Assessment of Gamma-Radiation Levels in Selected Oil Spilled Areas in Rivers State, Nigeria

A prelude radiological impact assessment of oil spillage on the oil spilled environment, those saddled with the responsibility of cleaning the spilled crude and the host/nearest communities residents in Rivers State Nigeria has been examined in-situ, using radiation meters (Digilert 100 nuclear radiation meter) and a geographical positioning system (GPS). Readings were taken twice in a month for three months in the five different oil spilled site and one measurement taken at a control site where there is no oil spillage but within oil bearing community. The average radiation values in all the oil spilled site is 0.019±0.006mRh-1, this is far above the 0.011±0.003mRh-1obtained for the control and ICRP 0.013±0.005mRh-1 world background levels. The average equivalent dose rate obtained in all the five studied site is 1.6mSvy-1 while the dose rate in the control is 0.93mSvy-1. The results showed that all the oil spilled sites yearly equivalent dose rate exceeded the 1mSvy-1 maximum permissible limit recommend for the public and non-nuclear industrial environment by International Council on Radiological Protection (ICRP,1999). All the oil spilled environment radiation levels exceeded the normal world average BIR level of 0.013mRh-1and other reported values in similar environment. This shows that the oil spilled environment have been impacted radiologically. This will pose some long-term health side effects on the clean-up workers and residents of the host communities. Interim proactive measures are recommended while further and a detail study is ongoing

Research shapes policy: but the dynamics are subtle

Major policy initiatives such as the Quality and Outcomes Framework (QOF) in the national contract for UK general practitioners might variably be informed by evidence at their inception, implementation and subsequent evolution. But what evidence gets admitted into these policy debates—and what is left out? Using QOF as an example, this article demonstrates what an analysis of the relationship between policy and the associated research can tell us about the underlying policy assumptions and about the role of evidence in policy debates

China’s private institutions for the education of health professionals: a time-series analysis from 1998 to 2012

Abstract Background Public institutions have been the major provider of education for health professionals in China for most of the twentieth century. In the 1990s, the Chinese government began to encourage the establishment of private education institutions, which have been steadily increasing in numbers over the past decade. However, there is a lack of authoritative data on these institutions and little has been published in international journals on the current status of private education of health professionals in China. In light of this knowledge gap, we performed a quantitative analysis of private institutions in China that offer higher education of health professionals. Methods Using previously unreleased national data provided by the Ministry of Education of China, we conducted time-series and descriptive analyses to study the scale, structure and educational resources from 1998 to 2012 of private institutions for health professional education. Results The number of private institutions that educate health professionals increased from two in 1999 to 123 in 2012. Private institutions displayed an average annual growth rate of 44.2% for enrolment, 59.0% for the number of students and 53.3% for the number of graduates. In 2012, nursing, clinical medicine and traditional Chinese medicine had the most students (37.2%, 32.8% and 8.9% respectively), representing 78.9% of all students in these institutions. Ninety-seven private institutions located in the more economically advantaged eastern and central China and only 26 ones were in the less economically advantaged western China, respectively turning out 85.2% and 14.8% of health professional graduates. There were less educational resources, such as the number of faculty members, physical space and assets, at private institutions than at public institutions. Conclusions Private institutions for the education of health professionals have emerged quickly in China, contributing to the demand for health professionals that exceeds what public institutions are able to offer. At the same time, the imbalance of geographical distribution and poor educational resources of private institutions are of concern. It may be of utmost importance to enhance administration and supervision to better regulate private institutions and their development plans. Future studies may be needed to better examine the effects of private institutions on the production and allocation of health workers.https://deepblue.lib.umich.edu/bitstream/2027.42/145446/1/12960_2018_Article_308.pd

Effects of Once-Weekly Exenatide on Cardiovascular Outcomes in Type 2 Diabetes.

