Air-Sea Interaction in the Somali Current Region

NASA Astrophysics Data System (ADS)

Jensen, T. G.; Rydbeck, A.

2017-12-01

The western Indian Ocean is an area of high eddy-kinetic energy generated by local wind-stress curl, instability of boundary currents as well as Rossby waves from the west coast of India and the equatorial wave guide as they reflect off the African coast. The presence of meso-scale eddies and coastal upwelling during the Southwest Monsoon affects the air-sea interaction on those scales. The U.S. Navy's Coupled Ocean-Atmosphere Mesoscale Prediction System (COAMPS) is used to understand and quantify the surface flux, effects on surface waves and the role of Sea Surface Temperature anomalies on ocean-atmosphere coupling in that area. The COAMPS atmosphere model component with 9 km resolution is fully coupled to the Navy Coastal Ocean Model (NCOM) with 3.5 km resolution and the Simulating WAves Nearshore (SWAN) wave model with 10 km resolution. Data assimilation using a 3D-variational approach is included in hindcast runs performed daily since June 1, 2015. An interesting result is that a westward jet associated with downwelling equatorial Rossy waves initiated the reversal from the southward Somali Current found during the northeast monsoon to a northward flow in March 2016 more than a month before the beginning of the southwest monsoon. It is also found that warm SST anomalies in the Somali Current eddies, locally increase surface wind speed due to an increase in the atmospheric boundary layer height. This results in an increase in significant wave height and also an increase in heat flux to the atmosphere. Cold SST anomalies over upwelling filaments have the opposite impacts on air-sea fluxes.

Interactions between the Somali Current eddies during the summer monsoon: insights from a numerical study

NASA Astrophysics Data System (ADS)

Akuetevi, C. Q. C.; Barnier, B.; Verron, J.; Molines, J.-M.; Lecointre, A.

2016-02-01

Three hindcast simulations of the global ocean circulation differing by resolution (1/4 or 1/12°) or parametrization or atmospheric forcing are used to describe the interactions between the large anticyclonic eddies generated by the Somali Current system during the Southwest Monsoon. The present investigation of the Somalian coherent eddy structures allows us to identify the origin and the subsequent development of the cyclones flanked upon the Great Whirl (GW) previously identified by Beal and Donohue (2013) in satellite observations and to establish that similar cyclones are also flanked upon the Southern Gyre (SG). These cyclones are identified as potential actors in mixing water masses within the large eddies and offshore the coast of Somalia. All three simulations bring to light that during the period when the Southwest Monsoon is well established, the SG moves northward along the Somali coast and encounters the GW. The interaction between the SG and the GW is a collision without merging, in a way that has not been described in observations up to now. During the collision the GW is pushed to the east of Socotra Island, sheds several smaller patches of anticyclonic vorticity, and often reforms into the Socotra Eddy, thus proposing a formation mechanism for that eddy. During this process the GW gives up its place to the SG. This process is robust throughout the three simulations.

Dietary and weight-related behaviors and body mass index among Hispanic, Hmong, Somali, and white adolescents.

PubMed

Arcan, Chrisa; Larson, Nicole; Bauer, Kate; Berge, Jerica; Story, Mary; Neumark-Sztainer, Dianne

2014-03-01

The population of the United States is becoming increasingly ethnically and racially diverse, much of it due to immigration patterns. However, little is known about dietary intake and weight-related concerns and behaviors of youth from some ethnic-minority groups, especially Hispanic, Hmong, and Somali adolescents. Our aim was to describe dietary intake and weight-related concerns and behaviors among Hispanic, Hmong, and Somali adolescents and compare them with white adolescents. We performed a cross-sectional analysis of data from Eating and Activity in Teens 2010, a population-based study in the Minneapolis/St Paul metropolitan area. Current analysis includes 1,672 adolescents (Hispanic: n=562 [33.6%]; Hmong: n=477 [28.5%]; Somali: n=113 [6.8%]; white: n=520 [31.1%]; mean age=15.0 years). Adolescents completed classroom surveys and had their height/weight measured during the 2009-2010 academic year. Multivariable regression models, adjusted for socioeconomic status, age, and school as a random effect were used to examine racial/ethnic differences for each outcome variable for boys and girls. There were numerous differences in the behaviors of Hispanic, Hmong, and Somali adolescents as compared with whites. Hispanic and Somali youth consumed fruit and fast food more frequently. Hmong adolescents consumed sugar-sweetened beverages less frequently, and Somali boys consumed energy and sport drinks more frequently than whites. Compared with white boys, overweight/obesity was higher among Hispanic and Hmong. A higher percentage of Hmong and Somali adolescents engaged in unhealthy weight control behaviors. Body satisfaction was lower for all Hmong adolescents compared with whites. There were varying areas of concern in dietary intake, weight, and weight-related concerns and behaviors among adolescents in all ethnic groups. Future nutrition and physical activity interventions that include adolescents from these ethnic and cultural groups can benefit from, for example, modifying intervention strategies to the specific priority behaviors within the target population. Copyright © 2014 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Health Information in Somali (Af-Soomaali )

MedlinePlus

... Af-Soomaali (Somali) Bilingual PDF Health Information Translations Pendulum Exercises for Shoulder - Af-Soomaali (Somali) Bilingual PDF ... Af-Soomaali (Somali) Bilingual PDF Health Information Translations Pendulum Exercises for Shoulder - Af-Soomaali (Somali) Bilingual PDF ...

'The child that tiire doesn't give you, God won't give you either.' The role of Rotheca myricoides in Somali fertility practices.

PubMed

Mire, Sada

2016-12-01

The paper introduces the Baanashada Dumarka, a Somali fertility therapy carried out by a spirit medium, known locally as 'Alaqad. Baanashada is aimed at women whose fertility issues are believed to be caused by spirits. The study also explores a component of the Baanashada, namely, the use of tiire (Rotheca myricoides), or the butterfly bush. Although Rotheca myricoides is known to possess a number of medicinal components as confirmed by studies of modern science, so far, there exist no studies on its potential (or lack of) fertility effects. Hence, the alleged fertility benefits of the butterfly bush need examining. In 2008 a British Somali woman died of herbs placed in her cervix by a traditional healer in Somaliland. This piece of information indicated not only the role of herbal medicine in fertility practices, but also the popularity of traditional reproductive medicine beyond border, class or educational background. Yet, current research into Somali women's health focuses mainly on Female Genital Mutilation (FGM), examined often without the context of wider cultural practices. This paper, however, suggests that rituals, beliefs and material culture play a paramount role in women's practices. For example, as explored elsewhere, the wagar, a wooden and sacred object made of the African olive, is critical for fertility practices. The current paper illuminates further the significance of reproduction practices in Somali society and the potential continuity of traditions associated with the perpetuation of kinship. It concludes that fertility rituals are part of a wider context of interaction with sacred landscapes, objects and archaeological sites, often associated with past legends in the Horn of Africa.

Camel milk, amoxicillin, and a prayer: medical pluralism and medical humanitarian aid in the Somali Region of Ethiopia.

PubMed

Carruth, Lauren

2014-11-01

This paper details how exposure to new clinics, diagnostic technologies, and pharmaceuticals during humanitarian relief operations in the Somali Region of Ethiopia shaped local pluralistic health systems and altered the ways in which residents subsequently conceived of and treated illness and disease. Despite rising demand for pharmaceuticals and diagnostic technologies among Somalis in Ethiopia, local ethnophysiologies continued to draw upon popular ideas about humoral flows, divine action, and spirit possession. Demands for therapeutic camel milk, Qur'anic spiritual healing, herbal remedies, and other historically popular therapies persisted, but were shaped by concurrent demands for and understandings of diagnostic biotechnologies and pharmaceutical medications. The reverse was also true: contemporary understandings and uses of non-biomedical healing modalities among Somalis shaped evaluations of clinical care, including healthcare during humanitarian responses. To illustrate these phenomena, based on ethnographic research in eastern Ethiopia between 2007 and 2009, this paper explores three topics vital to Somalis' pluralistic healthcare systems: camel milk and the management of digestive bile; women's experiences and clinical presentations with pain and disorder in their reproductive systems; and the rising popularity of high-tech diagnostic tests. I conclude that medical humanitarian aid never happens in a vacuum or among truly treatment-naïve populations. Instead, aid unfolds within ever-changing and pluralistic health cultures, and it permanently alters and is altered by the frames within which people evaluate and make future decisions about healthcare. Copyright © 2014 Elsevier Ltd. All rights reserved.

Educating Somali Children in Britain.

ERIC Educational Resources Information Center

Kahin, Mohamed H.

This book, which results from a broad study and research begun in the early 1990s, focuses on the needs and concerns and highlights constraints regarding Somali refugee children in the British education system. The book is intended for use by language specialists and classroom teachers, and others responsible for the education and welfare of…

Somali immigrant women's health care experiences and beliefs regarding pregnancy and birth in the United States.

PubMed

Hill, Nancy; Hunt, Emmy; Hyrkäs, Kristiina

2012-01-01

To describe Somali immigrant women's health care experiences and beliefs regarding pregnancy and birth. Four focus group interviews were conducted using a convenience sample of Somali women who were pregnant or had recently delivered. Qualitative thematic content analysis was used. Six major themes emerged: pregnancy as a natural experience for women, value and relevance of prenatal care, lack of control and familiarity with delivery in the United States, balancing the desire to breastfeed with practical concerns and barriers, discomfort with mental health issues, and challenges in the healthcare system. Somali immigrant women perceive, interpret, and react to Western health practices from a perspective that includes their cultural, religious, and "scientific" beliefs. Implications include cultural competency workshops. Educational materials and prenatal education sessions that support the women's needs have been developed for this population and should be a focus of future research.

Perspectives of Somali Bantu refugee women living with circumcision in the United States: a focus group approach.

PubMed

Upvall, Michele J; Mohammed, Khadra; Dodge, Pamela D

2009-03-01

The purpose of this study was to explore healthcare perspectives of Somali Bantu refugees in relation to their status as women who have been circumcised and recently resettled in the United States. These women and their families were already uprooted from Somalia to Kenya for over 10 years, increasing their vulnerability and marginal status beyond that of women who have been circumcised. A purposive, inclusive sample of 23 resettled Somali women in southwestern Pennsylvania of the United States participated in focus group sessions for data collection. A supplemental interview with a physician who provided care to the women was also conducted. Verbatim audio taped transcripts from the focus groups and physician interview were coded into primary and secondary levels. Implications for development of culturally competent healthcare providers include attention to providing explanations for routine clinic procedures and accepting the Somali women regardless of anatomical difference, not focusing on the circumcision. Healthcare providers must also develop their skills in working with interpreters and facilitate trust to minimize suspicion of the health care system. Circumcision is considered a normal part of everyday life for the Somali Bantu refugee woman. Communication skills are fundamental to providing culturally competent care for these women. Finally, healthcare providers must take responsibility for acquiring knowledge of the Somali women's challenges as refugees living with circumcision and as immigrants in need of healthcare services.

The prevalence of substance use among Russian, Somali and Kurdish migrants in Finland: a population-based study.

PubMed

Salama, Essi; Niemelä, Solja; Suvisaari, Jaana; Laatikainen, Tiina; Koponen, Päivikki; Castaneda, Anu E

2018-05-22

Substance use is a well-known public health problem, but population-based research on migrants' substance use in Europe is limited. Factors related to the cultural background and current life situation might influence substance use among migrants. Here, the prevalence of substance use in Russian, Somali and Kurdish migrants in Finland is reported in comparison with the general population, and the associations between substance use and socio-economic and migration-related background factors among migrants are analysed. Cross-sectional data from the Finnish Migrant Health and Wellbeing Study (Maamu) and comparison group data of the general Finnish population (n = 1165) from the Health 2011 Survey were used. The survey participants were of Russian (n = 702), Somali (n = 512), and Kurdish (n = 632) origin. Substance use included self-reported alcohol use within previous 12 months (AUDIT-C questionnaire), current and lifetime daily smoking and lifetime use of cannabis and intravenous drugs. Binge drinking was less prevalent among all migrant groups than in the general Finnish population (Russian men 65%, p < 0.01; Russian women 30%, p < 0.01, Somali men 2%, p < 0.01, Kurdish men 27%, p < 0.01, Kurdish women 6%, p < 0.01, general population men 87% and women 72%). Current daily smoking was more prevalent among Russian (28%, p = 0.04) and Kurdish (29%, p < 0.01) migrant men compared with the reference group (20%). Younger age and employment were associated with binge drinking among migrants. Socio-economic disadvantage increased the odds for daily smoking in Russian, Somali and Kurdish migrant men. Several migration-related factors, such as age at migration and language proficiency, were associated with substance use. Binge drinking is less common among migrants than in the Finnish general population. However, current daily smoking was more prevalent among Russian and Kurdish migrant men compared with the general population. Younger age, level of education, employment, duration of residence in Finland and language proficiency were associated with binge drinking and daily smoking with varying patterns of association depending on the migrant group and gender. These findings draw attention to the variation in substance use habits among migrant populations.

Violence and reproductive health preceding flight from war: accounts from Somali born women in Sweden.

PubMed

Byrskog, Ulrika; Olsson, Pia; Essén, Birgitta; Allvin, Marie Klingberg

2014-08-30

Political violence and war are push factors for migration and social determinants of health among migrants. Somali migration to Sweden has increased threefold since 2004, and now comprises refugees with more than 20 years of war experiences. Health is influenced by earlier life experiences with adverse sexual and reproductive health, violence, and mental distress being linked. Adverse pregnancy outcomes are reported among Somali born refugees in high-income countries. The aim of this study was to explore experiences and perceptions on war, violence, and reproductive health before migration among Somali born women in Sweden. Qualitative semi-structured individual interviews were conducted with 17 Somali born refugee women of fertile age living in Sweden. Thematic analysis was applied. Before migration, widespread war-related violence in the community had created fear, separation, and interruption in daily life in Somalia, and power based restrictions limited access to reproductive health services. The lack of justice and support for women exposed to non-partner sexual violence or intimate partner violence reinforced the risk of shame, stigmatization, and silence. Social networks, stoicism, and faith constituted survival strategies in the context of war. Several factors reinforced non-disclosure of violence exposure among the Somali born women before migration. Therefore, violence-related illness might be overlooked in the health care system. Survival strategies shaped by war contain resources for resilience and enhancement of well-being and sexual and reproductive health and rights in receiving countries after migration.

Psychoses, PTSD, and depression in Somali refugees in Minnesota.

PubMed

Kroll, Jerome; Yusuf, Ahmed Ismail; Fujiwara, Koji

2011-06-01

Initial clinical observation of Somali patients seen at a busy inner-city community clinic (CUHCC) suggested that, in addition to the expected pictures of Posttraumatic Stress Disorder (PTSD) and depression previously seen in the clinic's Southeast Asian refugee population from 1980 to 2000, there was an unusually high number of young Somali men presenting with acute psychotic disturbances. The aim of this study of health care utilization of Somali refugees (N = 600) seen in the mental health unit of the clinic from 2001 to 2009 was to investigate the major patterns of psychiatric disorders in this outpatient population and compare these findings with a cohort of non-Somali patients (N = 3,009) seen at the same outpatient clinic during the years 2007-2009. If the results supported the initial clinical observations that the rate of psychoses was higher among young Somali men than non-Somali men attending CUHCC clinic, then several areas of further research would recommend itself. First, since this study was not a study of prevalence of mental illness in the Somali community, the next step would be to undertake a study of community prevalence of mental illness among different age and gender cohorts. Second, further research should look into likely causative and contributory risk factors to explain the development of psychoses among Somali young men. Somali and non-Somali patients were diagnosed according to DSM-IV-R criteria. Main outcome measures (diagnoses, age cohort, sex) were analyzed by Chi-square tests. Patterns of illness and adjustment varied significantly by age and gender cohorts, reflecting the relevance of age and gender at time of trauma on different trauma and loss experiences and cultural and religious shaping of subsequent adjustment and symptoms. The study confirmed that almost half of the Somali male patients are under age 30, 80% of whom presented with psychoses, compared with the rate of psychosis (13.7%) in the non-Somali control group of same-aged males at the clinic. The older male, and the majority of Somali female patients, show predominantly depressive and PTSD symptomatology. War trauma experienced in childhood, early malnutrition from famines, head trauma, and excess Khat use in male adolescents provide partial explanations for the large number of young psychotic Somali men seen in the clinic from 2001 to 2009.

Somali Parents and Schooling in Britain

ERIC Educational Resources Information Center

Kahin, Mohamed; Wallace, Catherine

2017-01-01

Somalis have settled in the UK in significant numbers, yet Somali children's schooling needs have been largely ignored. Only Mohamed Kahin's "Educating Somali Children in Britain" (ED430859), published in 1997, offered insights and information to those responsible for their educational provision. In this new book, completed by Professor…

Somali prenatal education video use in a United States obstetric clinic: a formative evaluation of acceptability.

PubMed

DeStephano, Christopher C; Flynn, Priscilla M; Brost, Brian C

2010-10-01

Because of low health literacy and low priority in seeking prenatal information, health education videos were explored for acceptability by Somali refugee women in a clinical setting. Focus groups led to the development of six targeted Somali prenatal education videos. Topics include: preparation for pregnancy, nutrition and exercise, pregnancy myths/facts, the father's role, episiotomies, and caesarean sections. Somali participants were recruited to view programs, and completed an 8-item survey prior to regularly scheduled prenatal appointments. Following the clinical visit, providers completed a 4-item survey indicating the video's helpfulness in facilitating client-provider communication. All study participants "strongly recommended" and rated the videos as "appropriate for Somali clients", 57% indicated the information was "just the right amount," and 60% found the videos "extremely helpful." The primary language spoken at home was Somali (72.7%) and 54.5% indicated Somali as the preferred language to receive health information. Providers indicated 24% of appointments were "more interactive" with 72% finding videos "somewhat" or "extremely helpful." Preliminary results from this pilot study suggest that a video format for prenatal education is acceptable to Somali clients with most clients preferring video health education materials presented in the Somali language. Culturally tailored health education video series for Somali women appear well for use in a clinic setting to facilitate client-provider communication. (c) 2009 Elsevier Ireland Ltd. All rights reserved.

Somali Refugees' Perceptions of Mental Illness.

PubMed

Bettmann, Joanna E; Penney, Deb; Clarkson Freeman, Pamela; Lecy, Natalie

2015-01-01

Nearly 13% of the U.S. population is comprised of foreign-born individuals, with Somalis constituting one of the largest resettled groups. Research suggests that, among Somali refugees, rates of mental illness are high. Yet research shows Somalis underutilize mental health services. Understanding their perceptions of mental illness and its cures may help practitioners to design more effective treatments for this population. Thus, this pilot study investigated Somali refugees' perceptions of mental illness and its treatments. Using purposive sampling, this qualitative study interviewed 20 Somali refugees using a semi-structured interview guide. Qualitative analysis yielded participants' perceptions of mental illness through their descriptions of physical symptoms accompanying mental illness, the stigma of mental illness, causes of mental illness, medical and non-medical treatments for mental illness, spirit possession causing mental illness, and the Qur'an as treatment for mental illness. Such information may help practitioners in the United States approach Somali clients in the most culturally coherent manner.

Exploring Intercultural Communication in the Special Education Referral Process with Somali Community Members

ERIC Educational Resources Information Center

deMar, Aya

2017-01-01

Given the recent growth of Somali-speaking families in American schools, it is important for educators to understand how Somali families and community members experience school processes to integrate feedback and develop an appreciation for their differing perspectives. The dual perspective of Somali liaisons, with fluency in school processes and…

Educating Somali Immigrant and Refugee Students: A Review of Cultural-Historical Issues and Related Psychoeducational Supports

ERIC Educational Resources Information Center

Walick, Christopher M.; Sullivan, Amanda L.

2015-01-01

Somali immigrants and refugees have entered the United States with increasing frequency due to civil war-induced violence and instability in their native country. The resultant increase of Somali students is of particular relevance to educators and school psychologists because Somali youth possess unique cultural backgrounds. In addition, refugee…

Supporting refugee Somali Bantu mothers with children with disabilities.

PubMed

Beatson, Jean E

2013-01-01

This study sought to understand how local Somali Bantu refugee mothers perceive education or health needs of their children with disabilities. Using a grounded theory qualitative design, the investigator interviewed five Somali Bantu mothers and one father in their homes. Four predominant categories emerged from the data: Native Healing, Unmet Needs, Ongoing Challenges, and Helpful Helping. Study findings demonstrate the need for nurses and other health care providers to understand the refugee experience in raising children with special needs in Vermont. Better communication between providers and families on critical topics, such as etiology and treatment of disabilities, negotiating systems of care, and managing health and safety issues at home, is needed. The small number of participants with limited interaction is the greatest limitation of this study.

Factors Related to Motivating Adult Somalis with Refugee Status to Volunteer for 4-H

ERIC Educational Resources Information Center

Mason, Mitchell D.; Ouellette, Kristy L.

2016-01-01

Focus group interviews were held with adult Somali immigrants to assess their likelihood of volunteering for 4-H in Maine. This qualitative study was undertaken to identify best practices for engaging the growing Somali-Mainer population as a volunteer base. Results of the study demonstrate that Somali immigrant adults are willing to volunteer for…

The Somalis: Their History and Culture. CAL Refugee Fact Sheet Series, No. 9.

ERIC Educational Resources Information Center

Putman, Diana Briton; Noor, Mohamood Cabdi

This booklet is a basic introduction to the people, history, and culture of Somalia. It is designed primarily for service providers and others assisting Somali refugees in their new communities in the United States. Somalis have a long tradition of going abroad to work or study, and today, about 1 million Somalis live scattered around the world.…

Whose Deficit Is This Anyhow? Exploring Counter-Stories of Somali Bantu Refugees' Experiences in "Doing School"

ERIC Educational Resources Information Center

Roy, Laura A.; Roxas, Kevin C.

2011-01-01

In this article, Laura Roy and Kevin Roxas draw from two studies with Somali Bantu refugee families in South Texas and Michigan. Findings from both study sites revealed a disconnect between how educators perceived the Somali Bantu families' educational goals and Somali Bantu families' actual views of education. In contrast to educators'…

Seasonal variations of thermocline circulation and ventilation in the Indian Ocean

NASA Astrophysics Data System (ADS)

You, Yuzhu

1997-05-01

Two seasonal hydrographic data sets, including temperature, salinity, dissolved oxygen, and nutrients, are used in a mixing model which combines cluster analysis with optimum multiparameter analysis to determine the spreading and mixing of the thermocline waters in the Indian Ocean. The mixing model comprises a system of four major source water masses, which were identified in the thermocline through cluster analysis. They are Indian Central Water (ICW), North Indian Central Water (NICW) interpreted as aged ICW, Australasian Mediterranean Water (AAMW), and Red Sea Water (RSW)/Persian Gulf Water (PGW). The mixing ratios of these water masses are quantified and mapped on four isopycnal surfaces which span the thermocline from 150 to 600 m in the northern Indian Ocean, on two meridional sections along 60°E and 90°E, and on two zonal sections along 10°S and 6°N. The mixing ratios and pathways of the thermocline water masses show large seasonal variations, particularly in the upper 400-500 m of the thermocline. The most prominent signal of seasonal variation occurs in the Somali Current, the western boundary current, which appears only during the SW (summer) monsoon. The northward spreading of ICW into the equatorial and northern Indian Ocean is by way of the Somali Current centered at 300-400 m on the σθ=26.7 isopycnal surface during the summer monsoon and of the Equatorial Countercurrent during the NE (winter) monsoon. More ICW carried into the northern Indian Ocean during the summer monsoon is seen clearly in the zonal section along 6°N. NICW spreads southward through the western Indian Ocean and is stronger during the winter monsoon. AAMW appears in both seasons but is slightly stronger during the summer in the upper thermocline. The westward flow of AAMW is by way of the South Equatorial Current and slightly bends to the north on the σθ=26.7 isopycnal surface during the summer monsoon, indicative of its contribution to the western boundary current. Outflow of RSW/PGW seems effectively blocked by the continuation of strong northward jet of the Somali Current along the western Arabian Sea during the summer, giving a rather small contribution of only up to 20% in the Arabian Sea. A schematic summer and winter thermocline circulation emerges from this study. Both hydrography and water - mass mixing ratios suggest that the contribution of the water from the South Indian Ocean and from the Indo-Pacific through flow controls the circulation and ventilation in the western boundary region during the summer. However, during the winter the water is carried into the eastern boundary by the Equatorial Countercurrent and leaks into the eastern Bay of Bengal, from where the water is advected into the northwestern Indian Ocean by the North Equatorial Current. The so-called East Madagascar Current as a southward flow occurs only during the summer, as is suggested by both hydrography and water-mass mixing patterns from this paper. During the winter (austral summer) the current seems reversal to a northward flow along east of Madagascar, somewhat symmetrical to the Somali Current in the north.

High Rates of Diabetes Mellitus, Pre-diabetes and Obesity Among Somali Immigrants and Refugees in Minnesota: A Retrospective Chart Review.

PubMed

Njeru, Jane W; Tan, Eugene M; St Sauver, Jennifer; Jacobson, Debra J; Agunwamba, Amenah A; Wilson, Patrick M; Rutten, Lila J; Damodaran, Swathi; Wieland, Mark L

2016-12-01

We examined the prevalence of cardiovascular risk factors among Somali refugees at a midwestern hospital in the U.S. This was a retrospective cohort study of 1007 adult Somali patients and an age and frequency-matched cohort of non-Somali patients actively empanelled to a large, academic primary care practice network in the Midwest United States between January 1, 2011 and December 31, 2012. Cardiovascular risk factors were obtained by chart review and compared between the two cohorts using a Chi squared test. Median age was 35 years (Q1, Q3; 27, 50). The prevalence of diabetes was significantly higher among Somali versus non-Somali patients (12.1 vs 5.3 %; p = 0.0001), as was prediabetes (21.3 vs 17.2 %; p < 0.02) and obesity (34.6 vs 32.1 %; p = 0.047). After adjusting for age, sex, body mass index, education and employment, among the Somali patients, the odds ratio (95 % confidence interval) for diabetes was 2.78 (1.76-4.40) and 1.57 (1.16-2.13) for pre-diabetes. There was a significantly higher prevalence of diabetes, pre-diabetes and obesity among Somali patients compared with non-Somali patients. Further research into the specific causes of these disparities and development of targeted effective and sustainable interventions to address them is needed.

Prevalence of autism in children born to Somali parents living in Sweden: a brief report.

PubMed

Barnevik-Olsson, Martina; Gillberg, Christopher; Fernell, Elisabeth

2008-08-01

In a geographical area of Stockholm, with a relatively large Somali immigrant population, parents as well as teachers in special schools and staff at habilitation centres have raised concerns over whether children with a Somali background are over-represented in the total group of children with autism. The aim of the study was, therefore, to investigate the prevalence of autism in children with parents from Somalia, living in Stockholm county, and to compare the prevalence in children of Somali background with that in the non-Somali group. We reviewed the records of 17 children (13 males, four females), born between 1988 and 1998 (age range 7-17y) and with a Somali background, who had a diagnosis of autistic disorder or pervasive developmental disorder not otherwise specified (PDDNOS) and were registered at either of the two autism habilitation centres for school-aged children. The prevalence of autistic disorder or PDDNOS was found to be three to four times higher than in the non-Somali group (0.7% vs 0.19%). All children also had learning disability.* Our findings warrant further investigations of possible aetiological factors behind the increased prevalence of autistic disorders in children of Somali origin found in this area in Sweden.

Literacy in Somali: Linguistic Consequences.

ERIC Educational Resources Information Center

Biber, Douglas; Hared, Mohamed

1991-01-01

Linguistic consequences of literacy in Somalia are examined in a review of the literature and through a study of five dimensions of variation among Somali registers and the expansion of linguistic variation in Somali resulting from the introduction of written registers. (36 references) (LB)

Prevalence of autism in children of Somali origin living in Stockholm: brief report of an at-risk population.

PubMed

Barnevik-Olsson, Martina; Gillberg, Christopher; Fernell, Elisabeth

2010-12-01

This work was a follow-up study (birth years 1999-2003) of the prevalence of autism in children of Somali background living in the county of Stockholm, Sweden. In a previous study (birth years 1988-98), the prevalence of autism associated with learning disability* was found to be three to four times higher among Somali children compared with other ethnicities in Stockholm. We examined all records of children of Somali background, born from 1999 to 2003, registered at the centre for schoolchildren with autism and learning disability. The census day was 31 December 2009. The prevalence of autism and PDDNOS (with learning disability) was 0.98% (18/1836) in the Somali group and 0.21% (232/111555) in the group of children of non-Somali origin (p<0.001). The increased prevalence remained and was now between four and five times higher in children of Somali background. A clinical observation was that more than 80%, in addition to autism and learning disability, had a profound hyperactivity. The findings accord with many other studies reporting higher prevalence rates of autism in children of immigrant mothers. We discuss the need for further research of underlying mechanisms.

Caring for Somali Women: Implications for Clinician-Patient Communication

PubMed Central

Carroll, Jennifer; Epstein, Ronald; Fiscella, Kevin; Gipson, Teresa; Volpe, Ellen; Jean-Pierre, Pascal

2010-01-01

Objective We sought to identify characteristics associated with favorable treatment in receipt of preventive healthcare services, from the perspective of resettled African refugee women. Methods Individual, in-depth interviews with 34 Somali women in Rochester, NY, USA. Questions explored positive and negative experiences with primary health care services, beliefs about respectful vs. disrespectful treatment, experiences of racism, prejudice or bias, and ideas about removing access barriers and improving health care services. Analysis was guided by grounded theory. Results Qualities associated with a favorable healthcare experience included effective verbal and nonverbal communication, feeling valued and understood, availability of female interpreters and clinicians and sensitivity to privacy for gynecologic concerns. Participants stated that adequate transportation, access to healthcare services and investment in community-based programs to improve health literacy about women’s preventive health services were prerequisite to any respectful health care system. Conclusion Effective communication, access to healthcare services with female interpreters and clinicians, and community programs to promote health literacy are themes associated with respectful and effective healthcare experiences among Somali women. Practice Implications Adequate interpreter services are essential. Patient-provider gender concordance is important to many Somali women, especially for gynecological concerns. PMID:17337152

Diabetes Health Literacy Among Somali Patients with Diabetes Mellitus in a US Primary Care Setting.

PubMed

Njeru, Jane W; Hagi-Salaad, Misbil F; Haji, Habibo; Cha, Stephen S; Wieland, Mark L

2016-06-01

The purpose of this study was to describe diabetes literacy among Somali immigrants with diabetes and its association with diabetes outcomes. Among Somali immigrants in North America, the prevalence of diabetes exceeds that of the general population, and their measures of diabetes control are suboptimal when compared with non-Somali patients. Diabetes literacy is an important mediator of diabetes outcomes in general populations that has not been previously described among Somali immigrants and refugees. Diabetes literacy was measured using a translated version of the spoken knowledge in low literacy in diabetes (SKILLD) scale among Somali immigrants and refugees with type 2 diabetes. Diabetes outcome measures, including hemoglobin A1C, low-density lipoprotein (LDL) cholesterol, and blood pressure, were obtained for each patient. Multivariate logistic regression was used to assess associations between diabetes literacy and diabetes outcomes. Among 50 Somali patients with diabetes who completed the survey, the mean SKILLD score was low (42.2 %). The diabetes outcome measures showed a mean hemoglobin A1C of 8 %, LDL cholesterol of 99.17 mg/dL (2.57 mmol/L), systolic blood pressure of 130.9 mmHg, and diastolic blood pressure of 70.2 mmHg. There was no association between diabetes literacy scores and diabetes outcome measures. Somali patients with diabetes mellitus had low diabetes literacy and suboptimal measures of diabetes disease control. However, we found no association between diabetes literacy and diabetes outcomes. Future work aimed at reduction of diabetes-related health disparities among Somali immigrants and refugees to high-income countries should go beyond traditional means of patient education for low-literacy populations.

Barriers to outdoor physical activity in wintertime among Somali youth.

PubMed

Rothe, Elizabeth; Holt, Christina; Kuhn, Celine; McAteer, Timothy; Askari, Isabella; O'Meara, Mary; Sharif, Abdimajid; Dexter, William

2010-10-01

To identify barriers to outdoor physical activity in winter among Somali youth in Maine. Despite the many proven health benefits of physical activity among children, such as cardiovascular fitness and health status as an adult, there has been a decrease in physical activity among children in recent years. Specifically, children who are of low socio-economic status or are from communities where many immigrants are at increased risk for developing obesity. Immigrants are also less likely to be physically active. There are many potential barriers to wintertime physical activity among Somali youth in Maine, such as lack of financial resources, transportation, proper winter clothing, and appropriate knowledge of winter safety, and language and cultural barriers. For females, different attire required for outdoor activity may be a barrier. Somali parents and children were recruited from Portland, Maine to participate in focus groups led by a trained facilitator with a Somali translator and cultural broker. Transcripts were coded using NVIVO software to identify barriers to physical activity among Somali youth outside in winter. Eight focus groups were conducted. Sixty-one Somali community members were recruited. Participants felt outdoor physical activity is important, but note that it is decreased in winter. Barriers to outdoor activity in winter cited by focus group participants were lack of resources, health concerns, gender barriers for females, and knowledge barriers. Concern over lack of supervision while children play outside was also cited. This study revealed many of the underlying beliefs, barriers and cultural issues that impact Somali families' intention to be active and ability to be active outdoors in winter. These findings can be used to generate research hypotheses and public health interventions regarding outdoor physical activity among Somali youth.

Understanding Cultural Beliefs in Families of Somali Children with Diabetes in the Twin Cities, Minnesota.

PubMed

Sunni, Muna; Farah, Mohamed; Hardie, Christine; Dhunkal, Abdirahman M; Abuzzahab, M Jennifer; Kyllo, Jennifer H; Bellin, Melena D; Nathan, Brandon; Moran, Antoinette

2015-08-01

Describe cultural beliefs related to diabetes in Minnesota Somali children with type 1 diabetes (T1D), and compare their diabetes control to that of non-Somali children with diabetes. A cross-sectional study involving Somali children ≤ 19 years with T1D at the University of Minnesota Masonic Children's Hospital and Children's Hospitals and Clinics of Minnesota. A survey was administered to parents of all participants and to children aged ≥ 12 years. Data were collected by history and from the medical record. Twenty-five Somali children participated, with 24 parent-child pairs (2 siblings). Mean participant age was 12.2 ± 5.2 (36% female). Seventy-one percent of parents indicated the child was "the same as before" other than having to do diabetes cares. Families were coping well, and the child was not treated differently than siblings. Performance of routine cares was described as the hardest part about having diabetes, but this was not related to traditional culture or religion. One notable exception was difficulty performing carbohydrate counting on Somali foods. Respondents were appreciative of the education provided by the diabetes team. Less than 10% used herbal supplements in addition to insulin. Mean HbA1c in Somali children was higher than the overall pediatric clinic average, 9.5 ± 1.6 % versus 8.8 ± 1.6 (p = 0.01). The difference was largely due to adolescent patients. The majority of Somali families cope well with diabetes and have a positive attitude towards the diabetes education. Glycemic control in adolescents is worse than in non-Somali peers. There is a need for culture-specific dietary instruction materials.

Breast-feeding and complementary feeding practices in the first 6 months of life among Norwegian-Somali and Norwegian-Iraqi infants: the InnBaKost survey.

PubMed

Grewal, Navnit Kaur; Andersen, Lene Frost; Sellen, Daniel; Mosdøl, Annhild; Torheim, Liv Elin

2016-03-01

To examine breast-feeding and complementary feeding practices during the first 6 months of life among Norwegian infants of Somali and Iraqi family origin. A cross-sectional survey was performed during March 2013-February 2014. Data were collected using a semi-quantitative FFQ adapted from the second Norwegian national dietary survey among infants in 2006-2007. Somali-born and Iraqi-born mothers living in eastern Norway were invited to participate. One hundred and seven mothers/infants of Somali origin and eighty mothers/infants of Iraqi origin participated. Breast-feeding was almost universally initiated after birth. Only 7 % of Norwegian-Somali and 10 % of Norwegian-Iraqi infants were exclusively breast-fed at 4 months of age. By 1 month of age, water had been introduced to 30 % of Norwegian-Somali and 26 % of Norwegian-Iraqi infants, and infant formula to 44 % and 34 %, respectively. Fifty-four per cent of Norwegian-Somali and 68 % of Norwegian-Iraqi infants had been introduced to solid or semi-solid foods at 4 months of age. Breast-feeding at 6 months of age was more common among Norwegian-Somali infants (79 %) compared with Norwegian-Iraqi infants (58 %; P=0·001). Multivariate analyses indicated no significant factors associated with exclusive breast-feeding at 3·5 months of age. Factors positively associated with breast-feeding at 6 months were country of origin (Somalia) and parity (>2). Breast-feeding initiation was common among Iraqi-born and Somali-born mothers, but the exclusive breast-feeding period was shorter than recommended in both groups. The study suggests that there is a need for new culture-specific approaches to support exclusive breast-feeding and complementary feeding practices among foreign-born mothers living in Norway.

Religious beliefs prevailing among Somali men living in Finland regarding the use of the condom by men and that of other forms of contraception by women.

PubMed

Degni, Filio; Mazengo, Charles; Vaskilampi, Tuula; Essén, Brigitta

2008-09-01

The objective of this study was to explore religious beliefs of Somali men residing in Finland that may influence their use of condoms and their perceptions of contraceptive use by women of their community. Both quantitative and qualitative methods were used to study 98 refugee Somali married men aged 30-65 years. Participants filled in self-administered questionnaires (in English or in Somali) but were also interviewed. The interviews were semi-structured, featuring thematically clustered open-ended questions; they were conducted in Somali or in English. Participants had arrived in Finland between 1990-1998. They had from 2-12 children. For religious reasons, 63% of the men avoided using condoms and were opposed to women's contraceptive use. The remaining 37% were not deterred by religious beliefs from using condoms and from approving women's contraceptive practices. In conclusion, for religious reasons, most Somali men assessed avoided using condoms and disapproved of the use of contraception by women.

"We would never forget who we are": resettlement, cultural negotiation, and family relationships among Somali Bantu refugees.

PubMed

Frounfelker, Rochelle L; Assefa, Mehret T; Smith, Emily; Hussein, Aweis; Betancourt, Theresa S

2017-11-01

Somali refugees are resettling in large numbers in the US, but little is known about the Somali Bantu, an ethnic minority within this population. Refugee youth mental health is linked to the functioning of the larger family unit. Understanding how the process of culturally adjusting to life after resettlement relates to family functioning can help identify what kind of interventions might strengthen families and lead to better mental health outcomes for youth. This paper seeks to address the following research questions: (1) How do different groups of Somali Bantu refugees describe their experiences of culturally adapting to life in the US?; and (2) How, if at all, do processes of cultural adaptation in a new country affect Somali Bantu family functioning? We conducted 14 focus groups with a total of 81 Somali Bantu refugees in New England. Authors analyzed focus groups using principles of thematic analysis to develop codes and an overarching theoretical model about the relationship between cultural adaptation, parent-child relationships, and family functioning. Views and expectations of parent-child relationships were compared between Somali Bantu youth and adults. Cultural negotiation was dependent upon broader sociocultural contexts in the United States that were most salient to the experience of the individual. Adult and youth participants had conflicting views around negotiating Somali Bantu culture, which often led to strained parent-child relationships. In contrast, youth sibling relationships were strengthened, as they turned to each other for support in navigating the process of cultural adaptation.

The "Western disease": Autism and Somali parents' embodied health movements.

PubMed

Decoteau, Claire Laurier

2017-03-01

There is some statistical evidence indicating that Somali refugees and immigrants have high rates of autism spectrum disorder (ASD). Somalis in North America call autism the "Western disease" because there is no word for autism in the Somali language and because many believe it does not exist in Somalia. In Toronto, Somali parents have forged an "epistemic community," united around a coherent theory of the development of autism, its defining features, and most successful therapies. They work together with researchers to support the theory that gut bacteria is a causal factor for the development of autism. They argue that it is the diet and medical environment in North America (including the use of preservatives, genetically-modified processing, and antibiotics in both health care and food production) that explains the high rates of autism within the Somali diaspora. The paper argues that race and nationality have been underexplored in theories of embodied health movements. I argue that Somali parents' organizing pushes theories of health social movements in new directions, by suggesting that experiences of forced migration and racial exclusion, as well as non-Western cultural ontologies of health, are important for understanding embodied experiences of illness and the forging of "politicized collective illness identities" that challenge mainstream scientific understandings of autism. As such, Somalis' race and nationality play key roles in their pathways to group construction, in their embodied experiences of illness, and in their resources for mobilization. Copyright © 2017 Elsevier Ltd. All rights reserved.

Communication and US-Somali Immigrant Human Papillomavirus (HPV) Vaccine Decision-Making.

PubMed

Dailey, Phokeng M; Krieger, Janice L

2017-09-01

The current study uses a multiple goal theoretical perspective to explore how Somali immigrant families living in Ohio, USA, make decisions regarding whether to vaccinate their children against human papillomavirus (HPV)-a leading cause of cervical cancer. A focus was placed on the communication goals of parents in HPV vaccine discussions with their child and health care provider. Semi-structured interviews were audiotaped, transcribed, and analyzed using a grounded theory approach. Key themes are the implications of the vaccine for early sexual activity, confusion between HPV and HIV (human immunodeficiency virus), the perception that the HPV vaccine is unnecessary, uncertainty about the vaccine's efficacy and side effects, avoidance of parent-child communication about the vaccine, and a preference for framing the vaccine as a health promotion behavior. Framing the threat of HPV in the context of initiation of sexual activity, uncertainty regarding vaccine efficacy, and anticipated regret account for the inconsistency in HPV vaccine uptake among Somali parents. Clinicians should consider talking about HPV as a distal versus an immediate threat and HPV vaccine uptake as a health-promotion behavior rather than a sexually transmitted infection prevention behavior.

The Somali Bantu: Their History and Culture. Culture Profile.

ERIC Educational Resources Information Center

Lehman, Dan Van; Eno, Omar

This booklet is a basic introduction to the people, history, and cultures of the Somali Bantu. It is designed primarily for service providers and others assisting Somali Bantu refugees in their new communities in the United States. It focuses on: "Introduction"; "Land"; "People" (place in society and social…

Sexual Health Care, Sexual Behaviors and Functioning, and Female Genital Cutting: Perspectives From Somali Women Living in the United States.

PubMed

Connor, Jennifer Jo; Hunt, Shanda; Finsaas, Megan; Ciesinski, Amanda; Ahmed, Amira; Robinson, Beatrice Bean E

2016-01-01

We investigated the sexual values, attitudes, and behaviors of 30 Somali female refugees living in a large metropolitan area of Minnesota by collecting exploratory sexual health information based on the components of the sexual health model-components posited to be essential aspects of healthy human sexuality. A Somali-born bilingual interviewer conducted the semistructured interviews in English or Somali; 22 participants chose to be interviewed in Somali. Interviews were translated, transcribed, and analyzed using descriptive statistics and thematic analyses. Our study findings highlighted a sexually conservative culture that values sexual intimacy, female and male sexual pleasure, and privacy in marriage; vaginal sexual intercourse as the only sanctioned sexual behavior; and the importance of Islamic religion in guiding sexual practices. Findings related to human immunodeficiency virus (HIV) revealed HIV testing at immigration, mixed attitudes toward condom use, and moderate knowledge about HIV transmission modes. Female genital cutting (FGC) was a pervasive factor affecting sexual functioning in Somali women, with attitudes about the controversial practice in transition. We recommend that health professionals take the initiative to discuss sexual health care and safer sex, sexual behaviors/functioning, and likely challenges to sexual health with Somali women--as they may be unlikely to broach these subjects without permission and considerable encouragement.

Somali Perspectives on Physical Activity: Photovoice to Address Barriers and Resources in San Diego

PubMed Central

Murray, Kate; Mohamed, Amina Sheik; Dawson, Darius B.; Syme, Maggie; Abdi, Sahra; Barnack-Tavlaris, Jessica

2015-01-01

Background Though many immigrants enter the U.S. with a healthy body weight, this health advantage disappears the longer they reside in the U.S. To better understand the complexities of obesity change within a cultural framework, a community-based participatory research (CBPR) approach, Photovoice, was utilized focusing on physical activity among Muslim Somali women. Objectives The CBPR partnership was formed to identify barriers and resources to engaging in physical activity with goals of advocacy and program development. Methods Muslim Somali women (n = 8) were recruited to participate, trained and provided cameras, and engaged in group discussions about the scenes they photographed. Results Participants identified several barriers, including safety concerns, minimal culturally appropriate resources, and financial constraints. Strengths included public resources and a community support system. The CBPR process identified opportunities and challenges to collaboration and dissemination processes. Conclusions The findings laid the framework for subsequent program development and community engagement. PMID:25981428

'Moving on' Violence, wellbeing and questions about violence in antenatal care encounters. A qualitative study with Somali-born refugees in Sweden.

PubMed

Byrskog, Ulrika; Essén, Birgitta; Olsson, Pia; Klingberg-Allvin, Marie

2016-09-01

Somali-born women constitute one of the largest groups of childbearing refugee women in Sweden after more than two decades of political violence in Somalia. In Sweden, these women encounter antenatal care that includes routine questions about violence being asked. The aim of the study was to explore how Somali-born women understand and relate to violence and wellbeing during their migration transition and their views on being approached with questions about violence in Swedish antenatal care. Qualitative interviews (22) with Somali-born women (17) living in Sweden were conducted and analysed using thematic analysis. A balancing act between keeping private life private and the new welfare system was identified, where the midwife's questions about violence were met with hesitance. The midwife was, however, considered a resource for access to support services in the new society. A focus on pragmatic strategies to move on in life, rather than dwelling on potential experiences of violence and related traumas, was prominent. Social networks, spiritual faith and motherhood were crucial for regaining coherence in the aftermath of war. Dialogue and mutual adjustments were identified as strategies used to overcome power tensions in intimate relationships undergoing transition. If confidentiality and links between violence and health are explained and clarified during the care encounter, screening for violence can be more beneficial in relation to Somali-born women. The focus on "moving on" and rationality indicates strength and access to alternative resources, but needs to be balanced against risks for hidden needs in care encounters. A care environment with continuity of care and trustful relationships enhances possibilities for the midwife to balance these dual perspectives and identify potential needs. Collaborations between Somali communities, maternity care and social service providers can contribute with support to families in transition and bridge gaps to formal social and care services. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

The Impact of Acculturation Style and Acculturative Hassles on the Mental Health of Somali Adolescent Refugees.

PubMed

Lincoln, Alisa K; Lazarevic, Vanja; White, Matthew T; Ellis, B Heidi

2016-08-01

Refugee adolescents often immigrate to a new society because of experiences of persecution and trauma, which can have profound effects on their mental health. Once they immigrate, many refugees experience stressors related to resettlement and acculturation in the new society. The current study examined relationships among acculturation styles and hassles and the well-being of young refugees as well as the role of gender. Data were collected from 135 young refugees (M age = 15.39, SD = 2.2; 62 % male) from Somalia resettled in the United States The findings from our study indicate that in addition to trauma history, acculturative hassles and acculturation style impact the wellbeing of Somali refugee adolescents. These findings indicate the need to understand both past experiences as well as current challenges. Potential areas for intervention are discussed.

Culturally adapting a physical activity intervention for Somali women: the need for theory and innovation to promote equity.

PubMed

Murray, Kate E; Ermias, Azieb; Lung, Amber; Mohamed, Amina Sheik; Ellis, B Heidi; Linke, Sarah; Kerr, Jacqueline; Bowen, Deborah J; Marcus, Bess H

2017-03-01

There is pressing need for innovation in clinical research to more effectively recruit, engage, retain, and promote health among diverse populations overburdened by health disparities. The purpose of this study is to provide a detailed illustration of the cultural adaptation of an evidence-based intervention to bolster translational research with currently underserved communities. The cultural adaptation heuristic framework described by Barrera and colleagues is applied to the adaptation of a physical activity evidence-based intervention with adult Somali women. Widespread changes were required to ensure program feasibility and acceptability, including the reduction of assessment protocols and changes discordant with current trends in physical activity research. The cultural adaptation of evidence-based interventions offers an important mechanism for reducing health disparities. Improved reporting standards, assessment of features relevant to underserved communities, and greater funding requirements to ensure better representation are needed to promote more widespread access for all people.

Somali. Materials Status Report.

ERIC Educational Resources Information Center

Center for Applied Linguistics, Washington, DC. Language/Area Reference Center.

The materials status report for Somali, the official language of Somalia, is one of a series intended to provide the nonspecialist with a picture of the availability and quality of texts for teaching various languages to English speakers. The report consists of: (1) a brief narrative description of Somali, the areas where it is spoken, its major…

Attitudes towards and perceptions about contraceptive use among married refugee women of Somali descent living in Finland.

PubMed

Degni, F; Koivusilta, L; Ojanlatva, A

2006-09-01

To assess attitudes towards and perceptions about contraceptive use among married refugee women of Somali descent living in Finland. A sample of 100 married refugee women of Somali descent (18-50 years of age) were invited to participate in a study on contraceptive use in Finland (30 women refused). Qualitative and quantitative methods were used to collect the data. Questionnaire of the first data set was written in the Somali language. Interviews were conducted in the Somali language. The attitudes and opinions of these women towards contraceptive use (73% did not use contraceptives, 27% did use them) were connected with religious beliefs and issues involving marital relations. Religious or gender issues did not seem to influence those who used contraception. The findings indicated that the majority of the married refugee women of Somali descent living in Finland did not use contraception. The process of starting the use of contraception was possible because of an access to good reproductive health care and family planning services, changes in life situations, and adaptations to Finnish social and cultural norms.

Predominance of DR3 in Somali children with type 1 diabetes in the twin cities, Minnesota.

PubMed

Sunni, Muna; Noble, Janelle A; Yu, Liping; Mahamed, Zahra; Lane, Julie A; Dhunkal, Abdirahman M; Bellin, Melena D; Nathan, Brandon; Kyllo, Jennifer; Abuzzahab, M Jennifer; Gottlieb, Peter A; Babu, Sunanda; Armstrong, Taylor; Moran, Antoinette

2017-03-01

Minnesota is home to the largest Somali population in USA, and pediatric diabetes teams are seeing increasing numbers of Somali children with diabetes. To assess the immune basis of diabetes in Somali children in the Twin Cities, Minnesota. A total of 31 Somali children ≤19 yr were treated for type 1 diabetes (T1D) at the University of Minnesota Masonic Children's Hospital and Children's Hospitals and Clinics of Minnesota underwent analysis of human leukocyte antigen (HLA) alleles (n = 30) and diabetes autoantibodies [glutamic acid decarboxylase (GAD65), islet antigen 2 (IA-2), zinc transporter 8 (ZnT8); n = 31]. HLA alleles were analyzed in 49 Somalis without diabetes (controls). Anti-transglutaminase autoantibodies (TGA) for celiac disease were also measured. In Somali children with T1D aged 13.5 ± 5 yr (35% female, disease duration 6.5 ± 3.6 yr), the most common HLA allele was DRB1*03:01 (93%, compared with 45% of Somali controls), followed by DRB1*13:02 (27%). There was a relatively low frequency of DR4 (13%). Controls showed a similar pattern. All 31 participants were positive for at least one diabetes autoantibody. Insulin antibodies were positive in 84% (all were on insulin). Excluding insulin antibodies, 23 (74%) subjects tested positive for at least one other diabetes autoantibody; 32% had 1 autoantibody, 32% had 2 autoantibodies, and 10% had 3 autoantibodies. GAD65 autoantibodies were found in 56% of subjects, IA-2 in 29%, and ZnT8 in 26%. Four (13%) were TGA positive. The autoantibody and HLA profiles of Somali children with diabetes are consistent with autoimmune diabetes. Their HLA profile is unique with an exceptionally high prevalence of DRB1*03:01 allele and relative paucity of DR4 alleles compared with African Americans with T1D. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Somalis giving birth in Sweden: a challenge to culture and gender specific values and behaviours.

PubMed

Wiklund, H; Aden, A S; Högberg, U; Wikman, M; Dahlgren, L

2000-06-01

Giving birth in a foreign country implies going through a life event with little or no access to your own traditions and social support. The aim of this study was to study the childbirth experiences of Somali women and men in Sweden. Qualitative. Nine women and seven men were interviewed. Data collection was characterised by an openness to new ideas during the interview and the interviews were analysed according to the grounded theory technique. The meeting of Somalis with Swedish antenatal and delivery care was a multicultural event. It revealed social, medical, cultural and gender factors advocating space in the arena of childbirth. The Somalis constituted a homogeneous group with regard to their cultural belonging and motives for exile. The subjects were heterogeneous in that they represented a great variety in social and demographic background as well as in experiences, feelings and modes of expression. One striking finding was the Somali man's dramatic entrance into childbirth, which seemed to have a strong impact on the Somali woman's well-being during delivery. The study showed difficulties in getting used to the Swedish model of parenthood and in finding new role divisions in the couple relationship. Some of the subjects had experienced a strengthening of their marriage and an increased understanding of each other. Others commented that various aspects of traditional womanhood and manhood were lost as a result of the unfamiliar gender structures in Sweden. The Somalis' experiences of childbirth in Sweden can be understood by using the theoretical concept of gender, rather than culture. Our own and other studies show that women and men may have different frames of reference in childbirth, where the women mainly focus on biological circumstances and the men on the social and cultural aspects of birth. The Somali couple were found to be vulnerably positioned, with the professionals having the important role of supporting and empowering Somali parents.

The role of potential vorticity anomalies in the Somali Jet on Indian Summer Monsoon Intraseasonal Variability

NASA Astrophysics Data System (ADS)

Rai, P.; Joshi, M.; Dimri, A. P.; Turner, A. G.

2017-08-01

The climate of the Indian subcontinent is dominated by rainfall arising from the Indian summer monsoon (ISM) during June to September. Intraseasonal variability during the monsoon is characterized by periods of heavy rainfall interspersed by drier periods, known as active and break events respectively. Understanding and predicting such events is of vital importance for forecasting human impacts such as water resources. The Somali Jet is a key regional feature of the monsoon circulation. In the present study, we find that the spatial structure of Somali Jet potential vorticity (PV) anomalies varies considerably during active and break periods. Analysis of these anomalies shows a mechanism whereby sea surface temperature (SST) anomalies propagate north/northwestwards through the Arabian Sea, caused by a positive feedback loop joining anomalies in SST, convection, modification of PV by diabatic heating and mixing in the atmospheric boundary layer, wind-stress curl, and ocean upwelling processes. The feedback mechanism is consistent with observed variability in the coupled ocean-atmosphere system on timescales of approximately 20 days. This research suggests that better understanding and prediction of monsoon intraseasonal variability in the South Asian monsoon may be gained by analysis of the day-to-day dynamical evolution of PV in the Somali Jet.

The role of potential vorticity anomalies in the Somali Jet on Indian Summer Monsoon Intraseasonal Variability

NASA Astrophysics Data System (ADS)

Rai, P.; Joshi, M.; Dimri, A. P.; Turner, A. G.

2018-06-01

The climate of the Indian subcontinent is dominated by rainfall arising from the Indian summer monsoon (ISM) during June to September. Intraseasonal variability during the monsoon is characterized by periods of heavy rainfall interspersed by drier periods, known as active and break events respectively. Understanding and predicting such events is of vital importance for forecasting human impacts such as water resources. The Somali Jet is a key regional feature of the monsoon circulation. In the present study, we find that the spatial structure of Somali Jet potential vorticity (PV) anomalies varies considerably during active and break periods. Analysis of these anomalies shows a mechanism whereby sea surface temperature (SST) anomalies propagate north/northwestwards through the Arabian Sea, caused by a positive feedback loop joining anomalies in SST, convection, modification of PV by diabatic heating and mixing in the atmospheric boundary layer, wind-stress curl, and ocean upwelling processes. The feedback mechanism is consistent with observed variability in the coupled ocean-atmosphere system on timescales of approximately 20 days. This research suggests that better understanding and prediction of monsoon intraseasonal variability in the South Asian monsoon may be gained by analysis of the day-to-day dynamical evolution of PV in the Somali Jet.

Children of Somali Refugees in Australian Schools: Self-Descriptions of School-Related Skills and Needs

ERIC Educational Resources Information Center

Dodds, Agnes E.; Lawrence, Jeanette A.; Karantzas, Kellie; Brooker, Abi; Lin, Ying Han; Champness, Vivienne; Albert, Nadia

2010-01-01

We examined self-descriptions of children of Somali refugee families in Australian primary schools, focusing on how children's school-related skills and needs relate to the interpretive frames of mainstream and ethnic cultures. Three groups of Grade 5 and 6 children (Somali, Disadvantaged, Advantaged) made choices among school-related skills, and…

They Bring Their Memories with Them: Somali Bantu Resettlement in a Globalized World

ERIC Educational Resources Information Center

Smith, Yda Jean

2010-01-01

The Somali Bantu, arriving in the United States after many years in Kenyan refugee camps, face significant barriers to successful integration into American society. Those responsible for managing initial resettlement at the local level were not prepared to provide appropriate assistance to this group. The arrival of the Somali Bantu highlighted…

"Baro Afkaaga Hooyo!" A Case Study of Somali Literacy Teaching in Liverpool.

ERIC Educational Resources Information Center

Arthur, Jo

2003-01-01

Reports on an ethnographic research project in Liverpool, England. Aimed to build an understanding of the communicative and symbolic roles of languages and literacies in the Liverpool Somali community, which forms part of the Somali diaspora within Britain. The role of literacy is of particular interest in the context of a vigorous oral tradition…

Female Genital Mutilation/Cutting among Women of Somali and Kurdish Origin in Finland.

PubMed

Koukkula, Mimmi; Keskimäki, Ilmo; Koponen, Päivikki; Mölsä, Mulki; Klemetti, Reija

2016-09-01

The tradition of female genital mutilation/cutting (FGM/C) has spread in Europe as a result of immigration. Although it is known to have negative health impacts, the exact prevalence of FGM/C and its health effects in Finland are unknown. This study explores the prevalence of FGM/C, the sociodemographic characteristics associated with it, and its health effects among women of Somali and Kurdish origin in Finland. Data were obtained from the Migrant Health and Well Being Study carried out in 2010-2012. This study uses data from interviews with Somali (N = 165) and Kurdish origin (N = 224) women. The participation rate was 37 percent for Somali and 54 percent for Kurdish origin women. The prevalence of FGM/C was 69 percent among those of Somali origin and 32 percent among those of Kurdish origin. Having no education and older age were significantly associated with FGM/C, as was marriage amongst women of Somali origin, and the practice of Islam among women of Kurdish origin. Reporting good self-perceived health was more common among women without FGM/C. Outpatient visits to medical doctors were less common among women of Somali origin with FGM/C, compared with women without FGM/C. About 26 percent of Somali origin and 39 percent of Kurdish origin women with FGM/C reported reproductive or other health problems because of FGM/C. FGM/C is more common in Finland than previously assumed, particularly among women of Kurdish origin. Women with FGM/C need improved access to culturally competent health services to address the health impacts of FGM/C. Education and outreach to immigrant communities to prevent future FGM/C are also urgently needed. © 2016 Wiley Periodicals, Inc.

Somali Immigrant Perceptions of Mental Health and Illness: An Ethnonursing Study.

PubMed

Wolf, Kimberly M; Zoucha, Rich; McFarland, Marilyn; Salman, Khlood; Dagne, Ahmed; Hashi, Naimo

2016-07-01

Knowledge of Somali immigrants' mental health care beliefs and practices is needed so that nurses can promote culturally congruent care. The purpose of this study was to explore, discover, and understand mental health meanings, beliefs, and practices from the perspective of immigrant Somalis. Leininger's qualitative ethnonursing research method was used. Thirty informants (9 key and 21 general) were interviewed in community settings. Leininger's ethnonursing enablers and four phases of analysis for qualitative data were used. Analysis of the interviews revealed 21 categories and nine patterns from which two main themes emerged. The themes are the following: (a) Our religion significantly influences our mental health and (b) Our tribe connectedness, cultural history, and khat usage are significant in mental health. Somali cultural and religious beliefs and practices influence their health care choices. The findings will improve care by promoting culturally congruent care for the Somali immigrant population. © The Author(s) 2014.

Peace in the Clinic: Rethinking "Global Health Diplomacy" in the Somali Region of Ethiopia.

PubMed

Carruth, Lauren

2016-06-01

Drawing on ethnographic research with Somalis, within aid organizations, and within health care facilities in the Somali Region of Ethiopia, this article argues that what is called "global health diplomacy," despite its origins and articulations in interstate politics, is fundamentally local and interpersonal. As evidence, I outline two very different health programs in the Somali Region of Ethiopia, and how, in each, existing animosities and political grievances were either reinforced or undermined. I argue that the provision of health care in politically insecure and post-conflict settings like the Somali Region of Ethiopia is precarious but pivotal: medical encounters have the potential to either worsen the conditions in which conflicts and crises recur, or build new interpersonal and governmental relations of trust. Effective global health diplomacy, therefore, cannot be limited to building clinics and donating medicine, but must also explicitly include building positive relationships of trust between oppositional groups within clinical spaces.

Discrimination and mental health among Somali refugee adolescents: the role of acculturation and gender.

PubMed

Ellis, B Heidi; MacDonald, Helen Z; Klunk-Gillis, Julie; Lincoln, Alisa; Strunin, Lee; Cabral, Howard J

2010-10-01

This study examines the role of social identity (acculturation and gender) in moderating the association between discrimination and Somali adolescent refugees' mental health. Participants were English-speaking Somali adolescent refugees between the ages of 11 and 20 (N = 135). Perceived discrimination, trauma history, posttraumatic stress disorder (PTSD), depressive symptoms, and behavioral acculturation were assessed in structured interviews. Fourteen in-depth qualitative interviews and 3 focus groups were also conducted. Results indicated that discrimination was common and associated with worse mental health. For girls, greater Somali acculturation was associated with better mental health. Also, the association between discrimination and PTSD was less strong for girls who showed higher levels of Somali acculturation. For boys, greater American acculturation was associated with better mental health, and the association between discrimination and depression was less strong for boys with higher levels of American acculturation. © 2010 American Orthopsychiatric Association.

