Where are we short and who are we short of? A review of the human resources for health in South Africa

This review showed that thinking about the shortage of health care personnel merely in terms of insufficient numbers prevents sound strategic interventions to solve the country’s human resources for health (HRH) problem. It revealed that the numbers shortage was one facet of a broader problem that included the mal distribution of HRH, production of the wrong skills in the nursing care, the attrition of staff from the public health services and, contextually, the ever-changing demands on the health services. The challenge in South Africa was furthermore to train and retain health care personnel with skills and expertise that are commensurate with the changing demands on the public health services.Uit hierdie oorsig het dit duidelik geblyk dat die tekort van gesondheidsorgpersoneel slegs in terme van ontoereikende getalle val en ’n omvattende strategiese ingryping om die land se menslike gesondheidshulpbron krisis op te los, belemmer. Dit het aangedui dat die getalletekort maar slegs een fasset van ’n groter probleem uitmaak, wat onder andere die volgende insluit: die oneweredige verspeiding van menslike gesondheidshulpbronne, ’n fokus op ontoepaslike vaardighede in die opleiding van verpleegpersoneel, die behoud van personeel in die openbare gesondheidsektor, asook die konstant-veranderlike eise van die gesondheidsdienste. Verder was die uitdaging in Suid Afrika die opleiding en behoud van gesondheidsorgpersoneel met kennis en vaardighede wat tred hou met die veranderlike eise van die openbare gesondheidsdienste

Poliquetos del Seno Aysén, Chile: distribución, abundancia y comparaciones biogeográficas con la fauna de poliquetos de áreas someras de la Antártida y la provincia de Magallanes

This paper analyzes the composition, abundance and biogeographical relationship of the benthic polychaetes collected in three shallow subtidal locations (mouth of Cuervo and Condor rivers and Acantilada Bay) from Aysen Fjord, AF, Chile (45ºS, 73ºW), and provides a comparison with data on shallow soft-bottom polychaetes from Antarctica and other locations of the Magellan Province: Dalcahue Channel, DC (42º22´S, 73º39´W), Puerto Cisnes, Puyuhuapi Channel, PC (44º43´S, 72º42´W) and Magellan Straits, MS. AF polychaete fauna comprises 38 species, the macrobenthic taxon being most representative in terms of abundance and species richness. The importance of polychaetes seems to be higher in fjords than in channels. Low numbers of common species were detected among DC, PC, MS and AF, indicating differences along the influence area of the Cape Horn Current or along the Magellan Province. The polychaetes from AF show low affinities with Antarctica; maximum number of common species was observed with the Antarctic Peninsula, whereas the lowest values were recorded from locations in the Ross and Weddell Seas. Coincidence in some ecological attributes between AF and Antarctica indicate that polychaetes may play an important and similar ecological role in both environments.Se analiza la composición, abundancia y relaciones biogeográficas de poliquetos bentónicos recolectados en tres localidades someras (desembocadura de los ríos Cuervo y Cóndor y Bahía Acantilada) del Seno Aysén, SA, Chile (45ºS, 73ºO), y se efectúa una comparación con los poliquetos de la Antártida y otras localidades de la Provincia de Magallanes: Canal Dalcahue, CD (42º22’S, 73º39’O), Puerto Cisnes, Canal Puyuhuapi, CP (44º43’S, 72º42’O) y Estrecho de Magallanes, EM. La poliquetofauna del SA se compone de 38 especies, siendo el taxón más representativo del macrobentos en términos tanto de abundancia como de riqueza de especies. La importancia de los poliquetos parece mayor en fiordos que en canales. Se detectaron escasas afinidades entre CD, CP, EM y SA, indicando diferencias geográficas del papel de los poliquetos en la Provincia de Magallanes o en el área influenciada por la corriente del Cabo de Hornos. Existen escasas afinidades entre los poliquetos del SA y la Antártida; el mayor número de especies comunes fue compartido con la Península Antártica, mientras que ocurría lo contrario con localidades de los Mares de Ross y Weddell. La similitud de algunos atributos ecológicos entre SA y la Antártida sugieren que los poliquetos juegan un papel ecológico similar en ambos ambientes

Simultaneous Optical Model Analyses of Elastic Scattering, Breakup, and Fusion Cross Section Data for the 6^{6}He + 209^{209}Bi System at Near-Coulomb-Barrier Energies

Based on an approach recently proposed by us, simultaneous $\chi^{2}$-analyses are performed for elastic scattering, direct reaction (DR) and fusion cross sections data for the $^{6}$He+$^{209}$Bi system at near-Coulomb-barrier energies to determine the parameters of the polarization potential consisting of DR and fusion parts. We show that the data are well reproduced by the resultant potential, which also satisfies the proper dispersion relation. A discussion is given of the nature of the threshold anomaly seen in the potential