Abstract BACKGROUND: The cardiovascular effects of adding once-weekly treatment with exenatide to usual care in patients with type 2 diabetes are unknown. METHODS: We randomly assigned patients with type 2 diabetes, with or without previous cardiovascular disease, to receive subcutaneous injections of extended-release exenatide at a dose of 2 mg or matching placebo once weekly. The primary composite outcome was the first occurrence of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke. The coprimary hypotheses were that exenatide, administered once weekly, would be noninferior to placebo with respect to safety and superior to placebo with respect to efficacy. RESULTS: In all, 14,752 patients (of whom 10,782 [73.1%] had previous cardiovascular disease) were followed for a median of 3.2 years (interquartile range, 2.2 to 4.4). A primary composite outcome event occurred in 839 of 7356 patients (11.4%; 3.7 events per 100 person-years) in the exenatide group and in 905 of 7396 patients (12.2%; 4.0 events per 100 person-years) in the placebo group (hazard ratio, 0.91; 95% confidence interval [CI], 0.83 to 1.00), with the intention-to-treat analysis indicating that exenatide, administered once weekly, was noninferior to placebo with respect to safety (P<0.001 for noninferiority) but was not superior to placebo with respect to efficacy (P=0.06 for superiority). The rates of death from cardiovascular causes, fatal or nonfatal myocardial infarction, fatal or nonfatal stroke, hospitalization for heart failure, and hospitalization for acute coronary syndrome, and the incidence of acute pancreatitis, pancreatic cancer, medullary thyroid carcinoma, and serious adverse events did not differ significantly between the two groups. CONCLUSIONS: Among patients with type 2 diabetes with or without previous cardiovascular disease, the incidence of major adverse cardiovascular events did not differ significantly between patients who received exenatide and those who received placebo. (Funded by Amylin Pharmaceuticals; EXSCEL ClinicalTrials.gov number, NCT01144338 .)

The causal effect of childhood measles vaccination on educational attainment: A mother fixed-effects study in rural South Africa

Background Because measles vaccination prevents acute measles disease and morbidities secondary to measles, such as undernutrition, blindness, and brain damage, the vaccination may also lead to higher educational attainment. However, there has been little evidence to support this hypothesis at the population level. In this study, we estimate the causal effect of childhood measles vaccination on educational attainment among children born between 1995 and 2000 in South Africa. Methods and findings We use longitudinal data on measles vaccination status and school grade attainment among 4783 children. The data were collected by the Wellcome Trust Africa Centre Demographic Information System (ACDIS), which is one of Africa's largest health and demographic surveillance systems. ACDIS is located in a poor, predominantly rural, Zulu-speaking community in KwaZulu-Natal, South Africa. Using mother fixed-effects regression, we compare the school grade attainment of siblings who are discordant in their measles vaccination status but share the same mother and household. This fixed-effects approach controls for confounding due to both observed and unobserved factors that do not vary between siblings, including sibling-invariant mother and household characteristics such as attitudes toward risk, conscientiousness, and aspirations for children. We further control for a range of potential confounders that vary between siblings, such as sex of the child, year of birth, mother's age at child's birth, and birth order. We find that measles vaccination on average increases school grade attainment by 0.188 grades (95% confidence interval, 0.0424–0.334; p = 0.011). Conclusions Measles vaccination increased educational attainment in this poor, largely rural community in South Africa. For every five to seven children vaccinated against measles, one additional school grade was gained. The presence of a measles vaccination effect in this community is plausible because (i) measles vaccination prevents measles complications including blindness, brain damage, and undernutrition; (ii) a large number of number of children were at risk of contracting measles because of the comparatively low measles vaccination coverage; and (iii) significant measles transmission occurred in the community where this study took place during the study observation period. Our results demonstrate for the first time that measles vaccination affects human development not only through its health effects but also through its effects on education

The Case for Translanguaging in Black Immigrant Literacies

Black immigrant youth in the United States tend to be considered a new model minority because of the perception that they perform academically better than their African American peers. Yet, Black immigrant youth face challenges with literacy performance that often go unnoticed by teachers, which amplifies the invisibility of their literacies. I assert that nuances presented in the literacies of Black immigrant youth as they become Black, become immigrants, and become speakers of racialized Englishes, necessitate the use of a theoretical lens that allows researchers to foreground race and mediate the linguistic and cultural expectations of these youth. To demonstrate, I propose the lens of translanguaging premised on an integrated model of multilingualism. This perspective provides a basis for foregrounding racialized language to facilitate an ideological understanding surrounding how Black immigrant youth leverage Englishes in their individual linguistic repertoires (i.e., I-languages) to enact literacies. At the same time, it provides an opportunity to understand how these youth engage the often-imposed structural rules of shared grammars within and across these Englishes (i.e., E-languages) in ways that influence these literacies. By presenting Black Caribbean immigrant youth’s literacies as a unique example to foreground racialized language via translanguaging for examining the Englishes of bidialectal youth, I encourage researchers to empower youth to navigate theoretical tensions that remain central to translanguaging research. More broadly, I invite researchers to think beyond dichotomies while clarifying what it means for youth of color from varied backgrounds to leverage their literacies and thrive