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Showing papers by "University of the Witwatersrand published in 2002"



Journal ArticleDOI
TL;DR: A rapid rDNA polymerase chain reaction (PCR) method has been developed to accurately identify five members of the A. funestus group, a major malaria vector in Africa belonging to a group of species with morphologically similar characteristics.
Abstract: Anopheles funestus Giles is a major malaria vector in Africa belonging to a group of species with morphologically similar characteristics. Morphological identification of members of the A. funestus group is difficult because of overlap of distinguishing characteristics in adult or immature stages as well as the necessity to rear isofemale lines to examine larval and egg characters. A rapid rDNA polymerase chain reaction (PCR) method has been developed to accurately identify five members of the A. funestus group. This PCR is based on species-specific primers in the ITS2 region on the rDNA to identify A. funestus (approximately 505bp), Anopheles vaneedeni Gillies and Coetzee (approximately 587bp), Anopheles rivulorum Leeson (approximately 411bp), Anopheles leesoni Evans (approximately 146bp), and Anopheles parensis Gillies (approximately 252bp).

483 citations


Journal ArticleDOI
TL;DR: Managers from 24 geopolitical entities provided data on work locus of control, job satisfaction, psychological strain, physical strain, and individualism/collectivism, with the hypothesis that the salut...
Abstract: Managers from 24 geopolitical entities provided data on work locus of control, job satisfaction, psychological strain, physical strain, and individualism/collectivism. The hypothesis that the salut...

282 citations


Journal ArticleDOI
TL;DR: Fe-Mössbauer spectroscopy shows that haemozoin is the only detectable iron species in trophozoites, and electron spectroscopic imaging confirms this conclusion.
Abstract: Chemical analysis has shown that Plasmodium falciparum trophozoites contain 61+/-2% of the iron within parasitized erythrocytes, of which 92+/-6% is located within the food vacuole. Of this, 88+/-9% is in the form of haemozoin. (57)Fe-Mossbauer spectroscopy shows that haemozoin is the only detectable iron species in trophozoites. Electron spectroscopic imaging confirms this conclusion.

272 citations


Journal ArticleDOI
01 Jun 2002-Oikos
TL;DR: Evidence for facilitation through stimulation of grass regrowth during the growing season appears stronger than that for increased resource access through removal of obstructing grass structures during the dormant season, suggesting seasonal tradeoffs between facilitation and competition.
Abstract: The importance of facilitation versus competition in structuring herbivore species assemblages is a critical issue in theoretical ecology as well as for practical wildlife management. This paper examines the evidence for facilitation and clarifies our understanding in relation to the mechanisms and the spatial and temporal scales where they occur. Evidence for facilitation through stimulation of grass regrowth during the growing season appears stronger than that for increased resource access through removal of obstructing grass structures during the dormant season. Although facilitation may benefit the nutritional gains obtained by certain species in the short term, these benefits do not appear to be translated into the expected population consequences. We suggest this could be due to seasonal tradeoffs between facilitation and competition, as well as to restrictions on the spatial extent of trophic overlap.

263 citations


Journal ArticleDOI
TL;DR: There is an urgent need to understand and address the lived experiences of the nurses, and the duality of their roles as professionals and as community members, before promoting the training of nurses as an effective strategy for dealing with gender-based violence.

