dysentery in China, however, the spatial-temporal distribution, variation of bacillary dysentery and sensitivity to meteorological factors in there are unclear. In this paper, a Bayesian space-time hierarchical model (BSTHM) was used to detect space-time variation, and effects of meteorological factors between 2010 and 2015. The risk of bacillary dysentery showed apparent spatial-temporal heterogeneity. The highest risk occurred in the summer season. Economically undeveloped mountainous areas in the west and south of the province had the highest incidence rates. Twenty three (18.9%) and 20 (16.4%) counties were identified as hot and cold spots, respectively. Among the hotspots, 11 counties (47.8%) exhibited a rapidly decreasing trend, suggesting they may become low-risk areas in the future. Of the cold spot counties, six (30%) showed a slowly decreasing trend, and may have a higher risk in the future. Among meteorological factors, air temperature, relative humidity, and wind speed all played a significant role in the spatial-temporal distribution of bacillary dysentery risk. These findings can contribute to the implementation of an early warning system for controlling and preventing bacillary dysentery. PMID:29286297

  11. Assessment of Undiscovered Oil and Gas Resources of the West Siberian Basin Province, Russia, 2008

    USGS Publications Warehouse

    Schenk, Christopher J.; Bird, Kenneth J.; Charpentier, Ronald R.; Gautier, Donald L.; Houseknecht, David W.; Klett, Timothy R.; Moore, Thomas E.; Pawlewicz, Mark J.; Pitman, Janet K.; Tennyson, Marilyn E.

    2008-01-01

    The U.S. Geological Survey (USGS) recently assessed the undiscovered oil and gas potential of the West Siberian Basin Province in Russia as part of the USGS Circum-Arctic Resource Appraisal program. This province is the largest petroleum basin in the world and has an areal extent of about 2.2 million square kilometers. It is a large rift-sag feature bounded to the west by the Ural fold belt, to the north by the Novaya Zemlya fold belt and North Siberian Sill, to the south by the Turgay Depression and Altay-Sayan fold belt, and to the east by the Yenisey Ridge, Turukhan-Igarka uplift, Yenisey-Khatanga Basin, and Taimyr High. The West Siberian Basin Province has a total discovered oil and gas volume of more than 360 billion barrels of oil equivalent (Ulmishek, 2000). Exploration has led to the discovery of tens of giant oil and gas fields, including the Urengoy gas field with more than 3500 trillion cubic feet of gas reserves and Samotlar oil field with reserves of nearly 28 billion barrels of oil (Ulmishek, 2003). This report summarizes the results of a reassessment of the undiscovered oil and gas potential of that part of the province north of the Arctic Circle; a previous assessment that included the entire province was completed in 2000 (Ulmishek, 2000). The total petroleum system (TPS) and assessment units (AU) defined by the USGS for the assessments in 2000 were adopted for this assessment. However, only those parts of the Aus lying wholly or partially north of the Arctic Circle were assessed for this study.

  12. Woody vegetation cover monitoring with multi-temporal Landsat data and Random Forests: the case of the Northwest Province (South Africa)

    NASA Astrophysics Data System (ADS)

    Symeonakis, Elias; Higginbottom, Thomas; Petroulaki, Kyriaki

    2016-04-01

    Land degradation and desertification (LDD) are serious global threats to humans and the environment. Globally, 10-20% of drylands and 24% of the world's productive lands are potentially degraded, which affects 1.5 billion people and reduces GDP by €3.4 billion. In Africa, LDD processes affect up to a third of savannahs, leading to a decline in the ecosystem services provided to some of the continent's poorest and most vulnerable communities. Indirectly, LDD can be monitored using relevant indicators. The encroachment of woody plants into grasslands, and the subsequent conversion of savannahs and open woodlands into shrublands, has attracted a lot of attention over the last decades and has been identified as an indicator of LDD. According to some assessments, bush encroachment has rendered 1.1 million ha of South African savanna unusable, threatens another 27 million ha (~17% of the country), and has reduced the grazing capacity throughout the region by up to 50%. Mapping woody cover encroachment over large areas can only be effectively achieved using remote sensing data and techniques. The longest continuously operating Earth-observation program, the Landsat series, is now freely-available as an atmospherically corrected, cloud masked surface reflectance product. The availability and length of the Landsat archive is thus an unparalleled Earth-observation resource, particularly for long-term change detection and monitoring. Here, we map and monitor woody vegetation cover in the Northwest Province of South Africa, a mosaic of 12 Landsat scenes that expands over more than 100,000km2. We employ a multi-temporal approach with dry-season TM, ETM+ and OLI data from 15 epochs between 1989 to 2015. We use 0.5m-pixel colour aerial photography to collect >15,000 samples for training and validating a Random Forest model to map woody cover, grasses, crops, urban and bare areas. High classification accuracies are achieved, especially so for the two cover types indirectly

  13. A situational analysis of ocular health promotion in the South African primary health-care system.

    PubMed

    Sithole, Hlupheka Lawrence

    2017-03-01

    South Africa has a serious burden of avoidable blindness and visual impairment, which may be due to poor ocular health promotional policies and programs or implementation. Therefore, this paper sought to critically analyse the South African primary health-care policies and programs, to identify the components of ocular health promotional policies and programs as well as how they are currently being implemented and to suggest areas that can be improved in order to minimise the burden of blindness and visual impairment. Triangulated quantitative and qualitative research methods were used in the study. Questionnaire and interviews were used to solicit data from national and provincial managers of different health directorates. Eye-care managers from each province also completed the questionnaire. Furthermore, relevant health policy and program documents from national and provincial departments of health were studied to identify areas relating to ocular health promotion. The study found varying degrees of implementation of various ocular health promotional activities in the provinces with the majority of respondents (62 per cent) indicating that ocular health promotion was not part of their responsibility and another 81 per cent revealing that vision screening does not form part of their health promotional programs. It further revealed a lack of a dedicated directorate for ocular health-care issues and the absence of an integrated ocular health promotional policy. Ocular health promotional activities were absent in other provinces. This may be a major contributing factor to poor ocular health promotion in South Africa and hence, the high prevalence of blindness and visual impairment. Therefore, it is recommended that an integrated ocular health promotional model (directorate and policies) be developed and be part of the South African primary health-care system. © 2016 Optometry Australia.

  14. Implementing community participation through legislative reform: a study of the policy framework for community participation in the Western Cape province of South Africa

    PubMed Central

    2012-01-01

    Background Amidst an evolving post-apartheid policy framework for health, policymakers have sought to institutionalize community participation in Primary Health Care, recognizing participation as integral to realizing South Africa’s constitutional commitment to the right to health. With evolving South African legislation supporting community involvement in the health system, early policy developments focused on Community Health Committees (HCs) as the principal institutions of community participation. Formally recognized in the National Health Act of 2003, the National Health Act deferred to provincial governments in establishing the specific roles and functions of HCs. As a result, stakeholders developed a Draft Policy Framework for Community Participation in Health (Draft Policy) to formalize participatory institutions in the Western Cape province. Methods With the Draft Policy as a frame of analysis, the researchers conducted documentary policy analysis and semi-structured interviews on the evolution of South African community participation policy. Moving beyond the specific and unique circumstances of the Western Cape, this study analyzes generalizable themes for rights-based community participation in the health system. Results Framing institutions for the establishment, appointment, and functioning of community participation, the Draft Policy proposed a formal network of communication – from local HCs to the health system. However, this participation structure has struggled to establish itself and function effectively as a result of limitations in community representation, administrative support, capacity building, and policy commitment. Without legislative support for community participation, the enactment of superseding legislation is likely to bring an end to HC structures in the Western Cape. Conclusions Attempts to realize community participation have not adequately addressed the underlying factors crucial to promoting effective participation, with

  15. The Central Atlantic Magmatic Province (CAMP)

    NASA Astrophysics Data System (ADS)

    Marzoli, A.; Callegaro, S.; Davies, J.; Chiaradia, M.; Reisberg, L. C.; Merle, R.; Jourdan, F.; Bertrand, H.; Youbi, N.

    2017-12-01

    Basaltic lava flows, dykes, sills, and layered intrusion of the CAMP (Central Atlantic magmatic province) crop out in Europe, Africa, North and South America over > 10 million square km, making this one of Earth's largest igneous provinces. CAMP is characterized by 100-400 m thick preserved lava piles and by huge shallow intrusions (e.g., > 1.5 million cubic km sills). Magmatism occurred mainly between 201.6 and 201.1 Ma (according to U-Pb and Ar/Ar ages) during the end-Triassic extinction event and a few Ma before break-up of Pangea. Pulsed emplacement seems consistent with high-precision geochronology, but needs further confirmation. All over the province, basalts with quite similar composition reflect a common mantle source. These basalts have low Ti contents (TiO2 ca. 1.0-1.3 wt.%), moderately enriched Sr-Nd-Pb isotopic compositions close to the EM-II mantle end-member, and 187Os/188Os close to 0.130. We attribute these characteristics to a dominant shallow asthenospheric mantle source that was enriched by subduction-related components. Assimilation of crustal rocks generally played a minor role and rarely exceed 5-10%. Instead, assimilation of the sub-continental lithospheric mantle (SCLM) was instead recognized in the high-Ti basalts (TiO2> 2.0 wt.%) that were emplaced in a restricted area around the Man and Amazonian cratons (Sierra Leone, Liberia, Brazil, Guyana). The SCLM-like signature of these basalts suggests assimilation of metasomatically enriched parts of the SCLM. Also early basalts emplaced north of the West African craton (Morocco, Mali) are contaminated by enriched SCLM components even if to a lesser degree, while later basalts from the same African regions have low 187Os/188Os (ca. 0.120) and probably tapped a more depleted cratonic SCLM. Calculated mantle potential temperatures are low (ca. 1450 °C) and geochemical data do not support a significant contribution from mantle-plume material. The only available He isotopic data are just slightly

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  17. The Rhyolite Flare-up of the Columbia River Basalt Province and its Bearing on Plume vs. Non-plume Models

    NASA Astrophysics Data System (ADS)

    Streck, M. J.; Ferns, M. L.

    2012-12-01

    .5 Ma and erupted from central as well as peripherally located areas of the province overlapping along the eastern and western margins with what is traditionally already considered part of age-progressive rhyolites of the Yellowstone and High-Lava Plains trends. In summary, rhyolites are markers of where a thermal pulse originating from the mantle is delivered to the crust via injection of basalt and suggest the following. There is no true south-to-north age progression within the Province; earlier venting in the south (Steens Basalt) could be simply caused by rhyolites acting as density filters that deflected basalt eruptions to areas where little rhyolite was generated. The arrival of the thermal anomaly associated with flood basalts that is essentially instantaneous across a circular area of 300 km lies at the heart of the broader debate on plume vs. non-plume models of this flood basalt province.

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

    PubMed

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

    2008-04-01

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

  19. Spatiotemporal analysis the precipitation extremes affecting rice yield in Jiangsu province, southeast China

    NASA Astrophysics Data System (ADS)

    Huang, Jin; Islam, A. R. M. Towfiqul; Zhang, Fangmin; Hu, Zhenghua

    2017-10-01

    With the increasing risk of meteorological disasters, it is of great importance to analyze the spatiotemporal changes of precipitation extremes and its possible impact on rice productivity, especially in Jiangsu province, southeast China. In this study, we explored the relationships between rice yield and extreme precipitation indices using Mann-Kendall trend test, Pettitt's test, and K-means clustering methods. This study used 10 extreme precipitation indices of the rice growing season (May to October) based on the daily precipitation records and rice yield data at 52 meteorological stations during 1961-2012 in Jiangsu province. The main findings were as follows: (1) correlation results indicated that precipitation extremes occurred in the months of July, August, and October, which had noticeable adverse effects on rice yield; (2) the maximum 7-day precipitation of July and the number of rainy days of August and October should be considered as three key indicators for the precipitation-induced rice meteorological disasters; and (3) most of the stations showed an increasing trends for the maximum 7-day precipitation of July and the number of rainy days of August, while the number of rainy days of October in all the stations demonstrated a decreasing trend. Moreover, Jiangsu province could be divided into two major sub-regions such as north and south areas with different temporal variations in the three key indicators.

  20. Prevalence and spectrum of thalassaemia in Changsha, Hunan province, China: discussion of an innovative screening strategy.

    PubMed

    He, Jun; Zeng, Houlin; Zhu, Lin; Li, Hanmei; Shi, Liangcheng; Hu, Lanping

    2017-06-01

    Hunan province located in the south of China has a high incidence of haemoglobinopathies. In the present study, we surveyed the accurate population frequency data of the local population in Changsha city of Hunan province in China. The data includes the carrying rate, gene mutation types and their distribution features for thalassaemia. In total, 7500 consecutive samples from five geographical areas of Changsha were analysed for both haematological and molecular parameters. Therewas a high prevalence of carriers of α-thalassaemia (2.57%), β-thalassaemia (1.9%) and both α-thalassaemia and β-thalassaemia (0.08%). Overall, 4.54% of the population in this area represented heterozygous carriers of α-thalassaemia and β-thalassaemia. The mutation spectrum of α-thalassaemia and β-thalassaemia and its haematological characterization were fully described for this area. The present study is the first to report the prevalence of thalassaemia in Hunan province population. Both α-thalassaemia and β-thalassaemia carriers are widely distributed in Changsha. The knowledge gained from the present study will allow for an estimation of the projected number of pregnant women at risk for thalassaemia, and the design of a screening strategy for the control of thalassaemia in Changsha.

  1. Ambient aromatic hydrocarbon measurements at Welgegund, South Africa

    NASA Astrophysics Data System (ADS)

    Jaars, K.; Beukes, J. P.; van Zyl, P. G.; Venter, A. D.; Josipovic, M.; Pienaar, J. J.; Vakkari, V.; Aaltonen, H.; Laakso, H.; Kulmala, M.; Tiitta, P.; Guenther, A.; Hellén, H.; Laakso, L.; Hakola, H.

    2014-07-01

    Aromatic hydrocarbons are associated with direct adverse human health effects and can have negative impacts on ecosystems due to their toxicity, as well as indirect negative effects through the formation of tropospheric ozone and secondary organic aerosol, which affect human health, crop production and regional climate. Measurements of aromatic hydrocarbons were conducted at the Welgegund measurement station (South Africa), which is considered to be a regionally representative background site. However, the site is occasionally impacted by plumes from major anthropogenic source regions in the interior of South Africa, which include the western Bushveld Igneous Complex (e.g. platinum, base metal and ferrochrome smelters), the eastern Bushveld Igneous Complex (platinum and ferrochrome smelters), the Johannesburg-Pretoria metropolitan conurbation (> 10 million people), the Vaal Triangle (e.g. petrochemical and pyrometallurgical industries), the Mpumalanga Highveld (e.g. coal-fired power plants and petrochemical industry) and also a region of anticyclonic recirculation of air mass over the interior of South Africa. The aromatic hydrocarbon measurements were conducted with an automated sampler on Tenax-TA and Carbopack-B adsorbent tubes with heated inlet for 1 year. Samples were collected twice a week for 2 h during daytime and 2 h during night-time. A thermal desorption unit, connected to a gas chromatograph and a mass selective detector was used for sample preparation and analysis. Results indicated that the monthly median (mean) total aromatic hydrocarbon concentrations ranged between 0.01 (0.011) and 3.1 (3.2) ppb. Benzene levels did not exceed the local air quality standard limit, i.e. annual mean of 1.6 ppb. Toluene was the most abundant compound, with an annual median (mean) concentration of 0.63 (0.89) ppb. No statistically significant differences in the concentrations measured during daytime and night-time were found, and no distinct seasonal patterns were

  2. Petroleum systems of the Northwest Java Province, Java and offshore southeast Sumatra, Indonesia

    USGS Publications Warehouse

    Bishop, Michele G.

    2000-01-01

    Mature, synrift lacustrine shales of Eocene to Oligocene age and mature, late-rift coals and coaly shales of Oligocene to Miocene age are source rocks for oil and gas in two important petroleum systems of the onshore and offshore areas of the Northwest Java Basin. Biogenic gas and carbonate-sourced gas have also been identified. These hydrocarbons are trapped primarily in anticlines and fault blocks involving sandstone and carbonate reservoirs. These source rocks and reservoir rocks were deposited in a complex of Tertiary rift basins formed from single or multiple half-grabens on the south edge of the Sunda Shelf plate. The overall transgressive succession was punctuated by clastic input from the exposed Sunda Shelf and marine transgressions from the south. The Northwest Java province may contain more than 2 billion barrels of oil equivalent in addition to the 10 billion barrels of oil equivalent already identified.

  3. Diversity of Anopheles mosquitoes in Binh Phuoc and Dak Nong Provinces of Vietnam and their relation to disease

    PubMed Central

    2014-01-01

    Background Human malaria is still a burden in Dak Nong and Binh Phuoc Provinces in south-central Vietnam that border Cambodia. Several Anopheles species that transmit human malarial Plasmodium may also transmit Wuchereria bancrofti, the nematode that causes Bancroftian lymphatic filariasis. The objective of this study was to investigate the role of Anopheles species in the transmission of these two pathogens in the two highly malaria endemic provinces of Vietnam. Methods Anopheles mosquitoes were collected in Dak Nong and Binh Phuoc Provinces in November and December of 2010 and 2011. Human landing catches, paired collections on human and buffalo, and resting captures were made with mouth aspirators. Collections were also made with light traps. Morphological and PCR-based methods were used to identify the species. Real-time PCR was used to detect Plasmodium species and W. bancrofti in individual mosquitoes. Results Twenty-four Anopheles species were identified among 797 captured mosquitoes. Anopheles dirus was found in both provinces and was the predominant species in Binh Phuoc Province; An. maculatus was the most prevalent species in Dak Nong Province. Anopheles minimus was collected only in Binh Phuoc Province. Some specimens of An. minimus and An. pampanai were misidentified based on morphology. Four specimens of An. scanloni were identified, and this is the first report of this species of the Dirus Complex in Vietnam. Two females, one An. dirus and one An. pampanai, collected in Binh Phuoc Province were infected with P. vivax, for an overall infection rate of 0.41% (2/486): 0.28% for An. dirus (1/361) and 20% for An. pampanai (1/5). No mosquitoes were found to be infected with P. falciparum, P. knowlesi or W. bancrofti in either province. Conclusion A diversity of Anopheles species occurs in Dak Nong and Binh Phuoc Provinces of Vietnam, several of which are considered to be actual and potential vectors of malarial protozoa and microfilariae. It is highly

  4. Impact of community tracer teams on treatment outcomes among tuberculosis patients in South Africa.

    PubMed

    Bronner, Liza E; Podewils, Laura J; Peters, Annatjie; Somnath, Pushpakanthi; Nshuti, Lorna; van der Walt, Martie; Mametja, Lerole David

    2012-08-07

    Tuberculosis (TB) indicators in South Africa currently remain well below global targets. In 2008, the National Tuberculosis Program (NTP) implemented a community mobilization program in all nine provinces to trace TB patients that had missed a treatment or clinic visit. Implementation sites were selected by TB program managers and teams liaised with health facilities to identify patients for tracing activities. The objective of this analysis was to assess the impact of the TB Tracer Project on treatment outcomes among TB patients. The study population included all smear positive TB patients registered in the Electronic TB Registry from Quarter 1 2007-Quarter 1 2009 in South Africa. Subdistricts were used as the unit of analysis, with each designated as either tracer (standard TB program plus tracer project) or non-tracer (standard TB program only). Mixed linear regression models were utilized to calculate the percent quarterly change in treatment outcomes and to compare changes in treatment outcomes from Quarter 1 2007 to Quarter 1 2009 between tracer and non-tracer subdistricts. For all provinces combined, the percent quarterly change decreased significantly for default treatment outcomes among tracer subdistricts (-0.031%; p < 0.001) and increased significantly for successful treatment outcomes among tracer subdistricts (0.003%; p = 0.03). A significant decrease in the proportion of patient default was observed for all provinces combined over the time period comparing tracer and non-tracer subdistricts (p = 0.02). Examination in stratified models revealed the results were not consistent across all provinces; significant differences were observed between tracer and non-tracer subdistricts over time in five of nine provinces for treatment default. Community mobilization of teams to trace TB patients that missed a clinic appointment or treatment dose may be an effective strategy to mitigate default rates and improve treatment outcomes. Additional

  5. Impact of community tracer teams on treatment outcomes among tuberculosis patients in South Africa

    PubMed Central

    2012-01-01

    Background Tuberculosis (TB) indicators in South Africa currently remain well below global targets. In 2008, the National Tuberculosis Program (NTP) implemented a community mobilization program in all nine provinces to trace TB patients that had missed a treatment or clinic visit. Implementation sites were selected by TB program managers and teams liaised with health facilities to identify patients for tracing activities. The objective of this analysis was to assess the impact of the TB Tracer Project on treatment outcomes among TB patients. Methods The study population included all smear positive TB patients registered in the Electronic TB Registry from Quarter 1 2007-Quarter 1 2009 in South Africa. Subdistricts were used as the unit of analysis, with each designated as either tracer (standard TB program plus tracer project) or non-tracer (standard TB program only). Mixed linear regression models were utilized to calculate the percent quarterly change in treatment outcomes and to compare changes in treatment outcomes from Quarter 1 2007 to Quarter 1 2009 between tracer and non-tracer subdistricts. Results For all provinces combined, the percent quarterly change decreased significantly for default treatment outcomes among tracer subdistricts (−0.031%; p < 0.001) and increased significantly for successful treatment outcomes among tracer subdistricts (0.003%; p = 0.03). A significant decrease in the proportion of patient default was observed for all provinces combined over the time period comparing tracer and non-tracer subdistricts (p = 0.02). Examination in stratified models revealed the results were not consistent across all provinces; significant differences were observed between tracer and non-tracer subdistricts over time in five of nine provinces for treatment default. Conclusions Community mobilization of teams to trace TB patients that missed a clinic appointment or treatment dose may be an effective strategy to mitigate default rates and

  6. Quality of water from bedrock aquifers in the South Carolina Piedmont

    USGS Publications Warehouse

    Patterson, G.G.; Padgett, G.C.