Somali Adolescents' Negotiation of Religious and Racial Bias in and out of School

ERIC Educational Resources Information Center

Bigelow, Martha

2008-01-01

This article explores the issues of race and religion as they pertain to adolescent Somali immigrants and their lives at school, among their families, and in their communities. Research from a number of contexts offers a range of perceptions, held by Somali youth and adults, not commonly available in the media. Multiple suggestions are offered to…

Mental Health of Somali Adolescent Refugees: The Role of Trauma, Stress, and Perceived Discrimination

ERIC Educational Resources Information Center

Ellis, B. Heidi; MacDonald, Helen Z.; Lincoln, Alisa K.; Cabral, Howard J.

2008-01-01

The primary purpose of this study was to examine relations between trauma exposure, post-resettlement stressors, perceived discrimination, and mental health symptoms in Somali adolescent refugees resettled in the U.S. Participants were English-speaking Somali adolescent refugees between the ages of 11 and 20 (N = 135) who had resettled in the U.S.…

Prevalence of Autism in Children Born to Somali Parents Living in Sweden: A Brief Report

ERIC Educational Resources Information Center

Barnevik-Olsson, Martina; Gillberg, Christopher; Fernell, Elisabeth

2008-01-01

In a geographical area of Stockholm, with a relatively large Somali immigrant population, parents as well as teachers in special schools and staff at habilitation centres have raised concerns over whether children with a Somali background are over-represented in the total group of children with autism. The aim of the study was, therefore, to…

How a Strong Government Backed an African Language: The Lessons of Somalia

NASA Astrophysics Data System (ADS)

Warsame, Ali A.

2001-07-01

Although Somali is the mother tongue of over 95 per cent of the population of Somalia, when the country received independence in 1960 it took English, Italian, and Arabic as its official languages. Because of controversy involving technical, religious and political questions, no script for the Somali language could be agreed upon, either in the colonial era or in parliamentary years, 1960-1969. The consequences of this non-decision were considerable for Somali society. However, when the authoritarian military rulers came to the power in the early 1970s, they made a final decision in regard to script. They also issued a decree to the effect that Somali was to be the language of political and administrative discourse in the Somali Republic. That act marked the beginning of the restoration of cultural and linguistic rights for Somali society. This article examines how Somalia, under a strong and totalitarian regime, was able to promote its language. The article also presents an overview of the organisation and the implementation of the literacy campaigns carried out in Somalia, as well as some notes on planning and the theoretical framework behind the campaigns.

Somali women's view of physical activity--a focus group study.

PubMed

Persson, Gerthi; Mahmud, Amina Jama; Hansson, Eva Ekvall; Strandberg, Eva Lena

2014-10-23

Physical inactivity presents a major public health challenge and is estimated to cause six to ten percent of the major non-communicable diseases. Studies show that immigrants, especially women, have an increased risk of non-communicable diseases compared to ethnic Swedes. Somali immigrant women have increased rates of overweight and obesity, low fitness levels and low levels of cardiorespiratory fitness compared to non-immigrant women. These findings suggest that Somali women are at increased risk of developing lifestyle-related diseases. Few studies explore determinants of physical activity among Somali women. The aim of this study was to explore Somali women's views and experiences of physical activity after migration to Sweden. A qualitative focused ethnographic approach was used in this study. Four focus groups were conducted with twenty-six Somali women ranging from 17 to 67 years of age. Focus group discussions were recorded, transcribed verbatim and analysed using qualitative content analysis. The analysis resulted in four main themes and ten categories: Life in Somalia and Life in Sweden, Understanding and enhancing health and Facilitators and barriers to physical activity. Great differences were seen between living in Somalia and in Sweden but also similarities such as finding time to manage housework, the family and the health of the woman. The extended family is non-existent in Sweden, making life more difficult. Health was considered a gift from God but living a healthy life was perceived as the responsibility of the individual. Misconceptions about enhancing health occurred depending on the woman's previous life experience and traditions. There was an awareness of the importance of physical activity among the participants but lack of knowledge of how to enhance activity on an individual basis. Enhancing factors to an active lifestyle were identified as being a safe and comfortable environment. Some barriers, such as climate, lack of motivation and time are universal barriers to an active lifestyle, but some factors, such as tradition and religion, are distinctive for Somali women. Since traditional Somali life never involves leisure-time physical activity, one cannot expect to compensate for the low daily activity level with leisure-time activity the Swedish way. Immigrant Somali women are a heterogeneous group with individual needs depending on age, education and background. Tailored interventions with respect to Somali traditions are necessary to achieve an actual increase in physical activity among migrant women of Somalian origin.

Mapping of lithologic and structural units using multispectral imagery. [Afar-Triangle/Ethiopia and adjacent areas (Ethiopian Plateau, Somali Plateau, and parts of Yemen and Saudi Arabia)

NASA Technical Reports Server (NTRS)

Kronberg, P. (Principal Investigator)

1974-01-01

The author has identified the following significant results. ERTS-1 MSS imagery covering the Afar-Triangle/Ethiopia and adjacent regions (Ethiopian Plateau, Somali Plateau, and parts of Yemen and Saudi Arabi) was applied to the mapping of lithologic and structural units of the test area at a scale 1:1,000,000. Results of the geological evaluation of the ERTS-1 imagery of the Afar have proven the usefullness of this type of satellite data for regional geological mapping. Evaluation of the ERTS images also resulted in new aspects of the structural setting and tectonic development of the Afar-Triangle, where three large rift systems, the oceanic rifts of the Red Sea and Gulf of Aden and the continental East African rift system, seem to meet each other. Surface structures mapped by ERTS do not indicate that the oceanic rift of the Gulf of Aden (Sheba Ridge) continues into the area of continental crust west of the Gulf of Tadjura. ERTS data show that the Wonji fault belt of the African rift system does not enter or cut through the central Afar. The Aysha-Horst is not a Horst but an autochthonous spur of the Somali Plateau.

Increasing fruit and vegetable consumption and offerings to Somali children: the FAV-S pilot study.

PubMed

Hearst, Mary O; Kehm, Rebecca; Sherman, Shelley; Lechner, Kate E

2014-04-01

To determine the feasibility, acceptability, and impact of a parent-centered intervention to increase fruit and vegetable servings and consumption among Somali children living in the United States. Pilot intervention that included Somali community health workers who organized groups of 3 or 4 women to participate in 2 initial educational sessions, including topics of health and nutrition, serving size, and label reading. A third session taught interactive cooking to increase skills in preparing fruits and vegetables and increasing the numbers of vegetables included in traditional Somali dishes. The final session was a trip to the grocery store to identify fruits and vegetables, determine ripeness, and explore frozen and canned fruits and vegetables for halal, low-sodium, and low-sugar products. Surveys were completed pre- and post-intervention. Study participants were recruited from a large housing complex in Minneapolis, Minnesota, with a high population of Somali immigrants. Somali women (N = 25) with children aged 3 to 10 years. The intervention was feasible and well accepted. In comparing pre- and post-intervention surveys, mothers reported providing their children significantly more frequent servings of fruits and vegetables at dinner, lunch, snack, and breakfast (vegetable only). There was a statistically significant increase in parent-reported intake of fruits and vegetables for themselves and their children. The FAV-S study was feasible and acceptable, and it demonstrated potential for increasing fruit and vegetable servings and consumption among Somali children. A larger-scale randomized trial is needed to assess the impact of this intervention.

Consumption of healthy foods and associated socio-demographic factors among Russian, Somali and Kurdish immigrants in Finland.

PubMed

Adebayo, Folasade A; Itkonen, Suvi T; Koponen, Päivikki; Prättälä, Ritva; Härkänen, Tommi; Lamberg-Allardt, Christel; Erkkola, Maijaliisa

2017-05-01

We evaluated the consumption of healthy foods among Russian, Somali and Kurdish immigrants in Finland, and examined the relationship between socio-demographic factors and food consumption. We used data from the Migrant Health and Wellbeing Study (Maamu), a population-based health interview and examination survey in six different municipalities in Finland between 2010 and 2012. Altogether, 635 men and 737 women, aged 18-64 years, of Russian ( n = 527), Somali ( n = 337) and Kurdish ( n = 508) origin were included. The important socio-demographic determinants of healthy food consumption - sex, age, education, place of residence and household size - were assessed by logistic regression. Based on the consumption frequencies of recommended healthy foods - fruits, berries, vegetables, fish and rye bread - immigrants of Russian origin had higher consumption of healthy foods than their peers of Kurdish and Somali origin. Low consumption of fresh vegetables, fruits and berries was found among Somali immigrants. Sex and age were the most important determinants of healthy food consumption, as women and older age groups had diets closer to the national nutrition recommendations. High educational level was also positively associated with healthy food consumption. We found ethnic differences in the consumption of healthy foods among the immigrant groups of Russian, Somali and Kurdish origin in Finland. Socio-demographic factors, especially age, sex and education, seem to also play an important role in immigrants' food consumption. Further studies examining the consumption of fruits, berries and fresh vegetables among Somali immigrants in Finland are needed.

Epidemiological Assessment of the Rift Valley Fever Outbreak in Kenya and Tanzania in 2006 and 2007

PubMed Central

Jost, Christine C.; Nzietchueng, Serge; Kihu, Simon; Bett, Bernard; Njogu, George; Swai, Emmanuel S.; Mariner, Jeffrey C.

2010-01-01

To capture lessons from the 2007 Rift Valley fever (RVF) outbreak, epidemiological studies were carried out in Kenya and Tanzania. Somali pastoralists proved to be adept at recognizing symptoms of RVF and risk factors such as heavy rainfall and mosquito swarms. Sandik, which means “bloody nose,” was used by Somalis to denote disease consistent with RVF. Somalis reported that sandik was previously seen in 1997/98, the period of the last RVF epidemic. Pastoralists communicated valuable epidemiological information for surveillance and early warning systems that was observed before international warnings. The results indicate that an all or none approach to decision making contributed to the delay in response. In the future, a phased approach balancing actions against increasing risk of an outbreak would be more effective. Given the time required to mobilize large vaccine stocks, emergency vaccination did not contribute to the mitigation of explosive outbreaks of RVF. PMID:20682908

State Collapse, Insurgency, and Counterinsurgency: Lessons from Somalia

DTIC Science & Technology

2013-11-01

the “Somali model” that might be applicable to similar situations , both in Afri- ca and beyond, where weak governments face Islamist insurgents...that might have more realistic applicability to other insurgency and conflict situations in Africa. Identity and Legitimacy among the Somali. Somali...The United States Army War College U.S. ARMY WAR COLLEGE CENTER for STRATEGIC LEADERSHIP and DEVELOPMENT The United States Army War College educates

Prevalence of Autism in Children of Somali Origin Living in Stockholm: Brief Report of an At-Risk Population

ERIC Educational Resources Information Center

Barnevik-Olsson, Martina; Gillberg, Christopher; Fernell, Elisabeth

2010-01-01

This work was a follow-up study (birth years 1999-2003) of the prevalence of autism in children of Somali background living in the county of Stockholm, Sweden. In a previous study (birth years 1988-98), the prevalence of autism associated with learning disability was found to be three to four times higher among Somali children compared with other…

An anthropological analysis of the perspectives of Somali women in the West and their obstetric care providers on caesarean birth.

PubMed

Essén, Birgitta; Binder, Pauline; Johnsdotter, Sara

2011-03-01

We explored the perceptions of 39 Somali women and 62 obstetric care providers in London in relation to caesarean birth, as borne out of a paradox we recognised from evidence-based information about the Somali group. Socio-cultural factors potentially leading to adverse obstetric outcome were identified using in-depth and focus group interviews with semi-structured, open-ended questions. A cultural anthropology model, the emic/etic model, was used for analysis. Somali women expressed fear and anxiety throughout the pregnancy and identified strategies to avoid caesarean section (CS). There was widespread, yet anecdotal, awareness among obstetric care providers about negative Somali attitudes. Caesarean avoidance and refusal were expressed as being highly stressful among providers, but also as being the responsibility of the women and families. For women, avoiding or refusing caesarean was based on a rational choice to avoid death and coping with adverse outcome relied on fatalistic attitudes. Motivation for the development of preventive actions among both groups was not described, which lends weight to the vast distinction and lack of correspondence in identified perspectives between Somali women and UK obstetric providers. Early booking and identification of women likely to avoid caesarean is proposed, as is the development of preventive strategies to address CS avoidance.

Views of Somali women and men on the use of faith-based messages promoting breast and cervical cancer screening for Somali women: a focus-group study.

PubMed

Pratt, Rebekah; Mohamed, Sharif; Dirie, Wali; Ahmed, Nimo; VanKeulen, Michael; Ahmed, Huda; Raymond, Nancy; Okuyemi, Kola

2017-03-20

Screening rates for breast and cervical cancer for Muslim women in the United States are low, particularly for first-generation immigrants. Interpretations of the Muslim faith represent some of the barriers for breast and cervical cancer screening. Working to understand how faith influences breast and cervical screening for Somali women, and working with the community to identify and utilize faith-based assets for promoting screening, may lead to life-saving changes in screening behaviors. We partnered with an Imam to develop faith-based messages addressing the concerns of modesty and predetermination and promoting cancer testing and screening. A total of five focus groups were convened, with 34 Somali women (three groups) and 20 Somali men (two groups). Each focus group first discussed participant views of breast and cervical cancer screening in general and then viewed and discussed video clips of the Imam delivering the faith-based messages. Both Somali women and men had an overwhelmingly positive response to the faith-based messages promoting breast and cervical cancer screening. The faith-based messages appeared to reinforce the views of those who were already inclined to see screening positively, with participants describing increased confidence to engage in screening. For those who had reservations about screening, there was feedback that the faith-based messages had meaningfully influenced their views. Somali immigrant women and men found faith-based messages addressing topics of predestination and modesty and encouraging the use of screening and treatment to be both acceptable and influential. Faith can play an important role as an asset to promote breast and cervical cancer screening, and there may be substantial benefits to adding faith-based messaging to other interventions that focus on improving screening uptake. This may help to address health disparities for Somali women in this area.

"Miss, Miss, I've Got a Story!": Exploring Identity through a Micro-Ethnographic Analysis of Lunchtime Interactions with Four Somali Third Grade Students

ERIC Educational Resources Information Center

Kosha, Jean

2013-01-01

This study is an exploration of the ways in which four Somali students use language to express their identity and assert their views. The study explores the ways in which the Somali students' home culture and the school culture influence the development of their identity. Students participated in a lunchtime focus group on a regular basis over a…

Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population.

PubMed

Idehen, Esther E; Koponen, Päivikki; Härkänen, Tommi; Kangasniemi, Mari; Pietilä, Anna-Maija; Korhonen, Tellervo

2018-05-04

Cervical cancer is currently ranked as the fourth commonly diagnosed cancer in women globally. A higher incidence has been reported in low- and-middle-income countries, and the disease poses significant public health challenges. Evidence suggests that this disease is preventable by means of regular screening using the Papanicolaou (Pap) test. However, limited knowledge exists about disparities in cervical screening participation among immigrants compared with non-immigrants, in countries with universal cervical screening programmes. We aimed to examine disparities in cervical screening participation among women of Russian, Somali, and Kurdish, origin in Finland, comparing them with the general Finnish population (Finns). We controlled for differences in several socio-demographic and health-related variables as potential confounders. We employed data from the Finnish Migrant Health and Well-being Study 2010-2012 and the National Health 2011 Survey. Data collection involved face-to-face interviews. Data on screening participation in the previous five years from women aged 29-60 were available from 537 immigrants (257 Russians, 113 Somalis, 167 Kurds) and from 436 Finns. For statistical analyses, we used multiple logistic regression. Age-adjusted screening participation rates were as follows: Russians 79% (95% CI 72.9-84.4), Somalis 41% (95% CI 31.4-50.1), and Kurds 64% (95% CI 57.2-70.8), compared with 94% (95% CI 91.4-95.9) among Finns. After additionally adjusting for socio-demographic and health-related confounders, all the immigrant groups showed a significantly lower likelihood of screening participation when compared with Finns. The Odds Ratios were as follows: Russians 0.32 (95% CI 0.18-0.58), Somalis 0.10 (95% CI 0.04-0.23), and Kurds 0.17 (95% CI 0.09-0.35). However, when additionally accounting for country of origin-confounder interactions, such differences were attenuated. Our results indicate disparities in screening participation among these immigrants and a lower likelihood of screening participation compared with the general Finnish population. To improve equity in cervical cancer screening participation, appropriate culturally tailored intervention programmes for each immigrant group might be beneficial.

A qualitative study exploring how Somali women exposed to female genital mutilation experience and perceive antenatal and intrapartum care in England.

PubMed

Moxey, Jordan M; Jones, Laura L

2016-01-07

To explore how Somali women exposed to female genital mutilation experience and perceive antenatal and intrapartum care in England. We explored women's perceptions of deinfibulation, caesarean section and vaginal delivery; their experiences of care during pregnancy and labour; and factors that affect ability to access these services, in order to make recommendations about future practice. A descriptive, exploratory qualitative study using face-to-face semistructured interviews. Interviews were audio-recorded, transcribed and data were analysed using a thematic approach. An interpreter was used when required (n=3). Participants recruited from 2 community centres in Birmingham, England. Convenience and snowball sample of 10 Somali women resident in Birmingham, who had accessed antenatal care services in England within the past 5 years. 3 core themes were interpreted: (1) Experiences of female genital mutilation during life, pregnancy and labour: Female genital mutilation had a significant physical and psychological impact, influencing decisions to undergo deinfibulation or caesarean section. Women delayed deinfibulation until labour to avoid undergoing multiple operations if an episiotomy was anticipated. (2) Experience of care from midwives: Awareness of female genital mutilation from midwives led to open communication and stronger relationships with women, resulting in more positive experiences. (3) Adaptation to English life: Good language skills and social support networks enabled women to access these services, while unfavourable social factors (eg, inability to drive) impeded. Female genital mutilation impacts Somali women's experiences of antenatal and intrapartum care. This study suggests that midwives should routinely ask Somali women about female genital mutilation to encourage open communication and facilitate more positive experiences. As antenatal deinfibulation is unpopular, we should consider developing strategies to promote deinfibulation to non-pregnant women, to align with current guidelines. Women with unfavourable social factors may require additional support to improve access to English antenatal care services. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Delivery and its complications among women of Somali, Kurdish, and Russian origin, and women in the general population in Finland.

PubMed

Bastola, Kalpana; Koponen, Päivikki; Härkänen, Tommi; Luoto, Riitta; Gissler, Mika; Kinnunen, Tarja I

2018-05-20

Limited information is available on delivery and its complications among migrant women in Finland. We compared mode of delivery, delivery complications, and use of pain medication during delivery between migrant women of Somali, Kurdish, and Russian origin and women in the general population in Finland. The women were of Russian (n = 318), Somali (n = 583), and Kurdish (n = 373) origin and 243 women from the general population (reference group) who had given birth in Finland between 2004 and 2014. The data were obtained from the National Medical Birth Register and the Hospital Discharge Register. The most recent birth of each woman was included in the analyses. The main statistical methods were logistic regression analyses adjusting for age, parity, body mass index, gestational age, and smoking during pregnancy. Vaginal delivery was the most common mode of delivery among all study groups (79%-89%). The prevalence of any delivery complications varied between 15% and 19% among all study groups. When adjusted for confounders, Russian women had lower odds (OR 0.49; CI 0.29-0.82) of having a cesarean delivery, whereas Somali and Kurdish women did not differ from the reference group. Somali women had an increased risk of any delivery complications (OR 1.62; CI 1.03-2.55) compared with the reference group. No differences were observed in the use of pain medication between the groups. Delivery complications were more common among migrant Somali women than among women in the general Finnish population. Somali women represent a high-risk group calling for special attention and care. © 2018 Wiley Periodicals, Inc.

Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study

PubMed Central

Onyut, Lamaro P; Neuner, Frank; Ertl, Verena; Schauer, Elisabeth; Odenwald, Michael; Elbert, Thomas

2009-01-01

Background The aim of this study was to establish the prevalence of posttraumatic stress disorder (PTSD) and depression among Rwandese and Somali refugees resident in a Ugandan refugee settlement, as a measure of the mental health consequences of armed conflict, as well as to inform a subsequent mental health outreach program. The study population comprised a sample from 14400 (n = 519 Somali and n = 906 Rwandese) refugees resident in Nakivale refugee settlement in South Western Uganda during the year 2003. Methods The Posttraumatic Diagnostic Scale (PDS) and the Hopkins Symptom Checklist 25 were used to screen for posttraumatic stress disorder and depression. Results Thirty two percent of the Rwandese and 48.1% of the Somali refugees were found to suffer from PTSD. The Somalis refugees had a mean of 11.95 (SD = 6.17) separate traumatic event types while the Rwandese had 8.86 (SD = 5.05). The Somalis scored a mean sum score of 21.17 (SD = 16.19) on the PDS while the Rwandese had a mean sum score of 10.05 (SD = 9.7). Conclusion Mental health consequences of conflict remain long after the events are over, and therefore mental health intervention is as urgent for post-conflict migrant populations as physical health and other emergency interventions. A mental health outreach program was initiated based on this study. PMID:19470171

Somali asylum seekers' perceptions of privacy in healthcare.

PubMed

Eklöf, Niina; Abdulkarim, Hibag; Hupli, Maija; Leino-Kilpi, Helena

2016-08-01

Privacy has been recognized as a basic human right and a part of quality of care. However, little is known about the privacy of Somali asylum seekers in healthcare, even though they are one of the largest asylum seeker groups in the world. The aim of the study was to describe the content and importance of privacy and its importance in healthcare from the perspective of Somali asylum seekers. The data of this explorative qualitative study were collected by four focus group interviews with 18 Somali asylum seekers with the help of an interpreter. The data were analysed by inductive content analysis. Research permissions were obtained from the director of the reception centre and from the Department of Social Services. Ethical approval was obtained from the Ethics Committee of Turku University. The content of privacy includes visual privacy, physical privacy and informational privacy. All contents can be shared with healthcare professionals. The importance of privacy includes respect, dignity and freedom. Privacy is strongly connected to the collectivism of Somali culture and religion. Unlike the Western cultures, privacy is not important only for the individual; most of all, it is seen to support collectivism. Even though all contents of privacy can be shared with healthcare professionals, it is important to recognize the cultural aspect of privacy especially when using interpreters with Somali background. © The Author(s) 2015.

Understanding infant feeding beliefs, practices and preferred nutrition education and health provider approaches: an exploratory study with Somali mothers in the USA

PubMed Central

Steinman, Lesley; Doescher, Mark; Keppel, Gina A.; Pak-Gorstein, Suzinne; Graham, Elinor; Haq, Aliya; Johnson, Donna B.; Spicer, Paul

2011-01-01

The objective of this study was to explore Somali mothers’ beliefs and practices around infant feeding and education, towards developing a culturally informed infant nutrition curriculum for health providers. Four focus groups were conducted to explore: (1) beliefs about infant feeding, hunger and ideal weight; (2) feeding practices; (3) nutrition education approaches; and (4) provider/mother interactions. Thirty-seven Somali mother participants identified the following themes within these topics: (1) strategies for assessing hunger, satiety and when to feed; shared beliefs that plump babies are healthy, leading to worry about infant weight; (2) context of breast milk adequacy, difficulties breastfeeding and environmental and cultural barriers to breastfeeding, leading to nearly universal early supplementation with formula; (3) preferred education approaches include provider visits with interpreters, Somali language educational materials and advice from older, experienced family members; and (4) desired health provider skills include: listening, explaining, empathy, addressing specific concerns, repeating important information, offering preventive advice and sufficient visit time. This study presents knowledge about Somali beliefs and practices that can directly guide discussions with these families. Given that these infants appear on a trajectory towards obesity, influencing infant feeding practices in the Somali community is a good upstream approach to preventing obesity. These findings will underpin a new infant nutrition curriculum for health providers. PMID:20055931

Physical Activity among Somali Men in Minnesota: Barriers, Facilitators and Recommendations

PubMed Central

Mohamed, Ahmed A.; Hassan, Abdullahi M.; Weis, Jennifer A.; Sia, Irene G.; Wieland, Mark L.

2014-01-01

Immigrants and refugees arrive to the US healthier than the general population, but this advantage declines with increasing duration of residence. One factor contributing to this decline is sub-optimal physical activity, but reasons for this are poorly understood. Persons from Somalia represent the largest African refugee population to the United States, yet little is known about perceptions of physical activity among Somali men. Somali members of a community-based participatory research partnership implemented three age-stratified focus groups and three semi-structured interviews among 20 Somali men in Rochester, MN. Team-based inductive analysis generated themes for barriers and facilitators to physical activity. Barriers to physical activity included less walking opportunities in the US, embarrassment about exercise clothing and lack of familiarity with exercise equipment/modalities, fear of harassment, competing priorities, facility costs, transportation, and winter weather. Facilitators to physical activity included high knowledge about how to be active, success stories from others in their community as inspiration, and community cohesion. Findings may be used to derive interventions aimed to promote physical activity among Somali men in the US. PMID:23697961

Somalia: Current Conditions and Prospects for a Lasting Peace

DTIC Science & Technology

2009-05-21

February 2009, Somali pirates released several ships, including a Japanese -owned ship, MV Chemstar, and the MV Faina. The pirates have reportedly earned...extremist and jihadist. The ICU was accused of shutting down cinemas and prohibiting women from working. Some of these measures were taken by the Courts

Origin of the pre-tropical storm Debby (2006) African easterly wave-mesoscale convective system

NASA Astrophysics Data System (ADS)

Lin, Yuh-Lang; Liu, Liping; Tang, Guoqing; Spinks, James; Jones, Wilson

2013-05-01

The origins of the pre-Debby (2006) mesoscale convective system (MCS) and African easterly wave (AEW) and their precursors were traced back to the southwest Arabian Peninsula, Asir Mountains (AS), and Ethiopian Highlands (EH) in the vicinity of the ITCZ using satellite imagery, GFS analysis data and ARW model. The sources of the convective cloud clusters and vorticity perturbations were attributed to the cyclonic convergence of northeasterly Shamal wind and the Somali jet, especially when the Mediterranean High shifted toward east and the Indian Ocean high strengthened and its associated Somali jet penetrated farther to the north. The cyclonic vorticity perturbations were strengthened by the vorticity stretching associated with convective cloud clusters in the genesis region—southwest Arabian Peninsula. A conceptual model was proposed to explain the genesis of convective cloud clusters and cyclonic vorticity perturbations preceding the pre-Debby (2006) AEW-MCS system.

Gendered experiences of conflict and co-operation in heterosexual relations of Somalis in exile in Gothenburg, Sweden.

PubMed

Aden, A S; Dahlgren, L; Tarsitani, G

2004-01-01

Political upheaval and poverty at home has been forcing many Somalis to immigrate. These immigrants do not only leave their physical house, families, relatives, loved ones, friends, but also familiarities, culture, customs, and often they do end up in no man's land being between their own and new home culture. Available reports suggest that there are about 15,000 Somalis in Sweden and their majority came here from late 1989 to 1996. About one third these immigrants live in and around the city of Gothenburg. This paper explores and describes gendered experiences of conflict and co-operation in heterosexual relations of Somalis in exile in Gothenburg, Sweden. A qualitative sociological in-depth interviews with 6 women and 7 men was performed during May 1999 to January 2000. A follow up focus group interviews with 10 people (2 women and 8 men) was also carried on. The results show that both the Somali culture and Muslim religion do not support the children being taught sex education in schools or the names of the sex organs being pronounced other than to be used as metaphors. The girls, unlike their age group males, experience a very painful and terrifying process during childhood in which their self-esteem is downgraded by means of serious degrading traditional active violence such as female genital mutilation and visible virginity control. The narratives tell stories in which Somali women are degraded and expected to obey in situations characterised by their man's arbitrariness. They are subject to a very extensive form of social control, which is especially pronounced on issues regarding sexuality. Their integrity as women is, consequently set aside. When Somali refugees came to Sweden some of them came to adopt much of the modern lifestyle and cultural norm systems, preferable young people and some of the females. Relating to a new culture with its new expectations on the norm obedience also created changes in self-esteem. Exile situation tends to generate horizontal conflicts, among spouses and between groups of people. It also tends to generate vertical conflicts because now generations stand up against each other and this is especially pronounced when it is about issues of sexuality and sexual relations. The young generations questions their parents authority. They are now living in new social context and perceive risks, as well as possibilities. Their new dreams and choices, however, do not fit their parents' expectations, which sometimes leads to big problems. From a traditional perspective these deviants lack of respect for traditions and the original culture. From a male perspective this means more specifically a lack of respect for male dominance and superiority.

Beyond Culture and Language: Access to Diabetes Preventive Health Services among Somali Women in Norway.

PubMed

Gele, Abdi A; Torheim, Liv Elin; Pettersen, Kjell Sverre; Kumar, Bernadette

2015-01-01

Despite the high prevalence of type 2 diabetes in some immigrant and refugee communities in Norway, there is very little information available on their utilization of diabetes prevention interventions, particularly for women from Somali immigrant communities. A qualitative study of 30 Somali immigrant women aged 25 years and over was carried out in the Oslo area. Unstructured interviews were used to explore women's knowledge of diabetes, their access to preventive health facilities, and factors impeding their reception of preventive health programs targeted for the prevention of type 2 diabetes. The study participants were found to have a good knowledge of diabetes. They knew that a sedentary lifestyle and unhealthy diet are among the risk factors for diabetes. Regardless of their knowledge, participants reported a sedentary lifestyle accompanied with the consumption of an unhealthy diet. This was attributed to a lack of access to tailored physical activity services and poor access to health information. Considering gender-exclusive training facilities for Somali immigrant women and others with similar needs, in addition to access to tailored health information on diet, may encourage Somali women to adopt a healthy lifestyle, and it will definitely contribute to a national strategy for the prevention of diabetes.

Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers.

PubMed

Pratt, Rebekah; Ahmed, Nimo; Noor, Sahra; Sharif, Hiba; Raymond, Nancy; Williams, Chris

2017-02-01

To test the feasibility and acceptability of implementing an evidence-based, peer-delivered mental health intervention for Somali women in Minnesota, and to assess the impact of the intervention on the mental health of those who received the training. In a feasibility study, 11 Somali female community health workers were trained to deliver an 8-session cognitive behavioral therapy intervention. Each of the trainers recruited 5 participants through community outreach, resulting in 55 participants in the intervention. Self-assessed measures of mood were collected from study participants throughout the intervention, and focus groups were conducted. The 55 Somali women who participated recorded significant improvements in mood, with self-reported decreases in anxiety and increases in happiness. Focus group data showed the intervention was well received, particularly because it was delivered by a fellow community member. Participants reported gaining skills in problem solving, stress reduction, and anger management. Participants also felt that the intervention helped to address some of the stigma around mental health in their community. Delivery of cognitive behavioral therapy by a community health workers offered an acceptable way to build positive mental health in the Somali community.

Shoulder Injuries and Disorders - Multiple Languages

MedlinePlus

... Af-Soomaali (Somali) Bilingual PDF Health Information Translations Pendulum Exercises for Shoulder - Af-Soomaali (Somali) Bilingual PDF ... Exercises - español (Spanish) Bilingual PDF Health Information Translations Pendulum Exercises for Shoulder - English PDF Pendulum Exercises for ...

Relationships Between English Language Proficiency, Health Literacy, and Health Outcomes in Somali Refugees.

PubMed

Murphy, Jessica E; Smock, Laura; Hunter-Adams, Jo; Xuan, Ziming; Cochran, Jennifer; Paasche-Orlow, Michael K; Geltman, Paul L

2018-06-15

Little is known about the impacts of health literacy and English proficiency on the health status of Somali refugees. Data came from interviews in 2009-2011 of 411 adult Somali refugees recently resettled in Massachusetts. English proficiency, health literacy, and physical and mental health were measured using the Basic English Skills Test Plus, the Short Test of Health Literacy in Adults, and the Physical and Mental Component Summaries of the Short Form-12. Associations were analyzed using multiple linear regression. In adjusted analyses, higher English proficiency was associated with worse mental health in males. English proficiency was not associated with physical health. Health literacy was associated with neither physical nor mental health. Language proficiency may adversely affect the mental health of male Somali refugees, contrary to findings in other immigrant groups. Research on underlying mechanisms and opportunities to understand this relationship are needed.

Which anthropometric measures best indicate type 2 diabetes among Russian, Somali and Kurdish origin migrants in Finland? A cross-sectional study.

PubMed

Skogberg, Natalia; Laatikainen, Tiina; Lundqvist, Annamari; Lilja, Eero; Härkänen, Tommi; Koponen, Päivikki

2018-05-17

To compare the performance of body mass index (BMI), waist-to-height ratio (WHtR), waist circumference (WC) and waist-to-hip ratio (WHR) in detecting type 2 diabetes among Russian, Somali and Kurdish (born in Iraq/Iran) origin migrants and Finns. Cross-sectional study comparing health examination survey data of Russian, Somali and Kurdish origin migrants (n=917) aged 30-64 years who took part in the Migrant Health and Wellbeing Survey with the general Finnish population in the Health 2011 Survey (n=887). Participants were randomly selected from the National Population Register. Six cities in Finland, where a substantial majority of migrants live. Anthropometric measures included objectively measured BMI, WHtR, WC and WHR. Type 2 diabetes was defined based on self-report, laboratory measures of glycated haemoglobin and register data. Test performance was assessed using receiver operating characteristics curves, using area under the curve (AUC) as a measure of accuracy. Among Finns, test performance was highest for WC (AUC=0.81, 95% CI 0.74 to 0.87) and WHtR (AUC=0.81, 95% CI 0.75 to 0.87). Test performance was similar for BMI (AUC=0.80, 95% CI 0.67 to 0.92), WC (AUC=0.79, 95% CI 0.67 to 0.91) and WHtR (AUC=0.70, 95% CI 0.66 to 0.93) among Russians. WC and WHtR had highest test performance also among Somali (AUC=0.74, 95% CI 0.64 to 0.84 for WC and AUC=0.75, 95% CI 0.65 to 0.85 for WHtR) and Kurds (AUC=0.71, 95% CI 0.61 to 0.81 for WC and AUC=0.70, 95% CI 0.59 to 0.80 for WHtR).Among migrants, WHR had the poorest test performance. WC and WHtR performed overall the best across all study groups, however, accuracy of detection was lower particularly among Somali and Kurds. Currently used diabetes risk assessment tools assume a strong association between anthropometrics and diabetes. These tools need to be validated among non-Western populations. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Which anthropometric measures best indicate type 2 diabetes among Russian, Somali and Kurdish origin migrants in Finland? A cross-sectional study

PubMed Central

Laatikainen, Tiina; Lundqvist, Annamari; Lilja, Eero; Härkänen, Tommi; Koponen, Päivikki

2018-01-01

Objectives To compare the performance of body mass index (BMI), waist-to-height ratio (WHtR), waist circumference (WC) and waist-to-hip ratio (WHR) in detecting type 2 diabetes among Russian, Somali and Kurdish (born in Iraq/Iran) origin migrants and Finns. Design and participants Cross-sectional study comparing health examination survey data of Russian, Somali and Kurdish origin migrants (n=917) aged 30–64 years who took part in the Migrant Health and Wellbeing Survey with the general Finnish population in the Health 2011 Survey (n=887). Participants were randomly selected from the National Population Register. Setting Six cities in Finland, where a substantial majority of migrants live. Outcome measures Anthropometric measures included objectively measured BMI, WHtR, WC and WHR. Type 2 diabetes was defined based on self-report, laboratory measures of glycated haemoglobin and register data. Test performance was assessed using receiver operating characteristics curves, using area under the curve (AUC) as a measure of accuracy. Results Among Finns, test performance was highest for WC (AUC=0.81, 95% CI 0.74 to 0.87) and WHtR (AUC=0.81, 95% CI 0.75 to 0.87). Test performance was similar for BMI (AUC=0.80, 95% CI 0.67 to 0.92), WC (AUC=0.79, 95% CI 0.67 to 0.91) and WHtR (AUC=0.70, 95% CI 0.66 to 0.93) among Russians. WC and WHtR had highest test performance also among Somali (AUC=0.74, 95% CI 0.64 to 0.84 for WC and AUC=0.75, 95% CI 0.65 to 0.85 for WHtR) and Kurds (AUC=0.71, 95% CI 0.61 to 0.81 for WC and AUC=0.70, 95% CI 0.59 to 0.80 for WHtR). Among migrants, WHR had the poorest test performance. Conclusion WC and WHtR performed overall the best across all study groups, however, accuracy of detection was lower particularly among Somali and Kurds. Currently used diabetes risk assessment tools assume a strong association between anthropometrics and diabetes. These tools need to be validated among non-Western populations. PMID:29773697

Looking Islam in the Teeth: The Social Life of a Somali Toothbrush

PubMed Central

Laird, Lance D.; Barnes, Linda L.; Hunter-Adams, Jo; Cochran, Jennifer; Geltman, Paul L.

2015-01-01

The Arabic miswak (Somali, adayge) is a tooth-cleaning stick from the Salvadora persica plant. In this article, we trace the social life of a “thing,” examining meanings inscribed in the stick brush, drawing on interviews with 82 Somali refugees in Massachusetts and an analysis of local and transnational science and marketing. The miswak toothbrush symbolizes relationships to nature, homeland culture, global Islam, globalizing dental medicine, and the divine as it intersects with the lives of producers, marketers, distributors, and users, creating hybrid cultural forms in new contexts. PMID:25684459

Looking Islam in the Teeth: The Social Life of a Somali Toothbrush.

PubMed

Laird, Lance D; Barnes, Linda L; Hunter-Adams, Jo; Cochran, Jennifer; Geltman, Paul L

2015-09-01

The Arabic miswak (Somali, adayge) is a tooth-cleaning stick from the Salvadora persica plant. In this article, we trace the social life of a "thing," examining meanings inscribed in the stick brush, drawing on interviews with 82 Somali refugees in Massachusetts and an analysis of local and transnational science and marketing. The miswak toothbrush symbolizes relationships to nature, homeland culture, global Islam, globalizing dental medicine, and the divine as it intersects with the lives of producers, marketers, distributors, and users, creating hybrid cultural forms in new contexts. © 2015 by the American Anthropological Association.

Beyond Culture and Language: Access to Diabetes Preventive Health Services among Somali Women in Norway

PubMed Central

Gele, Abdi A.; Torheim, Liv Elin; Pettersen, Kjell Sverre; Kumar, Bernadette

2015-01-01

Despite the high prevalence of type 2 diabetes in some immigrant and refugee communities in Norway, there is very little information available on their utilization of diabetes prevention interventions, particularly for women from Somali immigrant communities. A qualitative study of 30 Somali immigrant women aged 25 years and over was carried out in the Oslo area. Unstructured interviews were used to explore women's knowledge of diabetes, their access to preventive health facilities, and factors impeding their reception of preventive health programs targeted for the prevention of type 2 diabetes. The study participants were found to have a good knowledge of diabetes. They knew that a sedentary lifestyle and unhealthy diet are among the risk factors for diabetes. Regardless of their knowledge, participants reported a sedentary lifestyle accompanied with the consumption of an unhealthy diet. This was attributed to a lack of access to tailored physical activity services and poor access to health information. Considering gender-exclusive training facilities for Somali immigrant women and others with similar needs, in addition to access to tailored health information on diet, may encourage Somali women to adopt a healthy lifestyle, and it will definitely contribute to a national strategy for the prevention of diabetes. PMID:26266267

Notes from the field: mortality among refugees fleeing Somalia--Dadaab refugee camps, Kenya, July-August 2011.

PubMed

2011-08-26

Refugee camps in Dadaab, Kenya, currently are receiving Somali refugees fleeing famine and armed conflict at a rate of approximately 1,400 refugees per day. New arrivals are at an elevated risk for mortality because of severe famine in Somalia, the dangerous journey, and overcrowding in the camps.

Daring to Dream

ERIC Educational Resources Information Center

Ward, Jane

2008-01-01

Bangladeshi, Pakistani and Somali women are among the most disadvantaged adults in British society. Research consistently shows that their participation and achievement in organised learning is dramatically lower than for the population at large. "Dare to Dream: Learning journeys of Bangladeshi, Pakistani and Somali women" is the report…

Contribution of sociodemographic and lifestyle-related factors to the differences in metabolic syndrome among Russian, Somali and Kurdish migrants compared with Finns.

PubMed

Skogberg, N; Laatikainen, T; Jula, A; Härkänen, T; Vartiainen, E; Koponen, P

2017-04-01

Metabolic syndrome (MetS) is associated with a substantially increased risk for cardiovascular disease and diabetes. We examined the contribution of length of residence, socioeconomic position and lifestyle-related factors to the differences in the prevalence of MetS among migrants compared with Finns. Cross-sectional data from randomly sampled 30-64year-old health examination participants (318 Russian, 212 Somali, and 321 Kurdish origin migrants) of the Migrant Health and Wellbeing Survey (2010-2012) were used. Health 2011 Survey participants (n=786) were the reference group. Compared with Finns, prevalence of MetS was significantly higher among all migrants except for Somali men. Among men, age-adjusted prevalence ratio (PR) of MetS compared with Finns was 1.71, 95% confidence interval (CI) 1.19-2.46 for Russians, PR 0.95 (95% CI 0.54-1.67) for Somali, and PR 2.10 (95% CI 1.51-2.93) for Kurds. Among women, respective PRs were 1.45 (95% CI 1.08-1.97) for Russians, PR 2.34 (95% CI 1.75-3.14) for Somali and PR 2.22 (95% CI 1.67-2.97) for Kurds. Adjustment for sociodemographic and lifestyle-related factors attenuated the differences in MetS among women but not men. Further studies should aim at identifying factors related to elevated risk for MetS among Russian and Kurdish men. Interventions aiming at improving lifestyle-related factors are needed for reducing inequalities in the prevalence of MetS among migrant women. Effectiveness of interventions focusing on reducing overweight and obesity among Somali and Kurdish women should be evaluated. Copyright © 2017. Published by Elsevier B.V.

Trauma, khat and common psychotic symptoms among Somali immigrants: a quantitative study.

PubMed

Bhui, Kamaldeep; Warfa, Nasir

2010-12-01

To investigate the relationship between (i) khat use and (ii) traumatic events, with measures of common psychotic symptoms and symptoms of anxiety and depression. To undertake this work in a Somali population of emigrants who have sought asylum in a non-conflict zone country. A secondary analysis of data on a population sample of 180 Somali men and women. Frequency of khat use was not associated with common psychotic symptoms or with symptoms of anxiety and depression, nor with traumatic events in this population. Traumatic events were related to low levels of psychotic symptoms and high levels of symptoms of anxiety and depression. Khat use is not inevitably linked to psychotic symptoms in population samples of Somali men and women. The contrasts between these findings and those from studies in conflict zones and studies of people with mental health problems using khat suggest further investigations are necessary. These should take into account environmental and physiological interactions. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Parenthood in transition - Somali-born parents' experiences of and needs for parenting support programmes.

PubMed

Osman, Fatumo; Klingberg-Allvin, Marie; Flacking, Renée; Schön, Ulla-Karin

2016-02-16

Pre- and post-migration trauma due to forced migration may impact negatively on parents' ability to care for their children. Little qualitative work has examined Somali-born refugees' experiences. The aim of this study is to explore Somali-born refugees' experiences and challenges of being parents in Sweden, and the support they need in their parenting. A qualitative descriptive study was undertaken. Data were collected from four focus group discussions (FGDs) among 23 Somali-born mothers and fathers living in a county in central Sweden. Qualitative content analysis has been applied. A main category, Parenthood in Transition, emerged as a description of a process of parenthood in transition. Two generic categories were identified: Challenges, and Improved parenting. Challenges emerged from leaving the home country and being new and feeling alienated in the new country. In Improved parenting, an awareness of opportunities in the new country and ways to improve their parenting was described, which includes how to improve their communication and relationship with their children. The parents described a need for information on how to culturally adapt their parenting and obtain support from the authorities. Parents experienced a process of parenthood in transition. They were looking to the future and for ways to improve their parenting. Schools and social services can overcome barriers that prevent lack of knowledge about the new country's systems related to parenthood. Leaving the home country often means separation from the family and losing the social network. We suggest that staff in schools and social services offer parent training classes for these parents throughout their children's childhood, with benefits for the child and family.

Murug, Waali, and Gini: Expressions of Distress in Refugees From Somalia

PubMed Central

Carroll, Jennifer K.

2004-01-01

Objective: To study how mental illness is understood, expressed, and treated among Somali refugees and how these factors influence use of health services for mental problems. Method: Seventeen adult Somali refugees (9 women, 8 men) were recruited by mail or by word-of-mouth to participate in the study. The study setting was an urban community health center in Rochester, N.Y., that provides family practice patient care to local Somali refugees. A qualitative design was used that incorporated a combination of methods, chiefly semistructured interviews. Interviews focused on the ways in which sadness, depression, and anxiety are expressed and on the participants' understanding of the origins of and treatment strategies for these problems. Interview transcripts were analyzed to identify recurrent themes. Results: Nearly all participants felt that mental illness was a new problem for their community that did not exist to the same extent in prewar Somalia. Themes that emerged to explain the causes of mental illness included the shock and devastation of war; dead, missing, or separated family members; and spirit possession or a curse. Three major types of mental problems were identified that were associated with specific behaviors and treatment strategies: murug (sadness or suffering), gini (craziness due to spirit possession), and waali (craziness due to severe trauma). Rather than seek help from a clinician, participants preferred to first use family support, prayer, or traditional therapies for most situations. Conclusion: Somali refugees have distinct ways of conceptualizing, expressing, and treating commonly understood mental problems. Participants differed in their opinions about whether they would consult a doctor to discuss feelings of sadness or craziness. Effective mental health care of refugees should address culture-specific belief systems in diagnosis and treatment. PMID:15361926

Mental health service utilization of Somali adolescents: religion, community, and school as gateways to healing.

PubMed

Ellis, B Heidi; Lincoln, Alisa K; Charney, Meredith E; Ford-Paz, Rebecca; Benson, Molly; Strunin, Lee

2010-11-01

This mixed-method study examines the utility of the Gateway Provider Model (GPM) in understanding service utilization and pathways to help for Somali refugee adolescents. Somali adolescents living in the Northeastern United States, and their caregivers, were interviewed. Results revealed low rates of use of mental health services. However other sources of help, such as religious and school personnel, were accessed more frequently. The GPM provides a helpful model for understanding refugee youth access to services, and an elaborated model is presented showing how existing pathways to help could be built upon to improve refugee youth access to services.

Feeding Baby: Hmong, Laotian, Vietnamese, Bosnian, Arabic, Somali, Nuer, Russian, Spanish.

ERIC Educational Resources Information Center

Anoka County Community Health and Environmental Services, Coon Rapids, MN.

These three guides provide information in English, Bosnian, Russian, Arabic, Somali, Spanish, Hmong, Laotian, Vietnamese, and Nuer on feeding infants. Topics covered include breastfeeding advantages and techniques, self-care by breastfeeding mothers, bottle feeding techniques, formula preparation, frequency of feeding, beginning solid foods,…

Capacity Building as an Answer to Piracy in the Horn of Africa

DTIC Science & Technology

2010-12-01

reliable professional choice .17 Also, many Somali pirates consider themselves protectors of their waters against foreign trawlers that illegally fish.18...the area. Many young Somali males view piracy as an optional professional choice .23 Finally, two important contributors to the rise in piracy in the

The Language Question: Considering Three Somali American Students with Autism

ERIC Educational Resources Information Center

Baker, Diana

2017-01-01

Little research addresses the experiences of students with autism living in multilingual families. This multiple case study project examines the language-development-related knowledge and beliefs of paired mothers and educators of three Somali American boys with autism. Data include serial interviews, observations, and analysis of educational…

Working Together in a Deficit Logic: Home-School Partnerships with Somali Diaspora Parents

ERIC Educational Resources Information Center

Matthiesen, Noomi Christine Linde

2017-01-01

Drawing on discursive psychology this article examines the understandings teachers and principals in Danish Public Schools have regarding Somali diaspora parenting practices. Furthermore, the article investigates what these understandings mean in interaction with children in the classrooms and with parents in home-school communication. It is…

Transitions into puberty and access to sexual and reproductive health information in two humanitarian settings: a cross-sectional survey of very young adolescents from Somalia and Myanmar.

PubMed

Kågesten, Anna E; Zimmerman, Linnea; Robinson, Courtland; Lee, Catherine; Bawoke, Tenaw; Osman, Shahd; Schlecht, Jennifer

2017-01-01

Very young adolescents (VYA) in humanitarian settings are largely neglected in terms of sexual and reproductive health (SRH). This study describes the characteristics of VYA aged 10-14 years in two humanitarian settings, focusing on transitions into puberty and access to SRH information. Data were collected through a cross-sectional survey with Somali VYA residing in the Kobe refugee camp in Ethiopia ( N  = 406) and VYA from Myanmar residing in the Mae Sot and Phop Phra migrant communities in Thailand ( N  = 399). The average age was 12 years (about half were girls) in both communities. Participants were recruited using multi-stage cluster-based sampling with probability proportional to size in each site. Descriptive statistics were used to describe the sociodemographic, family, peer, and schooling characteristics and to explore transitions into puberty and access to SRH information. Most VYA in both sites reported living with both parents; nine in ten reported feeling that their parents/guardians care about them, and over half said that their parents/guardians monitor how and with whom they spend their free time. High proportions in both sites were currently enrolled in school (91.4% Somali, 87.0% from Myanmar). Few VYA, particularly those aged 10-12, reported starting puberty, although one in four Somali indicated not knowing whether they did so. Most girls from Myanmar who had started menstruating reported access to menstrual hygiene supplies (water, sanitation, cloths/pads). No Somali girls reported access to all these supplies. While over half of respondents in both sites reported learning about body changes, less than 20% had learnt about pregnancy and the majority (87.4% Somali, 78.6% from Myanmar) indicated a need for more information about body changes. Parents/guardians were the most common source of SRH information in both sites, however VYA indicated that they would like more information from friends, siblings, teachers and health workers. This study highlights gaps in SRH information necessary for healthy transitions through puberty and supplies for menstrual hygiene in two humanitarian settings. VYA in these settings expressed closeness to their parents/guardians and the majority were in school. Introducing early SRH interventions that involve parents and educational centers may thus yield promising results, providing VYA with the necessary skills for understanding and dealing with their pubertal and sexual development.

Situation Report--Laos, Malawi, Pakistan, Republic of Korea, Somali Democratic Republic, and Tunisia.

ERIC Educational Resources Information Center

International Planned Parenthood Federation, London (England).

Data relating to population and family planning in six foreign countries are presented in these situation reports. Countries included are Laos, Malawi, Pakistan, Republic of Korea, Somali Democratic Republic, and Tunisia. Information is provided under two topics, general background and family planning situation, where appropriate and if it is…

Somali Women's Reflections on the Adjustment of Their Children in the United States

ERIC Educational Resources Information Center

Nilsson, Johanna E.; Barazanji, Danah M.; Heintzelman, Ashley; Siddiqi, Mubeena; Shilla, Yasmine

2012-01-01

Somali women were interviewed regarding their children's adjustment. Qualitative analysis revealed 5 themes: cultural comparisons, concerns about children, parents' loss of disciplinary authority, available support, and the future. The women discussed changes in their children, such as loss of respect and threats to use law enforcement against…

"Where to Start": Learning from Somali Bantu Refugee Students and Families

ERIC Educational Resources Information Center

Roxas, Kevin; Roy, Laura

2012-01-01

This article provides an overview of research conducted with Somali Bantu refugee students in two contexts: Michigan and South Texas. We provide recommendations for outreach to refugee families and their families, for instruction in the classroom, for advising and support for these children, and for implementing school and district policy as it…

Expressive Vocabulary Development of Immigrant Preschoolers Who Speak Somali, Spanish, and Hmong

ERIC Educational Resources Information Center

Estrem, Theresa L.

2011-01-01

This research investigated the use of a measure of expressive vocabulary to monitor the development of preschoolers learning English. Over 1200 preschoolers whose primary language was Somali, Hmong, Spanish, or English were assessed three times during one year using an Individual Growth and Development Indicator (IGDI) for Picture Naming, a…

Pathways to Educational Success among Refugees: Connecting Locally and Globally Situated Resources

ERIC Educational Resources Information Center

Dryden-Peterson, Sarah; Dahya, Negin; Adelman, Elizabeth

2017-01-01

This study identifies pathways to educational success among refugees. Data are from an original online survey of Somali diaspora and in-depth qualitative interviews with Somali refugee students educated in the Dadaab refugee camps of Kenya. This research builds on Bronfenbrenner's ecological model to consider both the locally and globally situated…

Ancient DNA from Nubian and Somali wild ass provides insights into donkey ancestry and domestication.

PubMed

Kimura, Birgitta; Marshall, Fiona B; Chen, Shanyuan; Rosenbom, Sónia; Moehlman, Patricia D; Tuross, Noreen; Sabin, Richard C; Peters, Joris; Barich, Barbara; Yohannes, Hagos; Kebede, Fanuel; Teclai, Redae; Beja-Pereira, Albano; Mulligan, Connie J

2011-01-07

Genetic data from extant donkeys (Equus asinus) have revealed two distinct mitochondrial DNA haplogroups, suggestive of two separate domestication events in northeast Africa about 5000 years ago. Without distinct phylogeographic structure in domestic donkey haplogroups and with little information on the genetic makeup of the ancestral African wild ass, however, it has been difficult to identify wild ancestors and geographical origins for the domestic mitochondrial clades. Our analysis of ancient archaeological and historic museum samples provides the first genetic information on the historic Nubian wild ass (Equus africanus africanus), Somali wild ass (Equus africanus somaliensis) and ancient donkey. The results demonstrate that the Nubian wild ass was an ancestor of the first donkey haplogroup. In contrast, the Somali wild ass has considerable mitochondrial divergence from the Nubian wild ass and domestic donkeys. These findings resolve the long-standing issue of the role of the Nubian wild ass in the domestication of the donkey, but raise new questions regarding the second ancestor for the donkey. Our results illustrate the complexity of animal domestication, and have conservation implications for critically endangered Nubian and Somali wild ass.

Attitude toward female genital mutilation among Somali and Harari people, Eastern Ethiopia

PubMed Central

Abathun, Asresash Demissie; Sundby, Johanne; Gele, Abdi A

2016-01-01

Background Female genital mutilation (FGM) is a worldwide problem, and it is practiced by many communities in Africa and Asia as well as immigrants from those areas. This practice results in short- and long-term health consequences on women’s health. Like many other developing countries, FGM is widely practiced in Ethiopia, especially among Somali and Harari ethnic groups. Despite intensive campaigns against FGM in Ethiopia, since 2011, it has been practiced in the aforementioned communities. There is no recent information as to whether these campaigns have an impact on the attitude and practice of the community regarding FGM. This qualitative research was aimed at exploring the attitudes of Somali and Harari people between 18 and 65 years toward FGM. Methods A purposive sampling technique was used to recruit 64 (32 in each region) participants. Data were collected from October to December 2015 in Somali and Harari Regions. Results The findings showed that there was a strong support for the continuation of the practice among female discussants in Somali region, whereas male discussants from the same region and the majority of the participants from Harari region had a positive attitude toward the discontinuation of the practice. Marriageability was the major reason for practicing FGM in Somali region, whereas making girls calm, sexually inactive, and faithful for their husbands were mentioned in Harari region. Although young men in both the regions prefer to marry uncircumcised girls, the study showed that there are some differences in the attitude toward the FGM practice between the people in the two regions. Conclusion The findings show that there is an attitudinal difference between the people in the two regions, which calls for behavioral change communication using women-centered approach and culturally appropriate strategies. As young people in both the regions had the intention to marry uncircumcised girls, there has to be a strong advocacy and multisectoral collaboration to stop FGM in both the regions. PMID:27785105

Pre-pregnancy body mass index and inter-pregnancy weight change among women of Russian, Somali and Kurdish origin and the general Finnish population.

PubMed

Bastola, Kalpana; Koponen, Päivikki; Härkänen, Tommi; Gissler, Mika; Kinnunen, Tarja I

2017-05-01

We studied the differences in the mean pre-pregnancy body mass index (BMI) and mean inter-pregnancy weight change in women of Russian, Somali and Kurdish origin and women in the general Finnish population. The population-based samples were from the Migrant Health and Wellbeing Study and the Health 2011 Survey conducted in six cities in Finland in 2010-2012. This study included women with at least one birth in Finland. Data on their previous pregnancies in Finland were obtained from the National Medical Birth Register for 318 Russian, 584 Somali and 373 Kurdish origin women and for 243 women in the general Finnish population (reference group). Data on pre-pregnancy weight and height were self-reported in early pregnancy. Linear logistic regression was the main method of analysis. The unadjusted mean pre-pregnancy BMI was higher in Somali (27.0 kg/m 2 , p<0.001) and Kurdish (25.8 kg/m 2 , p<0.001) women, but lower in Russian (22.2 kg/m 2 , p<0.001) women than in the reference group (24.1 kg/m 2 ). The adjusted coefficients for the difference in the mean pre-pregnancy BMI were -1.93 (95% CI -2.77 to -1.09) for Russian, 1.82 (95% CI 0.89-2.75) for Somali and 1.30 (95% CI 0.43-2.17) for Kurdish women compared with the reference group. Among women with at least two births, no statistically significant difference was observed in the mean inter-pregnancy weight change between the migrant groups and the reference group. Somali and Kurdish women had higher mean pre-pregnancy BMIs than women in the general Finnish population and may need special support and health promotion strategies for weight management.

The ethnic gap in mobility: a comparison of Russian, Somali and Kurdish origin migrants and the general Finnish population.

PubMed

Rask, S; Sainio, P; Castaneda, A E; Härkänen, T; Stenholm, S; Koponen, P; Koskinen, S

2016-04-18

Many ethnic minority populations have poorer health than the general population. However, there is limited knowledge on the possible ethnic gap in physical mobility. We aim to examine the prevalence of mobility limitations in working-age Russian, Somali and Kurdish origin migrants in comparison to the general population in Finland. We also determine whether the association between ethnic group and mobility limitation remains after taking into account socio-economic and health-related factors. We used data from the Finnish Migrant Health and Wellbeing Study (Maamu) and the Finnish Health 2011 Survey. The participants comprised 1880 persons aged 29-64 years. The age-adjusted prevalence of difficulties in various mobility tasks was calculated using predictive margins. Logistic regression analysis was used to examine the association between socio-economic, health- and migration-related factors and mobility limitation (self-reported difficulty in walking 500 m or stair climbing). The association between ethnic group and mobility limitation was calculated using logistic regression analysis. Mobility limitations were much more prevalent among Somali origin women (46 %) and Kurdish origin men (32 %) and women (57 %) compared to men and women in the general Finnish population (5-12 %). In Russian origin men and women, the prevalence of mobility limitation (7-17 %) was similar to the general Finnish population. Socio-economic and health-related factors, but not migration-related factors (time lived in Finland and language proficiency in Finnish or Swedish), were found to be associated with mobility limitation in the studied populations. Somali and Kurdish origin migrants were found to have increased odds for mobility limitation compared to the general Finnish population, even after adjusting for socio-economic and health-related factors (Somalis odds ratio [OR] 3.61; 95 % confidence interval [CI] 2.07-6.29, Kurds OR 7.40; 95 % CI 4.65-11.77). This study demonstrates a functional disadvantage in Somali and Kurdish origin populations compared to the general Finnish population, even after adjusting for socio-economic and health-related factors. The high prevalence of mobility limitation among Somali origin women and Kurdish origin men and women in Finland demonstrates an acute need to promote the health and functioning of these populations.

Raising Citizens: Parenting Education Classes and Somali Mothers' Experiences of Childrearing in Canada

ERIC Educational Resources Information Center

Fellin, Melissa

2015-01-01

Mothers are viewed as the people who are raising future citizens of Canada; therefore, their parenting practices are being targeted for intervention by civic organizations funded by the state. In this article, I argue that modernity narratives and neoliberalism approaches to mothering inform parenting education classes for Somali refugee women to…

Food Insecurity: Its Relationship to Dietary Intake and Body Weight among Somali Refugee Women in the United States

ERIC Educational Resources Information Center

Dharod, Jigna M.; Croom, Jamar E.; Sady, Christine G.

2013-01-01

Objective: To examine the association between food insecurity, dietary intake, and body mass index among Somali refugee women living in the United States. Methods: Cross-sectional study utilizing the snowball sampling method. Results: Most (67%) participants experienced some level of food insecurity, which was common among recent arrivals and…

Growth and Development [with Translations in Hmong, Laotian, Vietnamese, Nuer, Arabic, Somali, Bosnian, Russian, and Spanish].

ERIC Educational Resources Information Center

Anoka County Community Health and Environmental Services, Coon Rapids, MN.

This culturally appropriate booklet, written in English and Hmong, Laotian, Vietnamese, Nuer, Arabic, Somali, Bosnian, Russian, and Spanish, describes what to expect from birth to 5 years of age. The booklet explains that different cultures have different child rearing practices that influence the course of the child's development, and there are…

Thematic Roles in Somali: A Principles and Parameters Approach

ERIC Educational Resources Information Center

Saidat, Ahmad M.; Alenazy, Mamdouh A.

2015-01-01

This study describes the thematic roles of Somali; a language that manifests unorthodox grammatical structures due to the use of the focus particle. A mapping of some language features related to the semantic-syntactic interface is carried out. The effect of the meaning of the lexical items is tested to whether it affects the syntactic structures…

Phenotypic Characteristics of Autism Spectrum Disorder in a Diverse Sample of Somali and Other Children

ERIC Educational Resources Information Center

Esler, Amy N.; Hall-Lande, Jennifer; Hewitt, Amy

2017-01-01

The potential for culture to impact diagnosis of autism spectrum disorder (ASD) is high, yet remains largely unstudied. This study examined differences across racial/ethnic groups in ASD symptoms, cognitive and adaptive skills, and related behaviors in children with ASD that included a unique subgroup, children from the Somali diaspora. Somali…

How a Strong Government Backed an African Language: The Lessons of Somalia.

ERIC Educational Resources Information Center

Warsame, Ali A.