256 citations


Journal ArticleDOI
TL;DR: Intramuscular olanzapine at a dose of 2.5 to 10.0 mg per injection exhibits a dose-response relationship in the rapid treatment of acute agitation in patients with schizophrenia and demonstrates a favorable safety profile.
Abstract: Background: An intramuscular (IM) formulation of olanzapine has been developed because there are no rapidacting IM atypical antipsychotic drugs currently available in the United States for treating acute agitation in patients with schizophrenia. Methods: Recently hospitalized acutely agitated patients with schizophrenia (N=270) were randomized to receive 1 to 3 IM injections of olanzapine (2.5, 5.0, 7.5, or 10.0 mg), haloperidol (7.5 mg), or placebo within 24 hours. A dose-response relationship for IM olanzapine in the reduction of agitation was assessed by measuring the reduction in Positive and Negative Syndrome Scale Excited Component (PANSS-EC) scores 2 hours after the first injection. Safety was assessed by recording adverse events and with extrapyramidal symptom scales and electrocardiograms at 24 hours after the first injection. Results: Olanzapine exhibited a dose-response relationship for reduction in agitation (F1,179=14.4; P.001). Mean PANSS-EC reductions 2 hours after the first injection of olanzapine (2.5 mg=�5.5; 5.0 mg=�8.1; 7.5 mg=�8.7; 10.0 mg=�9.4) were superior to those with placebo (�2.9; P=.01 vs olanzapine at 2.5 mg; P.001 for each other olanzapine dose) but not with haloperidol (�7.5). A dose of 5.0, 7.5, or 10.0 mg of olanzapine caused a greater reduction in agitation than placebo 30 minutes after the first injection. There were no differences between treatment groups for hypotension, the most frequently reported adverse event, or for clinically relevant changes in the QTc interval. There was a greater incidence of treatment-emergent parkinsonism during treatment with IM haloperidol (16.7%) than with 2.5 (P=.03), 5.0 (P=.03), or 7.5 mg (P=.01) of IM olanzapine (0%) or with placebo (0%) (P=.01). Conclusions: Intramuscular olanzapine at a dose of 2.5 to 10.0 mg per injection exhibits a dose-response relationship in the rapid treatment of acute agitation in patients with schizophrenia and demonstrates a favorable safety profile. Arch Gen Psychiatry. 2002;59:441-448

250 citations


Journal ArticleDOI
TL;DR: An initial study of the nature of linkage disequilibrium and genetic variation, in population samples from different regions of the world, in a larger segment of the ADH cluster (including the three Class I ADH genes and ADH7), indicates that most ADH-alcoholism association studies have failed to consider many sites in theADH cluster that may harbor etiologically significant alleles and that the relevance of the various ADH sites will be population dependent.
Abstract: Variants of different Class I alcohol dehydrogenase (ADH) genes have been shown to be associated with an effect that is protective against alcoholism. Previous work from our laboratory has shown that the two sites showing the association are in linkage disequilibrium and has identified the ADH1B Arg47His site as causative, with the ADH1C Ile349Val site showing association only because of the disequilibrium. Here, we describe an initial study of the nature of linkage disequilibrium and genetic variation, in population samples from different regions of the world, in a larger segment of the ADH cluster (including the three Class I ADH genes and ADH7). Linkage disequilibrium across ∼40 kb of the Class I ADH cluster is moderate to strong in all population samples that we studied. We observed nominally significant pairwise linkage disequilibrium, in some populations, between the ADH7 site and some Class I ADH sites, at moderate values and at a molecular distance as great as 100 kb. Our data indicate (1) that most ADH-alcoholism association studies have failed to consider many sites in the ADH cluster that may harbor etiologically significant alleles and (2) that the relevance of the various ADH sites will be population dependent. Some individual sites in the Class I ADH cluster show values that are among Fst the highest seen among several dozen unlinked sites that were studied in the same subset of populations. The high values can be attributed to the discrepant frequencies of specific alleles in eastern Asia relative to those Fst in other regions of the world. These alleles are part of a single haplotype that exists at high (165%) frequency only in the eastern-Asian samples. It seems unlikely that this haplotype, which is rare or unobserved in other populations, reached such high frequency because of random genetic drift alone.

242 citations


MonographDOI
27 Jun 2002
TL;DR: An adaptive resource ecology: foundation and prospects References Index.
Abstract: The adaptation of herbivore behaviour to seasonal and locational variations in vegetation quantity and quality is inadequately modelled by conventional methods. Norman Owen-Smith innovatively links the principles of adaptive behaviour to their consequences for population dynamics and community ecology, through the application of a metaphysiological modelling approach. The main focus is on large mammalian herbivores occupying seasonally variable environments such as those characterised by African savannahs, but applications to temperate zone ungulates are also included. Issues of habitat suitability, species coexistence, and population stability or instability are similarly investigated. The modelling approach accommodates various sources of environmental variability, in space and time, in a simple conceptual way and has the potential to be applied to other consumer-resource systems. This text highlights the crucial importance of adaptive consumer responses to environmental variability and is aimed particularly at academic researchers and graduate students in the field of ecology.

