Teaching Grade 4 English in multilingual classrooms: Hedegaards Double Move Revisited

For many Grade 4 learners within South Africa, the transition to English as their Language of Learning and Teaching (LoLT) is often turbulent and troublesome due to current approaches and practices falling short or failing to meet the unique contextual needs of their learners. This paper investigates the potential practical applications of Vygotsky's theory of learning and Hedegaard's Double Move in these classrooms, in an attempt to understand if these concepts and methods are or could be utilized to better accommodate for multilingual learners The data for this multiple case study was collected through observations of Grade 4 English Home Language lessons at two rural primary schools within Limpopo, as well as through semi-structured interviews with the participating teachers. Within these English Language classrooms, the utilization by teachers of Everyday Concepts in an attempt to aid in the understanding of Scientific Concepts occur naturally. This occurrence was also often coupled with increased learner engagement. This signifies teachers gravitate towards Hedegaard's Double-Move Method intuitively, despite not having prior knowledge or familiarity with the model, due to its found usefulness by the teacher during instruction. However, due to their lack of knowledge on the model there were no complete Double-Moves throughout the lessons. These findings indicate that a space exists within English Language classrooms for a conscious application of the model. Furthermore, the use by teachers and learners of their mother tongue within the classroom when engaging in discussion or instruction suggests that a place already exists for it and thus could potentially be utilized as a tool to further facilitate learning. With both educators indicating the inability of learners to cope with the transition and, in turn, their struggle to meet the needs of their learners, a need for a new approach clearly exists. This, coupled the positive results within STEM classrooms, both in relation to learners' ability to grasp the content as well as in providing them with the tools to reclaim foreign topics as their own (Hedegaard & Chaiklin, 2005; Hardman & Teschmacher, 2019; Fleer, 2020; Fleer, 2008; Fleer & Ridgway, 2007), led to the assertion that it held the same potential for English Language classrooms

Solar geoengineering: The case for an international non-use agreement

Solar geoengineering is gaining prominence in climate change debates as an issue worth studying; for some it is even a potential future policy option. We argue here against this increasing normalization of solar geoengineering as a speculative part of the climate policy portfolio. We contend, in particular, that solar geoengineering at planetary scale is not governable in a globally inclusive and just manner within the current international political system. We therefore call upon governments and the United Nations to take immediate and effective political control over the development of solar geoengineering technologies.Specifically, we advocate for an International Non-Use Agreement on Solar Geoengineering and outline the core elements of this proposal

Safety and Efficacy of a Dapivirine Vaginal Ring for HIV Prevention in Women.

BACKGROUND: The incidence of human immunodeficiency virus (HIV) infection remains high among women in sub-Saharan Africa. We evaluated the safety and efficacy of extended use of a vaginal ring containing dapivirine for the prevention of HIV infection in 1959 healthy, sexually active women, 18 to 45 years of age, from seven communities in South Africa and Uganda. METHODS: In this randomized, double-blind, placebo-controlled, phase 3 trial, we randomly assigned participants in a 2:1 ratio to receive vaginal rings containing either 25 mg of dapivirine or placebo. Participants inserted the rings themselves every 4 weeks for up to 24 months. The primary efficacy end point was the rate of HIV type 1 (HIV-1) seroconversion. RESULTS: A total of 77 participants in the dapivirine group underwent HIV-1 seroconversion during 1888 person-years of follow-up (4.1 seroconversions per 100 person-years), as compared with 56 in the placebo group who underwent HIV-1 seroconversion during 917 person-years of follow-up (6.1 seroconversions per 100 person-years). The incidence of HIV-1 infection was 31% lower in the dapivirine group than in the placebo group (hazard ratio, 0.69; 95% confidence interval [CI], 0.49 to 0.99; P=0.04). There was no significant difference in efficacy of the dapivirine ring among women older than 21 years of age (hazard ratio for infection, 0.63; 95% CI, 0.41 to 0.97) and those 21 years of age or younger (hazard ratio, 0.85; 95% CI, 0.45 to 1.60; P=0.43 for treatment-by-age interaction). Among participants with HIV-1 infection, nonnucleoside reverse-transcriptase inhibitor resistance mutations were detected in 14 of 77 participants in the dapivirine group (18.2%) and in 9 of 56 (16.1%) in the placebo group. Serious adverse events occurred more often in the dapivirine group (in 38 participants [2.9%]) than in the placebo group (in 6 [0.9%]). However, no clear pattern was identified. CONCLUSIONS: Among women in sub-Saharan Africa, the dapivirine ring was not associated with any safety concerns and was associated with a rate of acquisition of HIV-1 infection that was lower than the rate with placebo. (Funded by the International Partnership for Microbicides; ClinicalTrials.gov number, NCT01539226 .)

