46 research outputs found

    Expanding the Social Security Net in South Africa: Opportunities, Challenges and Constraints

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    Rapid increases in government expenditure on social security between 2000 and 2006 has further increased poor households’ reliance on welfare grants and has been important in the fight against poverty. Already there is evidence of a substitution taking place within the social budget: expenditure on education and health seems to have declined in favour of increased welfare transfer expenditure

    A proposed architecture and method of operation for improving the protection of privacy and confidentiality in disease registers

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    BACKGROUND: Disease registers aim to collect information about all instances of a disease or condition in a defined population of individuals. Traditionally methods of operating disease registers have required that notifications of cases be identified by unique identifiers such as social security number or national identification number, or by ensembles of non-unique identifying data items, such as name, sex and date of birth. However, growing concern over the privacy and confidentiality aspects of disease registers may hinder their future operation. Technical solutions to these legitimate concerns are needed. DISCUSSION: An alternative method of operation is proposed which involves splitting the personal identifiers from the medical details at the source of notification, and separately encrypting each part using asymmetrical (public key) cryptographic methods. The identifying information is sent to a single Population Register, and the medical details to the relevant disease register. The Population Register uses probabilistic record linkage to assign a unique personal identification (UPI) number to each person notified to it, although not necessarily everyone in the entire population. This UPI is shared only with a single trusted third party whose sole function is to translate between this UPI and separate series of personal identification numbers which are specific to each disease register. SUMMARY: The system proposed would significantly improve the protection of privacy and confidentiality, while still allowing the efficient linkage of records between disease registers, under the control and supervision of the trusted third party and independent ethics committees. The proposed architecture could accommodate genetic databases and tissue banks as well as a wide range of other health and social data collections. It is important that proposals such as this are subject to widespread scrutiny by information security experts, researchers and interested members of the general public, alike

    Nucleoside/nucleotide reverse transcriptase inhibitor sparing regimen with once daily integrase inhibitor plus boosted darunavir is non-inferior to standard of care in virologically-suppressed children and adolescents living with HIV – Week 48 results of the randomised SMILE Penta-17-ANRS 152 clinical trial

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    The genetic architecture of the human cerebral cortex

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    The cerebral cortex underlies our complex cognitive capabilities, yet little is known about the specific genetic loci that influence human cortical structure. To identify genetic variants that affect cortical structure, we conducted a genome-wide association meta-analysis of brain magnetic resonance imaging data from 51,665 individuals. We analyzed the surface area and average thickness of the whole cortex and 34 regions with known functional specializations. We identified 199 significant loci and found significant enrichment for loci influencing total surface area within regulatory elements that are active during prenatal cortical development, supporting the radial unit hypothesis. Loci that affect regional surface area cluster near genes in Wnt signaling pathways, which influence progenitor expansion and areal identity. Variation in cortical structure is genetically correlated with cognitive function, Parkinson's disease, insomnia, depression, neuroticism, and attention deficit hyperactivity disorder

    Changing and diverse roles of women in American Indian cultures

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    Characterization of net-zero pozzolanic potential of thermally-derived metakaolin samples for sustainable carbon neutrality construction

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    Abstract Metakaolin (MK) is one of the most sustainable cementitious construction materials, which is derived through a direct heating procedure known as calcination. Calcination process takes place substantially lower temperatures than that required for Portland cement, making it a more environmentally sustainable alternative to traditional cement. This procedure causes the removal of hydroxyl water from the naturally occurring kaolin clay (Al2Si2O5(OH)4 with MK (Al2O3·2SiO2) as its product. Kaolin naturally exists in large amount within 5°29′N–5°35′N and 7°21′E–7°3′E geographical coordinates surrounding Umuoke, Obowo, Nigeria. Alumina and silica are the predominant compounds in MK, which provide it with the pozzolanic ability, known as the 3-chemical pozzolanic potential (3CPP), with high potential as a cementitious material in concrete production and soil stabilization. Over the years, researchers have suggested the best temperature at which MK is derived to have the highest pozzolanic ability. Prominent among these temperature suggestions were 800 °C (3CPP of 94.45%) and 750 °C (3CPP of 94.76%) for 2 h and 5 h’ calcination periods, respectively. In this research paper, 11 different specimens of Kaolin clay obtained from Umuoke, Nigeria, were subjected to a calcination process at oven temperatures from 350 to 850 °C in an increment of 50 °C for 1 h each to derive 11 samples of MK. The MK samples and Kaolin were further subjected to X-ray fluorescence), scanning electron microscopy (SEM) and X-ray diffraction (XRD) Brunauer–Emmett–Teller (BET) tests to determine the microstructural behaviour and the pozzolanic properties via the 3CPP as to exploit the best MK with the highest cementing potential as a construction material. The results show that the MK heated at 550 °C and 800 °C produced the highest pozzolanic potentials of 96.26% and 96.28%, respectively. The enhancement in pozzolanic potential at optimum calcination temperature is attributed to an increase in the specific surface area upon calcination of kaolinite confirmed by BET results. The SEM and XRD results further supported the above result with the strengthened crystal structure of the MK at these preferred temperatures. Generally, 550 °C is more preferred due to the less heat energy needed for its formulation during 1 h of calcination, which outperforms the previous results, that suggested 750 °C and 800 °C in addition to longer hours of heat exposure
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