239 citations


Journal ArticleDOI
TL;DR: In this paper, the genotype/phenotype relationships in 70 affected subjects from 44 apparently unrelated pedigrees of diverse ethnic origin were studied and a significantly higher prevalence of intellectual impairment than those with BSCL1 or BSCLX (p<0.0001, OR 17.0, CI 3.6 to 79.0).
Abstract: Generalised lipodystrophy of the Berardinelli-Seip type (BSCL) is a rare autosomal recessive human disorder with severe adverse metabolic consequences. A gene on chromosome 9 (BSCL1) has recently been identified, predominantly in African-American families. More recently, mutations in a previously undescribed gene of unknown function (BSCL2) on chromosome 11, termed seipin, have been found to be responsible for this disorder in a number of European and Middle Eastern families. We have studied the genotype/phenotype relationships in 70 affected subjects from 44 apparently unrelated pedigrees of diverse ethnic origin. In all subjects, hepatic dysfunction, hyperlipidaemia, diabetes mellitus, and hypertrophic cardiomyopathy were significant contributors to morbidity with no clear differences in their prevalence between subjects with BSCL1 or BSCL2 and those with evidence against cosegregation with either chromosome 9 or 11 (designated BSCLX). BSCL2 appears to be a more severe disorder than BSCL1 with a higher incidence of premature death and a lower prevalence of partial and/or delayed onset of lipodystrophy. Notably, subjects with BSCL2 had a significantly higher prevalence of intellectual impairment than those with BSCL1 or BSCLX (p<0.0001, OR 17.0, CI 3.6 to 79.0). The higher prevalence of intellectual impairment and the increased risk of premature death in BSCL2 compared to BSCL1 emphasise the importance of molecular diagnosis of this syndrome and have clear implications for genetic counselling.

228 citations


Journal ArticleDOI
TL;DR: The CRP, IS, HDL cholesterol, triglycerides and hypertension are inter-related in RA patients, whereas none of these relationships were found in OA patients.
Abstract: Rheumatoid arthritis (RA) patients experience a markedly increased frequency of cardiovascular disease. We evaluated cardiovascular risk profiles in 79 RA patients and in 39 age-matched and sex-matched osteoarthritis (OA) patients. Laboratory tests comprised ultrasensitive C-reactive protein (CRP) and fasting lipids. Insulin sensitivity (IS) was determined by the Quantitative Insulin Sensitivity Check Index (QUICKI) in all OA patients and in 39 of the RA patients. Ten RA patients were on glucocorticoids. RA patients exercised more frequently than OA patients (χ2 = 3.9, P 0.05). Excess cardiovascular risk in RA patients as compared with OA patients includes the presence of decreased IS and HDL cholesterol in RA patients. The latter is only partially attributable to the acute phase response. The CRP, IS, HDL cholesterol, triglycerides and hypertension are inter-related in RA patients, whereas none of these relationships were found in OA patients.

Journal ArticleDOI
TL;DR: This review outlines the major HBV transcription regulatory elements and highlights the reliance of accurate HBV gene modulation on the complex interplay between several trans‐acting factors and their corresponding cis‐ motifs in the viral genome.
Abstract: The precise modulation of hepatitis B virus (HBV) gene expression is essential for replication of the virus. HBV sequences are transcribed under the control of the preC/pregenomic, S1, S2 and X promoters. With the exception of S1, all the HBV promoters lack the orthodox TATA box motifs required for the formation of the transcription initiation complex, and as such they represent a unique model of transcription initiation elements. The presence of two enhancer sequences and negative regulatory elements in the HBV genome further augments the controlled synthesis of HBV- RNA. All these transcription cis-elements are embedded within protein coding regions of the genome. This feature demonstrates the remarkable ability of the virus to maximize the function of its small genome. HBV transcription control elements also display a preference for liver-specific or liver-enriched trans-factors, which contributes to the liver tropism of the virus. This review outlines the major HBV transcription regulatory elements and highlights the reliance of accurate HBV gene modulation on the complex interplay between several trans-acting factors and their corresponding cis- motifs in the viral genome.

Journal ArticleDOI
TL;DR: In this paper, the authors reveal the socio-epidemiological patterns of the epidemic and in doing so identify the populations with the greatest and fastest growing rates of infection in South Africa.