2001-01-01

Reports that English, Italian, and Arabic were the official languages of Somalia 1960, even though 95% of the population spoke Somali. However, under a totalitarian regime that came to power in the early 1970's, Somalia was able to promote Somali as the official language. Offers guidance for implementation of literacy campaigns. (Contains 18…

School Contexts and "Acting White": Peer Networks of Somali Immigrant Youths in an Afrocentric Charter School

ERIC Educational Resources Information Center

Lee, Moosung; Madyun, Na'im; Lam, Beatrice Oi-yeung; Jumale, Mustafa

2014-01-01

We examine whether the "acting white" labeling practice and subsequent peer isolation exist (or do not exist) within Somali immigrant adolescents, one of the most underresearched black immigrant student groups, and what school contexts are associated with their presence (or absence). Using a case study, we found that high-achieving…

Norwegian-Somali Parents Who Send Their Children to Schools in Somalia

ERIC Educational Resources Information Center

Thomas, Paul

2016-01-01

The perplexing numbers of Somali children withdrawn from schools in Norway and sent to Somalia is the concern of this study. These students are often brought back and re-enroll later as adolescents with concomitant educational challenges. The findings are critically analyzed employing John Ogbu's cultural ecology of minorities and a CHAT-based…

Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study

PubMed Central

Odenwald, Michael; Lingenfelder, Birke; Schauer, Maggie; Neuner, Frank; Rockstroh, Brigitte; Hinkel, Harald; Elbert, Thomas

2007-01-01

Background In Somalia, a large number of active and former combatants are affected by psychological problems such as Posttraumatic Stress Disorder (PTSD). This disorder impairs their ability to re-integrate into civilian life. However, many screening instruments for Posttraumatic Stress Disorder used in post-conflict settings have limited validity. Here we report on development and validation of a screening tool for PTSD in Somali language with a sample of ex-combatants. Methods We adapted the Posttraumatic Diagnostic Scale (PDS) to reflect linguistic and cultural differences within the Somali community so that local interviewers could be trained to administer the scale. For validation purposes, a randomly selected group of 135 Somali ex-combatants was screened by trained local interviewers; 64 of them were then re-assessed by trained clinical psychologists using the Composite International Diagnostic Interview (CIDI) and the Self-Report Questionnaire (SRQ-20). Results The screening instrument showed good internal consistency (Cronbach's α = .86), convergent validity with the CIDI (sensitivity = .90; specificity = .90) as well as concurrent validity: positive cases showed higher SRQ-20 scores, higher prevalence of psychotic symptoms, and higher levels of intake of the local stimulant drug khat. Compared to a single cut-off score, the multi-criteria scoring, in keeping with the DSM-IV, produced more diagnostic specificity. Conclusion The results provide evidence that our screening instrument is a reliable and valid method to detect PTSD among Somali ex-combatants. A future Disarmament, Demobilization and Reintegration Program in Somalia is recommended to screen for PTSD in order to identify ex-combatants with special psycho-social needs. PMID:17822562

Overweight and abdominal obesity in women of childbearing age of Russian, Somali and Kurdish origin and the general Finnish population.

PubMed

Kinnunen, Tarja I; Skogberg, Natalia; Härkänen, Tommi; Lundqvist, Annamari; Laatikainen, Tiina; Koponen, Päivikki

2017-05-15

Migrant background and higher parity may increase the risk of being overweight. We compared the prevalence of overweight (body mass index ≥25 kg/m2) and abdominal obesity (waist-to-height ratio ≥0.5) between non-pregnant migrant and Finnish women aged 18-45 years. The participants were 165 Russian, 164 Somali and 179 Kurdish origin women from the cross-sectional Migrant Health and Wellbeing study. The reference group included 388 women from the general Finnish population. Body anthropometrics were measured. The main statistical methods were logistic regression adjusted for sociodemographic and reproductive variables. The unadjusted prevalence of overweight and obesity, respectively, were higher among Somali (32.9%, 30.9%, P < 0.001) and Kurdish women (41.1%, 19.5%, P < 0.001) than among Finnish women (19.9%, 9.8%). The adjusted odds ratios (95% CI) for overweight (including obesity) were 0.54 (0.33; 0.89) for Russian, 2.89 (1.66; 5.03) for Somali and 2.56 (1.64; 4.00) for Kurdish women compared with Finnish women. Kurdish women had 2.96-fold (1.75; 5.00) adjusted odds ratio for abdominal obesity compared with Finnish women. Being parous was associated with overweight and abdominal obesity among Kurdish women. Overweight and obesity were very common among Somali and Kurdish origin women. Information on diet and physical activity in these groups is needed. © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Validation of a home food inventory among low-income Spanish- and Somali-speaking families.

PubMed

Hearst, Mary O; Fulkerson, Jayne A; Parke, Michelle; Martin, Lauren

2013-07-01

To refine and validate an existing home food inventory (HFI) for low-income Somali- and Spanish-speaking families. Formative assessment was conducted using two focus groups, followed by revisions of the HFI, translation of written materials and instrument validation in participants’ homes. Twin Cities Metropolitan Area, Minnesota, USA. Thirty low-income families with children of pre-school age (fifteen Spanish-speaking; fifteen Somali-speaking) completed the HFI simultaneously with, but independently of, a trained staff member. Analysis consisted of calculation of both item-specific and average food group kappa coefficients, specificity, sensitivity and Spearman’s correlation between participants’ and staff scores as a means of assessing criterion validity of individual items, food categories and the obesogenic score. The formative assessment revealed the need for few changes/additions for food items typically found in Spanish-speaking households. Somali-speaking participants requested few additions, but many deletions, including frozen processed food items, non-perishable produce and many sweets as they were not typical food items kept in the home. Generally, all validity indices were within an acceptable range, with the exception of values associated with items such as ‘whole wheat bread’ (k = 0.16). The obesogenic score (presence of high-fat, high-energy foods) had high criterion validity with k = 0.57, sensitivity = 91.8%, specificity = 70.6% and Spearman correlation = 0.78. The revised HFI is a valid assessment tool for use among Spanish and Somali households. This instrument refinement and validation process can be replicated with other population groups.

An Integrated Network of In situ and Remote Sensors to Characterize the Somali Current

DTIC Science & Technology

2015-09-30

streams for assimilation into numerical models • Introduce oceanography as an applied science to the Government of the Seychelles APPROACH...by U.S. Navy assets, indigenous Seychelles fishing vessels and by the Royal Australian Navy (RAN) during this period of performance. Figure (1...depicts a buoy deployment evolution in June 2015 and is representative of most deployments. Miniature wave buoy deployment dates:  Seychelles

Imagined Adulthood under Transition--Somali-Swedish Girls' Life-Planning in a Late Modernity Context

ERIC Educational Resources Information Center

Mohme, Gunnel Maria

2014-01-01

This article examines how Muslim girls of Somali origin raised in Sweden imagine their adulthood in regard to career and family life. The theoretical framework is social constructionist in that it assumes that children have agency and are capable and competent actors, in contrast to what has previously been generally assumed about children from…

Preliterate English as a Second Language Learners: A Case Study of Somali Bantu Women

ERIC Educational Resources Information Center

Shaughnessy, Colleen

2006-01-01

The influx of immigrants and refugees with little or no previous formal education has made the investigation of English as a Second Language (ESL) literacy instructional techniques and methods a priority within the ESL professional field. The 2003-2004 resettlement of over 12,000, mostly preliterate, Somali Bantu refugees to the United States has…

"I Go to Teacher Conferences, but I Do Not Understand What the Teacher Is Saying": Somali Parents' Perception of the Swedish School

ERIC Educational Resources Information Center

Osman, Ali; Månsson, Niclas

2015-01-01

This study examines the encounter of Somali parents with their children's teachers and how these relations "affect" their possibility of supporting their children's attaining a successful school experience. The study is inspired by and combines the insight and concept of social capital developed by Coleman and Bourdieu. The parents…

Pen 2 Paper 2 Power: Lessons from an Arts-Based Literacy Program Serving Somali Immigrant Youth

ERIC Educational Resources Information Center

Lozenski, Brian; Smith, Chelda

2012-01-01

This study illustrates the ways in which the practices of two instructors in an arts-based, after-school literacy program serving Somali youth provide insights for teaching urban immigrant students. It draws on a qualitative self-study that examines the experiences and practices of the researchers in the development and implementation of a program…

Tales from the Front Line: Teachers' Responses to Somali Bantu Refugee Students

ERIC Educational Resources Information Center

Roxas, Kevin

2011-01-01

This qualitative study identifies the ways in which teachers in an urban school district responded to the specialized educational needs of Somali Bantu refugee students who have recently been relocated to the United States and who have had limited and interrupted access to education prior to their enrollment in public schools in the United States.…

Somali Swedes' Reasons for Choosing a Muslim-Profiled School--Recognition and Educational Ambitions as Important Influencing Factors

ERIC Educational Resources Information Center

Mohme, Gunnel

2017-01-01

This article analyzes choice strategies among a group of Somali Swedes at a Muslim-profiled compulsory school. In the Swedish debate these schools are alleged to be divisive, with values incompatible with the goals of Swedish schools. The study explores whether there are other reasons behind school choice than the school's faith profile,…

Somali Opposition to Government Education: R. E. Ellison and the Berbera School Affair, 1938-1940

ERIC Educational Resources Information Center

Olden, Anthony

2008-01-01

British Somaliland, a protectorate from which Christian missionaries were excluded, opened its first government-run school in 1938. The intention of the new director of education, Randall Ellison, was to use written Somali in preference to Arabic. This drew intense criticism from local religious leaders, and had to be abandoned. Accused of being a…

Ancient DNA from Nubian and Somali wild ass provides insights into donkey ancestry and domestication

PubMed Central

Kimura, Birgitta; Marshall, Fiona B.; Chen, Shanyuan; Rosenbom, Sónia; Moehlman, Patricia D.; Tuross, Noreen; Sabin, Richard C.; Peters, Joris; Barich, Barbara; Yohannes, Hagos; Kebede, Fanuel; Teclai, Redae; Beja-Pereira, Albano; Mulligan, Connie J.

2011-01-01

Genetic data from extant donkeys (Equus asinus) have revealed two distinct mitochondrial DNA haplogroups, suggestive of two separate domestication events in northeast Africa about 5000 years ago. Without distinct phylogeographic structure in domestic donkey haplogroups and with little information on the genetic makeup of the ancestral African wild ass, however, it has been difficult to identify wild ancestors and geographical origins for the domestic mitochondrial clades. Our analysis of ancient archaeological and historic museum samples provides the first genetic information on the historic Nubian wild ass (Equus africanus africanus), Somali wild ass (Equus africanus somaliensis) and ancient donkey. The results demonstrate that the Nubian wild ass was an ancestor of the first donkey haplogroup. In contrast, the Somali wild ass has considerable mitochondrial divergence from the Nubian wild ass and domestic donkeys. These findings resolve the long-standing issue of the role of the Nubian wild ass in the domestication of the donkey, but raise new questions regarding the second ancestor for the donkey. Our results illustrate the complexity of animal domestication, and have conservation implications for critically endangered Nubian and Somali wild ass. PMID:20667880

Effects of polio eradication activities on routine immunization: lessons from the 2013 outbreak response in Somali region of Ethiopia.

PubMed

Tafesse, Belete; Tekle, Ephrem; Wondwossen, Liya; Bogale, Mengistu; Fiona, Braka; Nsubuga, Peter; Tomas, Karengera; Kassahun, Aron; Kathleen, Gallagher; Teka, Aschalew

2017-01-01

Ethiopia experienced several WPV importations with a total of 10 WPV1 cases confirmed during the 2013 outbreak alone before it is closed in 2015. We evaluated supplemental immunization activities (SIAs), including lessons learned for their effect on the routine immunization program during the 2013 polio outbreak in Somali regional state. We used descriptive study to review documents and analyse routine health information system reports from the polio outbreak affected Somali regional state. All data and technical reports of the 15 rounds of polio SIAs from June 2013 through June 2015 and routine immunization coverages for DPT-Hib-HepB 3 and measles were observed. More than 93% of the SIAs were having administrative coverage above 95%. The trend of routine immunization for the two antigens, over the five years (2011 through 2015) did not show a consistent pattern against the number of SIAs. Documentations showed qualitative positive impacts of the SIAs strengthening the routine immunization during all courses of the campaigns. The quantitative impact of polio SIAs on routine immunization remained not so impressive in this study. Clear planning, data consistencies and completeness issues need to be cleared for the impact assessment in quantitative terms, in polio legacy planning as well as for the introduction of injectable polio vaccine through the routine immunization.

Geoacoustic Models for the Straits of Sicily and Sardinia-Tunisia.

DTIC Science & Technology

1982-04-01

basin have Bouguer gravity anomalies in excess of +200 milligals, indicating relatively thin crust (Allen and Morelli, 1971). Magnetic anomalies...E. L. and R. T. Bachman (1979a). Geoacoustic Models of the Sea Floor: Gulf of Oman, Arabian Sea, and Somali Basin. Naval Ocean Systems Center Tech

The Interagency: Evolving a Hamstrung and Broken System?

DTIC Science & Technology

2013-05-23

foreign to the Somali culture.85 Somalis’ oral traditions extend back to prehistory , tying them to the rules of antiquity and the family of Muhammad...Center, 2007), 30. 86 Ibid, 29.; Prehistory is a common term that refers to the time before written history. 87Bolger, Savage Peace, 267. 26

Safety for Babies and Children [with Translations in Hmong, Laotian, Vietnamese, Russian, Spanish, Bosnian, Arabic, Somali, and Nuer--Tape and Book Set].

ERIC Educational Resources Information Center

La Rue, Charles, Ed.

This booklet, written in English, Hmong, Laotian, Vietnamese, Russian, Spanish, Bosnian, Arabic, Somali, and Nuer (this translation is published in the form of a Tape and Book Set) provides culturally appropriate educational information and photographs on baby and child safety, addressing: safe feeding; (always hold the baby when bottle-feeding so…

"It Was Like Walking without Knowing Where I Was Going": A Qualitative Study of Autism in a UK Somali Migrant Community

ERIC Educational Resources Information Center

Fox, Fiona; Aabe, Nura; Turner, Katrina; Redwood, Sabi; Rai, Dheeraj

2017-01-01

Increasing recognition of autism in Somali migrant communities means that appropriate support services are needed. Attitudes to autism and barriers related to help-seeking in these communities are poorly understood. We aimed to assess what families affected by autism need, and how health, education and social care services can support them. In…

Piracy off the Horn of Africa

DTIC Science & Technology

2011-04-27

issued a warning strongly advising all U.S. registered yachts and sailing vessels against passage in the Gulf of Aden, Arabian Sea, Somali Basin ...between Malaysia, Singapore and Indonesia , which are credited with having drastically reduced the instance of piracy in Southeast Asia since 2005...in November 2008. Media reports suggested Somali pirates received a $4 million ransom in December 2009 to release the Chinese bulk coal carrier MV

The FAV-S Pilot Study: Increasing Self-Efficacy and Fruit and Vegetable Intake Among Somali Women and Children

ERIC Educational Resources Information Center

Kehm, Rebecca; Hearst, Mary O.; Sherman, Shelley; Elwell, Kate L.

2017-01-01

The 2012 FAV-S pilot study was developed as a dietary intervention program for low-income Somali mothers grounded in the health belief model. The intervention was geared toward increasing fruit and vegetable intake among participants' children. The purpose of this analysis was to determine the impact of the FAV-S program on participants' (1)…

Teaching Goes On: Assessment Models and the Case of an Internally Displaced Higher Education Institution in the Somali Republic

ERIC Educational Resources Information Center

Nur, Yusuf Ahmed; Grabner-Hagen, Melissa; Saam, Julie Reinhardt

2013-01-01

The metric for assessing the quality of a university within a traditional Western setting is well established. Evaluation of higher education institutions within developing countries, however, is not as clear-cut. In this paper the efficacy of quality assessment measures are examined through the case study of a university in the Somali Republic,…

Khat Use, PTSD and Psychotic Symptoms among Somali Refugees in Nairobi – A Pilot Study

PubMed Central

Widmann, Marina; Warsame, Abdulkadir Hussein; Mikulica, Jan; von Beust, Johannes; Isse, Maimuna Mohamud; Ndetei, David; al’Absi, Mustafa; Odenwald, Michael G.

2014-01-01

In East-African and Arab countries, khat leaves are traditionally chewed in social settings. They contain the amphetamine-like alkaloid cathinone. Especially among Somali refugees, khat use has been associated with psychiatric symptoms. We assessed khat-use patterns and psychiatric symptoms among male Somali refugees living in a disadvantaged urban settlement area in Kenya, a large group that has not yet received scientific attention. We wanted to explore consume patterns and study the associations between khat use, traumatic experiences, and psychotic symptoms. Using privileged access sampling, we recruited 33 healthy male khat chewers and 15 comparable non-chewers. Based on extensive preparatory work, we assessed khat use, khat dependence according to DSM-IV, traumatic experiences, posttraumatic stress disorder (PTSD), and psychotic symptoms using standardized diagnostic instruments that had been adapted to the Somali language and culture. Hazardous use patterns like chewing for more than 24 h without interruption were frequently reported. All khat users fulfilled the DSM-IV-criteria for dependence and 85% reported functional khat use, i.e., that khat helps them to forget painful experiences. We found that the studied group was heavily burdened by traumatic events and posttraumatic symptoms. Khat users had experienced more traumatic events and had more often PTSD than non-users. Most khat users experience khat-related psychotic symptoms and in a quarter of them we found true psychotic symptoms. In contrast, among control group members no psychotic symptoms could be detected. We found first evidence for the existence and high prevalence of severely hazardous use patterns, comorbid psychiatric symptoms, and khat use as a self-medication of trauma-consequences among male Somali refugees in urban Kenyan refugee settlements. There is a high burden by psychopathology and adequate community-based interventions urgently need to be developed. PMID:25072043

Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study.

PubMed

Warfa, Nasir; Curtis, Sarah; Watters, Charles; Carswell, Ken; Ingleby, David; Bhui, Kamaldeep

2012-09-07

The discourse about mental health problems among migrants and refugees tends to focus on adverse pre-migration experiences; there is less investigation of the environmental conditions in which refugee migrants live, and the contrasts between these situations in different countries. This cross-national study of two samples of Somali refugees living in London (UK) and Minneapolis, Minnesota, (USA) helps to fill a gap in the literature, and is unusual in being able to compare information collected in the same way in two cities in different countries. There were two parts to the study, focus groups to gather in-depth qualitative data and a survey of health status and quantifiable demographic and material factors. Three of the focus groups involved nineteen Somali professionals and five groups included twenty-eight lay Somalis who were living in London and Minneapolis. The quantitative survey was done with 189 Somali respondents, also living in London and Minneapolis. We used the MINI International Neuropsychiatric Interview (MINI) to assess ICD-10 and DSM-IV mental disorders. The overall qualitative and quantitative results suggested that challenges to masculinity, thwarted aspirations, devalued refugee identity, unemployment, legal uncertainties and longer duration of stay in the host country account for poor psychological well-being and psychiatric disorders among this group. The use of a mixed-methods approach in this international study was essential since the quantitative and qualitative data provide different layers and depth of meaning and complement each other to provide a fuller picture of complex and multi-faceted life situations of refugees and asylum seekers. The comparison between the UK and US suggests that greater flexibility of access to labour markets for this refugee group might help to promote opportunities for better integration and mental well-being.

Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study

PubMed Central

2012-01-01

Background The discourse about mental health problems among migrants and refugees tends to focus on adverse pre-migration experiences; there is less investigation of the environmental conditions in which refugee migrants live, and the contrasts between these situations in different countries. This cross-national study of two samples of Somali refugees living in London (UK) and Minneapolis, Minnesota, (USA) helps to fill a gap in the literature, and is unusual in being able to compare information collected in the same way in two cities in different countries. Methods There were two parts to the study, focus groups to gather in-depth qualitative data and a survey of health status and quantifiable demographic and material factors. Three of the focus groups involved nineteen Somali professionals and five groups included twenty-eight lay Somalis who were living in London and Minneapolis. The quantitative survey was done with 189 Somali respondents, also living in London and Minneapolis. We used the MINI International Neuropsychiatric Interview (MINI) to assess ICD-10 and DSM-IV mental disorders. Results The overall qualitative and quantitative results suggested that challenges to masculinity, thwarted aspirations, devalued refugee identity, unemployment, legal uncertainties and longer duration of stay in the host country account for poor psychological well-being and psychiatric disorders among this group. Conclusion The use of a mixed-methods approach in this international study was essential since the quantitative and qualitative data provide different layers and depth of meaning and complement each other to provide a fuller picture of complex and multi-faceted life situations of refugees and asylum seekers. The comparison between the UK and US suggests that greater flexibility of access to labour markets for this refugee group might help to promote opportunities for better integration and mental well-being. PMID:22954304

Veicolarita e linguaggio scientifico--analisi del primo "Progetto italiano per studenti universitari somali" (Languages for Special Purposes and Scientific Usage--An Analysis of the First "Italian Project for Somali University Students").

ERIC Educational Resources Information Center

Amato, Antonio

1979-01-01

The development of an intensive Italian course for science students attending Somalia's National University is described. The historical background for this project, sponsored by the Italian Government and staffed by Italian teachers, is outlined. Course objectives, methods, and organization are illustrated by samples of instructional materials,…

Time lag between immigration and tuberculosis rates in immigrants in the Netherlands: a time-series analysis.

PubMed

van Aart, C; Boshuizen, H; Dekkers, A; Korthals Altes, H

2017-05-01

In low-incidence countries, most tuberculosis (TB) cases are foreign-born. We explored the temporal relationship between immigration and TB in first-generation immigrants between 1995 and 2012 to assess whether immigration can be a predictor for TB in immigrants from high-incidence countries. We obtained monthly data on immigrant TB cases and immigration for the three countries of origin most frequently represented among TB cases in the Netherlands: Morocco, Somalia and Turkey. The best-fit seasonal autoregressive integrated moving average (SARIMA) model to the immigration time-series was used to prewhiten the TB time series. The cross-correlation function (CCF) was then computed on the residual time series to detect time lags between immigration and TB rates. We identified a 17-month lag between Somali immigration and Somali immigrant TB cases, but no time lag for immigrants from Morocco and Turkey. The absence of a lag in the Moroccan and Turkish population may be attributed to the relatively low TB prevalence in the countries of origin and an increased likelihood of reactivation TB in an ageing immigrant population. Understanding the time lag between Somali immigration and TB disease would benefit from a closer epidemiological analysis of cohorts of Somali cases diagnosed within the first years after entry.

Deep and surface circulation in the Northwest Indian Ocean from Argo, surface drifter, and in situ profiling current observations

NASA Astrophysics Data System (ADS)

Stryker, S. A.; Dimarco, S. F.; Stoessel, M. M.; Wang, Z.

2010-12-01

The northwest Indian Ocean is a region of complex circulation and atmospheric influence. The Persian (Arabian) Gulf and Red Sea contribute toward the complexity of the region. This study encompasses the surface and deep circulation in the region ranging from 0°N-35°N and 40°E-80°E from January 2002-December 2009. Emphasis is in the Persian Gulf, Oman Sea and Arabian Sea (roughly from 21°N-26°N and 56°E-63°E) using a variety of in situ and observation data sets. While there is a lot known about the Persian Gulf and Arabian Sea, little is known about the Oman Sea. Circulation in the northwest Indian Ocean is largely influenced by seasonal monsoon winds. From the winter monsoon to the summer monsoon, current direction reverses. Marginal sea inflow and outflow are also seasonally variable, which greatly impacts the physical water mass properties in the region. In situ and observation data sets include data from Argo floats (US GODAE), surface drifters (AOML) and an observation system consisting of 4 independent moorings and a cabled ocean observatory in the Oman Sea. The observing system in the Oman Sea was installed by Lighthouse R & D Enterprises, Inc. beginning in 2005, and measures current, temperature, conductivity, pressure, dissolved oxygen and turbidity, using the Aanderaa Recording Doppler Current Profiler (RDCP) 600 and the Aanderaa Recording Current Meter (RCM) 11. The cabled ocean observatory measures dissolved oxygen, temperature and salinity between 65 m and 1000 m and reports in real-time. Argo floats in the region have a parking depth range from 500 m to 2000 m. At 1000 m depth, 98% of the velocity magnitudes range from less than 1 cm/s to 20 cm/s. The Somali Current and Northeast/Southwest Monsoon Currents are present, reversing from summer to winter. At 2000 m depth, the Somali and Monsoon Currents are still present but have smaller velocities with 98% ranging from less than 1 cm/s to 13 cm/s. At both 1000 m and 2000 m, larger velocities occur along the equator and coastal regions. A qualitative analysis of sea surface temperature (MODIS) and sea surface height (CCAR) shows that changes in Argo temperature and salinity data are associated with seasonal temperature and changes in evaporation as well as coastal upwelling. Eddy circulation is seen in the subsurface in the Oman Sea and Arabian Sea west of the Murray Ridge in addition to the seasonal influence of the Persian Gulf and Red Sea.

The Soviet Involvement in the Ogaden War

DTIC Science & Technology

1980-02-01

Somali border with the only good airport in the Oqaden, to fiqht riqhtists in northwestern Ethiopia. 2 1 Once the Somalis did invade, Moscow played for...Monpoerer rioe of the International Studies Association. Chese Planning and Organization Design. Streaa Italy. 20 Perk Plaze Hotel. St. Louis. Missouri...Jr, . Th Transpor PoPert- of Diute Gases ia Applied Fgelds. 183 pp. Mal PP 264 1979 Werland. Robert G . ’The US Navy on the Pacific, Past. Present

Pragmatism of the North Atlantic Treaty Organization’s and European Union’s Strategic Partnership

DTIC Science & Technology

2015-04-13

area deployment, on 8 April 2009, the SS MAERSK ALABAMA incident occurred. Made famous by the Hollywood film , Captain Phillips, Somali pirates...community for their safe passage , and regional capacity building within means and capabilities.9 Current approval for NATO’s...Defense and Security Strategy, when he states, “The French continue to advocate the adoption of a Livre blanc européen on defense and security, which was

CTC Sentinel. Volume 4, Issue 7, July 2011

DTIC Science & Technology

2011-07-01

another stressful transition for JRTN. The movement’s current raison d’être—expelling U.S. forces—could dry up in the coming six months. JRTN is... ICU )31 and vie for power as the main Somali opposition to the Ethiopians, whose army occupied Mogadishu. From its new position of power, al-Shabab...since 2009,36 radicalization clearly continues and al-Shabab has shifted focus to AMISOM targets. 31 The ICU came to national prominence in June

Pilot evaluation of a health promotion program for African immigrant and refugee women: the UJAMBO Program.

PubMed

Piwowarczyk, Linda; Bishop, Hillary; Saia, Kelley; Crosby, Sondra; Mudymba, Francine Tshiwala; Hashi, Nimo Ibrahim; Raj, Anita

2013-02-01

The UJAMBO Program was a series of one session group workshops with Congolese and Somali women in the United States built around a DVD using African immigrant women's stories which provided basic information about mammography, pap smears and mental health services for trauma. The current study is an evaluation of the UJAMBO program addressing the impact on participants'knowledge of these health services and their intentions to use these services.

Missed hepatitis b/c or syphilis diagnosis among Kurdish, Russian, and Somali origin migrants in Finland: linking a population-based survey to the national infectious disease register.

PubMed

Tiittala, Paula; Ristola, Matti; Liitsola, Kirsi; Ollgren, Jukka; Koponen, Päivikki; Surcel, Heljä-Marja; Hiltunen-Back, Eija; Davidkin, Irja; Kivelä, Pia

2018-03-20

Migrants are considered a key population at risk for sexually transmitted and blood-borne diseases in Europe. Prevalence data to support the design of infectious diseases screening protocols are scarce. We aimed to estimate the prevalence of hepatitis B and C, human immunodefiency virus (HIV) infection and syphilis in specific migrant groups in Finland and to assess risk factors for missed diagnosis. A random sample of 3000 Kurdish, Russian, or Somali origin migrants in Finland was invited to a migrant population-based health interview and examination survey during 2010-2012. Participants in the health examination were offered screening for hepatitis B and C, HIV and syphilis. Notification prevalence in the National Infectious Diseases Register (NIDR) was compared between participants and non-participants to assess non-participation. Missed diagnosis was defined as test-positive case in the survey without previous notification in NIDR. Inverse probability weighting was used to correct for non-participation. Altogether 1000 migrants were screened for infectious diseases. No difference in the notification prevalence among participants and non-participants was observed. Seroprevalence of hepatitis B surface antigen (HBsAg) was 2.3%, hepatitis C antibodies 1.7%, and Treponema pallidum antibodies 1.3%. No cases of HIV were identified. Of all test-positive cases, 61% (34/56) had no previous notification in NIDR. 48% of HBsAg, 62.5% of anti-HCV and 84.6% of anti-Trpa positive cases had been missed. Among the Somali population (n = 261), prevalence of missed hepatitis B diagnosis was 3.0%. Of the 324 Russian migrants, 3.0% had not been previously diagnosed with hepatitis C and 2.4% had a missed syphilis diagnosis. In multivariable regression model missed diagnosis was associated with migrant origin, living alone, poor self-perceived health, daily smoking, and previous diagnosis of another blood-borne infection. More than half of chronic hepatitis and syphilis diagnoses had been missed among migrants in Finland. Undiagnosed hepatitis B among Somali migrants implies post-migration transmission that could be prevented by enhanced screening and vaccinations. Rate of missed diagnoses among Russian migrants supports implementation of targeted hepatitis and syphilis screening upon arrival and also in later health care contacts. Coverage and up-take of current screening among migrants should be evaluated.

CTC Sentinel. Volume 9, Issue 5, May 2016

DTIC Science & Technology

2016-05-01

after a bomb hidden in a laptop was detonated onboard a Somali passenger jet in February, focuses on the technological arms race between terrorist... bomb makers and those working to prevent bombs from getting onto planes. Robert Liscouski and William McGann, two leading specialists in aviation...SENTINEL 1 The mid-air bombing of a Somali passenger jet in Feb- ruary was a wake-up call for security agencies and those working in the field of

Organizing Chaos: Restructuring Counter-Piracy Forces Off the Coast of Somalia

DTIC Science & Technology

2011-05-04

the Maersk Alabama cargo ship. Prior to these attacks, most Americans were likely to associate a pirate with Hollywood’s mascara-wearing Johnny Depp...However, the approach to countering Somali pirates is disorganized. The international community attempts to achieve unity of effort by relying heavily...conducting counter-piracy as ―a good model not only for the Gulf of Aden and the Somali bases, but also for future such endeavors.‖ 12 Mr. Countryman

Attitude towards the Practice of Female Genital Cutting among School Boys and Girls in Somali and Harari Regions, Eastern Ethiopia

PubMed Central

2017-01-01

Introduction. Female genital cutting (FGC) is a harmful traditional practice that violates women's rights and threatens their health. Although much work has been done to tackle this practice in Ethiopia, the prevalence remains very high in Somali and Harari regions. This study aims to investigate the attitude towards FGC of young people (boys and girls) in Somali and Harari regions of Eastern Ethiopia. Methods. A cross-sectional quantitative study was carried out in Somali and Harari regions from October to December 2015. Two districts were purposely selected from the two regions, and a stratified random sampling technique was employed to select 480 subjects from the randomly selected schools. Results. Out of 480 questionnaires distributed, 478 (99.6%) respondents filled the questionnaires and returned them. The finding of the study reveals that 86% of study participants condemn the practice of FGC. Almost 59% of male participants from both study areas preferred to marry uncircumcised girls. Being a female and being a Muslim are significantly associated with the support toward the continuation of the FGC (P < 0.05). Conclusion. Although the study demonstrates a positive attitude towards the abandonment of FGC, there is a need to increase the knowledge about the position of Islam in FGC and to educate women about the harmful effect of FGC. PMID:28386281

Food and Nutrient Intake among 12-Month-Old Norwegian-Somali and Norwegian-Iraqi Infants.

PubMed

Grewal, Navnit Kaur; Andersen, Lene Frost; Kolve, Cathrine Solheim; Kverndalen, Ingrid; Torheim, Liv Elin

2016-09-28

The aim of the present paper was to describe food and nutrient intake among 12-month-old Norwegian-Somali and Norwegian-Iraqi infants, with a focus on iron and vitamin D intake. A cross-sectional survey was conducted from August 2013 through September 2014. Eighty-nine mothers/infants of Somali origin and 77 mothers/infants of Iraqi origin residing in Eastern Norway participated in the study. Data were collected using two 24-h multiple-pass recalls. Forty percent of the Norwegian-Somali infants and 47% of the Norwegian-Iraqi infants were breastfed at 12 months of age ( p = 0.414). Median energy percentages (E%) from protein, fat and carbohydrates were within the recommended intake ranges, except the level of saturated fats (12-13 E%). Median intakes of almost all micronutrients were above the recommended daily intakes. Most of the infants consumed iron-enriched products (81%) and received vitamin D supplements (84%). The median intakes of iron and vitamin D were significantly higher among infants receiving iron-enriched products and vitamin D supplements compared to infants not receiving such products ( p < 0.001). The findings indicate that the food and nutrient intake of this group of infants in general seems to be in accordance with Norwegian dietary recommendations. Foods rich in iron and vitamin D supplements were important sources of the infants' intake of iron and vitamin D and should continue to be promoted.

Understanding arsenic metabolism through a comparative study of arsenic levels in the urine, hair and fingernails of healthy volunteers from three unexposed ethnic groups in the United Kingdom

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

Brima, Eid I.; Haris, Parvez I.; Jenkins, Richard O.

2006-10-01

Very little is known about arsenic (As) metabolism in healthy populations that are not exposed to high concentrations of As in their food or water. Here we present a study with healthy volunteers from three different ethnic groups, residing in Leicester, UK, which reveals statistically significant differences in the levels of total As in urine and fingernail samples. Urine (n = 63), hair (n = 36) and fingernail (n = 36) samples from Asians, Somali Black-Africans and Whites were analysed using inductively coupled plasma mass spectrometry (ICP-MS) and graphite furnace atomic absorption spectroscopy (GF-AAS). The results clearly show that themore » total concentrations of As in urine and fingernail samples of a Somali Black-African population (urine 7.2 {mu}g/g creatinine; fingernails 723.1 {mu}g/kg) are significantly (P < 0.05) different from the Asian (urine 24.5 {mu}g/g creatinine; fingernails 153.9 {mu}g/kg) and White groups (urine 20.9 {mu}g/g creatinine; fingernails 177.0 {mu}g/kg). The chemical speciation of As in the urine of the three groups was also measured using high performance liquid chromatography coupled to ICP-MS. This showed that the proportion of the total urinary As present as dimethylarsenate (DMA) was higher for the Somali Black-African group (50%) compared to the Asians (16%) and Whites (22%). However, there was no significant difference (P > 0.05) in the level of As in the hair samples from these three groups; Somali Black-Africans (116.0 {mu}g/kg), Asians (117.4 {mu}g/kg) and Whites (141.2 {mu}g/kg). Significantly different levels of total As in fingernail and urine and a higher percentage of urinary DMA in the Somali Black-Africans are suggestive of a different pattern of As metabolism in this ethnic group.« less

'You are labelled by your children's disability' - A community-based, participatory study of stigma among Somali parents of children with autism living in the United Kingdom.

PubMed

Selman, Lucy Ellen; Fox, Fiona; Aabe, Nura; Turner, Katrina; Rai, Dheeraj; Redwood, Sabi

2017-03-02

Social stigma is commonly experienced by parents of children with autism. Our aim was to understand the nature of stigma experienced by Somali parents of children with autism in the United Kingdom (UK), and to consider how they coped with or resisted such stigma. We used a community-based participatory research approach, collaborating with a community organisation of Somali parents. In-depth interviews with simultaneous translation were conducted with 15 Somali parents of children with autism living in Bristol, UK, in 2015. Parents were sampled purposively to capture diversity in children's age, severity of autism and time since diagnosis. Directed thematic analysis used Link and Phelan's model of stigma. Of the 15 participants, 12 were mothers (mean age 36). The 17 children with autism they cared for were 4-13 years' old, and five were girls. Two main themes with sub-themes were identified: the nature of stigma (labelling and stereotyping; separation; emotional reactions, discrimination and power), and coping and resistance (the power of language; faith as a resource; learning, peer support and community relationships). Children with autism were labelled and stereotyped (e.g. as 'sick', 'naughty', 'different') and parents blamed for not controlling them, leading to social rejection and isolation. Stigma was associated with a poor understanding of autism, a lack of vocabulary related to autism in the Somali community, and prejudice against mental illness and disability. There was evidence of enacted and felt stigma and examples of discrimination. Finding their own language to describe their child's condition and drawing on faith, learning and peer support were important resources in resisting stigma. Findings inform support for this community, highlighting the need to raise awareness of autism, enable parents to speak openly, and ensure appropriate professional services and interventions are available.

Postpartum Depression Among Somali Women in Norway.

PubMed

Løvlie, Astrid Louise; Madar, Ahmed Ali

2017-06-01

Postpartum depression (PPD) has been described as the most common complication experienced postpartum, affecting about 10-15 % of all new mothers. Factors like a history of mental illness, and experienced recent adverse life events has been associated with an increased risk for developing PPD. Immigrant women in Western countries have been found to have a marked higher prevalence of PPD compared to the general population. In Norway the prevalence of PPD in the general population has been found to be around 8-10 %, and among Pakistani immigrants a rate of 7.6 % was found. Somali people in Norway are the second largest immigrant group in Norway with a non-Western background. No study on PPD and associated factors among Somali women has been found in the literature. The aim of the study was to assess PPD and associated factors among Somali women in greater Oslo region, Norway. A cross-sectional survey was conducted; recruiting new mothers through all maternity wards in the Oslo region. Data was collected with interview-administrated questionnaires. PPD was assessed using Edinburgh Postnatal Depression Scale (EPDS), defining those scoring ≥10 to have a possible PPD. Of the 80 eligible women identified, 39 (49 %) consented to participate, and completed the study. Of the 39 respondents 3 (7.7 %) were assessed to have a possible PPD. Most important associated factors found were history of mental illness, having experienced technical assistance during delivery, self-rated health and experienced economical problems last 12 months. A low prevalence of PPD was found, and both the prevalence and its associated factors should be interpreted with caution. The associated factors do not have enough power to give any strength to the associations. However, some of the results can be used in develop new hypotheses with regard to PPD among Somali women as immigrants in a Western society.

Comparison of manual and automated AmpliSeq™ workflows in the typing of a Somali population with the Precision ID Identity Panel.

PubMed

van der Heijden, Suzanne; de Oliveira, Susanne Juel; Kampmann, Marie-Louise; Børsting, Claus; Morling, Niels

2017-11-01

The Precision ID Identity Panel was used to type 109 Somali individuals in order to obtain allele frequencies for the Somali population. These frequencies were used to establish a Somali HID-SNP database, which will be used for the biostatistic calculations in family and immigration cases. Genotypes obtained with the Precision ID Identity Panel were found to be almost in complete concordance with genotypes obtained with the SNPforID PCR-SBE-CE assay. In seven SNP loci, silent alleles were identified, of which most were previously described in the literature. The project also set out to compare different AmpliSeq™ workflows to investigate the possibility of using automated library building in forensic genetic case work. In order to do so, the SNP typing of the Somalis was performed using three different workflows: 1) manual library building and sequencing on the Ion PGM™, 2) automated library building using the Biomek ® 3000 and sequencing on the Ion PGM™, and 3) automated library building using the Ion Chef™ and sequencing on the Ion S5™. AmpliSeq™ workflows were compared based on coverage, locus balance, noise, and heterozygote balance. Overall, the Ion Chef™/Ion S5™ workflow was found to give the best results and required least hands-on time in the laboratory. However, the Ion Chef™/Ion S5™ workflow was also the most expensive. The number of libraries that may be constructed in one Ion Chef™ library building run was limited to eight, which is too little for high throughput workflows. The Biomek ® 3000/Ion PGM™ workflow was found to perform similarly to the manual/Ion PGM™ workflow. This argues for the use of automated library building in forensic genetic case work. Automated library building decreases the workload of the laboratory staff, decreases the risk of pipetting errors, and simplifies the daily workflow in forensic genetic laboratories. Copyright © 2017 Elsevier B.V. All rights reserved.

What is the Primary Etiology of Contemporary Somali Piracy and Can the Current U.S. Counter-Piracy Strategy be Effective without Addressing it

DTIC Science & Technology

2015-06-12

be my amaranthine imagos. vi To Stefani, my beautiful wife, mentioned last because she is most important; for patience I do not deserve, for...organizations, and the maritime industry play and promises to maximize coordination between the efforts of all parties involved.20 The document...textbook definition of a failed state. Its lack of government and industry caused entire generations to believe that violence was the rule in life

Somali Piracy: An Age-Old Solution to a Modern Day Problem

DTIC Science & Technology

2010-05-19

the British-flagged Asian Glory was seized off Somalia and the twenty-thousand ton Singaporean-flagged chemical tanker M /V Pramoni was seized in the...rival clans . h b’ bl I’ 129agaInst one anot er may e a VIa e so utIon. Another option is to leverage some of the influential Somali "entrepreneurs...ofInternational Affairs, 2005: 236­ 239. Raymond, Catherine Zara . "Piracy in Southeast Asia: New Trends, Issues, and Responses." Harvard Asia Quarterly

The Importance of the United States Security Assistance Program for Somalia’s National Security

DTIC Science & Technology

1990-02-01

NUMBERS Carlisle Barracks, PA 17013 II . CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE 1 February 1990 Same 13. NUMBER OF PAGES 14. MONITORING AGENCY...So it is a cycle--no aid, the Somali army grows weaker, the Somalian ii *ieeie& get more boll. the enemies e,:ourage ir.Lrser.: in--urgeraie3 cause...APPENDIX II - SOMALI HISTORY ..... .............. II -i iv INTRODUCT ION Tli_ paper will introduce the origins and development of U. S. sEiurity

Bosnian, Iraqi, and Somali Refugee Women Speak: A Comparative Qualitative Study of Refugee Health Beliefs on Preventive Health and Breast Cancer Screening.

PubMed

Saadi, Altaf; Bond, Barbara E; Percac-Lima, Sanja

2015-01-01

The low uptake of preventive services in disadvantaged communities is a continuing challenge to public health. Women refugee communities are particularly vulnerable populations, and disparities in both preventive care and breast cancer screening have been documented sparsely. The objective of this qualitative study was to explore Bosnian, Iraqi, and Somali women refugees' beliefs about preventive care and breast cancer screening to inform future community interventions and best practices. In an urban community health center, 57 interviews with Bosnian, Somali, and Iraqi women refugees were conducted by native language speakers. Interview transcripts were coded and analyzed according to best practices for thematic and content analysis. The responses of three groups were compared. Similarities across participants included barriers to care such as fear of pain and diagnosis, modesty, and work and childcare commitments; facilitative factors such as outreach efforts, appointment reminders, and personal contact from health providers; perceptions of how the American medical infrastructure compared with inadequacies in their home countries; and positive attitude toward U.S. health professionals. Differences that emerged among groups were: varying degrees of medical exposure to doctors in home countries, the impact of war on health systems; and understanding preventive breast care. Taken together, duration of time in United States and prior exposure to Western medicine account for differences in refugee women's knowledge of preventive care. Understanding population-specific health beliefs, health information, and behavior are crucial for designing tailored prevention programs for refugee women. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

The cultural basis for oral health practices among Somali refugees pre-and post-resettlement in Massachusetts.

PubMed

Adams, Jo Hunter; Young, Samorga; Laird, Lance D; Geltman, Paul L; Cochran, Jennifer J; Hassan, Ahmed; Egal, Fadumo; Paasche-Orlow, Michael K; Barnes, Linda L

2013-11-01

Oral health disparities related to socioeconomic status have been well described in the U.S., but oral health among refugee groups has not been well characterized. This article examines oral health among Somali refugees in Massachusetts. Eighty-three (83) participants were purposively selected for an in-depth, open-ended interview related to oral health. Older individuals associated use of the stick brush with the Islamic practice of cleansing before prayer. When unable to find stick brushes in the U.S., many adopted the Western toothbrush. Parents expressed concern that their children had adopted U.S. practices of brushing with a toothbrush only once or twice a day. Somali oral health practices have changed following arrival to the U.S., but the underlying model for oral health care remains rooted in Islam. By acknowledging the value of traditional practices, dentists may communicate the value of Western preventive and restorative dentistry, and recommend approaches to integrating the two.

Somalia.

PubMed

1986-04-01

This discussion of Somalia focuses on: the people; geography; history; government; political conditions; the economy; foreign relations; defense; and relations between the US and Somalia. In 1985 the population was estimated to be 5,400,000 with an annual growth rate of 3%. The infant mortality rate is 145/1000; life expectancy is 47 years. Somalis have a homogeneous culture and identity. About 60% of all Somalis are nomadic or seminomadic pastoralists who raise cattle, camels, sheep, and goats. Sizable ethnic groups in Somalia include some 35,000 Arabs, about 2000 Italians, and 1000 Indians and Pakistanis. Somalia is located on the east coast of Africa north of the Equator and, with Ethiopia and Djibouti, is often referred to as the Horn of Africa. Somalia, which lacks natural resources and faces many major development challenges, has a principally pastoral and agricultural economy. Since independence, from Italy and Great Britain, Somalia has followed a foreign policy of nonalignment. After the Soviets were expelled, the US reintroduced the Agency for International Development program in 1978 and has provided extensive relief to Somali refugees.

Health Literacy, Acculturation, and the Use of Preventive Oral Health Care by Somali Refugees Living in Massachusetts

PubMed Central

Hunter Adams, Jo; Penrose, Katherine L.; Cochran, Jennifer; Rybin, Denis; Doros, Gheorghe; Henshaw, Michelle; Paasche-Orlow, Michael

2013-01-01

Background This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. Methods 439 adult Somalis in the U.S. ≤ 10 years ago were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Results Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (p=0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (p=0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. Discussion English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills. PMID:23748902

Aragonite pteropod flux to the Somali Basin, NW Arabian Sea

NASA Astrophysics Data System (ADS)

Singh, A. D.; Conan, S. M.-H.

2008-05-01

Aragonite export fluxes of pteropods (>250, 150-250 and 125-150 μm) in the Somali Basin were estimated using a 9-month time-series sediment trap (MST9-E) from June 1992 to February 1993. The trap with 23 time-series sediment collectors placed at 1032 m water depth collected settling particles over a total of 249 days. Pteropods showed large seasonal variations in both the numerical and mass fluxes (>125 μm) with their maxima at the end of the SW Monsoon during September and early October. It was also observed that records of pteropod fluxes varied in different size fractions. The average numerical flux and mass flux of pteropods (>125 μm) from the 9-month record of the sediment trap was estimated to be about 1830 shells m -2 d -1 and 18 mg m -2 d -1, respectively. We estimate that about 22.5% of the total CaCO 3 in the Somali Basin was contributed by aragonitic pteropods (>125 μm).

The Cultural Basis for Oral Health Practices among Somali Refugees Pre- and Post-Resettlement in Massachusetts

PubMed Central

Adams, Jo Hunter; Young, Samorga; Laird, Lance D.; Geltman, Paul L.; Cochran, Jennifer J.; Hassan, Ahmed; Egal, Fadumo; Paasche-Orlow, Michael K.; Barnes, Linda L.

2014-01-01

Background Oral health disparities related to socioeconomic status have been well described in the U.S., but oral health among refugee groups has not been well characterized. This article examines oral health among Somali refugees in Massachusetts. Methods Eighty-three (83) participants were purposively selected for an in-depth, open-ended interview related to oral health. Results Older individuals associated use of the stick brush with the Islamic practice of cleansing before prayer. When unable to find stick brushes in the U.S., many adopted the Western toothbrush. Parents expressed concern that their children had adopted U.S. practices of brushing with a toothbrush only once or twice a day. Conclusions/implications Somali oral health practices have changed following arrival to the U.S., but the underlying model for oral health care remains rooted in Islam. By acknowledging the value of traditional practices, dentists may communicate the value of Western preventive and restorative dentistry, and recommend approaches to integrating the two. PMID:24185145

Food and Nutrient Intake among 12-Month-Old Norwegian-Somali and Norwegian-Iraqi Infants

PubMed Central

Grewal, Navnit Kaur; Andersen, Lene Frost; Kolve, Cathrine Solheim; Kverndalen, Ingrid; Torheim, Liv Elin

2016-01-01

The aim of the present paper was to describe food and nutrient intake among 12-month-old Norwegian-Somali and Norwegian-Iraqi infants, with a focus on iron and vitamin D intake. A cross-sectional survey was conducted from August 2013 through September 2014. Eighty-nine mothers/infants of Somali origin and 77 mothers/infants of Iraqi origin residing in Eastern Norway participated in the study. Data were collected using two 24-h multiple-pass recalls. Forty percent of the Norwegian-Somali infants and 47% of the Norwegian-Iraqi infants were breastfed at 12 months of age (p = 0.414). Median energy percentages (E%) from protein, fat and carbohydrates were within the recommended intake ranges, except the level of saturated fats (12–13 E%). Median intakes of almost all micronutrients were above the recommended daily intakes. Most of the infants consumed iron-enriched products (81%) and received vitamin D supplements (84%). The median intakes of iron and vitamin D were significantly higher among infants receiving iron-enriched products and vitamin D supplements compared to infants not receiving such products (p < 0.001). The findings indicate that the food and nutrient intake of this group of infants in general seems to be in accordance with Norwegian dietary recommendations. Foods rich in iron and vitamin D supplements were important sources of the infants’ intake of iron and vitamin D and should continue to be promoted. PMID:27690092

CTC Sentinel. Volume 2, Issue 3, March 2009. Somalia’s New Government and the Challenge of Al-Shabab

DTIC Science & Technology

2009-03-01

Somalia’s New Government and the Challenge of Al-Shabab By David H. Shinn Contents FEATURE ARTICLE 1 Somalia’s New Government and the Challenge...2009 to 00-00-2009 4. TITLE AND SUBTITLE Somalia?s New Government and the Challenge of Al-Shabab 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...forces and African Union peacekeepers.22 In a mid- February 2009 video, Abu Yahya called on Somalis to oppose the new Somali government and attack

Gulf of Aden eddies and their impact on Red Sea Water

NASA Astrophysics Data System (ADS)

Bower, Amy S.; Fratantoni, David M.; Johns, William E.; Peters, Hartmut

2002-11-01

New oceanographic observations in the Gulf of Aden in the northwestern Indian Ocean have revealed large, energetic, deep-reaching mesoscale eddies that fundamentally influence the spreading rates and pathways of intermediate-depth Red Sea Water (RSW). Three eddies were sampled in February 2001, two cyclonic and one anticyclonic, with diameters 150-250 km. Both cyclones had surface-intensified velocity structure with maxima ~0.5 m s-1, while the equally-energetic anticyclone appeared to be decoupled from the surface circulation. All three eddies reached nearly to the 1000-2000 m deep sea floor, with speeds as high as 0.2-0.3 m s-1 extending through the depth range of RSW. Comparison of salinity and direct velocity measurements indicates that the eddies advect and stir RSW through the Gulf of Aden. Anomalous water properties in the center of the anticyclonic eddy point to a possible formation site in the Somali Current System.

The association between mental health symptoms and mobility limitation among Russian, Somali and Kurdish migrants: a population based study.

PubMed

Rask, Shadia; Castaneda, Anu E; Koponen, Päivikki; Sainio, Päivi; Stenholm, Sari; Suvisaari, Jaana; Juntunen, Teppo; Halla, Tapio; Härkänen, Tommi; Koskinen, Seppo

2015-03-20

Research has demonstrated a bidirectional relationship between physical function and depression, but studies on their association in migrant populations are scarce. We examined the association between mental health symptoms and mobility limitation in Russian, Somali and Kurdish migrants in Finland. We used data from the Finnish Migrant Health and Wellbeing Study (Maamu). The participants comprised 1357 persons of Russian, Somali or Kurdish origin aged 18-64 years. Mobility limitation included self-reported difficulties in walking 500 m or stair climbing. Depressive and anxiety symptoms were measured using the Hopkins Symptom Checklist-25 (HSCL-25) and symptoms of somatization using the somatization subscale of the Symptom Checklist-90 Revised (SCL-90-R). A comparison group of the general Finnish population was selected from the Health 2011 study. Anxiety symptoms were positively associated with mobility limitation in women (Russians odds ratio [OR] 2.98; 95% confidence interval [CI] 1.28-6.94, Somalis OR 6.41; 95% CI 2.02-20.29 and Kurds OR 2.67; 95% CI 1.41-5.04), after adjustment for socio-demographic factors, obesity and chronic diseases. Also somatization increased the odds for mobility limitation in women (Russians OR 4.29; 95% CI 1.76-10.44, Somalis OR 18.83; 95% CI 6.15-57.61 and Kurds OR 3.53; 95% CI 1.91-6.52). Depressive symptoms were associated with mobility limitation in Russian and Kurdish women (Russians OR 3.03; 95% CI 1.27-7.19 and Kurds OR 2.64; 95% CI 1.39-4.99). Anxiety symptoms and somatization were associated with mobility limitation in Kurdish men when adjusted for socio-demographic factors, but not after adjusting for obesity and chronic diseases. Finnish women had similar associations as the migrant women, but Finnish men and Kurdish men showed varying associations. Mental health symptoms are significantly associated with mobility limitation both in the studied migrant populations and in the general Finnish population. The joint nature of mental health symptoms and mobility limitation should be recognized by health professionals, also when working with migrants. This association should be addressed when developing health services and health promotion.

Effects of a culturally tailored parenting support programme in Somali-born parents’ mental health and sense of competence in parenting: a randomised controlled trial

PubMed Central

Osman, Fatumo; Salari, Raziye; Klingberg-Allvin, Marie; Schön, Ulla-Karin; Flacking, Renée

2017-01-01

Objectives To evaluate the effectiveness of a culturally tailored parenting support programme on Somali-born parents’ mental health and sense of competence in parenting. Design Randomised controlled trial. Setting A city in the middle of Sweden. Participants Somali-born parents (n=120) with children aged 11–16 years and self-perceived stress in their parenting were randomised to an intervention group (n=60) or a waiting-list control group (n=60). Intervention Parents in the intervention group received culturally tailored societal information combined with the Connect parenting programme during 12 weeks for 1–2 hours per week. The intervention consisted of a standardised training programme delivered by nine group leaders of Somali background. Outcome The General Health Questionnaire 12 was used to measure parents’ mental health and the Parenting Sense of Competence scale to measure parent satisfaction and efficacy in the parent role. Analysis was conducted using intention-to-treat principles. Results The results indicated that parents in the intervention group showed significant improvement in mental health compared with the parents in the control group at a 2-month follow-up: B=3.62, 95% CI 2.01 to 5.18, p<0.001. Further, significant improvement was found for efficacy (B=−6.72, 95% CI −8.15 to −5.28, p<0.001) and satisfaction (B=−4.48, 95% CI −6.27 to −2.69, p<0.001) for parents in the intervention group. Parents’ satisfaction mediated the intervention effect on parental mental health (β=−0.88, 95% CI −1.84 to −0.16, p=0.047). Conclusion The culturally tailored parenting support programme led to improved mental health of Somali-born parents and their sense of competence in parenting 2 months after the intervention. The study underlines the importance of acknowledging immigrant parents’ need for societal information in parent support programmes and the importance of delivering these programmes in a culturally sensitive manner. Clinical trial registration NCT02114593. PMID:29222136

Madagascar's escape from Africa: A high-resolution plate reconstruction for the Western Somali Basin and implications for supercontinent dispersal

NASA Astrophysics Data System (ADS)

Phethean, Jordan J. J.; Kalnins, Lara M.; van Hunen, Jeroen; Biffi, Paolo G.; Davies, Richard J.; McCaffrey, Ken J. W.

2016-12-01

Accurate reconstructions of the dispersal of supercontinent blocks are essential for testing continental breakup models. Here, we provide a new plate tectonic reconstruction of the opening of the Western Somali Basin during the breakup of East and West Gondwana. The model is constrained by a new comprehensive set of spreading lineaments, detected in this heavily sedimented basin using a novel technique based on directional derivatives of free-air gravity anomalies. Vertical gravity gradient and free-air gravity anomaly maps also enable the detection of extinct mid-ocean ridge segments, which can be directly compared to several previous ocean magnetic anomaly interpretations of the Western Somali Basin. The best matching interpretations have basin symmetry around the M0 anomaly; these are then used to temporally constrain our plate tectonic reconstruction. The reconstruction supports a tight fit for Gondwana fragments prior to breakup, and predicts that the continent-ocean transform margin lies along the Rovuma Basin, not along the Davie Fracture Zone (DFZ) as commonly thought. According to our reconstruction, the DFZ represents a major ocean-ocean fracture zone formed by the coalescence of several smaller fracture zones during evolving plate motions as Madagascar drifted southwards, and offshore Tanzania is an obliquely rifted, rather than transform, margin. New seismic reflection evidence for oceanic crust inboard of the DFZ strongly supports these conclusions. Our results provide important new constraints on the still enigmatic driving mechanism of continental rifting, the nature of the lithosphere in the Western Somali Basin, and its resource potential.

Leveraging Somali Basin Magnetic Anomalies to Constrain Gondwana Breakup and Early Indian Ocean Formation

NASA Astrophysics Data System (ADS)

Davis, J. K.; Lawver, L. A.; Norton, I. O.; Gahagan, L.

2015-12-01

The Somali Basin, found between the Horn of Africa and Madagascar was formed during the rifting of East and West Gondwana. Understanding the evolution of the basin has historically been hindered by enigmatic seafloor fabric and an apparent paucity of magnetic anomaly data. Recent iterations of satellite gravity data have revealed nearly complete fracture zones as well as a distinct extinct spreading ridge within the basin. Through a thorough compilation of available Somali Basin shiptrack profiles, we have been able to successfully model and interpret magnetic anomalies with exceptional detail. This complication is unrivaled in completeness and provides unprecedented insight into basin formation. Using this high quality data, we have interpreted magnetic anomalies M0r (120.8 Ma) to M24Bn (152.43 Ma) about the extinct ridge. The interpreted Somali Basin spreading rate and spreading direction, through anomaly M15n (135.76 Ma), are similar to those observed in the neighboring coeval Mozambique Basin. This similarity suggests that East Gondwana separated from West Gondwana as a cohesive unit, and that the internal rifting of East Gondwana began later around 135 Ma. Our magnetic anomaly interpretations have been combined with additional magnetic interpretations from around the Indian Ocean to build a regionally consistent plate model of Gondwana breakup and early Indian Ocean formation. This plate model will be crucial for future efforts unraveling a precise history of East Gondwana fragmentation and constraining the formation of the Enderby Basin offshore East Antarctica and Bay of Bengal offshore East India.

Pseudofaults and associated seamounts in the conjugate Arabian and Eastern Somali basins, NW Indian Ocean - New constraints from high-resolution satellite-derived gravity data

NASA Astrophysics Data System (ADS)

Sreejith, K. M.; Chaubey, A. K.; Mishra, Akhil; Kumar, Shravan; Rajawat, A. S.

2016-12-01

Marine gravity data derived from satellite altimeters are effective tools in mapping fine-scale tectonic features of the ocean basins such as pseudofaults, fracture zones and seamounts, particularly when the ocean basins are carpeted with thick sediments. We use high-resolution satellite-generated gravity and seismic reflection data to map boundaries of pseudofaults and transferred crust related to the Paleocene spreading ridge propagation in the Arabian and its conjugate Eastern Somali basins. The study has provided refinement in the position of previously reported pseudofaults and their spatial extensions in the conjugate basins. It is observed that the transferred crustal block bounded by inner pseudofault and failed spreading ridge is characterized by a gravity low and rugged basement. The refined satellite gravity image of the Arabian Basin also revealed three seamounts in close proximity to the pseudofaults, which were not reported earlier. In the Eastern Somali Basin, seamounts are aligned along NE-SW direction forming ∼300 km long seamount chain. Admittance analysis and Flexural model studies indicated that the seamount chain is isostatically compensated locally with Effective Elastic Thickness (Te) of 3-4 km. Based on the present results and published plate tectonic models, we interpret that the seamounts in the Arabian Basin are formed by spreading ridge propagation and are associated with pseudofaults, whereas the seamount chain in the Eastern Somali Basin might have probably originated due to melting and upwelling of upper mantle heterogeneities in advance of migrating/propagating paleo Carlsberg Ridge.

GPS constraints on broad scale extension in the Ethiopian Highlands and Main Ethiopian Rift

NASA Astrophysics Data System (ADS)

Birhanu, Yelebe; Bendick, Rebecca; Fisseha, Shimeles; Lewi, Elias; Floyd, Michael; King, Robert; Reilinger, Robert

2016-07-01

Measurements from GPS sites spanning the Ethiopian Highlands, Main Ethiopian Rift, and Somali Platform in Ethiopia and Eritrea show that present-day finite strain rates throughout NE Africa can be approximated at the continent scale by opening on the MER. Most sites in the Ethiopian Highlands are consistent with the motion of the Nubian plate at the level of 1 mm/yr with 95% confidence. However, sites at least as far as 60 km west of the rift show higher velocities relative to the stable Nubian frame of 1-2 mm/yr, requiring a combination of localized and distributed deformation to accommodate the African extensional domain. Off-rift velocities are consistent with ongoing strain related to either high gravitational potential energy or intrusive magmatism away from midrift magmatic segments either on the western rift margin or within the Ethiopian Highlands, especially when combined with likely rheological differences between the Ethiopian Rift and Highlands. Velocities from the Somali Platform are less well determined with uncertainties and residuals from a Somali frame definition at the level of 2-3 mm/yr but without spatially correlated residuals.