    1984-01-01

    The geographic distributions of 12 common water-quality parameters of ground water from bedrock aquifers in the Piedmont physiographic province of South Carolina are presented in a series of maps. The maps are based on analyses by the South Carolina Department of Health and Environmental Control of water samples taken during the period 1972 to 1982 from 442 public and private wells developed in the Piedmont. In general, alkalinity, hardness, and concentrations of sodium, magnesium, and chloride were higher in the Carolina Slate Belt than they were in the other geologic belts of the Piedmont. (USGS)

  7. Applicability of the Organisational Climate Description Questionnaire--Rutgers Elementary: A South African Case Study

    ERIC Educational Resources Information Center

    Vos, D.; Ellis, S. M.; van der Westhuizen, Philip C.; Mentz, P. J.

    2013-01-01

    The Organisational Climate Description Questionnaire--Rutgers Elementary (OCDQ--RE) was used to determine the current organizational climate of primary schools in North-West Province, South Africa. This questionnaire evaluates the actions of principals and educators; the current organizational climate in primary schools can be determined from the…

  8. Ground-water provinces of southern Rhodesia

    USGS Publications Warehouse

    Dennis, Philip Eldon; Hindson, L.L.

    1964-01-01

    Ground-water development, utilization, and occurrence in nine ground-water provinces of Southern Rhodesia are summarized in this report. Water obtained from drilled wells for domestic and stock use has played an important part in the social and economic development of Southern Rhodesia from the beginnings of European settlement to the present. Most of the wells obtain water from fractures and weathered zones in crystalline rocks, before recently, there has been an interest in the possibility of obtaining water for irrigation from wells. Studies of the authors indicate that quantities of water sufficient for irrigation can be obtained from alluvial sediments in the S'abi Valley, from Kalahari sands in the western part of the country, are perhaps from aquifers in other areas. The ground-water provinces fall into two groups--those in the crystalline rocks and those in the noncrystalline rocks. Historically, the wells in crystalline rocks, especially the Gold belts province and the Intrusive granites province, have played a major role in supplying water for the needs of man. These provinces, together with two other less important crystalline rock provinces, form the broad arch which constitutes the central core of the country. The noncrystalline rocks overlie and flank the crystalline rocks to the southeast, northwest, and north. The noncrystalline rock provinces, especially the Alluvium-Kalahari province, contain the most productive or potentially productive ground-water reservoirs in Southern Rhodesia and offer promise of supplying water for irrigation and for other purposes.

  9. Whole Rock and Mineral Chemistry from the Central Atlantic Magmatic Province (CAMP)

    NASA Astrophysics Data System (ADS)

    Chau, K. X.; Draper, G.; Sen, G.

    2014-12-01

    The Central Atlantic Magmatic Province (CAMP) was a large igneous province (LIP) emplaced approximately 200 million years ago during the rifting of Pangaea, shortly before the opening of the Atlantic Ocean. Although a comparatively small amount of the original province remains today, the locations of the existing outcrops on four continents (North America, South America, Africa, and Europe) show the extensive reach of igneous activity and indicate that the CAMP was likely one of the biggest LIPs known. Because of the geologic and global significance of this episode, a knowledge of the conditions that generated and emplaced such a large volume of magma would help better understand mantle and tectonic processes. In this study, we compare whole rock and mineral chemistry data from three of the North American outcrops: the Palisades Sill of the Newark Basin in eastern New York and New Jersey, the Centreville Sheet of the Culpeper Basin in northern Virginia, and the York Haven pluton of the Gettysburg Basin in southeastern Pennsylvania. The diabases are quartz-normative theoleiites; their chemistries are indicate high degrees of internal differentiation and thermal disequilbirum, consistent with magma bodies cooling as a closed or near-closed system. The trace element data shows that, although there is evidence to support a deep mantle source for CAMP melts, there is also a shallower component influencing the chemistries of the samples. We interpret this as the signal of an ancient subducted slab through which CAMP melts passed.

  10. Wellness and Academic Outcomes among Disadvantaged Students in South Africa: An Exploratory Study

    ERIC Educational Resources Information Center

    Morris-Paxton, Angela A.; Van Lingen, Johanna M.; Elkonin, Diane

    2017-01-01

    Objective: The aim of this study was to measure possible impacts of a salutogenic lifestyle education programme on wellness and academic outcomes in a group of socioeconomically disadvantaged students in the first year of higher education. Setting: University in the Eastern Cape Province, South Africa. Methods: A mixed-methods approach was…

  11. School Language Profiles: Valorizing Linguistic Resources in Heteroglossic Situations in South Africa

    ERIC Educational Resources Information Center

    Busch, Brigitta

    2010-01-01

    Although South Africa is committed to a policy of linguistic diversity, the language-in-education policy is still plagued by the racialization of language issues under apartheid and, more recently, by new challenges posed by internal African migration. Drawing on the experience of a school in the Western Cape Province, this paper explores the role…

  12. Synoptic patterns leading to hailstorm in Chaharmahal and Bakhtiari province, Iran

    NASA Astrophysics Data System (ADS)

    Salahi, Bromand; Nohegar, Ahmad; Behrouzi, Mahmoud; Aalijahan, Mehdi

    2018-03-01

    The purpose of this study was to extract the synoptic patterns of 500 mb geopotential height and the sea level pressure leading to form hail in Chaharmahal and Bakhtiari province, Iran. To this end, at first, we explored hail occurrence in different areas of the province under investigation. Then, using sea level pressure and 500 mb geopotential height data, the patterns of hail occurrence were investigated through hierarchical clustering and Ward's method. The level of 500 mb patterns resulting in hail formation in the area include: (1) settlement of a cut-off low pressure blocking in Turkey and Iran's position in downstream of trough and injection of humidity coming from the Red Sea; (2) settlement of low ridge in northern Europe and Iran lying in downstream of the trough and injection of humidity of the Mediterranean Sea; (3) settlement of a cut-off low pressure in east of Europe and Iran lying in downstream of the trough; and (4) settlement of a deep trough in the Mediterranean Sea, formation of an omega-shaped blocking in Northern Europe and Iran lying in downstream of the trough. At sea level, the following patterns have caused hail formation in Chaharmahal and Bakhtiari province: (1) settlement of low pressure in Iran and Russia accompanying high pressure in Taklimakan Desert and east of Europe; (2) settlement of low pressure in Iran and high pressure in Egypt, northern Europe, and Taklimakan Desert; and (3) settlement of low pressure in Iran, Saudi Arabia and south of Italy and high pressure in Egypt and Siberia.

  13. Trend in cataract surgical rate in iran provinces.

    PubMed

    Hashemi, Hassan; Rezvan, Farhad; Khabazkhoob, Mehdi; Gilasi, Hamidreza; Etemad, Koroush; Mahdavi, Alireza; Asgari, Soheila

    2014-07-01

    The aim of this study was to determine the trend of changes in Cataract Surgical Rate (CSR) in the provinces of Iran during 2006 to 2010 and identify high risk areas. This report is part of the national Iranian CSR Study. The percentage change in CSR in 2010 compared to 2006 was conducted in each province, retrospectively. One hundred and ten centers were chosen from all provinces, to determine CSR in each, the weight of major (>3,000 annual surgeries) and minor (3,000 annual surgeries or less) centers was calculated based on the number of selected centers, and multiplied by the number of surgeries in each province. In eight provinces, CSR was decreased by 1-60%. One province (Booshehr) showed no change. Eighteen provinces had 2-79% increase. No 2006 data was available in three provinces. North Khorasan had the most decrease while Kerman had the most increase in CSR. Six of these 8 provinces had CSR>3,000 despite a decrease in 2010, but North Khorasan had CSR<3,000 over the whole 5 year period. In 4 provinces, CSR had a gap from 3,000 despite an ascending trend, and in two, the gap was quite considerable. Although CSR has an improving trend in most provinces in Iran, it is decreasing in some provinces, and despite an already low CSR, the exacerbation continues. The growing population of over 50 year olds calls for prompt measures in such provinces. Even in improving provinces, some lag behind the minimum recommended by WHO, and the growth rate of the over 50 population reveals the necessity of immediate planning.

  14. Tectonics and metallogenic provinces

    USGS Publications Warehouse

    Guild, P.W.

    1983-01-01

    Various theories have been advanced to explain the well-known uneven distribution of metals and ore-deposit types in space and time. Primordial differences in the mantle, preferential concentration of elements in the crust, the prevalence of ore-forming processes at certain times and (or) places, and combinations of one or several of these factors have all been called upon to account for the "metallogenic provinces," which can be defined loosely as regions containing similar deposits of one or a group of metals or minerals. Because many, perhaps most, provinces have complex, multistage origins, the relative importance of inheritance vs. process is still controversial. In recent years the geographic relationship of many geologically young provinces to present-day plate-tectonic positions (accreting or consuming margins, intraplate structures, etc.) has been widely recognized, and the presumption is strong that older provinces had similar relationships to former plates. As most ore deposits resulted from a favorable conjunction of geological processes that are no longer operative, elucidation of their genesis requires reconstruction of the geologic history of the province, with particular emphasis on events coeval with mineralization. Tectonic analysis is an important aspect of this reconstruction; data from orbiting satellites have contributed greatly to this analysis, as the voluminous literature of the past decade testifies. Both the synoptic view of large areas and the ability to emphasize faint contrasts have revealed linear, curvilinear, and circular features not previously recognized from field studies. Some of these undoubtedly reflect basement structures that have contributed to the development, or limit the extent, of metallogenic provinces. Their recognition and delineation will be increasingly valuable to the assessment of resources available and as guides to exploration for the ores needed by future generations. ?? 1983.

  15. Grain size statistics and depositional pattern of the Ecca Group sandstones, Karoo Supergroup in the Eastern Cape Province, South Africa

    NASA Astrophysics Data System (ADS)

    Baiyegunhi, Christopher; Liu, Kuiwu; Gwavava, Oswald

    2017-11-01

    Grain size analysis is a vital sedimentological tool used to unravel the hydrodynamic conditions, mode of transportation and deposition of detrital sediments. In this study, detailed grain-size analysis was carried out on thirty-five sandstone samples from the Ecca Group in the Eastern Cape Province of South Africa. Grain-size statistical parameters, bivariate analysis, linear discriminate functions, Passega diagrams and log-probability curves were used to reveal the depositional processes, sedimentation mechanisms, hydrodynamic energy conditions and to discriminate different depositional environments. The grain-size parameters show that most of the sandstones are very fine to fine grained, moderately well sorted, mostly near-symmetrical and mesokurtic in nature. The abundance of very fine to fine grained sandstones indicate the dominance of low energy environment. The bivariate plots show that the samples are mostly grouped, except for the Prince Albert samples that show scattered trend, which is due to the either mixture of two modes in equal proportion in bimodal sediments or good sorting in unimodal sediments. The linear discriminant function analysis is dominantly indicative of turbidity current deposits under shallow marine environments for samples from the Prince Albert, Collingham and Ripon Formations, while those samples from the Fort Brown Formation are lacustrine or deltaic deposits. The C-M plots indicated that the sediments were deposited mainly by suspension and saltation, and graded suspension. Visher diagrams show that saltation is the major process of transportation, followed by suspension.

  16. Forecasting the number of zoonotic cutaneous leishmaniasis cases in south of Fars province, Iran using seasonal ARIMA time series method.

    PubMed

    Sharafi, Mehdi; Ghaem, Haleh; Tabatabaee, Hamid Reza; Faramarzi, Hossein

    2017-01-01

    To predict the trend of cutaneous leishmaniasis and assess the relationship between the disease trend and weather variables in south of Fars province using Seasonal Autoregressive Integrated Moving Average (SARIMA) model. The trend of cutaneous leishmaniasis was predicted using Mini tab software and SARIMA model. Besides, information about the disease and weather conditions was collected monthly based on time series design during January 2010 to March 2016. Moreover, various SARIMA models were assessed and the best one was selected. Then, the model's fitness was evaluated based on normality of the residuals' distribution, correspondence between the fitted and real amounts, and calculation of Akaike Information Criteria (AIC) and Bayesian Information Criteria (BIC). The study results indicated that SARIMA model (4,1,4)(0,1,0) (12) in general and SARIMA model (4,1,4)(0,1,1) (12) in below and above 15 years age groups could appropriately predict the disease trend in the study area. Moreover, temperature with a three-month delay (lag3) increased the disease trend, rainfall with a four-month delay (lag4) decreased the disease trend, and rainfall with a nine-month delay (lag9) increased the disease trend. Based on the results, leishmaniasis follows a descending trend in the study area in case drought condition continues, SARIMA models can suitably measure the disease trend, and the disease follows a seasonal trend. Copyright © 2017 Hainan Medical University. Production and hosting by Elsevier B.V. All rights reserved.

  17. Tuberculosis Transmission among Immigrants and Autochthonous Populations of the Eastern Province of Saudi Arabia

    PubMed Central

    Varghese, Bright; Supply, Philip; Shoukri, Mohammed; Allix-Beguec, Caroline; Memish, Ziad; Abuljadayel, Naila; Al-Hakeem, Raafat; AlRabiah, Fahad; Al-Hajoj, Sahal

    2013-01-01

    Background Eastern province of Saudi Arabia is an industrial zone with large immigrant population and high level of tuberculosis case notification among immigrants. The impact of immigration and current trends of tuberculosis transmission among immigrants and autochthonous population in the region had not been investigated so far using molecular tools. Methodology During 2009- 2011, a total of 524 Mycobacterium tuberculosis isolates were collected from the central tuberculosis reference laboratory, representing an estimated 79.2% of the culture-positive tuberculosis cases over the study period in the province. These isolates were genotyped by using 24 locus-based MIRU-VNTR typing and spoligotyping followed by first line drug susceptibility testing. The molecular clustering profiles and phylogenetic diversity of isolates were determined and compared to the geographical origins of the patients. Principle Findings Genotyping showed an overall predominance of Delhi/CAS (29.4%), EAI (23.8%) and Ghana (13.3%) lineages, with slightly higher proportions of Delhi/CAS among autochthonous population (33.3 %) and EAI (30.9%) among immigrants. Rate of any drug resistance was 20.2% with 2.5% of multi-drug resistance. Strain cluster analysis indicated 42 clusters comprising 210 isolates, resulting in a calculated recent transmission index of 32.1%. Overall shared cluster ratio was 78.6% while 75.8% were shared between autochthonous population and immigrant population with a predominance of immigrants from South east Asia (40.7%). In contrast, cross national transmission within the immigrant population was limited (24.2%). Younger age (15-30- p value-0.043, 16-45, p value 0.030), Saudi nationality (p value-0.004) and South East Asian origin (p value-0.011) were identified as significant predisposing factors for molecular strain clustering. Conclusions The high proportion of molecular clusters shared among the autochthonous and immigrant populations suggests a high permeability of

  18. Perceptions of Student Misconduct, Perceived Respect for Teachers, and Support for Corporal Punishment among School Teachers in South Korea: An Exploratory Case Study

    ERIC Educational Resources Information Center

    Brown, Ben

    2009-01-01

    This article provides an analysis of survey data on perceptions of student misconduct, perceived respect for teachers, and support for corporal punishment among school teachers in South Korea. The data were gathered from a survey of 110 middle and high school teachers in Gyeonggi Province, South Korea. Descriptive, chi square, logistic regression,…

  19. Concentration of novel brominated flame retardants and HBCD in leachates and sediments from selected municipal solid waste landfill sites in Gauteng Province, South Africa.

    PubMed

    Olukunle, O I; Okonkwo, O J

    2015-09-01

    In this study leachate and sediment samples were collected from six municipal solid waste landfill sites across Gauteng Province in South Africa to determine the levels of 2-ethylhexyl 2,3,4,5 tetrabromobenzoate (EH-TBB), 1,2-bis(2,4,6-tribromophenoxy) ethane (BTBPE), decabromodiphenyl ethane (DBDPE), bis(2-ethylhexyl)-3,4,5,6-tetrabromo-phthalate (BEH-TEBP) and hexabromocyclododecane (HBCD). Soxhlet as well as liquid-liquid extraction were employed for sediment and leachates respectively followed by GC-EIMS analysis. Concentrations of novel brominated flame retardants (NBFRs) ranged from below detection (

  20. Ethnic differences in mental health service use among White, Chinese, South Asian and South East Asian populations living in Canada.

    PubMed

    Tiwari, Suresh K; Wang, Jianli

    2008-11-01

    Health services in Canada are publicly funded. However, the use of health services, especially mental health services, by ethnic minority groups in Canada, has not been well studied. The objectives of the study were to estimate the 12-month prevalence of mental health service use by ethnicities, overall and among those with major depression, and to identify factors associated with mental health services use in different ethnic groups in Canada. Data from the Canadian Community Health Survey (CCHS-1.1) were used. Participants included in this analysis were white who were born in Canada (n = 108,192), white immigrants (n = 10,892), Chinese (n = 1,785), South Asian (n = 1,214), and South East Asian immigrants (n = 818). Participants were selected using multiple staged, stratified random sampling procedures from household residents aged 12 years or older in ten provinces. White people were more likely to have used mental health services than Chinese participants and those from South Asian and South East Asian regions. The Chinese participants appeared to be less likely to have used mental health services than those in the South Asian and South East Asian groups, in those without major depression. In Canada, Asian immigrants are less likely to use mental health service use than white people. More studies are needed to examine factors affecting mental health service use in Asian immigrants living in North America.