Journal ArticleDOI
01 May 2002-Genetics
TL;DR: The pattern in noncoding regions, because they are less affected by natural selection than are coding regions, can reflect better the history of human evolution and can serve as a baseline for understanding the maintenance of SNPs in human populations.
Abstract: The worldwide pattern of single nucleotide polymorphism (SNP) variation is of great interest to human geneticists, population geneticists, and evolutionists, but remains incompletely understood. We studied the pattern in noncoding regions, because they are less affected by natural selection than are coding regions. Thus, it can reflect better the history of human evolution and can serve as a baseline for understanding the maintenance of SNPs in human populations. We sequenced 50 noncoding DNA segments each approximately 500 bp long in 10 Africans, 10 Europeans, and 10 Asians. An analysis of the data suggests that the sampling scheme is adequate for our purpose. The average nucleotide diversity (pi) for the 50 segments is only 0.061% +/- 0.010% among Asians and 0.064% +/- 0.011% among Europeans but almost twice as high (0.115% +/- 0.016%) among Africans. The African diversity estimate is even higher than that between Africans and Eurasians (0.096% +/- 0.012%). From available data for noncoding autosomal regions (total length = 47,038 bp) and X-linked regions (47,421 bp), we estimated the pi-values for autosomal regions to be 0.105, 0.070, 0.069, and 0.097% for Africans, Asians, Europeans, and between Africans and Eurasians, and the corresponding values for X-linked regions to be 0.088, 0.042, 0.053, and 0.082%. Thus, Africans differ from one another slightly more than from Eurasians, and the genetic diversity in Eurasians is largely a subset of that in Africans, supporting the out of Africa model of human evolution. Clearly, one must specify the geographic origins of the individuals sampled when studying pi or SNP density.

Journal ArticleDOI
TL;DR: It is suggested that only three criteria—proportions of carnivores to ungulates in the assemblage, the preserved condition of long bone specimens (either as whole cylinders or as splintered shaft fragments), and the types of bone surface modifications—should be retained as important factors in a diagnosis of the ancient bone-collector.
Abstract: Zooarchaeologists have established several criteria for differentiating hominid- and hyena-derived faunal assemblages. In some cases, however, the patterns of skeletal part representation and bone surface modification on which these criteria are ultimately based have been observed in fossil bone assemblages of unknown origin, rather than in modern assemblages of known origin. When the proposed criteria are evaluated within an actualistic framework, only three are able to differentiate between hominid- and hyena-created faunal assemblages. I suggest that only these three criteria—proportions of carnivores to ungulates in the assemblage, the preserved condition of long bone specimens (either as whole cylinders or as splintered shaft fragments), and the types of bone surface modifications—should be retained as important factors in a diagnosis of the ancient bone-collector. The remaining four criteria—the relative proportion of horn pieces in the assemblage, the relative representation of podial bones, the relative representation of small and large bovid skeletal parts, and bovid mortality profiles—are not relevant or applicable to the problem of differentiating hominid- from hyena-derived faunal assemblages. Copyright © 2002 John Wiley & Sons, Ltd.

Journal ArticleDOI
TL;DR: A broad range of infectious conditions is significantly associated with HIV infection in South African miners, and identification and implementation of effective prophylactic regimens are urgently needed.
Abstract: A cohort of 1792 human immunodeficiency virus (HIV)-positive and 2970 HIV-negative South African miners was observed for 12 months starting in February 1998. All-cause hospitalizations and deaths were significantly associated with HIV infection (respective unadjusted incidence rate ratios, 2.9 and 9.2; respective 95% confidence intervals, 2.5-3.4 and 5.5-16.0). Tuberculosis (TB), bacterial pneumonia, cryptococcosis, and trauma were the major causes of admission for HIV-positive patients, whereas Pneumocystis carinii pneumonia was an uncommon cause (respective admission rates, 8.5, 6.9, 2.2, 6.0, and 0.53 admissions per 100 person-years). Enteritis, bronchitis, urinary tract infections, and soft-tissue infections were also significantly associated with HIV infection. Cryptococcosis caused 44% of deaths among HIV-positive patients. Trauma was the main hazard for HIV-negative men, causing 42% of admissions and 60% of deaths. A broad range of infectious conditions is significantly associated with HIV infection in South African miners. Identification and implementation of effective prophylactic regimens are urgently needed.