Adaptation of an Acculturation Scale for African Refugee Women

PubMed Central

Flynn, Priscilla; Asiedu, Gladys B.; Hedberg, Eric; Breitkopf, Carmen Radecki

2014-01-01

Newly-arrived African refugees are a vulnerable group of immigrants for whom no validated acculturation measures exist. A valid measurement tool is essential to understand how acculturative processes impact health and health disparities. We adapted the Bicultural Involvement Questionnaire (BIQ) to characterize its reliability among ethnic Somali women residing in Minnesota, and Somali, Somali Bantu, and Burundian women in Arizona. Surveys were administered to 164 adult women. Analyses were conducted along socio-demographic variables of ethnicity, geographic residence, age, and length of time in the United States through t tests and one-way analysis of variance. Exploratory factor analysis was conducted on the modified BIQ. Exploratory factor analyses yielded five subscales: “Speak Native Language”, “Speak English Language”, “Enjoy Native Activities”, “Enjoy American Activities”, and “Desired Ideal Culture”. The subscales of the modified BIQ possessed Cronbach’s α ranging from 0.68 to 0.92, suggestive that all subscales had acceptable to excellent internal consistency. The modified BIQ maintained its psychometric properties across geographic regions of resettled Central and East African refugees. PMID:24573644

Mental health of Somali adolescent refugees: the role of trauma, stress, and perceived discrimination.

PubMed

Ellis, B Heidi; MacDonald, Helen Z; Lincoln, Alisa K; Cabral, Howard J

2008-04-01

The primary purpose of this study was to examine relations between trauma exposure, post-resettlement stressors, perceived discrimination, and mental health symptoms in Somali adolescent refugees resettled in the U.S. Participants were English-speaking Somali adolescent refugees between the ages of 11 and 20 (N = 135) who had resettled in the U.S. Participants were administered an interview battery comprising self-report instruments that included the UCLA Posttraumatic Stress Disorder (PTSD) Index, the War Trauma Screening Scale, the Every Day Discrimination scale, the Adolescent Post-War Adversities Scale, and the Acculturative Hassles Inventory. Results indicated that cumulative trauma was related to PTSD and depression symptoms. Further, post-resettlement stressors, acculturative stressors, and perceived discrimination were also associated with greater PTSD symptoms after accounting for trauma, demographic, and immigration variables. Number of years since resettlement in the US and perceived discrimination were significantly related to depressive symptoms, after accounting for trauma, demographic, and immigration variables. Further research elucidating the relations between post-resettlement stressors, discrimination, and mental health of refugee adolescents may inform intervention development. PsycINFO Database Record (c) 2008 APA, all rights reserved.

Early Back-to-Africa Migration into the Horn of Africa

PubMed Central

Hodgson, Jason A.; Mulligan, Connie J.; Al-Meeri, Ali; Raaum, Ryan L.

2014-01-01

Genetic studies have identified substantial non-African admixture in the Horn of Africa (HOA). In the most recent genomic studies, this non-African ancestry has been attributed to admixture with Middle Eastern populations during the last few thousand years. However, mitochondrial and Y chromosome data are suggestive of earlier episodes of admixture. To investigate this further, we generated new genome-wide SNP data for a Yemeni population sample and merged these new data with published genome-wide genetic data from the HOA and a broad selection of surrounding populations. We used multidimensional scaling and ADMIXTURE methods in an exploratory data analysis to develop hypotheses on admixture and population structure in HOA populations. These analyses suggested that there might be distinct, differentiated African and non-African ancestries in the HOA. After partitioning the SNP data into African and non-African origin chromosome segments, we found support for a distinct African (Ethiopic) ancestry and a distinct non-African (Ethio-Somali) ancestry in HOA populations. The African Ethiopic ancestry is tightly restricted to HOA populations and likely represents an autochthonous HOA population. The non-African ancestry in the HOA, which is primarily attributed to a novel Ethio-Somali inferred ancestry component, is significantly differentiated from all neighboring non-African ancestries in North Africa, the Levant, and Arabia. The Ethio-Somali ancestry is found in all admixed HOA ethnic groups, shows little inter-individual variance within these ethnic groups, is estimated to have diverged from all other non-African ancestries by at least 23 ka, and does not carry the unique Arabian lactase persistence allele that arose about 4 ka. Taking into account published mitochondrial, Y chromosome, paleoclimate, and archaeological data, we find that the time of the Ethio-Somali back-to-Africa migration is most likely pre-agricultural. PMID:24921250

Molecular and pedigree analysis applied to conservation of animal genetic resources: the case of Brazilian Somali hair sheep.

PubMed

Paiva, Samuel R; Facó, Olivardo; Faria, Danielle A; Lacerda, Thaísa; Barretto, Gabriel B; Carneiro, Paulo L S; Lobo, Raimundo N B; McManus, Concepta

2011-10-01

The first registers of Somali sheep in Brazil are from the beginning of the 1900s. This breed, adapted to the dry climate and scarce food supply, is restricted in the northeast region of the country. Molecular marker technologies, especially those based on genotyping microsatellite and mtDNA loci, can be used in conjunction with breeding (pedigree analysis) and consequently the maintenance of genetic variation in herds. Animals from the Brazilian Somali Conservation Nuclei from Embrapa Sheep and Goats in Ceará State were used to validate genetic monitoring by traditional pedigree methods and molecular markers. Nineteen microsatellite markers and 404 base pairs from the control region of mtDNA were used. For total herd diversity, an average 5.32 alleles were found, with expected heterozygosity of 0.5896, observed heterozygosity of 0.6451, 0.4126 for molecular coancestrality, and coefficient of inbreeding (F (IS)) was -0.095. Comparing molecular coancestrality means over the years, there was a consistent increase in this parameter within the herd, increasing from 0.4157 to 0.4769 in 2 years (approx. 12% variation). Sixteen mtDNA haplotypes were identified. Inbreeding and other estimates from genealogical analyses confirm the results from molecular markers. From these results, it is possible to state that microsatellites are useful tools in genetic management of herds, especially when routine herd recording is not carried out, or there were gaps in recent generations. As well as pedigree control, genetic diversity can be optimized. Based on the results, and despite herd recording in the herd of Brazilian Somali of Embrapa Sheep and Goats, additional management measures need to be carried out in this herd to reduce inbreeding and optimize genetic variation.

Childhood lead poisoning in a Somali refugee resettlement community in New Hampshire.

PubMed

Caron, Rosemary M; Tshabangu-Soko, Thandi; Finefrock, Krysten

2013-08-01

Despite the gradual decrease in childhood lead poisoning in the United States, the risk for lead poisoning among African refugee children who resettle in the United States remains elevated. Communication methods implemented by resettlement agencies in the public health system for preventing childhood lead poisoning in this at-risk population warrant further investigation. We utilized structured interviews with key stakeholders (resettlement agencies, social service agencies developed by African refugees and resettled Somali refugees) involved in the refugee resettlement process to (1) describe the agency's role in the refugee resettlement process; (2) examine communication methods utilized and barriers experienced by the public health system in reference to childhood lead poisoning; (3) describe the refugee population's perception of childhood lead poisoning; (4) examine general challenges experienced by the public health system and the refugee population during the resettlement process; and (5) describe stakeholders' recommendations to improve health communication efforts. Based on our findings, we propose that communities are important determinants in health-related problems for refugee populations. Each community has its own environment and public health system that interacts with each other to influence health risks and risk perceptions of its populations. We advocate that understanding a community's ecology and implementing a culture-centered approach is essential for the public health system to help educate and prevent communication inequalities and health disparities among an at-risk African refugee population. This action can reduce a population's resistance to communication and help build a community's capacity to address a persistent public health problem, such as childhood lead poisoning.

Circulation and Oceanographic Properties in the Somali Basin as Observed During the 1979 Southwest Monsoon

DTIC Science & Technology

1981-06-01

Temperature (°C) Section 6, 27-28 August 1979 35 (See figure 5.) Figure 12. XBT Temperature (°C) Section 7, 29-30 August 1979 36 (See figure 5.) Figure 13. XBT...dyn cm) of surface relative to 58 500 dbar, USNS WILKES, 18 August - 3 September 1979 Figure 35 . Dynamic Topography (dyn cm) of 500 dbar relative to...coast. The rise of the 140 C isotherm from 250 m at 180 nmi to 35 m at 10 nmi is an indication of the intense baroclinicity of the coastal current in

Somali Bantu refugees in southwest Idaho: assessment using participatory research.

PubMed

Springer, Pamela J; Black, Mikal; Martz, Kim; Deckys, Cathy; Soelberg, Terri

2010-01-01

The Somali Bantu represent a subset of African refugees, many of whom are preliterate with no native written language. This population presents significant challenges for nurses and other healthcare providers. A community-based participatory research project using qualitative techniques to combine community and cultural assessment was conducted over 18 months. A thorough description of methodology and results are provided. The results of the assessment are discussed as well as implications for healthcare providers. The findings indicate that this is a vulnerable population, with limited resources placing them at high risk for health disparities. Further research should focus on obtaining actual health data.

Reduce, Reuse, Recycle: An ESL Textbook/Workbook [In Four Volumes]: (1) Teaching Guide; (2) Edition A. Key Vocabulary Words Translated into 6 Languages: Hmong, Laotian, Korean, Cambodian, Vietnamese, Chinese; (3) Edition B. Key Vocabulary Words Translated into 6 Languages: Spanish, Somali, Russian, Farsi, Bosnian, Arabic; (4) Edition C. Key Vocabulary Words Translated in 6 Languages: Spanish, Russian, Bosnian, Somali, Vietnamese, Hmong.

ERIC Educational Resources Information Center

LaRue, Charles

Each of these three separately-published textbook/workbook editions on the topic of recycling presents key vocabulary words relating to this topic for English as a Second Language students in six languages. These books are designed to increase students' understanding of what the most typical local recycling rules are, why complying with them is…

Use of microsatellite markers to assign goats to their breeds.

PubMed

Aljumaah, R S; Alobre, M M; Al-Atiyat, R M

2015-08-07

We investigated the potential of 17 microsatellite markers for assigning Saudi goat individuals to their breeds. Three local breeds, Bishi, Jabali, and Tohami were genotyped using these markers, and Somali goats were used as a reference breed. The majority of alleles were shared between the breeds, except for some that were specific to each breed. The Garza-Williamson index was lowest in the Bishi breed, indicating that a recent bottleneck event occurred. The overall results assigned the goat individuals (based on their genotypes) to the same breeds from which they were sampled, except in a few cases. The individuals' genotypes were sufficient to provide a clear distinction between the Somali goat breed and the others. In three factorial dimensions, the results of a correspondence analysis indicated that the total variation for the first and second factors was 48.85 and 31.43%, respectively. Consequently, Jabali, Bishi, and Tohami goats were in separate groups. The Jabali goat was closely related to the Bishi goat. Somali goats were distinguished from each other and from individuals of the other three goat breeds. The markers were successful in assigning individual goats to their breeds, based on the likelihood of a given individual's genotype.

Indigenous knowledge of pastoralists on respiratory diseases of camels in northern Kenya.

PubMed

Wako, D D; Younan, M; Tessema, T S; Glücks, I V; Baumann, M P O

2016-08-01

The camel disease terminology of pastoralists in northern Kenya differentiates between two respiratory disease complexes of camels. Participatory epidemiology data were collected in 2011 in three camel keeping communities (Gabra, Garri, and Somali) and analysed to assess the validity of this differentiation. Further queries assessed recurrence of the disease in the same animal, most affected age group, relative frequency of occurrence, morbidity rates, mortality rates and response to antibiotic treatment. Based on matrix scoring the cardinal symptom nasal discharge was significantly correlated with Respiratory Disease Complex 1 (RDC1; Somali Hergeb, Gabra & Garri Furri) while cough was correlated with Respiratory Disease Complex 2 (RDC2; Somali Dhuguta, Gabra Qufa, Garri Dhugud). RDC1 appears to occur regularly every year and does not respond to antibiotic treatments while outbreaks of RDC2 are only observed at intervals of several years and treated cases do generally respond to antibiotics. While RDC1 is more severe in calves, RDC 2 is mostly associated with respiratory disease in adults. Elements of this differentiation appear to be in agreement with other authors who differentiate between camel influenza (PI3 virus) and bacterial camel pneumonia, respectively. Copyright © 2016 Elsevier B.V. All rights reserved.

The hidden crime: human trafficking.

PubMed

Clause, Kristen J; Lawler, Kate Byrnes

2013-01-01

As the primary contact in the health care system, nurses can play a role in combating this crime and assisting the victims. Assessment for abuse, neglect, trauma, recurrent sexually transmitted infections (STIs) and fear of a controlling partner is critical. Following up on "red flags" and understanding methods of safe questioning can make the difference between slavery and recovery for victims. Nurses must also know the professional referrals in their areas once a potential victim has been identified. This may be a very dangerous undertaking and must be handled by experienced personnel. Referrals to forensic nurses or physicians, domestic violence professionals or law enforcement may be indicated. Initially, a nurse may want to consult with the agency social worker for guidance. Human trafficking is a human rights crime. Unfortunately, it is more prevalent in all types of communities than most people suspect. Nurses can be heroes to the victims through understanding of this crime and vigilance in the assessment and care of all people they encounter in their practices. To learn more or to help with this cause, visit the Somaly Mam Foundation at www.somaly.org or the U.S. Department of State at www. state.gov.

Climate change and ocean deoxygenation within intensified surface-driven upwelling circulations.

PubMed

Bakun, Andrew

2017-09-13

Ocean deoxygenation often takes place in proximity to zones of intense upwelling. Associated concerns about amplified ocean deoxygenation arise from an arguable likelihood that coastal upwelling systems in the world's oceans may further intensify as anthropogenic climate change proceeds. Comparative examples discussed include the uniquely intense seasonal Somali Current upwelling, the massive upwelling that occurs quasi-continuously off Namibia and the recently appearing and now annually recurring 'dead zone' off the US State of Oregon. The evident 'transience' in causal dynamics off Oregon is somewhat mirrored in an interannual-scale intermittence in eruptions of anaerobically formed noxious gases off Namibia. A mechanistic scheme draws the three examples towards a common context in which, in addition to the obvious but politically problematic remedy of actually reducing 'greenhouse' gas emissions, the potentially manageable abundance of strongly swimming, finely gill raker-meshed small pelagic fish emerges as a plausible regulating factor.This article is part of the themed issue 'Ocean ventilation and deoxygenation in a warming world'. © 2017 The Author(s).

Clarifying the Rules for Targeted Killing: An Analytical Framework for Policies Involving Long-Range Armed Drones

DTIC Science & Technology

2016-09-08

the ability of the United States to influence how countries will use these systems ex post facto is always limited, as demonstrated by Saudi...Greg Miller, “CIA Didn’t Know Strike Would Hit al-Qaeda Leader,” Washington Post , June 17, 2015 (as of February 29, 2016: https...Targets Two Leaders of Somali Group Allied with al-Qaeda,” Washington Post , June 29, 2011 (as of February 29, 2016: https://www.washingtonpost.com

Health is a spiritual thing: perspectives of health care professionals and female Somali and Bangladeshi women on the health impacts of fasting during Ramadan.

PubMed

Pathy, Rubini; Mills, Kelsey E; Gazeley, Sharon; Ridgley, Andrea; Kiran, Tara

2011-02-01

To explore perspectives of health care professionals and female Somali and Bangladeshi Muslim women on practices related to fasting during Ramadan, the impact of fasting on health and the role of health professionals during Ramadan. A cross-sectional qualitative study was conducted. Two culturally specific focus groups were conducted with six Somali and seven Bangladeshi Muslim women who observed Ramadan and lived in an inner-city neighbourhood of Toronto, Canada. Individual semi-structured interviews were conducted with 22 health care professionals practicing in this inner-city area (three of whom were Muslim). Data were analysed using thematic qualitative analysis. Both Muslim women and health care professionals recognised the spiritual significance of the Ramadan fast. Muslim participants considered the fast to be beneficial to health overall, whereas health care professionals tended to reflect on health concerns from fasting. Many health care professionals were not fully aware of fasting practices during Ramadan and some found it challenging to counsel patients about the health effects of fasting. Muslim women expressed disagreement regarding which medical interventions were permitted during fasting. They generally agreed that health care professionals should not specifically advise against fasting, but instead provide guidance on health maintenance while fasting. Both groups agreed that guidelines developed by the health care and faith communities together would be useful. There are a variety of health beliefs and observances among female Muslim Somali and Bangladeshi women and a range of knowledge, experience and opinions among health care professionals related to fasting during Ramadan and health. Overall, there is a need for improved communication between members of the Muslim community and health professionals in Canada about health issues related to fasting during Ramadan. Strategies could include published practice guidelines endorsed by the Muslim community; patient education materials developed in collaboration with health and religious experts; or further qualitative research to help professionals understand the beliefs and observances of Muslim people.

Traditional livestock breeding practices of men and women Somali pastoralists: trait preferences and selection of breeding animals.

PubMed

Marshall, K; Mtimet, N; Wanyoike, F; Ndiwa, N; Ghebremariam, H; Mugunieri, L; Costagli, R

2016-12-01

Somalia, one of the world's poorest countries, has livestock as the mainstay of the economy, with an estimated 65% of the population engaged in the livestock sector. This paper presents a gendered study on the traditional livestock breeding practices of Somali pastoralists for camels, cattle, sheep and goats, with a focus on documenting livestock traits of importance, the criteria used to select male breeding animals and the criteria used to cull female breeding animals. Data for the study were obtained by performing participatory rural appraisals (PRAs) with separate male and female pastoral groups from 20 settlements of the Tog-Dheer region of Somaliland (in north-western Somalia). In total, more than 500 pastoralists were involved. In terms of livestock ownership, goats were the most common species kept (97% of all households), followed by sheep (64%), camels (37%) and cattle (9%), with considerable herd size variation across households. Traits of key importance to the pastoralists varied by species and gender of the PRA group, but included adaptedness to harsh environmental conditions, high market value/high meat production and high milk production. The pastoralists practised sensible criteria for the selection of male breeding animals for all species, capturing aspects of productivity (milk yield, reproduction), adaptedness (good hardiness) and marketability (body size and conformation). Similarly, they practised sensible criteria for culling of female breeding animals, with females removed from the herd primarily for poor performance, but also to meet the livelihood needs of the family. Differences in the selection and culling criteria were noted by species, as well as gender of the pastoralists. On the whole, there was strong alignment between the livestock selection criteria used by the Somali pastoralists, their reasons for keeping livestock and the market requirements. This is not surprising given the intimate and long-standing relationship between Somali pastoralists and their livestock. © 2016 The Authors. Journal of Animal Breeding and Genetics published by Blackwell Verlag GmbH.

Cardiovascular risk factors among Russian, Somali and Kurdish migrants in comparison with the general Finnish population.

PubMed

Skogberg, Natalia; Laatikainen, Tiina; Koskinen, Seppo; Vartiainen, Erkki; Jula, Antti; Leiviskä, Jaana; Härkänen, Tommi; Koponen, Päivikki

2016-08-01

There is limited information on cardiovascular risk among migrants. We compared cardiovascular risk factors among three major migrant groups in Finland with the general population. Cross-sectional data from 30- to 64-year-old health examination participants (n = 921) of the Migrant Health and Wellbeing Study (2010-12) were used. Data for comparison with the general Finnish population were obtained from the Health 2011 Study (n = 892). Russian men had a similar risk profile to that of the reference group. Kurdish men had lower prevalence of hypertension [prevalence ratio (PR) 0.55, 95% confidence interval (CI) 0.39-0.79] but higher prevalence of dyslipidaemia (PR: 1.12, 95% CI: 1.02-1.24) and hyperglycaemia (PR: 2.61, 95% CI: 1.88-3.64) compared with the reference group. Somali men had lower prevalence of smoking (PR: 0.18, 95% CI: 0.08-0.44), hypertension (PR: 0.55, 95% CI: 0.32-0.97)) and obesity (PR: 0.35, 95% CI: 0.17-0.71) but higher prevalence of hyperglycaemia (PR: 2.59, 95% CI: 1.73-3.86) compared with the reference group. Similar patterns were observed for women, except for higher prevalence of hyperglycaemia among Russian women (PR: 1.95, 95% CI: 1.26-3.01) and obesity among Kurdish and Somali women (PR: 1.41, 95% CI: 1.15-1.72 and PR: 1.68, 95% CI: 1.40-2.03, respectively) compared with the reference group. All migrant women had significantly lower prevalence of smoking than the reference group. There were significant variations in cardiovascular risk profiles of Kurdish and Somali migrants compared with the general population. Differences in cardiovascular risk factors by migrant group need to be taken into account in planning and implementing health promotion strategies. © The Author 2016. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Burden of HIV/AIDS infection before and during the civil war in Somalia.

PubMed

Ahmed, B H; Giovagnoli, M R; Mahad, H; Tarsitani, G G

2010-08-01

Somalia has suffered a massive internal population displacement and exodus that began in 1988 and is still ongoing during the prolonged and intermittent civil war. This review looks at the burden of HIV infection in Somali and the impact of civil war on its epidemiology. Serosurveys have indicated that HIV was not present in Somalia before the civil war and to date Somalia has had an HIV prevalence markedly below that of its neighbours. However, due to the ongoing war HIV sentinel surveillance cannot reach most of the affected areas in Somalia and the current HIV infection problem may be greater than the figures indicate.

Development and Pilot Testing of 24-Hour Multiple-Pass Recall to Assess Dietary Intake of Toddlers of Somali- and Iraqi-Born Mothers Living in Norway

PubMed Central

Grewal, Navnit Kaur; Mosdøl, Annhild; Aunan, Marte Bergsund; Monsen, Carina; Torheim, Liv Elin

2014-01-01

The aim of this study was to develop, test, and evaluate a 24-h recall procedure to assess the dietary intake of toddlers of Somali- and Iraqi-born mothers living in Norway. A protocol for a 24-h multiple-pass recall procedure, registration forms, and visual tools (a picture library for food identification and portion size estimation) was developed and tested in 12 mothers from Somalia and Iraq with children aged 10–21 months. Five female field workers were recruited and trained to conduct the interviews. Evaluation data for the 24-h recall procedure were collected from both the mothers and the field workers. Nutrient intake was calculated using a Norwegian dietary calculation system. Each child’s estimated energy intake was compared with its estimated energy requirement. Both the mothers and the field workers found the method feasible and the visual tools useful. The estimated energy intake corresponded well with the estimated energy requirement for most of the children (within mean ± 2 SD, except for three). The pilot study identified the need for additional foods in the picture library and some crucial aspects in training and supervising the field workers to reduce sources of error in the data collection. PMID:24949548

Detection of Rickettsia aeschlimannii and Rickettsia africae in ixodid ticks from Burkina Faso and Somali Region of Ethiopia by new real-time PCR assays.

PubMed

Tomassone, L; De Meneghi, D; Adakal, H; Rodighiero, P; Pressi, G; Grego, E

2016-10-01

In the framework of cooperation for development projects in Burkina Faso and Ethiopia, we collected ixodid ticks from cattle, small ruminants and camels. We optimized new TaqMan Probe real-time PCR assays to detect Rickettsia aeschlimannii and Rickettsia africae OmpA gene in the collected samples. Rickettsia africae was identified in 75.0% Amblyomma variegatum (95%CI: 56.6-88.5), while R. aeschlimannii in 24.0% Hyalomma truncatum (95%CI: 9.4-45.1) and 50.0% H. rufipes (95%CI: 29.9-70.0) collected from cattle in different provinces throughout Burkina Faso. Ticks from the Libaan zone, Somali Region of Ethiopia, were also infected by R. africae (28.5% prevalence in Amblyomma gemma, 95%CI: 14.7-46.0) and R. aeschlimannii (27.0% H. truncatum, 95%CI: 5.0-62.9; 88.3% H. rufipes, 95%CI: 60.5-99.3). All tested ticks were adults. The developed diagnostic tools were highly sensitive and enabled us to rapidly classify R. aeschlimannii and R. africae, which were identified in Burkina Faso and in the Somali Region of Ethiopia for the first time. Further studies are needed to assess the zoonotic risk and prevalence of infection in local human populations, who have high contact rates with ticks and their animal hosts. Copyright © 2016 Elsevier GmbH. All rights reserved.

Assessment of source of information for polio supplementary immunization activities in 2014 and 2015, Somali, Ethiopia.

PubMed

Bedada, Selamawit Yilma; Gallagher, Kathleen; Aregay, Aron Kassahun; Mohammed, Bashir; Maalin, Mohammed Adem; Hassen, Hassen Abdisemed; Ali, Yusuf Mohammed; Braka, Fiona; Kilebou, Pierre M'pele

2017-01-01

Communication is key for the successful implementation of polio vaccination campaigns. The purpose of this study is to review and analyse the sources of information utilized by caregivers during polio supplementary immunization activities (SIAs) in Somali, Ethiopia in 2014 and 2015. Data on sources of information about the polio campaign were collected post campaign from caregivers by trained data collectors as part of house to house independent monitoring. The sources of information analysed in this paper include town criers (via megaphones), health workers, religious leaders, kebele leaders (Kebele is the lowest administrative structure in Ethiopia), radio, television, text message and others. The repetition of these sources of information was analysed across years and zones for trends. Polio vaccination campaign coverage was also reviewed by year and zones within the Somali region in parallel with the major sources of information used in the respective year and zones. 57,745 responses were used for this analysis but the responses were received from < or = 57,745 individuals since some of them may provide more than one response. Moreover, because sampling of households is conducted independently during each round of independent monitoring, the same household may have been included more than once in our analysis. The methodology used for independent monitoring does not allow for the calculation of response rates. Monitors go from house to house until information from 20 households is received. From the total 57,745 responses reviewed, over 37% of respondents reported that town criers were their source for information about the 2014 and 2015 polio SIAs. Zonal trends in using town criers as a major source of information in both study years remained consistent except in two zones. 87.5% of zones that reported at least 90% coverage during both study years had utilized town criers as a major source of information while the rest (12.5%) used health workers. We found that town criers were consistently the major source of information about the polio campaigns for Somali region parents and caregivers during polio immunization days held in 2014 and 2015. Health workers and kebele leaders were also important sources of information about the polio campaign for parents.

Contraceptive use among migrant women with a history of induced abortion in Finland.

PubMed

Väisänen, Heini; Koponen, Päivikki; Gissler, Mika; Kontula, Osmo

2018-06-25

Women's contraceptive choices may change after an induced abortion, due to contraceptive counselling or a behavioural change prompted by the experience. The effect may vary between women; sociocultural background, for example, may affect their subsequent reproductive choices. We examined whether women's current contraceptive use was differently associated with a history of induced abortion among immigrant groups in Finland (Russian, Kurdish and Somali) and the general Finnish population. We analysed data from two surveys, the Migrant Health and Wellbeing study and the Health 2011 study, linked to the Finnish register of induced abortions. Propensity score weighted logistic regression was used to analyse the data. The likelihood of using contraceptives after an abortion varied depending on women's sociocultural background. A history of induced abortion increased contraceptive use among all groups, except Russian women, in whom there was no effect. The effect was particularly strong for Kurdish women. Sociocultural background was an important determinant of post-abortion contraceptive use. Some immigrants may struggle to navigate the Finnish health care system due to language or literacy issues. Attention should be paid to improving access to family planning among these groups.

The situation for female survivors of non-partner sexual violence: A focused enquiry of Somali young women's views, knowledge and opinions.

PubMed

Byrskog, Ulrika; Hussein, Ifrah Hashi; Yusuf, Farah Mohamed; Egal, Jama Ali; Erlandsson, Kerstin

2018-06-01

The aim of the study is to elucidate young women's perceptions of the situation for female survivors of non-partner sexual violence in Somaliland. Young Somali women with diverse backgrounds (n = 25) shared views, knowledge and opinions about non partner sexual violence in focus group discussions held in urban settings. Data was analysed using content analysis. A main category "Bound by culture and community perceptions" with four subcategories comprises the informants' perceptions of non-partner sexual violence among young women in Somaliland. Illuminated is the importance of protecting oneself and the family dignity, a fear of being rejected and mistrusted, how the juridical system exists in the shadow of tradition and potential keys to healthcare support. The study raises awareness of the dilemmas which may be faced by young women subjected to non-partner sexual violence and healthcare providers in the intersection between state and traditional norms. Education is a key when it comes to a young woman considering the use of the services available in a society where traditional problem-solving is relied on parallel to state-based support. State-based functions, communities and families need to work together to provide comprehensive support to young female survivors of non-partner sexual violence in Somaliland. Copyright © 2018 Elsevier B.V. All rights reserved.

Grantee Spotlight: Dr. Kolawole Okuyemi - Improving Cervical Cancer Screening Attitudes

Cancer.gov

Dr. Kolawole Okuyumi is studying cervical cancer screening attitudes and behaviors of African immigrants and refugees (Ethiopians, Nigerians, and Somalis) in Minnesota, and introducing “cancer” and “cervix” to their everyday vocabulary.

77 FR 25723 - Extension and Redesignation of Somalia for Temporary Protected Status

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-01

... the highest malnutrition rates in the world. According to the UN Food Security and Nutrition Analysis... about renewed food insecurity and severe malnutrition. It also endangers the ability of Somali people in...

Social Studies for Somali Nomads.

ERIC Educational Resources Information Center

Brook, Diane L.; Brook, George A.

1993-01-01

Describes the Somalia Nomad Education Program. States that social studies is the core of the program which has a primary goal of developing national unity. Discusses successful features of the program and its vulnerability to political and economic events. (CFR)

Breastfeeding among Somali mothers living in Norway: Attitudes, practices and challenges.

PubMed

Wandel, Margareta; Terragni, Laura; Nguyen, Camilla; Lyngstad, Julianne; Amundsen, Marlen; de Paoli, Marina

2016-12-01

Data from previous studies indicate a short duration of breastfeeding, especially exclusive breastfeeding, among infants of immigrant mothers living in Norway and other Western countries. Norway has a long tradition of supporting breastfeeding. To explore infant feeding practices among Somali-born mothers in Norway, and the ways in which they navigate among different information sources. Qualitative in-depth interviews and focus groups were carried out with mothers of children 6, 12 and 24 months of age. Women were recruited by a multi-recruitment strategy. Twenty-one mothers participated in interviews and twenty-two in five focus groups. The analysis was guided by Grounded Theory. The mothers had positive attitudes to breastfeeding, but were unfamiliar with the concept of exclusive breastfeeding. Early introduction of water and infant formula was a common practice that interfered with exclusive breastfeeding. The mothers experienced challenges of dealing with conflicting recommendations and expectations regarding infant feeding. They navigated among different sources of information, taking into consideration traditional values, experiences and habits from living in Norway, and research-based knowledge. Their prioritization of the different information sources varied with different life situations, children's age, and the extent to which the mothers trusted the information sources. Despite the strong focus on breastfeeding in Norway, Somali-born mothers encounter obstacles in their breastfeeding practices. These may be due to lack of information about exclusive breastfeeding and to the conflicting information they received. Breastfeeding practices may be enhanced by promoting culturally sensitive communication, and relations of trust at health-care centers. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

The association between discrimination and health: findings on Russian, Somali and Kurdish origin populations in Finland.

PubMed

Rask, Shadia; Elo, Irma T; Koskinen, Seppo; Lilja, Eero; Koponen, Päivikki; Castaneda, Anu E

2018-06-06

The Second European Union Minorities and Discrimination Survey recently demonstrated widespread discrimination across EU countries, with high discrimination rates observed in countries like Finland. Discrimination is known to negatively impact health, but fewer studies have examined how different types of perceived discrimination are related to health. This study examines (i) the prevalence of different types of perceived discrimination among Russian, Somali and Kurdish origin populations in Finland, and (ii) the association between different types of perceived discrimination (no experiences; subtle discrimination only; overt or subtle and overt discrimination) and health (self-rated health; limiting long-term illness (LLTI) or disability; mental health symptoms). Data are from the Finnish Migrant Health and Wellbeing Study (n = 1795). Subtle discrimination implies reporting being treated with less courtesy and/or treated with less respect than others, and overt discrimination being called names or insulted and/or threatened or harassed. The prevalence of discrimination and the associations between discrimination and health were calculated with predicted margins and logistic regression. Experiences of subtle discrimination were more common than overt discrimination in all the studied groups. Subtle discrimination was reported by 29% of Somali origin persons and 35% Russian and Kurdish origin persons. The prevalence of overt discrimination ranged between 22% and 24%. Experiences of discrimination increased the odds for poor self-reported health, LLTI and mental health symptoms, particularly among those reporting subtle discrimination only. To promote the health of diverse populations, actions against racism and discrimination are highly needed, including initiatives that promote shared belonging.

Assessment of source of information for polio supplementary immunization activities in 2014 and 2015, Somali, Ethiopia

PubMed Central

Bedada, Selamawit Yilma; Gallagher, Kathleen; Aregay, Aron Kassahun; Mohammed, Bashir; Maalin, Mohammed Adem; Hassen, Hassen Abdisemed; Ali, Yusuf Mohammed; Braka, Fiona; Kilebou, Pierre M’pele

2017-01-01

Introduction Communication is key for the successful implementation of polio vaccination campaigns. The purpose of this study is to review and analyse the sources of information utilized by caregivers during polio supplementary immunization activities (SIAs) in Somali, Ethiopia in 2014 and 2015. Methods Data on sources of information about the polio campaign were collected post campaign from caregivers by trained data collectors as part of house to house independent monitoring. The sources of information analysed in this paper include town criers (via megaphones), health workers, religious leaders, kebele leaders (Kebele is the lowest administrative structure in Ethiopia), radio, television, text message and others. The repetition of these sources of information was analysed across years and zones for trends. Polio vaccination campaign coverage was also reviewed by year and zones within the Somali region in parallel with the major sources of information used in the respective year and zones. 57,745 responses were used for this analysis but the responses were received from < or = 57,745 individuals since some of them may provide more than one response. Moreover, because sampling of households is conducted independently during each round of independent monitoring, the same household may have been included more than once in our analysis. The methodology used for independent monitoring does not allow for the calculation of response rates. Monitors go from house to house until information from 20 households is received. Results From the total 57,745 responses reviewed, over 37% of respondents reported that town criers were their source for information about the 2014 and 2015 polio SIAs. Zonal trends in using town criers as a major source of information in both study years remained consistent except in two zones. 87.5% of zones that reported at least 90% coverage during both study years had utilized town criers as a major source of information while the rest (12.5%) used health workers. Conclusion We found that town criers were consistently the major source of information about the polio campaigns for Somali region parents and caregivers during polio immunization days held in 2014 and 2015. Health workers and kebele leaders were also important sources of information about the polio campaign for parents. PMID:28983395

Somali Proverbs and Poems as Acculturation Indices

ERIC Educational Resources Information Center

Doob, Leonard W.; Hurreh,Ismael M.

1970-01-01

Hypothesizes that proverbs and poems among nonliterate peoples vary inversely with the user's degree of Westernization. Suggests that the oral tradition in Somalia, East Africa serves different functions for the different social groups such as nomads, semi-nomads, and students. (MB)

Working with Hassan.

ERIC Educational Resources Information Center

Crabb, Ruth

1996-01-01

The action research case study of the introduction of a Somali refugee child to a London (England) primary school illustrates the importance of finding ways to communicate with the child, who spoke no English, and preparing the other students to accept cultural and linguistic difference. (SLD)

Momentary Parental Stress and Food-Related Parenting Practices.

PubMed

Berge, Jerica M; Tate, Allan; Trofholz, Amanda; Fertig, Angela R; Miner, Michael; Crow, Scott; Neumark-Sztainer, Dianne

2017-12-01

Research suggests that stress and depressed mood are associated with food-related parenting practices (ie, parent feeding practices, types of food served at meals). However, current measures of parental stress, depressed mood, and food-related parenting practices are typically survey-based and assessed as static/unchanging characteristics, failing to account for fluctuations across time and context. Identifying momentary factors that influence parent food-related parenting practices will facilitate the development of effective interventions aimed at promoting healthy food-related parenting practices. In this study, we used ecological momentary assessment to examine the association between momentary factors (eg, stress, depressed mood) occurring early in the day and food-related parenting practices at the evening meal. Children aged 5 to 7 years and their families ( N = 150) from 6 racial and/or ethnic groups ( n = 25 each African American, Hispanic/Latino, Hmong, American Indian, Somali, and white families) were recruited for this mixed-methods study through primary care clinics. Higher stress and depressed mood earlier in the day predicted pressure-to-eat feeding practices and fewer homemade foods served at meals the same night. Effect modification was found for certain racial and/or ethnic groups with regard to engaging in pressure-to-eat feeding practices (ie, America Indian, Somali) or serving fewer homemade meals (ie, African American, Hispanic/Latino) in the face of high stress or depressed mood. Clinicians may want to consider discussing with parents the influence stress and depressed mood can have on everyday food-related parenting practices. Additionally, future researchers should consider using real-time interventions to reduce parental stress and depressed mood to promote healthy parent food-related parenting practices. Copyright © 2017 by the American Academy of Pediatrics.

Young rift kinematics in the Tadjoura rift, western Gulf of Aden, Republic of Djibouti

NASA Astrophysics Data System (ADS)

Daoud, Mohamed A.; Le Gall, Bernard; Maury, René C.; Rolet, JoëL.; Huchon, Philippe; Guillou, Hervé

2011-02-01

The Tadjoura rift forms the westernmost edge of the westerly propagating Sheba ridge, between Arabia and Somalia, as it enters into the Afar depression. From structural and remote sensing data sets, the Tadjoura rift is interpreted as an asymmetrical south facing half-graben, about 40 km wide, dominated by a large boundary fault zone to the north. It is partially filled up by the 1-3 Myr old Gulf Basalts which onlapped the older Somali Basalts along its shallower southern flexural margin. The major and trace element analysis of 78 young onshore lavas allows us to distinguish and map four distinct basaltic types, namely the Gulf, Somali, Goumarre, and Hayyabley Basalts. These results, together with radiometric age data, lead us to propose a revised volcano-stratigraphic sketch of the two exposed Tadjoura rift margins and to discriminate and date several distinct fault networks of this oblique rift. Morphological and statistical analyses of onshore extensional fault populations show marked changes in structural styles along-strike, in a direction parallel to the rift axis. These major fault disturbances are assigned to the arrest of axial fault tip propagation against preexisting discontinuities in the NS-oriented Arta transverse zone. According to our model, the sinistral jump of rifting into the Asal-Ghoubbet rift segment results from structural inheritance, in contrast with the en échelon or transform mechanism of propagation that prevailed along the entire length of the Gulf of Aden extensional system.

Hunter-Gatherer Color Naming Provides New Insight into the Evolution of Color Terms.

PubMed

Lindsey, Delwin T; Brown, Angela M; Brainard, David H; Apicella, Coren L

2015-09-21

Most people name the myriad colors in the environment using between two and about a dozen color terms, with great variation within and between languages. Investigators generally agree that color lexicons evolve from fewer terms to more terms, as technology advances and color communication becomes increasingly important. However, little is understood about the color naming systems at the least technologically advanced end of the continuum. The Hadza people of Tanzania are nomadic hunter-gatherers who live a subsistence lifestyle that was common before the advent of agriculture (see Supplemental Experimental Procedures, section I;), suggesting that the Hadzane language should be at an early stage of color lexicon evolution. When Hadza, Somali, and US informants named 23 color samples, Hadza informants named only the black, white, and red samples with perfect consensus. Otherwise, they used low-consensus terms or responded "don't know." However, even low-consensus color terms grouped test colors into lexical categories that aligned with those found in other world languages. Furthermore, information-theoretic analysis showed that color communication efficiency within the Hadza, Somali, and US language communities falls on the same continuum as other world languages. Thus, the structure of color categories is in place in Hadzane, even though words for many of the categories are not in general use. These results suggest that even very simple color lexicons include precursors of many color categories but that these categories are initially represented in a diverse and distributed fashion. Copyright © 2015 Elsevier Ltd. All rights reserved.

Disease threats in Somalia.

PubMed

Laughlin, L W; Legters, L J

1993-02-01

During this time of war and famine in Somalia, disease threats are encyclopedic both for Somalis and visitors. Malnutrition will amplify the magnitude and severity of endemic tropical infectious diseases. Necessary crowding around life-saving food distribution centers could turn focal infectious disease outbreaks into large epidemics.

Counter Piracy: A More Comprehensive Approach

DTIC Science & Technology

2012-04-25

almost non-existent. The lack of governance allowed local and foreign fishing vessels to take advantage and overfish Somali waters. The local Any...piracy. 18 populace was powerless to stop them from overfishing those grounds that once provided subsistence.67 This situation enabled the

Wildfires - Multiple Languages

MedlinePlus

... sharing features on this page, please enable JavaScript. Arabic (العربية) Bosnian (bosanski) Modern Standard Arabic (Arabic dialect) (العربية الفصحى, عربي فصيح) Somali (Af- ...

Tornadoes - Multiple Languages

MedlinePlus

... sharing features on this page, please enable JavaScript. Arabic (العربية) Bosnian (bosanski) Modern Standard Arabic (Arabic dialect) (العربية الفصحى, عربي فصيح) Somali (Af- ...

76 FR 47646 - Additional Designation of Person Whose Property and Interests in Property Are Blocked Pursuant to...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-05

... is featured in an Al-Shabaab video in which militia members are shown training and explicitly stating... organizing a suicide bombing attack carried out by a Somali-American from Minnesota who traveled to Somalia...

Interpreter services in an inner city teaching hospital: a 6-year experience.

PubMed

Khwaja, Nadeem; Sharma, Saroj; Wong, Julian; Murray, David; Ghosh, Jonathan; Murphy, Michael O; Halka, Anastassi T; Walker, Michael G

2006-11-01

Being able to communicate effectively with patients is essential not only from a medicolegal standpoint but more importantly from clinical governance perspectives. Issues such as informed consent and patient choice within the NHS are currently being highlighted; for these to be available to patients, their language requirements are paramount. An audit was performed by the Linkworkers office at the Central Manchester & Manchester Children's Hospital NHS (CMMC) Trust on the total number of attendances and refusals per language in the period 1998-2003. In the CMMC Trust, Urdu/Punjabi, Bengali, Cantonese, Somali, Arabic and French represent the majority of the workload, comprising almost 80% of cases in 2003. In the same year, an increase in demand for languages of Eastern European countries became evident. Finding interpreters for these languages even via agencies can be extremely difficult. If the current trend continues, requirement for these services will increase exponentially. For this demand to be met adequately these issues must be kept at the forefront of NHS planning.

Risk assessment and cost-effectiveness of animal health certification methods for livestock export in Somalia

PubMed Central

Knight-Jones, T.J.D.; Njeumi, F.; Elsawalhy, A.; Wabacha, J.; Rushton, J.

2014-01-01

Livestock export is vital to the Somali economy. To protect Somali livestock exports from costly import bans used to control the international spread of disease, better certification of livestock health status is required. We performed quantitative risk assessment and cost-effectiveness analysis on different health certification protocols for Somali livestock exports for six transboundary diseases. Examining stock at regional markets alone without port inspection and quarantine was inexpensive but was ineffective for all but contagious bovine pleuropneumonia, contagious caprine pleuropneumonia and peste des petits ruminants. While extended pre-export quarantine improves detection of infections that cause clinical disease, if biosecurity is suboptimal quarantine provides an opportunity for transmission and increased risk. Clinical examination, laboratory screening and vaccination of animals for key diseases before entry to the quarantine station reduced the risk of an exported animal being infected. If vaccination could be reliably performed weeks before arrival at quarantine its effect would be greatly enhanced. The optimal certification method depends on the disease. Laboratory diagnostic testing was particularly important for detecting infections with limited clinical signs in male animals (only males are exported); for Rift Valley fever (RVF) the probability of detection was 99% or 0% with and without testing. Based on our findings animal inspection and certification at regional markets combined with quarantine inspection and certification would reduce the risk of exporting infected animals and enhance disease control at the regional level. This is especially so for key priority diseases, that is RVF, foot-and-mouth disease and Brucellosis. Increased data collection and testing should be applied at point of production and export. PMID:24462194

Engaging the Somali community in the road safety agenda: a process evaluation from the London borough of Hounslow.

PubMed

Christie, Nicola; Sleney, Judith; Ahmed, Fatima; Knight, Elisabeth

2012-08-01

In the UK the most disadvantaged in society are more likely than those more affluent to be injured or killed in a road traffic collision and therefore it is a major cause of health inequality. There is a strong link between ethnicity, deprivation and injury. Whilst national road traffic injury data does not collect ethnic origin the London accident and analysis group does in terms of broad categories such as 'white', 'black' and 'Asian'. Analysis of this data revealed the over-representation of child pedestrian casualties from a 'black' ethnic origin. This information led road safety practitioners in one London borough to map child pedestrian casualties against census data which identified the Somali community as being particularly at risk of being involved in a road traffic collision. Working with the community they sought to discuss and address road safety issues and introduced practical evidence based approaches such as child pedestrian training. The process evaluation of the project used a qualitative approach and showed that engaging with community partners and working across organisational boundaries was a useful strategy to gain an understanding of the Somali community. A bottom approach provided the community with a sense of control and involvement which appears to add value in terms of reducing the sense of powerlessness that marginalised communities often feel. In terms of evaluation, small projects like these, lend themselves to a qualitative process evaluation though it has to be accepted that the strength of this evidence may be regarded as weak. Where possible routine injury data needs to take into account ethnicity which is a known risk factor for road casualty involvement which needs to be continually monitored.

Interpreting habits in a new place: Migrants' descriptions of geophagia during pregnancy.

PubMed

Hunter-Adams, Jo

2016-10-01

Previous studies of soil eating, or geophagia, among pregnant women in sub-Saharan Africa indicate the practice is widespread. Various explanations have been explored to explain the global phenomenon of soil eating, with the most compelling explanation focused on clay's ability to prevent or treat intestinal infection. The urban South African context for clay eating is not well understood. This paper explores clay consumption amongst pregnant migrants who are nationals of countries where clay consumption may be common. I conducted in-depth interviews with a purposively selected group of Somali, Congolese, and Zimbabwean women (n = 23). Interviews included questions broadly related to maternal and infant nutrition. In addition, I conducted nine focus group discussions (n = 48) with adult Somali, Congolese (DRC), and Zimbabwean men (N = 3) and women (N = 6), segregated by country of origin and gender. This paper focuses specifically on responses related to geophagia. While Somali women did not report consuming clay or charcoal, Congolese and Zimbabwean participants self-reported commonly consuming clay during pregnancy, and at times also when not pregnant. Despite having heard public health messaging that discouraged the practice, participants largely did not describe this consumption in terms of health, but rather in terms of craving and habit. Participants described continued consumption of clay in South Africa, and the only reason for ceasing consumption was in cases of severe constipation. The widespread consumption of clay soil by Congolese and Zimbabwean women during pregnancy may be a mechanism through which identity was reasserted and reproduced in a foreign country. Participants' emphasis on clay consumption seemed related to the absence or expense of other craved foods, and perhaps also to feelings of loss in Cape Town. Copyright © 2016 Elsevier Ltd. All rights reserved.

Stories for change: development of a diabetes digital storytelling intervention for refugees and immigrants to minnesota using qualitative methods.

PubMed

Njeru, Jane W; Patten, Christi A; Hanza, Marcelo M K; Brockman, Tabetha A; Ridgeway, Jennifer L; Weis, Jennifer A; Clark, Matthew M; Goodson, Miriam; Osman, Ahmed; Porraz-Capetillo, Graciela; Hared, Abdullah; Myers, Allison; Sia, Irene G; Wieland, Mark L

2015-12-29

Immigrants and refugees are affected by diabetes-related health disparities, with higher rates of incident diabetes and sub-optimal diabetes outcomes. Digital storytelling interventions for chronic diseases, such as diabetes may be especially powerful among immigrants because often limited English proficiency minimizes access to and affects the applicability of the existing health education opportunities. Community-based participatory research (CBPR), whereby community members and academia partner in an equitable relationship through all phases of the research, is an intuitive approach to develop these interventions. The main objective of this study was to develop a diabetes digital storytelling intervention with and for immigrant and refugee populations. We used a CBPR approach to develop a diabetes digital storytelling intervention with and for immigrant and refugee Somali and Latino communities. Building on an established CBPR partnership, we conducted focus groups among community members with type II diabetes for a dual purpose: 1) to inform the intervention as it related to four domains of diabetes self-management (medication management, glucose self-monitoring, physical activity, and nutrition); 2) to identify champion storytellers for the intervention development. Eight participants attended a facilitated workshop for the creation of the digital stories. Each of the eight storytellers, from the Somali and Latino communities with diabetes (four from each group), created a powerful and compelling story about their struggles and accomplishments related to the four domains of diabetes self-management. This report is on a systematic, participatory process for the successful development of a diabetes storytelling intervention for Somali and Latino adults. Processes and products from this work may inform the work of other CBPR partnerships.

Associations between Cytokine/Cytokine Receptor SNPs and Humoral Immunity to Measles, Mumps and Rubella in a Somali Population

PubMed Central

Dhiman, Neelam; Ovsyannikova, Inna G.; Vierkant, Robert A.; Pankratz, V. Shane; Jacobson, Robert M.; Poland, Gregory A.

2008-01-01

We genotyped a Somali population (n=85; age ≤ 30 years) for 617 cytokine and cytokine receptor SNPs using Illumina GoldenGate genotyping to determine associations with measles, mumps and rubella immunity. Overall, sixty-one significant associations (p≤0.01) were found between SNPs belonging to cytokine receptor genes regulating Th1 (IL12RB2, IL2RA and B) and Th2 (IL4R, IL10RB) immunity, and cytokine (IL1B, TNFA, IL6 and IFNB1) and cytokine receptor (IL1RA, IFNAR2, IL18R1, TNFRSF1A and B) genes regulating innate immunity, and variations in antibody levels to measles, mumps or rubella. SNPs within two major inflammatory cytokine genes, TNFA and IL6, demonstrated associations with measles-specific antibodies. Specifically, the minor allele variant of rs1799964 (TNFA -1211 C>T) was associated with primarily seronegative values (median EIA index values ≤0.87; p=0.002; q=0.23) in response to measles disease and/or vaccination. A heterozygous variant CT for rs2069849 (IL6 +4272C>T; Phe201Phe) was also associated with seronegative values and a lower median level of antibody response to measles disease and/or vaccination (p=0.004; q=0.36) or measles vaccination alone (p=0.008). Several SNPs within the coding and regulatory regions of cytokine and cytokine receptor genes demonstrated associations with mumps and rubella antibody levels, but were less informative as strong LD patterns and lower frequencies for minor alleles were observed among these SNPs. Our study identifies specific SNPs in innate immune response genes that may play a role in modulating antibody responses to measles vaccination and/or infection in Somali subjects. PMID:18715339

Risk assessment and cost-effectiveness of animal health certification methods for livestock export in Somalia.

PubMed

Knight-Jones, T J D; Njeumi, F; Elsawalhy, A; Wabacha, J; Rushton, J

2014-03-01

Livestock export is vital to the Somali economy. To protect Somali livestock exports from costly import bans used to control the international spread of disease, better certification of livestock health status is required. We performed quantitative risk assessment and cost-effectiveness analysis on different health certification protocols for Somali livestock exports for six transboundary diseases. Examining stock at regional markets alone without port inspection and quarantine was inexpensive but was ineffective for all but contagious bovine pleuropneumonia, contagious caprine pleuropneumonia and peste des petits ruminants. While extended pre-export quarantine improves detection of infections that cause clinical disease, if biosecurity is suboptimal quarantine provides an opportunity for transmission and increased risk. Clinical examination, laboratory screening and vaccination of animals for key diseases before entry to the quarantine station reduced the risk of an exported animal being infected. If vaccination could be reliably performed weeks before arrival at quarantine its effect would be greatly enhanced. The optimal certification method depends on the disease. Laboratory diagnostic testing was particularly important for detecting infections with limited clinical signs in male animals (only males are exported); for Rift Valley fever (RVF) the probability of detection was 99% or 0% with and without testing. Based on our findings animal inspection and certification at regional markets combined with quarantine inspection and certification would reduce the risk of exporting infected animals and enhance disease control at the regional level. This is especially so for key priority diseases, that is RVF, foot-and-mouth disease and Brucellosis. Increased data collection and testing should be applied at point of production and export. Copyright © 2014 Elsevier B.V. All rights reserved.

Obsessive-Compulsive Disorder - Multiple Languages

MedlinePlus

... sharing features on this page, please enable JavaScript. Russian (Русский) Somali (Af-Soomaali ) Spanish (español) HealthReach resources will open in a new window. Russian (Русский) Expand Section Obsessive Compulsive Disorder (OCD) (An ...

Winter Weather Emergencies - Multiple Languages

MedlinePlus

... sharing features on this page, please enable JavaScript. Arabic (العربية) Bosnian (bosanski) Modern Standard Arabic (Arabic dialect) (العربية الفصحى, عربي فصيح) Somali (Af- ...

Piracy the Somali Way

DTIC Science & Technology

2009-04-01

University Press, August 2008. “Anger as Piracy Gets Out of Control,” Australian, 21 November 2008. Bateman, Sam, Catherine Zara Raymond, and Joshua, Ho...Contemporary Piracy and Maritime Terrorism, 18. 23 Sam Batemen, Catherine Zara Raymond and Joshua Ho, “Safety and Security in the Malacca and Singapore

Somalia's Reconstruction: An Opportunity to Create a Responsive Information Infrastructure.

ERIC Educational Resources Information Center

Abdulla, Ali D.

1996-01-01

Argues that the development of an effective information infrastructure would contribute to Somalia's economic and social renewal. Outlines the attributes of such an infrastructure and makes specific recommendations to future Somali development planners and international donors supporting information development activities. (Author/PEN)

Bridging the Gap

ERIC Educational Resources Information Center

Stewart, Pearl

2011-01-01

Within the last year, two Minnesota school districts have reached agreements with the U.S. departments of Education and Justice to settle complaints of harassment brought by Somali-American parents and a civil rights group. The complaints alleged that district officials failed to take action when students made "inflammatory and…

Meningococcal Infections - Multiple Languages

MedlinePlus

... Pohnpeian (Mahsen en Pohnpei) Polish (polski) Portuguese (português) Punjabi (ਪੰਜਾਬੀ) Russian (Русский) Samoan (Gagana Samoa) Somali ( ... Portuguese) PDF Centers for Disease Control and Prevention Punjabi (ਪੰਜਾਬੀ) Expand Section Vaccine Information Statement (VIS) -- ...

Meningitis - Multiple Languages

MedlinePlus

... Pohnpeian (Mahsen en Pohnpei) Polish (polski) Portuguese (português) Punjabi (ਪੰਜਾਬੀ) Russian (Русский) Samoan (Gagana Samoa) Somali ( ... Portuguese) PDF Centers for Disease Control and Prevention Punjabi (ਪੰਜਾਬੀ) Expand Section Vaccine Information Statement (VIS) -- ...

HPV - Multiple Languages

MedlinePlus

... Afan Oromoo) Pohnpeian (Mahsen en Pohnpei) Portuguese (português) Punjabi (ਪੰਜਾਬੀ) Russian (Русский) Samoan (Gagana Samoa) Somali ( ... Portuguese) PDF Centers for Disease Control and Prevention Punjabi (ਪੰਜਾਬੀ) Expand Section Vaccine Information Statement (VIS) -- ...

Fertility, infertility and child survival of Somali women.

PubMed

Omar, M M; Högberg, U; Bergström, B

1994-09-01

The relationship of reproductive patterns, some socio-economic factors and child survival was studied in 766 rural Somali women. A structured questionnaire was the method of data collection. Teenage marriage was the norm for the women, and divorce was very common. The mean number of live births was 5.2, and the mean number of surviving children was 3.7. 2/3 of the women aged 45+ had a parity of 6 or more, about one third had had at least one miscarriage and one fifth had experienced one stillbirth. Primary infertility was observed in 7% of the women aged 45+, while 20% were considered subfertile. Verbal autopsy showed that mortality was highest among infants and accounted for 63% of the child deaths. Major causes of death were neonatal tetanus, diarrhoea and respiratory diseases. Child survival and reproductive outcome ratios were found to be negatively related to the increasing age of the mother and parity. Divorce and widowhood were also found to be associated with low child survival.

Between protest, revenge and material interests: a phenomenological analysis of looting in the Somali war.

PubMed

Bakonyi, Jutta

2010-04-01

This paper examines practices of looting in the Somali war. Rather than being inspired primarily by economic objectives, lootings are complex and ambiguous social activities, which are embedded in daily practices and the political rhetoric of the war. In Somalia, looting activities have been driven by a broad range of motives, including military-strategic considerations and/or desire to revenge past atrocities and (perceived) injustices, as well as economic interests. Furthermore, the organisational structure, the performance of actions and the main targets of looters have differed widely. Based on an empirical analysis of different waves and phases of looting in the context of war and state decay in Somalia, the paper identifies five types of looting. Beyond a state-centred conceptualisation of order, the study reveals that looting is not an expression of political chaos, but rather is patterned by and rooted in local moral universes, which have been fundamentally transformed during the course of the violent conflicts in the country since the end of the 1970s.

Experiencing 'pathologized presence and normalized absence'; understanding health related experiences and access to health care among Iraqi and Somali asylum seekers, refugees and persons without legal status.

PubMed

Fang, Mei Lan; Sixsmith, Judith; Lawthom, Rebecca; Mountian, Ilana; Shahrin, Afifa

2015-09-19

Asylum seekers, refugees and persons without legal status have been reported to experience a range of difficulties when accessing public services and supports in the UK. While research has identified health care barriers to equitable access such as language difficulties, it has not considered the broader social contexts of marginalization experienced through the dynamics of 'othering'. The current study explores health and health care experiences of Somali and Iraqi asylum seekers, refugees and persons without legal status, highlighting 'minoritization' processes and the 'pathologization' of difference as analytical lenses to understand the multiple layers of oppression that contribute to health inequities. For the study, qualitative methods were used to document the lived experiences of asylum seekers, refugees and persons without legal status. Thirty-five in-depth interviews and five focus groups were used to explore personal accounts, reveal shared understandings and enable social, cognitive and emotional understandings of on-going health problems and challenges when seeking treatment and care. A participatory framework was undertaken which inspired collaborative workings with local organizations that worked directly with asylum seekers, refugees and persons without legal status. The analysis revealed four key themes: 1) pre-departure histories and post-arrival challenges; 2) legal status; 3) health knowledges and procedural barriers as well as 4) language and cultural competence. Confidentiality, trust, wait times and short doctor-patient consultations were emphasized as being insufficient for culturally specific communications and often translating into inadequate treatment and care. Barriers to accessing health care was associated with social disadvantage and restrictions of the broader welfare system suggesting that a re-evaluation of the asylum seeking process is required to improve the situation. Macro- and micro-level intersections of accustomed societal beliefs, practices and norms, broad-level legislation and policy decisions, and health care and social services delivery methods have affected the health and health care experiences of forced migrants that reside in the UK. Research highlights how 'minoritization processes,' influencing the intersections between social identities, can hinder access to and delivery of health and social services to vulnerable groups. Similar findings were reported here; and the most influential mechanism directly impacting health and access to health and social services was legal status. Equitable health care provision requires systemic change that incorporate understandings of marginalization, 'othering' processes and the intersections between the past histories and everyday realities of asylum seekers, refugees and persons without legal status.

Knowledge of obstetric danger signs and associated factors among pregnant women in Erer district, Somali region, Ethiopia.

PubMed

Maseresha, Nebiyu; Woldemichael, Kifle; Dube, Lamessa

2016-06-06

Knowledge of danger signs of obstetric complications is first step in the appropriate and timely referral to essential obstetric care. Although women's knowledge about the obstetric danger signs is important for improving maternal and child health, little is known about the current knowledge and influencing factors in pastoral community of Ethiopia. This study, therefore, aims to fill this gap by assessing the current level of knowledge and associated factors of pregnant women living in Erer district of Somali region, Ethiopia. A community based, cross-sectional study was conducted from April 7 to 21, 2014. The study involved 666 pregnant women residing in the district. Two-stage sampling technique was used to select the study subjects. Data about women's socio-demographic information, reproductive history, knowledge of the danger signs, exposure to media and interventions were collected by interviewer administered questionnaires. A respondent who spontaneously mentioned at least two of the danger signs during each of the three periods was considered knowledgeable; otherwise not. Descriptive, bivariate, then multivariable logistic regression were done. Six hundred thirty two pregnant women were interviewed with a response rate of 94.9 %. Only 98 (15.5 %) respondents were knowledgeable about obstetric danger signs. Urban residence [AOR = 2.43; 95 % CI (1.40, 4.21)], women who had been pregnant five or more times [AOR = 6.65; 95 % CI (2.48, 17.89)] and antenatal care utilization [AOR = 5.44; 95 % CI (3.26, 9.09)] were associated with being knowledgeable about obstetric danger signs during pregnancy, childbirth and postpartum. A significant proportion of pregnant women in Erer district do not have knowledge of obstetric danger signs. The implication is that lack of recognition may lead to delay in seeking care. Area of residence, gravidity and antenatal care service utilization are independently associated with the knowledge of women on obstetric danger signs in Erer district, a pastoralist community. Thus, intervention programs aiming to improve women's knowledge about obstetric danger signs and symptoms should consider the factors independently associated.

Tooth Disorders - Multiple Languages

MedlinePlus

... 한국어) Russian (Русский) Somali (Af-Soomaali ) Spanish (español) Vietnamese (Tiếng Việt) HealthReach resources will open in a ... Wisdom Teeth - español (Spanish) PDF California Dental Association Vietnamese (Tiếng Việt) Expand Section Dental Amalgam - English PDF ...

Heat Illness - Multiple Languages

MedlinePlus

... sharing features on this page, please enable JavaScript. Arabic (العربية) Bosnian (bosanski) Haitian Creole (Kreyol ayisyen) Modern Standard Arabic (Arabic dialect) (العربية الفصحى, عربي فصيح) Somali (Af- ...

Piracy off the Horn of Africa

DTIC Science & Technology

2009-04-21

carried out with the intention of damaging or sinking the ship and injuring or killing its crew in retaliation for the deaths of three Somali pirates...of Conduct to repress acts of piracy and armed robbery against ships,” 45 Djibouti, Ethiopia, Kenya, Madagascar, Maldives , Seychelles, Somalia, the

Piracy off the Horn of Africa

DTIC Science & Technology

2009-04-24

damaging or sinking the ship and injuring or killing its crew in retaliation for the deaths of three Somali pirates during U.S. military efforts to...a Code of Conduct to repress acts of piracy and armed robbery against ships,” 45 Djibouti, Ethiopia, Kenya, Madagascar, Maldives , Seychelles

Rethinking Ethnic Conflict: Somalia and Fiji.

ERIC Educational Resources Information Center

McFerson, Hazel M.