  1. The Interface Between Violence, Disability, and Poverty: Stories From a Developing Country.

    PubMed

    Neille, Joanne; Penn, Claire

    2015-07-30

    People with disabilities are vulnerable to multiple forms of violence in their everyday lives, including structural violence, deprivation, and physical, emotional, and sexual exploitation. Despite increasing reports of violence against people with disabilities, little is known about this phenomenon, especially in the context of poverty. Furthermore, the various types of violence have traditionally been studied in isolation, which has led to a limited understanding of the nature and persistence of violence in society, and has affected our understanding of the relationship between different forms of violence. In this article, we explore the relationship between violence, disability, and poverty among people living in a rural area of South Africa. Thirty adults with a variety of disabilities living in 12 rural villages in the Mpumalanga Province of South Africa participated in the study. Each of the participants was provided with an opportunity to tell their life story. Narrative inquiry and participant observation were used to explore the ways in which violence pervades the participants' everyday experiences. Results were analyzed using thematic analysis and suggest that in the context of poverty, it is impossible to separate the experience of disability from the experience of violence. Structural violence was shown to underpin all other forms of interpersonal violence, making persons with disabilities vulnerable to additional forms of exploitation, and serve to further isolate people with disabilities from society, compromising both health and human rights. The findings suggest that an understanding of contextual factors is fundamental to understanding the relationship between violence and disability. © The Author(s) 2015.

  2. Projecting wildfire area burned in the south-eastern United States, 2011-60

    Treesearch

    Jeffrey P. Prestemon; Uma Shankar; Aijun Xiu; K. Talgo; D. Yang; Ernest Dixon; Donald McKenzie; Karen L. Abt

    2016-01-01

    Future changes in society and climate are expected to affect wildfire activity in the south-eastern United States. The objective of this research was to understand how changes in both climate and society may affect wildfire in the coming decades.We estimated a three-stage statistical model of wildfire area burned by ecoregion province for lightning and human causes (...

  3. Regional earthquake loss estimation in the Autonomous Province of Bolzano - South Tyrol (Italy)

    NASA Astrophysics Data System (ADS)

    Huttenlau, Matthias; Winter, Benjamin

    2013-04-01

    Beside storm events geophysical events cause a majority of natural hazard losses on a global scale. However, in alpine regions with a moderate earthquake risk potential like in the study area and thereupon connected consequences on the collective memory this source of risk is often neglected in contrast to gravitational and hydrological hazards processes. In this context, the comparative analysis of potential disasters and emergencies on a national level in Switzerland (Katarisk study) has shown that earthquakes are the most serious source of risk in general. In order to estimate the potential losses of earthquake events for different return periods and loss dimensions of extreme events the following study was conducted in the Autonomous Province of Bolzano - South Tyrol (Italy). The applied methodology follows the generally accepted risk concept based on the risk components hazard, elements at risk and vulnerability, whereby risk is not defined holistically (direct, indirect, tangible and intangible) but with the risk category losses on buildings and inventory as a general risk proxy. The hazard analysis is based on a regional macroseismic scenario approach. Thereby, the settlement centre of each community (116 communities) is defined as potential epicentre. For each epicentre four different epicentral scenarios (return periods of 98, 475, 975 and 2475 years) are calculated based on the simple but approved and generally accepted attenuation law according to Sponheuer (1960). The relevant input parameters to calculate the epicentral scenarios are (i) the macroseismic intensity and (ii) the focal depth. The considered macroseismic intensities are based on a probabilistic seismic hazard analysis (PSHA) of the Italian earthquake catalogue on a community level (Dipartimento della Protezione Civile). The relevant focal depth are considered as a mean within a defined buffer of the focal depths of the harmonized earthquake catalogues of Italy and Switzerland as well as

  4. [Molecular epidemiological study on HIV/AIDS under the follow-up program in Zhejiang province in 2009].

    PubMed

    Zhang, Jia-feng; Pan, Xiao-hong; Ding, Xiao-bei; Chen, Lin; Guo, Zhi-hong; Xu, Yun; Huang, Jing-jing

    2013-01-01

    To analyze the molecular epidemiological characteristics on HIV infectors/AIDS patients (HIV/AIDS) under a follow-up program in Zhejiang province in 2009. 303 cases were randomly sampled. Information on the cases was collected and followed by genomic DNA extraction. Gag gene fragments were amplified by nested PCR, followed by sequencing and bio-informatic analysis. The rate of success for sequence acquisition was 74.3% (225/303). Distributions of HIV subtypes were as follows: CRF01_AE (58.7%), CRF07_BC (13.8%), CRF08_BC (9.8%), B' (15.1%), C (1.8%), G (0.4%) and unassigned BC (unique recombinant form 0.4%). from the HIV BLAST analysis showed that the sources of strains with the highest homology involved in 10 provinces/municipalities (Liaoning, Guangxi, Yunnan, Henan, etc.) and five other countries (Thailand, Vietnam, India, South Africa and Libya). The CRF01_AE phylogenetic tree was divided into four clusters. The sequences of HIV/AIDS with homosexual transmission showed a gather in cluster 1, and mix with those infected through heterosexual contact. Circulating recombinant forms of HIV seemed to play a dominant role in Zhejiang province. Unique recombinant form and new subtype of HIV were found. People living with HIV under homosexual transmission and heterosexual transmission had a trend of interwoven with each other. Increase of both the diversity and complexity of HIV strains were also noticed in Zhejiang province.

  5. South China Sea

    USGS Publications Warehouse

    Morton, Brian; Blackmore, Graham

    2001-01-01

    The South China Sea is poorly understood in terms of its marine biota, ecology and the human impacts upon it. What is known is most often contained in reports and workshop and conference documents that are not available to the wider scientific community. The South China Sea has an area of some 3.3 million km2 and depths range from the shallowest coastal fringe to 5377 m in the Manila Trench. It is also studded with numerous islets, atolls and reefs many of which are just awash at low tide. It is largely confined within the Tropic of Cancer and, therefore, experiences a monsoonal climate being influenced by the Southwest Monsoon in summer and the Northeast Monsoon in winter. The South China Sea is a marginal sea and, therefore, largely surrounded by land. Countries that have a major influence on and claims to the sea include China, Malaysia, the Philippines and Vietnam, although Thailand, Indonesia and Taiwan have some too. The coastal fringes of the South China Sea are home to about 270 million people that have had some of the fastest developing and most vibrant economies on the globe. Consequently, anthropogenic impacts, such as over-exploitation of resources and pollution, are anticipated to be huge although, in reality, relatively little is known about them. The Indo-West Pacific biogeographic province, at the centre of which the South China Sea lies, is probably the world's most diverse shallow-water marine area. Of the three major nearshore habitat types, i.e., coral reefs, mangroves and seagrasses, 45 mangrove species out of a global of 51, most of the currently recognised 70 coral genera and 20 of 50 known seagrass species have been recorded from the South China Sea. The island groups of the South China Sea are all disputed and sovereignty is claimed over them by a number of countries. Conflicts have in recent decades arisen over them because of perceived national rights. It is perhaps because of this that so little research has been undertaken on the South

  6. 1H-NMR and UPLC-MS metabolomics: Functional tools for exploring chemotypic variation in Sceletium tortuosum from two provinces in South Africa.

    PubMed

    Zhao, Jianping; Khan, Ikhlas A; Combrinck, Sandra; Sandasi, Maxleene; Chen, Weiyang; Viljoen, Alvaro M

    2018-05-17

    Sceletium tortuosum (Aizoaceae) is widely recognised for the treatment of stress, anxiety and depression, as well as for obsessive compulsive disorders. A comprehensive intraspecies chemotypic variation study, using samples harvested from two distinct regions of South Africa, was done using both proton nuclear magnetic resonance ( 1 H-NMR) spectroscopy of methanol extracts (N = 145) and ultra performance liquid chromatography-mass spectrometry (UPLC-MS) of acid/base extracts (N = 289). Chemometric analysis of the 1 H-NMR data indicated two main clusters that were region-specific (Northern Cape and Western Cape provinces). Two dimensional (2D) NMR was used to identify analytes that contributed to the clustering as revealed by the S-plot. The sceletium alkaloids, pinitol and two alkylamines, herein reported for the first time from S. tortuosum, were identified as markers that distinguished the two groups. Relative quantification of the marker analytes conducted by qNMR indicated that samples from the Northern Cape generally contained higher concentrations of all the markers than samples from the Western Cape. Quantitative analysis of the four mesembrine alkaloids using a validated UPLC-photo diode array (PDA) detection method confirmed the results of qNMR with regard to the total alkaloid concentrations. Samples from the Northern Cape Province were found to contain, on average, very high total alkaloids, ranging from 4938.0 to 9376.8 mg/kg dry w. Regarding the Western Cape samples, the total yields of the four mesembrine alkaloids were substantially lower (averages 16.4-4143.2 mg/kg). Hierarchical cluster analysis of the UPLC-MS data, based on the alkaloid chemistry, revealed three branches, with one branch comprising samples primarily from the Northern Cape that seemed somewhat chemically conserved, while the other two branches represented mainly samples from the Western Cape. The construction of an orthogonal projections to latent structures

  7. Caregivers' knowledge and use of fermented foods for infant and young children feeding in a rural community of odi, gauteng province, South Africa.

    PubMed

    Chelule, Paul K; Mokgatle, Mathildah M; Zungu, Lindiwe I; Chaponda, Armelia

    2014-01-01

    Fermented foods have positive health effects in adults and children if consumed regularly. However, lack of knowledge and perceptions to-wards fermented foods may limit their usage. This study aimed to assess the caregivers' awareness and usage of fermented foods for feeding children in peri-urban/rural communities of Gauteng Province. A qualitative exploratory study was conducted in June, 2012, in a peri-urban/rural community to assess the awareness and use of fermented foods by child caregivers attending a local antenatal clinic through focus group discussions. Thirty three caregivers participated in the study; however 29 indicated their demographic profiles. Four major themes that emerged from the analysis included knowledge on fermented foods, perceived benefits of fermentation, varied views about fermentation and feeding practices. Fermented foods that caregivers, their families and community members consume include ting, fat cakes, dumplings, sorghum beer and mageu. Findings also showed that children consumed fermented foods in form of soft ting porridge; and yoghurt, marketed as Activia and Danone commercial brands. Also, caregivers were not comfortable feeding their children with fermented foods, indicating their limited knowledge on the nutri-tional value of these foods. It is critical to promote caregivers' knowledge and use of fermented foods for feeding infants and young children in South African rural communities.

  8. South African court rejects country's new constitution.

    PubMed

    1996-09-20

    Fundamental principles designed to ensure that South Africa's new constitution upholds a wide range of individual rights and freedoms and establishes a responsive government with a balanced separation of powers, including recognition of the role of traditional tribal leadership, were adopted into the current interim constitution shortly before the 1994 free elections which brought Nelson Mandela and the African National Congress to power. In a judgement issued on September 6, 1996, South Africa's Constitutional Court rejected the country's new draft constitution, arguing that it failed to meet the standards of nine of the 34 principles established at the Kempton Park negotiations. The Constitutional Assembly is comprised of a joint meeting of the National Assembly and Senate. One of the court's major objections to the constitution concerned the proposed structure of rule, which was seen to give inadequate power to South Africa's nine provinces as compared with the national government. However, the bill of rights was almost entirely upheld. The bill would create a favorable environment for legalized abortion and guarantee a universal right of access to health care, including reproductive health services

  9. Geochronological, geochemical and geothermal constraints on petrogenesis of the Indosinian peraluminous granites in the South China Block: A case study in the Hunan Province

    NASA Astrophysics Data System (ADS)

    Wang, Yuejun; Fan, Weiming; Sun, Min; Liang, Xinquan; Zhang, Yanhua; Peng, Touping

    2007-07-01

    The Indosinian granites in the South China Block (SCB) have important tectonic significance for the evolution of East Asia. Samples collected from Hunan Province can be geochemically classified into two groups. Group 1 is strongly peraluminous (A/CNK > 1.1), similar to S-type granites, and Group 2 has A/CNK = 1.0-1.1, with an affinity to I-type granites. Group 1 has lower FeOt, Al 2O 3, MgO, CaO, TiO 2 and ɛNd( t) values but higher K 2O + Na 2O, Rb/Sr, Rb/Ba and 87Sr/ 86Sr( t) than those of Group 2. Samples of both groups have similar LREE enriched pattern, with (Eu/Eu *) = 0.19-0.69, and strongly negative Ba, Sr, Nb, P and Ti anomalies. Geothermobarometry study indicates that the precursor magmas were emplaced at high-level depth with relatively low temperature (734-827 °C). Geochemical data suggest that Group 1 was originated from a source dominated by pelitic composition and Group 2 was from a mixing source of pelitic and basaltic rocks with insignificant addition of newly mantle-derived magma. Eight granitic samples in Hunan Province are dated at the cluster of 243-235 and 218-210 Ma by zircon U-Pb geochronology. Together with recent zircon U-Pb ages for other areas in the SCB, two age-clusters, including 243-228 Ma just after peak-metamorphism (˜ 246-252 Ma) and 220-206 Ma shortly after magma underplating event (˜224 Ma), are observed. It is proposed that in-situ radiogenic heating from the over-thickened crust induced dehydrated reaction of muscovite and epidote/zoisite to form the early Indosinian granites in response to the isostatic readjustments of tectonically thickened crust. Conductive heating from the underplating magma in the postcollisional setting triggered the formation of late Indosinian granites. Such a consideration is supported by the results from FLAC numerical simulation.

  10. Volcano-tectonics of the Al Haruj Volcanic Province, Central Libya

    NASA Astrophysics Data System (ADS)

    Elshaafi, Abdelsalam; Gudmundsson, Agust

    2016-10-01

    The Al Haruj intra-continental Volcanic Province (AHVP), located at the south-western margin of the Sirt Basin, hosts the most extensive and recent volcanic activity in Libya - which is considered typical for plate interiors. From north to south the AHVP is divided into two subprovinces, namely Al Haruj al Aswad and Al Haruj al Abiyad. The total area of the AHVP is around 42,000 km2. Despite the great size of the AHVP, its volcano-tectonic evolution and activity have received very little attention and are poorly documented and understood. Here we present new field data, and analytical and numerical results, on the volcano-tectonics of the AHVP. The length/thickness ratio of 47 dykes and volcanic fissures were measured to estimate magmatic overpressure at the time of eruption. The average dyke (length/thickness) ratio of 421 indicates magmatic overpressures during the associate fissure eruptions of 8-19 MPa (depending on host-rock elastic properties). Spatial distributions of 432 monogenetic eruptions sites/points (lava shields, pyroclastic cones) in the AHVP reveal two main clusters, one in the south and another in the north. Aligned eruptive vents show the dominating strike of volcanic fissures/feeder-dykes as WNW-ESE to NW-SE, coinciding with the orientation of one of main fracture/fault zones. Numerical modelling and field observations suggest that some feeder-dykes may have used steeply dipping normal-fault zones as part of their paths to the surface.

  11. Source identification and trends in concentrations of gaseous and fine particulate principal species in Seoul, South Korea.

    PubMed

    Kang, Choong-Min; Kang, Byung-Wook; Lee, Hak Sung

    2006-07-01

    Ambient measurements were made using two sets of annular denuder system during the four seasons (April 2001 to February 2002) and were then compared with the results during the period of 1996-1997 to estimate the trends and seasonal variations in concentrations of gaseous and fine particulate matter (PM2.5) principal species. Annual averages of gaseous HNO3 and NH3 increased by 11% and 6%, respectively, compared with those of the previous study, whereas HONO and SO2 decreased by 11% and 136%, respectively. The PM2.5 concentration decreased by -17%, 35% for SO4(2-), and 29% for NH4+, whereas NO3- increased by 21%. Organic carbon (OC) and elemental carbon (EC) were 12.8 and 5.98 microg/m(-3), accounting for -26 and 12% of PM2.5 concentration, respectively. The species studied accounted for 84% of PM2.5 concentration, ranging from 76% in winter to 97% in summer. Potential source contribution function (PSCF) analysis was used to identify possible source areas affecting air pollution levels at a receptor site in Seoul. High possible source areas in concentrations of PM2.5, NO3-, SO4(2-), NH4+, and K+ were coastal cities of Liaoning province (possibly emissions from oil-fired boilers on ocean liners and fishing vessels and industrial emissions), inland areas of Heibei/Shandong provinces (the highest density areas of agricultural production and population) in China, and typical port cities (Mokpo, Yeosu, and Busan) of South Korea. In the PSCF map for OC, high possible source areas were also coastal cities of Liaoning province and inland areas of Heibei/Shandong provinces in China. In contrast, high possible source areas of EC were highlighted in the south of the Yellow Sea, indicating possible emissions from oil-fired boilers on large ships between South Korea and Southeast Asia. In summary, the PSCF results may suggest that air pollution levels in Seoul are affected considerably by long-range transport from external areas, such as the coastal zone in China and other

  12. Malaria Four-year Epidemiological Trends in Sistan and Baluchistan Province, Iran.

    PubMed

    Norouzinezhad, Faezeh; Ghaffari, Fatemeh; Raeisi, Ahmad; Norouzinejad, Abbas; Kaveh, Farzad

    2017-01-01

    Malaria is one of the foremost public health concerns in Iran, where more than 90% of malaria cases are reported in the southern and south-eastern areas of the country. The aim of this study was to assess the epidemiological trends of malaria over a four-year period in in the Sistan and Baluchistan province in south east of Iran. This descriptive epidemiological study examined malaria trends in Sistan and Baluchistan province from 2011 to 2014. The study used data collected in accordance with the Iranian Ministry of Health's malaria control and elimination protocol. This protocol has digitized the data reporting system for malaria, and all information were sent online to the Center of Disease Control in the Ministry of Health. In this manner, information on malaria cases in Sistan and Baluchistan were made available for the researchers to analyze. Descriptive and comparative analyses were conducted using the SPSS version 13. Annual incidence rates reported in 2011, 2012, 2013, and 2014 showed the prevalence of 89.9, 43.9, 38.3 and 36.6 (per 100,000 persons), respectively. Across all 4 years, the highest numbers of cases were found in persons 16-25 years old and among males. Most of the infected individuals were villagers and workers. In total, 64.8% of patients were Iranian and 29.5% were Pakistani. The highest number of cases was diagnosed in the cities of Sarbaz and Chabahar, with 1,742 and 1,707 cases, respectively. The results showed that over the last 4 years, 50.8% of cases have entered into Iran from foreign countries. The majority of cases involved parasites in the trophozoite stage of the life cycle. In terms of surveillance, passive care was reported in the majority of cases, and vivax malaria had the highest prevalence in comparison with other types. The findings are showing that the care, control and treatment system applied to Sistan and Baluchistan province has had a positive effect on decreasing the prevalence rate of Malaria disease. Meanwhile, it

  13. A revised chemo-chrono-stratigraphic 4-D model for the extrusive rocks of the Paraná Igneous Province

    NASA Astrophysics Data System (ADS)

    Licht, Otavio Augusto Boni

    2018-04-01

    The statistical analysis of a lithogeochemical database from whole Paraná Igneous Province (PIP), containing 5974 outcrop and drillhole samples, stresses natural gaps separating SiO2, Zr, TiO2 and P2O5 in high and low values. Their combination delimits 16 chemical types, which have been adopted to classify a sub-set of extrusive rocks with < 2% LOI, comprising 3296 samples. The SiO2 × Zr diagram, where only extrusive rock samples were plotted, shows two major trends connecting low silica (LSi) with high silica (HSi) types. The set formed by Type 4 (LSi-LZr-HTi-HP) + Type 3 (LSi-LZr-HTi-LP) + Type 2 (LSi-LZr-LTi-HP) outcrop samples constitutes a continuous strip that contours the North-Central portion of the Paraná Igneous Province - PIP, subdividing the Type 1 (LSi-LZr-LTi-LP) into Type 1 (Southern) and Type 1 (Central-Northern). The rocks of Type 9 (HSi-LZr-LTi-LP) are mainly exposed in the Central-Southern region and the Zr contents divide them into Type 9 (Central-Southern) < 303 ppm Zr and Type 9 (South-East) ≥ 303 ppm Zr. Both Type 13 (HSi-HZr-LTi-LP) and Type 14 (HSi-HZr-LTi-HP) are exposed on the eastern rim of the PIP. Types are characterized and correlated by typical major and minor elemental associations as well as specific geographical locations throughout the province, composing a robust 3-D model. The combination of maps, cross-sections and 40Ar/39Ar and U/Pb ages found in the literature resulted in a 4-D model (spatial and temporal) for the province. Thus, it is proposed to subdivide the PIP into Southern Sub-province and Central-Northern Sub-province, each one with its own evolution, based on the chemo- and chrono-stratigraphy of its volcanic sequence.