Journal ArticleDOI
TL;DR: This study is the first to present a gene which has been identified as being responsible for RDX biodegradation, and the mechanism of action of XplA on RDX is thought to involve initial denitration followed by spontaneous ring cleavage and mineralization.
Abstract: Hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX) is a high explosive which presents an environmental hazard as a major land and groundwater contaminant. Rhodococcus rhodochrous strain 11Y was isolated from explosive contaminated land and is capable of degrading RDX when provided as the sole source of nitrogen for growth. Products of RDX degradation in resting-cell incubations were analyzed and found to include nitrite, formaldehyde, and formate. No ammonium was excreted into the medium, and no dead-end metabolites were observed. The gene responsible for the degradation of RDX in strain 11Y is a constitutively expressed cytochrome P450-like gene, xplA, which is found in a gene cluster with an adrenodoxin reductase homologue, xplB. The cytochrome P450 also has a flavodoxin domain at the N terminus. This study is the first to present a gene which has been identified as being responsible for RDX biodegradation. The mechanism of action of XplA on RDX is thought to involve initial denitration followed by spontaneous ring cleavage and mineralization.

Journal ArticleDOI
TL;DR: In this paper, the authors compared standing and harvested wood stocks and investigated different human disturbance gradients between the two utilization/management regimes in protected and public (communal) lands of eastern Tanzania.

Journal ArticleDOI
01 May 2002-Geoforum
TL;DR: In this article, a two-tiered analysis of what has come to be referred to as the "security-parks", i.e., that South African variation of the "gated community" which combines Blakely and Snyder's [Fortress America: Gated communities in the United States, Brookings Institution Press, Washington, 1999] typically separable ‘lifestyle', "prestige" and "security zone" gated community types, is presented.

Journal ArticleDOI
TL;DR: Observations show that DP leucocyte counts (WCC) should replace lymphocyte counts as the "common denominator" although CD4%/lympho values can, as an extra step, be also provided readily if requested.
Abstract: BACKGROUND North American and European guidelines for dual-platform (DP) flow cytometry recommend absolute CD4 T-cell counts to be calculated from two parameters: the absolute lymphocyte counts obtained on a hematology analyzer and the percentages of CD4+ cells among lymphocytes (CD4%/lympho) obtained by flow cytometry. Nevertheless, the identification of lymphocytes is error-prone: a poor match between these common denominators in the two systems is the main source of inaccuracy. In contrast, total leucocyte counts (white cell counts [WCC]) and CD4% among the gated CD45+ leucocytes (CD4%/leuco) can be determined with greater accuracy. Methods: We introduced “PanLeucogating,” i.e., we used total leucocytes as the common denominator for improving the precision of DP absolute CD4 counting. Correlations and Bland-Altman tests were used for statistical analysis. Results: First, 22 stabilized blood product samples were provided by U.K. National External Quality Assessment Scheme (NEQAS) and a higher accuracy and precision of CD4 counts were documented using PanLeucogating compared with lymphocyte gating. Next, 183 fresh and 112 fixed (TransFix) whole blood samples were used to compare DP methods and single-platform (SP) methodology, including both volumetric and bead-based techniques. A particularly high correlation and comparable precision of absolute CD4 counts were observed between the SP volumetric method and DP PanLeucogating (R2 = 0.990; bias 6 ± SD 17%). The SP volumetric method showed lower levels of agreement with the DP lymphocyte gating (R2 = 0.758; bias 14 ± SD 51%) and with the SP bead-based method (R2 = 0.923; bias 4 ±SD 31%). Conclusions: These observations show that DP leucocyte counts (WCC) should replace lymphocyte counts as the “common denominator” although CD4%/lympho values can, as an extra step, be also provided readily if requested. When coupled with quality control for WCC on hematology analyzers, the DP method with CD45 PanLeucogating represents a robust CD4 T-cell assay that is as accurate as the SP volumetric technique. This DP method uses only two, CD45 and CD4, antibody reagents and can be run on any pair of hematological analyzer plus flow cytometer. Cytometry (Clin. Cytometry) 50:69–77, 2002. © 2002 Wiley-Liss, Inc.