1996-01-01

Compares and contrasts the recent years of ethnic conflict in Somali and Fiji. The widely divergent reactions of both populations dispels the belief that ethnic pluralism is both a necessary and sufficient condition for violent conflict in a society. Provides succinct portraits of both societies and their cultures. (MJP)

Somali Syntax,

DTIC Science & Technology

1979-01-01

they - go The Vietnamese people should be allowed the right of determining their own destiny . 174" a.- ] !- ’--- _ (373) Anaa warrameya. I/SP (baa... embryo of a form of prepositional government which is the same for verbs and nouns alike and which is developing on the basis of a spatial noun

Factors associated with nutritional status of infants and young children in Somali Region, Ethiopia: a cross- sectional study.

PubMed

Fekadu, Yirgu; Mesfin, Addisalem; Haile, Demewoz; Stoecker, Barbara J

2015-09-02

Inadequate nutrition during the first two years of life may lead to childhood morbidity and mortality, as well as inadequate brain development. Infants are at increased risk of malnutrition by six months, when breast milk alone is no longer sufficient to meet their nutritional requirements. However the factors associated with nutritional status of infants after 6 months of age have received little attention in pastoralist communities of Ethiopia. Therefore this study aimed to identify the factors associated with nutritional status of infants and young children (6-23 months) in Filtu town, Somali Region, Ethiopia. A cross-sectional community-based study was conducted. Simple random sampling was employed to select 214 infants for the study. Univariable and multivariable logistic regressions models were used in the statistical analysis. The strength of association was measured by odds ratios with 95% confidence intervals. Both the crude (COR) and adjusted odds ratios (AOR) are reported. The prevalence of wasting, stunting and underweight among infants and young children were 17.5% (95% CI: 12.91-23.22), 22.9% (95% CI: 17.6-28.9) and 19.5% (95% CI: 14.58-25.3) respectively. The multivariable logistic regression model showed that breastfeeding was independently associated with reduced odds of wasting (AOR = 0.38(95% CI: 0.14-0.99)). Diarrhea in the past 15 days (AOR = 2.13 (95% CI: 1.55-4.69)) was also associated with increased odds for wasting. The independent predictors of reduced odds for stunting were dietary diversity score ≥ 4 (AOR = 0.45(95% CI: 0.21-0.95)) and introduction of complementary feeding at 6 months (AOR = 0.25 (95% CI: 0.09-0.66)). Bottle feeding was associated with increased odds of stunting (AOR = 3.83 (95% CI: 1.69-8.67)). Breastfeeding was associated with reduced odds of underweight (AOR = 0.24 (95% CI: 0.1-0.59)), while diarrheal disease in the past 15 days was associated with increased odds of underweight (AOR = 3.54 (95% CI: 1.17-7.72)). Under nutrition is a public health problem among infants and young children in Filtu town, Somali region Ethiopia. Breastfeeding was associated with lower odds of wasting and underweight while diarrheal disease was associated with higher odds of wasting and underweight. Low dietary diversity scores, inappropriate age of complementary feeding initiation and bottle feeding were identified to be significant predictors of stunting. Those factors should be considered for any intervention aimed to reduce under nutrition among infants and young children in Filitu town, Somali region, Ethiopia.

Long-term adherence and effects on grip strength and upper leg performance of prescribed supplemental vitamin D in pregnant and recently pregnant women of Somali and Swedish birth with 25-hydroxyvitamin D deficiency: a before-and-after treatment study.

PubMed

Kalliokoski, Paul; Rodhe, Nils; Bergqvist, Yngve; Löfvander, Monica

2016-11-15

Muscular weakness and severe vitamin D deficiency is prevalent in Somali (veiled) pregnant women, Sweden. The study aims here were to explore adherence to prescribed supplemental vitamin D in new mothers with vitamin D deficiency and its effects on grip strength and upper leg performance in Somali (target group TG) and Swedish women (reference group RG) from spring through winter. A before- and after study was designed. A cross-sectional sample of women in antenatal care with serum 25-OHD ≤50 nmol/L were prescribed one or two tablets daily (800 or 1600 IU vitamin D3 with calcium) for 10 months. Reminders were made by Somali nurses (TG) or Swedish doctors (RG). Baseline and 10 month measurements of plasma nmol/L 25-OHD, maximal grip strength held for 10 s (Newton, N) and ability to squat (yes;no) were done. Total tablet intake (n) was calculated. Outcome variables were changes from baseline in grip strength and ability to squat. Predicting variables for change in grip strength and ability to squat were calculated using linear and binary regression in final models. Undetectable 25-OHD values (<10 nmol/L) were replaced with '9' in statistic calculations. Seventy-one women (46 TG, 1/3 with undetectable baseline 25-OHD; 25 RG) participated. At the 10-month follow up, 17% TG and 8% RG women reported having refrained from supplement. Mean 25-OHD increased 16 to 49 nmol/L (TG) and 39 nmol/L to 67 nmol/L (RG), (both p < 0.001). Grip strength had improved from 153 to 188 N (TG) (p < 0.001) and from 257 to 297 N (RG) (p = 0.003) and inability to squat had decreased in TG (35 to 9, p < 0.001). Intake of number of tablets predicted increased grip strength (B 0.067, 95%CI 0.008-0.127, p = 0.027). One tablet daily (>300 in total) predicted improved ability to squat (OR 16; 95% CI 1.8-144.6). Adherence to supplemental vitamin D and calcium should be encouraged as an even moderate intake was associated to improved grip strength and upper leg performance, which was particularly useful for the women with severe 25-OHD deficiency and poor physical performance at baseline. ClinicalTrials.gov Identifier: NCT02922803 . Date of registration: September 28, 2016.

76 FR 49434 - Agenda and Notice of Public Meeting of the Wisconsin Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-10

... COMMISSION ON CIVIL RIGHTS Agenda and Notice of Public Meeting of the Wisconsin Advisory Committee... Civil Rights (Commission), and the Federal Advisory Committee Act (FACA), that a community forum of the... conduct a community forum on civil rights issues confronting Somali immigrants in Western Wisconsin...

Pregnancy and Nutrition - Multiple Languages

MedlinePlus

... português) Russian (Русский) Somali (Af-Soomaali ) Spanish (español) Vietnamese (Tiếng Việt) HealthReach resources will open in a ... Dental Health - español (Spanish) PDF California Dental Association Vietnamese (Tiếng Việt) Expand Section A Healthy Pregnancy - Tiếng ...

Radiation Emergencies - Multiple Languages

MedlinePlus

... 한국어) Russian (Русский) Somali (Af-Soomaali ) Spanish (español) Vietnamese (Tiếng Việt) HealthReach resources will open in a ... Emergencies - español (Spanish) Bilingual PDF Health Information Translations Vietnamese (Tiếng Việt) Expand Section Decontamination - Tiếng Việt (Vietnamese) ...

Somalia: Country Status Report.

ERIC Educational Resources Information Center

McFerren, Margaret

A survey of the status of language usage in Somalia begins with an overview of the usage patterns of Somali, the official language, and three languages previously used officially: English, Italian, and Arabic. The cultural context that for many years has supported the usage of a single native language for communication and administration is also…

HIV/AIDS and Pregnancy - Multiple Languages

MedlinePlus

... Mandarin dialect) (简体中文) Chinese, Traditional (Cantonese dialect) (繁體中文) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... Chinese, Traditional (Cantonese dialect)) MP4 Healthy Roads Media Japanese (日本語) Expand Section HIV and breastfeeding - Pregnancy, part ...

Flu Shot - Multiple Languages

MedlinePlus

... Oromoo) Pashto (Pax̌tō / پښتو ) Polish (polski) Portuguese (português) Punjabi (ਪੰਜਾਬੀ) Russian (Русский) Somali (Af-Soomaali ) Spanish ( ... Portuguese) PDF Centers for Disease Control and Prevention Punjabi (ਪੰਜਾਬੀ) Expand Section Vaccine Information Statement (VIS) -- ...

Hepatitis B - Multiple Languages

MedlinePlus

... Nepali (नेपाली) Oromo (Afan Oromoo) Portuguese (português) Punjabi (ਪੰਜਾਬੀ) Russian (Русский) Somali (Af-Soomaali ) Spanish ( ... Portuguese) PDF Centers for Disease Control and Prevention Punjabi (ਪੰਜਾਬੀ) Expand Section Vaccine Information Statement (VIS) -- ...

Meeting Peace Operations’ Requirements While Maintaining MTW Readiness

DTIC Science & Technology

1998-01-01

in Somalia were issued cayenne pepper spray as an effective means of proportionate force against low-level threats... In one instance, a Somali...called for, but the Marines saw cayenne pepper spray as a substitute for deadly force, instead of as a complement.26 To better train his junior

Private Security Contractors: A Way of Combating Piracy in the Horn of Africa

DTIC Science & Technology

2014-05-22

September 2011. 79Financial Action Task Force, “Financial Action Task Force Annual Report, 2010-2011,” FATF /OECD, 2011, 10. 80Andrew J. Shapiro...Report, 2010-2011.” FATF /OECD. Paris, 2011. Fox News. “Private Security Firms Join Battle Against Somali Pirates,” October 26, 2008. http

Postpartum Care - Multiple Languages

MedlinePlus

... Standard Arabic (al-ʻArabīyat ul-fuṣḥá) Portuguese (português) Russian (Русский) Somali (Af-Soomaali ) Spanish (español) Vietnamese (Tiếng ... Birth - português (Portuguese) Bilingual PDF Health Information Translations Russian (Русский) Expand Section Your Recovery After Cesarean Birth ( ...

On Transnational Curriculum: Symbols, Languages, and Arrangements in an Educational Space

ERIC Educational Resources Information Center

Peng, Ping-Chuan

2009-01-01

A middle-school classroom of English as a Second Language (ESL) for Somali and Vietnamese refugees is examined here. With Lefebvre's (1991) theory of the production of space and an additional help of postcolonial criticism (Fanon 1967; Willinsky 1998), this article first reviews how interplays among national flags, teaching and learning…

Marine Tanks: The Hard Punch of America’s Middle-Weight Fighting Force

DTIC Science & Technology

2011-04-25

amplified by the hundreds of joyful and exuberant cheering Somali citizens. As the lifeless .figures of these American patriots were dishonored and...denounce this point as an irrational thought. If it is in fact an irrational thought, it would be a good investigative effort to identify why so many

Earth Sky- GT-7

NASA Image and Video Library

1965-12-12

S65-63766 (12 Dec. 1965) --- Ras Azir on the coast of the Republic of Somali, looking east, as seen from the National Aeronautics and Space Administration's Gemini-7 spacecraft during its 117th revolution of Earth. Taken with a modified 70mm Hasselblad camera, using Eastman Kodak, Ektachrome MS (S.O. 217) color film. Photo credit: NASA

Multi-Tier Mental Health Program for Refugee Youth

ERIC Educational Resources Information Center

Ellis, B. Heidi; Miller, Alisa B.; Abdi, Saida; Barrett, Colleen; Blood, Emily A.; Betancourt, Theresa S.

2013-01-01

Objective: We sought to establish that refugee youths who receive a multi-tiered approach to services, Project SHIFA, would show high levels of engagement in treatment appropriate to their level of mental health distress, improvements in mental health symptoms, and a decrease in resource hardships. Method: Study participants were 30 Somali and…

Classroom Challenges in Developing an Intercultural Early Learning Program for Refugee Children

ERIC Educational Resources Information Center

Dachyshyn, Darcey; Kirova, Anna

2011-01-01

The project described here was aimed at piloting an intercultural, multilingual, early learning program that was genuinely responsive to the circumstances and early learning needs of preschool refugee children and parents from three ethnocultural communities--Somali, Sudanese, and Kurdish--in a large city in Western Canada. We discuss the unique…

The Somali Oyster--Training the Trainers in TEFL.

ERIC Educational Resources Information Center

Edge, Julian

1985-01-01

Describes a situation which raises problems for in-service training in teaching English as a foreign language and discusses a suggested procedure for dealing with the problem. Argues that the procedure for training the trainers should be the same as that for training the teachers and for teaching the language students. (SED)

Naval War College Review. Volume 63, Number 2, Spring 2010

DTIC Science & Technology

2010-01-01

coast of Somalia is a result of the absence of gover - nance on land projected out to sea, the unremedied collapse of the Somali state will be an...vis its own internal security issues. With lucrative foreign investments, a tourism industry shaken by electoral violence two years ago, and almost

LD/ESL Assessments. NetNews. Volume 6, Number 2

ERIC Educational Resources Information Center

LDA of Minnesota, 2006

2006-01-01

The population of most Minnesota communities has dramatically changed over the past ten years. The Minnesota State Demographic Center reports the Twin Cities area has the largest Hmong, Somali, and Liberian communities in the United States. In some communities where both jobs and affordable housing are available, the percentage of English as a…

Many Voices at the Table: Collaboration between Families and Teachers of Somali Students with Autism

ERIC Educational Resources Information Center

Baker, Diana

2014-01-01

Family member-educator collaboration is envisioned as the "cornerstone" of the educational decision-making process for students with disabilities (e.g., Harry, 2008; Olivos, Friend & Cook, 2007, Gallagher & Aguilar, 2010). In the case of immigrant and refugee families, however, the ideal of coequal collaboration is often elusive…

Laboratory Tests - Multiple Languages

MedlinePlus

... français) Haitian Creole (Kreyol ayisyen) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Polish (polski) Russian (Русский) Somali ( ... Tests - हिन्दी (Hindi) PDF American Cancer Society Japanese (日本語) Expand Section 24-Hour Urine Test - 日本語 ( ...

Bladder Diseases - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Care of a Foley Catheter - ...

Body Weight - Multiple Languages

MedlinePlus

... Mandarin dialect) (简体中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Ways to Manage Your Weight - ...

(Con)Texts for Cultural and Linguistic Hybridity among Somali Diaspora Youth

ERIC Educational Resources Information Center

Bigelow, Martha

2011-01-01

The perspectives of immigrant youth are important to be aware of because they can reveal the powerful role society has in framing and forming the range of possibilities available to them. Culturally speaking, immigrant youth often face mismatches between home and school values, but they sometimes encounter intracultural struggles as well. This…

Cultural Basis of Social "Deficits" in Autism Spectrum Disorders

ERIC Educational Resources Information Center

Perepa, Prithvi

2014-01-01

There is very little research that specifically looks at how autism spectrum disorders are perceived in various communities. This qualitative research was conducted with parents who had children on the autistic spectrum belonging to four different ethnic communities (White British, Somali, West African and South Asian--63 in total) and living in…

Searching for the Causes of Autism

ERIC Educational Resources Information Center

Kaufmann, Walter E.; Silverman, Wayne

2010-01-01

A March 16, 2009 New York Times headline read, "An Outbreak of Autism, or a Statistical Fluke?" While this article focused narrowly on Somali families relocated to the Minneapolis area, the headline applies equally well to the broader national picture of autism spectrum disorders (ASDs), and it represents a compelling illustration of the lack of…

They Just Respect You for Who You Are: Contributors to Educator Positive Youth Development Promotion for Somali, Latino, and Hmong Students.

PubMed

Allen, Michele L; Rosas-Lee, Maira; Ortega, Luis; Hang, Mikow; Pergament, Shannon; Pratt, Rebekah

2016-02-01

Youth from immigrant communities may experience barriers to connecting with schools and teachers, potentially undermining academic achievement and healthy youth development. This qualitative study aimed to understand how educators serving Somali, Latino, and Hmong (SLH) youth can best promote educator-student connectedness and positive youth development, by exploring the perspectives of teachers, youth workers, and SLH youth, using a community based participatory research approach. We conducted four focus groups with teachers, 18 key informant interviews with adults working with SLH youth, and nine focus groups with SLH middle and high school students. Four themes emerged regarding facilitators to educators promoting positive youth development in schools: (1) an authoritative teaching approach where teachers hold high expectations for student behavior and achievement, (2) building trusting educator-student relationships, (3) conveying respect for students as individuals, and (4) a school infrastructure characterized by a supportive and inclusive environment. Findings suggest a set of skills and educator-student interactions that may promote positive youth development and increase student-educator connectedness for SLH youth in public schools.

Affiliative and aggressive behavior in a group of female Somali wild ass (Equus africanus somalicus).

PubMed

Asa, Cheryl S; Marshall, Fiona; Fischer, Martha

2012-01-01

We observed a group of three young female Somali wild asses to develop an ethogram of social behavior in the first phase of a longer term study of social, sexual, and maternal/infant behavior. The most unexpected finding was the frequency and extent of aggressive interactions, which included Charge, Drive, Neck Wrestle, Head Butt, and Body Slam, behaviors previously reported only for males of other equid species. The overall frequency of aggressive behavior was higher than that of affiliative behavior (84±16.5 vs. 32±5.5, P=0.03), yet no injuries occurred. The dyadic directionality of aggressive behavior suggested a dominance hierarchy, a feature not previously reported for either wild ass or domestic donkeys. The aggression observed may be an accurate representation of the behavior of this species, or their relatively young ages, or their recent transfer from their natal group through quarantine and into a new enclosure may have heightened agonistic tendencies. Further studies will determine whether with time their aggressive behavior becomes more intense or dissipates with maturity. © 2011 Wiley Periodicals, Inc.

Ethnicity and nationality among Ethiopians in Canada's census data: a consideration of overlapping and divergent identities.

PubMed

Thompson, Daniel K

2018-01-01

This article addresses the intersection of 'homeland' politics and diaspora identities by assessing whether geopolitical changes in Ethiopia affect ethno-national identifications among Ethiopian-origin populations living abroad. Officials in Ethiopia's largest ethnically-defined states recently began working to improve diaspora-homeland relations, historically characterised by ethnically-mobilized support for opposition and insurgency. The emergence of an 'Ethiopian-Somali' identity indicated in recent research, previously regarded as a contradiction in terms, is the most striking of a series of realignments between ethnicity and nationality. Such realignments reflect new orientations towards the homeland that impact diaspora engagement in politics and development. While diaspora returnees constitute a visible presence in some formerly marginalized areas of Ethiopia-including the historically disputed Somali region-large-sample data on ethnicity and nationality from Canadian censuses suggest that diaspora outreach efforts to historically marginalized groups have not (yet) effected large-scale changes in ethno-national identity, and that ongoing tensions in Ethiopia's federal politics may have different impacts on the identities of different ethnic populations.

Gender and enterprise in fragile refugee settings: female empowerment amidst male emasculation-a challenge to local integration?

PubMed

Ritchie, Holly A

2018-01-01

This paper examines gender and enterprise in fragile refugee settings. Building on previous research in Afghanistan, it analyses refugee women's evolving economic lives and enterprise initiatives and related social dynamics in refugee communities. Case studies look specifically at two Islamic refugee contexts: Nairobi, Kenya (Somali refugees), and Irbid and Zarqa, Jordan (Syrian refugees). The discussion spotlights the precarious nature of refugee women's new practices and work norms under forced and strained circumstances, without a process of negotiation with male family members. In the case of longer-term refugees (Somalis), it describes new collective agency among refugee women, boosting support for new practices. The paper reflects on emerging gender roles and relations in such hostile conditions, particularly as men remain excluded and struggle for their own identity and authority. In addition, it draws attention to the gap relating to refugee men and policymaking, and highlights ways to address better their needs for refugee resilience, inclusion, and local integration. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

Mental health research, ethics and multiculturalism.

PubMed

Bailes, Marion J; Minas, I Harry; Klimidis, Steven

2006-01-01

In this paper we examine ethical issues relevant to conducting mental health research with refugees and immigrant communities that have cultural orientations and social organisation that are substantially different to those of the broader Australian community, and we relate these issues to NH&MRC Guidelines. We describe the development and conduct of a mental health research project carried out recently in Melbourne with the Somali community, focusing on ethical principles involved, and relating these to the NH&MRC National Statement on Ethical Conduct in Research Involving Humans, and the NH&MRC document Values and Ethics: Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research. The experience of conducting mental health research with the Somali community highlights the fact that the principles of inclusion and benefit enunciated in the NH&MRC document Values and Ethics are particularly pertinent when conducting research with refugees and immigrant communities that are culturally distant to those of the broader Australian community. These principles inform issues of research design and consent, as well as guiding respectful engagement with the participating community and communication of the research findings.

Interpreter Services in An Inner City Teaching Hospital: A 6-Year Experience

PubMed Central

Khwaja, Nadeem; Sharma, Saroj; Wong, Julian; Murray, David; Ghosh, Jonathan; Murphy, Michael O; Halka, Anastassi T; Walker, Michael G

2006-01-01

INTRODUCTION Being able to communicate effectively with patients is essential not only from a medicolegal standpoint but more importantly from clinical governance perspectives. Issues such as informed consent and patient choice within the NHS are currently being highlighted; for these to be available to patients, their language requirements are paramount. PATIENTS AND METHODS An audit was performed by the Linkworkers office at the Central Manchester & Manchester Children's Hospital NHS (CMMC) Trust on the total number of attendances and refusals per language in the period 1998–2003. RESULTS In the CMMC Trust, Urdu/Punjabi, Bengali, Cantonese, Somali, Arabic and French represent the majority of the workload, comprising almost 80% of cases in 2003. In the same year, an increase in demand for languages of Eastern European countries became evident. Finding interpreters for these languages even via agencies can be extremely difficult. CONCLUSIONS If the current trend continues, requirement for these services will increase exponentially. For this demand to be met adequately these issues must be kept at the forefront of NHS planning. PMID:17132317

Is female circumcision evolving or dissolving in Norway? A qualitative study on attitudes toward the practice among young Somalis in the Oslo area

PubMed Central

Gele, Abdi A; Sagbakken, Mette; Kumar, Bernadette

2015-01-01

Female genital mutilation or female circumcision (FC) is increasingly visible on the global health and development agenda – both as a matter of social justice and equality for women and as a research priority. Norway is one of the global nations hosting a large number of immigrants from FC-practicing countries, the majority from Somalia. To help counteract this practice, Norway has adopted a multifaceted policy approach that employs one of the toughest measures against FC in the world. However, little is known about the impact of Norway’s approach on the attitudes toward the practice among traditional FC-practicing communities in Norway. Against this background, this qualitative study explores the attitudes toward FC among young Somalis between the ages of 16 to 22 living in the Oslo and Akershus regions of Norway. Findings indicate that young Somalis in the Oslo area have, to a large extent, changed their attitude toward the practice. This was shown by the participants’ support and sympathy toward criminalization of FC in Norway, which they believed was an important step toward saving young girls from the harmful consequences of FC. Most of the uncircumcised girls see their uncircumcised status as being normal, whereas they see circumcised girls as survivors of violence and injustice. Moreover, the fact that male participants prefer a marriage to uncircumcised girls is a strong condition for change, since if uncut girls are seen as marriageable then parents are unlikely to want to circumcise them. As newly arrived immigrants continue to have positive attitudes toward the practice, knowledge of FC should be integrated into introduction program classes that immigrants attend shortly after their residence permit is granted. This study adds to the knowledge of the process of the abandonment of FC among immigrants in Western countries. PMID:26648760

Acceptance of Mobile Health in Communities Underrepresented in Biomedical Research: Barriers and Ethical Considerations for Scientists.

PubMed

Nebeker, Camille; Murray, Kate; Holub, Christina; Haughton, Jessica; Arredondo, Elva M

2017-06-28

The rapid expansion of direct-to-consumer wearable fitness products (eg, Flex 2, Fitbit) and research-grade sensors (eg, SenseCam, Microsoft Research; activPAL, PAL Technologies) coincides with new opportunities for biomedical and behavioral researchers. Underserved communities report among the highest rates of chronic disease and could benefit from mobile technologies designed to facilitate awareness of health behaviors. However, new and nuanced ethical issues are introduced with new technologies, which are challenging both institutional review boards (IRBs) and researchers alike. Given the potential benefits of such technologies, ethical and regulatory concerns must be carefully considered. Our aim was to understand potential barriers to using wearable sensors among members of Latino, Somali and Native Hawaiian Pacific Islander (NHPI) communities. These ethnic groups report high rates of disparate health conditions and could benefit from wearable technologies that translate the connection between physical activity and desired health outcomes. Moreover, these groups are traditionally under-represented in biomedical research. We independently conducted formative research with individuals from southern California, who identified as Latino, Somali, or Native Hawaiian Pacific Islander (NHPI). Data collection methods included survey (NHPI), interview (Latino), and focus group (Somali) with analysis focusing on cross-cutting themes. The results pointed to gaps in informed consent, challenges to data management (ie, participant privacy, data confidentiality, and data sharing conventions), social implications (ie, unwanted attention), and legal risks (ie, potential deportation). Results shed light on concerns that may escalate the digital divide. Recommendations include suggestions for researchers and IRBs to collaborate with a goal of developing meaningful and ethical practices that are responsive to diverse research participants who can benefit from technology-enabled research methods. ClinicalTrials.gov NCT02505165; https://clinicaltrials.gov/ct2/show/NCT02505165 (Archived by WebCite at http://www.Webcitation.org/6r9ZSUgoT). ©Camille Nebeker, Kate Murray, Christina Holub, Jessica Haughton, Elva M Arredondo. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 28.06.2017.

Acceptance of Mobile Health in Communities Underrepresented in Biomedical Research: Barriers and Ethical Considerations for Scientists

PubMed Central

2017-01-01

Background The rapid expansion of direct-to-consumer wearable fitness products (eg, Flex 2, Fitbit) and research-grade sensors (eg, SenseCam, Microsoft Research; activPAL, PAL Technologies) coincides with new opportunities for biomedical and behavioral researchers. Underserved communities report among the highest rates of chronic disease and could benefit from mobile technologies designed to facilitate awareness of health behaviors. However, new and nuanced ethical issues are introduced with new technologies, which are challenging both institutional review boards (IRBs) and researchers alike. Given the potential benefits of such technologies, ethical and regulatory concerns must be carefully considered. Objective Our aim was to understand potential barriers to using wearable sensors among members of Latino, Somali and Native Hawaiian Pacific Islander (NHPI) communities. These ethnic groups report high rates of disparate health conditions and could benefit from wearable technologies that translate the connection between physical activity and desired health outcomes. Moreover, these groups are traditionally under-represented in biomedical research. Methods We independently conducted formative research with individuals from southern California, who identified as Latino, Somali, or Native Hawaiian Pacific Islander (NHPI). Data collection methods included survey (NHPI), interview (Latino), and focus group (Somali) with analysis focusing on cross-cutting themes. Results The results pointed to gaps in informed consent, challenges to data management (ie, participant privacy, data confidentiality, and data sharing conventions), social implications (ie, unwanted attention), and legal risks (ie, potential deportation). Conclusions Results shed light on concerns that may escalate the digital divide. Recommendations include suggestions for researchers and IRBs to collaborate with a goal of developing meaningful and ethical practices that are responsive to diverse research participants who can benefit from technology-enabled research methods. Trial Registration ClinicalTrials.gov NCT02505165; https://clinicaltrials.gov/ct2/show/NCT02505165 (Archived by WebCite at http://www.Webcitation.org/6r9ZSUgoT) PMID:28659258

Factors associated with cervical cancer screening participation among immigrants of Russian, Somali and Kurdish origin: a population-based study in Finland.

PubMed

Idehen, Esther E; Korhonen, Tellervo; Castaneda, Anu; Juntunen, Teppo; Kangasniemi, Mari; Pietilä, Anna-Maija; Koponen, Päivikki

2017-03-11

Previous studies revealed low participation in cervical cancer screening among immigrants compared with non-immigrants. Only a few studies about factors associated with immigrants' lower participation rates have been conducted in European countries that have universal access for all eligible women. Our study aimed to explore factors associated with cervical screening participation among women of Russian, Somali, and Kurdish origin in Finland. We used data from the Migrant Health and Well-being Survey, 2010-2012. Structured face-to-face interviews of groups of immigrants aged 25-60 yielded 620 responses concerning screening participation in the previous five years. Statistical analysis employed logistic regression. The age-adjusted participation rates were as follows: among women of Russian origin 73.9% (95% CI 68.1-79.7), for Somalis 34.7% (95% CI 26.4-43.0), and for Kurds 61.3% (95% CI 55.0-67.7). Multiple logistic regressions showed that the most significant factor increasing the likelihood of screening participation among all groups was having had at least one gynecological check-up in the previous five years (Odds ratio [OR] = 6.54-26.2; p < 0.001). Other factors were higher education (OR = 2.63; p = 0.014), being employed (OR = 4.31; p = 0.007), and having given birth (OR = 9.34; p = 0.014), among Kurds; and literacy in Finnish/Swedish (OR = 3.63; p = 0.003) among Russians. Our results demonstrate that women who refrain from using reproductive health services, those who are unemployed and less educated, as well as those with poor language proficiency, might need more information on the importance of screening participation. Primary and occupational healthcare services may have a significant role in informing immigrant women about this importance.

Baseline data from a planned RCT on attitudes to female genital cutting after migration: when are interventions justified?

PubMed Central

Johnsdotter, Sara; Selling, Katarina Ekholm; Källestål, Carina; Essén, Birgitta

2017-01-01

Objectives To present the primary outcomes from a baseline study on attitudes towards female genital cutting (FGC) after migration. Design Baseline data from a planned cluster randomised, controlled trial. Face-to-face interviews were used to collect questionnaire data in 2015. Based on our hypothesis that established Somalis could be used as facilitators of change among those newly arrived, data were stratified into years of residency in Sweden. Setting Sweden. Participants 372 Somali men and women, 206 newly arrived (0–4 years), 166 established (>4 years). Primary outcome measures Whether FGC is acceptable, preferred for daughter and should continue, specified on anatomical extent. Results The support for anatomical change of girls and women’s genitals ranged from 0% to 2% among established and from 4% to 8% among newly arrived. Among those supporting no anatomical change, 75%–83% among established and 53%–67% among newly arrived opposed all forms of FGC, with the remaining supporting pricking of the skin with no removal of tissue. Among newly arrived, 37% stated that pricking was acceptable, 39% said they wanted their daughter to be pricked and 26% reported they wanted pricking to continue being practised. Those who had lived in Sweden ≤ 2 years had highest odds of supporting FGC; thereafter, the opposition towards FGC increased over time after migration. Conclusion A majority of Somali immigrants, including those newly arrived, opposed all forms of FGC with increased opposition over time after migration. The majority of proponents of FGC supported pricking. We argue that it would have been unethical to proceed with the intervention as it, with this baseline, would have been difficult to detect a change in attitudes given that a majority opposed all forms of FGC together with the evidence that a strong attitude change is already happening. Therefore, we decided not to implement the planned intervention. Trial registration number Trial registration number NCT02335697;Pre-results. PMID:28801440

A Qualitative study of language barriers between South African health care providers and cross-border migrants.

PubMed

Hunter-Adams, Jo; Rother, Hanna-Andrea

2017-01-31

Communication with health care providers represents an essential part of access to health care for the over 230 million cross-border migrants around the world. In this article, we explore the complexity of health communication from the perspective of cross-border migrants seeking antenatal care in Cape Town, South Africa in order to highlight the importance of high quality medical interpretation. As part of a broader study of migrant maternal and infant nutrition, we conducted a secondary data analysis of semi-structured in-depth interviews (N = 23) with Congolese (n = 7), Somali (n = 8) and Zimbabwean (n = 8) women living in Cape Town, as well as nine focus group discussions (including men: n = 3 and women: n = 6) were conducted with migrant Somalis, Congolese, and Zimbabweans (N = 48). We first used content analysis to gather all data related to language and communication. We then analysed this data thematically. Zimbabwean participants described how the inability to speak the local South African language (IsiXhosa) gave rise to labelling and stereotyping by healthcare staff. Congolese and Somali participants described medical procedures, including tubal ligation, which were performed without consent. Partners often tried to play the role of interpreter, which resulted in loss of income and non-professional medical interpretation. Participants' highlighted fears over unwanted procedures or being unable to access care. Challenges of communication without a common language (and without professional medical interpretation), rather than outright denial of care by healthcare professionals, mediated these encounters. Although there are several factors impeding cross-border migrants' access to health care, effective communication is a prerequisite for quality care. Free-to-patient professional medical interpretation would not only benefit migrant populations but would benefit the broader community where language and health literacy are barriers to accessing health care. Novel approaches to language access may include technology-enabled professional interpretation.

Near Real Time Ship Detection Experiments

NASA Astrophysics Data System (ADS)

Brusch, S.; Lehner, S.; Schwarz, E.; Fritz, T.

2010-04-01

A new Near Real Time (NRT) ship detection processor SAINT (SAR AIS Integrated Toolbox) was developed in the framework of the ESA project MARISS. Data are received at DLRs ground segment DLR-BN (Neustrelitz, Germany). Results of the ship detection are available on ftp server within 30 min after the acquisition started. The detectability of ships on Synthetic Aperture Radar (SAR) ERS-2, ENVISAT ASAR and TerraSAR-X (TS-X) images is validated by coastal (live) AIS and space AIS. The monitoring areas chosen for surveillance are the North-, Baltic Sea, and Cape Town. The detectability in respect to environmental parameters like wind field, sea state, currents and changing coastlines due to tidal effects is investigated. In the South Atlantic a tracking experiment of the German research vessel Polarstern has been performed. Issues of piracy in particular in respect to ships hijacked at the Somali coast are discussed. Some examples using high resolution images from TerraSAR-X are given.

Identification of hyper-extended crust east of Davie Ridge in the Mozambique Channel

NASA Astrophysics Data System (ADS)

Klimke, Jennifer; Franke, Dieter

2015-04-01

Davie Ridge is a ~1200 km wide, N-S trending bathymetrical high in the Mozambique Channel. Today, it is widely accepted that Davie Ridge is located along a fossil transform fault that was active during the Middle Jurassic and Early Cretaceous (~165-120 Ma). This transform fault results from the breakup of Gondwana, when Madagascar (together with India and Antarctica) drifted from its northerly position in the Gondwana Supercontinent (adjacent to the coasts of Tanzania, Somalia and Kenya) to its present position (e.g. Coffin and Rabinowitz, 1987; Rabinowitz et al., 1983; Segoufin and Patriat, 1980). The southward motion of Madagascar relative to Africa is constrained by the interpretation of magnetic anomalies in the Western Somali Basin, located north of Madagascar (e.g. Rabinowitz et al., 1983). According to Bird (2001), sheared margins share typical characteristics and a common evolution: 1. The transition from continental to oceanic crust is relatively abrupt (~ 50-80 km). 2. Along the continental side of the margin, complex rift basins form that display a wide range of faults. 3. Prominent marginal ridges form along the sheared margin that probably originate from the propagation of the oceanic spreading center along the plate boundary (Bird, 2001). In February and March 2014, a dense geophysical dataset (multichannel seismic, magnetics, gravimetry and bathymetry) with a total of 4300 profile km along the sheared margin was acquired with the R/V Sonne by the Federal Institute for Geosciences and Natural Resources (BGR). A special objective of the project, amongst others, is the characterization and interpretation of the continent-ocean transition seaward of Davie Ridge in the Mozambique Channel. Seismic profiles located east of Davie Ridge in the Western Somali Basin reveal a wide sequence of half-grabens bounded by listric normal faults. We tentatively suggest that this crust is of continental origin and results from rifting between Africa and Madagascar during the breakup of Gondwana. This implies that the continent-ocean transition is located at least ~ 150 km east of Davie Ridge. References Bird, D., 2001. Shear margins: Continent-ocean transform and fracture zone boundaries. The Leading Edge, 150-159. Coffin, M. F., und Rabinowitz, P. D., 1987. Reconstruction of Madagascar and Africa: Evidence from the Davie Fracture Zone and Western Somali Basin. Journal of Geophysical Research: Solid Earth, vol. 92, no. B9, 9385-9406. Rabinowitz, P.D., Coffin, M.F. and Falvey, D.A., 1983. The separation of Madagascar and Africa. Science 220, 67-69. Segoufin, J., und Patriat, P., 1980. Existence d'anomalies mesozoiques dans le bassin de Somalie. Implications pour les relations Afrique-Antarctique-Madagascar: C.R. Acad. Sci. Paris, v. 291, p. 85-88.

Mapping cattle trade routes in southern Somalia: a method for mobile livestock keeping systems.

PubMed

Tempia, S; Braidotti, F; Aden, H H; Abdulle, M H; Costagli, R; Otieno, F T

2010-12-01

The Somali economy is the only one in the world in which more than half the population is dependent on nomadic pastoralism. Trade typically involves drovers trekking animals over long distances to markets. A pilot approach for mapping trade routes was undertaken, using the Afmadow to Garissa routes in southern Somalia. The methodology included conducting a workshop with traders to gather preliminary information about the most-used routes and general husbandry practices and training selected drovers to collect data about key features along the routes, using hand-held global positioning system (GPS) devices, radio collar GPS and pictorial data forms. Collected data were then integrated into geographic information systems for analysis. The resultant spatial maps describe the Afmadow to Garissa routes, the speed of livestock movement along these routes and relevant environmental and social features affecting this speed. These data are useful for identifying critical control points for health screening along the routes, which may enable the establishment of a livestock certification system in nomadic pastoral environments.

ELL Parent Perceptions on Instructional Strategies for Their Children with Disabilities. ELLs with Disabilities Report 12

ERIC Educational Resources Information Center

Barrera, Manuel; Vang, Halee; Liu, Kristin; Thurlow, Martha

2005-01-01

English language learners (ELLs) with disabilities, especially Hmong, Latinos, and Somalis, exhibit the lowest academic performance and participation rates on statewide tests of academic achievement required by No Child Left Behind (NCLB). These challenges are even more acute for learners with disabilities among these groups and likely reflect the…

Being Untaught: How NGO Field Workers Empower Parents of Children with Disabilities in Dadaab

ERIC Educational Resources Information Center

Krupar, Allyson

2016-01-01

Roughly 350,000 refugees, over 90% of them Somali, lived in five sprawling camps in Dadaab, Kenya in 2015. In the Dadaab refugee camps, families had unique experiences of disability, education, women's roles, and involvement with International Non-Governmental Organization (INGO) programming. INGOs provided a variety of basic services including…

Dialysis - Multiple Languages

MedlinePlus

... sharing features on this page, please enable JavaScript. Arabic (العربية) Russian (Русский) Somali (Af-Soomaali ) Spanish (español) HealthReach resources will open in a new window. Arabic (العربية) Expand Section Dialysis - العربية (Arabic) Bilingual PDF ...

The Family Backpack Project: Responding to Dual-Language Texts through Family Journals

ERIC Educational Resources Information Center

Rowe, Deborah; Fain, Jeanne Gilliam

2013-01-01

The Family Backpack Project provided 249 low-income, prekindergarten children and their families with opportunities to read and listen to audio recordings of 3 sets of books in their homes. Families received English or dual-language texts (English plus Spanish, Arabic, Kurdish, or Somali) matched to their home languages. Children and their…

Evaluation of Mathematics Curriculum in Primary Teacher Training Institute in Somalia. African Studies in Curriculum Development & Evaluation.

ERIC Educational Resources Information Center

Jama, Mohamed A. F.

This study sought to evaluate the mathematics curriculum of the Halane Teacher Training Institute in Somalia with a view toward: (1) determining its weaknesses and recommending measures for improvement; (2) examining its relevance to the present needs of the Somali society; (3) determining the suitability of instructional materials and other…

Nuclear Scans - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Bone Scan - 日本語 (Japanese) Bilingual ...

X-Rays - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Barium Enema - 日本語 (Japanese) Bilingual ...

Kidney Diseases - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section 24-Hour Urine Test - 日本語 ( ...

Surgery - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Biopsy - 日本語 (Japanese) Bilingual PDF ...

Infant and Newborn Development - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Teething - 日本語 (Japanese) Bilingual PDF ...

Patient Safety - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Appointment Reminder - 日本語 (Japanese) Bilingual ...

Urinary Tract Infections - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section UTI (Urinary Tract Infection) - 日本語 ( ...

Drug Reactions - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Cancer Treatment Side Effects - 日本語 ( ...

Neurologic Diseases - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section EEG (Electroencephalogram) - 日本語 (Japanese) Bilingual ...

Heart Diseases - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Angiogram - 日本語 (Japanese) Bilingual PDF ...

Heart Surgery - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Coronary Artery Bypass Surgery - 日本語 ( ...

Birth Weight - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Prenatal Care - 日本語 (Japanese) Bilingual ...

Colorectal Cancer - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Cancer of the Colon and ...

Sleep Apnea - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section CPAP (Continuous Positive Airway Pressure) - ...

Urinalysis - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section 24-Hour Urine Test - 日本語 ( ...

Asthma - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Asthma - 日本語 (Japanese) Bilingual PDF ...

Ultrasound - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Echocardiogram - 日本語 (Japanese) Bilingual PDF ...

Gallbladder Diseases - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section ERCP (Endoscopic Retrograde Cholangiopancreatography) - 日本語 ( ...

After Surgery - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Home Care After Total Joint ...

Lung Diseases - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Bronchoscopy - 日本語 (Japanese) Bilingual PDF ...

Prenatal Testing - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section AFP (Alpha-Fetoprotein) Test - 日本語 ( ...

Coronary Artery Disease - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Coronary Artery Disease (CAD) - 日本語 ( ...

Sleep Disorders - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Portuguese (português) Russian (Русский) Somali ( ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Common Sleep Problems - 日本語 (Japanese) ...

Somali Students' Perceptions of a New Zealand Primary School

ERIC Educational Resources Information Center

Smyth, Heather

2013-01-01

Cultural diversity is growing in New Zealand and deserves to be celebrated for the richness and opportunities for understanding it brings to our lives. Culturally-responsive approaches to education accept diversity and enable students to draw on their unique cultural capital as a learning resource. The aim of this study was to contribute to the…

From Deficit to Asset: Locating Discursive Resistance in a Refugee-Background Student's Written and Oral Narrative

ERIC Educational Resources Information Center

Shapiro, Shawna; MacDonald, Michael T.

2017-01-01

This article examines how a refugee-background student of Somali Bantu heritage employs linguistic resources to make sense of his experience with forced migration, resettlement, and formal education. Much of the educational research on refugee-background students (and other groups of English learners) propagates a deficit orientation in which…

Ecologies of Heritage Language Learning in a Multilingual Swedish School

ERIC Educational Resources Information Center

Dávila, Liv T.

2017-01-01

The field of heritage language (HL) education is a rapidly growing area of educational linguistics research and pedagogy. While considerable research has looked at identity in relation to HL learning in adolescents and adults, this article focuses on the identities and language attitudes of young HL learners of Arabic and Somali at an elementary…

Parent Training among Ethnic Minorities: Parenting Practices as Mediators of Change in Child Conduct Problems

ERIC Educational Resources Information Center

Bjorknes, Ragnhild; Kjobli, John; Manger, Terje; Jakobsen, Reidar

2012-01-01

In this study, we examined parenting practices as mediators of changes in child conduct problems in ethnic minority families participating in Parent Management Training-Oregon Model (PMTO). The participants included 96 Somali and Pakistani immigrant mothers and their children living in Norway. The families were randomized to PMTO or a waiting-list…

Migrant Rap in the Periphery: Performing Politics of Belonging

ERIC Educational Resources Information Center

Leppänen, Sirpa; Westinen, Elina

2017-01-01

Focusing on a YouTube performance by an emergent Finnish Somali rapper and the audience responses it has generated, this paper looks at ways in which rap music engages with the issue of belonging. Drawing on recent theorizations of belonging as a multi-dimensional, contingent and fluid process, along with sociolinguistic work on globalization and…

Lost Opportunities: The Language Skills of Linguistic Minorities in England and Wales.

ERIC Educational Resources Information Center

Carr-Hill, Roy; Passingham, Steve; Wolf, Alison; Kent, Naomi

A study investigated the English language needs of five minority language communities in England (Bengali, Gujerati, Punjabi Urdu, Punjabi Gurmukhi, Chinese) and four refugee groups (Bosnians, Kurds, Somalis, Tamils). Data were gathered from 997 individuals in the language groups and 176 in the refugee groups using a test of listening, reading,…

STS-61A earth observations

NASA Image and Video Library

2009-06-25

61A-200-003 (30 Oct 1985) --- A large format Linhof camera onboard the Space Shuttle Columbia provided this coastal view of Somalia. The perspective is looking north from Muqdisho (foreground) to Raas Xaafuun at the horizon. Cumulus clouds cover the Somali Desert. The elongated, thinner steak of clouds follows a topographically depressed area, a wash know as Webi Shibeli.

A sero-survey of rinderpest in nomadic pastoral systems in central and southern Somalia from 2002 to 2003, using a spatially integrated random sampling approach.

PubMed

Tempia, S; Salman, M D; Keefe, T; Morley, P; Freier, J E; DeMartini, J C; Wamwayi, H M; Njeumi, F; Soumaré, B; Abdi, A M

2010-12-01

A cross-sectional sero-survey, using a two-stage cluster sampling design, was conducted between 2002 and 2003 in ten administrative regions of central and southern Somalia, to estimate the seroprevalence and geographic distribution of rinderpest (RP) in the study area, as well as to identify potential risk factors for the observed seroprevalence distribution. The study was also used to test the feasibility of the spatially integrated investigation technique in nomadic and semi-nomadic pastoral systems. In the absence of a systematic list of livestock holdings, the primary sampling units were selected by generating random map coordinates. A total of 9,216 serum samples were collected from cattle aged 12 to 36 months at 562 sampling sites. Two apparent clusters of RP seroprevalence were detected. Four potential risk factors associated with the observed seroprevalence were identified: the mobility of cattle herds, the cattle population density, the proximity of cattle herds to cattle trade routes and cattle herd size. Risk maps were then generated to assist in designing more targeted surveillance strategies. The observed seroprevalence in these areas declined over time. In subsequent years, similar seroprevalence studies in neighbouring areas of Kenya and Ethiopia also showed a very low seroprevalence of RP or the absence of antibodies against RP. The progressive decline in RP antibody prevalence is consistent with virus extinction. Verification of freedom from RP infection in the Somali ecosystem is currently in progress.

Family first: Community-based supports for refugees.

PubMed

Pejic, Vanja; Hess, Robyn S; Miller, Gloria E; Wille, Alice

2016-01-01

This article presents a community-based approach that targets family interventions and services through a preventive, family systems ecological framework. A public health approach is used to emphasize the need for a tiered model of family support that builds on the strengths of refugee families while recognizing their specific needs and challenges. The rationale for a family systems ecological perspective is presented to highlight the critical features of effective family support programs for refugee families, followed by a discussion regarding the transitions and adaptation faced by refugee families when entering the United States. Finally, a public-health problem solving model is employed to promote a comprehensive vision for how more effective support can be developed to best serve the mental health needs of refugee families. An integrated case example highlighting the Somali Parent Program, a family-focused intervention, is also provided. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Understanding Silence: An Investigation of the Processes of Silencing in Parent-Teacher Conferences with Somali Diaspora Parents in Danish Public Schools

ERIC Educational Resources Information Center

Matthiesen, Noomi Christine Linde

2016-01-01

This article questions the dominant understanding that immigrant and refugee parents in parent-teacher conferences are silent because they come from a culture where one does not question the authority of the teacher. Instead, it is argued that they "become" silent through certain interactional processes. Building on material from an…

Gum Disease - Multiple Languages

MedlinePlus

... Русский) Somali (Af-Soomaali ) Spanish (español) Ukrainian (українська ) Vietnamese (Tiếng Việt) HealthReach resources will open in a ... Gingivitis - українська (Ukrainian) Bilingual PDF Health Information Translations Vietnamese (Tiếng Việt) Expand Section Gum Disease: A Guide ...

Optimizing the Naval Force for the Horn of Africa Anti-Piracy Mission

DTIC Science & Technology

2009-05-04

new trend emerged for an increased number of 1 International Chamber of Commerce International...Countering Piracy Off the Horn of Africa: Partnership & Action Plan. Dec 2008, 3. 3 International Chamber of Commerce International Maritime Bureau...Increase off Somali Coast” Release #053- 09. 30 Mar 2009. 26 International Chamber of Commerce Commercial Crime Services. “Live Piracy Report

Pedagogies of Muslim Feminisms: Reflections on Faith, Space and Citizenship

ERIC Educational Resources Information Center

Eidoo, Sameena

2018-01-01

In this article, I offer a qualitative study of three spaces created by and for young Muslim women in Toronto, Canada: an after-school drop-in programme for Muslim girls, a Somali women's group and a Muslim women's collective. I focus on data gathered from interviews of seven Muslim women in their 20s who created the spaces, which offered refuge…

Educational Practices to Support the Academic and Social-Emotional Needs of Somali Immigrant and Refugee Students. Equity by Design

ERIC Educational Resources Information Center

Sullivan, Amanda L.; Weeks, Mollie; Simonson, Gregory

2017-01-01

The purpose of this Equity Brief is to highlight the importance of supporting refugee students in the classroom. Educators must be Culturally Competent and aware of their students social, emotional, and academic needs. Understanding the values, norms, funds of knowledge, and lived experiences of all historically marginalized students is important…

The Multilayered Character of Newcomers' Academic Identities: Somali Female High-School Students in a US School

ERIC Educational Resources Information Center

Oikonomidoy, Eleni

2009-01-01

Drawing from the findings of a qualitative study with female refugee high school students from Somalia in the US, this paper attempts to provide a window to understanding the multilayered character of newcomer students' academic identity construction. The students' micro-level processes of creating spaces for belonging at school are linked to…

Islam, National Identity and Public Secondary Education: Perspectives from the Somali Diaspora in Toronto, Canada

ERIC Educational Resources Information Center

Collet, Bruce A.

2007-01-01

Public schools have historically been key sites where children learn of and adopt a common national identity. In states where multiculturalism plays a central role in the articulation of a national identity, schools actively recognize and support the diverse cultures of their students in fulfilling this function. Canada is a state where, via…

Choosing a Doctor or Health Care Service - Multiple Languages

MedlinePlus

... Cantonese dialect) (繁體中文) French (français) Hindi (हिन्दी) Japanese (日本語) Korean (한국어) Russian (Русский) Somali (Af-Soomaali ) ... हिन्दी (Hindi) Bilingual PDF Health Information Translations Japanese (日本語) Expand Section Choosing a Doctor for Your ...

Community Assumes the Role of State in Education in Stateless Somalia

ERIC Educational Resources Information Center

Abdinoor, Abdullahi

2008-01-01

Education contributes, in peace time and war time, to the cultivation of human capital as well as social capital of the society. It is in this light that this article seeks to explore the close interplay between education and the community in the present-day stateless Somalia. In order to explore how the Somali community has coped or is coping…

Borders and Intersections of Possibility: Multilingual Repertoires of Refugee Families in the Southwest U.S.

ERIC Educational Resources Information Center

Roy, Laura A.

2015-01-01

This study examines the linguistic and cultural intersections of recently arrived Somali Bantu refugee students in South Texas through the lens of border theory. The use of Spanish in the homes of refugee families is explored in addition to ways in which an educator used testimonios to honor students' migration experiences. Findings show how…

Under Federal Pressure, District Addresses ELLs

ERIC Educational Resources Information Center

Zehr, Mary Ann

2009-01-01

Nurta Muktar, a 17-year-old refugee of Somali heritage, learned to read this school year at East High School. It likely would not have happened if East High did not provide classes in basic reading skills for English-language learners (ELLs). And the school likely would not have such classes, some Salt Lake City teachers say, if the U.S.…

From Headphones to Hijabs: Cultural and Religious Experiences of Somali Youth in U.S. Schools

ERIC Educational Resources Information Center

Basford, Letitia

2010-01-01

Using data from a two year qualitative study, this paper examines how East African Muslim immigrant youth experience and become shaped by the environments of U.S. mainstream schools as compared to a culturally specific charter high school. Results from this study reveal that East African Muslim immigrant youth are affected by religious and…

Completing treatment for latent tuberculosis: patient background matters.

PubMed

Kan, B; Kalin, M; Bruchfeld, J

2013-05-01

Treatment of latent infection with Mycobacterium tuberculosis effectively reduces future activation and transmission of tuberculosis. However, patient adherence to preventive treatment influences its effectiveness. Treatment completion is commonly considered as a proxy for adherence. To identify factors associated with failure to complete preventive treatment. Data from 415 consecutive patients who started preventive treatment at the Karolinska University Hospital, Stockholm, Sweden, between 2002 and 2007 were collected and treatment completion was evaluated. Patients were classified as 'completers' or 'non-completers'. Association between treatment completion status and patient characteristics was assessed using logistic regression. Younger patients, patients originating from Somalia and asylum seekers were more likely to be non-completers. The proportion of completers increased from 71% in 2002 to 87% in 2007. However, this trend appears to be caused mostly by an increase in the proportion of European patients. The finding of a low rate of treatment completion among Somalis should be regarded as a call for intervention on the individual patient level, also taking into account socio-cultural aspects such as perceptions of health care by the Somali community. Treatment completion continues to be of concern as it is not improving among risk populations.

Forensic and phylogeographic characterisation of mtDNA lineages from Somalia.

PubMed

Mikkelsen, Martin; Fendt, Liane; Röck, Alexander W; Zimmermann, Bettina; Rockenbauer, Eszter; Hansen, Anders J; Parson, Walther; Morling, Niels

2012-07-01

The African mitochondrial (mt) phylogeny is coarsely resolved but the majority of population data generated so far is limited to the analysis of the first hypervariable segment (HVS-1) of the control region (CR). Therefore, this study aimed on the investigation of the entire CR of 190 unrelated Somali individuals to enrich the severely underrepresented African mtDNA pool. The majority (60.5 %) of the haplotypes were of sub-Saharan origin with L0a1d, L2a1h and L3f being the most frequently observed haplogroups. This is in sharp contrast to previous data reported from the Y-chromosome, where only about 5 % of the observed haplogroups were of sub-Saharan provenance. We compared the genetic distances based on population pairwise F (st) values between 11 published East, Central and North African as well as western Asian populations and the Somali sequences and displayed them in a multi-dimensional scaling plot. Genetic proximity evidenced by clustering roughly reflected the relative geographic location of the populations. The sequences will be included in the EMPOP database ( www.empop.org ) under accession number EMP00397 upon publication (Parson and Dür Forensic Sci Int Genet 1:88-92, 2007).

Juvenile hyposomatotropism in a Somali cat presenting with seizures due to intermittent hypoglycaemia.

PubMed

König, Maya Laura; Henke, Diana; Adamik, Katja; Pérez Vera, Cristina

2018-01-01

A 3-month-old intact male Somali cat was evaluated for a history of seizures, hypoglycaemia and mental dullness 4 weeks after being bitten in the head by a dog. The cat's body size and weight were approximately half that of his littermates and its haircoat was woolly, with fewer guard hairs. Multiple hypoglycaemic episodes were documented over a period of 4 weeks, which resolved rapidly after correction of the hypoglycaemia. Juvenile hyposomatotropism was presumptively diagnosed by demonstrating low circulating levels of insulin-like growth factor 1 and after exclusion of other endocrine and non-endocrine causes of small stature and hypoglycaemia. The cat's intermittent hypoglycaemia resolved spontaneously within 1 month and the cat never showed any more neurological signs. Nevertheless, the physical retardation and the coat abnormalities remained unchanged. A year later, the cat was diagnosed with chronic kidney disease IRIS stage 2. Hyposomatotropism is an extremely rare feline endocrinopathy. This is the second case reported in the veterinary literature, and the only one to describe hypoglycaemic events associated with growth hormone deficiency. Although hypoglycaemia is one of the most common disease manifestations in children with pituitary dwarfism, this has not yet been reported in veterinary medicine.

Mental health among older refugees: the role of trauma, discrimination, and religiousness.

PubMed

Mölsä, Mulki; Kuittinen, Saija; Tiilikainen, Marja; Honkasalo, Marja-Liisa; Punamäki, Raija-Leena

2017-08-01

The aim of this study was to examine, first, how past traumatic stress and present acculturation indices, and discrimination are associated with mental health; and, second, whether religiousness can buffer the mental health from negative impacts of war trauma. Participants were 128 older (50-80 years) Somali refugees living in Finland. They reported experiences of war trauma and childhood adversities, and filled-in questionnaires of perceived ethnic discrimination, religiousness (beliefs, attendance, and observance of Islamic faith), and symptoms of posttraumatic stress disorder (PTSD), depressive (BDI-21), psychological distress (GHQ-12), and somatization (SCL-90). Symptom-specific regression models showed that newly arrived refugees with non-permanent legal status and severe exposures to war trauma, childhood adversity, and discrimination endorsed greater PTSD symptoms, while only war trauma and discrimination were associated with depressive symptoms. Results confirmed that high religiousness could play a buffering role among older Somalis, as exposure to severe war trauma was not associated with high levels of PTSD or somatization symptoms among highly religious refugees. Health care should consider both unique past and present vulnerabilities and resources when treating refugees, and everyday discrimination and racism should be regarded as health risks.

Net mineral requirements for the growth and maintenance of Somali lambs.

PubMed

Pereira, E S; Lima, F W R; Campos, A C N; Carneiro, M S S; Silva, L P; Pereira, M W F; Medeiros, A N; Bezerra, L R; Oliveira, R L

2018-04-22

Minerals are limiting factors in animal production, and the knowledge of mineral requirements for livestock is crucial to the success of a commercial enterprise. Hair sheep may have different mineral requirements than those presents by the international committees. A study was carried to evaluate the net calcium (Ca), phosphorus (P), magnesium (Mg), sodium (Na), potassium (K), zinc (Zn), iron (Fe), manganese (Mn) and copper (Cu) requirements for the growth and maintenance of Brazilian Somali lambs. A total of 48 hair lambs (13.5±1.8 kg) aged 60±15 days were allocated to individual pens. Eight animals were slaughtered at the beginning of the experiment to serve as a reference group to estimate initial empty BW (EBW) and initial body composition. The remaining lambs (n=40) were assigned to a completely randomized design with eight replications in five levels of metabolizable energy (ME; 4.93, 8.65, 9.41, 10.12 and 11.24 MJ/kg DM). When the lambs of a given treatment reached an average BW of 28 kg, they were slaughtered. Initial body composition was used to calculate the retention of minerals. Mineral body composition was fit using a logarithmic equation in the form of a nonlinear model. The maintenance requirements were estimated from regressions of mineral retention in the empty body on mineral intake. The body mineral concentration decreased in lambs with a BW ranging from 15 to 30 kg. The net mineral requirements (100 g/day of average daily gain (ADG)) decreased from 0.52 to 0.51 g for Ca, 0.28 to 0.23 g for P, 0.02 to 0.02 g for Mg, 0.09 to 0.08 g for Na, 0.11 to 0.09 g for K, 1.30 to 1.08 mg for Zn, 3.77 to 3.22 mg for Fe, 0.08 to 0.06 mg for Mn and 0.09 to 0.08 mg for Cu when BW increased from 15 to 30 kg. The daily net requirements for maintenance per kilogram of BW were 30.13 mg of Ca, 27.58 mg of P, 1.26 mg of Mg, 4.12 mg of Na, 8.11 mg of K, 0.133 mg of Zn, 0.271 mg of Fe, 0.002 mg of Mn and 0.014 mg of Cu. The results of this study indicate that the net mineral requirements for weight gain and maintenance in Brazilian Somali lambs are different than the values that are commonly recommended by the main evaluation systems for feed and nutritional requirements for sheep. These results for the nutritional requirements of minerals may help to optimize mineral supply for hair sheep.

The Importance of Context: Vietnamese, Somali, and Iranian Refugee Mothers Discuss Their Resettled Lives and Involvement in Their Children's Schools

ERIC Educational Resources Information Center

McBrien, J. Lynn

2011-01-01

Parental involvement in schools is regarded as critical to student success in Australia, Canada, and the USA, the world's top refugee resettlement countries. Refugees can be disadvantaged when they are unfamiliar with the practices and when their own cultural beliefs conflict with expectations in their new communities, or when they are consumed by…

JPRS Report, Soviet Union, International Affairs.

DTIC Science & Technology

1987-10-07

condemning the Somali aggression , perceiving the principle of Muslim solidarity in their own way. The authorities of Pakistan frequently strive to... aggression of racist South Africa against neighboring states in the south are links in a single "neoglobalist" chain. South Africa, among the most...as fixed in international legal documents. The Hitlerite fascists behaved in precisely the same manner, killing prisoners of war in their

Clan and Islamic Identities in Somali Society

DTIC Science & Technology

2011-11-01

governmental and non-governmental contacts as far away as Australia, South Africa , Kenya, Israel, and all over Europe and North America. Government of...9] Africa Watch Committee (1990). Somalia – a government at war with its own people: Testimonies about the killings and conflict in the North . New...Nairobi/Brussels. [118] International Crisis Group (2005a). Understanding Islamism. Middle East/ North Africa Report no.37. Cairo/Brussels. [119

Factors that Affect the Decision of Refugee and Immigrant Students to Pursue Higher Education in Tennessee: The Case of Egyptian, Somali, Kurdish and Mexican Students

ERIC Educational Resources Information Center

Weldegebriel, Mengistu H.

2011-01-01

Refugee and immigrant students face challenges in pursuing higher education. This study examined factors that affect the decision of refugees and immigrant students to pursue higher education in Tennessee. The factors included cultural capital these students acquire from their parents and families; cultural difference they have with the mainstream…

Korean Affairs Report.

DTIC Science & Technology

1985-01-22

Sejong -no, downtown Seoul, unilaterally cancelled a contract signed with party promoters, saying that he could not lease his building space to a...promote the import substitution industry more vigorously, Chong said at a new year’s press conference at Seoul’s Sejong Cultural Center. South Korea’s...Said Barre, president of the Somali Democratic Republic; Bhumibol Adulyadej, king of Thailand; Jose Francisco Aguilar Bulgarelli, general secretary of

Identifying the Organizational Changes Taking Place in Somali Community-Based Organization (CBO) in Response to New Patterns of Immigration: Implications for Adult Community Education

ERIC Educational Resources Information Center

Osman, Sirad Warfa

2009-01-01

This dissertation focuses on changes in the organizational development of community-based organizations (CBOs) within the context of new patterns of immigration, in the United States. Organizational development is considered within the context of dialects of growth, change and transformation of communities in transition. The primary goal of this…

Warlords of the Somali Civil War (1988-1995)

DTIC Science & Technology

2015-04-01

oppressive conditions the structure produced. This paper argues that following, the fall of Mohammed Siad Barre’s regime, leaders of different opposition...Barre commented “Injustice and maladministration, lack of social progress and economic development, coupled with a sinking national morale, compelled us...immoral, and expressive of enormous contempt for the common people.”12 For those outside of Barre’s inner circle, conditions were incredibly dire

Who Dares to Dream the American Dream? The Success of Somali Bantu Male Students at an American High School

ERIC Educational Resources Information Center

Roxas, Kevin

2008-01-01

In the research about the educational experiences of refugee students, few articles describe how recently-arrived refugee students and their families make their transition to public schools in the U.S. and how they negotiate success in a formal schooling environment. In order to illuminate these processes, the author conducted an in-depth study of…

Looking at Racial Segregation: An Exploratory Case Study of a Predominately Somali Charter School

ERIC Educational Resources Information Center

Courtney, Robert H.