  14. Mitigation of landslide area around railway tunnel, South Sumatra Province, Indonesia

    NASA Astrophysics Data System (ADS)

    Toha, M. Taufik; Setiabudidaya, Dedi; Komar, Syamsul; Bochori, Ghadafi, Moamar A.; Adiwarman, Mirza; Rahim, S. E.

    2017-09-01

    Adequate and safe railway line infrastructures as well as facilities are required to support the rail transport system in South Sumatra. The slope stability along railway line of Lahat-Lubuk Linggau South Sumatra were studied during landslide that occured on January 23th, 2016. The landslide occurred on the mouth of railway tunnel in Gunung Gajah Village, Lahat District that causing the railway transportation system had to be stopped for a few days. A comprehensive research was conducted to analyze the causes of the landslide and to identify other landslide risky areas along the railway line Lahat-Lubuk Linggau. The research activities included surveying, sampling, laboratory testing, investigating condition of geology, geotechnics, hydrogeology/hydrology, morphology and land use. The factors that cause landslide in the past studies were found to be morphology, structural geology, physical and mechanical characteristics, hydrogeology, hydrology, external forces (train vibration, earthquake). Results back analysis of slope stability when the landslide occurred showed that the value Safety Factor (SF) = 1, angle of friction = 0°, and cohesion = 0.49 kg/cm2 (49 kPa). Based on the observation and analysis of the condition of the morphology and orientation of the structure of the rock layers, there was a location prone to landslide (labile) in the surrounding area of the landslide. Mitigations to potential landslide in adjacent area were building a retaining wall, draining channels, and shortcrete at the rock wall after landslides and maintaining the land use around the slopes.

  15. Evaluation of ecosystem service based on scenario simulation of land use in Yunnan Province

    NASA Astrophysics Data System (ADS)

    Zhang, Hong; Liao, Xiaoli; Zhai, Tianlin

    2018-04-01

    differences. Under the BAU scenario, the construction land is mainly in the south of Lijiang City and the northeastern part of Kunming. Under the FP scenario, the new construction land is concentrated near the Lashi dam in northern Yunnan Province, and the high-quality arable land in the valley will be better protected. The research results can provide reference for the optimization of land use pattern in Yunnan Province, and provide scientific basis for land use management and planning. Based on the value of ecosystem services, we should implement the policy of strict protection of arable land, both to ensure food supply and promote the healthy development of ecological environment.

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

    PubMed

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

    2008-10-20

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

  17. Family Quality of Life of South African Families Raising Children with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Schlebusch, Liezl; Dada, Shakila; Samuels, Alecia E.

    2017-01-01

    This article describes the family quality of life among families who are raising a young child with autism spectrum disorder. Survey research was conducted with 180 families of children with autism spectrum disorder who were receiving disability-related services in the Gauteng province of South Africa. The principle measure used was the Beach…

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

    NASA Astrophysics Data System (ADS)

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

    2012-12-01

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

  19. [Relationships between vegetation characteristics and soil properties at different restoration stages on slope land with purple soils in Hengyang of Hunan Province, South-central China].

    PubMed

    Yang, Ning; Zou, Dong-Sheng; Yang, Man-Yuan; Hu, Li-Zhen; Zou, Fang-Ping; Song, Guang-Tao; Lin, Zhong-Gui

    2013-01-01

    By using space series to replace time series, this paper studied the relationships between the vegetation characteristics and soil properties at different restoration stages on the slope land with purple soils in Hengyang of Hunnan Province South-central China. There existed obvious differences in the soil physical and chemical properties at different restoration stages. From grassplot, grass-shrub, shrub to shrub-arbor, the soil organic matter, total and available N, and moisture contents increased markedly, soil bulk density had an obvious decrease, soil total and available P contents changed little, and soil pH decreased gradually, but no significant differences were observed among different restoration stages. At different restoration stages, the biomass of plant community had effects on the quantity and composition of soil microbes. The quantities of soil bacteria and fungi had significant positive correlations with the aboveground biomass of plant community, but the quantity of soil actinomycetes had less correlation with plant community's aboveground biomass. At different restoration stages, the activities of soil urease, protease, alkaline phosphatase, invertase, cellulase, catalase, and polyphenol oxidase decreased with increasing soil layer, and had significant positive correlations with plant community's richness and aboveground biomass.

  20. Assessing South Africa Learners' Attitudes Towards Technology by Using the PATT (Pupils' Attitudes towards Technology) Questionnaire.

    ERIC Educational Resources Information Center

    Van Rensburg, Susan; Ankiewicz, Piet; Myburgh, Chris

    1999-01-01

    The PATT (Pupils' Attitude Towards Technology) questionnaire, as validated for the United States, was used to assess and analyze attitudes of 500 girls and 510 boys from the Gauteng Province in South Africa. Findings are compared for both genders. Four tables present results. Contains 43 references. (AEF)

  1. Nematodes from Swainson's spurfowl Pternistis swainsonii and an Orange River francolin Scleroptila levaillantoides in Free State Province, South Africa, with a description of Tetrameres swainsonii n. sp. (Nematoda: Tetrameridae).

    PubMed

    Junker, K; Davies, O R; Jansen, R; Crowe, T M; Boomker, J

    2008-12-01

    Five Swainson's spurfowl collected in Free State Province, South Africa, were examined for helminth parasites, and the nematodes Acuaria gruveli, Cyrnea parroti, Gongylonema congolense, Subulura dentigera, Subulura suctoria and a new Tetrameres species were recovered. Their respective prevalence was 100, 20, 80, 20, 20 and 20%. These nematodes are all new parasite records for Swainson's spurfowl, and Acuaria gruveli constitutes a new geographical record as well. A single specimen of Cyrnea eurycerca was found in an Orange River francolin, representing a new host and geographical record for this parasite. The new species, for which the name Tetrameres swainsonii is proposed, can be differentiated from its congeners by a combination of the following characters of males: two rows of body spines, a single spicule which is 1152-1392 microm long, and eight pairs of caudal spines arranged in two ventral and two lateral rows of four spines each. The single female has the globular shape typical of the genus.

  2. Contrasting patterns of phytoplankton pigments and chemotaxonomic groups along 30°S in the subtropical South Atlantic Ocean

    NASA Astrophysics Data System (ADS)

    Araujo, Milton Luiz Vieira; Mendes, Carlos Rafael Borges; Tavano, Virginia Maria; Garcia, Carlos Alberto Eiras; Baringer, Molly O'Neil

    2017-02-01

    This work describes the spatial distribution of pigments and main taxonomic groups of phytoplankton in the biogeochemical provinces of the subtropical South Atlantic Ocean, along 30°S latitude. Seawater samples (surface to 200 m depth) were collected along 120 oceanographic stations occupied in the early austral spring of 2011, during a CLIVAR Repeat Hydrography cruise. The pigments were identified and quantified by high performance liquid chromatography (HPLC), and CHEMTAX software was used to determine the relative contributions of the main taxonomic groups to total chlorophyll a (phytoplankton biomass index). Sampling stations were grouped into three provinces: Africa, Gyre, and Brazil, corresponding to the eastern, central, and western sectors of the transect, respectively. Our results showed that both vertical and horizontal distribution patterns of pigments and taxonomic groups were mainly determined by the availability of light and/or nutrients. Photosynthetic carotenoids (PSCs), associated with small flagellates (mainly haptophytes), dominated the light-limited and nutrient-enhanced deep chlorophyll maximum (DCM) layers of both the Brazil and Gyre provinces, as well as the upwelling influenced surface waters of the Africa province. The latter showed the highest chlorophyll a values ​​(>1 mg m-3) and abundance of dinoflagellates in the coastal region. Photoprotective carotenoids (PPCs) were predominant in the nutrient-poor and well-lit surface layers of the Brazil and Gyre provinces, associated with a low content of chlorophyll a ( 0.1 mg m-3) and dominance of prokaryotes (Synechoccocus and Prochloroccocus). This study demonstrates that pigment analysis can provide a useful approach to better understand the distribution of phytoplankton communities along physical-chemical gradients in a still undersampled region of the South Atlantic Ocean.

  3. Modification of selected South Carolina bridge-scour envelope curves

    USGS Publications Warehouse

    Benedict, Stephen T.; Caldwell, Andral W.

    2012-01-01

    Historic scour was investigated at 231 bridges in the Piedmont and Coastal Plain physiographic provinces of South Carolina by the U.S. Geological Survey in cooperation with the South Carolina Department of Transportation. These investigations led to the development of field-derived envelope curves that provided supplementary tools to assess the potential for scour at bridges in South Carolina for selected scour components that included clear-water abutment, contraction, and pier scour, and live-bed pier and contraction scour. The envelope curves consist of a single curve with one explanatory variable encompassing all of the measured field data for the respective scour components. In the current investigation, the clear-water abutment-scour and live-bed contraction-scour envelope curves were modified to include a family of curves that utilized two explanatory variables, providing a means to further refine the assessment of scour potential for those specific scour components. The modified envelope curves and guidance for their application are presented in this report.

  4. Extensive 200-million-year-Old continental flood basalts of the central atlantic magmatic province

    PubMed

    Marzoli; Renne; Piccirillo; Ernesto; Bellieni; De Min A

    1999-04-23

    The Central Atlantic Magmatic Province (CAMP) is defined by tholeiitic basalts that crop out in once-contiguous parts of North America, Europe, Africa, and South America and is associated with the breakup of Pangea. 40Ar/39Ar and paleomagnetic data indicate that CAMP magmatism extended over an area of 2.5 million square kilometers in north and central Brazil, and the total aerial extent of the magmatism exceeded 7 million square kilometers in a few million years, with peak activity at 200 million years ago. The magmatism coincided closely in time with a major mass extinction at the Triassic-Jurassic boundary.

  5. [Fractal features of soil aggregate structure in slope farmland with different de-farming patterns in South Sichuan Province of China].

    PubMed

    Wang, Jing-Yan; Hu, Ting-Xing; Gong, Wei; Gong, Yuan-Bo; Luo, Cheng-De

    2010-06-01

    By using fractal model, this paper studied the fractal dimension of soil aggregate structure (D) in the slope farmland (CK), its 5-year de-farmed Neosinocalamus affinis plantation (NAP), Bambusa pervariabilis x Dendrocalamopsis oldhami plantation (BDP), Alnus crenastogyne + Neosinocalamus affinis plantation (ANP), and abandoned farmland (AFL) in south Sichuan Province of China, and analyzed the relationships between the D and soil physical and chemical properties. In the de-farmed plantations and abandoned farmland, the contents of > 0.25 mm soil aggregates and water-stable aggregates were increased significantly, compared with those in the slope farmland. The D was 1.377-2.826, being in the order of NAP < BDP < ANP < AFL < CK, and decreased with the increasing contents of > 0.25 mm soil aggregates and water-stable aggregates. Comparing with CK, de-farming increased the soil natural water content, capillary porosity, and contents of soil organic matter, total N, alkali-hydrolysable N, total P, and total K, and decreased soil bulk density, non-capillary porosity, and aeration porosity. There were close relationships between the fractal dimension of soil aggregate structure and the soil physical and chemical properties. All the results suggested that the de-farming of slope farmland was beneficial to the increase of the contents of > 0.25 mm soil aggregates and water-stable aggregates, and the enhancement of soil structure stability. The D could be used as an ideal index to evaluate soil fertility, and planting Neosinocalamus affinis on the de-farming slope farmland was a good measure for the improvement of soil fertility in the research area.

  6. Province, Indonesia

    PubMed

    Endarti, Dwi; Satibi, Satibi; Kristina, Susi Ari; Farida, Muhaya Almira; Rahmawanti, Yuni; Andriani, Tika

    2018-04-27

    Objective: To determine knowledge, perception, and acceptance related to cervical cancer, HPV vaccination and screening for cervical cancer among Indonesian women, particularly in Yogyakarta province. Methods: A convenience sample of 392 women consists of 192 young women, 100 mothers of girls aged 12 – 15 years, and 100 adult women in Yogyakarta province, Indonesia was participated in this study. A self-administered paper-based questionnaire was used to determine demographics characteristics of respondents, as well as their knowledge – perception – acceptance related to cervical cancer, HPV vaccination, and screening for cervical cancer. Data collection were conducted during December 2013 to March 2014. Descriptive statistics was used to analyze description of demographics characteristics, knowledge, perception, and acceptance; while crosstab analysis using Chi-Square was used to analyze the relationship between demographics characteristics versus knowledge, perception, and acceptance. Results: This study found that knowledge and perception regarding cervical cancer, HPV vaccination, and screening for cervical cancer among women in Indonesia, particularly in Yogyakarta Province were still insufficient, however the acceptance was good. Among female young women, 64% had good knowledge, 62% had positive perception of cervical cancer and HPV vaccination, and 92% tended to accept HPV vaccination. Among mothers of girls aged 12 – 15 years, 44% had good knowledge, 46% had positive perception of cervical cancer and HPV vaccination, and 91% tended to accept HPV vaccination for their daughters. Among adult women, 68% had good knowledge, 57% had positive perception of cervical cancer and screening for cervical cancer, and 90% tended to accept cervical cancer screening. In general, demographics characteristics of having experience and exposure to information had significant relationship with knowledge, perception, and acceptance of HPV vaccination and screening for

  7. THE LEVEL OF BREAST AND CERVICAL CANCER AWARENESS AMONG WOMEN IN A RURAL AREA OF SOUTH AFRICA.

    PubMed

    Zeitoun, O; Shemesh, N

    2017-06-01

    In South Africa breast and cervical cancer are the most predominant cancers amongst women, with mortality rates reaching surprising proportions. As a result of the continued rise of these conditions it is vital to determine these women's awareness of both, so as to determine the exact factors contributing to this rise. Whilst both urban and rural areas are afflicted, this study focused primarily on women in a rural area. This was a descriptive cross-sectional study conducted in a shopping mall located in the rural area of Bushbuckridge, Mpumalanga, South Africa. A total of 300 women of reproductive age were randomly identified and requested to fill out a study questionnaire assessing their level of breast and cervical cancer awareness. A total of 300 women participated in the study. The mean age of participants was 35.66 with a range of 13.53. Overall levels of knowledge about breast and cervical cancer in rural Bushbuckridge were found to be reduced with 66.89% and 74.49% of women who rated themselves with a poor understanding of breast and cervical cancer knowledge respectively. Among the participating women, those over the age of 40, with higher level of education were found to be more cognizant in terms of breast and cervical cancer awareness with a 30% (p = 0.0923) and 52% (p < 0.001) respectively. Their younger and less educated counterparts had a 21% (p = 0.078) and 32% (p = 0.034) awareness of breast and cervical cancer, respectively. The leading source of information for both breast and cervical cancer was healthcare facilities with a 67.11% and 63.5% respectively. This study highlights the lack of awareness and knowledge of breast and cervical cancer in women living in the rural area of Bushbuckridge, South Africa. There is also evidence showing that the older and more educated women have better knowledge than their younger and less educated counterparts, therefore there is a need for increased breast and cervical cancer education and awareness campaigns

  8. Determinants of health insurance ownership among South African women

    PubMed Central

    Kirigia, Joses M; Sambo, Luis G; Nganda, Benjamin; Mwabu, Germano M; Chatora, Rufaro; Mwase, Takondwa

    2005-01-01

    Background Studies conducted in developed countries using economic models show that individual- and household- level variables are important determinants of health insurance ownership. There is however a dearth of such studies in sub-Saharan Africa. The objective of this study was to examine the relationship between health insurance ownership and the demographic, economic and educational characteristics of South African women. Methods The analysis was based on data from a cross-sectional national household sample derived from the South African Health Inequalities Survey (SANHIS). The study subjects consisted of 3,489 women, aged between 16 and 64 years. It was a non-interventional, qualitative response econometric study. The outcome measure was the probability of a respondent's ownership of a health insurance policy. Results The χ2 test for goodness of fit indicated satisfactory prediction of the estimated logit model. The coefficients of the covariates for area of residence, income, education, environment rating, age, smoking and marital status were positive, and all statistically significant at p ≤ 0.05. Women who had standard 10 education and above (secondary), high incomes and lived in affluent provinces and permanent accommodations, had a higher likelihood of being insured. Conclusion Poverty reduction programmes aimed at increasing women's incomes in poor provinces; improving living environment (e.g. potable water supplies, sanitation, electricity and housing) for women in urban informal settlements; enhancing women's access to education; reducing unemployment among women; and increasing effective coverage of family planning services, will empower South African women to reach a higher standard of living and in doing so increase their economic access to health insurance policies and the associated health services. PMID:15733326

  9. Determinants of health insurance ownership among South African women.

    PubMed

    Kirigia, Joses M; Sambo, Luis G; Nganda, Benjamin; Mwabu, Germano M; Chatora, Rufaro; Mwase, Takondwa

    2005-02-28

    Studies conducted in developed countries using economic models show that individual- and household- level variables are important determinants of health insurance ownership. There is however a dearth of such studies in sub-Saharan Africa. The objective of this study was to examine the relationship between health insurance ownership and the demographic, economic and educational characteristics of South African women. The analysis was based on data from a cross-sectional national household sample derived from the South African Health Inequalities Survey (SANHIS). The study subjects consisted of 3,489 women, aged between 16 and 64 years. It was a non-interventional, qualitative response econometric study. The outcome measure was the probability of a respondent's ownership of a health insurance policy. The chi2 test for goodness of fit indicated satisfactory prediction of the estimated logit model. The coefficients of the covariates for area of residence, income, education, environment rating, age, smoking and marital status were positive, and all statistically significant at p < or = 0.05. Women who had standard 10 education and above (secondary), high incomes and lived in affluent provinces and permanent accommodations, had a higher likelihood of being insured. Poverty reduction programmes aimed at increasing women's incomes in poor provinces; improving living environment (e.g. potable water supplies, sanitation, electricity and housing) for women in urban informal settlements; enhancing women's access to education; reducing unemployment among women; and increasing effective coverage of family planning services, will empower South African women to reach a higher standard of living and in doing so increase their economic access to health insurance policies and the associated health services.

  10. [Emergy of agro-ecosystem in Hunan Province: evolution and trend].

    PubMed

    Zhu, Yu-Lin; Li, Ming-Jie

    2012-02-01

    By using emergy analysis method, a trend analysis was made on the total emergy, its input-output structure, and emergy indices of the agro-ecosystem in Hunan Province of South-central China from 1999 to 2008. In the study period, the available total emergy input of the ecosystem was basically maintained at a stable level, but the input structure changed with the input of non-renewable industrial auxiliary emergy increased from 4.00E+22 sej in 1999 to 5.53E+22 sej in 2008, while that of renewable organic emergy decreased from 1.32E+23 sej to 1.20E+23 sej. Both the total emergy output and the output efficiency of the ecosystem had a great increase, with the total output reached 1.69E+23 sej in 2008, which was 23.8% higher than that in 1999, and the net output ratio increased from 0.79 to 0.96. Owing to the ever-increasing trend of the environmental loading ratio which was from 1.12 to 1.79, the sustainable development index of the ecosystem presented a decreasing trend, from 0.71 to 0.54, indicating that the agriculture in Hunan Province was overall belonged to the type of ecosystem driven by high consumption, and had relatively apparent extensive development characteristics.