Journal ArticleDOI
TL;DR: The first time that this arbovirus has been found outside Africa and Madagascar was reported in mid-September 2000 as mentioned in this paper, where collections of mosquitoes (Diptera: Culicidae) were therefore undertaken (from 25 September to 10 October) at eight sites during the epidemic to obtain mosquitoes for attempted RVF virus isolation.
Abstract: In mid-September 2000, Rift Valley fever (RVF) virus was diagnosed as the cause of infection in humans and livestock in Jizan Region, Saudi Arabia. This is the first time that this arbovirus has been found outside Africa and Madagascar. Collections of mosquitoes (Diptera: Culicidae) were therefore undertaken (from 25 September to 10 October) at eight sites during the epidemic to obtain mosquitoes for attempted RVF virus isolation. Among 23 699 mosquito females tested, six isolations of RVF virus were made from 15 428 Culex (Culex) tritaeniorhynchus Giles and seven from 8091 Aedes (Aedimorphus) vexans arabiensis Patton [corrected]. Minimum mosquito infection rates per 1000 at sites with infected mosquitoes were 0.3-13.8 Cx. tritaeniorhynchus and 1.94-9.03 Ae. v. arabiensis. Viral activity moved northwards as collecting was in progress and collectors 'caught up' with the virus at the two most northerly sites on the last two trapping evenings. Other species occurred in small numbers and were identified but not tested. Both Cx. tritaeniorhynchus and Ae. v. arabiensis were susceptible to RVF virus and transmitted between hamsters, and an additional quantitative test with Cx. tritaeniorhynchus showed that 71-73% of mosquitoes became infected after ingesting 6.9-7.9 log10 FFU/mL of virus; transmission rates were 10% (post-infection day 14) and 26% (post-infection day 20). It was concluded that both species were vectors on grounds of abundance, distribution, preference for humans and sheep, the virus isolations and vector competence tests.

Journal ArticleDOI
TL;DR: Interestingly, increased levels of YhbH, a member of the sigma 54 modulation protein family which is strongly induced in response to environmental stresses and energy depletion via both σB and σH, could be observed within 2 h in both attached cells and planktonic cultures growing in the presence of glass wool, indicating that this protein plays an important role in regulation of the biofilm phenotype.
Abstract: Bacillus cereus, a dairy-associated toxigenic bacterium, readily forms biofilms on various surfaces and was used to gain a better understanding of biofilm development by gram-positive aerobic rods. B. cereus DL5 was shown to readily adapt to an attached mode of growth, with dense biofilm structures developing within 18 h after inoculation when glass wool was used as a surface. Two-dimensional gel electrophoresis (2DE) revealed distinct and reproducible phenotypic differences between 2- and 18-h-old biofilm and planktonic cells (grown both in the presence and in the absence of glass wool). Whereas the 2-h-old biofilm proteome indicated expression of 15 unique proteins, the 18-h-old biofilm proteome contained 7 uniquely expressed proteins. Differences between the microcolony (2-h) proteome and the more developed biofilm (18-h) proteome were largely due to up- and down-regulation of the expression of a multitude of proteins. Selected protein spots excised from 2DE gels were subjected to N-terminal sequencing and identified with high confidence. Among the proteins were catabolic ornithine carbamoyltransferase and l-lactate dehydrogenase. Interestingly, increased levels of YhbH, a member of the sigma 54 modulation protein family which is strongly induced in response to environmental stresses and energy depletion via both σB and σH, could be observed within 2 h in both attached cells and planktonic cultures growing in the presence of glass wool, indicating that this protein plays an important role in regulation of the biofilm phenotype. Distinct band differences were also found between the extracellular proteins of 18-h-old cultures grown in the presence and in the absence of glass wool.

Journal ArticleDOI
TL;DR: The authors argue that the post-apartheid curriculum reform has resulted in a significant paradigm shift focused on reclaiming knowledge and cognition in the classroom as expressed in the new revisionism in curriculum debate.
Abstract: An important development in the post-apartheid South Africa was a departure from apartheid education through an outcomes-based curriculum reform. This resulted in several structural and policy tensions within the system. This paper highlights how these tensions have played themselves out and shows how government and stakeholders have addressed the challenges emanating from them. The paper argues that the tensions that dominated the post-apartheid curriculum reform have resulted in a significant paradigm shift focused on reclaiming knowledge and cognition in the classroom as expressed in the new revisionism in curriculum debate. From a policy point of view, it argues that the South African experience demonstrates how the pursuit of grand philosophies and ideals such as OBE and curriculum 2005 requires, at both macro and micro, systemic and institutional levels, generally and at the level of detail, a great deal of technical and political skills that cannot be achieved overnight. This calls for realism and ...