2015-01-01

In 2005, a group of concerned parents who had arrived in the United States as refugees from war-torn Somalia received approval from their local school district to establish the Iftin Charter School (ICS). The K-8 school continues to engender hope and intellectual strength in its students and parents. ICS finds itself uniquely equipped to meet the…

Dissimilar Deficiency of Glucose-6-Phosphate Dehydrogenase (G-6-PD) among the AFARS and the Somalis of Djibouti

DTIC Science & Technology

1991-01-01

DEFICIENCY OF GLUCOSE - 6 - PHOSPHATE DEHYDROGENASE (G- 6 ...the prevalence of deficient activity of the enzyme glucose - 6 - phosphate dehydrogenase (G- 6 -PD) among - Ces difficiences enzymatiques sant plus particu...Screening for glucose - 6 - 3 - CaosBy W.H. - Hematologic diseases. In : I lunter’s Tropical phosphate dehydrogenase (G- 6 -PD) deficiency by a simple

Health care-seeking patterns for female genital mutilation/cutting among young Somalis in Norway.

PubMed

Mbanya, Vivian N; Gele, Abdi A; Diaz, Esperanza; Kumar, Bernadette

2018-04-18

Female genital mutilation/cutting (FGM/C) is a great concern, considering all the potential health implications. Use of health care services related to FGM/C by women who have been subjected to FGM/C in Norway remains to be understood. This study aims to explore the health care-seeking patterns for FGM/C-related health care problems, among young Somalis in Norway. A cross-sectional study involving 325 young Somalis in Oslo was conducted in 2014 using respondent-driven sampling (RDS) technique. The RDS was initiated by a small number of recruited seeds, who were given coded coupons to recruit their peers to participate in the study. Eligible recruiters who participated in the study and redeemed their coupons created the first wave of respondents. The first wave further recruited their peers, the second wave. The cycle continued to attain the needed samples. Using interviews and structured questionnaires, data on socio-demographic, FGM/C status and FGM/C-related use of health care were obtained. Logistic regressions were used to compute the odds ratio (OR) and the confidence interval (CI) for the associations between demographic variables, to circumcision status and health care-seeking for FGM/C. This study will focus on the 159 female participants of the total 325. While 51.6% of the 159 women were subjected to FGM/C, only 20.3% of them used health care services for FGM/C-related problems. Women's FGM/C status was associated with age ≥ 12 years at migration, experience of stigma regarding FGM/C practice (p <  0.05), support of FGM/C practice, and place of birth of women (p <  0.05). Only one-fifth of the women with FGM/C sought care for FGM/C-related health problems. Our study does not provide the answers to why only a few of them sought care for FGM/C. However, as a large proportion of women did not seek care, it is important to investigate the reasons for this. For, we propose to conduct further research targeting girls and women who have undergone FGM/C to assess challenges in accessing health care services for proper intervention.

Immigrants’ use of emergency primary health care in Norway: a registry-based observational study

PubMed Central

2012-01-01

Background Emigrants are often a selected sample and in good health, but migration can have deleterious effects on health. Many immigrant groups report poor health and increased use of health services, and it is often claimed that they tend to use emergency primary health care (EPHC) services for non-urgent purposes. The aim of the present study was to analyse immigrants’ use of EPHC, and to analyse variations according to country of origin, reason for immigration, and length of stay in Norway. Methods We conducted a registry based study of all immigrants to Norway, and a subsample of immigrants from Poland, Germany, Iraq and Somalia, and compared them with native Norwegians. The material comprised all electronic compensation claims for EPHC in Norway during 2008. We calculated total contact rates, contact rates for selected diagnostic groups and for services given during consultations. Adjustments for a series of socio-demographic and socio-economic variables were done by multiple logistic regression analyses. Results Immigrants as a whole had a lower contact rate than native Norwegians (23.7% versus 27.4%). Total contact rates for Polish and German immigrants (mostly work immigrants) were 11.9% and 7.0%, but for Somalis and Iraqis (mostly asylum seekers) 31.8% and 33.6%. Half of all contacts for Somalis and Iraqis were for non-specific pain, and they had relatively more of their contacts during night than other groups. Immigrants’ rates of psychiatric diagnoses were low, but increased with length of stay in Norway. Work immigrants suffered less from respiratory and gastrointestinal infections, but had more injuries and higher need for sickness certification. All immigrant groups, except Germans, were more often given a sickness certificate than native Norwegians. Use of interpreter was reduced with increasing length of stay. All immigrant groups had an increased need for long consultations, while laboratory tests were most often used for Somalis and Iraqis. Conclusions Immigrants use EPHC services less than native Norwegians, but there are large variations among immigrant groups. Work immigrants from Germany and Poland use EPHC considerably less, while asylum seekers from Somalia and Iraq use these services more than native Norwegians. PMID:22958343

Persistent C3 vegetation accompanied Plio-Pleistocene hominin evolution in the Malawi Rift (Chiwondo Beds, Malawi).

PubMed

Lüdecke, Tina; Schrenk, Friedemann; Thiemeyer, Heinrich; Kullmer, Ottmar; Bromage, Timothy G; Sandrock, Oliver; Fiebig, Jens; Mulch, Andreas

2016-01-01

The development of East African savannas is crucial for the origin and evolution of early hominins. These ecosystems, however, vary widely in their fraction of woody cover and today range from closed woodland to open grassland savanna. Here, we present the first Plio-Pleistocene long-term carbon isotope (δ(13)C) record from pedogenic carbonate and Suidae teeth in the southern East African Rift (EAR). These δ(13)C data from the Chiwondo and Chitimwe Beds (Karonga Basin, Northern Malawi) represent a southern hemisphere record in the EAR, a key region for reconstructing vegetation patterns in today's Zambezian Savanna, and permit correlation with data on the evolution and migration of early hominins in today's Somali-Masai Endemic Zone. The sediments along the northwestern shore of Lake Malawi contain fossils attributed to Homo rudolfensis and Paranthropus boisei. The associated hominin localities (Uraha, Malema) are situated between the well-known hominin bearing sites of the Somali-Masai Endemic Zone in the Eastern Rift and the Highveld Grassland in southern Africa, and fill an important geographical gap for hominin research. Persistent δ(13)C values around -9‰ from pedogenic carbonate and suid enamel covering the last ∼4.3 Ma indicate a C3-dominated closed environment with regional patches of C4-grasslands in the Karonga Basin. The overall fraction of woody cover of 60-70% reflects significantly higher canopy density in the Malawi Rift than the Eastern Rift through time. The discrepancy between the two savanna types originated in the Late Pliocene, when the Somali-Masai ecosystem started to show increasing evidence for open, C4-dominated landscapes. Based on the Malawi δ(13)C data, the evolution of savanna ecosystems in Eastern Africa followed different patterns along the north-south extent of the EAR. The appearance of C4-grasses is considered a driver of evolutionary faunal shifts, but despite the difference of ecosystem evolution in the north, similar hominins and suids occurred in both landscapes, pointing to distinct habitat flexibility and also nutritional versatility. Copyright © 2015 Elsevier Ltd. All rights reserved.

Processes of 30-90 days sea surface temperature variability in the northern Indian Ocean during boreal summer

NASA Astrophysics Data System (ADS)

Vialard, J.; Jayakumar, A.; Gnanaseelan, C.; Lengaigne, M.; Sengupta, D.; Goswami, B. N.

2012-05-01

During summer, the northern Indian Ocean exhibits significant atmospheric intraseasonal variability associated with active and break phases of the monsoon in the 30-90 days band. In this paper, we investigate mechanisms of the Sea Surface Temperature (SST) signature of this atmospheric variability, using a combination of observational datasets and Ocean General Circulation Model sensitivity experiments. In addition to the previously-reported intraseasonal SST signature in the Bay of Bengal, observations show clear SST signals in the Arabian Sea related to the active/break cycle of the monsoon. As the atmospheric intraseasonal oscillation moves northward, SST variations appear first at the southern tip of India (day 0), then in the Somali upwelling region (day 10), northern Bay of Bengal (day 19) and finally in the Oman upwelling region (day 23). The Bay of Bengal and Oman signals are most clearly associated with the monsoon active/break index, whereas the relationship with signals near Somali upwelling and the southern tip of India is weaker. In agreement with previous studies, we find that heat flux variations drive most of the intraseasonal SST variability in the Bay of Bengal, both in our model (regression coefficient, 0.9, against ~0.25 for wind stress) and in observations (0.8 regression coefficient); ~60% of the heat flux variation is due do shortwave radiation and ~40% due to latent heat flux. On the other hand, both observations and model results indicate a prominent role of dynamical oceanic processes in the Arabian Sea. Wind-stress variations force about 70-100% of SST intraseasonal variations in the Arabian Sea, through modulation of oceanic processes (entrainment, mixing, Ekman pumping, lateral advection). Our ~100 km resolution model suggests that internal oceanic variability (i.e. eddies) contributes substantially to intraseasonal variability at small-scale in the Somali upwelling region, but does not contribute to large-scale intraseasonal SST variability due to its small spatial scale and random phase relation to the active-break monsoon cycle. The effect of oceanic eddies; however, remains to be explored at a higher spatial resolution.

Seroprevalence of Hepatitis B Infection Among Immigrants in a Primary Care Clinic: A Case for Granular Ethnicity and Language Data Collection.

PubMed

Terasaki, Genji; Desai, Angel; McKinney, Christy M; Haider, Mahri Z

2017-08-01

Chronic hepatitis B virus (HBV) infection is highly prevalent worldwide and is most often diagnosed through screening efforts. In order to identify the specific ethnic groups at greatest risk, it is necessary to go beyond traditional categories. We conducted a retrospective case series in a primary care clinic serving non-English speaking immigrants to determine the prevalence of HBV among patients of various primary spoken languages (used as a proxy for ethnicity). Among the 1378 patients, the overall prevalence of current infection was 8%. HBV infection was markedly higher among Somali, Oromo and Khmer speakerscompared to other groups. This study illustrates the use of granular language data in describing the serologic profiles of HBV infection among non-English speaking patients in primary care setting. The variations in prevalence by language have implications for public health HBV screening efforts, in addition to suggesting potential risk factors for transmission.

Right upper limb bud triplication and polythelia, left sided hemihypertrophy and congenital hip dislocation, facial dysmorphism, congenital heart disease, and scoliosis: disorganisation-like spectrum or patterning gene defect?

PubMed

Sabry, M A; al-Saleh, Q; al-Saw'an, R; al-Awadi, S A; Farag, T I

1995-07-01

A Somali female baby with right upper limb triplication, polythelia, left sided hemihypertrophy, congenital hip dislocation, facial dysmorphism, congenital heart disease, and scoliosis is described. It seems that the above described pattern of anomalies has not been reported before. The possible developmental genetic mechanism responsible for this phenotype is briefly discussed.

USAFRICOM’s Role in Counter-Piracy Operations Within the Horn of Africa

DTIC Science & Technology

2009-05-04

for Nature ( WWF ) estimated that IUU fishing threatens essentially every fishery and “accounts for up to 30 percent of total catches in some important...fisheries.” 25 According to the WWF website, IUU fishing is an “organized criminal activity” – similar to maritime piracy. IUU fishing activities...preventing the foreign ships from illegally fishing within Somali territorial waters. 25 WWF -World

Unpacking the Suitcase and Finding History: Doing Justice to the Teaching of Diverse Histories in the Classroom

ERIC Educational Resources Information Center

Mohamud, Abdul; Whitburn, Robin

2014-01-01

It has become a truism that Britain is a multi-cultural society yet, as Mohamud and Whitburn argue, there is still a great deal of thinking to be done by history teachers in accounting for this diversity in the classroom. Mohamud and Whitburn consider approaches to both curriculum and pedagogy when it comes to teaching about the Somali community…

"I See Myself as a Different Person Who [Has] Acquired a Lot ...": Somali Female Students' Journeys to Belonging

ERIC Educational Resources Information Center

Oikonomidoy, Eleni

2007-01-01

How do refugee students construct their lives in school in their host country? What are some difficulties that they face and how do they respond to those? Findings of a qualitative study conducted with female refugee students from Somalia indicate that students are to varying degrees active agents in the construction of their lives in a US urban…

Hollow Threats: Why Coercive Diplomacy Fails

DTIC Science & Technology

2015-06-01

IDE from the Curso del Estado Mayor de las Fuerzas Armadas in Madrid, Spain. Maj Schore has a bachelor’s degree in Economics from the University...this element presupposes that the nature of a liberal democracy not only reduces its credibility to administer a severe level of hurt, but damages...of resistance increased Aidid’s ability to portray his forces as national liberators and augmented his support among the Somali people.40 This

Changing Homeland Security: The Year in Review - 2008

DTIC Science & Technology

2009-01-01

new opportunities for terrorist safe havens. The specter of homegrown terrorism has not abated. Naturalized citizens of Somali descent traveled to...34 • The Nature of Homeland Security: Now a Second Tier Policy Issue? • Organizing for Homeland Security: Possible Futures, Emerging Issues • The...emerging definitions of the homeland security mission space in 2009. The Nature of Homeland Security: Now a Second Tier Policy Issue? Has the bar

"That's How We Roll": A Case Study of a Recently Arrived Refugee Student in an Urban High School

ERIC Educational Resources Information Center

Roxas, Kevin; Roy, Laura

2012-01-01

This critical case study of one, Somali Bantu male high school student illuminates the struggle for recently arrived refugees at the high school level. Few educational research studies describe how recently arrived refugee students and their families make their transition to US schools (Ngo et al. in "Hmong Stud J" 8:1-35, 2007; Hones and Cha in…

Political Culture and Risk Analysis: An Outline of Somalia, Tunisia, and Libya

DTIC Science & Technology

2016-11-21

analysis, risk assessment, national maturity, independence move- ments, extremists, national violence , Africa, Somalia, Somaliland, Puntland, Tunisia...changed in terms of actors, but not in any appreciable reduction of violence . In the north, any episodes of conflict were negligible in scale and...duration, never approaching that of the south. The continuous violence in the south, in fact, is unprecedented in Somali history.21 Despite any

China’s Peaceful Rise

DTIC Science & Technology

2014-05-20

existential war on several fronts offers the U.S. military a strong opportunity to protect its dwindling budget. 14 Glaser. 15 See Zheng Bijian, “China’s...off [the] Somali coast, [and to ensure] the safety of ships carrying humanistic materials of such international organisations as the World Food...Programme [;] and, if the need arises, the taskforce will jointly conduct humanistic rescue operations with the escorting ships of other countries.” 26

Juvenile hyposomatotropism in a Somali cat presenting with seizures due to intermittent hypoglycaemia

PubMed Central

König, Maya Laura; Henke, Diana; Adamik, Katja; Pérez Vera, Cristina

2018-01-01

Case summary A 3-month-old intact male Somali cat was evaluated for a history of seizures, hypoglycaemia and mental dullness 4 weeks after being bitten in the head by a dog. The cat’s body size and weight were approximately half that of his littermates and its haircoat was woolly, with fewer guard hairs. Multiple hypoglycaemic episodes were documented over a period of 4 weeks, which resolved rapidly after correction of the hypoglycaemia. Juvenile hyposomatotropism was presumptively diagnosed by demonstrating low circulating levels of insulin-like growth factor 1 and after exclusion of other endocrine and non-endocrine causes of small stature and hypoglycaemia. The cat’s intermittent hypoglycaemia resolved spontaneously within 1 month and the cat never showed any more neurological signs. Nevertheless, the physical retardation and the coat abnormalities remained unchanged. A year later, the cat was diagnosed with chronic kidney disease IRIS stage 2. Relevance and novel information Hyposomatotropism is an extremely rare feline endocrinopathy. This is the second case reported in the veterinary literature, and the only one to describe hypoglycaemic events associated with growth hormone deficiency. Although hypoglycaemia is one of the most common disease manifestations in children with pituitary dwarfism, this has not yet been reported in veterinary medicine. PMID:29552354

TB treatment in a chronic complex emergency: treatment outcomes and experiences in Somalia.

PubMed

Liddle, Karin Fischer; Elema, Riekje; Thi, Sein Sein; Greig, Jane; Venis, Sarah

2013-11-01

Médecins Sans Frontières (MSF) provides TB treatment in Galkayo and Marere in Somalia. MSF international supervisory staff withdrew in 2008 owing to insecurity but maintained daily communication with Somali staff. In this paper, we aimed to assess the feasibility of treating TB in a complex emergency setting and describe the programme adaptations implemented to facilitate acceptable treatment outcomes. Routinely collected treatment data from 2005-2012 were retrospectively analysed. In multivariate analyses, factors associated with successful outcome (cure or completion versus failure, death and default) were assessed, including the presence of international supervisory staff. Informal interviews were conducted with Somali staff regarding programmatic factors affecting patient management and perceived reasons for default. In total, 6167 patients were admitted (34.8% female; median age 24.0 years [IQR 13.0-38.0 years]). Treatment success was 79% (programme range 69-87%). Presence of international staff did not improve outcomes (adjusted OR 0.85, 95% CI 0.66-1.09; p=0.27). Perceived reasons for default included being away from family, nomadic group, insecurity, travel cost, need to return to grazing land or feeling better. Despite the challenges, a high percentage of patients were successfully treated. Treatment outcomes were not adversely affected by withdrawal of international supervisory staff.

Sea surface currents and geographic isolation shape the genetic population structure of a coral reef fish in the Indian Ocean.

PubMed

Huyghe, Filip; Kochzius, Marc

2018-01-01

In this contribution, we determine the genetic population structure in the Skunk Clownfish (Amphiprion akallopsisos) across the Indian Ocean, and on a smaller geographic scale in the Western Indian Ocean (WIO). Highly restricted gene flow was discovered between populations on either side of the Indian Ocean using the control region as a mitochondrial marker (mtDNA). We verify this conclusion using 13 microsatellite markers and infer fine scale genetic structuring within the WIO. In total 387 samples from 21 sites were analysed using mtDNA and 13 microsatellite loci. Analysis included estimation of genetic diversity and population differentiation. A haplotype network was inferred using mtDNA. Nuclear markers were used in Bayesian clustering and a principal component analysis. Both markers confirmed strong genetic differentiation between WIO and Eastern Indian Ocean (EIO) populations, and a shallower population structure among Malagasy and East African mainland populations. Limited gene flow across the Mozambique Channel may be explained by its complex oceanography, which could cause local retention of larvae, limiting dispersal between Madagascar and the East African coast. Two other potential current-mediated barriers to larval dispersal suggested in the WIO, the split of the SEC at approximately 10° S and the convergence of the Somali Current with the East African Coast Current at approximately 3° S, were not found to form a barrier to gene flow in this species.

Sea surface currents and geographic isolation shape the genetic population structure of a coral reef fish in the Indian Ocean

PubMed Central

Kochzius, Marc

2018-01-01

In this contribution, we determine the genetic population structure in the Skunk Clownfish (Amphiprion akallopsisos) across the Indian Ocean, and on a smaller geographic scale in the Western Indian Ocean (WIO). Highly restricted gene flow was discovered between populations on either side of the Indian Ocean using the control region as a mitochondrial marker (mtDNA). We verify this conclusion using 13 microsatellite markers and infer fine scale genetic structuring within the WIO. In total 387 samples from 21 sites were analysed using mtDNA and 13 microsatellite loci. Analysis included estimation of genetic diversity and population differentiation. A haplotype network was inferred using mtDNA. Nuclear markers were used in Bayesian clustering and a principal component analysis. Both markers confirmed strong genetic differentiation between WIO and Eastern Indian Ocean (EIO) populations, and a shallower population structure among Malagasy and East African mainland populations. Limited gene flow across the Mozambique Channel may be explained by its complex oceanography, which could cause local retention of larvae, limiting dispersal between Madagascar and the East African coast. Two other potential current-mediated barriers to larval dispersal suggested in the WIO, the split of the SEC at approximately 10° S and the convergence of the Somali Current with the East African Coast Current at approximately 3° S, were not found to form a barrier to gene flow in this species. PMID:29522547

Response of the Surface Circulation of the Arabian Sea to Monsoonal Forcing

NASA Astrophysics Data System (ADS)

Beal, L. M.; Hormann, V.; Lumpkin, R.; Foltz, G. R.

2014-12-01

We use two decades of drifter and satellite data to examine the monthly evolution of the surface circulation of the Arabian Sea, which reverses annually in response to the Indian monsoon winds. Most significantly, we find that in the transition from winter to summer circulations, northward flow appears along the length of the western boundary as early as March or April, one or two months before the onset of the southwest monsoon winds. This reversal is initiated by annual Rossby waves, which in turn are initiated by wind curl forcing during the previous southwest monsoon. These results lead us to speculate that there is an oceanic mechanism through which one monsoon may precondition the next. Previous studies of monsoon circulations with lower temporal resolution have highlighted basin-wide currents and connections that are not found to exist in the monthly fields. In particular, we find that the Northeast Monsoon Current does not reach the western boundary and there is no counter-rotating gyre system during boreal winter. South of the equator, the eastward-flowing South Equatorial Counter Current (SECC) is present year-round, even though equatorial winds are strongly influenced by the monsoons. Semi-annual variability of the SECC is governed by Ekman pumping over the south equatorial gyre (or Seychelles dome) and, surprisingly, it is weakest during the northeast monsoon. This region has important influence on the atmosphere and its link to the monsoons deserves further investigation. The East African Coastal Current feeds into the SECC from the boundary. During the southwest monsoon it overshoots the equator and splits, feeding both northward into the Somali Current and eastward into the SECC after looping back across the equator. This apparent retroflection of the EACC is what was previously known as the southern gyre and is obscured at the surface by strong, locally wind-driven, cross-equatorial Ekman transport. Finally, there is broad, strong eastward flow at the mouth of the Gulf of Aden throughout the southwest monsoon, which is influenced by the curvature and bifurcation of the atmospheric monsoon jet.

The association between glutamine repeats in the androgen receptor gene and personality traits in dromedary camel (Camelus dromedarius)

PubMed Central

Ramadan, Sherif; Nowier, Amira M.; Hori, Yusuke

2018-01-01

Temperament traits such as fearfulness are important as they define an animal’s responses to its environment and handling. The increasing automation of daily tasks and growing population limits contact between camels and humans. Such limitations contribute to fear of humans and changes in physical environment. Monoamine oxidase A (MAOA) and androgen receptor (AR) genes are important candidates associated with mammal personality. In our analysis, MAOA exon 15 showed no polymorphism but a novel polymorphism was seen in the camel AR exon 1; 16, 17, 18, and 19 glutamine repeats were detected. We genotyped 138 camels belonging to four Egyptian breeds: Maghrabi (n = 90), Sudani (n = 15), Somali (n = 23), and Baladi (n = 10) for AR. Out of the 90 genotyped Maghrabi camels, we evaluated responses of 33 and 32 mature females to a novel object and exposure to an unfamiliar person, respectively. AR gene showed a significant association based on the principal component (PC) score, which indicated the fear of human touch, and the PC score indicates fear during interaction with novel objects. Individuals carrying a shorter genotype in homozygote (S/S) were found to be more fearful. Furthermore, we found that Sudani and Somali breeds had a higher frequency of shorter genotype (S/S), which was associated with increased fearfulness. These findings reflect the behavioral tendency and consequently, affect the use of this breed. This is the first report showing the role of AR glutamine repeats influencing a behavioral trait in dromedary camels and leading to inter-breed differences. Fear-related traits reported here are important because camels cope with various types of stresses and fear, resulting from the demands of intensive production systems and racing events. However, further studies, employing functional genomics and linkage analysis are necessary for confirming the relationship between fearfulness and genetic variation. PMID:29415053

The association between glutamine repeats in the androgen receptor gene and personality traits in dromedary camel (Camelus dromedarius).

PubMed

Ramadan, Sherif; Nowier, Amira M; Hori, Yusuke; Inoue-Murayama, Miho

2018-01-01

Temperament traits such as fearfulness are important as they define an animal's responses to its environment and handling. The increasing automation of daily tasks and growing population limits contact between camels and humans. Such limitations contribute to fear of humans and changes in physical environment. Monoamine oxidase A (MAOA) and androgen receptor (AR) genes are important candidates associated with mammal personality. In our analysis, MAOA exon 15 showed no polymorphism but a novel polymorphism was seen in the camel AR exon 1; 16, 17, 18, and 19 glutamine repeats were detected. We genotyped 138 camels belonging to four Egyptian breeds: Maghrabi (n = 90), Sudani (n = 15), Somali (n = 23), and Baladi (n = 10) for AR. Out of the 90 genotyped Maghrabi camels, we evaluated responses of 33 and 32 mature females to a novel object and exposure to an unfamiliar person, respectively. AR gene showed a significant association based on the principal component (PC) score, which indicated the fear of human touch, and the PC score indicates fear during interaction with novel objects. Individuals carrying a shorter genotype in homozygote (S/S) were found to be more fearful. Furthermore, we found that Sudani and Somali breeds had a higher frequency of shorter genotype (S/S), which was associated with increased fearfulness. These findings reflect the behavioral tendency and consequently, affect the use of this breed. This is the first report showing the role of AR glutamine repeats influencing a behavioral trait in dromedary camels and leading to inter-breed differences. Fear-related traits reported here are important because camels cope with various types of stresses and fear, resulting from the demands of intensive production systems and racing events. However, further studies, employing functional genomics and linkage analysis are necessary for confirming the relationship between fearfulness and genetic variation.

Isolation of Multidrug-Resistant Escherichia coli O157 from Goats in the Somali Region of Ethiopia: A Cross-Sectional, Abattoir-Based Study.

PubMed

Dulo, Fitsum; Feleke, Aklilu; Szonyi, Barbara; Fries, Reinhard; Baumann, Maximilian P O; Grace, Delia

2015-01-01

Toxigenic Escherichia coli (E. coli) are an important cause of gastroenteritis in developing countries. In Ethiopia, gastroenteritis due to food-borne disease is a leading cause of death. Yet, there is no surveillance for E. coli O157 and little is known about the carriage of this pathogen in Ethiopia's livestock. This study aimed to assess the prevalence and levels of antimicrobial resistance of E. coli O157 in goat meat, feces, and environmental samples collected at a large abattoir in the Somali region of Ethiopia. The samples were enriched in modified tryptone broth containing novobiocin, and plated onto sorbitol MacConkey agar. Isolates were confirmed using indole test and latex agglutination. Antimicrobial susceptibility testing was conducted using the disk diffusion method. A total of 235 samples, including 93 goat carcass swabs, 93 cecal contents, 14 water, 20 hand, and 15 knife swabs were collected. Overall, six (2.5%) samples were contaminated with E. coli O157 of which two (2.1%) were isolated from cecal contents, three (3.2%) from carcass swabs, and one (7.1%) from water. All isolates were resistant to at least two of the 18 antimicrobials tested. Two isolates (33.3%) were resistant to more than five antimicrobials. Abattoir facilities and slaughter techniques were conducive to carcass contamination. This study highlights how poor hygiene and slaughter practice can result in contaminated meat, which is especially risky in Ethiopia because of the common practice of eating raw meat. We detect multi-resistance to drugs not used in goats, suggesting that drugs used to treat human infections may be the originators of antimicrobial resistance in livestock in this ecosystem. The isolation of multidrug-resistant E. coli O157 from goats from a remote pastoralist system highlights the need for global action on regulating and monitoring antimicrobial use in both human and animal populations.

Isolation of Multidrug-Resistant Escherichia coli O157 from Goats in the Somali Region of Ethiopia: A Cross-Sectional, Abattoir-Based Study

PubMed Central

Dulo, Fitsum; Feleke, Aklilu; Szonyi, Barbara; Fries, Reinhard; Baumann, Maximilian P. O.; Grace, Delia

2015-01-01

Toxigenic Escherichia coli (E. coli) are an important cause of gastroenteritis in developing countries. In Ethiopia, gastroenteritis due to food-borne disease is a leading cause of death. Yet, there is no surveillance for E. coli O157 and little is known about the carriage of this pathogen in Ethiopia’s livestock. This study aimed to assess the prevalence and levels of antimicrobial resistance of E. coli O157 in goat meat, feces, and environmental samples collected at a large abattoir in the Somali region of Ethiopia. The samples were enriched in modified tryptone broth containing novobiocin, and plated onto sorbitol MacConkey agar. Isolates were confirmed using indole test and latex agglutination. Antimicrobial susceptibility testing was conducted using the disk diffusion method. A total of 235 samples, including 93 goat carcass swabs, 93 cecal contents, 14 water, 20 hand, and 15 knife swabs were collected. Overall, six (2.5%) samples were contaminated with E. coli O157 of which two (2.1%) were isolated from cecal contents, three (3.2%) from carcass swabs, and one (7.1%) from water. All isolates were resistant to at least two of the 18 antimicrobials tested. Two isolates (33.3%) were resistant to more than five antimicrobials. Abattoir facilities and slaughter techniques were conducive to carcass contamination. This study highlights how poor hygiene and slaughter practice can result in contaminated meat, which is especially risky in Ethiopia because of the common practice of eating raw meat. We detect multi-resistance to drugs not used in goats, suggesting that drugs used to treat human infections may be the originators of antimicrobial resistance in livestock in this ecosystem. The isolation of multidrug-resistant E. coli O157 from goats from a remote pastoralist system highlights the need for global action on regulating and monitoring antimicrobial use in both human and animal populations. PMID:26561414

Kidney Tests - Multiple Languages

MedlinePlus

... न्दी) Japanese (日本語) Korean (한국어) Nepali (नेपाली) Russian (Русский) Somali (Af-Soomaali ) Spanish (español) Ukrainian (українська ) ... नेपाली (Nepali) Bilingual PDF Health Information Translations Russian (Русский) Expand Section 24-Hour Urine Test - Русский ( ...

Right upper limb bud triplication and polythelia, left sided hemihypertrophy and congenital hip dislocation, facial dysmorphism, congenital heart disease, and scoliosis: disorganisation-like spectrum or patterning gene defect?

PubMed Central

Sabry, M A; al-Saleh, Q; al-Saw'an, R; al-Awadi, S A; Farag, T I

1995-01-01

A Somali female baby with right upper limb triplication, polythelia, left sided hemihypertrophy, congenital hip dislocation, facial dysmorphism, congenital heart disease, and scoliosis is described. It seems that the above described pattern of anomalies has not been reported before. The possible developmental genetic mechanism responsible for this phenotype is briefly discussed. Images PMID:7562971

Disrupting Somali Piracy via Trust and Influence Operations

DTIC Science & Technology

2009-06-01

cigarettes, and other provisions for future missions, 30 percent in bribes to government officials” (Associated Press, 2009a). Once a group of pirates...incentive – there is a lack of incentive for the crewmembers to be proactive since in most cases pirates pose little threat to the crew; legal and... ethical issues – shipping companies are hesitant to arm their crews due to the dangers associated with firearms onboard ship, insurance restrictions

Somalia: Line in the Sand - Identification of MYM Vulnerabilities

DTIC Science & Technology

2010-09-01

both positive and negative effects on the MYM. While elements of the HI can be counted on to provide manpower or reinforcements on a tactical level...for Harakat al-Shabaab al-Mujahi- din or Mujahidin Youth Movement (MYM). “Somalia: No Peace without Islam Video,” MYM Media Section, translation in...January 21, 2009; “Somali Op- position Official Calls for Cessation of Violence,” in translation OSC AFP20090104950051, Mogadishu, Shabeelle Media

Somali Piracy and Anti-Shipping Activity Messages: Lessons for a Successful Counterpiracy Strategy

DTIC Science & Technology

2014-06-01

solving the differences found in each organization’s reporting. This suggestion seems valid and demonstrates an unbiased approach. 19 The studies...agrees the IMB data sets are not free from debate and criticism, yet claims the reports provide the only consistent and reliable set of figures to...different approach to using piracy incident reports. Hastings (2009) explores the political and economic landscapes of failed and weak states to determine

The Horn of Africa Conflict

DTIC Science & Technology

1989-03-09

Ogaden Somalis, in particular, who are trying to achieve what their brothers achieved already and with their help. ii ciii- INTRODUCTION Seldom has a...Meantime, from the highlands of Abyssinia, King Menelik of Shoa began to put pressure on Harar. The Emir of Harar refused to submit to the wishes and...threats of Menelik but instead resorted to a resistance movement till his death in June of 1889. In February 1887, Menelik advised the British

JPRS Report, East Europe

DTIC Science & Technology

1991-02-14

president, I had the same rank. There was something like "no higher," a " ceiling ," and nothing else. Being doomed this way is cruelty. It is a...of incidents of beatings. Immigrants in Poland Ethiopians 169 Lebanese 114 Palestinians 48 Angolans 46 Albanians 45 Iraqis 40 Somalis 38...to Poland did not follow only the path of martyrdom of their ancestors. It is also important for Poland to become, in their perception , not a

CTC Sentinel. Volume 7, Issue 2, February 2014

DTIC Science & Technology

2014-02-01

restaurants and hotels. It is the principal source of insecurity in most of Somalia, including the northern state of Puntland. Penetrating and...outdoor restaurant at Nairobi’s Jomo Kenyatta International Airport. See “Four Somalis Charged over Kenya ‘Light Bulb’ Airport Attack,” Agence...it was commonly known as “Boko Haram.” Shekau pledged loyalty to “the amir of al-Qa`ida in the Islamic Maghreb,” Usama bin Ladin, Ayman al

Monsoon Variability in the Arabian Sea from Enhanced and Standard Horizontal Resolution Coupled Climate Models.

NASA Astrophysics Data System (ADS)

McClean, J.; Veneziani, C.; Maltrud, M. E.; Taylor, M.; Bader, D. C.; Branstetter, M. L.; Evans, K. J.; Mahajan, S.

2016-02-01

The circulation of the upper ocean in the Arabian Sea switches direction seasonally due to the change in direction of the prevailing winds associated with the Indian Monsoon. Predictability of the monsoon circulation, however, is uncertain due to incomplete understanding of the physical processes operating on the monsoon and other time scales, particularly interannual and intraseasonal. We use the Community Earth System Model (CESM) with enhanced horizontal resolution in each of its components relative to standard coupled climate model resolution, to better understand these time scale interactions. A standard resolution CESM counterpart is used to assess how horizontal resolution impacts the depiction of these processes. In the enhanced resolution case, 0.25° Community Atmosphere Model 5 (CAM5) is coupled to, among other components, the tripolar nominal 0.1° Parallel Ocean Program 2 (POP2). The fine resolution CESM simulation was run for 85 years; constant 1850 preindustrial forcing was used throughout the run, allowing us to isolate internal variability of the coupled system. Model parameters were adjusted ("tuned") to produce an acceptably small top of the atmosphere radiation imbalance. The reversal of the Somali Current (SC), the western boundary current off northeast Africa, has typically been associated with that of the monsoon. The SC reverses from southwestward in boreal winter to northeastward in summer; coastal upwelling is induced by the summer monsoonal winds. Recently it has been shown from new observations that the SC starts to reverse prior to the monsoon switch. Westward propagating Rossby waves have been implicated as responsible for the early SC reversal. We will discuss the sequencing of remote and local forcing on the timing of the spring inter-monsoonal switch in the direction of the SC and the appearance of the Great Whirl off the Oman Coast. Particularly, we consider how the Indian Ocean Dipole (IOD) acts to modify the seasonal strength and variability of the western boundary current system including upwelling. We look for a connection between interannual upwelling variability and that of rainfall off the west coast of India. As well, we examine changes due to the IOD in the upper ocean temperature and salinity structure along the Rossby wave propagation route in the Arabian Sea.

Immigrant community leaders identify four dimensions of trust for culturally appropriate diabetes education and care.

PubMed

Dahal, Govinda; Qayyum, Adnan; Ferreyra, Mariella; Kassim, Hussein; Pottie, Kevin

2014-10-01

This paper explores immigrant community leaders' perspectives on culturally appropriate diabetes education and care. We conducted exploratory workshops followed by focus groups with Punjabi, Nepali, Somali, and Latin American immigrant communities in Ottawa, Ontario. We used the constant comparative method of grounded theory to explore issues of trust and its impact on access and effectiveness of care. Detailed inquiry revealed the cross cutting theme of trust at the "entry" level and in relation to "accuracy" of diabetes information, as well as the influence of trust on personal "privacy" and on the "uptake" of recommendations. These four dimensions of trust stood out among immigrant community leaders: entry level, accuracy level, privacy level, and intervention level and were considered important attributes of culturally appropriate diabetes education and care. These dimensions of trust may promote trust at the patient-practitioner level and also may help build trust in the health care system.

PARAMETERS, U.S. Army War College Quarterly. Volume 24, Number 3, Autumn 1994

DTIC Science & Technology

1994-01-01

percent of the global population, have turned their attention to that developing world, substantial parts of which are likely to be chaotic for the...broadcasts. The effects of TV, video, and global communications on conflict management in the 21 st century will extend far beyond the relationships...critics of the Administration’s response to the Somali CNN war were right about its negative effects on US reactions. When events went bad, the Clinton

Decisions in Operations Other Than War: The United States Intervention in Somalia

DTIC Science & Technology

1994-06-03

primary school enrollment increased 100% from 1970 to 1971, and the incidence of malaria, tuberculosis , and other endemic diseases was sharply...reported between Jess and Adn Nur "Gabiyu". Somali Salvation Democratic Front (SSDF). The SSDF was formed in 1979 by members of the Majerteen sub-clan (of...forces. This disarmament agreement took years to forge as well - A U.N. brokered peace agreement was signed in Mexico in January 1992 that began the

A Follow-Up Study of People in Ontario Completing Level 3 of the Language Instruction for Newcomers to Canada (LINC) Program. Report to the Ontario Region LINC Advisory Committee.

ERIC Educational Resources Information Center

Hart, Doug; Cumming, Alister

The report details results of a survey of students who had completed Level 3 of the Ontario (Canada) Language Instruction fore Newcomers to Canada (LINC) program. The initial followup study included 103 native speakers of Arabic, 208 speakers of Cantonese, 198 of Polish, 40 of Somali, 155 of Spanish, and 196 of Tamil. Ten from each group except…

Somali Pirates: A New Phase Zero Stability Operational Approach, a Strategic Imperative in the Horn of Africa

DTIC Science & Technology

2010-06-18

criminals, but most are not. Therefore, the cause of piracy is within Somalia itself and must be addressed from within, rather than contested at sea ...commons. It explored the operating environment of northern Somalia, highlighting the root causes of the criminal behavior at sea . It was found that...During this period, Larson found employment in the commercial fishing industry Bering Sea Alaska. Returning to active service in 1997, Larson returned

Radicalization within the Somali-American Diaspora: Countering the Homegrown Terrorist Threat

DTIC Science & Technology

2009-12-01

memorized rap lyrics from “Ice Cube”, he wore hip-hop fashions, played basketball after school and hung out at the Mall of the Americans in...Somalia by Ethiopia, Hassan published an essay on his Facebook page. The essay , published on May 2, 2007, was in support of the Ethiopian backed...Transitional Federal Government (TFG) (Hassan, 2009). In his essay , Hassan articulates how the TFG is the only legitimate authority in the country, and

Granting Concessions and Paying Ransoms to Terrorists: A Policy Options Analysis of the U.S. Policy on Hostage Recovery

DTIC Science & Technology

2016-06-01

is that granting ransoms funds terrorism. It is without question that any money given to a terrorist organization helps fund that organization...hostage-takings more often occur not out of want for money , but because the offenders lack fear of retribution. For the Somali pirates, for example...businesses like General Motors, which received bailout money from the federal government, and the Catholic Church, which receives tax-exempt status

Al-Shabaab: The Threat to Kenya and the Horn of Africa

DTIC Science & Technology

2013-03-01

Transitional Federal Government as well as the African Union (AU) peace keeping force, the African Mission in Somalia (AMISOM). Al Shabaab began as part of...the armed wing of the Islamic Courts Union (ICU) when the Courts Union gained power in the Somali capital of Mogadishu in 2006, then the Ethiopian...Somalia The Somalia Republic gained independence on 1st July 1960 formed by the Union of British Somaliland and Italian Somaliland with Aden Abdullah

United States and Soviet Military Aid to Somalia: A Comparative Analysis of Security Assistance.

DTIC Science & Technology

1985-04-01

Army Infantry School. TheK author has had two articles published, both in In(Aanry magazine. The first * was in the January- February 1982 issue and...Mohamed Siad Barre became the head of the government; thus beginning the fourth period of Somali history. Barre instituted " scientific socialism" as a...on Armed Services; Hearinns before the Subcommittee on Military Constrution Washington; U.S. Government Printing Office; 1982. "U.S. Reassesses Need

The importance of establishing reliability and validity of assessment instruments for mental health problems: An example from Somali children and adolescents living in three refugee camps in Ethiopia

PubMed Central

Hall, Brian J.; Puffer, Eve; Murray, Laura K.; Ismael, Abdulkadir; Bass, Judith K.; Sim, Amanda; Bolton, Paul A.

2014-01-01

Assessing mental health problems cross-culturally for children exposed to war and violence presents a number of unique challenges. One of the most important issues is the lack of validated symptom measures to assess these problems. The present study sought to evaluate the psychometric properties of two measures to assess mental health problems: the Achenbach Youth Self-Report and the Child Posttraumatic Stress Disorder Symptom Scale. We conducted a validity study in three refugee camps in Eastern Ethiopia in the outskirts of Jijiga, the capital of the Somali region. A total of 147 child and caregiver pairs were assessed, and scores obtained were submitted to rigorous psychometric evaluation. Excellent internal consistency reliability was obtained for symptom measures for children and their caregivers. Validation of study instruments based on local case definitions was obtained for the caregivers but not consistently for the children. Sensitivity and specificity of study measures were generally low, indicating that these scales would not perform adequately as screening instruments. Combined test-retest and inter-rater reliability was low for all scales. This study illustrates the need for validation and testing of existing measures cross-culturally. Methodological implications for future cross-cultural research studies in low- and middle-income countries are discussed. PMID:24955147

Analysis of Special Operations Forces in Decision Aids: Recommendations,

DTIC Science & Technology

1994-01-01

Soviet-made armored scout cars operated by Malaysian troops. By that time, the United States had lost 102 men-18 killed and 84 wounded. Somali leaders...designation of targets; attack by F-15E and F-16C using CBU-87, -89 Execution and GBU; attack by A-10 using Maverick and 30-mm cannon; attack by B-52 using...patrolling designated areas of the battlefield and attacking individual armored vehicles with precision-guided weapons such as Maverick . Discontinuity

On a mission: training traditional birth attendants in Ethiopia.

PubMed

Ciolino, Alice

2011-06-01

Alice Ciolino, a midwife from London spent eight months in Ethiopia with Doctors of the World. Her mission was to train Traditional Birth Attendants (TBAs). Based in the Somali region of Ethiopia, access to healthcare facilities was limited; indeed Kebri Dehar had the only hospital in the region. Here Alice shares her experience of what it is like to live and work in a remote part of the world, far from the medical facilities we take for granted in the West.

Arabian Peninsula and northeast Africa as seen from Gemini 11 spacecraft

NASA Technical Reports Server (NTRS)

1966-01-01

Arabian Peninsula (on left) and northeast Africa (on right) as seen from the Gemini 11 spacecraft at an altitude of 340 nautical miles during its 27th revolution of the earth, looking southeast. Saudia Arabia, South Arabia, Yemen and Aden Protectorate are at left. At bottom right is Ethiopia. French Somaliland is in center on right shore. Somali is at upper right. Body of water at bottom is Red Sea. Gulf of Aden is in center; and at top left is Indian Ocean.

Over-the-Counter Medicines - Multiple Languages

MedlinePlus

... this page, please enable JavaScript. Amharic (Amarɨñña / አማርኛ ) Arabic (العربية) Burmese (myanma bhasa) Dari (دری) Farsi (فارسی) Karen (S’gaw Karen) Kinyarwanda (Rwanda) Levantine (Arabic dialect) (الـلَّـهْـجَـةُ الـشَّـامِـيَّـة) Pashto (Pax̌tō / پښتو ) Somali (Af- ...

Maritime Piracy: Examining the U.S. Response to a Global Threat

DTIC Science & Technology

2010-03-01

Security Council in December 2008, as the Countering Piracy off the Horn of Africa Partnership & Action Plan ( CPAP ). In accordance with U.S. policy to...international efforts,‖43 the plan places significant importance on multilateral action to solve the problem of Somali piracy. CPAP seeks to involve a siege...an interest in maritime security.‖44 CPAP directs the U.S., in concert with a ―global partnership,‖ to address three lines of operation: 1

Trading Nets for Guns: The Impact of Illegal Fishing on Piracy in Somalia

DTIC Science & Technology

2010-09-01

Reconsidering the Letter of Marque,” Public Contract Law Journal 39, no. 3 (Spring 2010): 412–464; Katie Stuhldreher, “To Turn the Tide on Piracy in...18 Ibid; Theodore Richard, “Reconsidering the Letter of Marque,” Public Contract Law Journal 39, no. 3 (Spring 2010): 412–464; Martin Murphy...the Letter of Marque,” Public Contract Law Journal 39, no. 3 (Spring 2010): 412–464. 38 Richey, Warren. “Where will captured Somali pirate get

Air-sea interaction over the Indian Ocean due to variations in the Indonesian throughflow

NASA Astrophysics Data System (ADS)

Wajsowicz, R. C.

The effects of the Indonesian throughflow on the upper thermocline circulation and surface heat flux over the Indian Ocean are presented for a 3-D ocean model forced by two different monthly wind-stress climatologies, as they show interesting differences, which could have implications for long-term variability in the Indian and Australasian monsoons. The effects are determined by contrasting a control run with a run in which the throughflow is blocked by an artificial land-bridge across the exit channels into the Indian Ocean. In the model forced by ECMWF wind stresses, there is little impact on the annual mean surface heat flux in the region surrounding the throughflow exit straits, whereas in the model forced by SSM/I-based wind stresses, a modest throughflow of less than 5 ×106 m3s-1 over the upper 300 m induces an extra 10-50 Wm-2 output. In the SSM/I-forced model, there is insignificant penetration of the throughflow into the northern Indian Ocean. However, in the ECMWF-forced model, the throughflow induces a 5-10 Wm-2 reduction in heat input into the ocean, i.e., an effective output, over the Somali Current in the annual mean. These differences are attributed to differences in the strength and direction of the Ekman transport of the ambient flow, and the vertical structure of the transport and temperature anomalies associated with the throughflow. In both models, the throughflow induces a 5-30 Wm-2 increase in net output over a broad swathe of the southern Indian Ocean, and a reduction in heat output of 10-60 Wm-2 in a large L-shaped band around Tasmania. Effective increases in throughflow-induced net output reach up to 40 (60) Wm-2 over the Agulhas Current retroflection in the ECMWF (SSM/I)-forced model. Seasonal variations in the throughflow's effect on the net surface heat flux are attributed to seasonal variations in the ambient circulation of the Indian Ocean, specifically in coastal upwelling along the south Javan, west Australian, and Somalian coasts, and in the depth of convective overturning between 40°S to 50°S, and its sensing of the mean throughflow's thermal anomaly. The seasonal anomalies plus annual mean yield maximum values for the throughflow-induced net surface heat output in boreal summer. Values may exceed 40 Wm-2 in the southern Indian Ocean interior in both models, exceed 60 Wm-2 over the Agulhas retroflection and immediate vicinity of the exit channels in the SSM/I-forced model, and reach 30 Wm-2 over the Somali jet in the ECMWF-forced model.

Community knowledge, attitude, and practices towards tuberculosis in Shinile town, Somali regional state, eastern Ethiopia: a cross-sectional study.

PubMed

Tolossa, Daniel; Medhin, Girmay; Legesse, Mengistu

2014-08-07

Though tuberculosis (TB) is preventable and curable, its global burden remains enormous. Similarly, TB is one of the major public health problems in Ethiopia, particularly in geographically isolated areas like Shinile town. The people in Shinile town, Somali Regional State of Ethiopia, are underserved in all forms of health care and suffer from high burden of TB. Low level of knowledge about TB could affect the health-seeking behavior of patients and sustain the transmission of the disease within the community. Therefore, the current study was undertaken in Shinile town with the objective of assessing communities' knowledge, attitude and practices towards TB. Community-based cross-sectional survey, involving 410 randomly selected individuals, was conducted in Shinile town from January to May, 2013. Data were analyzed using STATA V.11. Logistic regression technique was used to determine the association between socio-demographic characteristics and communities' knowledge of TB. While 94.9% of the respondents said that they ever heard about TB, only 22.9% knew that TB is caused by bacteria. Eighty percent have awareness that TB can be transmitted from a patient to another person and 79.3% know that transmission of TB can be preventable. Persistence cough (72.4%) was the most commonly stated symptom of TB and modern drugs used in health institutions (68.1%) was the preferred choice of treatment. Two hundred and ninety one respondents (71.0%) said that they would seek treatment at health facility if they realized that they had symptoms related to TB. Two hundred and twenty seven respondents (55.4%) considered TB as a very serious disease and 284 (69.3%) would experience fear if they themselves had TB. Individuals with educational level of grade 8 up to grade 12 had increased odds of having good level of overall TB knowledge compared to illiterate individuals (OR = 2.3; 95% CI: 1.2 to 4.6). The communities in Shinile town have basic awareness about TB which is not translated into the knowledge about the cause of the disease. Therefore, health education directed towards bringing a significant change in the knowledge of TB must be stepped-up within the TB control program.

[Epidemiologic aspects of 42 cases of human brucellosis in the Republic of Djibouti].

PubMed

Gavazzi, G; Prigent, D; Baudet, J M; Banoita, S; Daoud, W

1997-01-01

Brucellosis is an ubiquitous anthropozoonoses in the Republic of Djibouti, but it has only been studied in the City of Djibouti. This retrospective study of 42 cases of human brucellosis diagnosed between April 1993 and April 1995 was carried out at the Peltier Hospital in Djibouti to obtain epidemiological data concerning brucellosis in the Republic of Djibouti. Diagnosis was based on clinical symptoms and positive immunologic tests (Rose Bengal test > 100 UI and Wright serology > 1/80). The following information was obtained for each patient: nationality, ethnic origin, place of residence, age, sex, and risk factors for exposure to infected animals or products. There were 30 men and 12 women including 38 Djiboutis, 3 Somalis, and 1 Ethiopian. Ethnic origin was Afar in 32 cases, Somali in 6 cases, and undetermined in 4 cases. Mean age was 31.6 years. Of the 38 Djiboutis, 15 lived in the district of Djibouti, 17 in the district of Tadjourah, 3 in the district of Obock, and none in districts located in the Southern part of the country. In 18 cases brucellosis involved cattle raisers from the Northern part of the country. In five cases no risk factor could be identified. The incidence of brucellosis in the Republic of Djibouti appears to be comparable to that observed in other highly endemic countries. Further study is needed to determine the exact incidence in man and animals and ascertain the need and feasibility of preventive measures.

Basalts dredged from the Amirante ridge, western Indian ocean

USGS Publications Warehouse

Fisher, R.L.; Engel, C.G.; Hilde, T.W.C.

1968-01-01

Oceanic tholeiitic basalts were dredged from 2500 to 3000 m depth on each flank of the Amirante Ridge, 1200 km southeast of Somalia in the western Indian Ocean, by R.V. Argo in 1964. One sample, probably shed from a flow or dike in basement beneath the coralline cap, gave a wholerock KAr age of 82??16??106 years. The age is similar to those reported by others for agglomerate from Providence Reef, nearer Madagascar, and for gabbro from Chain Ridge, the southwest member of Owen Fracture Zone, nearer the Somali coast. The Amirante Cretaceous-Early Tertiary occurrence lies between the "continental" 650 ?? 106 years granites of Seychelles Archipelago and the large Precambrian "continental" block of Madagascar. Trends of major structures and distribution of the related topographic and magnetic-anomaly lineations in 7-8 ?? 106 km2of the surrounding Indian Ocean suggest that in addition to spreading of the seafloor from the seismically-active Mid-Indian Ocean Ridge-Carlsberg Ridge complex there has been, since mid-Mesozoic time, distributed left-lateral shear along 52??-54??E that has moved Madagascar at least 700 km south relative to Seychelles Bank. Measurements by other indicate the absolute movement of Madagascar has been southward as well. The emplacement of oceanic tholeiitic basalts at shallow depth, the development of volcanic topography between the sedimented Somali and Mascarene basins, and the existence of the faulted Amirante Trench and Ridge are consequences of the displacement. ?? 1968.

SERVARE VITAS- Political Consequences for Romanian National Government and Military of Hostage Deaths in a Romanian Special Operations Forces Hostage Rescue Operation

DTIC Science & Technology

2006-09-01

Focusing or shifting the hostage takers’ attention on or to other matters during the actual storming— never an easy task—can help the rescue force...after only five years. The so-called German Autumn11 of 1977 drew the world’s attention to another international hostage crisis, this time in...was happening in the aircraft. He also staged the Somali troops to make a diversion in front of the aircraft to deflect attention from the GSG-9

CTC Sentinel. Volume 1, Issue 11, October 2008. Field Notes on Iraq’s Tribal Revolt Against Al-Qa’ida

DTIC Science & Technology

2008-10-01

that some members of Britain’s nearly 80,000-strong Somali community have been involved with the Islamic Courts Union , Somalia’s largest jihadist...Muslim groups have helped the Islamic Courts Union to raise funds and rally support for their cause. For example, in late 2006 the Muslim Association...with the Islamic Courts Union .19 In France, five Muslims were put on trial in March 2008 for sending French Muslims to fight in Iraq,20 while

GPS Constraints on the Spatial Distribution of Extension in the Ethiopian Highlands and Main Ethiopian Rift

NASA Astrophysics Data System (ADS)

Amere, Y. B.; Bendick, R. O.; Fisseha, S.; Lewi, E.; Reilinger, R. E.; King, R. W.; Kianji, G.

2014-12-01

27 campaign and 17 continuous GPS sites spanning the Ethiopian Highlands, Main Ethiopian Rift (MER), and Somali Platform in Ethiopia and Eritrea were measured for varying durations between 1995 and 2014. Velocities at these sites show that present day strain in NE Africa is not localized only in the Afar depression and MER system. Rather, velocities as high as 6 mm/yr relative to stable Nubia occur in the central Ethiopian highlands west of the rift bounding faults; the northern and southern Ethiopian highlands host velocities as high as 3 mm/yr. These approach the magnitude of Nubia-Somalia spreading accommodated within the rift itself of 6 + 1 mm/yr with an azimuth of N770E. The combination of distributed low strain rate deformation contiguous with higher strain rate plate boundary deformation is similar to that expressed in other tectonically active continental settings like Basin and Range and Tibetan Plateau.Keywords: deformation, localized, distributed, strain, stable Nubia.

Emergency Contraception in Post-Conflict Somalia: An Assessment of Awareness and Perceptions of Need.

PubMed

Gure, Faduma; Dahir, Mohammed Koshin; Yusuf, Marian; Foster, Angel M

2016-03-01

In conflict-affected settings such as Somalia, emergency contraception (EC) has the potential to serve as an important means of pregnancy prevention. Yet Somalia remains one of the few countries without a registered progestin-only EC pill. In 2014, we conducted a qualitative, multi-methods study in Mogadishu to explore awareness of and perceptions of need for EC. Our project included 10 semi-structured key informant interviews, 20 structured in-person interviews with pharmacists, and four focus group discussions with married and unmarried Somali women. Our findings reveal a widespread lack of knowledge of both existing family planning methods and EC. However, once we described EC, participants expressed enthusiasm for expanding access to post-coital contraception. Our results shed light on why Somalia continues to be a global exception with respect to an EC product and suggest possible politically and culturally acceptable and effective avenues for introducing EC into the health system. © 2016 The Population Council, Inc.

Primary health care in Somalian refugee camps.

PubMed

Johnston, B

1982-01-01

The convergence of thousands in Somalia's refugee camps has created an emergency in health care provision. To tackle this problem, the Ministry of Health, in conjunction with UNICEF, recruited a small group of Somali professionals to draw up a plan for the training of community health workers to serve in the camps. A 2nd objective was to make an assessment of the nutritional status of the refugees, and provision of maternal and child health care. At the end of a 2 week workshop a plan was drawn up which emphasized the teaching of preventive medicine, particularly in the control of communicable diseases. It was decided that students in the postbasic training program in administration and teaching in the health service would serve as teachers. Teaching was kept basic and simple, mostly concentrating on topics related to hygiene and food preparation, for example. During program implementation inspection visits were carried out at intervals by a health educator and tutor from the nursing school. At the same time further briefing was given to as many concerned people in the camps as possible. Preliminary feedback suggested that the program was proceeding successfully. After 3 months an evaluation was carried out by teachers in the program. The evaluation showed a great deal to have been accomplished in spite of the disinterest of some parts of the population. The success was attributed to the involvement of Somalis in the camp communities. As of September 1981, the pace of the programs has increased, with the inclusion of health services from expatriate sources within Ministry of Health guidelines.

Concept Mapping as an Approach to Facilitate Participatory Intervention Building.

PubMed

L Allen, Michele; Schaleben-Boateng, Dane; Davey, Cynthia S; Hang, Mikow; Pergament, Shannon

2015-01-01

A challenge to addressing community-defined need through community-based participatory intervention building is ensuring that all collaborators' opinions are represented. Concept mapping integrates perspectives of individuals with differing experiences, interests, or expertise into a common visually depicted framework, and ranks composite views on importance and feasibility. To describe the use of concept mapping to facilitate participatory intervention building for a school-based, teacher-focused, positive youth development (PYD) promotion program for Latino, Hmong, and Somali youth. Particiants were teachers, administrators, youth, parents, youth workers, and community and university researchers on the projects' community collaborative board. We incorporated previously collected qualitative data into the process. In a mixed-methods process we 1) generated statements based on key informant interview and focus group data from youth workers, teachers, parents, and youth in multiple languages regarding ways teachers promote PYD for Somali, Latino and Hmong youth; 2) guided participants to individually sort statements into meaningful groupings and rate them by importance and feasibility; 3) mapped the statements based on their relation to each other using multivariate statistical analyses to identify concepts, and as a group identified labels for each concept; and 4) used labels and statement ratings to identify feasible and important concepts as priorities for intervention development. We identified 12 concepts related to PYD promotion in schools and prioritized 8 for intervention development. Concept mapping facilitated participatory intervention building by formally representing all participants' opinions, generating visual representation of group thinking, and supporting priority setting. Use of prior qualitative work increased the diversity of viewpoints represented.

I knew how it feels but couldn't save my daughter; testimony of an Ethiopian mother on female genital mutilation/cutting.

PubMed

Adinew, Yohannes Mehretie; Mekete, Beza Tamirat

2017-12-01

World Health Organization defines female genital mutilation/cutting as all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons. The practice is common in Ethiopia, especially among Somali (99%) ethnic groups. Even though FGM/C is labeled illegal practice according to the revised 2005 Penal Code of the country, the practice is still responsible for misery of many girls in Ethiopia. This personal testimony is presented using woman's own words. Data were collected through in-depth interview with a woman at Gursum health center, Somali regional state, eastern Ethiopia on June 19/2016. The interview was conducted in a private environment and original names were changed to overcome ethical concerns. Informed written consent was obtained from the participant prior to data collection. The interview was audio-taped using a digital voice recorder, later transcribed and translated verbatim from the local language, Amharic to English. The study participant described a range of experiences she had during her own and her daughter's circumcision. Three themes emerged from the woman's description: womanhood, social pressure and stigmatization of uncircumcised women and uncertain future. Even though the national prevalence may show a decline, FGM/C is still practiced underground. Thus, anti-FGM/C interventions shall take in to account elders influence and incorporate a human rights approach rather than relying merely on the dire health consequences. Further exploration of the determinants of FGM/C on a wider scale is recommended.

Recommendations to improve physical activity among teenagers- A qualitative study with ethnic minority and European teenagers

PubMed Central

2011-01-01

Background To understand the key challenges and explore recommendations from teenagers to promote physical activity with a focus on ethnic minority children. Methods Focus groups with teenagers aged 16-18 of Bangladeshi, Somali or Welsh descent attending a participating school in South Wales, UK. There were seventy four participants (18 Somali, 24 Bangladeshi and 32 Welsh children) divided into 12 focus groups. Results The boys were more positive about the benefits of exercise than the girls and felt there were not enough facilities or enough opportunity for unsupervised activity. The girls felt there was a lack of support to exercise from their family. All the children felt that attitudes to activity for teenagers needed to change, so that there was more family and community support for girls to be active and for boys to have freedom to do activities they wanted without formal supervision. It was felt that older children from all ethnic backgrounds should be involved more in delivering activities and schools needs to provide more frequent and a wider range of activities. Conclusions This study takes a child-focused approach to explore how interventions should be designed to promote physical activity in youth. Interventions need to improve access to facilities but also counteract attitudes that teenagers should be studying or working and not 'hanging about' playing with friends. Thus, the value of activity for teenagers needs to be promoted not just among the teenagers but with their teachers, parents and members of the community. PMID:21627781

Attitude as a Mediator between Acculturation and Behavioral Intention.