  11. Affects of wastewater discharge from mining on soil heavy metal pollution and enzyme activities in northern Hunan province, Central South China

    NASA Astrophysics Data System (ADS)

    Jiang, Ying; Hu, Xue-Feng; Shu, Ying; Yan, Xiao-Juan; Luo, Fan

    2013-04-01

    Hunan province, Central South China, is rich in mineral resources and also a well-known nonferrous metal base in China. Mining and ore processing there, however, are mostly conducted in indigenous methods, and thus causing heavy metal pollution of abundant farmland. Situated in northern Hunan province, Y county has antimony, manganese, vanadium, and pyrite mines, but still belongs to a region of rice cultivation, of which, paddy fields make up 84.5% of the total farmland. Our investigations found that irrigation water is threatened by the release of mining wastewater in the county. For example, a stream used for irrigation turns dark-red after long-term receiving wastewater discharged from a pyrite company at HS Town of the county. Concentrations of Cu, Zn, Cd, Fe and Mn in the stream water reach 0.03 mg kg-1, 2.14 mg kg-1, 0.02 mg kg-1, 96.0 mg kg-1 and 11.5 mg kg-1, respectively; these in the paddy soils nearby are 67.3 mg kg-1, 297 mg kg-1, 4.0 mg kg-1, 33.1 mg g-1 and 463 mg kg-1 on average, respectively, with a maximum of Cd reaching 16.8 mg kg-1. Microbial biomass and activities are significantly reduced by metal toxicity in the soils. The counts of fungal, actinomycin and bacterial colonies in the polluted soils are 8.8×103 /g (Fresh soil), 4.9×105 /g (Fresh soil) and 6.4×105 /g (Fresh soil), respectively, which are only 4.68%, 10.3% and 20.9% of these in non-polluted soils in Y county, respectively. Likewise, the microbial biomass (MB) - C and MB - N of the polluted soils are only 36.8% and 50.3% of these in the non-polluted, respectively. The activities of dehydrogenase, urease, catalase, acid and neutral phosphatase and sucrase in the polluted soils are only 41.2%, 49.8%, 56.8%, 69.9%, 80.7% and 81.0% of these in the non-polluted, respectively. There are significant negative correlations between Cu, Zn and Cd contents and the activities of dehydrogenase and catalase, suggesting that the two enzymes are the most sensitive to heavy metal toxicity in the

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

    PubMed

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

    2008-12-01

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

  13. Molecular differentiation of Entamoeba spp. in a rural community of Loja province, South Ecuador.

    PubMed

    Levecke, B; Dreesen, L; Barrionuevo-Samaniego, M; Ortiz, W Benitez; Praet, N; Brandt, J; Dorny, P

    2011-12-01

    Although previous epidemiological surveys in Ecuador indicate the presence of Entamoeba histolytica, prevalence data of this parasite remain scarce. Most of the studies were based on microscopic examination, which does not allow a morphological differentiation from the non-pathogenic Ent. dispar and Ent. moshkovskii. In the present study, 674 stool samples from a South Ecuadorian rural community were screened for Entamoeba spp. Subsequently, molecular identification was performed on 101 samples containing Ent. histolytica/Ent. dispar/Ent. moshkovskii cysts. The study indicated the absence of Ent. histolytica in this South Ecuadorian community and confirmed the difficulty of differentiating Entamoeba spp. based on morphological features. Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

  14. Factors influencing agency nursing and moonlighting among nurses in South Africa.

    PubMed

    Rispel, Laetitia C; Blaauw, Duane; Chirwa, Tobias; de Wet, Katinka

    2014-01-01

    In South Africa, nurses are the largest category of the health care providers. Their optimal performance is critical for the successful implementation of impending health sector reforms. This paper examines the occurrence of agency nursing, moonlighting, and overtime among nurses in South Africa, and the factors influencing moonlighting. This cross-sectional survey was a one-stage cluster random sample of 80 hospitals in four South African provinces, selected with stratification from the public and private health sectors. On the survey day, all nurses working in critical care, theatre, emergency, maternity, and general medical and surgical wards completed a self-administered questionnaire after giving informed consent. In addition to demographic information, the questionnaire elicited information on the frequency of agency nursing, moonlighting, and overtime, and the nurses' reasons for doing moonlighting. Survey data were weighted and analysed using STATA version 12. The majority of survey participants (n = 3,784) were South African (98.0%), female (92.7%), and employed in government (52.8%). Their mean age was 41.5 years (SD 10.4). The occurrence of moonlighting among nurses in the 12 months preceding the survey was 28.0% [95% CI: 24.2-32.1], the frequency of agency nursing was 37.8% [95% CI: 32.4-43.6], while 56.0% of nurses did overtime [95% CI: 51.4-60.4]. In the multiple logistic regression analysis, predictors of moonlighting were province, sector of primary employment, unit of work, category of nurse, and having children. The odds of moonlighting was 1.51 [95% CI: 1.03-2.21] times higher for private sector nurses than for public nurses, while the odds ratio for auxiliary nurses was 0.61 [95% CI: 0.47-0.79] compared to professional nurses. The odds of moonlighting was 1.49 [95% CI: 1.18-1.89] for nurses with children, compared to those without. Agency nursing, moonlighting, and overtime are common among South African nurses, but have received insufficient

  15. Exposure to lead in South African shooting ranges.

    PubMed

    Mathee, Angela; de Jager, Pieter; Naidoo, Shan; Naicker, Nisha

    2017-02-01

    Lead exposure in shooting ranges has been under scrutiny for decades, but no information in this regard is available in respect of African settings, and in South Africa specifically. The aim of this study was to determine the blood lead levels in the users of randomly selected private shooting ranges in South Africa's Gauteng province. An analytical cross sectional study was conducted, with participants recruited from four randomly selected shooting ranges and three archery ranges as a comparator group. A total of 118 (87 shooters and 31 archers) were included in the analysis. Shooters had significantly higher blood lead levels (BLL) compared to archers with 36/85 (42.4%) of shooters versus 2/34 (5.9%) of archers found to have a BLL ≥10μg/dl (p<0.001). Shooting ranges may constitute an import site of elevated exposure to lead. Improved ventilation, low levels of awareness of lead hazards, poor housekeeping, and inadequate personal hygiene facilities and practices at South African shooting ranges need urgent attention. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  16. Projecting wildfire area burned in the south-eastern United States, 2011-60

    Treesearch

    Jeff Prestemon; Uma Shankar; Aijun Xiu; K. Talgo; D. Yang; Ernest Dixon IV; Donald McKenzie; Karen L. Abt

    2016-01-01

    Future changes in society and climate are expected to affect wildfire activity in the south-eastern United States. The objective of this research was to understand how changes in both climate and society may affect wildfire in the coming decades.Weestimated a three-stage statistical model of wildfire area burned by ecoregion province for lightning and human causes (...

  17. Mobile phone use among patients and health workers to enhance primary healthcare: A qualitative study in rural South Africa.

    PubMed

    Anstey Watkins, Jocelyn Olivia Todd; Goudge, Jane; Gómez-Olivé, Francesc Xavier; Griffiths, Frances

    2018-02-01

    Mobile phones have the potential to improve access to healthcare information and services in low-resourced settings. This study investigated the use of mobile phones among patients with chronic diseases, pregnant women, and health workers to enhance primary healthcare in rural South Africa. Qualitative research was undertaken in Mpumalanga in 2014. Semi structured in-depth interviews were conducted with 113 patients and 43 health workers from seven primary healthcare clinics and one district hospital. Data were thematically analysed. We found that some health workers and patients used their own mobile phones for healthcare, bearing the cost themselves. Patients used their mobile phones to remind themselves to take medication or attend their clinic visits, and they appreciated receiving voice call reminders. Some patients and health workers accessed websites and used social media to gather health information, but lacked web search strategies. The use of the websites and social media was intermittent due to lack of financial ability to afford airtime among these patients and health workers. Many did not know what to search for and where to search. Doctors have developed their own informal mobile health solutions in response to their work needs and lack of resources due to their rurality. Physical and social factors influence the usability of mobile phones for healthcare, and this can shape communication patterns such as poor eyesight. The bottom-up use of mobile phones has been evolving to fill the gaps to augment primary care services in South Africa; however, barriers to access remain, such as poor digital infrastructure and low digital literacy. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. Relationships between soil heavy metal pollution and enzyme activities in mining areas of northern Hunan province, Central South China

    NASA Astrophysics Data System (ADS)

    Hu, Xue-Feng; Jiang, Ying; Shu, Ying

    2014-05-01

    Hunan province, Central South China, is a well-known nonferrous metal base in China. Mine exploiting and processing there, however, often lead to heavy metal pollution of farmland. To study the effects of mining activities on the soil environmental quality, four representative paddy fields, the HSG, SNJ, NT and THJ, in Y county, northern Hunan province, were investigated. It was found that the streams running through the HSG, SNJ and NT are severely contaminated due to the long-term discharge of untreated mineral wastewater from local indigenous mining factories. The stream at the HSG, for example, is brownish red in color, with high concentrations of Cu, Zn, Cd, Fe and Mn. The concentrations of Cu, Zn and Cd in all the stream water of the HSG, SNJ and NT exceed the maximum allowable levels of the Agricultural Irrigation Water Criteria of China. Correspondingly, the HSG, SNJ and NT are heavily polluted by Cu, Zn and Cd due to the long-term irrigation with the contaminated stream water. In comparison, both stream water and paddy fields of the THJ, far away from mining areas, are not contaminated by any heavy metals and hence regarded as a control in this study. The rice grain produced at the HSG, SNJ and NT has a high risk of Cd contamination. The rate of rice grain produced in the four paddy fields in Y county with Cd exceeding the safe level (Cd, 0.2 μg g-1) specified by the National Standards for Rice Quality and Safety of China reaches 90%. Cd content in the rice grain is positively significantly correlated with that in the paddy fields, especially with the content of diethylenetriaminepentaacetic acid (DTPA) - extracted Cd, suggesting that the heavy metal pollution of paddy fields has already posed a high risk to rice safety and human health. Soil enzyme activities and microbial biomass are significantly inhibited by the heavy metal pollution of the paddy fields. Microbial biomass C and N (MBC and MBN) at a severely contaminated site of the HSG are only 31

  19. A further contribution to the knowledge of two inadequately known species of geophilid centipedes from the Andes of South-Central Chile, currently assigned to the genus Plateurytion Attems, 1909 (Chilopoda: Geophilomorpha).

    PubMed

    Pereira, Luis Alberto

    2015-10-06

    Two poorly known species of geophilid centipedes from the Andes of South-Central Chile, i.e., Plateurytion mundus (Chamberlin, 1955) and Plateurytion zapallar (Chamberlin, 1955) (Myriapoda: Chilopoda: Geophilomorpha), are herein redescribed and illustrated after type specimens of both taxa and new material of the latter, rectifying the condition of the coxosternites of the second maxillae, which are medially joined through a narrow, hyaline and non-areolate membranous isthmus only (instead of "broadly fused as in Pachymerium", as stated by Chamberlin), this being consistent with the current generic assignment of these species under Plateurytion Attems, 1909. New data on many morphological features of specific value, until now unknown, are also given for both taxa. Plateurytion zapallar is reported for the first time from Coquimbo region, 11 Km N of Los Vilos (Elqui province), Valparaíso region, Quebrada Huaquén, Pichicuy (Petorca province), La Campana National Park (Quillota province), and Quebrada el Tigre, Cachagua (Valparíso province). A key for identification of the South American species currently included in Plateurytion is given.

  20. Moving across boundaries: migration in South Africa, 1950-2000.

    PubMed

    Reed, Holly E

    2013-02-01

    Existing knowledge about historical patterns of black internal migration in South Africa is incomplete, primarily because of the lack of good life course studies as well as the apartheid government's suppression and censoring of data. This article provides a comprehensive picture of historical internal migration patterns with an analysis of a unique individual retrospective life history data set. This sample of the black population, collected in 2000, is the only known nationally representative life history data for South Africa; it includes all residential moves for each individual during his/her lifetime. Various mobility outcomes are analyzed: moves within/across provinces, moves within/across rural and urban areas, forced moves, moves with a nuclear family, and individual moves. The results indicate that migration significantly increased among black South Africans during the last half of the twentieth century, and that this increase began before the Pass Laws were repealed in 1986 and well before the official end of apartheid in 1991 or the first free election in 1994. The timing of this increase in migration rates suggests that migration in defiance of the Pass Laws (albeit a dangerous and desperate proposition) was a way of life for many black South Africans.

  1. Coaches’ Preferences for Continuing Coaching Education in South Africa

    PubMed Central

    Coopoo, Yoga; Morris-Eyton, Heather

    2016-01-01

    Abstract The purpose of this study was to examine coaches’ preferences for continuing coaching education. The sample consisted of 122 male and 102 female coaches from the Gauteng Province of South Africa who were purposively recruited to participate in this study. The results of this study showed that the coaches wanted to learn more about motivational techniques, advanced instructional drills, advanced first aid, goal setting, character building and conditioning drills. The results further indicated that sport coaches would be more likely to continue their coaching education if they had a desire to coach at a high level, if topics were relevant and if courses were in line with league requirements and were available online. The practical implications of the findings for the development of coaching education programmes in South Africa were discussed. PMID:28149360

  2. Caregivers’ Knowledge and Use of Fermented Foods for Infant and Young Children Feeding in a Rural Community of Odi, Gauteng Province, South Africa

    PubMed Central

    Chelule, Paul K; Mokgatle, Mathildah M; Zungu, Lindiwe I; Chaponda, Armelia

    2014-01-01

    Background: Fermented foods have positive health effects in adults and children if consumed regularly. However, lack of knowledge and perceptions to­wards fermented foods may limit their usage. This study aimed to assess the caregivers’ awareness and usage of fermented foods for feeding children in peri-urban/rural communities of Gauteng Province. Methods: A qualitative exploratory study was conducted in June, 2012, in a peri-urban/rural community to assess the awareness and use of fermented foods by child caregivers attending a local antenatal clinic through focus group discussions. Results: Thirty three caregivers participated in the study; however 29 indicated their demographic profiles. Four major themes that emerged from the analysis included knowledge on fermented foods, perceived benefits of fermentation, varied views about fermentation and feeding practices. Fermented foods that caregivers, their families and community members consume include ting, fat cakes, dumplings, sorghum beer and mageu. Findings also showed that children consumed fermented foods in form of soft ting porridge; and yoghurt, marketed as Activia and Danone commercial brands. Also, caregivers were not comfortable feeding their children with fermented foods, indicating their limited knowledge on the nutri­tional value of these foods. Conclusion: It is critical to promote caregivers’ knowledge and use of fermented foods for feeding infants and young children in South African rural communities. PMID:25097837

  3. Disempowerment and Psychological Distress in the Lives of Young People in Eastern Cape, South Africa

    ERIC Educational Resources Information Center

    Nduna, Mzikazi; Jewkes, Rachel

    2012-01-01

    A qualitative study was conducted in Butterworth, in the rural Eastern Cape Province of South Africa, to explore sources of distress for young people. Semi-structured, individual in-depth interviews were conducted with 16 men and 24 women aged 16-22 years. The findings revealed interconnections between structural factors such as death, poverty,…

  4. Power-sharing Partnerships: Teachers' Experiences of Participatory Methodology.

    PubMed

    Ferreira, Ronél; Ebersöhn, Liesel; Mbongwe, Bathsheba B

    2015-01-01

    This article reports on the experiences of teachers as coresearchers in a long-term partnership with university researchers, who participated in an asset-based intervention project known as Supportive Teachers, Assets and Resilience (STAR). In an attempt to inform participatory research methodology, the study investigated how coresearchers (teachers) experienced power relations. We utilized Gaventa's power cube as a theoretical framework and participatory research as our methodologic paradigm. Ten teachers of a primary school in the Eastern Cape and five teachers of a secondary school in a remote area in the Mpumalanga Province in South Africa participated (n=15). We employed multiple data generation techniques, namely Participatory Reflection and Action (PRA) activities, observation, focus group discussions, and semistructured interviews, using thematic analysis and categorical aggregation for data analysis. We identified three themes, related to the (1) nature of power in participatory partnerships, (2) coreasearchers' meaning making of power and partnerships, and their (3) role in taking agency. Based on these findings, we developed a framework of power sharing partnerships to extend Gaventa's power cube theory. This framework, and its five interrelated elements (leadership as power, identifying vision and mission, synergy, interdependent role of partners, and determination), provide insight into the way coresearchers shared their experiences of participatory research methodology. We theorise power-sharing partnerships as a complimentary platform hosting partners' shared strengths, skills, and experience, creating synergy in collaborative projects.

  5. New oil and gas province of Russia

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

    Gramberg, I.S.; Shcola, A.I.

    1994-12-31

    Geological and geophysical researches and exploration works conducted in the Russian Arctic offshore during the last two decades indicate the presence of extensive sedimentary basins. The data coverage in this vast continental margin is uneven, and the reliability of hydrocarbon prediction varies significantly from one basin to the next. Nevertheless, the existence of a major frontier Barents-Northern Kara Oil and Gas Province (BNKP) is quite evident. The BNKP encompasses the Barents Sea and the Northern Kara Sea subbottom, the islands along the shelf edge, the Kola Peninsula shelf, the Arkhangelsk coastal territory, and a large part of the northernmost Komimore » Republic. The total area of BNKP is close to 1,500,000 sq. km, and the sediments in the deepest depocenter (South Barents Basin) reach 16--18 km. Vast areal extent, great thickness of sedimentary cover, favorable conditions for oil and gas generation and accumulation, presence of oil and gas fields in all major sequences suggest a very high hydrocarbon potential for the BNKP.« less

  6. [Relationships of bee population fluctuation and distribution with natural environment in Anhui province].

    PubMed

    Yu, Linsheng; Zou, Yunding; Bi, Shoudong; Wu, Houzhang; Cao, Yifeng

    2006-08-01

    In 2002 to approximately 2004, an investigation was made on the bee population dynamics and its relationships with the ecological environment in four ecological regions of Anhui Province. The results indicated that in the mountainous areas of south and west Anhui, there were 46 and 37 species of nectariferous plants, and the distribution density of Apis cerena cerena population was 2.01 and 1.95 colony x km(-2), respectively. In Jianghuai area and Huaibei plain, there were 17 and 12 species of nectariferous plants, which had concentrated and short flowering period and fitted for Apis mellifera Ligustica oysterring and producing, and the distribution density of Apis cerena cerena population was 0. 06 and 0. 02 colony x km(-2), respectively. Bee population fluctuation and distribution was affected by wasp predation. The breeding proportion of Apis cerena cerena to local apis population was 41.5%, 36.8%, 3.1% and 1.1%, and that of Apis mellifera Ligustica was 58.5%, 63.2%, 96.9% and 98.9% in the mountainous areas of south and west Anhui, Jianghuai area, and Huaibei plain, respectively.

  7. Wind speed and power characteristics of Kalasin province, Thailand

    NASA Astrophysics Data System (ADS)

    Polnumtiang, Supachai; Tangchaichit, Kiatfa

    2018-05-01

    This paper presents a wind energy assessment of Kalasin province in the Upper North-Eastern region of Thailand. Four year wind data were recorded continuously from January 2012 to December 2015 at different heights of 60, 90 and 120 m above ground level (AGL). The mean wind speeds were found to be 3.14, 3.63 and 3.94 m/s at 60, 90 and 120 m AGL, respectively. The majority of wind directions for this region are distributed from the East to South directions. The highest wind power density was observed in the summer season, followed by winter and rainy seasons, in order. Four commercial wind turbines were selected to estimate energy yield output using the WAsP 10.0 software application; the results show that VESTAS with rated power of 2.0 MW was estimated to give 2,747 MWh/year with the highest capacity factor of 15.68%.

  8. Lyssavirus surveillance in bats of southern China's Guangxi Province.

    PubMed

    Lu, Zhuan-Ling; Wang, Wen; Yin, Wei-Li; Tang, Hai-Bo; Pan, Yan; Liang, Xiang; Liu, Qi; Xiong, Yi; Minamoto, Nobuyuki; Luo, Ting Rong

    2013-04-01

    Although rabies virus is widely distributed in the world, and has been the subject of extensive investigations with the objective of its ultimate prevention, control, and management, there is much less knowledge of the characteristics, distribution, and infectivity of other lyssaviruses. Since bats are known animal vectors for all but one of the known lyssavirus genotypes, we have performed an extensive survey of bats in the Guangxi Province to provide information on lyssavirus distribution in southern China. The lyssavirus nucleoprotein gene was detected in brains of 2.86 % of 2,969 bats. Nucleotide sequence homologies among isolates were 86.9-99.6 %, but only 70.0-85.0 % for lyssaviruses in GenBank. These infected bats were detected from a wide area, essentially forming a band running from the south-west to the north-east of Guangxi, and it appears that infection by new lyssaviruses is widespread in this region.