Journal ArticleDOI
TL;DR: Quantitative and qualitative data were collected to explore the experiences of nonprofessional trauma counselors in the workplace and program coordination, self-efficacy, stakeholder commitment, sense of coherence, and perceived social support were significantly related to counselors' experiences of STS and role satisfaction.
Abstract: Quantitative (N = 130) and qualitative (N = 30) data were collected to explore the experiences of nonprofessional trauma counselors in the workplace. Counselors, on average, did not experience symptoms of secondary traumatic stress (STS) requiring clinical intervention. Changes to cognitive schemata regarding counselors' world views were found to be present 6 weeks after their last trauma counseling incident. Counselors reported experiencing considerable role satisfaction. Factors related to the nature of the trauma counseling task and counselors' exposure to work and nonwork related trauma were not significantly associated with counselors' STS or role satisfaction scores. Program coordination, self-efficacy, stakeholder commitment, sense of coherence, and perceived social support were significantly related to counselors' experiences of STS and role satisfaction.

Journal ArticleDOI
TL;DR: In the context of renewed international debates about the significance of social movement unionism, the authors undertakes a detailed analysis of Social Movement unionism in a South African steelworkers' union.
Abstract: In the context of renewed international debates about the significance of social movement unionism, this article undertakes a detailed analysis of social movement unionism in a South African steelw...

Journal ArticleDOI
TL;DR: The results of stratigraphic studies and U-series dating of the Tongtianyan Cave, the discovery site of the Liujiang hominid, are presented, which represents one of the few well-preserved fossils of modern Homo sapiens in China.

Journal ArticleDOI
TL;DR: It is concluded that health equity goals are critically dependent on the central involvement of the dis-advantaged in decision-making about who should receive priority, what services should be delivered and how equity-promoting initiatives should be implemented.

Journal ArticleDOI
TL;DR: Additional prevalence data are needed from developing countries prior to substantially altering the 1993 ECC/WHO Classification of oral lesions associated with adult HIV infection.
Abstract: OBJECTIVES: An International Workshop addressed the prevalence and classification of HIV/ AIDS associated oral lesions DESIGN: Five questions provided the framework for discussion and literature review What is the prevalence of oral lesions in children and adults? Should the accepted classification of HIV-related oral lesions be modified in the light of recent findings? Why is there a gender difference in the prevalence of oral lesions in developed and developing countries? Are there unusual lesions present in developing countries? Is there any association between modes of transmission and the prevalence of oral lesions? RESULTS: Workshop discussion emphasized the urgent need for assistance in the development of expertise to obtain accurate global prevalence data for HIV-associated oral lesions Oral candidiasis has been consistently reported as the most prevalent HIV-associated oral lesion in all ages Penicilliosis marneffei, a newly described fungal infection, has emerged in South-east Asia Oral hairy leukoplakia and Kaposi's sarcoma appear to be associated with male gender and male-to-male HIV transmission risk behaviours These lesions occur only rarely in children CONCLUSIONS: Additional prevalence data are needed from developing countries prior to substantially altering the 1993 ECC/WHO Classification of oral lesions associated with adult HIV infection The workshop confirmed current oral disease diagnostic criteria

Journal ArticleDOI
TL;DR: The two POH groups differed primarily in their remodeling process, which led to a chronically compensated state in one group and to heart failure in the other.

Journal ArticleDOI
TL;DR: None of the rete ungulates seems to employ selective brain cooling to prevent the brain overheating during exertional hyperthermia, so it is believed that they use it at rest, under moderate heat load, in order to switch body heat loss from evaporative to non-evaporative routes.
Abstract: Adaptive heterothermy and selective brain cooling are regarded as important thermal adaptations of large arid-zone mammals. Adaptive heterothermy, a process which reduces evaporation by storing body heat, ought to be enhanced by ambient heat load and by water deficit, but most mammals studied fail to show at least one of those attributes. Selective brain cooling, the reduction of brain temperature below arterial blood temperature, is most evident in artiodactyls, which possess a carotid rete, and traditionally has been considered to protect the brain during hyperthermia. The development of miniature ambulatory data loggers for recording body temperature allows the temperatures of free-living wild mammals to be measured in their natural habitats. All the African ungulates studied so far, in their natural habitats, do not exhibit adaptive heterothermy. They have low-amplitude nychthemeral rhythms of temperature, with mean body temperature over the night exceeding that over the day. Those with carotid retes (black wildebeest, springbok, eland) employ selective brain cooling but zebra, without a rete, do not. None of the rete ungulates, however, seems to employ selective brain cooling to prevent the brain overheating during exertional hyperthermia. Rather, they use it at rest, under moderate heat load, we believe in order to switch body heat loss from evaporative to non-evaporative routes.