PubMed

Ebrahim, Nasser B; Davis, Sharon; Tomaka, Joe

2016-11-01

Immigrants, specifically African-born black persons, are affected by the HIV epidemic in the U.S. The low level of condom use among immigrants is a risk factor for contracting HIV and STIs. Immigrants go through acculturation process in their new adopted countries-a process reported to influence many health risks and protective factors; however, the mechanism through which acculturation influences health behaviors is not well understood. Thus, study examined the mediating role of attitude in the relationship between acculturation and the intention to use male condoms in steady heterosexual relationships among Somali and Ethiopian immigrants in Minnesota. The study was a regression analysis and the method of data collection cross-sectional. Participants were (n = 205) Somali and Ethiopian immigrants in Minnesota who volunteered for the study. Study participants responded to questions on attitudes, behavioral intention, and acculturation levels. The indirect effect of acculturation through the mediator, attitude, was not significant, product coefficient (a × b) = 0.04, 95% CI: [0.00, 0.11]; hence attitude did not mediate the relationship between acculturation and the intention to use condoms in the study population. However, there were significant direct and total effects of acculturation (c' = .27, p < .05; c = .31, p < .05), respectively, on intention to use condoms. Results of the study may suggest that public health intervention strategies targeting condom use among immigrants should incorporate programs that improve English language training tailored to the cultural practices and values of the immigrants, and consider the effect of acculturation on condom use. © 2016 Wiley Periodicals, Inc.

Along-dip variations of structural style in the Somali Basin deep-water fold and thrust belt (East Africa)

NASA Astrophysics Data System (ADS)

Cruciani, Francesco; Rinaldo Barchi, Massimiliano

2014-05-01

Continental passive margins are place of extended slope-failure phenomena, which can lead to the formation of gravity-driven deep-water fold and thrust belts (DW-FTBs), in regions where no far-field compressional stress is active. These giant geological features, which are confined to the sedimentary section, consist of extensional-compressional linked systems detached over a common décollement, generally salt or shales. The continental passive margin of northern Kenya and southern Somalia is an excellent and relatively unexplored site for recognizing and understanding the DW-FTBs originated over a regional shale décollement. In this study we have interpreted a 2D seismic data-set of the 1980s, hosted by Marine Geoscience Data System at Lamont-Doherty Earth Observatory of Columbia University (http://www.marine-geo.org), and recently reprocessed by ENI, in order to investigate the structural style of a DW-FTB developed offshore of northern Kenya and southern Somalia (Somali Basin). This region records the oldest sedimentary section of the Indian Ocean since the breakup of Gondwana began in the Middle-Lower Jurassic separating Madagascar from Africa. From the Upper Cretaceous to at least the Lower Miocene, the margin has been characterized by gravitational collapse leading to the formation of a DW-FTB extending more than 400 km along-strike. The northern portion of the DW-FTB is about 150 km wide, whilst in the southern portion is few tens of km wide. We analysed the northern portion along a regional seismic section. Our study represents the first detailed structural interpretation of this DW-FTB since its discovery in the 1980s. The good quality of the available reprocessed seismic data has allowed us to identify remarkable along-dip variations in the structural style. The basal detachment constantly deepens landward, in agreement with a prevailing gravity-spreading deformation process (as in the case of the Niger Delta). On the seismic data are not visible, as expected, relevant extensional growth faults and normal faults, which can balance the significant amount of shortening of the compressional domain. We recognised four sectors, characterized by different structural styles and amount of shortening. Moving from the ocean towards the land, they are: i) a series of imbricate thrusts with basinward vergence, forming a critical taper; ii) basinward stacked horses forming a duplex-like system; iii) double verging, out-of syncline thrusts, transporting bowl-shaped syn-kinematic basins; and iv) symmetric, diapir-like detachment folds, likely cored by poorly compacted mobile shales. We hypothesise that these strong and often abrupt variations could be related to: i) lateral differences in the stratigraphy of the sedimentary successions involved in the deformation; ii) time and space variations of the sediment supply along the continental slope.

Louse-borne relapsing fever in Finland in two asylum seekers from Somalia.

PubMed

Hytönen, Jukka; Khawaja, Tamim; Grönroos, Juha O; Jalava, Anna; Meri, Seppo; Oksi, Jarmo

2017-01-01

We report two cases of louse-borne relapsing fever (LBRF) in young Somali asylum seekers having recently arrived to Finland. They had sought medical attention for a febrile illness. Blood smears were examined for suspected malaria, but instead, spirochete shaped bacteria were observed. The bacteria were confirmed as Borrelia recurrentis by PCR and sequencing. The patients survived, but their treatment was complicated by Jarisch-Herxheimer reaction. We conclude that LBRF must be considered as a diagnostic option in febrile refugees also in the northernmost parts of Europe. © 2016 APMIS. Published by John Wiley & Sons Ltd.

Countering Islamic Radicalization and Al Shabaab Recruitment Within the Ethnic Somali Population of the United States: An Argument for Applying Best Practices for Stemming Youth Gang Recruitment and Initiation

DTIC Science & Technology

2010-12-01

radicalization and has a duty to help educate , as well as to inform the public. This can be accomplished as long as the government ensures that its message is...need to be formally enlisted to help with what will be a massive information campaign. The focus of such a campaign would be educating the public...enlisted to help with what will be a massive information campaign. The focus of such a campaign would be the education of the public as to the

Analyzing Naval Strategy for Counterpiracy Operations, Using the Massive Multiplayer Online War Game Leveraging the Internet (MMOWGLI) and Discrete Event Simulation (DES)

DTIC Science & Technology

2013-03-01

the Monterey Tennis Center. It was always a great stress relief to get out and dominate the tennis courts with each of you. I will never forget the...The author of this thesis considers the work being done at ATC to be the best in the field for piracy and other research. There has been quite a bit of...Marsh, http://hdl.handle.net/10945/4542.  “Disrupting Somali Piracy Via Trust and Influence Operations,” June 2009, by Robert Bair, http

Before the ban--an exploratory study of a local khat market in East London, U.K.

PubMed

Kassim, Saba; Dalsania, Asha; Nordgren, Johan; Klein, Axel; Hulbert, Josh

2015-06-12

Khat is a green leaf with amphetamine-like effects. It is primarily used among people in Africa, the Middle East and in the diaspora communities from these countries. Prior to the prohibition of khat in the UK on 24 June 2014, there was almost no information available on key aspects of the local khat market. A cross-sectional study was conducted in 2012 using snowball sampling, Privileged Access Interviewing and area mapping in order to identify khat sale establishments. Data was collected via face-to-face interviews using mixed methods for data collection. This included information about the establishments selling khat, khat pricing and its use among different ethnic minority groups, in addition to the potential sale of khat to children and risk assessment (e.g., use of pesticides on khat). Five out of seven sellers identified agreed to participate. Sellers described their khat sale establishments as 'community centres' which included, for example, a restaurant basement. The sellers' history of selling khat ranged between 1-15 years and khat's sale took place between 2pm-10pm. Miraa (e.g., Lara) from Kenya was the most popularly used khat variety, sold in pre-wrapped bundles of approximately 250 g costing £3 each and delivered four days a week. Harari (e.g., Owdi) from Ethiopia was sold in 200 g, 400 g and 1 kg bundles, priced between £5 and £20 and delivered two days a week. The primary benefit of khat use was reported to be social interaction. The customers were predominantly adult males of Somali origin. Most sellers claimed a self-imposed ban on sales to children under 18 years old. Khat bundles had no labelling describing variety or weight and sellers had no knowledge of the use of pesticides on khat and did not advertise the risks associated with khat use. Khat selling establishments were businesses that did not adhere to trade standards regulations (e.g., labelling khat bundles). They claimed to provide a community service (facilitating social interaction) to their predominately Somali customers. Without a better understanding of the dynamics of the khat market there is a risk that both health and social needs of the vulnerable populations involved in the market continue to go unaddressed. Future research should track changes in the now illicit khat market in order to evaluate the social and public health implications following the recent changes to the current U.K. regulatory environment regarding khat.

Cultural change after migration: Circumcision of girls in Western migrant communities.

PubMed

Johnsdotter, Sara; Essén, Birgitta

2016-04-01

This paper reviews the current knowledge on cultural change after migration in the practice of female circumcision, also named genital cutting or mutilation. Explorative studies show trends of radical change of this practice, especially the most extensive form of its kind (type III or the 'Pharaonic' type). The widespread interpretation that Islam would require circumcision of girls is questioned when, for example, Somalis meet other Muslim migrants, such as Arab Muslims, who do not circumcise their daughters. The few criminal court cases for circumcision of girls that have taken place in Western countries corroborate the conclusion that substantial change in the practice has occurred among migrants. In this literature review, an absence of reports is identified from healthcare providers who have witnessed circumcision after migration. Concurrently, a substantial knowledge exists on how to take care of already circumcised women and girls, and there is a system of recommendations in place regarding best practices for prevention. There is a great potential for healthcare providers to encourage this development towards general abandonment of circumcision of girls. The challenge for the future is how to incorporate culturally sensitive efforts of prevention on the one hand, and the examination of suspicious cases of illegal circumcision on the other. We recommend using--in a cautious way--the existing routines for identifying child abuse in general. Experiences from African contexts show that failure to generate significant change of the harmful practices/tradition may be due to the lack of multidisciplinary collaboration in different sectors of the society. In Western societies, the tendency toward abandonment of the practice could be reinforced by professionals who work toward better inclusion of men and women originally from countries where circumcision is practised. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Exploring the barriers to exclusive breastfeeding in black and minority ethnic groups and young mothers in the UK.

PubMed

Ingram, Jenny; Cann, Karen; Peacock, Jennie; Potter, Barbara

2008-07-01

UK health policy for many years has been to increase rates of breastfeeding because of the health benefits conferred on mothers and babies. World Health Organization recommends that babies should be breastfed exclusively for 6 months (without water or other fluids) and the National Institute for Health and Clinical Excellence promotes the provision of peer supporters or breastfeeding support groups to increase breastfeeding rates. This study aimed to explore the barriers to exclusive breastfeeding to 6 months with black and minority ethnic groups and with young mothers, and the strategies for overcoming these barriers, including peer support. Twenty-two mothers from Somali, Afro-Caribbean and South Asian communities or young mothers groups attended five focus groups. Transcripts were analysed using thematic and framework methods. There was enthusiasm for breastfeeding support groups, but with a wider remit to discuss other baby-related issues and provide general social support as well as support for breastfeeding. The Somali and South Asian women preferred the groups to be for their ethnic group, Afro-Caribbean women were keen that they should be open to all cultures and young mothers would like groups for their peers only. Encouraging mothers to breastfeed exclusively to 6 months should be promoted more and emphasized by health professionals when supporting women post-natally, and good support with breastfeeding management should be given to enable mothers to achieve this goal. Breastfeeding support groups may play a part in increasing breastfeeding continuation of breastfeeding, but for the groups studied this was not the greatest influence, with families and older women in the community having more influence in changing practice.

The ethnic gap in mental health: A population-based study of Russian, Somali and Kurdish origin migrants in Finland.

PubMed

Rask, Shadia; Suvisaari, Jaana; Koskinen, Seppo; Koponen, Päivikki; Mölsä, Mulki; Lehtisalo, Riikka; Schubert, Carla; Pakaslahti, Antti; Castaneda, Anu Emilia

2016-05-01

Research demonstrates that migrants are more vulnerable to poor mental health than general populations, but population-based studies with distinct migrant groups are scarce. We aim to (1) assess the prevalence of mental health symptoms in Russian, Somali and Kurdish origin migrants in Finland; (2) compare the prevalence of mental health symptoms in these migrant groups to the Finnish population; (3) determine which socio-demographic factors are associated with mental health symptoms. We used data from the Finnish Migrant Health and Wellbeing Study and Health 2011 Survey. Depressive and anxiety symptoms were measured using the Hopkins Symptom Checklist-25 (HSCL-25), and 1.75 was used as cut-off for clinically significant symptoms. Somatization was measured using the Symptom Checklist-90 (SCL-90) somatization scale. The age-adjusted prevalence of mental health symptoms in the studied groups was calculated by gender using predicted margins. Logistic regression analysis was used to determine which socio-demographic factors are associated with mental health symptoms in the studied population groups. The prevalence of depressive and anxiety symptoms was higher in Russian women (24%) and Kurdish men (23%) and women (49%) than in the Finnish population (9-10%). These differences were statistically significant (p<.001). Socioeconomic disadvantage (e.g. unemployment and poor economic situation) and migration-related factors (e.g. poor language proficiency and short time since migration) significantly increased the odds for depressive and anxiety symptoms. Mental health symptoms are highly prevalent particularly in Kurdish migrants in Finland. Holistic interventions and co-operation between integration and mental health services are acutely needed. © 2015 the Nordic Societies of Public Health.

Influence of Madden-Julian Oscillation on water budget transported by the Somali low-level jet and the associated Indian summer monsoon rainfall

NASA Astrophysics Data System (ADS)

Ordonez, Paulina; Ribera, Pedro; Gallego, David; Pena-Ortiz, Cristina

2013-10-01

Recent studies suggest that there is a strong linkage between the moisture uptake over the equatorial area of the Somali low level jet (SLLJ) and the rainfall variability over most of continental India. Additionally, the Madden-Julian Oscillation (MJO) strongly modulates the intraseasonal variability of the Indian summer monsoon rainfall, since the northward propagation of the boreal summer MJO is closely associated with the active and break phases of monsoon rainfall. But a question remains open: is there a relationship between the moisture transported by the SLLJ and the MJO evolution? In this paper, a Lagrangian approach is used to track the evaporation minus precipitation (E - P) evolution along trajectories of particles initially situated over the equatorial region of SLLJ. The impact of the MJO on the water budget transport of the SLLJ is examined by making composites of the obtained (E-P) fields for the different MJO phases. The spatial structures of the boreal summer intraseasonal oscillation are revealed in our results, which strongly suggest that the main responsible for the rainfall variability associated to the MJO in these regions are the changes in the moisture advected by the SLLJ. In order to assess the MJO-SLLJ interaction, an analysis of the total-column mass and the total-column specific humidity transported by the SLLJ during the MJO life cycle is performed. While a systematic difference between air mass advected to India during active and break phases of MJO is not detected, changes in the moisture of particles are found, with wet (dry) anomalies over enhanced (suppressed) convection region. This result implicitly leads to assume air-sea interaction processes.

Virility, pleasure and female genital mutilation/cutting. A qualitative study of perceptions and experiences of medicalized defibulation among Somali and Sudanese migrants in Norway.

PubMed

Johansen, R Elise B

2017-02-10

The most pervasive form of female genital mutilation/cutting-infibulation-involves the almost complete closure of the vaginal orifice by cutting and closing the labia to create a skin seal. A small opening remains for the passage of urine and menstrual blood. This physical closure has to be re-opened-defibulated-later in life. When they marry, a partial opening is made to enable sexual intercourse. The husband commonly uses his penis to create this opening. In some settings, a circumciser or traditional midwife opens the infibulated scar with a knife or razor blade. Later, during childbirth, a further opening is necessary to make room for the child's passage. In Norway, public health services provide surgical defibulation, which is less risky and painful than traditional forms of defibulation. This paper explores the perceptions and experiences of surgical defibulation among migrants in Norway and investigates whether surgical defibulation is an accepted medicalization of a traditional procedure or instead challenges the cultural underpinnings of infibulation. Data derived from in-depth interviews with 36 women and men of Somali and Sudanese origin and with 30 service providers, as well as participant observations in various settings from 2014-15, were thematically analyzed. The study findings indicate that, despite negative attitudes towards infibulation, its cultural meaning in relation to virility and sexual pleasure constitutes a barrier to the acceptance of medicalized defibulation. As sexual concerns regarding virility and male sexual pleasure constitute a barrier to the uptake of medicalized defibulation, health care providers need to address sexual concerns when discussing treatment for complications in infibulated women. Furthermore, campaigns and counselling against this practice also need to tackle these sexual concerns.

Pregnant in a foreign city: A qualitative analysis of diet and nutrition for cross-border migrant women in Cape Town, South Africa.

PubMed

Hunter-Adams, Jo; Rother, Hanna-Andrea

2016-08-01

How do migrant women navigate their food environment during pregnancy? Foods are imbued with new meanings in a new place, and in low-and-middle-income countries including South Africa, a changing food environment leaves the poor, including many migrants, vulnerable to malnutrition. Thus, one of the ways economic and social vulnerability may be experienced and reproduced is via the foods one consumes. Examining food perceptions in the context of pregnancy offers a potentially powerful lens on wellbeing. Nine focus group discussions (N = 48) with Somali, Congolese, and Zimbabwean men and women, and 23 in-depth interviews with Congolese, Somali and Zimbabwean women living in Cape Town were conducted, exploring maternal and infant nutrition. We used thematic analysis to guide analysis. (1) Participants described longing for self-categorised "traditional" foods, yet had limited access and little time and space to prepare these foods in the manner they had back home. (2) Sought-after foods available-and even celebratory-for migrants in Cape Town during pregnancy tended to be calorie-dense, nutrient poor fast foods and junk foods. (3) The fulfilment of cravings was presented as the embodiment of health during pregnancy. (4) Iron-folic acid supplementation was perceived as curative rather than preventive. (5) While participants did not describe hunger during pregnancy, food scarcity seemed possible. Food perceptions during pregnancy reflected migrants' orientation towards home. Fast foods were widely acceptable and available during pregnancy. These foods were not perceived to have negative health consequences. Nutrition interventions targeting migrants should consider the symbolic nature of food, the increasingly globalised food environment in urban LMIC settings, as well as the contexts in which health perceptions evolve. Copyright © 2016 Elsevier Ltd. All rights reserved.

The resolution sensitivity of the South Asian monsoon and Indo-Pacific in a global 0.35° AGCM

NASA Astrophysics Data System (ADS)

Johnson, Stephanie J.; Levine, Richard C.; Turner, Andrew G.; Martin, Gill M.; Woolnough, Steven J.; Schiemann, Reinhard; Mizielinski, Matthew S.; Roberts, Malcolm J.; Vidale, Pier Luigi; Demory, Marie-Estelle; Strachan, Jane

2016-02-01

The South Asian monsoon is one of the most significant manifestations of the seasonal cycle. It directly impacts nearly one third of the world's population and also has substantial global influence. Using 27-year integrations of a high-resolution atmospheric general circulation model (Met Office Unified Model), we study changes in South Asian monsoon precipitation and circulation when horizontal resolution is increased from approximately 200-40 km at the equator (N96-N512, 1.9°-0.35°). The high resolution, integration length and ensemble size of the dataset make this the most extensive dataset used to evaluate the resolution sensitivity of the South Asian monsoon to date. We find a consistent pattern of JJAS precipitation and circulation changes as resolution increases, which include a slight increase in precipitation over peninsular India, changes in Indian and Indochinese orographic rain bands, increasing wind speeds in the Somali Jet, increasing precipitation over the Maritime Continent islands and decreasing precipitation over the northern Maritime Continent seas. To diagnose which resolution-related processes cause these changes, we compare them to published sensitivity experiments that change regional orography and coastlines. Our analysis indicates that improved resolution of the East African Highlands results in the improved representation of the Somali Jet and further suggests that improved resolution of orography over Indochina and the Maritime Continent results in more precipitation over the Maritime Continent islands at the expense of reduced precipitation further north. We also evaluate the resolution sensitivity of monsoon depressions and lows, which contribute more precipitation over northeast India at higher resolution. We conclude that while increasing resolution at these scales does not solve the many monsoon biases that exist in GCMs, it has a number of small, beneficial impacts.

Directly observed treatment short-course (DOTS) for treatment of new tuberculosis cases in Somali Regional State, Eastern Ethiopia: ten years retrospective study.

PubMed

Woldeyohannes, Desalegn; Sisay, Solomon; Mengistu, Belete; Kassa, Hiwot

2015-08-19

A third of the world population is infected with tuberculosis (TB) bacilli. TB accounts for 25% of all avoidable deaths in developing countries. The objective of the study was to assess impact of directly observed treatment short-course (DOTS) strategy on new tuberculosis case finding and treatment outcomes in Somali Regional State, Ethiopia from 2003 up to 2012 and from 2004 up to 2013, respectively. A health facility based retrospective study was employed. Quarterly reports were collected using World Health Organization (WHO) reporting format for TB case finding and treatment outcome from all zones in the region to the Federal Ministry of Health. A total of 31, 198 all types of new TB cases were registered and reported during the period from 2003 up to 2012, in the region. Out of these, smear positive pulmonary TB cases were 12,466 (40%), and 10,537 (33.8%) and 8195 (26.2%) for smear negative pulmonary TB and extra-pulmonary TB cases, respectively. An average case detection rate (CDR) of 19.1% (SD 3.6) and treatment success rate (TSR) of 85.5% (SD 5.0) for smear positive pulmonary TB were reported for the specified years period. For the overall study period, trend chi-squire analysis for CDR was X(2) = 2.1; P > 0.05 and X(2) = 5.64; P < 0.05 for TSR. The recommended TSR set by WHO was achieved (85.5%) and the CDR reported was far below (19.1%) from the recommended target. Extensive efforts should be established to maintain the achieved TSR and to increase the low CDR for the smear positive pulmonary TB cases through implementing alternative case finding strategies.

Global Climatology of the Coastal Low-Level Wind Jets using different Reanalysis

NASA Astrophysics Data System (ADS)

Lima, Daniela C. A.; Soares, Pedro M. M.; Semedo, Alvaro; Cardoso, Rita M.

2016-04-01

Coastal Low-Level Jets (henceforth referred to as "coastal jets" or simply as CLLJ) are low-tropospheric mesoscale wind features, with wind speed maxima confined to the marine atmospheric boundary layer (MABL), typically bellow 1km. Coastal jets occur in the eastern flank of the semi-permanent subtropical mid-latitude high pressure systems, along equatorward eastern boundary currents, due to a large-scale synoptic forcing. The large-scale synoptic forcing behind CLLJ occurrences is a high pressure system over the ocean and a thermal low inland. This results in coastal parallel winds that are the consequence of the geostrophic adjustment. CLLJ are found along the California (California-Oregon) and the Canary (Iberia and Northeastern Africa) currents in the Northern Hemisphere, and along the Peru-Humboldt (Peru-Chile), Benguela (Namibia) and Western Australia (West Australia) currents in the Southern Hemisphere. In the Arabian Sea (Oman CLLJ), the interaction between the high pressure over the Indian Ocean in summer (Summer Indian Monsoon) and the Somali (also known as Findlater) Jet forces a coastal jet wind feature off the southeast coast of Oman. Coastal jets play an important role in the regional climates of the mid-latitude western continental regions. The decrease of the sea surface temperatures (SST) along the coast due to upwelling lowers the evaporation over the ocean and the coast parallel winds prevents the advection of marine air inshore. The feedback processes between the CLLJ and upwelling play a crucial role in the regional climate, namely, promoting aridity since the parallel flow prevents the intrusion of moisture inland, and increasing fish stocks through the transport of rich nutrient cold water from the bottom. In this study, the global coastal low-level wind jets are identified and characterized using an ensemble of three reanalysis, the ECMWF Interim Reanalysis (ERA-Interim), the Japanese 55-year Reanalysis (JRA-55) and the NCEP Climate Forecast System Reanalysis (NCEP CFSR). The CLLJ detection method proposed by Ranjha et al. (2013) was used for the reanalysis data. The criteria was applied sequentially to wind-speed and temperature vertical profiles to detect the location and frequency of CLLJ. The CLLJs spatio-temporal features and the seasonal synoptic configuration associated with the presence of coastal jets are studied for the period (1979-2008) using the ensemble. The present study will allow us to investigate thoroughly the global coastal low-level jets occurrence and main properties, following a new perspective and to assess the uncertainties in the representation of this jets by the available reanalysis. ublication supported by project FCT UID/GEO/50019/2013 - Instituto Dom Luiz.

Perceptions of households on purpose of keeping, trait preference, and production constraints for selected goat types in Ethiopia.

PubMed

Tadesse, Dereje; Urge, Mengistu; Animut, Getachew; Mekasha, Yoseph

2014-02-01

A study was carried out to understand the needs and perception of goat keepers in selected areas of Ethiopia in order to identify the breeding objectives, traits of preference, and production constraints that may be required in designing improvement programs. The study was conducted in three districts (Bati, Meta, and Kebri-Beyah) representing the lowland crop-livestock (LLCL), highland cereal-livestock (HLCL), and pastoral/agropastoral (P/AP) systems, respectively. The study targeted the three goat types (Bati, Hararghe Highland, and Short-eared Somali) found in Ethiopia. Households in all systems considered meat production, milk production, and income generation as major purpose of keeping goats. However, those in the low rainfall and arid environments of P/AP systems gave high ranking to adaptability to harsh environments and also to building social and religious values. In LLCL and HLCL systems, goat skin and manure were more valued than in P/AP systems. Principally, in P/AP systems, the awareness of households to skin utilization and marketing was very low. Despite diverse multiple breeding objectives identified, household breeding practices were affected by constraints related to disease prevalence, feed shortage and water scarcity, and lack of awareness on skin management, utilization, and marketing. Thus, designing and implementing of sustainable goat improvement programs is an overriding priority and should take into account the breeding objectives and knowledge of goat keepers in all production systems. Along with the breed improvement, a strategy should also be devised to enhance the utilization and marketing of goat skin at all levels of production.

Forum: cultural identity and (dis)continuities of children of immigrant communities

NASA Astrophysics Data System (ADS)

Obsiye, Mohamed; Cook, Rachel

2016-12-01

Susan Harper's study centres on `funds of knowledge' as a pedagogical resource for the development of a science curriculum, drawing on Karen refugee parents' cultural knowledge and identity. She argues that engagement in this process helps the parent generation of this community to `rebuild their cultural resilience' and cope with the resettlement process (p. 43). Drawing on our own research with Somali, Sierra Leonean and Nigerian diaspora communities in London, the following article extends this discussion with a particular focus on the intricate intergenerational dynamics between children and their parents' generation in relation to cultural identity development though engagement with education.

Accelerated warming and emergent trends in fisheries biomass yields of the world's large marine ecosystems.

PubMed

Sherman, Kenneth; Belkin, Igor M; Friedland, Kevin D; O'Reilly, John; Hyde, Kimberly

2009-06-01

Information on the effects of global climate change on trends in global fisheries biomass yields has been limited in spatial and temporal scale. Results are presented of a global study of the impact of sea surface temperature (SST) changes over the last 25 years on the fisheries yields of 63 large marine ecosystems (LMEs) that annually produce 80% of the world's marine fisheries catches. Warming trends were observed in 61 LMEs around the globe. In 18 of the LMEs, rates of SST warming were two to four times faster during the past 25 years than the globally averaged rates of SST warming reported by the Intergovernmental Panel on Climate Change in 2007. Effects of warming on fisheries biomass yields were greatest in the fast-warming northern Northeast Atlantic LMEs, where increasing trends in fisheries biomass yields were related to zooplankton biomass increases. In contrast, fisheries biomass yields of LMEs in the fast-warming, more southerly reaches of the Northeast Atlantic were declining in response to decreases in zooplankton abundance. The LMEs around the margins of the Indian Ocean, where SSTs were among the world's slowest warming, revealed a consistent pattern of fisheries biomass increases during the past 25 years, driven principally by human need for food security from fisheries resources. As a precautionary approach toward more sustainable fisheries utilization, management measures to limit the total allowable catch through a cap-and-sustain approach are suggested for the developing nations recently fishing heavily on resources of the Agulhas Current, Somali Current, Arabian Sea, and Bay of Bengal LMEs.

Spatial analysis of cattle and shoat population in Ethiopia: growth trend, distribution and market access.

PubMed

Leta, Samson; Mesele, Frehiwot

2014-01-01

The livestock subsector has an enormous contribution to Ethiopia's national economy and livelihoods of many Ethiopians. The subsector contributes about 16.5% of the national Gross Domestic Product (GDP) and 35.6% of the agricultural GDP. It also contributes 15% of export earnings and 30% of agricultural employment. The livestock subsector currently support and sustain livelihoods for 80% of all rural population. The GDP of livestock related activities valued at 59 billion birr. Ethiopian livestock population trends, distribution and marketing vary considerably across space and time due to a variety of reasons. This study was aimed to assess cattle and shoat population growth trend, distribution and their access to market. Regression analysis was used to assess the cattle and shoat population growth trend and Geographic Information Systems (GIS) techniques were used to determine the spatial distribution of cattle and shoats, and their relative access to market. The data sets used are agricultural census (2001/02) and annual CSA agricultural sample survey (1995/96 to 2012/13). In the past eighteen years, the livestock population namely cattle, sheep and goat grew from 54.5 million to over 103.5 million with average annual increment of 3.4 million. The current average national cattle, sheep and goat population per km(2) are estimated to be 71, 33 and 29 respectively (excluding Addis Ababa, Afar and Somali regions). From the total livestock population the country owns about 46% cattle, 43% sheep and 40% goats are reared within 10 km radius from major livestock market centres and all-weather roads. On the other hand, three fourth of the country's land mass which comprises 15% of the cattle, 20% of the sheep and 21% of goat population is not accessible to market (greater than 30 km from major livestock market centres). It is found that the central highland regions account for the largest share of livestock population and also more accessible to market. Defining the spatial and temporal variations of livestock population is crucial in order to develop a sound and geographically targeted livestock development policy.

Motion Between the Indian, African and Antarctic Plates in the Early Cenozoic

NASA Astrophysics Data System (ADS)

Cande, S. C.; Patriat, P.; Dyment, J.

2009-12-01

We used a three-plate, best-fit algorithm to calculate four sets of Euler rotations for India (Capricorn) - Africa (Somali), India (Capricorn)-Antarctic, and Africa (Somali)-Antarctic motion for twelve time intervals between Chrons 20 and 29 in the early Cenozoic. Each set of rotations had a different combination of data constraints. The first set of rotations used a basic set of magnetic anomaly picks on the Central Indian Ridge (CIR), Southeast Indian Ridge (SEIR) and Southwest Indian Ridge (SWIR), but did not incorporate data from the Carlsberg ridge and did not use fracture zones on the SWIR. The second set added fracture zone constraints from the region west of the Bain FZ on the SWIR and also included corrections for Nubia-Somalia and Lwandle-Somalia motion on the western and central SWIR, respectively. The third set of rotations used the basic constraints from the first rotation set and added data from the Carlsberg ridge. The fourth set of rotations combined both the additional SWIR constraints of the second data set and the Carlsberg ridge constraints of the third data set. Data on the Indian plate side of the Carlsberg ridge (Arabian Basin) were rotated to the Capricorn plate before being included in the constraints. We found that the rotations constrained by the Carlsberg ridge data set diverged from the other two sets of rotations prior to anomaly 22o. We concluded that, relative to the rest of the CIR, there is a progressively larger separation of anomalies on the Carlsberg ridge, starting at anomaly 22o and increasing to over 100 km for anomaly 26. These observations support two alternative interpretations. First, they are consistent with a distinct Seychelles microplate in the early Cenozoic. The sense of the misfit on the Carlsberg ridge is consistent with roughly 100 to 150 km of convergence across a boundary between the Seychelles microplate and Somali plate between Chrons 26 and 22 running from the Amirante Trench and extending north to the Carlsberg ridge axis. Alternatively, the misfit is consistent with convergent motion of the same magnitude between the Indian and a proto-Capricorn plate east of the CIR between Chrons 26 and 22. Our work also sharpens the dating of the two major Eocene events that Patriat and Achache (1984) recognized in the Indian Ocean: a large but gradual slowdown on the CIR and SEIR starting shortly after Chron 23o (51.9 Ma) and continuing until Chron 21y (45.3 Ma), a period of 6.6 Ma, followed two or three million years later by an abrupt change in spreading azimuth on the CIR and SEIR which occurred around Chron 20o (42.8) Ma and which was completed by Chron 20y (41.5 Ma). No change in spreading rate accompanied the change in spreading direction.

Learning from experience: three community health population-based outreach projects for graduate and undergraduate students.

PubMed

D'Lugoff, Marion Isaacs; McCarter, Jeanne

2005-01-01

Three outreach activities by a school of nursing, in partnership with community agencies, provided learning experiences in primary and secondary preventive health care for graduate and undergraduate nursing students while addressing health needs in the community. The activities included administration of immunizations to a newly arrived Somali Bantu refugee population, targeted screening of an African-American population at risk for diabetic retinopathy, and general health screening for an underserved Hispanic immigrant population. These activities lend insight and depth to a community health curriculum by allowing students to provide needed services while engaging with culturally diverse clients of varying socioeconomic status. Learner objectives, resources, processes and outcomes are provided for each example.

GEMINI-TITAN (GT)-11 - EARTH SKY - OVERLAY - ARABIAN PENINSULA & NORTHEAST AFRICA - POINTS OF INTEREST - OUTER SPACE

NASA Image and Video Library

1966-09-14

S66-54536 (14 Sept. 1966) --- Arabian Peninsula (on left) and northeast Africa (on right) as seen from the orbiting Gemini-11 spacecraft at an altitude of 340 nautical miles during its 27th revolution of Earth, looking southeast. Saudi Arabia, South Arabia, Yemen, and Aden Protectorate are at left. At bottom right is Ethiopia. French Somaliland is in center on right shore. Somali is at upper right. Body of water at bottom is Red Sea. Gulf of Aden is in center; and at top left is Indian Ocean. Taken with a modified 70mm Hasselblad camera, using Eastman Kodak, Ektachrome, MS (S.O. 368) color film. Photo credit: NASA

Bacteriological quality of raw camel milk along the market value chain in Fafen zone, Ethiopian Somali regional state.

PubMed

Abera, Tsegalem; Legesse, Yoseph; Mummed, Behar; Urga, Befekadu

2016-05-26

The camel is a multipurpose animal with a huge productive potential. Camel milk is a key food in arid and semi-arid areas of the African and Asian countries. The quality of milk is influenced by different bacteria present in milk. This study was conducted to evaluate total bacterial content in raw camel milk along the market chain in Fafen zone, Ethiopian Somali Regional State. One hundred twenty-six raw camel milk samples were collected from Gursum (47.1 %) and Babile (52.9 %) districts. The three sampling levels included were udder (14.7 %), milking bucket (29.4 %) and market (55.9 %). Milk samples were analyzed for total bacterial counts (TBC) and coliform counts (CC). Furthermore, major pathogens were isolated and identified. 108 (85.7 %) of raw camel milk samples demonstrated bacterial contamination. The overall mean TBC and CC of contaminated raw camel milk samples was 4.75 ± 0.17 and 4.03 ± 0.26 log CFU/ml, respectively. TBC increased from udder to market level and was higher in Gursum compared to Babile district (P < 0.05). Around 38.9 % of TBCs and 88.2 % CCs in contaminated raw camel milk samples were in the range considered unsafe for human utility. Staphylococcus spp. (89.8 %), Streptococcus spp. (53.7 %), E. coli (31.5 %), Salmonella spp. (17.6 %), Klebsiella spp. (5.6 %) and Enterobacter spp. (5.6 %) were the major bacterial microorganisms isolated. The majority of the bacterial isolates in this study showed high incidence in market as compared to production level. These results indicate a lack of compliance with good production practices and hygiene at milking, transportation and market of raw camel milk.

Perinatal mortality in non-western migrants in Norway as compared to their countries of birth and to Norwegian women

PubMed Central

2013-01-01

Background A large number of women from countries with a high perinatal mortality rate (PMR) settle in countries with a low PMR. We compared the PMRs for migrants in Norway with the PMRs in their countries of birth. We also assessed the risk of perinatal death in offspring of migrant women as compared to offspring of Norwegian women. Methods The Medical Birth Registry of Norway and the Norwegian Central Person Registry provided data on births in Norway during the years 1986 to 2005 among all women born in Norway, Pakistan, Vietnam, Somalia, Sri Lanka, Philippines, Iraq, Thailand and Afghanistan. Information on the PMRs in the countries of birth was obtained from the World Health Organisation (WHO) for the years 1995, 2000 and 2004. Mean PMRs in Norway during 1986–2005 were calculated by mother’s country of birth, and the risks of perinatal death by country of birth were estimated as odds ratios (OR) using Norwegian women as the reference. Adjustments were made for mother’s age, plurality, parity, year of birth and gestational age at birth. Results The PMRs for migrants in Norway were lower than in their countries of birth. The largest difference was in Afghan women (97 deaths per 1000 births in Afghanistan versus 24 deaths per 1000 births in Afghan women in Norway), followed by Iraqi and Somali women. As compared with Norwegian women, the adjusted odds ratio (OR) of perinatal death was highest for Afghan (OR 4.01 CI: 2.40 – 6.71), Somali (OR 1.83 CI: 1.44 - 2.34) and Sri Lankan (OR 1.76 CI: 1.36 – 2.27) women. Conclusions The lower PMRs for migrants in Norway as compared to the PMRs in their countries of birth may be explained by access to better health care after migration. The increased risk of perinatal death in migrants as compared to Norwegians encourages further research. PMID:23320559

The Late Miocene Rise of C4 Vegetation in Eastern Africa Documented by Terrestrial Plant Waxes in Marine Cores

NASA Astrophysics Data System (ADS)

Uno, K. T.; Polissar, P. J.; Jackson, K.; deMenocal, P. B.

2015-12-01

C4 plants are predominantly grasses and they account for ~20% of global net primary productivity, serve as important sources of food, and are the dominant plant type in non-forested tropical ecosystems. Yet the reasons behind their rise to such a globally significant component of the terrestrial biosphere within the last 10 million years are not well understood. In eastern Africa, the expansion of C4 grasslands led to long-term changes in faunal distributions and resulted in major dietary shifts in mammalian lineages. Potential mechanisms leading to the rise of C4 plants include a decrease in atmospheric CO2, ecosystem perturbations by fire or large herbivores, and increased aridity or seasonality of precipitation. Improvement of the temporal and spatial coverage of vegetation records in the Late Neogene of East Africa may help elucidate the mechanisms responsible for regional and global C4 grassland expansion. It will also improve our ability to assess the relationship between vegetation change and mammalian evolution. To evaluate the evolution of C4 grasslands in East Africa, we measured carbon isotope ratios of n-alkanes from four DSDP cores stretching from the Red Sea (19.1° N) to the Somali Basin (2.4° S) that range in age from ~24 Ma to 0.5 Ma. Carbon isotope data from Somali Basin sites 235 and 241 indicate the appearance of C4 vegetation by ca. 10 Ma, followed by a relatively steady increase through the late Pleistocene. Odd numbered n-alkane homologues (C29 ­to C35) exhibit up to a 10‰ increase in δ13C. We also established end member molecular distributions of n-alkanes and tracked changes in their proportional contributions through time. Changes in molecular distribution are broadly synchronous with increases in carbon isotope ratios, suggesting that n-alkane distributions reflect changes in C3 and C4 vegetation types.

Understanding the unique experiences, perspectives and sexual and reproductive health needs of very young adolescents: Somali refugees in Ethiopia.

PubMed

Ortiz-Echevarria, Luis; Greeley, Meghan; Bawoke, Tenaw; Zimmerman, Linnea; Robinson, Courtland; Schlecht, Jennifer

2017-01-01

Kobe Refugee camp hosts roughly 39,000 refugees displaced from Somalia during the 2011-2012 Horn of Africa Crisis. Sexual and reproductive health, as with the greater issues of health and well-being for adolescents displaced from this crisis remain largely unknown and neglected. In 2013, the Women's Refugee Commission, Johns Hopkins University, and International Medical Corps in Ethiopia, implemented qualitative and quantitative research to explore the factors and risks that impact the health of very young adolescents (VYAs), those 10-14 years of age, in this setting. This paper presents findings from the qualitative effort. Focus group discussions (FGD), incorporating community mapping and photo elicitation activities, were conducted with 10-12 and 13-14 year-olds to obtain information about their own perspectives, experiences and values. FGDs were also implemented with 15-16 year-olds and adults, to consider their perspectives on the sexual and reproductive health needs and risks of VYAs. This research identified several factors that were found to influence the health and well-being of VYAs in Kobe refugee camp, including newfound access to education and security, combined with gender divisions and parental communication around early SRH and puberty that remained intact from traditional Somali culture. Girls were found to face an additional risk of child marriage and early pregnancy exacerbated since displacement, which significantly limited their ability to access education and achieve future aspirations. Findings from this study could help to inform future programs in Kobe and similar contexts involving long-term displacement from conflict, focusing on the health and development needs of VYAs. Future programs should consider the determinants of positive VYA health and development, including access to education, gender equity, and safety.By better understanding the unique experiences, perspectives and needs of VYAs, practitioners, policy makers and donors can invest in the individual and community assets that reinforce positive behaviors established in early adolescence, in order to achieve long-term SRH impacts.

Ancient DNA provides new insight into the maternal lineages and domestication of Chinese donkeys.

PubMed

Han, Lu; Zhu, Songbiao; Ning, Chao; Cai, Dawei; Wang, Kai; Chen, Quanjia; Hu, Songmei; Yang, Junkai; Shao, Jing; Zhu, Hong; Zhou, Hui

2014-11-30

The donkey (Equus asinus) is an important domestic animal that provides a reliable source of protein and method of transportation for many human populations. However, the process of domestication and the dispersal routes of the Chinese donkey are still unclear, as donkey remains are sparse in the archaeological record and often confused with horse remains. To explore the maternal origins and dispersal route of Chinese donkeys, both mitochondrial DNA D-loop and cytochrome b gene fragments of 21 suspected donkey remains from four archaeological sites in China were amplified and sequenced. Molecular methods of species identification show that 17 specimens were donkeys and three samples had the maternal genetic signature of horses. One sample that dates to about 20,000 years before present failed to amplify. In this study, the phylogenetic analysis reveals that ancient Chinese donkeys have high mitochondrial DNA diversity and two distinct mitochondrial maternal lineages, known as the Somali and Nubian lineages. These results indicate that the maternal origin of Chinese domestic donkeys was probably related to the African wild ass, which includes the Nubian wild ass (Equus africanus africanus) and the Somali wild ass (Equus africanus somaliensis). Combined with historical records, the results of this study implied that domestic donkeys spread into west and north China before the emergence of the Han dynasty. The number of Chinese domestic donkeys had increased primarily to meet demand for the expansion of trade, and they were likely used as commodities or for shipping goods along the Silk Road during the Tang Dynasty, when the Silk Road reached its golden age. This study is the first to provide valuable ancient animal DNA evidence for early trade between African and Asian populations. The ancient DNA analysis of Chinese donkeys also sheds light on the dynamic process of the maternal origin, domestication, and dispersal route of ancient Chinese donkeys.

Decreasing disparities in breast cancer screening in refugee women using culturally tailored patient navigation.

PubMed

Percac-Lima, Sanja; Ashburner, Jeffrey M; Bond, Barbara; Oo, Sarah A; Atlas, Steven J

2013-11-01

Patient navigator (PN) programs can improve breast cancer screening in low income, ethnic/racial minorities. Refugee women have low breast cancer screening rates, but it has not been shown that PN is similarly effective. Evaluate whether a PN program for refugee women decreases disparities in breast cancer screening. Retrospective program evaluation of an implemented intervention. Women who self-identified as speaking Somali, Arabic, or Serbo-Croatian (Bosnian) and were eligible for breast cancer screening at an urban community health center (HC). Comparison groups were English-speaking and Spanish-speaking women eligible for breast cancer screening in the same HC. Patient navigators educated women about breast cancer screening, explored barriers to screening, and tailored interventions individually to help complete screening. Adjusted 2-year mammography rates from logistic regression models for each calendar year accounting for clustering by primary care physician. Rates in refugee women were compared to English-speaking and Spanish-speaking women in the year before implementation of the PN program and over its first 3 years. There were 188 refugee (36 Somali, 48 Arabic, 104 Serbo-Croatian speaking), 2,072 English-speaking, and 2,014 Spanish-speaking women eligible for breast cancer screening over the 4-year study period. In the year prior to implementation of the program, adjusted mammography rates were lower among refugee women (64.1 %, 95 % CI: 49-77 %) compared to English-speaking (76.5 %, 95 % CI: 69 %-83 %) and Spanish-speaking (85.2 %, 95 % CI: 79 %-90 %) women. By the end of 2011, screening rates increased in refugee women (81.2 %, 95 % CI: 72 %-88 %), and were similar to the rates in English-speaking (80.0 %, 95 % CI: 73 %-86 %) and Spanish-speaking (87.6 %, 95 % CI: 82 %-91 %) women. PN increased screening rates in both younger and older refugee women. Linguistically and culturally tailored PN decreased disparities over time in breast cancer screening among female refugees from Somalia, the Middle East and Bosnia.

Family meals then and now: A qualitative investigation of intergenerational transmission of family meal practices in a racially/ethnically diverse and immigrant population.

PubMed

Trofholz, Amanda C; Thao, Mai See; Donley, Mia; Smith, Mireya; Isaac, Hassan; Berge, Jerica M

2018-02-01

Having frequent family meals has consistently been associated with better health outcomes in children/adolescents. It is important to identify how intergenerational transmission of family meal practices occurs to help families benefit from the protective nature of family meals. Limited studies exist that explore the intergenerational transmission of family meal practices, particularly among racially/ethnically diverse and immigrant populations. This study explores how parents describe differences and similarities between meals "then" and "now", lessons they learned as children about family meals, lessons they passed onto their children, the challenges of carrying out family meals, and how families handle the barriers/challenges to intergenerational transmission of family meal practices. The study was conducted with a sample of African American, Native American, Latino, Hmong, Somali, and White families (25/category). Qualitative themes were explored with the overall sample, by race/ethnicity, immigrant status, and by time in the United States (US) as an immigrant. Parents overwhelmingly reported learning as children that family meals were important and conveying this message to their own children. Differences existed among racial/ethnic groups and time in the US as an immigrant. For example, Somali parents frequently endorsed having no challenges with intergenerational transmission of family meal practices. Immigrant parents in the US for a longer period of time were more likely to endorse learning/teaching about family meal importance, that the food eaten now is different than growing up, that a chaotic environment is a challenge to having family meals, and that they accommodate family member's schedules when planning family meals. Results demonstrate that exploring a parent's early family meal experiences may be important when intervening with parents from diverse racial/ethnic and immigrant populations when trying to improve or increase family meal practices. Copyright © 2017 Elsevier Ltd. All rights reserved.

Parental views of children's physical activity: a qualitative study with parents from multi-ethnic backgrounds living in England.

PubMed

Trigwell, Joanne; Murphy, Rebecca Catherine; Cable, Nigel Timothy; Stratton, Gareth; Watson, Paula Mary

2015-10-02

Guidelines recommend children and young people participate in at least 60 min of physical activity (PA) every day, however, findings from UK studies show PA levels of children vary across ethnic groups. Since parents play an instrumental role in determining children's PA levels, this article aims to explore parental views of children's PA in a multi-ethnic sample living in a large city in the North-West of England. Six single-ethnic focus groups were conducted with 36 parents of school-aged children (4 to 16 years) with a predominantly low socio-economic status (SES). Parents self-identified their ethnic background as Asian Bangladeshi (n = 5), Black African (n = 4), Black Somali (n = 7), Chinese (n = 6), White British (n = 8) and Yemeni (n = 6). Focus group topics included understanding of PA, awareness of PA guidelines, knowledge of benefits associated with PA and perceived influences on PA in childhood. Data were analysed thematically using QSR NVivo 9.0. Parents from all ethnic groups valued PA and were aware of its benefits, however they lacked awareness of PA recommendations, perceived school to be the main provider for children's PA, and reported challenges in motivating children to be active. At the environmental level, barriers to PA included safety concerns, adverse weather, lack of resources and lack of access. Additional barriers were noted for ethnic groups from cultures that prioritised educational attainment over PA (Asian Bangladeshi, Chinese, Yemeni) and with a Muslim faith (Asian Bangladeshi, Black Somali, Yemeni), who reported a lack of culturally appropriate PA opportunities for girls. Parents from multi-ethnic groups lacked awareness of children's PA recommendations and faced barriers to promoting children's PA out of school, with certain ethnic groups facing additional barriers due to cultural and religious factors. It is recommended children's PA interventions address influences at all socio-ecological levels, and account for differences between ethnic groups.

Concordance study and population frequencies for 16 autosomal STRs analyzed with PowerPlex® ESI 17 and AmpFℓSTR® NGM SElect™ in Somalis, Danes and Greenlanders.

PubMed

Tomas, C; Mogensen, H S; Friis, S L; Hallenberg, C; Stene, M C; Morling, N

2014-07-01

A concordance study of the results of PowerPlex(®) ESI 17 and AmpFℓSTR(®) NGM SElect™ kits obtained from 591 individuals from Somalia (N=198), Denmark (N=199) and Greenland (N=194) was performed. Among 9456 STR types, seven discordant results were found with the two kits: one observed in the D19S433 system in an individual from Denmark and six in the SE33 system in six individuals from Somalia. Sequencing of SE33 in the six samples with discordant results showed G>A transition 15bp downstream of the repeat unit in three of the individuals, and G>A transition 68bp downstream of the repeat unit in the other three individuals. Population data for 16 autosomal STR systems analyzed in 989 individuals from Somalia, Denmark and Greenland are also presented. The highest mean heterozygosity was observed in Danes (82.5%). With the exception of D8S1179 in Danes, no significant deviations from Hardy-Weinberg expectations were observed. Only one pair of systems (D12S391 and D18S51) showed significant allelic association in Greenlanders (after Holm-Šidák correction). A MDS plot drawn from pairwise FST values calculated between 21 populations showed a clear displacement of the Greenlandic population versus the other ones included in the analyses. The highest combined chance of exclusion and power of discrimination was observed for Danes reaching values of 99.9999987% and 1 in 1.8×10(21), respectively. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Omar al-Hammami: a case study in radicalization.

PubMed

Mastors, Elena; Siers, Rhea

2014-01-01

This article presents a case study on the radicalization of Omar al-Hammami, aka Abu Mansoor al-Amriki, an American who joined al-Shabaab, a Somali terrorist group. There are a limited number of in-depth case studies that help to inform the fragmented discussions in the literature about the radicalization process of Islamic terrorists. Hammami received quite a bit of attention from the government and media due to his "homegrown" status, as well as his prolific use of social media to inform the world of his views and exploits. Hammami did not fully commit to the group, his sense of self-importance taking precedent over the norms of the group. He left al-Shabaab, was publicly critical of the group, and was ultimately killed by them. Copyright © 2014 John Wiley & Sons, Ltd.

Serum enzymes levels and influencing factors in three indigenous Ethiopian goat breeds.

PubMed

Tibbo, M; Jibril, Y; Woldemeskel, M; Dawo, F; Aragaw, K; Rege, J E O

2008-12-01

Serum enzymes were studied in 163 apparently healthy goats from three indigenous goat breeds of Ethiopia. The effect of breed, age, sex and season on alanine aminotransferase (ALT) / glutamic pyruvic transaminase (GPT), aspartate aminotransferase (AST) / glutamic oxalacetic transaminases (GOT), alkaline phosphatase (ALP) and acid phosphatase (AcP) levels was assessed. The mean serum enzymes levels of the indigenous Arsi-Bale, Central Highland and Long-eared Somali goat breeds ranged from 14.0-20.2 iu L(-1) for ALT/GPT, from 43.2-49.3 iu L(-1) for AST/GOT, from 83.7-98.8 iu L(-1) for ALP, and from 2.99-4.23 iu L(-1) for AcP, were within the normal range for goats elsewhere. Breed had significant influence on AST/GOT values. Sex had significant effect on ALT/GPT for Arsi-Bale goats with higher values in males than females. Age was significant on all serum enzymes studied in the Arsi-Bale goats and on ALP in the Central Highland goats. Season had significant influence on all serum enzymes except for ALT/GPT in the Arsi-Bale goats. The serum enzyme levels of these indigenous goat breeds can be used as normal reference values for Ethiopian goat breeds adapted to similar agro-ecology and production system.

Sanitation practices and perceptions in Kakuma refugee camp, Kenya: Comparing the status quo with a novel service-based approach

PubMed Central

Nyoka, Raymond; Foote, Andrew D.; Woods, Emily; Lokey, Hana; O’Reilly, Ciara E.; Magumba, Fred; Okello, Patrick; Mintz, Eric D.; Marano, Nina

2017-01-01

Globally, an estimated 2.5 billion people lack access to improved sanitation. Unimproved sanitation increases the risk of morbidity and mortality, especially in protracted refugee situations where sanitation is based on pit latrine use. Once the pit is full, waste remains in the pit, necessitating the construction of a new latrine, straining available land and funding resources. A viable, sustainable solution is needed. This study used qualitative and quantitative methods to design, implement, and pilot a novel sanitation system in Kakuma refugee camp, Kenya. An initial round of 12 pre-implementation focus group discussions (FGDs) were conducted with Dinka and Somali residents to understand sanitation practices, perceptions, and needs. FGDs and a supplementary pre-implementation survey informed the development of an innovative sanitation management system that incorporated the provision of urine and liquid-diverting toilets, which separate urine and fecal waste, and a service-based sanitation system that included weekly waste collection. The new system was implemented on a pilot scale for 6 weeks. During the implementation, bi-weekly surveys were administered in each study household to monitor user perceptions and challenges. At the end of the pilot, the sanitation system was assessed using a second round of four post-implementation FGDs. Those who piloted the new sanitation system reported high levels of user satisfaction. Reported benefits included odor reduction, insect/pest reduction, the sitting design, the appropriateness for special populations, and waste collection. However, urine and liquid diversion presented a challenge for users who perform anal washing and for women who had experienced female genital mutilation. Refugee populations are often culturally and ethnically diverse. Using residents’ input to inform the development of sanitation solutions can increase user acceptability and provide opportunities to improve sanitation system designs based on specific needs. PMID:28704504

Survival and determinants of mortality in adult HIV/Aids patients initiating antiretroviral therapy in Somali Region, Eastern Ethiopia

PubMed Central

Damtew, Bereket; Mengistie, Bezatu; Alemayehu, Tadesse

2015-01-01

Introduction Studies have shown high initial mortality in Antiretroviral Therapy (ART) programs from resource-limited settings. However, there is dearth of evidence on treatment outcomes and associated determinant factors in public hospitals. Therefore, the objective of this study is to assess survival and identify predictors of death in adult HIV-infected patients initiating ART at a public hospital in Eastern Ethiopia. Methods A retrospective cohort study was conducted by reviewing baseline and follow-up records of patients who started ART between December 1, 2007 and December 31, 2011 at Kharamara hospital. Time to death was the main outcome measure. Kaplan-Meier models were used to estimate mortality and Cox proportional hazards models to identify predictors of mortality. Results A total of 784 patients (58.4% females) were followed for a median of 60 months. There were 87 (11.1%) deaths yielding an overall mortality rate of 5.15/100 PYO (95% CI: 4.73-6.37). The estimated mortality was 8.4%, 9.8%, 11.3%, 12.7% and 14.1% at 6, 12, 24, 36 and 48 months respectively. The independent predictors of death were single marital status (AHR: 2.31; 95%CI: 1.18-4.50), a bedridden functional status (AHR: 5.91; 95%CI: 2.87-12.16), advanced WHO stage (AHR: 7.36; 95%CI: 3.17-17.12), BMI < 18.5 Kg/m2 (AHR: 2.20; 95%CI: 1.18-4.09), CD4 count < 50 cells/µL (AHR: 2.70; 95%CI: 1.26-5.80), severe anemia (AHR: 4.57; 95%CI: 2.30-9.10), and TB co-infection (AHR: 2.30; 95%CI: 1.28-4.11). Conclusion Improved survival was observed in patients taking ART in Somali region of Ethiopia. The risk for death was higher in patients with advanced WHO stage, low CD4 count, low Hgb, low BMI, and concomitant TB infection. Intensive case management is recommended for patients with the prognostic factors. Optimal immunologic and weight recoveries in the first 6 months suggest increased effort to retain patients in care at this period. PMID:26889319

Knowledge translation in Africa for 21st century integrative biology: the "know-do gap" in family planning with contraceptive use among Somali women.

PubMed

Ahmed, Ahmed A; Mohamed, Abdullahi A; Guled, Ibrahim A; Elamin, Hayfa M; Abou-Zeid, Alaa H

2014-11-01

An emerging dimension of 21(st) century integrative biology is knowledge translation in global health. The maternal mortality rate in Somalia is amongst the highest in the world. We set out to study the "know-do" gap in family planning measures in Somalia, with a view to inform future interventions for knowledge integration between theory and practice. We interviewed 360 Somali females of reproductive age and compared university-educated females to women with less or no education, using structured interviews, with a validated questionnaire. The mean age of marriage was 18 years, with 4.5 pregnancies per marriage. The mean for the desired family size was 9.3 and 10.5 children for the university-educated group and the less-educated group, respectively. Importantly, nearly 90% of the university-educated group knew about family planning, compared to 45.6% of the less-educated group. All of the less-educated group indicated that they would never use contraceptives, as compared to 43.5% of the university-educated group. Prevalence of contraceptive use among ever-married women was 4.3%. In the less-educated group, 80.6% indicated that they would not recommend contraceptives to other women as compared to 66.0% of the university-educated group. There is a huge gap between knowledge and practice regarding family planning in Somalia. The attendant reasons for this gap, such as level of education, expressed personal religious beliefs and others, are examined here. For primary health care to gain traction in Africa, we need to address the existing "know-do" gaps that are endemic and adversely impacting on global health. This is the first independent research study examining the knowledge gaps for family planning in Somalia in the last 20 years, with a view to understanding knowledge integration in a global world. The results shall guide policy makers, donors, and implementers to develop a sound family planning policy and program to improve maternal and child health in 21(st) century primary healthcare.

Tropical Indian Ocean surface salinity bias in Climate Forecasting System coupled models and the role of upper ocean processes

NASA Astrophysics Data System (ADS)

Parekh, Anant; Chowdary, Jasti S.; Sayantani, Ojha; Fousiya, T. S.; Gnanaseelan, C.

2016-04-01

In the present study sea surface salinity (SSS) biases and seasonal tendency over the Tropical Indian Ocean (TIO) in the coupled models [Climate Forecasting System version 1 (CFSv1) and version 2 (CFSv2)] are examined with respect to observations. Both CFSv1 and CFSv2 overestimate SSS over the TIO throughout the year. CFSv1 displays improper SSS seasonal cycle over the Bay of Bengal (BoB), which is due to weaker model precipitation and improper river runoff especially during summer and fall. Over the southeastern Arabian Sea (AS) weak horizontal advection associated with East Indian coastal current during winter limits the formation of spring fresh water pool. On the other hand, weaker Somali jet during summer results for reduced positive salt tendency in the central and eastern AS. Strong positive precipitation bias in CFSv1 over the region off Somalia during winter, weaker vertical mixing and absence of horizontal salt advection lead to unrealistic barrier layer during winter and spring. The weaker stratification and improper spatial distribution of barrier layer thickness (BLT) in CFSv1 indicate that not only horizontal flux distribution but also vertical salt distribution displays large discrepancies. Absence of fall Wyrtki jet and winter equatorial currents in this model limit the advection of horizontal salt flux to the eastern equatorial Indian Ocean. The associated weaker stratification in eastern equatorial Indian Ocean can lead to deeper mixed layer and negative Sea Surface Temperature (SST) bias, which in turn favor positive Indian Ocean Dipole bias in CFSv1. It is important to note that improper spatial distribution of barrier layer and stratification can alter the air-sea interaction and precipitation in the models. On the other hand CFSv2 could produce the seasonal evolution and spatial distribution of SSS, BLT and stratification better than CFSv1. However CFSv2 displays positive bias in evaporation over the whole domain and negative bias in precipitation over the BoB and equatorial Indian Ocean, resulting net reduction in the fresh water availability. This net reduction in fresh water forcing and the associated weaker stratification lead to deeper (than observed) mixed layer depth and is primarily responsible for the cold SST bias in CFSv2. However overall improvement of mean salinity distribution in CFSv2 is about 30 % and the mean error has reduced by more than 1 psu over the BoB. This improvement is mainly due to better fresh water forcing and model physics. Realistic run off information, better ocean model and high resolution in CFSv2 contributed for the improvement. Further improvement can be achieved by reducing biases in the moisture flux and precipitation.

Examining within- and across-day relationships between transient and chronic stress and parent food-related parenting practices in a racially/ethnically diverse and immigrant population : Stress types and food-related parenting practices.

PubMed

Berge, Jerica M; Tate, Allan; Trofholz, Amanda; Fertig, Angela; Crow, Scott; Neumark-Sztainer, Dianne; Miner, Michael

2018-01-16

Although prior research suggests that stress may play a role in parent's use of food-related parenting practices, it is unclear whether certain types of stress (e.g., transient, chronic) result in different food-related parenting practices. Identifying whether and how transient (i.e., momentary; parent/child conflict) and chronic (i.e., long-term; unemployment >6 months) sources of stress are related to parent food-related parenting practices is important with regard to childhood obesity. This is particularly important within racially/ethnically diverse parents who may be more likely to experience both types of stress and who have higher levels of obesity and related health problems. The current study examined the association between transient and chronic stressors and food-related parenting practices in a racially/ethnically diverse and immigrant sample. The current study is a cross-sectional, mixed-methods study using ecological momentary assessment (EMA). Parents (mean age = 35; 95% mothers) of children ages 5-7 years old (n = 61) from six racial/ethnic groups (African American, American Indian, Hispanic, Hmong, Somali, White) participated in this ten-day in-home observation with families. Transient stressors, specifically interpersonal conflicts, had significant within-day effects on engaging in more unhealthful food-related parenting practices the same evening with across-day effects weakening by day three. In contrast, financial transient stressors had stronger across-day effects. Chronic stressors, including stressful life events were not consistently associated with more unhealthful food-related parenting practices. Transient sources of stress were significantly associated with food-related parenting practices in racially/ethnically diverse and immigrant households. Chronic stressors were not consistently associated with food-related parenting practices. Future research and interventions may want to assess for transient sources of stress in parents and target these momentary factors in order to promote healthful food-related parenting practices.

Examining variability in parent feeding practices within a low-income, racially/ethnically diverse, and immigrant population using ecological momentary assessment.