  9. Seasonal Abundance of Culicoides (Diptera: Ceratopogonidae) Collected by Mosquito Magnet® in Northern Gyeonggi-do (Province), Korea

    PubMed Central

    Kim, Heung Chul; Bellis, Glenn A.; Kim, Myung-Soon; Klein, Terry A.; Chong, Sung-Tae

    2014-01-01

    Biting midges (Culicoides: Ceratopogonidae) were collected by Mosquito Magnet® traps at the Neutral Nations Supervisory Commission (NNSC) camp and Daeseongdong village inside the demilitarized zone (DMZ) and near the military demarcation line (MDL) separating North and South Korea and at Warrior Base (US Army training site) and Tongilchon 3 km south of the DMZ in northern Gyeonggi Province, Republic of Korea (ROK), from May-October 2010-2012, to determine their seasonal distributions. A total of 18,647 Culicoides females (18,399; 98.7%) and males (248; 1.3%) comprising 16 species were collected. Overall, the most commonly collected species was Culicoides nipponensis (42.9%), followed by C. erairai (29.2%), C. punctatus (20.3%), C. arakawae (3.3%), C. pallidulus (1.8%), and C. circumscriptus (1.4%), while the remaining 10 species accounted for only 1.1% of all Culicoides spp. collected. The seasonal distribution of C. nipponensis was bimodal, with high numbers collected during May-June and again during September. C. erairai was more frequently collected during June-July, followed by sharply decreased populations from August-October. C. punctatus was collected in low numbers from May-September with high numbers collected during October. C. erairai was predominantly collected from the NNSC camp (85.1% of all C. erairai collected) located adjacent to the MDL at Panmunjeom in the northernmost part of Gyeonggi-do (Province), while other sites yielded low numbers of specimens. PMID:24623883

  10. Late Cretaceous-recent tectonic assembly of diverse crustal blocks in Central America, the Nicaraguan Rise, the Colombian Basin and northern South America as seen on a 1600-km-long, geologic and structural transect

    NASA Astrophysics Data System (ADS)

    Sanchez, J.; Mann, P.

    2015-12-01

    We have constructed a 1600-km-long transect from northern Honduras to northern Colombia that crosses northeastward-striking crustal blocks using a combination of offshore seismic data, gravity and magnetic data, well subsidence information, nearby outcrop information, and results from previous thermochronological, geochronological, geochemical and paleostress studies. The transect defines three major crustal and structural provinces: 1) Precambrian-Paleozoic, Chortis continental block whose northern edge is defined by the North America-Caribbean plate boundary. Events in this ~20-25-km-thick province include two major unconformities at the top of the Cretaceous and Eocene, associated southeast-dipping thrust faults related to collision of the Great Arc of the Caribbean (GAC) and Caribbean Large Igneous Province (CLIP) with the Chortis continental block. A third event is Eocene to recent subsidence and transtensional basins formed during the opening of the Cayman trough; 2) Late Cretaceous GAC and CLIP of oceanic arc and plateau origin, whose northern, deformed edge corresponds to the mapped Siuna belt of northern Nicaragua. This crustal province has a ~15-20-km-thick crust and is largely undeformed and extends across the Lower Nicaraguan Rise, Hess fault, to the southern limit of the Colombian basin where about 300 km of this province has been subducted beneath the accretionary wedge of the South Caribbean deformed belt of northwestern South America; and 3) Eocene to recent accretionary prism and intramontane basins on continental crust of northern South America, where Miocene accelerated exhumation and erosion of Paleogene and Cretaceous rocks reflect either shallow subduction of the CLIP or the Panama collisional event to the southwest.

  11. Fluid evolution and ore genesis of the Dalingshang deposit, Dahutang W-Cu ore field, northern Jiangxi Province, South China

    NASA Astrophysics Data System (ADS)

    Peng, Ning-Jun; Jiang, Shao-Yong; Xiong, Suo-Fei; Pi, Dao-Hui

    2018-02-01

    The Dalingshang W-Cu deposit is located in the North section of the Dahutang ore field, northern Jiangxi Province, South China. Vein- and breccia-style tungsten-copper mineralization is genetically associated with Mesozoic S-type granitic rocks. Infrared and conventional microthermometric studies of both gangue and ore minerals show that the homogenization temperatures for primary fluid inclusions in wolframite ( 340 °C) are similar to those in scheelite ( 330 °C), but about 40 °C higher than those of apatite ( 300 °C) and generally 70 °C higher than those in coexisting quartz ( 270 °C). Laser Raman analysis identifies CH4 and N2 without CO2 in fluid inclusions in scheelite and coexisting quartz, while fluid inclusions in quartz of the sulfide stage have variable CO2 content. The ore-forming fluids overall are characterized by high- to medium-temperature, low-salinity, CH4, N2, and/or CO2-bearing aqueous fluids. Chalcopyrite, muscovite, and sphalerite are the most abundant solids recognized in fluid inclusions from different ores. The H-O-S-Pb isotope compositions favor a dominantly magmatic origin for ores and fluids, while some depleted δ34S values (- 14.4 to - 0.9‰) of sulfides from the sulfide stage are most likely produced by an increase of oxygen fugacity, possibly caused by inflow of oxidized meteoric waters. The microthermometric data also indicate that a simple cooling process formed early scheelite and wolframite. However, increasing involvement of meteoric waters and fluid mixing may trigger a successive deposition of base metal sulfides. Fluid-rock interaction was critical for scheelite mineralization as indicated by in-situ LA-ICP-MS analysis of trace elements in scheelite.

  12. Informing Comprehensive HIV Prevention: A Situational Analysis of the HIV Prevention and Care Context, North West Province South Africa

    PubMed Central

    Lippman, Sheri A.; Treves-Kagan, Sarah; Gilvydis, Jennifer M.; Naidoo, Evasen; Khumalo-Sakutukwa, Gertrude; Darbes, Lynae; Raphela, Elsie; Ntswane, Lebogang; Barnhart, Scott

    2014-01-01

    Objective Building a successful combination prevention program requires understanding the community’s local epidemiological profile, the social community norms that shape vulnerability to HIV and access to care, and the available community resources. We carried out a situational analysis in order to shape a comprehensive HIV prevention program that address local barriers to care at multiple contextual levels in the North West Province of South Africa. Method The situational analysis was conducted in two sub-districts in 2012 and guided by an adaptation of WHO’s Strategic Approach, a predominantly qualitative method, including observation of service delivery points and in-depth interviews and focus groups with local leaders, providers, and community members, in order to recommend context-specific HIV prevention strategies. Analysis began during fieldwork with nightly discussions of findings and continued with coding original textual data from the fieldwork notebooks and a select number of recorded interviews. Results We conducted over 200 individual and group interviews and gleaned four principal social barriers to HIV prevention and care, including: HIV fatalism, traditional gender norms, HIV-related stigma, and challenges with communication around HIV, all of which fuel the HIV epidemic. At the different levels of response needed to stem the epidemic, we found evidence of national policies and programs that are mitigating the social risk factors but little community-based responses that address social risk factors to HIV. Conclusions Understanding social and structural barriers to care helped shape our comprehensive HIV prevention program, which address the four ‘themes’ identified into each component of the program. Activities are underway to engage communities, offer community-based testing in high transmission areas, community stigma reduction, and a positive health, dignity and prevention program for stigma reduction and improve communication skills

  13. Informing comprehensive HIV prevention: a situational analysis of the HIV prevention and care context, North West Province South Africa.

    PubMed

    Lippman, Sheri A; Treves-Kagan, Sarah; Gilvydis, Jennifer M; Naidoo, Evasen; Khumalo-Sakutukwa, Gertrude; Darbes, Lynae; Raphela, Elsie; Ntswane, Lebogang; Barnhart, Scott

    2014-01-01

    Building a successful combination prevention program requires understanding the community's local epidemiological profile, the social community norms that shape vulnerability to HIV and access to care, and the available community resources. We carried out a situational analysis in order to shape a comprehensive HIV prevention program that address local barriers to care at multiple contextual levels in the North West Province of South Africa. The situational analysis was conducted in two sub-districts in 2012 and guided by an adaptation of WHO's Strategic Approach, a predominantly qualitative method, including observation of service delivery points and in-depth interviews and focus groups with local leaders, providers, and community members, in order to recommend context-specific HIV prevention strategies. Analysis began during fieldwork with nightly discussions of findings and continued with coding original textual data from the fieldwork notebooks and a select number of recorded interviews. We conducted over 200 individual and group interviews and gleaned four principal social barriers to HIV prevention and care, including: HIV fatalism, traditional gender norms, HIV-related stigma, and challenges with communication around HIV, all of which fuel the HIV epidemic. At the different levels of response needed to stem the epidemic, we found evidence of national policies and programs that are mitigating the social risk factors but little community-based responses that address social risk factors to HIV. Understanding social and structural barriers to care helped shape our comprehensive HIV prevention program, which address the four 'themes' identified into each component of the program. Activities are underway to engage communities, offer community-based testing in high transmission areas, community stigma reduction, and a positive health, dignity and prevention program for stigma reduction and improve communication skills. The situational analysis process successfully

  14. Base-flow measurements at partial-record sites on small streams in South Carolina

    USGS Publications Warehouse

    Barker, Carroll

    1986-01-01

    This report contains site descriptions and base-flow data collected at 362 partial-record sites in South Carolina. These data include site name, site description, latitude, longitude, drainage area, instantaneous streamflow, and date of the streamflow measurement. The base-flow data can be used as an aid to estimate low flow characteristics at ungaged locations on streams in South Carolina. Partial record data collection sites were established in all physiographic provinces except the lower Coastal Plain. Data collection sites were not established in the lower Coastal Plain because of the widespread occurrence of zero during drought periods in all but the larger streams. (USGS)

  15. Heatwave and risk of hospitalization: A multi-province study in Vietnam.

    PubMed

    Phung, Dung; Chu, Cordia; Rutherford, Shannon; Nguyen, Huong Lien Thi; Do, Cuong Manh; Huang, Cunrui

    2017-01-01

    The effects of heatwaves on morbidity in developing and tropical countries have not been well explored. The purpose of this study was to examine the relationship between heatwaves and hospitalization and the potential influence of socio-economic factors on this relationship in Vietnam. Generalized Linear Models (GLM) with Poisson family and Distributed Lag Models (DLM) were applied to evaluate the effect of heatwaves for each province (province-level effect). A random-effects meta-analysis was applied to calculate the pooled estimates (country-level effects) for 'all causes', infectious, cardiovascular, and respiratory admissions queried by lag days, regions, sex, and ages. We used random-effects meta-regression to explore the potential influence of socio-economic factors on the relationship between heatwaves and hospitalization. The size of province-level effects varied across provinces. The pooled estimates show that heatwaves were significantly associated with a 2.5% (95%CI: 0.8-4.3) and 3.8% (95%CI, 1.5-6.2) increase in all causes and infectious admissions at lag 0. Cardiovascular and respiratory admissions (0.8%, 95%CI: -1.6-3.3; 2.2%, 95%CI: -0.7-5.2) were not significantly increased after a heatwave event. The risk of hospitalization due to heatwaves was higher in the North than in the South for all causes (5.4%, 95%CI: -0.1-11.5 versus 1.3%, 95%CI: 0.1-2.6), infectious (11.2%, 95%CI: 3.1-19.9 versus 3.2%, 95%CI: 0.7-5.7), cardiovascular (7.5%, 95%CI: 1.1-14.4 versus -1.2%, 95%CI: -2.6-2.3), and respiratory diseases (2.7%, 95%CI: -5.4-11.5 versus 2.1%, 95%CI: -0.8-1.2). A non-significant influence of socio-economic factors on the relationship between heatwave and hospitalization was observed. This study provides important evidence and suggests implications for the projected impacts of climate change related extreme weather. Climate change adaptation programs of the health sector should be developed to protect residents from the effects of extreme

  16. Women in Educational Leadership: The Case of Hope High School in the Eastern Cape Province, South Africa

    ERIC Educational Resources Information Center

    Diko, Nolutho

    2014-01-01

    The Constitution of the Republic of South Africa, 1996 confers equality on all South African citizens regardless of race and gender. It has been reported that, under apartheid, gender inequality was a way of life and even social liberation movements observed it. Education is not exempt from gender inequality; the Department of Education in 2003…

  17. Assessing equity in the geographical distribution of community pharmacies in South Africa in preparation for a national health insurance scheme

    PubMed Central

    Sanders, David; Leng, Henry; Pollock, Allyson M

    2014-01-01

    Abstract Objective To investigate equity in the geographical distribution of community pharmacies in South Africa and assess whether regulatory reforms have furthered such equity. Methods Data on community pharmacies from the national department of health and the South African pharmacy council were used to analyse the change in community pharmacy ownership and density (number per 10 000 residents) between 1994 and 2012 in all nine provinces and 15 selected districts. In addition, the density of public clinics, alone and with community pharmacies, was calculated and compared with a national benchmark of one clinic per 10 000 residents. Interviews were conducted with nine national experts from the pharmacy sector. Findings Community pharmacies increased in number by 13% between 1994 and 2012 – less than the 25% population growth. In 2012, community pharmacy density was higher in urban provinces and was eight times higher in the least deprived districts than in the most deprived ones. Maldistribution persisted despite the growth of corporate community pharmacies. In 2012, only two provinces met the 1 per 10 000 benchmark, although all provinces achieved it when community pharmacies and clinics were combined. Experts expressed concerns that a lack of rural incentives, inappropriate licensing criteria and a shortage of pharmacy workers could undermine access to pharmaceutical services, especially in rural areas. Conclusion To reduce inequity in the distribution of pharmaceutical services, new policies and legislation are needed to increase the staffing and presence of pharmacies. PMID:25110373

  18. Assessing equity in the geographical distribution of community pharmacies in South Africa in preparation for a national health insurance scheme.

    PubMed

    Ward, Kim; Sanders, David; Leng, Henry; Pollock, Allyson M

    2014-07-01

    To investigate equity in the geographical distribution of community pharmacies in South Africa and assess whether regulatory reforms have furthered such equity. Data on community pharmacies from the national department of health and the South African pharmacy council were used to analyse the change in community pharmacy ownership and density (number per 10,000 residents) between 1994 and 2012 in all nine provinces and 15 selected districts. In addition, the density of public clinics, alone and with community pharmacies, was calculated and compared with a national benchmark of one clinic per 10,000 residents. Interviews were conducted with nine national experts from the pharmacy sector. Community pharmacies increased in number by 13% between 1994 and 2012--less than the 25% population growth. In 2012, community pharmacy density was higher in urban provinces and was eight times higher in the least deprived districts than in the most deprived ones. Maldistribution persisted despite the growth of corporate community pharmacies. In 2012, only two provinces met the 1 per 10,000 benchmark, although all provinces achieved it when community pharmacies and clinics were combined. Experts expressed concerns that a lack of rural incentives, inappropriate licensing criteria and a shortage of pharmacy workers could undermine access to pharmaceutical services, especially in rural areas. To reduce inequity in the distribution of pharmaceutical services, new policies and legislation are needed to increase the staffing and presence of pharmacies.

  19. Endoscopy services in KwaZulu-Natal Province, South Africa, are insufficient for the burden of disease: Is patient care compromised?

    PubMed

    Loots, E; Clarke, D L; Newton, K; Mulder, C J

    2017-10-31

    Endoscopy services are central to the diagnosis and management of many gastrointestinal (GI) diseases. To evaluate the adequacy of endoscopy services in the public sector hospitals of KwaZulu-Natal (KZN) Province, South Africa, in 2016. A cross-sectional study was performed using a questionnaire completed by the clinical heads of endoscopy units in the public hospitals in KZN. The heads of 11 of the 12 endoscopy units responded. Two units were in tertiary-level hospitals and nine in regional hospitals. A total of 22 353 endoscopic procedures were performed annually, averaging 2 032 cases per annum per centre; they were performed by 89 endoscopists, of whom 72 (80.1%) were general surgeons. There were 0.06 registered gastroenterologists (GEs) per 100 000 population. Each endoscopist performed an average of 263 endoscopies per annum. There were 1.18 endoscopy rooms available per unit, and two units had on-site fluoroscopy available. The average waiting period for an upper endoscopy was 27 (range 7 - 60) days, for colonoscopy 29 (range 7 - 90) days and for duodenoscopy/endoscopic retrograde cholangiopancreatography 13 (range 4 - 20) days. This included patients with alarm symptoms for GI cancers. Equipment breakages interrupted most services, except for one hospital that had a service contract. Unit heads cited lack of equipment, trained staff and maintenance contracts as major shortcomings. Endoscopy units in KZN are not adequately equipped to deal with the endoscopy workload and services are plagued by frequent disruptions, which impact negatively on service delivery. There is a need to train more GEs. Patient care is compromised in these public hospitals.

  20. A Comparative Evaluation of Two Interventions for Educator Training in HIV/AIDS in South Africa

    ERIC Educational Resources Information Center

    Chao, Li-Wei; Gow, Jeff; Akintola, Olagoke; Pauly, Mark

    2010-01-01

    The purpose of this study was to compare two different methods to teach educators about HIV/AIDS. Sixty educators were selected from eight schools in KwaZulu-Natal Province, South Africa, to undergo HIV/AIDS training using an interactive CD-ROM intervention. Another sixty educators from other schools were selected to undergo a two-day Life Skills…

  1. Geology and tectonics of the Archean Superior Province, Canadian Shield

    NASA Technical Reports Server (NTRS)

    Card, K. D.

    1986-01-01

    Superior Province consists mainly of Late Archean rocks with Middle Archean gneisses in the south, and possibly in the north. The Late Archean supracrustal sequences are of island arc and interarc affinity and are cut by abundant plutonic rocks, including early arc-related intrusions, late synorogenic intrusions, and post-orogenic plutons that are possibly the product of crustal melting caused by thermal blanketing of newly-thickened continental crust combined with high mantle heat flux. The contemporaneity of magmatic and deformational events along the lengths of the belts is consistent with a subduction-dominated tectonic regime for assembly of the Kenoran Orogen. Successive addition of volcanic arcs accompanied and followed by voluminous plutonism resulted in crustal thickening and stabilization of the Superior craton prior to uplift of Kapuskasing granulites, emplacement of the Matachewan diabase dykes, and Early Proterozoic marginal rifting.

  2. Malaria Four-year Epidemiological Trends in Sistan and Baluchistan Province, Iran

    PubMed Central

    Norouzinezhad, Faezeh; Ghaffari, Fatemeh; Raeisi, Ahmad; Norouzinejad, Abbas; Kaveh, Farzad

    2017-01-01

    Introduction Malaria is one of the foremost public health concerns in Iran, where more than 90% of malaria cases are reported in the southern and south-eastern areas of the country. The aim of this study was to assess the epidemiological trends of malaria over a four-year period in in the Sistan and Baluchistan province in south east of Iran. Methods This descriptive epidemiological study examined malaria trends in Sistan and Baluchistan province from 2011 to 2014. The study used data collected in accordance with the Iranian Ministry of Health’s malaria control and elimination protocol. This protocol has digitized the data reporting system for malaria, and all information were sent online to the Center of Disease Control in the Ministry of Health. In this manner, information on malaria cases in Sistan and Baluchistan were made available for the researchers to analyze. Descriptive and comparative analyses were conducted using the SPSS version 13. Results Annual incidence rates reported in 2011, 2012, 2013, and 2014 showed the prevalence of 89.9, 43.9, 38.3 and 36.6 (per 100,000 persons), respectively. Across all 4 years, the highest numbers of cases were found in persons 16–25 years old and among males. Most of the infected individuals were villagers and workers. In total, 64.8% of patients were Iranian and 29.5% were Pakistani. The highest number of cases was diagnosed in the cities of Sarbaz and Chabahar, with 1,742 and 1,707 cases, respectively. The results showed that over the last 4 years, 50.8% of cases have entered into Iran from foreign countries. The majority of cases involved parasites in the trophozoite stage of the life cycle. In terms of surveillance, passive care was reported in the majority of cases, and vivax malaria had the highest prevalence in comparison with other types. Conclusion The findings are showing that the care, control and treatment system applied to Sistan and Baluchistan province has had a positive effect on decreasing the

  3. An assessment of the HIV/TB knowledge and skills of home-based carers working in the North West province in South Africa: a cross-sectional study.

