Development and evaluation of an international, interdisciplinary palliative care workshop in Botswana

Abstract Aim: This paper reports the development and evaluation of an interdisciplinary, international palliative care workshop presented in Gaborone, Botswana. Method: A 5-day workshop was held in June 2009 at the University of Botswana. Clinicians, faculty, and students from throughout Botswana were invited to attend at no cost. Participants included nurses, social workers, physicians, pharmacists, chaplains and volunteers. Learning activities included lectures, case studies, and group discussion. Results: Evaluation indicated high satisfaction with the workshop and significant, though modest, gains in knowledge and self-evaluation of palliative care skills. Discussion revealed important clinical issues for attendees and underscored the need to coordinate national efforts to enhance palliative care in Botswana. Conclusion: The international collaborative palliative care workshop increased the knowledge and commitment of attendees. Additional collaborative efforts to educate providers, coordinate care, and change policies and practices are needed to integrate palliative care fully into health care in Botswana

Dung beetle assemblage structure across the aridity and trophic resource gradient of the Botswana Kalahari: patterns and drivers at regional and local scales

Understanding pattern and process at both regional and local scales is important for conservation planning although such knowledge of insects is frequently lacking. To assess patterns along a regional gradient of increasing aridity and diminishing food resources in the Botswana Kalahari, Scarabaeine dung beetles were sampled quantitatively using four dung types at three local sites in six regional areas. At regional scale, factor analysis of species abundance extracted a maximum of six factors, each dominated by a single area. Therefore, the statistical significance of regional spatial variation far outweighed that of dung type association. At local scale, six factor analyses of species abundance extracted from four to six factors. The importance of local dung type associations was relatively high but diminished with increasing local spatial heterogeneity. At regional scale, hierarchical analysis of oblique factors divided assemblages into unique local and shared regional components. Primary extended factors accounted for 40–50 % of unique local faunal composition in five out of six areas. Two secondary extended factors showed either high shared proportional contribution to regional assemblage structure in the northeast with a steep decline to the southwest, or an opposite trend. Their point of intersection was consistent with a boundary zone between mesic northeast and arid southwest faunal components in the central Kalahari. Despite some inconsistencies in rank position between regression methods, rainfall, temperature, and mammal density/diversity were the strongest influences on regional patterns defined by secondary factors. Patterns are discussed according to conservation and changes in land usage around reserves.The GEF-Small Grant Programme and the University of Pretoriahttp://www.springerlink.com/content/100177/hb2013ab201

Mild and Highly Flexible Enzyme-Catalyzed Modification of Poly (ethersulfone) Membranes

Poly(ethersulfone) (PES) membranes are widely used in industry for separation and purification purposes. However, the drawback of this type of membranes is fouling by proteins. For that reason, modification of PES membranes has been studied to enhance their protein repellence. This paper presents the first example of enzyme-catalyzed modification of PES membranes. Various phenolic acids (enzyme substrates) were bound to a membrane under very mild conditions (room temperature, water, nearly neutral pH) using only laccase from Trametes versicolor as catalyst. The extent of modification, monitored, for example, by the coloration of the modified membranes, can be tuned by adjusting the reaction conditions. The most significant results were obtained with 4-hydroxybenzoic acid and gallic acid as substrates. The presence of a covalently bound layer of 4-hydroxybenzoic acid on the grafted membranes was confirmed by X-ray photoelectron spectroscopy (XPS), infrared reflection absorption spectroscopy (IRRAS), and NMR. In the case of gallic acid, PES membrane modification is mainly caused by adsorption of enzymatically formed homopolymer. The ionization potential of the substrates, and the electronic energies and spin densities of the radicals that are intermediates in the attachment reaction were calculated (B3LYP/6-311G(d,p)) to determine the reactive sites and the order of reactivity of radical substrates to couple with the PES membrane. The calculated order of reactivity of the substrates is in line with the experimental observations. The calculated spin densities in the phenolic radicals are highest at the oxygen atom, which is in line with the formation of ether linkages as observed by IRRAS. The liquid fluxes of the modified membranes are hardly influenced by the grafted layers, in spite of the presence of a substantial and stable new layer, which opens a range of application possibilities for these modified membrane