36 research outputs found

    Partner notification for sexually transmitted infections in developing countries: a systematic review

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    <p>Abstract</p> <p>Background</p> <p>The feasibility and acceptability of partner notification (PN) for sexually transmitted infections (STIs) in developing countries was assessed through a comprehensive literature review, to help identify future intervention needs.</p> <p>Methods</p> <p>The Medline, Embase, and Google Scholar databases were searched to identify studies published between January 1995 and December 2007 on STI PN in developing countries. A systematic review of the research extracted information on: (1) willingness of index patients to notify partners; (2) the proportion of partners notified or referred; (3) client-reported barriers in notifying partners; (4) infrastructure barriers in notifying partners; and (5) PN approaches that were evaluated in developing countries.</p> <p>Results</p> <p>Out of 609 screened articles, 39 met our criteria. PN outcome varied widely and was implemented more often for spousal partners than for casual or commercial partners. Reported barriers included sociocultural factors such as stigma, fear of abuse for having an STI, and infrastructural factors related to the limited number of STD clinics, and trained providers and reliable diagnostic methods. Client-oriented counselling was found to be effective in improving partner referral outcomes.</p> <p>Conclusions</p> <p>STD clinics can improve PN with client-oriented counselling, which should help clients to overcome perceived barriers. The authors speculate that well-designed PN interventions to evaluate the impact on STI prevalence and incidence along with cost-effectiveness components will motivate policy makers in developing countries to allocate more resources towards STI management.</p

    Downscaling Climate Change Impacts, Socio-Economic Implications and Alternative Adaptation Pathways for Islands and Outermost Regions

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    This book provides a comprehensive overview of the future scenarios of climate change and management concerns associated with climate change impacts on the blue economy of European islands and outermost regions. The publication collects major findings of the SOCLIMPACT project’s research outcomes, aiming to raise social awareness among policy-makers and industry about climate change consequences at local level, and provide knowledge-based information to support policy design, from local to national level. This comprehensive book will also assist students, scholars and practitioners to understand, conceptualize and effectively and responsibly manage climate change information and applied research. This book provides invaluable material for Blue Growth Management, theory and application, at all levels. This first edition includes up-to-date data, statistics, references, case material and figures of the 12 islands case studies. ¹Downscaling climate change impacts, socio-economic implications and alternative adaptation pathways for Islands and Outermost Regions¹ is a must-read book, given the accessible style and breadth and depth with which the topic is dealt. The book is an up-to-date synthesis of key knowledge on this area, written by a multidisciplinary group of experts on climate and economic modelling, and policy design

    Publisher Correction: Hydro-climatic changes of wetlandscapes across the world

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    Assessments of ecosystem service and function losses of wetlandscapes (i.e., wetlands and their hydrological catchments) suffer from knowledge gaps regarding impacts of ongoing hydro-climatic change. This study investigates hydro-climatic changes during 1976–2015 in 25 wetlandscapes distributed across the world’s tropical, arid, temperate and cold climate zones. Results show that the wetlandscapes were subject to precipitation (P) and temperature (T) changes consistent with mean changes over the world’s land area. However, arid and cold wetlandscapes experienced higher T increases than their respective climate zone. Also, average P decreased in arid and cold wetlandscapes, contrarily to P of arid and cold climate zones, suggesting that these wetlandscapes are located in regions of elevated climate pressures. For most wetlandscapes with available runoff (R) data, the decreases were larger in R than in P, which was attributed to aggravation of climate change impacts by enhanced evapotranspiration losses, e.g. caused by land-use changes

    Covering with Clubs: Complexity and Approximability

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    Lecture Notes in Computer Science book series (LNCS, volume 10979)Finding cohesive subgraphs in a network is a well-known problem in graph theory. Several alternative formulations of cohesive subgraph have been proposed, a notable example being s-club, which is a subgraph where each vertex is at distance at most s to the others. Here we consider the problem of covering a given graph with the minimum number of s-clubs. We study the computational and approximation complexity of this problem, when s is equal to 2 or 3. First, we show that deciding if there exists a cover of a graph with three 2-clubs is NP-complete, and that deciding if there exists a cover of a graph with two 3-clubs is NP-complete. Then, we consider the approximation complexity of covering a graph with the minimum number of 2-clubs and 3-clubs. We show that, given a graph G=(V,E) to be covered, covering G with the minimum number of 2-clubs is not approximable within factor O(|V|1/2−Δ), for any Δ>0, and covering G with the minimum number of 3-clubs is not approximable within factor O(|V|1−Δ), for any Δ>0. On the positive side, we give an approximation algorithm of factor 2|V|1/2log3/2|V| for covering a graph with the minimum number of 2-clubs
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