    PubMed

    Engelbrecht, Justin G; Letsoalo, Mabjala R; Chirowodza, Admire C

    2017-04-19

    Home-based carers (HBCs) play a critical role in ensuring the success of the primary health care re-engineering strategy in South Africa. Their role includes ensuring improved access to and delivery of primary health care at the household level, and better co-ordination and improved linkages between community and health facilities for HIV/TB services. The objective of this study was to assess the knowledge, skills, challenges and training needs of HBCs involved in HIV/TB care in one sub-district in the North-West province of South Africa. We conducted a descriptive, cross-sectional study in which 157 HBCs were interviewed to assess their knowledge and skills regarding HIV and TB. Data were collected using a pre-tested semi-structured questionnaire. Quantitative and qualitative data were analysed using SPSS statistical software and thematic analysis respectively. One hundred and forty-four (92%) of the interviewees were female and 13 (8%) were male. The median age of the participants was 35 years (interquartile range (IQR): 22-27). The median score for knowledge of both HIV and TB questions was 66% (IQR: 57-75). In general, HIV knowledge scores were higher than TB knowledge scores (73% versus 66%). A significant association was found between knowledge scores and formal training (p < 0.05), and knowledge scores and highest educational levels (p < 0.05). Irrespective of knowledge, HBCs reported providing a variety of services to support HIV/TB services in the communities in which they worked. HBCs also reported facing various challenges in their jobs related to stigma and the social contexts in which they work. The study showed that the overall knowledge of HBCs was limited, given the skills required and the services they provide. Given the increasing role of HBCs in various health initiatives, targeted interventions are required to support and improve their competencies and service provision.

  4. Clear-Water Abutment and Contraction Scour in the Coastal Plain and Piedmont Provinces of South Carolina, 1996-99

    DOT National Transportation Integrated Search

    2016-08-01

    The U.S. Geological Survey, in cooperation with the South Carolina Department of Transportation, collected observations of clear-water abutment and contraction scour at 146 bridges in the Coastal Plain and Piedmont of South Carolina. Scour depths ran...

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

    PubMed

    Lund, Crick; Flisher, Alan J

    2003-12-01

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

  6. Pre-Service Teachers' Professional Learning Experiences during Rural Teaching Practice in Acornhoek, Mpumalanga Province

    ERIC Educational Resources Information Center

    Nkambule, Thabisile; Mukeredzi, Tabitha Grace

    2017-01-01

    The concept of student teaching practice is globally rooted in training pre-service teachers to work within diverse schools and learner populations, in dissimilar contexts. It is also a drive towards the development of knowledge, professionalism, sense of efficacy, and flexibility in their performance and interactions. There is seemingly little…

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

    ERIC Educational Resources Information Center

    Koopman, Oscar

    2017-01-01

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

  8. Recent U.S. Geological Survey Studies in the Tintina Gold Province, Alaska, United States, and Yukon, Canada-Results of a 5-Year Project

    USGS Publications Warehouse

    Gough, Larry P.; Day, Warren C.

    2010-01-01

    This report presents summary papers of work conducted between 2002 and 2007 under a 5-year project effort funded by the U.S. Geological Survey Mineral Resources Program, formerly entitled 'Tintina Metallogenic Province: Integrated Studies on Geologic Framework, Mineral Resources, and Environmental Signatures.' As the project progressed, the informal title changed from 'Tintina Metallogenic Province' project to 'Tintina Gold Province' project, the latter being more closely aligned with the terminology used by the mineral industry. As Goldfarb and others explain in the first chapter of this report, the Tintina Gold Province is a convenient term used by the mineral exploration community for a 'region of very varied geology, gold deposit types, and resource potential'. The Tintina Gold Province encompasses roughly 150,000 square kilometers, bounded by the Kaltag-Tintina fault system on the north and the Farewell-Denali fault system on the south. It extends westward in a broad arc, some 200 km wide, from northernmost British Columbia, through the Yukon, through southeastern and central Alaska, to southwestern Alaska. The climate is subarctic and, in Alaska, includes major physiographic delineations and ecoregions such as the Yukon-Tanana Upland, Tanana-Kuskokwim Lowlands, Yukon River Lowlands, and the Kuskokwim Mountains. Although the Tintina Gold Province is historically important for some of the very first placer and lode gold discoveries in northern North America, it has recently seen resurgence in mineral exploration, development, and mining activity. This resurgence is due to both new discoveries (for example, Pogo and Donlin Creek) and to the application of modern extraction methods to previously known, but economically restrictive, low-grade, bulk-tonnage gold resources (for example, Fort Knox, Clear Creek, and Scheelite Dome). In addition, the Tintina Gold Province hosts numerous other mineral deposit types, possessing both high and low sulfide content, which

  9. Mosquito (Diptera: culicidae) fauna of qom province, iran.

    PubMed

    Saghafipour, A; Abai, Mr; Farzinnia, B; Nafar, R; Ladonni, H; Azari-Hamidian, S

    2012-01-01

    There is very little information about the mosquito fauna of Qom Province, central Iran. By now only three species; Anopheles claviger, An. multicolor, and An. superpictus have been reported in the province. To study mosquito fauna and providing a primary checklist, an investigation was carried out on a collection of mosquitoes in this province. TO STUDY THE MOSQUITO (DIPTERA: Culicidae) fauna, larval collections were carried out from different habitats on 19 occasions using the standard dipping technique during spring and summer 2008 and 2009. In total, 371 mosquito larvae were collected and morphologically identified including 14 species representing four genera: Anopheles claviger, An. marteri, An. turkhudi, An. superpictus, Culex arbieeni, Cx. hortensis, Cx. mimeticus, Cx. modestus, Cx. pipiens, Cx. territans, Cx. theileri, Culiseta longiareolata, Cs. subochrea, and Ochlerotatus caspius s.l. All species except for An. claviger and An. superpictus were collected for the first time in the province. All larvae were found in natural habitats. The association occasions and percentages of the mosquito larvae in Qom Province were discussed. There are some potential or proven vectors of different human and domesticated animal pathogens in Qom Province. The ecology of these species and the unstudied areas of Qom Province need to be investigated extensively.

  10. Mosquito (Diptera: Culicidae) Fauna of Qom Province, Iran

    PubMed Central

    Saghafipour, A; Abai, MR; Farzinnia, B; Nafar, R; Ladonni, H; Azari-Hamidian, S

    2012-01-01

    Background There is very little information about the mosquito fauna of Qom Province, central Iran. By now only three species; Anopheles claviger, An. multicolor, and An. superpictus have been reported in the province. To study mosquito fauna and providing a primary checklist, an investigation was carried out on a collection of mosquitoes in this province. Methods: To study the mosquito (Diptera: Culicidae) fauna, larval collections were carried out from different habitats on 19 occasions using the standard dipping technique during spring and summer 2008 and 2009. Results: In total, 371 mosquito larvae were collected and morphologically identified including 14 species representing four genera: Anopheles claviger, An. marteri, An. turkhudi, An. superpictus, Culex arbieeni, Cx. hortensis, Cx. mimeticus, Cx. modestus, Cx. pipiens, Cx. territans, Cx. theileri, Culiseta longiareolata, Cs. subochrea, and Ochlerotatus caspius s.l. All species except for An. claviger and An. superpictus were collected for the first time in the province. All larvae were found in natural habitats. The association occasions and percentages of the mosquito larvae in Qom Province were discussed. Conclusion: There are some potential or proven vectors of different human and domesticated animal pathogens in Qom Province. The ecology of these species and the unstudied areas of Qom Province need to be investigated extensively. PMID:23293779

  11. Molecular mutation profile of pfcrt in Plasmodium falciparum isolates imported from Africa in Henan province.

    PubMed

    Zhou, Rui-Min; Zhang, Hong-Wei; Yang, Cheng-Yun; Liu, Ying; Zhao, Yu-Ling; Li, Su-Hua; Qian, Dan; Xu, Bian-Li

    2016-05-10

    Anti-malarial drug resistance is a primary public health problem. Haplotypes of pfcrt gene have been implicated to be molecular markers of chloroquine (CQ) resistance. This study aims to explore the prevalence of polymorphisms in pfcrt in Plasmodium falciparum-infected patients imported from Africa in Henan province. Blood samples were collected from 502 patients who were infected with P. falciparum returning from Africa in Henan province during 2012-2015. The single nucleotide polymorphisms in pfcrt (codons 72-76) were assessed by nested PCR with DNA sequencing and restriction digestion, the haplotype prevalences were also determined. Four haplotypes coding 72-76 of pfcrt were found including CVMNK (wild type), CVIET (mutation type), CVIEK (mutation type), and CV M/I N/E/D/K K/T (mixed type), with 61.95 % (311/502), 33.07 % (166/502), 0.20 % (1/502), and 4.78 % (24/502) prevalence, respectively. Except mixed type, CVIET and CVIEK were the largest proportion of the mutant type in West Africa, accounting for 44.83 % (91/203), followed by East Africa (8/21, 38.10 %), North Africa (4/11, 36.36 %), Central Africa (36/135, 26.67 %), and South Africa (28/132, 21.21 %). There was significant difference among the groups (χ(2) = 23.78, P < 0.05). Mixed type was the largest proportion in North Africa (9.09 %), followed by Central Africa (6.67 %), East Africa (4.76 %), South Africa (4.55 %), and West Africa (3.45 %). There was no significant difference among the groups (χ(2) = 2.31, P > 0.05). The position 72 and 73 of pfcrt showed predominance for the wild type with rates of 100 % (502/502). This study identified four haplotypes of pfcrt in P. falciparum-infected patients imported from Africa in Henan province. The prevalence of mutations in the pfcrt was dropped comparing with other people's researches. It establishes fundamental data for detection of P. falciparum CQR with molecular markers for the imported P. falciparum in China, and it also

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

    NASA Astrophysics Data System (ADS)

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

    2015-02-01

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

  13. Quality assessment of malaria laboratory diagnosis in South Africa.

    PubMed

    Dini, Leigh; Frean, John

    2003-01-01

    To assess the quality of malaria diagnosis in 115 South African laboratories participating in the National Health Laboratory Service Parasitology External Quality Assessment Programme we reviewed the results from 7 surveys from January 2000 to August 2002. The mean percentage incorrect result rate was 13.8% (95% CI 11.3-16.9%), which is alarmingly high, with about 1 in 7 blood films being incorrectly interpreted. Most participants with incorrect blood film interpretations had acceptable Giemsa staining quality, indicating that there is less of a problem with staining technique than with blood film interpretation. Laboratories in provinces in which malaria is endemic did not necessarily perform better than those in non-endemic areas. The results clearly suggest that malaria laboratory diagnosis throughout South Africa needs strengthening by improving laboratory standardization and auditing, training, quality assurance and referral resources.

  14. Disparities in Beef Tapeworm Identification Rates in the Abattoirs of Gauteng Province, South Africa: A Descriptive Epidemiologic Study.

    PubMed

    Qekwana, Daniel Nenene; Oguttu, James Wabwire; Venter, Dries; Odoi, Agricola

    2016-01-01

    Bovine Taenia saginata cysticercus infections (also called bovine cysticercosis or beef measles) is usually diagnosed in cattle only during post-mortem meat inspection. The aim of this study was to investigate the identification rates of these infections in and to identify predictors/determinants of variations in the identification rates in abattoirs in Gauteng province, South Africa. Retrospective data for over 1.4 million cattle carcasses inspected in 26 abattoirs between January 2010 and December 2013 were used for the study. The identification rates (proportion of bovine Taenia saginata cysticercus positive carcasses) were computed and generalized estimating equations used to identify predictors/determinants of identification rates. The overall identification rate was 0.70% (95% CI: 0.45, 0.95). Significantly (p< 0.05) lower rates were reported during summer (0.55%) than other seasons. Some geographic areas reported significantly (p<0.05) higher rates than others. The identification rates in high throughput abattoirs was significantly (p<0.05) higher (RR: 9.4; 95% CI: 4.7-19.1) than in low throughput abattoirs. Similarly, the identification rates among animals from feedlots were significantly (p<0.05) higher (RR: 1.6; 95% CI: 1.7-3.5) than those from non-feedlot sources. No significant (p>0.05) association was identified between identification rates and either the number of meat inspectors per abattoir or the provider of inspection services. Although no significant association was found between identification rates and provider of inspection services, follow-up studies will need to be done to specifically investigate the potential conflict of interest arising from the fact that abattoir owners hire meat inspection services directly. Capture of abattoir surveillance data needs to include farm address and for each case to be reported separately. Finally, information on the type of identified cysts (alive or calcified) need to be collected to help better estimate

  15. Music as an Experience Integral to the Ethnicity of the "Mbyá"-Guarani of South America

    ERIC Educational Resources Information Center

    Pittau Sevilla, Zulma M.

    2016-01-01

    The "Mbyá" culture forms a part of the Guaraní ethnic group that mainly inhabits the territories of south-eastern Brazil, in the Province of Misiones--Argentina, and the Republic of Paraguay. This article will focus mainly on field observations I have made in different communities in these countries, and which will try to synthetically…

  16. South African Teachers Caught between Nation Building and Global Demands: Is There a Way Out/Forward?

    ERIC Educational Resources Information Center

    Bantwini, Bongani D.; Letseka, Moeketsi

    2016-01-01

    In this article, we explore the impact of the nation-building and global demands on teachers' work and how they survive the pressure of, and reconcile, these various demands that impact their work. We draw on two separate data sets that emerged from studies undertaken in the Eastern Cape Province (EC), South Africa. Findings reveal a rift between…

  17. Trends in Adolescent Alcohol and Other Drug Use: Findings from Three Sentinel Sites in South Africa (1997-2001)

    ERIC Educational Resources Information Center

    Parry, Charles D. H.; Myers, Bronwyn; Morojele, Neo K.; Flisher, Alan J.; Bhana, Arvin; Donson, Hilton; Pluddemann, Andreas

    2004-01-01

    This paper aims to provide surveillance information about the extent and consequences of alcohol and other drug (AOD) use by adolescents for three sentinel sites in South Africa (Cape Town, Durban and Gauteng province). From 1997 to 2001, data were gathered from multiple sources, including specialist treatment centres, trauma units, school…

  18. Validation and verification of lawful water use in South Africa: An overview of the process in the KwaZulu-Natal Province

    NASA Astrophysics Data System (ADS)

    Kapangaziwiri, E.; Mwenge Kahinda, J.; Dzikiti, S.; Ramoelo, A.; Cho, M.; Mathieu, R.; Naidoo, M.; Seetal, A.; Pienaar, H.

    2018-06-01

    South Africa is a water-stressed country which has, over the years, strived to adopt a rational, just and equitable way to manage this limited resource. The National Water Act (Act No.36 of 1998) (NWA) provides the legal framework to achieve this objective. Since 2003, the government embarked on a national process to: validate (confirm the quantum of), and; verify (establish the lawfulness of) water uses that exceed domestic requirements. The objective of the process is to determine how much water is allocated for: (1) existing lawful use in accordance with specific requirements of the NWA, and; (2) current water uses. The process identified users with or without registered use entitlements, whether claims for registered uses were correct, under-estimated, over-estimated or false; and confirmed the lawfulness of each water use in accordance with water legislation that pre-dated the NWA. The process included identifying land and non-land based water uses (industrial, mining and bulk potable water supplies, irrigation, crop types and impoundments) using remote sensing (RS) techniques for both a qualifying (defined as two years before the enactment of the NWA) and the current periods. Using this as a basis, volumetric crop irrigation requirements were then estimated using the South African Procedure for estimating irrigation WATer requirements (SAPWAT), while the Gush curves were used to quantify Stream Flow Reduction Activities (SFRAs) for commercially afforested areas. The boundaries of farm reservoirs were delineated from RS and the volumes calculated using a regression approach. Estimates of the irrigation water requirements, SFRAs and reservoir volumes formed the basis for interaction between the Department of Water and Sanitation (DWS) and water users to confirm their uses; and subsequently, to update the DWS Water Authorisation and Registration Management System (WARMS), a database of water users. While WARMS initially indicated a total of approximately 16 000

  19. Imaging Subsurface Velocity Structure Under the Borborema Province, NE Brazil, With Passive-Source Seismology: From Crust to Lithosphere and Beyond

    NASA Astrophysics Data System (ADS)

    Julia, J.; Nascimento, R.; Bastow, I. D.; Dias, R. C.; Pinheiro, A. G.; Farias do Nascimento, A.; Ferreira, J. M.; Fuck, R. A.

    2013-05-01

    The Borborema Province of NE Brazil can be regarded as a collage ofseveral terranes of Precambrian age that amalgamated during the Brasiliano-Pan African orogeny around 600 Ma. It comprises the northeasternmost corner of the South American continent and it is bounded by the São Francisco craton to the South, the Paleozoic Parnaiba basin to the West and a number of Mesozoic marginal basins to the North and East. The Cenozoic evolution of the Province is marked by the uplift of the Borborema Plateau and the coeval magmatism along two mutually orthogonal alignments: Macau-Queimadas, onshore and trending in the NS direction, and Fernando de Noronha-Mecejana, offshore and trending EW. Constraints on the geodynamical evolution of the Province come mostly from geochronological data and neotectonic markers, which have related this Cenozoic volcanism and the coeval plateau uplift to a small-scale convection cell that might have developed at the edge of the continent. Available seismic constraints on deep crustal and upper mantle structure to validate this interpretation, however, are scarce. In order to develop seismic constraints on deep crustal and upper mantle structure, a network of 16 short-period stations was deployed in 2011 under the Instituto Nacional de Ciência e Tecnologia de Estudos Tectônicos (INCT-ET) of the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). The stations complement an existing network of 16 broadband stations used for seismic monitoring of the Brazilian northeast. The combined network has an aperture of ˜400 km in the NE direction, ˜600 km in the NS direction, and an average inter-station spacing of ˜100 km and will operate for about 2 years. Tomographic images based on fundamental model surface-waves dispersion as well as ambient-noise cross-correlations and P- and S-wave travel-times are now being developed, along with detailed crustal-velocity models from the joint inversion of receiver functions and surface

  20. Geologic assessment of undiscovered hydrocarbon resources of the Western Oregon and Washington Province

    USGS Publications Warehouse

    ,; Brownfield, Michael E.; Charpentier, Ronald R.; Cook, Troy A.; Klett, Timothy R.; Pollastro, Richard M.; Schenk, Christopher J.; Le, P.A.; ,

    2011-01-01

    The purpose of the U.S. Geological Survey (USGS) National Oil and Gas Assessment is to develop geology-based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the United States, focusing on the distribution, quantity, and availability of oil and natural gas resources. The USGS has completed an assessment of the undiscovered, technically recoverable oil and gas resources in western Oregon and Washington (USGS Western Oregon and Washington Province 5004). The province includes all of Oregon and Washington north of the Klamath Mountains and west of the crest of the Cascade Range, and extends offshore to the 3-mi limit of State waters on the west and to the International Boundary in the Straits of Juan de Fuca and Canada on the north. It measures about 450 mi north-south and 50 to 160 mi east-west, encompassing more than 51,000 mi2. The assessment of the Western Oregon and Washington Province is geology based and used the total petroleum system (TPS) concept. The geologic elements of a TPS include hydrocarbon source rocks (source rock maturation and hydrocarbon generation and migration), reservoir rocks (quality and distribution), and traps for hydrocarbon accumulation. Using these geologic criteria, two conventional and one unconventional (continuous) total petroleum systems were defined, with one assessment unit (AU) in each TPS: (1) the Cretaceous-Tertiary Composite TPS and the Western Oregon and Washington Conventional Gas AU, (2) the Tertiary Marine TPS and the Tertiary-Marine Gas AU, and (3) the Tertiary Coalbed Gas TPS and the Eocene Coalbed Gas AU, in which a cell-based methodology was used to estimate coalbed-gas resources.

