The pathways to psychiatric care: a cross-cultural study

This paper describes the referral pathways taken by 1554 patients newly referred to the mental health services in 11 countries, and documents factors associated with delays in referral. The pathways in centres relatively well provided with psychiatric staff were dominated by general practitioners and to a lesser extent hospital doctors: the relatively less well resourced centres showed a variety of pathways with native healers often playing an important part. Delays were remarkably short in all centres regardless of psychiatric resources, but in some centres we found longer delays on pathways involving native healers. Somatic problems were a common presentation in all centres, and in some centres there was a tendency for patients presenting with somatic problems to have longer delays than those with symptoms of depression or anxiety. The implications of these findings are discussed in the context of an ongoing programme of WHO research activities aimed at improving the quality of mental illness care available in community setting

Impact Craters and Meteorites: The Egyptian Record

This chapter provides an account of the present Egyptian impact cratering record as well as an overview of the Egyptian meteorite collection. The 45-m-diameter Kamil crater in the East Uweinat District in southwestern Egypt is so far the only confirmed impact crater in Egypt. Due to its exceptional state of preservation Kamil can be considered a typestructure for small-scale impacts on Earth. Enigmatic types of natural glasses including the Libyan Desert glass found in the Great Sand Sea and the Dakhleh glass found near Dakhla Oasis (note that Dakhla, Dakhleh and Dakhla are synonyms) may be products of low-altitude airbursts of large and fragile cometary or asteroidal impactors. A number of circular, cratershaped geological structures superficially resembling impact craters are discussed. To date the Egyptian meteorite collection totals 2 falls, including the ~10 kg Martian meteorite Nakhla that has served as a keystone for the understanding of magmatic differentiation processes on Mars, and 76 finds. With the exception of a minority of incidental findings, most Egyptian meteorite finds (~75%) were recovered over the last ~30 years from three dense meteorite collection areas, namely the El-Shaik Fedl, Great Sand Sea and Marsa Alam fields. The exceptional exposures of the Precambrian basement and Paleozoic to Cenozoic sedimentary covers in Egypt offer a good opportunity for the identification of new impact structures. Likewise, Egypt’s vast rocky desert surfaces are of great potential for the collection of meteorites through systematic searches. These prospects are fundamental ingredients for fostering the ongoing development of meteoritics and planetary science in Egypt as disciplines for future scientific endeavor in Africa

Arabia-Somalia plate kinematics, evolution the Aden-Owen-Carlsberg triple junction, and opening of the Gulf of Aden

International audienceNew geophysical data collected at the Aden‐Owen‐Carlsberg (AOC) triple junction between the Arabia, India, and Somalia plates are combined with all available magnetic data across the Gulf of Aden to determine the detailed Arabia‐Somalia plate kinematics over the past 20 Myr. We reconstruct the history of opening of the Gulf of Aden, including the penetration of the Sheba Ridge into the African continent and the evolution of the triple junction since its formation. Magnetic data evidence three stages of ridge propagation from east to west. Seafloor spreading initiated ∼20 Myr ago along a 200 kmlong ridge portion located immediately west of the Owen fracture zone. A second 500 kmlong ridge portion developed westward up to the Alula‐Fartak transform fault before Chron 5D (17.5 Ma). Before Chron 5C (16.0 Ma), a third 700 km‐long ridge portion was emplaced between the Alula‐Fartak transform fault and the western end of the Gulf of Aden (45°E). Between 20 and 16 Ma, the Sheba Ridge propagated over a distance of 1400 km at an extremely fast average rate of 35 cm yr−1. The ridge propagation resulted from the Arabia‐Somalia rigid plate rotation about a stationary pole. Since Chron 5C (16.0 Ma), the spreading rate of the Sheba Ridge decreased first rapidly until 10 Ma and then more slowly. The evolution of the AOC triple junction is marked by a change of configuration around 10 Ma, with the formation of a new Arabia‐India plate boundary. Part of the Arabian plate was then transferred to the Indian plate