A basis for variational calculations in d dimensions

In this paper we derive expressions for matrix elements (\phi_i,H\phi_j) for the Hamiltonian H=-\Delta+\sum_q a(q)r^q in d > 1 dimensions. The basis functions in each angular momentum subspace are of the form phi_i(r)=r^{i+1+(t-d)/2}e^{-r^p/2}, i >= 0, p > 0, t > 0. The matrix elements are given in terms of the Gamma function for all d. The significance of the parameters t and p and scale s are discussed. Applications to a variety of potentials are presented, including potentials with singular repulsive terms of the form b/r^a, a,b > 0, perturbed Coulomb potentials -D/r + B r + Ar^2, and potentials with weak repulsive terms, such as -g r^2 + r^4, g > 0.Comment: 22 page

Perturbation expansions for a class of singular potentials

Harrell's modified perturbation theory [Ann. Phys. 105, 379-406 (1977)] is applied and extended to obtain non-power perturbation expansions for a class of singular Hamiltonians H = -D^2 + x^2 + A/x^2 + lambda/x^alpha, (A\geq 0, alpha > 2), known as generalized spiked harmonic oscillators. The perturbation expansions developed here are valid for small values of the coupling lambda > 0, and they extend the results which Harrell obtained for the spiked harmonic oscillator A = 0. Formulas for the the excited-states are also developed.Comment: 23 page

Structural and energetic properties of nickel clusters: 2≤N≤1502 \le N \le 150

The four most stable structures of Ni$_N$ clusters with $N$ from 2 to 150 have been determined using a combination of the embedded-atom method in the version of Daw, Baskes and Foiles, the {\it variable metric/quasi-Newton} method, and our own {\it Aufbau/Abbau} method. A systematic study of energetics, structure, growth, and stability of also larger clusters has been carried through without more or less severe assumptions on the initial geometries in the structure optimization, on the symmetry, or on bond lengths. It is shown that cluster growth is predominantly icosahedral with $islands$ of {\it fcc}, {\it tetrahedral} and {\it decahedral} growth. For the first time in unbiased computations it is found that Ni$_{147}$ is the multilayer (third Mackay) icosahedron. Further, we point to an enhanced ability of {\it fcc} clusters to compete with the icosahedral and decahedral structures in the vicinity of N=79. In addition, it is shown that conversion from the {\it hcp}/anti-Mackay kind of icosahedral growth to the {\it fcc}/Mackay one occurs within a transition layer including several cluster sizes. Moreover, we present and apply different analytical tools in studying structural and energetic properties of such a large class of clusters. These include means for identifying the overall shape, the occurrence of atomic shells, the similarity of the clusters with, e.g., fragments of the {\it fcc} crystal or of a large icosahedral cluster, and a way of analysing whether the $N$-atom cluster can be considered constructed from the $(N-1)$-atom one by adding an extra atom. In addition, we compare in detail with results from chemical-probe experiment. Maybe the most central result is that first for clusters with $N$ above 80 general trends can be identified.Comment: 37 pages, 11 figure

Phenotypic, morphological, and metabolic characterization of vascular-spheres from human vascular mesenchymal stem cells

The ability to form spheroids under non-adherent conditions is a well-known property of human mesenchymal stem cells (hMSCs), in addition to stemness and multilineage differentiation features. In the present study, we tested the ability of hMSCs isolated from the vascular wall (hVW-MSCs) to grow as spheres, and provide a characterization of this 3D model. hVW-MSCs were isolated from femoral arteries through enzymatic digestion. Spheres were obtained using ultra-low attachment and hanging drop methods. Immunophenotype and pluripotent genes (SOX-2, OCT-4, NANOG) were analyzed by immunocytochemistry and real-time PCR, respectively. Spheres histological and ultrastructural architecture were examined. Cell viability and proliferative capacity were measured using LIVE/DEATH assay and ki-67 proliferation marker. Metabolomic profile was obtained with liquid chromatography–mass spectrometry. In 2D, hVW-MSCs were spindle-shaped, expressed mesenchymal antigens, and displayed mesengenic potential. 3D cultures of hVW-MSCs were CD44+, CD105low, CD90low, exhibited a low propensity to enter the cell cycle as indicated by low percentage of ki-67 expression and accumulated intermediate metabolites pointing to slowed metabolism. The 3D model of hVW-MSCs exhibits stemness, dormancy and slow metabolism, typically observed in stem cell niches. This culture strategy can represent an accurate model to investigate hMSCs features for future clinical applications in the vascular field