  1. Spatial diffusion of influenza outbreak-related climate factors in Chiang Mai Province, Thailand.

    PubMed

    Nakapan, Supachai; Tripathi, Nitin Kumar; Tipdecho, Taravudh; Souris, Marc

    2012-10-24

    Influenza is one of the most important leading causes of respiratory illness in the countries located in the tropical areas of South East Asia and Thailand. In this study the climate factors associated with influenza incidence in Chiang Mai Province, Northern Thailand, were investigated. Identification of factors responsible for influenza outbreaks and the mapping of potential risk areas in Chiang Mai are long overdue. This work examines the association between yearly climate patterns between 2001 and 2008 and influenza outbreaks in the Chiang Mai Province. The climatic factors included the amount of rainfall, percent of rainy days, relative humidity, maximum, minimum temperatures and temperature difference. The study develops a statistical analysis to quantitatively assess the relationship between climate and influenza outbreaks and then evaluate its suitability for predicting influenza outbreaks. A multiple linear regression technique was used to fit the statistical model. The Inverse Distance Weighted (IDW) interpolation and Geographic Information System (GIS) techniques were used in mapping the spatial diffusion of influenza risk zones. The results show that there is a significance correlation between influenza outbreaks and climate factors for the majority of the studied area. A statistical analysis was conducted to assess the validity of the model comparing model outputs and actual outbreaks.

  2. WHO calls on South African officials to speak out.

    PubMed

    Boyles, S

    1996-10-28

    World Health Organization (WHO) officials have suggested that President Nelson Mandela should declare a national health emergency with regard to the tuberculosis epidemic in South Africa. In July 1996, WHO announced that South Africa had about 350 cases of tuberculosis per 100,000 population, the worst in the world. The incidence of multi-drug resistance is also rising. In an article published in the New York Times on October 13, 1996, unnamed WHO officials were quoted as saying that President Mandela and Archbishop Desmond Tutu should speak about their experiences with the disease in order to increase public awareness. The article stated that a rise in drug use and the spread of human immunodeficiency virus (HIV), both of which depress the immune system and create vulnerability to tuberculosis, had occurred in South Africa with the renewal of international contacts after the lifting of sanctions imposed on the apartheid government. The South African health system currently spends about 20% of its tuberculosis budget on hospitalizing the 2% of patients with drug-resistant tuberculosis. Experts and WHO officials question the government's commitment; health administrators new to their jobs, tight budgets, and a calculated shift of power from Pretoria to the provinces are permitting the disease to go unchecked.

  3. Attributes for MRB_E2RF1 Catchments by Major River Basins in the Conterminous United States: Physiographic Provinces

    USGS Publications Warehouse

    Wieczorek, Michael; LaMotte, Andrew E.

    2010-01-01

    This tabular data set represents the area of each physiographic province (Fenneman and Johnson, 1946) in square meters, compiled for every MRB_E2RF1 catchment of selected Major River Basins (MRBs, Crawford and others, 2006). The source data are from Fenneman and Johnson's Physiographic Provinces of the United States, which is based on 8 major divisions, 25 provinces, and 86 sections representing distinctive areas having common topography, rock type and structure, and geologic and geomorphic history (Fenneman and Johnson, 1946).The MRB_E2RF1 catchments are based on a modified version of the U.S. Environmental Protection Agency's (USEPA) ERF1_2 and include enhancements to support national and regional-scale surface-water quality modeling (Nolan and others, 2002; Brakebill and others, 2011). Data were compiled for every MRB_E2RF1 catchment for the conterminous United States covering New England and Mid-Atlantic (MRB1), South Atlantic-Gulf and Tennessee (MRB2), the Great Lakes, Ohio, Upper Mississippi, and Souris-Red-Rainy (MRB3), the Missouri (MRB4), the Lower Mississippi, Arkansas-White-Red, and Texas-Gulf (MRB5), the Rio Grande, Colorado, and the Great basin (MRB6), the Pacific Northwest (MRB7) river basins, and California (MRB8).

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

    PubMed

    Pila-Nemutandani, Refilwe Gloria; Meyer, Anneke

    2016-07-01

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

  5. Stable isotope hydrology in fractured and detritic aquifers at both sides of the South Atlantic Ocean: Mar del Plata (Argentina) and the Rawsonville and Sandspruit river catchment areas (South Africa)

    NASA Astrophysics Data System (ADS)

    Glok Galli, Melisa; Damons, Matthew E.; Siwawa, Sitembiso; Bocanegra, Emilia M.; Nel, Jacobus M.; Mazvimavi, Dominic; Martínez, Daniel E.

    2017-01-01

    The aim of this work is to characterize the isotope composition of water (2H and 18O) in order to establish the relationship between fractured and detritic aquifers in similar hydrological environments located at both sides of the Atlantic Ocean. The Mar del Plata zone, placed in the Argentine Buenos Aires province in South America, and the Rawsonville and Sandspruit river catchment areas, situated in the Western Cape province in South Africa were compared. Rainwater and groundwater samples from fractured and detritic aquifers were analyzed through laser spectroscopy. In both Argentina and South African study sites, stable isotopes data demonstrate an aquifers recharge source from rainfall. For the Mar del Plata region, two different groups of detritic aquifer's samples with distinct recharge processes can be identified due to the close relationship existing between the present hydrogeological environments, the aquifer's grain size sediments and the isotopes contents: one representing rapid infiltration in aquifer sediments of the creeks' palaeobeds and hills zones (sandy or silt sandy sediments) and the other with slow infiltration of evaporated water in plain zones with an aquitard behavior. In the last group, the evaporation process occurs previous infiltration or in the aquifer's non-saturated zone, because of the existence of very low topographic gradients and fine-grained sediments. The evaporation phenomenon is not evident in the Sandspruit river catchment site's detritic aquifer, because its sandy composition allows a faster infiltration rate than in the loess that compounds the Pampeano aquifer in the interfluves zones of the Argentinian study area.

  6. Lamanema chavezi (Nematoda: Molineidae): epidemiological data of the infection in South American camelids of Northwest Argentina.

    PubMed

    Cafrune, M M; Marín, R E; Rigalt, F A; Romero, S R; Aguirre, D H

    2009-12-23

    Faecal samples from llamas (n=708), vicuñas (n=171) and guanacos (n=4) were obtained between December 2004 and May 2009 in three Provinces of Northwest Argentina (Jujuy, Salta and Catamarca) to know the distribution, prevalence and intensity of Lamanema chavezi infection in these South American camelid species (SACs). Faeces were examined by a sedimentation-flotation technique using a Cl(2)Zn+ClNa solution (specific gravity=1.59). Eggs of L. chavezi occurred in 30.3% of 89 llama herds and in 18.5% of 708 llamas sampled with a mean intensity of 271.8 eggs/g (EPG) of faeces (range 20-2120). The highest values for all parameters of the infection were registered in llamas from Catamarca Province. Significant differences (P<0.001, Fisher's exact test) were detected only for the lower prevalence in llamas from Jujuy respect to those from the other two Provinces. The overall individual prevalence of L. chavezi in llamas was lower than in reports from adult domestic camelids of neighbour countries while mean intensity was higher. The individual prevalence of L. chavezi in guanacos was 75.0%, with a mean intensity of 66.0 EPG (range 40-120) while no vicuñas were detected as infected. Most of infected SACs were located at the phytogeographical region of Andean Patagonic Domain with a dispersion ranging between 22 degrees 10' and 26 degrees 40' South latitude.

  7. Heilongjiang Province, China

    NASA Image and Video Library

    2012-12-07

    Acquired by NASA Terra spacecraft, this image shows Heilongjiang, a province of China located in the northeastern part of the country. Farms are small and long skinny rectangles in shape, surrounding regularly spaced villages.

  8. Factors influencing agency nursing and moonlighting among nurses in South Africa

    PubMed Central

    Rispel, Laetitia C.; Blaauw, Duane; Chirwa, Tobias; de Wet, Katinka

    2014-01-01

    Background In South Africa, nurses are the largest category of the health care providers. Their optimal performance is critical for the successful implementation of impending health sector reforms. Objective This paper examines the occurrence of agency nursing, moonlighting, and overtime among nurses in South Africa, and the factors influencing moonlighting. Design This cross-sectional survey was a one-stage cluster random sample of 80 hospitals in four South African provinces, selected with stratification from the public and private health sectors. On the survey day, all nurses working in critical care, theatre, emergency, maternity, and general medical and surgical wards completed a self-administered questionnaire after giving informed consent. In addition to demographic information, the questionnaire elicited information on the frequency of agency nursing, moonlighting, and overtime, and the nurses’ reasons for doing moonlighting. Survey data were weighted and analysed using STATA version 12. Results The majority of survey participants (n=3,784) were South African (98.0%), female (92.7%), and employed in government (52.8%). Their mean age was 41.5 years (SD 10.4). The occurrence of moonlighting among nurses in the 12 months preceding the survey was 28.0% [95% CI: 24.2–32.1], the frequency of agency nursing was 37.8% [95% CI: 32.4–43.6], while 56.0% of nurses did overtime [95% CI: 51.4–60.4]. In the multiple logistic regression analysis, predictors of moonlighting were province, sector of primary employment, unit of work, category of nurse, and having children. The odds of moonlighting was 1.51 [95% CI: 1.03–2.21] times higher for private sector nurses than for public nurses, while the odds ratio for auxiliary nurses was 0.61 [95% CI: 0.47–0.79] compared to professional nurses. The odds of moonlighting was 1.49 [95% CI: 1.18–1.89] for nurses with children, compared to those without. Conclusions Agency nursing, moonlighting, and overtime are common

  9. A questionnaire survey on diseases and problems affecting sheep and goats in communal farming regions of the Eastern Cape province, South Africa.

    PubMed

    Bath, Gareth F; Penrith, Mary-Louise; Leask, Rhoda

    2016-08-31

    A questionnaire of 15 questions was completed by four categories of respondents with the aim of establishing the experience and opinions of these groups on the constraints including animal health problems for communal, small-scale sheep and goat farming in the Eastern Cape province of South Africa. The questionnaires were completed independently and categories were representative of the areas investigated. Analysis of responses was done by means, ranges, votes and clusters of responses. Comparisons between the responses of the four categories were made to identify similarities or contrasts. The results revealed that of non-veterinary concerns, stock theft was the major problem for these farms. Nutrition was a further major constraint. A third area of significant concern was the provision or availability of facilities like fences, water troughs, dips and sheds. Lack of marketing and business skills were also seen as important deficiencies to be rectified so as to promote profitable farming. Of the most important veterinary problems identified, the provision, availability, cost and care of drugs and vaccines were seen as major stumbling blocks to effective disease control, as well as lack of access to veterinary services. The most important diseases that constrain small-ruminant livestock farming in the farming systems investigated were sheep scab and other ectoparasites, heart water, enterotoxaemia, internal parasites and bluetongue. A lack of knowledge in key areas of small-stock farming was revealed and should be rectified by an effective training and support programme to improve the contribution of small-ruminant farming to livelihoods in these communities.

  10. USGS World Petroleum Assessment 2000: New Conventional Provinces

    USGS Publications Warehouse

    Ahlbrandt, T.S.; Klett, T.R.

    2000-01-01

    The USGS has completed a new assessment of the undiscovered oil and gas resources of the world. One hundred and five geologic provinces were analyzed for assessment. Assessment units (AU) that comprise Total Petroleum Systems (TPS) were identified and described for each of these provinces. The AU served as the basis for assessing undiscovered petroleum within these provinces, 157 TPS and 270 AU were assessed. Some of data included in the assessment include the cumulative percent of world known petroleum volume by ranked oil and gas provinces; undiscovered NGL; reserve growth of the worlds largest oil and gas fields; and world potential reserve growth for oil/gas/NGL.

  11. Exploring corruption in the South African health sector.

    PubMed

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

    2016-03-01

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

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

    PubMed Central

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

    2016-01-01

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

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

    PubMed

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

    2016-01-01

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

  14. A longitudinal study of the aftermath of rape among rural South African women.

    PubMed

    Wyatt, Gail E; Davhana-Maselesele, Mashudu; Zhang, Muyu; Wong, Lauren H; Nicholson, Fiona; Sarkissian, Alissa Der; Makhado, Lufuno; Myers, Hector F

    2017-05-01

    Sexual assaults against women are a global health crisis, with alarmingly high rates in South Africa. However, we know very little about the circumstances and the aftermath of these experiences. Further, there is limited information about how factors specific to the rape (e.g., fighting back) versus those that are specific to the individual-and potentially modifiable-influence mental health outcomes. This study examined how situational characteristics of rape as well as individual and situational factors confer risk for symptoms of depression, posttraumatic stress disorder (PTSD), and dysfunctional sexual behavior at 12-month follow-up. Two hundred nine (N = 209) South African women were recruited from rural rape clinics in the Limpopo Province (LP) and North West Province (NWP) of South Africa. Interviews were conducted at baseline (within 6 months of the rape incident) and at 6 and 12 months by trained staff at the clinics in English or the women's native languages. Women were interviewed after services were provided in a private room. One hundred thirty-two (n = 132) women were lost to follow-up at 12 months, resulting in 77 women with interview data for all time points. Undermining by the survivor's social support system and an increased belief in myths about rape were associated with increased dysfunctional sexual practices and symptoms of depression. These findings demonstrate the need for interventions that address the most pervasive effects of rape over time. These behaviors can increase risks for revictimization and reduce psychological well-being in the aftermath of rape. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  15. Exposure to respirable crystalline silica in South African farm workers

    NASA Astrophysics Data System (ADS)

    Swanepoel, Andrew; Rees, David; Renton, Kevin; Kromhout, Hans

    2009-02-01

    Although listed in some publications as an activity associated with silica (quartz) exposure, agriculture is not widely recognized as an industry with a potential for silica associated diseases. Because so many people work in agriculture; and because silica exposure and silicosis are associated with serious diseases such as tuberculosis (TB), particular in those immunological compromised by the Human immunodeficiency virus (HIV), silica exposure in agriculture is potentially very important. But in South Africa (SA) very little is known about silica exposure in this industry. The objectives of this project are: (a) to measure inhalable and respirable dust and its quartz content on two typical sandy soil farms in the Free State province of SA for all major tasks done on the farms; and (b) to characterise the mineralogy soil type of these farms. Two typical farms in the sandy soil region of the Free State province were studied. The potential health effects faced by these farm workers from exposure to respirable crystalline silica are discussed.

  16. STATISTICAL SUMMARY: EMAP-ESTUARIES LOUISIANIAN PROVINCE - 1993

    EPA Science Inventory

    This statistical summmary of the ecological condition of the estuarine resources is based on the results of the 1993 Louisianian Province Demonstration Project. The population of estuarine resources with the Louisianian Province consists of all estuarine areas located along the c...

  17. Unraveling the Structure and Dynamics of the Borborema Province, NE Brazil, With Broadband Seismology

    NASA Astrophysics Data System (ADS)

    Julià, J.; Bastow, I. D.; Nascimento, R.; Nascimento, A. F.; Rocha, M. P.; Ferreira, J. M.; Fuck, R. A.

    2012-04-01

    The Borborema Province of NE Brazil comprises the northeasternmost corner of the Brazilian shield and can be regarded as a tectonic collage of basement rocks of Paleoproterozoic age. One of the most intriguing features of the Province concerns its Cenozoic magmatism and uplift. Cenozoic activity is arranged along the north-south trending Macau-Queimadas alignment (MQA) and consists of small-volume, alkaline magmatism with Ar-Ar dates that range between 50 and 7 Ma. The Cenozoic magmatism does not display a clear age progression and is coeval with the uplift of the Borborema Plateau, with average elevations around 400 m and peak altitudes over 1000 m. Recent geochronological studies have shown that small-scale convection at a cratonic edge might provide a plausible explanation for the origin of the Cenozoic magmatism, and gravity surveys have proposed that mafic underplating of the Borboreman crust could be responsible for the uplift. Preliminary seismic results obtained at temporary broadband stations, however, do not support the proposed uplift mechanism. Receiver functions have shown that bulk Vp/Vs ratios increase dramatically from 1.71 to 1.81 across the MQA and that no corresponding increase in crustal thickness is observed. Moreover, velocity-depth profiles from the joint inversion of receiver functions and dispersion velocities reveal that low-velocity zones, rather than mafic underplate, might be present. The seismic observations, nonetheless, are based on just a small number of scattered observations in the Province and tomographic images at lithospheric and sublithospheric depths are lacking. The deep structure of the Province is now being investigated through a temporary seismic experiment funded under the Instituto de Ciência e Tecnologia de Estudos Tectônicos of the National Council for Scientific and Technological Development (CNPq, Brazil). The experiment consists of a backbone seismic network of 20 broadband stations evenly spread throughout the

  18. Household food security and HIV status in rural and urban communities in the Free State province, South Africa.

    PubMed

    Pienaar, Michélle; van Rooyen, Francois C; Walsh, Corinna M

    2017-12-01

    Higher socioeconomic status impacts profoundly on quality of life. Life-event stressors, such as loss of employment, marital separation/divorce, death of a spouse and food insecurity, have been found to accelerate disease progression among people with human immunodeficiency virus (HIV). The objective of this study was to determine significant independent sociodemographic and food security factors associated with HIV status in people from rural and urban communities in the Assuring Health for All study, which was undertaken in rural Trompsburg, Philippolis and Springfontein and urban Mangaung, in the Free State Province of South Africa. Sociodemographic and food security factors associated with HIV status were determined in 886 households. Logistic regression with forward selection (p < 0.05) was used to select significant independent factors associated with HIV status. Variables with a p-value of <0.15 were considered for inclusion in the model. Adults 25-64 years of age were eligible to participate. Of the 567 rural participants, 97 (17.1%) were HIV-infected, and 172 (40.6%) of the 424 urban participants. A relatively high percentage of respondents had never attended school, while very few participants in all areas had a tertiary education. The unemployment rate of HIV-infected adults was higher than that of HIV-uninfected adults. A high percentage of respondents in all areas reported running out of money to buy food, with this tendency occurring significantly more among urban HIV-infected than HIV-uninfected respondents. In all areas, a high percentage of HIV-infected respondents relied on a limited number of foods to feed their children, with significantly more HIV-infected urban respondents compared to their uninfected counterparts reporting this. Most participants in all areas had to cut the size of meals, or ate less because there was not enough food in the house or not enough money to buy food. During periods of food shortage, more than 50% of

  19. Jizzax Province, Uzbekistan

    NASA Image and Video Library

    2011-01-10

    This image captured by NASA Terra spacecraft is of the Jizzax Province in eastern Uzbekistan, one of the main agricultural regions of the country. Uzbekistan is the world sixth largest producer and second-largest exporter of cotton.

  20. Evaluation of Modified Patient Health Questionnaire-9 Teen in South African Adolescents

    PubMed Central

    Aggarwal, Shilpa; Taljard, Lian; Wilson, Zane; Berk, Michael

    2017-01-01

    Background: This report describes the findings of the survey conducted by South African Depression and Anxiety Group (SADAG) in a cohort of disadvantaged South African adolescent scholars in which PHQ-9 teen version was modified and adapted (PHQ-9M) to improve the response rate. Method: PHQ-9M was administered to 2025 secondary students of 35 schools over 2 years in Gauteng Province, South Africa. Results: The mean age was 15.8 years. 23% of respondents scored 9 or above, 26.7% reported suicidal ideations in last month, 21.8% reported lifetime suicide attempts and 9.3% had severe functional impairment. PHQ-9M showed a fair internal consistency and face validity in this study. Conclusion: The PHQ-9M could be useful in conducting surveys in settings of low mental health literacy after further evaluation of its psychometric properties. The high rates of suicidal ideations, suicide attempts, and functional impairment in this population suggest the need for preventive interventions. PMID:28515549