PubMed

Berge, Jerica M; Tate, Allan; Trofholz, Amanda; Loth, Katie; Miner, Michael; Crow, Scott; Neumark-Sztainer, Dianne

2018-04-21

Current measures of parent feeding practices are typically survey-based and assessed as static/unchanging characteristics, failing to account for fluctuations in these behaviors across time and context. The current study uses ecological momentary assessment to examine variability of, and predictors of, parent feeding practices within a low-income, racially/ethnically diverse, and immigrant sample. Children ages 5-7 years old and their parents (n = 150 dyads) from six racial/ethnic groups (n = 25 from each; Black/African American, Hispanic, Hmong, Native American, Somali, White) were recruited for this mixed-methods study through primary care clinics. Among parents who used restriction (49%) and pressure-to-eat (69%) feeding practices, these feeding practices were utilized about every other day. Contextual factors at the meal associated with parent feeding practices included: number of people at the meal, who prepared the meal, types of food served at meals (e.g., pre-prepared, homemade, fast food), meal setting (e.g., kitchen table, front room), and meal emotional atmosphere (p < 0.05). Parents tended to restrict desserts, dairy, and vegetables and pressure children to eat fruits, vegetables, meat proteins, and refined grains (p < 0.05). There were some differences by race/ethnicity across findings (p < 0.01), with Hmong parents engaging in the highest levels of pressure-to-eat feeding practices. Parent feeding practices varied across the week, indicating feeding practices are more likely to be context-specific, or state-like than trait-like. There were some meal characteristics more strongly associated with engaging in restriction and pressure-to-eat feeding practices. Given that parent feeding practices appear to be state-like, future interventions and health care providers who work with parents and children may want to address contextual factors associated with parent feeding practices to decrease restriction and pressure-to-eat parent feeding practices. Copyright © 2018 Elsevier Ltd. All rights reserved.

Bifurcations and catastrophes in a nonlinear dynamical model of the western Pacific subtropical high ridge line index and its evolution mechanism

NASA Astrophysics Data System (ADS)

Hong, Mei; Zhang, Ren; Li, Ming; Wang, Shuo; Zeng, Wenhua; Wang, Zhengxin

2017-07-01

Despite much previous effort, the establishment of an accurate model of the western Pacific subtropical high (WPSH) and analysis of its chaotic behavior has proved to be difficult. Based on a phase-space technique, a nonlinear dynamical model of the WPSH ridge line and summer monsoon factors is constructed here from 50 years of data. Using a genetic algorithm, model inversion and parameter optimization are performed. The Lyapunov spectrum, phase portraits, time history, and Poincaré surface of section of the model are analyzed and an initial-value sensitivity test is performed, showing that the model and data have similar phase portraits and that the model is robust. Based on equilibrium stability criteria, four types of equilibria of the model are analyzed. Bifurcations and catastrophes of the equilibria are studied and related to the physical mechanism and actual weather phenomena. The results show that the onset and enhancement of the Somali low-level jet and the latent heat flux of the Indian monsoon are among the most important reasons for the appearance and maintenance of the double-ridge phenomenon. Violent breakout and enhancement of the Mascarene cold high will cause the WPSH to jump northward, resulting in the "empty plum" phenomenon. In the context of bifurcation and catastrophe in the dynamical system, the influence of the factors considered here on the WPSH has theoretical and practical significance. This work also opens the way to new lines of research on the interaction between the WPSH and the summer monsoon system.

Tropical Cyclones in the 7-km NASA Global Nature Run for Use in Observing System Simulation Experiments

NASA Technical Reports Server (NTRS)

Reale, Oreste; Achuthavarier, Deepthi; Fuentes, Marangelly; Putman, William M.; Partyka, Gary

2017-01-01

The National Aeronautics and Space Administration (NASA) Nature Run (NR), released for use in Observing System Simulation Experiments (OSSEs), is a 2-year long global non-hydrostatic free-running simulation at a horizontal resolution of 7 km, forced by observed sea-surface temperatures (SSTs) and sea ice, and inclusive of interactive aerosols and trace gases. This article evaluates the NR with respect to tropical cyclone (TC) activity. It is emphasized that to serve as a NR, a long-term simulation must be able to produce realistic TCs, which arise out of realistic large-scale forcings. The presence in the NR of the realistic, relevant dynamical features over the African Monsoon region and the tropical Atlantic is confirmed, along with realistic African Easterly Wave activity. The NR Atlantic TC seasons, produced with 2005 and 2006 SSTs, show interannual variability consistent with observations, with much stronger activity in 2005. An investigation of TC activity over all the other basins (eastern and western North Pacific, North and South Indian Ocean, and Australian region), together with relevant elements of the atmospheric circulation, such as, for example, the Somali Jet and westerly bursts, reveals that the model captures the fundamental aspects of TC seasons in every basin, producing realistic number of TCs with realistic tracks, life spans and structures. This confirms that the NASA NR is a very suitable tool for OSSEs targeting TCs and represents an improvement with respect to previous long simulations that have served the global atmospheric OSSE community.

Tropical Cyclones in the 7km NASA Global Nature Run for use in Observing System Simulation Experiments

PubMed Central

Reale, Oreste; Achuthavarier, Deepthi; Fuentes, Marangelly; Putman, William M.; Partyka, Gary

2018-01-01

The National Aeronautics and Space Administration (NASA) Nature Run (NR), released for use in Observing System Simulation Experiments (OSSEs), is a 2-year long global non-hydrostatic free-running simulation at a horizontal resolution of 7 km, forced by observed sea-surface temperatures (SSTs) and sea ice, and inclusive of interactive aerosols and trace gases. This article evaluates the NR with respect to tropical cyclone (TC) activity. It is emphasized that to serve as a NR, a long-term simulation must be able to produce realistic TCs, which arise out of realistic large-scale forcings. The presence in the NR of the realistic, relevant dynamical features over the African Monsoon region and the tropical Atlantic is confirmed, along with realistic African Easterly Wave activity. The NR Atlantic TC seasons, produced with 2005 and 2006 SSTs, show interannual variability consistent with observations, with much stronger activity in 2005. An investigation of TC activity over all the other basins (eastern and western North Pacific, North and South Indian Ocean, and Australian region), together with relevant elements of the atmospheric circulation, such as, for example, the Somali Jet and westerly bursts, reveals that the model captures the fundamental aspects of TC seasons in every basin, producing realistic number of TCs with realistic tracks, life spans and structures. This confirms that the NASA NR is a very suitable tool for OSSEs targeting TCs and represents an improvement with respect to previous long simulations that have served the global atmospheric OSSE community. PMID:29674806

Tropical Cyclones in the 7km NASA Global Nature Run for use in Observing System Simulation Experiments.

PubMed

Reale, Oreste; Achuthavarier, Deepthi; Fuentes, Marangelly; Putman, William M; Partyka, Gary

2017-01-01

The National Aeronautics and Space Administration (NASA) Nature Run (NR), released for use in Observing System Simulation Experiments (OSSEs), is a 2-year long global non-hydrostatic free-running simulation at a horizontal resolution of 7 km, forced by observed sea-surface temperatures (SSTs) and sea ice, and inclusive of interactive aerosols and trace gases. This article evaluates the NR with respect to tropical cyclone (TC) activity. It is emphasized that to serve as a NR, a long-term simulation must be able to produce realistic TCs, which arise out of realistic large-scale forcings. The presence in the NR of the realistic, relevant dynamical features over the African Monsoon region and the tropical Atlantic is confirmed, along with realistic African Easterly Wave activity. The NR Atlantic TC seasons, produced with 2005 and 2006 SSTs, show interannual variability consistent with observations, with much stronger activity in 2005. An investigation of TC activity over all the other basins (eastern and western North Pacific, North and South Indian Ocean, and Australian region), together with relevant elements of the atmospheric circulation, such as, for example, the Somali Jet and westerly bursts, reveals that the model captures the fundamental aspects of TC seasons in every basin, producing realistic number of TCs with realistic tracks, life spans and structures. This confirms that the NASA NR is a very suitable tool for OSSEs targeting TCs and represents an improvement with respect to previous long simulations that have served the global atmospheric OSSE community.

Late quaternary time series of Arabian Sea productivity: Global and regional signals

NASA Technical Reports Server (NTRS)

Clemens, Steven C.; Prell, W. L.; Murray, D. W.

1992-01-01

Modern annual floral and faunal production in the northwest Arabian Sea derives primarily from upwelling induced by strong southwest winds during June, July, and August. Indian Ocean summer monsoon winds are, in turn, driven by differential heating between the Asian continent and the Indian ocean to the south. This differential heating produces a strong pressure gradient resulting in southwest monsoon winds and both coastal and divergent upwelling off the Arabian Peninsula. Over geologic time scales (10(exp 4) to 10(exp 6) years), monsoon wind strength is sensitive to changes in boundary conditions which influence this pressure gradient. Important boundary conditions include the seasonal distribution of solar radiation, global ice volume, Indian Ocean sea surface temperature, and the elevation and albedo of the Asian continent. To the extent that these factors influence monsoon wind strength, they also influence upwelling and productivity. In addition, however, productivity associated with upwelling can be decoupled from the strength of the summer monsoon winds via ocean mechanisms which serve to inhibit or enhance the nutrient supply in the intermediate waters of the Indian Ocean, the source for upwelled waters in the Arabian Sea. To differentiate productivity associated with wind-induced upwelling from that associated with other components of the system such as nutrient sequestering in glacial-age deep waters, we employ a strategy which monitors independent components of the oceanic and atmospheric subsystems. Using sediment records from the Owen Ridge, northwest Arabian Sea, we monitor the strength of upwelling and productivity using two independent indicators, percent G. bulloides and opal accumulation. We monitor the strength of southwest monsoon winds by measuring the grain-size of lithogenic dust particles blown into the Arabian Sea from the surrounding deserts of the Somali and Arabian Peninsulas. Our current hypothesis is that the variability associated with the 41 kyr power in the G. bulloides and opal accumulation records derive from nutrient availability in the intermediate waters which are upwelled via monsoon winds. This hypothesis is testable by comparison with Cd records of intermediate and deep waters of the Atlantic and Indian Ocean.

'He always thinks he is nothing': The psychosocial impact of discrimination on adolescent refugees in urban Uganda.

PubMed

Stark, Lindsay; DeCormier Plosky, Willyanne; Horn, Rebecca; Canavera, Mark

2015-12-01

Armed conflict causes massive displacement, erodes the social fabric of communities, and threatens the healthy development of a nation's future - its youth. Although more than half of the world's registered refugees under the age of eighteen currently reside in urban areas, research on the unique needs of and realities experienced by this population remain limited. In Uganda, as in many refugee-receiving countries, most regulated refugee protections and entitlements fail to extend beyond the confines of official settlements or camps. This dearth of support, in combination with few material resources, uncertain local connections, and little knowledge of the language, leaves refugee families vulnerable to the added burden of an unwelcome reception in cities. Drawing on qualitative data from a study conducted in March and April 2013 with Congolese and Somali adolescents, caregivers, and service providers in refugee settlements in Kampala, this manuscript explores the pervasive nature of discrimination against urban refugees and its effects upon adolescent well-being. Findings suggest that discrimination not only negatively impacts acculturation as youth pursue social recognition in the classroom and among neighborhood peers, but it also impedes help-seeking behavior by caregivers and restricts their ability to ameliorate protection concerns, thereby lowering adolescents' psychosocial well-being. Youth reported low self-worth, withdrawal from school, and an adverse turn toward street connections. Targeted and innovative strategies along with reformed policies that address the unique challenges facing urban refugees are paramount to ensuring that young people in this population experience greater protection, well-being, and future success. Copyright © 2015. Published by Elsevier Ltd.

Global health partnership for student peer-to-peer psychiatry e-learning: Lessons learned.

PubMed

Keynejad, Roxanne C

2016-12-03

Global 'twinning' relationships between healthcare organizations and institutions in low and high-resource settings have created growing opportunities for e-health partnerships which capitalize upon expanding information technology resources worldwide. E-learning approaches to medical education are increasingly popular but remain under-investigated, whilst a new emphasis on global health teaching has coincided with university budget cuts in many high income countries. King's Somaliland Partnership (KSP) is a paired institutional partnership health link, supported by Tropical Health and Education Trust (THET), which works to strengthen the healthcare system and improve access to care through mutual exchange of skills, knowledge and experience between Somaliland and King's Health Partners, UK. Aqoon, meaning knowledge in Somali, is a peer-to-peer global mental health e-learning partnership between medical students at King's College London (KCL) and Hargeisa and Amoud Universities, Somaliland. It aims to extend the benefits of KSP's cross-cultural and global mental health education work to medical students and has reported positive results, including improved attitudes towards psychiatry in Somaliland students. The process of devising, piloting, evaluating, refining, implementing, re-evaluating and again refining the Aqoon model has identified important barriers to successful partnership. This article describes lessons learned during this process, sharing principles and recommendations for readers wishing to expand their own global health link beyond qualified clinicians, to the healthcare professionals of the future.

Conflict, displacement and health in the Middle East.

PubMed

Mowafi, Hani

2011-01-01

Displacement is a hallmark of modern humanitarian emergencies. Displacement itself is a traumatic event that can result in illness or death. Survivors face challenges including lack of adequate shelter, decreased access to health services, food insecurity, loss of livelihoods, social marginalisation as well as economic and sexual exploitation. Displacement takes many forms in the Middle East and the Arab World. Historical conflicts have resulted in long-term displacement of Palestinians. Internal conflicts have driven millions of Somalis and Sudanese from their homes. Iraqis have been displaced throughout the region by invasion and civil strife. In addition, large numbers of migrants transit Middle Eastern countries or live there illegally and suffer similar conditions as forcibly displaced people. Displacement in the Middle East is an urban phenomenon. Many displaced people live hidden among host country populations in poor urban neighbourhoods - often without legal status. This represents a challenge for groups attempting to access displaced populations. Furthermore, health information systems in host countries often do not collect data on displaced people, making it difficult to gather data needed to target interventions towards these vulnerable populations. The following is a discussion of the health impacts of conflict and displacement in the Middle East. A review was conducted of published literature on migration and displacement in the region. Different cases are discussed with an emphasis on the recent, large-scale and urban displacement of Iraqis to illustrate aspects of displacement in this region.

Evaluation of the Precision ID Ancestry Panel for crime case work: A SNP typing assay developed for typing of 165 ancestral informative markers.

PubMed

Pereira, Vania; Mogensen, Helle S; Børsting, Claus; Morling, Niels

2017-05-01

The application of massive parallel sequencing (MPS) methodologies in forensic genetics is promising and it is gradually being implemented in forensic genetic case work. One of the major advantages of these technologies is that several traditional electrophoresis assays can be combined into one single MPS assay. This reduces both the amount of sample used and the time of the investigations. This study assessed the utility of the Precision ID Ancestry Panel (Thermo Fisher Scientific, Waltham, USA) in forensic genetics. This assay was developed for the Ion Torrent PGM™ System and genotypes 165 ancestry informative SNPs. The performance of the assay and the accompanying software solution for ancestry inference was assessed by typing 142 Danes and 98 Somalis. Locus balance, heterozygote balance, and noise levels were calculated and future analysis criteria for crime case work were estimated. Overall, the Precision ID Ancestry Panel performed well, and only minor changes to the recommended protocol were implemented. Three out of the 165 loci (rs459920, rs7251928, and rs7722456) had consistently poor performance, mainly due to misalignment of homopolymeric stretches. We suggest that these loci should be excluded from the analyses. The different statistical methods for reporting ancestry in forensic genetic case work are discussed. Copyright © 2017 Elsevier B.V. All rights reserved.

Lessons Learned from Community-Led Recruitment of Immigrants and Refugee Participants for a Randomized, Community-Based Participatory Research Study.

PubMed

Hanza, Marcelo M; Goodson, Miriam; Osman, Ahmed; Porraz Capetillo, Maria D; Hared, Abdullah; Nigon, Julie A; Meiers, Sonja J; Weis, Jennifer A; Wieland, Mark L; Sia, Irene G

2016-10-01

Ethnic minorities remain underrepresented in clinical trials despite efforts to increase their enrollment. Although community-based participatory research (CBPR) approaches have been effective for conducting research studies in minority and socially disadvantaged populations, protocols for CBPR recruitment design and implementation among immigrants and refugees have not been well described. We used a community-led and community-implemented CBPR strategy for recruiting 45 Hispanic, Somali, and Sudanese families (160 individuals) to participate in a large, randomized, community-based trial aimed at evaluating a physical activity and nutrition intervention. We achieved 97.7 % of our recruitment goal for families and 94.4 % for individuals. Use of a CBPR approach is an effective strategy for recruiting immigrant and refugee participants for clinical trials. We believe the lessons we learned during the process of participatory recruitment design and implementation will be helpful for others working with these populations.

The Somalian earthquakes of May, 1980, East Africa

NASA Astrophysics Data System (ADS)

Ruegg, J. C.; Lépine, J. C.; Tarantola, A.; Lévêque, J. J.

1981-04-01

A seismic crisis, with a mb = 5.3 main shock, occured in the Somali Republic, East Africa (10°N, 43°E) from April to November 1980. Up to 2000 earthquakes with ML > 2 have been recorded during this period. This earthquake sequence is of particular interest because it occured in a seismically inactive zone and include a rather long aftershock sequence. Two groups of epicenters were identified using a relative location procedure. Aftershocks observed during the first two weeks fall very close to the Borama city, while latter shocks are situated 10km west. This may suggest that the second group of earthquakes has been induced by the first one. These data show that the continental margin between the Somalian Plateau shield and the quasi-oceanic crust of the Afar-Gulf of Aden region, remains active to day and is relevant to intraplate seismicity.

Tuberculous osteomyelitis/arthritis of the first costo-clavicular joint and sternum

PubMed Central

Patel, Prasan; Gray, Robin R

2014-01-01

A young Somali immigrant presents with a two-year history of a large, firm, painful right anterolateral chest wall sternal mass. The patient denied any history of trauma or infection at the site and did not have a fever, erythematous lesion at the site, clubbing, or lymphadenopathy. A lateral chest radiograph demonstrated a low density mass isolated to the subcutaneous soft tissue overlying the sternum, ribs and clavicle. Computed tomography (CT) with contrast demonstrated a cystic lesion in the right anterolateral chest wall deep to the pectoralis muscle. Enhanced CT of the chest demonstrated sclerosis and destruction of the rib and costochondral joint and manubrio-sternal joint narrowing. Ultrasound-guided biopsy and aspiration returned 500 cc of purulent, cloudy yellow, foul-smelling fluid. Acid-fact bacilli stain and the nucleic acid amplification test identified and confirmed Mycobacterium tuberculosis. A diagnosis of tuberculous osteomyelitis/septic arthritis was made and antibiotic coverage for tuberculosis was initiated. PMID:25550999

Tuberculous osteomyelitis/arthritis of the first costo-clavicular joint and sternum.

PubMed

Patel, Prasan; Gray, Robin R

2014-12-28

A young Somali immigrant presents with a two-year history of a large, firm, painful right anterolateral chest wall sternal mass. The patient denied any history of trauma or infection at the site and did not have a fever, erythematous lesion at the site, clubbing, or lymphadenopathy. A lateral chest radiograph demonstrated a low density mass isolated to the subcutaneous soft tissue overlying the sternum, ribs and clavicle. Computed tomography (CT) with contrast demonstrated a cystic lesion in the right anterolateral chest wall deep to the pectoralis muscle. Enhanced CT of the chest demonstrated sclerosis and destruction of the rib and costochondral joint and manubrio-sternal joint narrowing. Ultrasound-guided biopsy and aspiration returned 500 cc of purulent, cloudy yellow, foul-smelling fluid. Acid-fact bacilli stain and the nucleic acid amplification test identified and confirmed Mycobacterium tuberculosis. A diagnosis of tuberculous osteomyelitis/septic arthritis was made and antibiotic coverage for tuberculosis was initiated.

mtDNA sequence diversity in Africa.

PubMed Central

Watson, E.; Bauer, K.; Aman, R.; Weiss, G.; von Haeseler, A.; Pääbo, S.

1996-01-01

mtDNA sequences were determined from 241 individuals from nine ethnic groups in Africa. When they were compared with published data from other groups, it was found that the !Kung, Mbuti, and Biaka show on the order of 10 times more sequence differences between the three groups, as well as between those and the other groups (the Fulbe, Hausa, Tuareg, Songhai, Kanuri, Yoruba, Mandenka, Somali, Tukana, and Kikuyu), than these other groups do between one other. Furthermore, the pairwise sequence distributions, patterns of coalescence events, and numbers of variable positions relative to the mean sequence difference indicate that the former three groups have been of constant size over time, whereas the latter have expanded in size. We suggest that this reflects subsistence patterns in that the populations that have expanded in size are food producers whereas those that have not are hunters and gatherers. PMID:8755932

Stabilisation and humanitarian access in a collapsed state: the Somali case.

PubMed

Menkhaus, Ken

2010-10-01

Somalia today is the site of three major threats: the world's worst humanitarian crisis; the longest-running instance of complete state collapse; and a robust jihadist movement with links to Al-Qa'ida. External state-building, counter-terrorism and humanitarian policies responding to these threats have worked at cross-purposes. State-building efforts that insist humanitarian relief be channelled through the nascent state in order to build its legitimacy and capacity undermine humanitarian neutrality when the state is a party to a civil war. Counter-terrorism policies that seek to ensure that no aid benefits terrorist groups have the net effect of criminalising relief operations in countries where poor security precludes effective accountability. This paper argues that tensions between stabilisation and humanitarian goals in contemporary Somalia reflect a long history of politicisation of humanitarian operations in the country. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.

Antecedents of intra/intergroup friendships and stress levels among ethnic and religious minority members.

PubMed

Zagefka, Hanna; Mohamed, Abdinasir; Mursi, Gehad; Lay, Siugmin

2016-12-01

Two studies tested a model, whereby, identification with the minority group was predicted to impact on acculturation preferences, which in turn were proposed to impact involvement in intragroup friendships with other minority members, intergroup friendships with majority members and stress experienced by minority members. A direct path from minority identification to stress was also included in the model. The model was tested using structural equation modelling on survey data collected from Muslim women (N = 250) and from Somali minority members (N = 198) in Britain. Results supported predictions and revealed that identification was associated with more culture maintenance preference and less culture adoption preference. Culture maintenance preference was associated with involvement in intragroup friendships, and culture adoption preference was associated with involvement in intergroup friendships and increased stress. Practical applications of the findings are discussed. © 2015 International Union of Psychological Science.

It could have been much worse: The Minnesota measles outbreak of 2017.

PubMed

Leslie, Timothy F; Delamater, Paul L; Yang, Y Tony

2018-03-27

In 2017, Minnesota battled its largest measles outbreak in nearly 30 years, with 79 cases, most of them Somali-American children. In this study, we gathered vaccination and enrollment data for incoming kindergarteners in Minnesota over fall 2012-2016 from the Minnesota Department of Health. We also gathered the number of measles cases by county in 2017. We found that MMR coverage has substantial variation across districts and district types. The minimum MMR coverage is 58.3% and the maximum is 100%. Private schools, which represent approximately six percent of Minnesota's kindergarten enrollment, have a substantially lower coverage rate, with an overall coverage of 83.00%. The 2017 outbreak was relatively isolated. However, the MMR coverage data suggests that other communities could have been at risk given their geographic proximity to the outbreak and modest coverage rates. Copyright © 2018 Elsevier Ltd. All rights reserved.

A cluster of cutaneous leishmaniasis associated with human smuggling.

PubMed

Cannella, Anthony P; Nguyen, Bichchau M; Piggott, Caroline D; Lee, Robert A; Vinetz, Joseph M; Mehta, Sanjay R

2011-06-01

Cutaneous leishmaniasis (CL) is rarely seen in the United States, and the social and geographic context of the infection can be a key to its diagnosis and management. Four Somali and one Ethiopian, in U.S. Border Patrol custody, came to the United States by the same human trafficking route: Djibouti to Dubai to Moscow to Havana to Quito; and then by ground by Columbia/Panama to the United States-Mexico border where they were detained. Although traveling at different times, all five patients simultaneously presented to our institution with chronic ulcerative skin lesions at different sites and stages of evolution. Culture of biopsy specimens grew Leishmania panamensis. Soon thereafter, three individuals from East Africa traveling the identical route presented with L. panamensis CL to physicians in Tacoma, WA. We document here the association of a human trafficking route and new world CL. Clinicians and public health officials should be aware of this emerging infectious disease risk.

Perspectives of resettled African refugees on accessing medicines and pharmacy services in Queensland, Australia.

PubMed

Bellamy, Kim; Ostini, Remo; Martini, Nataly; Kairuz, Therese

2017-10-01

The aim of this study was to explore the barriers to accessing medicines and pharmacy services among refugees in Queensland, Australia, from the perspectives of resettled African refugees. A generic qualitative approach was used in this study. Resettled African refugees were recruited via a purposive snowball sampling method. The researcher collected data from different African refugee communities, specifically those from Sudanese, Congolese and Somalian communities. Participants were invited by a community health leader to participate in the study; a community health leader is a trained member of the refugee community who acts as a 'health information conduit' between refugees and the health system. Invitations were done either face-to-face, telephonically or by email. The focus groups were digitally recorded in English and transcribed verbatim by the researcher. Transcripts were entered into NVIVO© 11 and the data were analysed using inductive thematic analysis. Four focus groups were conducted between October and November 2014 in the city of Brisbane with African refugees, one with five Somali refugees, one with five Congolese refugees, one with three refugee community health leaders from South Sudan, Liberia and Eritrea and one with three refugee community health leaders from Uganda, Burundi and South Sudan. Eleven sub-themes emerged through the coding process, which resulted in four overarching themes: health system differences, navigating the Australian health system, communication barriers and health care-seeking behaviour. With regard to accessing medicines and pharmacy services, this study has shown that there is a gap between resettled refugees' expectations of health services and the reality of the Australian health system. Access barriers identified included language barriers, issues with the Translating and Interpreter Service, a lack of professional communication and cultural beliefs affecting health care-seeking behaviour. This exploratory study has established a foundation for further research into the barriers to accessing medicines and pharmacy services for resettled refugees. The findings are likely to be applicable to a wider population. © 2016 Royal Pharmaceutical Society.

Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia

PubMed Central

Gele, Abdi A; Ahmed, Mohamed Yusuf; Kour, Prabhjot; Moallim, Sadiyo Ali; Salad, Abdulwahab Moallim; Kumar, Bernadette

2017-01-01

Background In 2005, the World Health Conference called for all nations to move toward universal health coverage, which is defined as “access to adequate health care for all at an affordable price”. Despite this, an estimated 90% of Somalia’s largely impoverished population use private health care. Therefore, considering that the private health care system is the dominant health care system in Mogadishu, Somalia, exploring the accessibility to, as well as people’s trust in, the private sector is essential to help contribute an equitable and affordable health care system in the country. Methods A qualitative study using unstructured interviews was conducted in Mogadishu from August to November of 2016. A purposive sampling approach was used to recruit 23 participants, including seven medical doctors who own private health centers, eight patients, five medical students and three senior officials who work for the Ministry of Health. Data were analyzed using a thematic analysis. Results Our findings show that the private health care system in Mogadishu is not only unregulated but also expensive, with the cost of health care often unaffordable for the majority of the country’s citizens. There is evidence of prescription of inappropriate treatment, tendency to conduct unnecessary laboratory tests, excessive use of higher diagnostic technologies and overcharging – including the widespread practice of further appointments for follow-up – which inflates the costs. The study also found poor patient–provider relationship and widespread distrust of the private health care system. Conclusion The study findings underline the need for the Somali government to develop regulatory mechanisms and guidelines with the potential to guide the private health care sector to provide equitable and affordable health care to people in Mogadishu. The doctor–patient relationship has been – and remains – a keystone of care; thus, there is an urgent need for guidelines for private health care providers to treat their patients with dignity and respect. The education system, particularly the syllabus used by medical faculties, should be reviewed and improved to provide medical students with necessary knowledge, skills and attitudes to maintain patient dignity and rights. PMID:28831275

Beneficiaries of conflict: a qualitative study of people's trust in the private health care system in Mogadishu, Somalia.

PubMed

Gele, Abdi A; Ahmed, Mohamed Yusuf; Kour, Prabhjot; Moallim, Sadiyo Ali; Salad, Abdulwahab Moallim; Kumar, Bernadette

2017-01-01

In 2005, the World Health Conference called for all nations to move toward universal health coverage, which is defined as "access to adequate health care for all at an affordable price". Despite this, an estimated 90% of Somalia's largely impoverished population use private health care. Therefore, considering that the private health care system is the dominant health care system in Mogadishu, Somalia, exploring the accessibility to, as well as people's trust in, the private sector is essential to help contribute an equitable and affordable health care system in the country. A qualitative study using unstructured interviews was conducted in Mogadishu from August to November of 2016. A purposive sampling approach was used to recruit 23 participants, including seven medical doctors who own private health centers, eight patients, five medical students and three senior officials who work for the Ministry of Health. Data were analyzed using a thematic analysis. Our findings show that the private health care system in Mogadishu is not only unregulated but also expensive, with the cost of health care often unaffordable for the majority of the country's citizens. There is evidence of prescription of inappropriate treatment, tendency to conduct unnecessary laboratory tests, excessive use of higher diagnostic technologies and overcharging - including the widespread practice of further appointments for follow-up - which inflates the costs. The study also found poor patient-provider relationship and widespread distrust of the private health care system. The study findings underline the need for the Somali government to develop regulatory mechanisms and guidelines with the potential to guide the private health care sector to provide equitable and affordable health care to people in Mogadishu. The doctor-patient relationship has been - and remains - a keystone of care; thus, there is an urgent need for guidelines for private health care providers to treat their patients with dignity and respect. The education system, particularly the syllabus used by medical faculties, should be reviewed and improved to provide medical students with necessary knowledge, skills and attitudes to maintain patient dignity and rights.

Access to HIV Care and Resilience in a Long-Term Conflict Setting: A Qualitative Assessment of the Experiences of Living with Diagnosed HIV in Mogadishu, Somali.

PubMed

Kulane, Asli; Owuor, John O A; Sematimba, Douglas; Abdulahi, Sacdia Abdisamad; Yusuf, Hamdi Moalim; Mohamed, Lul M

2017-07-05

Human Immunodeficiency Virus (HIV) continues to take a heavy toll on the lives of many people, with the worst impact on health and wellbeing for the affected individuals in fragile states. The HIV situation in Somalia is not clearly known and experiences of the people living with HIV in this war-torn region are often unexpressed. This pilot qualitative study sought to explore the experiences of people diagnosed with HIV living in Mogadishu, and their resilience in access to care and social support. Participants were recruited through drug dispensers at the HIV clinic in Banadir Hospital. Face-to-face in-depth interviews were conducted in Somali in May 2013 among patients who were receiving antiretroviral therapy (ART) from the HIV clinic in Mogadishu. These were tape-recorded, transcribed, and translated for content analysis. Three women and four men who were living with HIV shared the following narratives. Their perception was that they had either got HIV from their spouses or through health care contamination. They were very knowledgeable about the realities of HIV, how the medication works, nutritional requirements, and drug adherence. They were always willing to go an extra mile to secure a good life for themselves. However, the external HIV stigma impacted their access to care. They faced challenges in their homes and at work which compelled them to seek support from non-governmental organizations (NGOs) or close family members. This stigma often affected their disclosure to the wider community due to the uncertainty of the repercussions, leading to a life of extreme loneliness and financial difficulties. The participants' coping mechanisms included living together and starting their own NGO for support with very strong optimism about their prognosis. The people diagnosed with HIV living in Mogadishu are highly knowledgeable about HIV transmission, the realities of living with a diagnosed HIV infection, and the efficacy of HIV treatment. Our small sample suggests adequate access to ART through NGOs. However, widespread HIV stigma limits HIV status disclosure to families and communities, which creates a risk of self-isolation and ill health. Still, affected individuals have developed resilient mechanisms for managing the risks. They strive to remain employed for economic security, adhere to HIV treatment, engage in support groups, and maintain the utmost optimism about their prognosis.

Tectonic Evolution of Mozambique Ridge in East African continental margin

NASA Astrophysics Data System (ADS)

Tang, Yong

2017-04-01

Tectonic Evolution of Mozambique Ridge in East African continental margin Yong Tang He Li ES.Mahanjane Second Institute of Oceanography,SOA,Hangzhou The East Africa passive continental margin is a depression area, with widely distributed sedimentary wedges from southern Mozambique to northern Somali (>6500km in length, and about 6km in thickness). It was resulted from the separation of East Gondwana, and was developed by three stages: (1) rifting in Early-Middle Jurassic; (2) spreading from Late Jurassic to Early Cretaceous; (3) drifting since the Cretaceous period. Tectonic evolution of the Mozambique continental margin is distinguished by two main settings separated by a fossil transform, the Davie Fracture Zone; (i) rifting and transform setting in the northern margin related to opening of the Somali and Rovuma basins, and (ii) rifting and volcanism setting during the opening of the Mozambique basin in the southern margin. 2D reflection seismic investigation of the crustal structure in the Zambezi Delta Depression, provided key piece of evidence for two rifting phases between Africa and Antarctica. The magma-rich Rift I phase evolved from rift-rift-rift style with remarkable emplacement of dyke swarms (between 182 and 170 Ma). Related onshore outcrops are extensively studied, the Karoo volcanics in Mozambique, Zimbabwe and South Africa, all part of the Karoo "triple-junction". These igneous bodies flow and thicken eastwards and are now covered by up to 5 km of Cretaceous and Tertiary sediments and recorded by seismic and oil exploration wells. Geophysical and geological data recorded during oceanographic cruises provide very controversial results regarding the nature of the Mozambique Ridge. Two conflicting opinions remains open, since the early expeditions to the Indian Ocean, postulating that its character is either magmatic (oceanic) or continental origin. We have carried out an China-Mozambique Joint Cruise(CMJC) on southern Mozambique Basin on 1st June to 23rd June,2017. The CMJC used multi-beam bathymetric, sub-bottom profiling, multi-channel reflection seismic, wide-angle refraction and Gravity to collect data. The preliminary new findings include: (1) the thick-layer sediments during Tertiary and Cretaceous; (2) the southern continental margin mainly affected by the rifting and volcanism during the stages of the Mozambique Basin formation; (3) the Cretaceous sediments located along the Mozambique Basin in both marine and continental environment.

Examining unanswered questions about the home environment and childhood obesity disparities using an incremental, mixed-methods, longitudinal study design: The Family Matters study.

PubMed

Berge, Jerica M; Trofholz, Amanda; Tate, Allan D; Beebe, Maureen; Fertig, Angela; Miner, Michael H; Crow, Scott; Culhane-Pera, Kathleen A; Pergament, Shannon; Neumark-Sztainer, Dianne

2017-11-01

There are disparities in the prevalence of childhood obesity for children from low-income and minority households. Mixed-methods studies that examine home environments in an in-depth manner are needed to identify potential mechanisms driving childhood obesity disparities that have not been examined in prior research. The Family Matters study aims to identify risk and protective factors for childhood obesity in low-income and minority households through a two-phased incremental, mixed-methods, and longitudinal approach. Individual, dyadic (i.e., parent/child; siblings), and familial factors that are associated with, or moderate associations with childhood obesity will be examined. Phase I includes in-home observations of diverse families (n=150; 25 each of African American, American Indian, Hispanic/Latino, Hmong, Somali, and White families). In-home observations include: (1) an interactive observational family task; (2) ecological momentary assessment of parent stress, mood, and parenting practices; (3) child and parent accelerometry; (4) three 24-hour child dietary recalls; (5) home food inventory; (6) built environment audit; (7) anthropometry on all family members; (8) an online survey; and (9) a parent interview. Phase I data will be used for analyses and to inform development of a culturally appropriate survey for Phase II. The survey will be administered at two time points to diverse parents (n=1200) of children ages 5-9. The main aim of the current paper is to describe the Family Matters complex study design and protocol and to report Phase I feasibility data for participant recruitment and study completion. Results from this comprehensive study will inform the development of culturally-tailored interventions to reduce childhood obesity disparities. Copyright © 2017 Elsevier Inc. All rights reserved.

From social liminality to cultural negotiation: Transformative processes in immigrant mental wellbeing.

PubMed

Simich, Laura; Maiter, Sarah; Ochocka, Joanna

2009-12-01

The underlying psychosocial processes that produce immigrant mental wellbeing are understudied in anthropology and medicine. This paper provides insights into these processes by describing culturally diverse immigrants' perceptions of mental health and adaptation strategies. Qualitative data were collected from 21 focus groups as part of a large, multidisciplinary, participatory action research project about mental health with five ethnolinguistic groups (Mandarin-speaking Chinese, Polish, Punjabi Sikh, Somali and Spanish-speaking Latin American) in Ontario, Canada. In framing the analysis, transformative concepts are applied to address dimensions of power and culture - social liminality and cultural negotiation - to the ongoing psychosocial processes of coping with mental distress. 'Social liminality' describes how immigrants perceive themselves to be in a psychologically stressful, transitional state, whereas 'cultural negotiation' describes how they actively cope with cultural tensions and respond to mental health challenges. Study findings show that while social liminality and cultural negotiation are stressful, they also have the potential to help individuals adapt by producing a positive synthesis of ideas about mental health in new social and cultural contexts. The study contributes to the shift from problem identification using a biomedical model of mental illness to a more psychosocial and ecological approach that reveals the potential for resolving some mental health problems experienced in immigrant communities. Describing active psychosocial process of adaptation also reinforces the therapeutic and educational value of partnerships between practitioners and clients and immigrant communities and mental health systems.

The East African monsoon system: Seasonal climatologies and recent variations: Chapter 10

USGS Publications Warehouse

Funk, Christopher C.; Hoell, Andrew; Shukla, Shraddhanand; Husak, Gregory J.; Michaelsen, J.

2016-01-01

This chapter briefly reviews the complex climatological cycle of the East African monsoon system, paying special attention to its connection to the larger Indo-Pacific-Asian monsoon cycle. We examine the seasonal monsoon cycle, and briefly explore recent circulation changes. The spatial footprint of our analysis corresponds with the “Greater Horn of Africa” (GHA) region, extending from Tanzania in the south to Yemen and Sudan in the north. During boreal winter, when northeast trade winds flow across the northwest Indian Ocean and the equatorial moisture transports over the Indian Ocean exhibit strong westerly mean flows over the equatorial Indian Ocean, East African precipitation is limited to a few highland areas. As the Indian monsoon circulation transitions during boreal spring, the trade winds over the northwest Indian Ocean reverse, and East African moisture convergence supports the “long” rains. In boreal summer, the southwesterly Somali Jet intensifies over eastern Africa. Subsidence forms along the westward flank of this jet, shutting down precipitation over eastern portions of East Africa. In boreal fall, the Jet subsides, but easterly moisture transports support rainfall in limited regions of the eastern Horn of Africa. We use regressions with the trend mode of global sea surface temperatures to explore potential changes in the seasonal monsoon circulations. Significant reductions in total precipitable water are indicated in Kenya, Tanzania, Rwanda, Burundi, Uganda, Ethiopia, South Sudan, Sudan, and Yemen, with moisture transports broadly responding in ways that reinforce the climatological moisture transports over the Indian Ocean. Over Kenya, southern Ethiopia and Somalia, regressions with velocity potential indicate increased convergence aloft. Near the surface, this convergence appears to manifest as a surface high pressure system that modifies moisture transports in these countries as well as Uganda, Tanzania, Rwanda, and Burundi. An analysis of rainfall changes indicates significant declines in parts of Tanzania, Rwanda, Burundi, Uganda, Kenya, Somalia, Ethiopia, and Yemen.

Plate kinematics of the Afro-Arabian Rift System with emphasis on the Afar Depression, Ethiopia

NASA Astrophysics Data System (ADS)

Bottenberg, Helen Carrie

This work utilizes the Four-Dimensional Plates (4DPlates) software, and Differential Interferometric Synthetic Aperture Radar (DInSAR) to examine plate-scale, regional-scale and local-scale kinematics of the Afro-Arabian Rift System with emphasis on the Afar Depression in Ethiopia. First, the 4DPlates is used to restore the Red Sea, the Gulf of Aden, the Afar Depression and the Main Ethiopian Rift to development of a new model that adopts two poles of rotation for Arabia. Second, the 4DPlates is used to model regional-scale and local-scale kinematics within the Afar Depression. Most plate reconstruction models of the Afro-Arabian Rift System relies on considering the Afar Depression as a typical rift-rift-rift triple junction where the Arabian, Somali and Nubian (African) plates are separating by the Red Sea, the Gulf of Aden and the Main Ethiopian Rift suggesting the presence of "sharp and rigid" plate boundaries. However, at the regional-scale the Afar kinematics are more complex due to stepping of the Red Sea propagator and the Gulf of Aden propagator onto Afar as well as the presence of the Danakil, Ali Sabieh and East Central Block "micro-plates". This study incorporates the motion of these micro-plates into the regional-scale model and defined the plate boundary between the Arabian and the African plates within Afar as likely a diffused zone of extensional strain within the East Central Block. Third, DInSAR technology is used to create ascending and descending differential interferograms from the Envisat Advanced Synthetic Aperture Radar (ASAR) C-Band data for the East Central Block to image active crustal deformation related to extensional tectonics and volcanism. Results of the DInSAR study indicate no strong strain localization but rather a diffused pattern of deformation across the entire East Central Block.

A Cluster of Cutaneous Leishmaniasis Associated with Human Smuggling

PubMed Central

Cannella, Anthony P.; Nguyen, Bichchau M.; Piggott, Caroline D.; Lee, Robert A.; Vinetz, Joseph M.; Mehta, Sanjay R.

2011-01-01

Cutaneous leishmaniasis (CL) is rarely seen in the United States, and the social and geographic context of the infection can be a key to its diagnosis and management. Four Somali and one Ethiopian, in U.S. Border Patrol custody, came to the United States by the same human trafficking route: Djibouti to Dubai to Moscow to Havana to Quito; and then by ground by Columbia/Panama to the United States - Mexico border where they were detained. Although traveling at different times, all five patients simultaneously presented to our institution with chronic ulcerative skin lesions at different sites and stages of evolution. Culture of biopsy specimens grew Leishmania panamensis. Soon thereafter, three individuals from East Africa traveling the identical route presented with L. panamensis CL to physicians in Tacoma, WA. We document here the association of a human trafficking route and new world CL. Clinicians and public health officials should be aware of this emerging infectious disease risk. PMID:21633017

Recruitment of Refugees for Health Research: A Qualitative Study to Add Refugees' Perspectives.

PubMed

Gabriel, Patricia; Kaczorowski, Janusz; Berry, Nicole

2017-01-29

Research is needed to understand refugees' health challenges and barriers to accessing health services during settlement. However, there are practical and ethical challenges for engaging refugees as participants. Despite this, there have been no studies to date specifically investigating refugee perspectives on factors affecting engagement in health research. Language-concordant focus groups in British Columbia, Canada, with four government-assisted refugee language groups (Farsi/Dari, Somali, Karen, Arabic) inquired about willingness to participate in health research. Twenty-three variables associated with the willingness of refugees to participate in health research were elicited. Variables related to research design included recruitment strategies, characteristics of the research team members and the nature of the research. Variables related to individual participants included demographic features such as gender and education, attitudes towards research and previous experience with research. This research can be used to increase opportunities for refugees' engagement in research and includes recommendations for subgroups of refugees that may have more difficulties engaging in research.

[Health status of immigrants arrived to Italian coast].

PubMed

Firenze, Alberto; Restivo, Vincenzo; Bonanno, Valentina; Aleo, Nicola; Pace, Stella; Marsala, Maria Grazia Laura; Palermo, Mario

2014-01-01

To analyze the factors involved in access to Emergency Department (ED) of undocumented immigrants in Lampedusa according to the country of origin. This is a retrospective observational study, carried out on newly arrived undocumented immigrants transferred to ED. Data were collected from medical records of Lampedusa ED between January 2012 and May 2013 on 326 undocumented immigrants. The outcomes evaluated are demographics characteristics and health condition of undocumented immigrants. In multivariate analysis associated factors to ED visits are: other pathologies rather than traumatic diseases (OR 0.22; p <0.001), younger age (OR 0.9; p <0.001) and female sex (OR 12.49; p=0.017) for Somalis; gastroenterological diseases (OR 2.55; p=0.026) and older age (OR 1.6; p=0.004) for Eritrean; neurological disease (OR 5.33; p=0.048) and male sex (OR 5.45; p=0.032) for Tunisian. This analysis shows that undocumented immigrants cannot be considered as a single population, because they generate a diversified set of pathological conditions.

The experience of implementing a 'TB village' for a pastoralist population in Cherrati, Ethiopia.

PubMed

Tayler-Smith, K; Khogali, M; Keiluhu, K; Jemmy, J-P; Ayada, L; Weyeyso, T; Issa, A M; De Maio, G; Harries, A D; Zachariah, R

2011-10-01

In Cherrati District, Somali Regional State (SRS), Ethiopia, despite a high burden of tuberculosis (TB), TB control activities are virtually absent. The majority of the population is pastoralist with a mobile lifestyle. TB care and treatment were offered using a 'TB village' approach that included traditional style residential care, community empowerment and awareness raising, provision of essential social amenities and essential food and non-food items. To describe 1) key aspects of the implementation of the TB village approach, 2) TB treatment outcomes and 3) the lessons learnt during implementation. Descriptive study. A total of 297 patients entered the TB village between September 2006 and October 2008; 271 (91%) patients were treated successfully, nine (3%) defaulted and 13 (4%) died. For pastoralist populations, a TB village approach may be effective for improving access to TB care, ensuring proper adherence to treatment and achieving good overall TB outcomes. The successes and challenges of this approach are discussed.

Strategies for increasing adolescent immunizations in diverse ethnic communities.

PubMed

Greenfield, Lauren S; Page, Libby C; Kay, Meagan; Li-Vollmer, Meredith; Breuner, Cora C; Duchin, Jeffrey S

2015-05-01

We sought to identify attitudes and knowledge of adolescent vaccination recommendations for tetanus, diphtheria, and acellular pertussis (Tdap); quadrivalent meningococcal conjugate (MCV4); and human papillomavirus (HPV) vaccines among Hispanic, Somali, and Ethiopian/Eritrean communities in King County, Washington. In-person surveys of Hispanic, Somali, and Ethiopian/Eritrean adolescents (n = 45) and parents of adolescents (n = 157), and three focus groups with mothers of 11- to 18-year-olds were conducted to assess knowledge, attitudes, and barriers related to recommended adolescent vaccines. Bivariate analyses of parent survey responses were performed to evaluate possible differences between ethnic groups (chi-square test and Fisher exact test where possible). Findings were used to develop (1) culture-specific written brochures for community members, which addressed misperceptions about adolescent immunizations and related diseases, and (2) a presentation highlighting specific messages for health care providers (HCPs) in the target communities. HCPs were surveyed after delivery of the presentation (n = 20). We identified barriers to adolescent immunization including: parents' and adolescents' limited awareness of, and misperceptions regarding, recommended adolescent vaccines and vaccine preventable diseases; lack of HCP recommendations for vaccination; and inability to access health information in native languages. Awareness of tetanus, diphtheria, and acellular pertussis, quadrivalent meningococcal conjugate, and human papillomavirus vaccines varied by vaccine and ethnic group. Lack of knowledge of adolescent vaccination recommendations was the main reason given by parents that their adolescents had not been vaccinated. Most parents in the focus groups identified doctors as a trusted source of health information and reported that they would vaccinate their teens if their doctor recommended it. All the surveyed HCPs routinely recommend adolescent vaccines at well-child visits, 55% at acute visits, and 35% at injury visits. Eighty percent reported that they would be more likely to recommend HPV vaccine after our on-site presentation. A strong recommendation from the physician is a critical factor influencing parents' decision to vaccinate, even when hesitancy exists. Other factors (such as personal experiences with these diseases and religious and cultural beliefs) also influence parents' decisions regarding vaccination. Knowledge of beliefs, misperceptions, and concerns can help inform strategies to improve adolescent vaccine uptake among specific ethnic populations, including the availability of culturally tailored, translated information. Additionally, HCPs may benefit from guidance on communicating with ethnic populations to support meaningful dialogue with families about the risks and benefits of adolescent vaccines. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Anaemia prevalence and associated factors among lactating mothers in Ethiopia: evidence from the 2005 and 2011 demographic and health surveys.

PubMed

Lakew, Yihunie; Biadgilign, Sibhatu; Haile, Demewoz

2015-04-14

To identify factors associated with anaemia in lactating mothers in Ethiopia. A cross-sectional secondary analysis of data pooled from two rounds of the 2005 and 2011 Ethiopian Demographic and Health Survey (EDHS) was used. A multivariate logistic regression model was applied to determine the factors associated with anaemia. A total of 7332 lactating mothers (2285 from EDHS 2005 and 5047 from EDHS 2011) were included from 11 administrative states of Ethiopia. Lactating mothers considered anaemic if haemoglobin level <12 g/dL. The overall prevalence of anaemia among lactating mothers was 22.1% (95% CI 21.13% to 23.03%). The highest prevalence was 48.7% (95% CI 40.80% to 56.62%) found in the Somali region, followed by 43.8% (95% CI 31.83% to 56.87%) in the Afar region. The multivariate statistical model showed that having a husband who had attended primary education (adjusted OR (AOR) 0.79; 95% CI 0.68 to 0.91), working during the 12 months preceding the survey (AOR 0.71; 95% CI 0.63 to 0.80), having a normal maternal body mass index (18.5-24.99 kg/m(2)) (AOR 0.78; 95% CI 0.68 to 0.89), being in the middle wealth quintile (AOR 0.83; 95% CI 0.71 to 0.98) or rich wealth quintile (AOR 0.83; 95% CI 0.70 to 0.98), having ever used family planning (AOR 0.68; 95% CI 0.57 to 0.80), having attended antenatal care (ANC) for the indexed pregnancy four times or more (AOR 0.73; 95% CI 0.59 to 0.91), having experienced time variation between the two surveys (AOR 0.73; 95% CI 0.64 to 0.85), and breastfeeding for 2 years (AOR 0.76; 95% CI 0.66 to 0.87) were factors associated with lower odds of having anaemia in lactating mothers. Anaemia is highly prevalent among lactating mothers, particularly in the pastoralist communities of Somali and Afar. Promoting partner education, improving maternal nutritional status, and creating behavioural change to use family planning and ANC services at health facilities are recommended interventions to reduce the prevalence of anaemia among lactating mothers in Ethiopia. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Feasibility of Using a Multilingual Web Survey in Studying the Health of Ethnic Minority Youth

PubMed Central

Malin, Maili; Raisamo, Susanna Ulrika; Lindfors, Pirjo Liisa; Pere, Lasse Antero; Rimpelä, Arja Hannele

2015-01-01

Background Monolingual Web survey is a common tool for studying adolescent health. However, national languages may cause difficulties for some immigrant-origin youths, which lower their participation rate. In national surveys, the number of ethnic minority groups is often too small to assess their well-being. Objective We studied the feasibility of a multilingual Web survey targeted at immigrant-origin youths by selection of response language, and compared participation in different language groups with a monolingual survey. Methods The Adolescent Health and Lifestyle Survey (AHLS), Finland, with national languages (Finnish/Swedish) was modified into a multilingual Web survey targeted at a representative sample of 14- and 16-year olds (N=639) whose registry-based mother tongue was other than the national languages. The survey was conducted in 2010 (16-year olds) and 2011 (14-year olds). The response rate of the multilingual survey in 2011 is compared with the AHLS of 2011. We also describe the translation process and the e-form modification. Results Of the respondents, 57.6% answered in Finnish, whereas the remaining 42.4% used their mother tongue (P=.002). A majority of youth speaking Somali, Middle Eastern, Albanian, and Southeast Asian languages chose Finnish. The overall response rate was 48.7% with some nonsignificant variation between the language groups. The response rate in the multilingual Web survey was higher (51.6%, 163/316) than the survey with national languages (46.5%, 40/86) in the same age group; however, the difference was not significant (P=.47). The adolescents who had lived in Finland for 5 years or less (58.0%, 102/176) had a higher response rate than those having lived in Finland for more than 5 years (45.1%, 209/463; P=.005). Respondents and nonrespondents did not differ according to place of birth (Finland/other) or residential area (capital city area/other). The difference in the response rates of girls and boys was nearly significant (P=.06). Girls of the Somali and Middle Eastern language groups were underrepresented among the respondents. Conclusions A multilingual Web survey is a feasible method for gathering data from ethnic youth, although it does not necessarily yield a higher response rate than a monolingual survey. The respondents answered more often in the official language of the host country than their mother tongue. The varying response rates by time of residence, ethnicity, and gender pose challenges for developing tempting surveys for youth. PMID:25953412

Spatio-temporal variability and trends of precipitation and extreme rainfall events in Ethiopia in 1980-2010

NASA Astrophysics Data System (ADS)

Gummadi, Sridhar; Rao, K. P. C.; Seid, Jemal; Legesse, Gizachew; Kadiyala, M. D. M.; Takele, Robel; Amede, Tilahun; Whitbread, Anthony

2017-12-01

This article summarizes the results from an analysis conducted to investigate the spatio-temporal variability and trends in the rainfall over Ethiopia over a period of 31 years from 1980 to 2010. The data is mostly observed station data supplemented by bias-corrected AgMERRA climate data. Changes in annual and Belg (March-May) and Kiremt (June to September) season rainfalls and rainy days have been analysed over the entire Ethiopia. Rainfall is characterized by high temporal variability with coefficient of variation (CV, %) varying from 9 to 30% in the annual, 9 to 69% during the Kiremt season and 15-55% during the Belg season rainfall amounts. Rainfall variability increased disproportionately as the amount of rainfall declined from 700 to 100 mm or less. No significant trend was observed in the annual rainfall amounts over the country, but increasing and decreasing trends were observed in the seasonal rainfall amounts in some areas. A declining trend is also observed in the number of rainy days especially in Oromia, Benishangul-Gumuz and Gambella regions. Trends in seasonal rainfall indicated a general decline in the Belg season and an increase in the Kiremt season rainfall amounts. The increase in rainfall during the main Kiremt season along with the decrease in the number of rainy days leads to an increase in extreme rainfall events over Ethiopia. The trends in the 95th-percentile rainfall events illustrate that the annual extreme rainfall events are increasing over the eastern and south-western parts of Ethiopia covering Oromia and Benishangul-Gumuz regions. During the Belg season, extreme rainfall events are mostly observed over central Ethiopia extending towards the southern part of the country while during the Kiremt season, they are observed over parts of Oromia, (covering Borena, Guji, Bali, west Harerge and east Harerge), Somali, Gambella, southern Tigray and Afar regions. Changes in the intensity of extreme rainfall events are mostly observed over south-eastern parts of Ethiopia extending to the south-west covering Somali and Oromia regions. Similar trends are also observed in the greatest 3-, 5- and 10-day rainfall amounts. Changes in the consecutive dry and wet days showed that consecutive wet days during Belg and Kiremt seasons decreased significantly in many areas in Ethiopia while consecutive dry days increased. The consistency in the trends over large spatial areas confirms the robustness of the trends and serves as a basis for understanding the projected changes in the climate. These results were discussed in relation to their significance to agriculture.

The Rovuma Transform Margin: the enigmatic continent-ocean boundary of East Africa

NASA Astrophysics Data System (ADS)

Phethean, Jordan; Kalnins, Lara; van Hunen, Jeroen; McCaffrey, Ken; Davies, Richard

2017-04-01

The N-S trending Davie Fracture Zone (DFZ) is often assumed to form the continent-ocean transform margin (COTM) of the Western Somali Basin. However, multiple plate tectonic reconstructions favour a pre-breakup location for Madagascar that crosses the DFZ, incompatible with its interpretation as the COTM (e.g., Lottes & Rowley, 1990; Reeves, 2014; Phethean et al., 2016). For the first time, we have identified classic COTM features in seismic reflection data from the Southern Rovuma Basin, to the west and inboard of the DFZ. These suggest a NNW trend to the margin, consistent with the tectonic reconstructions. 2D gravity models, with the seabed and top basement constrained by seismic data, are used to investigate the Moho structure across the Rovuma margin and are best fit using steep 'transform style' geometries, confirming the nature of the margin. We thus model generic COTM geometries elsewhere along the East African and Madagascan transform margins to locate best-fitting positions for these conjugate COTMs. This analysis confirms that the COTMs follow a NNW trend along the Rovuma Basin and Southern Madagascar, respectively, and allows a restoration of the conjugate COTMs. This restoration is used alongside geological maps and satellite imagery from Madagascar and East Africa to refine early plate motions and further constrain the precise origin of Madagascar within Gondwana. Our refined plate tectonic model independently predicts major observations made from seismic reflection and gravity data across the basin, including: regions of major transpression/transtension along the DFZ, merging of fracture zones to form the DFZ, oceanic crust on either side of the DFZ and within the Tanzania coastal basin, and the location of an abandoned MOR within the Tanzania coastal basin. We believe that this study finally provides conclusive evidence that Madagascar originated from within the Tanzania Coastal Basin, inboard of the DFZ, after some 30 years of debate regarding this matter. Lottes, A.L., Rowley, D.B., 1990. Reconstruction of the Laurasian and Gondwanan segments of Permian Pangea. Geol. Soc. London Mem., 12, 383-395. Reeves, C., 2014. The position of Madagascar within Gondwana and its movements during Gondwana dispersal. J. Afr. Earth Sci., 94, 45-57. Phethean, J.J.J., Kalnins, L.M., van Hunen, J.,Biffi, P.G., Davies, R.J., McCaffrey, K.J.W., 2016. Madagascar's escape from Africa: A high-resolution plate reconstruction for the Western Somali Basin and implications for supercontinent dispersal. Geochem. Geophys. Geosyst., 17, doi:10.1002/2016GC006624.

Access to HIV Care and Resilience in a Long-Term Conflict Setting: A Qualitative Assessment of the Experiences of Living with Diagnosed HIV in Mogadishu, Somali

PubMed Central

Kulane, Asli; Owuor, John O. A.; Abdulahi, Sacdia Abdisamad; Yusuf, Hamdi Moalim; Mohamed, Lul M.

2017-01-01

Background: Human Immunodeficiency Virus (HIV) continues to take a heavy toll on the lives of many people, with the worst impact on health and wellbeing for the affected individuals in fragile states. The HIV situation in Somalia is not clearly known and experiences of the people living with HIV in this war-torn region are often unexpressed. This pilot qualitative study sought to explore the experiences of people diagnosed with HIV living in Mogadishu, and their resilience in access to care and social support. Methods: Participants were recruited through drug dispensers at the HIV clinic in Banadir Hospital. Face-to-face in-depth interviews were conducted in Somali in May 2013 among patients who were receiving antiretroviral therapy (ART) from the HIV clinic in Mogadishu. These were tape-recorded, transcribed, and translated for content analysis. Results: Three women and four men who were living with HIV shared the following narratives. Their perception was that they had either got HIV from their spouses or through health care contamination. They were very knowledgeable about the realities of HIV, how the medication works, nutritional requirements, and drug adherence. They were always willing to go an extra mile to secure a good life for themselves. However, the external HIV stigma impacted their access to care. They faced challenges in their homes and at work which compelled them to seek support from non-governmental organizations (NGOs) or close family members. This stigma often affected their disclosure to the wider community due to the uncertainty of the repercussions, leading to a life of extreme loneliness and financial difficulties. The participants’ coping mechanisms included living together and starting their own NGO for support with very strong optimism about their prognosis. Conclusions: The people diagnosed with HIV living in Mogadishu are highly knowledgeable about HIV transmission, the realities of living with a diagnosed HIV infection, and the efficacy of HIV treatment. Our small sample suggests adequate access to ART through NGOs. However, widespread HIV stigma limits HIV status disclosure to families and communities, which creates a risk of self-isolation and ill health. Still, affected individuals have developed resilient mechanisms for managing the risks. They strive to remain employed for economic security, adhere to HIV treatment, engage in support groups, and maintain the utmost optimism about their prognosis. PMID:28678166

Ethnobotanical knowledge of pastoral community for treating livestock diseases in Somali regional state, eastern Ethiopia.

PubMed

Kebede, Ewonetu; Mengistu, Melese; Serda, Biresaw

2018-04-18

Modern livestock health care is still at its lowest stage in Ethiopia and most modern veterinary services like drugs and veterinary professionals are not accessible and affordable to the majority of pastoral farmers. As a result, they rely on their traditional knowledge and practices on locally available. However, this traditional knowledge has not yet been well documented. Therefore, this study identified medicinal plants used in treating animal diseases and examined factors that threatens ethno-veterinary in pastoral community of Shinle Districts. The survey study conducted on 180 households to collect data using a semi-structured questionnaire and filed guided observations. Data were analyzed by using SPSS. Thirty-one plant species belonging to 18 families used against 14 types of livestock diseases. Majority of plant species fall under Fabaceae (22.5%) and Euphorbiaceae (16.1%) family that are largely shrubs. The most used plant parts were roots (35.5%) followed by leaves (25.8%). Remedy preparation was mainly through chop and soak in concoction of water and salt. Oral, topical, and nasal route were the common mode of administration. The principal threats of medicinal plants were invasive plants, drought, over grazing, agricultural activity, and firewood collection. Endogenous knowledge on ethno-veterinary medicinal plants was accepted orally from healer's forefathers and transmitted similarly. Awareness should raise and ethno-veterinary medicine should integrate in to livestock extension delivery systems for the need to exploit the possibility of discovering more medicinally viable plants. Further studies needed under controlled conditions on the efficacy and veterinary properties of such plant products and livestock disease treatments.

Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia.

PubMed

Chukwumalu, Kingsley; Gallagher, Meghan C; Baunach, Sabine; Cannon, Amy

2017-11-01

Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabortion care (PAC) services to address the issue of high maternal morbidity and mortality due to unsafe abortion. Abortion is explicitly permitted by Somali law to save the life of a woman, but remains a sensitive topic due to religious and social conservatism that exists in the region. Using a multipronged approach focusing on capacity building, assurance of supplies and infrastructure, and community collaboration and mobilisation, the demand for PAC services increased as did the proportion of women who adopted a method of family planning post-abortion. From January 2013 to December 2015, a total of 1111 clients received PAC services at the four SCI-supported health facilities. The number of PAC clients increased from a monthly average of 20 in 2013 to 38 in 2015. During the same period, 98% (1090) of PAC clients were counselled for postabortion contraception, of which 955 (88%) accepted a contraceptive method before leaving the facility, with 30% opting for long-acting reversible contraception. These results show that comprehensive PAC services can be implemented in politically unstable, culturally conservative settings where abortion and modern contraception are sensitive and stigmatised matters among communities, health workers, and policy makers. However, like all humanitarian settings, large unmet needs exist for PAC services in Somalia.