Risk factors for Coronavirus disease 2019 (Covid-19) death in a population cohort study from the Western Cape province, South Africa

Risk factors for coronavirus disease 2019 (COVID-19) death in sub-Saharan Africa and the effects of human immunodeficiency virus (HIV) and tuberculosis on COVID-19 outcomes are unknown. We conducted a population cohort study using linked data from adults attending public-sector health facilities in the Western Cape, South Africa. We used Cox proportional hazards models, adjusted for age, sex, location, and comorbidities, to examine the associations between HIV, tuberculosis, and COVID-19 death from 1 March to 9 June 2020 among (1) public-sector “active patients” (≥1 visit in the 3 years before March 2020); (2) laboratory-diagnosed COVID-19 cases; and (3) hospitalized COVID-19 cases. We calculated the standardized mortality ratio (SMR) for COVID-19, comparing adults living with and without HIV using modeled population estimates.Among 3 460 932 patients (16% living with HIV), 22 308 were diagnosed with COVID-19, of whom 625 died. COVID19 death was associated with male sex, increasing age, diabetes, hypertension, and chronic kidney disease. HIV was associated with COVID-19 mortality (adjusted hazard ratio [aHR], 2.14; 95% confidence interval [CI], 1.70–2.70), with similar risks across strata of viral loads and immunosuppression. Current and previous diagnoses of tuberculosis were associated with COVID-19 death (aHR, 2.70 [95% CI, 1.81–4.04] and 1.51 [95% CI, 1.18–1.93], respectively). The SMR for COVID-19 death associated with HIV was 2.39 (95% CI, 1.96–2.86); population attributable fraction 8.5% (95% CI, 6.1–11.1)

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Loftus metrorail station : from barrier to catalyst

South Africa is more than ever, in need of a public transport system integrated within its surroundings. A successful transportation network needs an environment where users can change transport systems with ease and peace of mind. The ultimate goal is to achieve a pedestrian orientated city. This dissertation will attempt to address these problems by redesigning Loftus Metrorail Station located in Hatfield, Pretoria, South Africa. Within the transport node, Loftus station, the challenge is to combine the different movement systems intersecting at this point, reinforcing connectivity and accessibility. The transition from public to private needs to be clear and legible - this can be achieved through the appropriate design of the building interface, and clearly defining spatial boundaries. The sense of place is lacking in this area, already containing various landmarks associated with Hatfield. These landmarks assist with the legibility of the project area. This orientation device assists with ease of movement and circulation within the area. The defragmentation of facilities in the Loftus precinct area is due to the large scale of the city block. Loftus station becomes a barrier between the University of Pretoria and Loftus Versfeld Stadium. It is an isolated site – dislocated from its surroundings. The lack of facilities has lead to the station becoming underutilized and dilapidated. By dividing the study area into human scaled city blocks, the area becomes manageable. This division reinforces already existing pedestrian movement patterns. The activation of edges and transparency of the structure ensures a secure environment. The different movement systems at this node influenced the design and choice of materials used in the project. The user requirements had to be satisfied. The careful integration of commerce within the station and surroundings ensure not only a transition space, but also a controlled and activated destination place.Dissertation (MArch(Prof))--University of Pretoria, 2009.Architectureunrestricte

A more sustainable urban future calls for action : The city of Lahti as European Green Capital 2021

Publisher Copyright: © The Author(s) 2021. Published by Oxford University Press.In 2020, a small urban center from southern Finland, the City of Lahti, was awarded the 2021 European Green Capital, which recognizes and rewards local efforts that seek to improve the urban environment, together with its economy and the quality of life for its inhabitants, further posing ambitious goals for ecological improvement. In this commentary, we describe some of the key elements that made Lahti the 2021 European Green Capital, as well as some of the future plans for the city. We also highlight the importance of research-based knowledge as the foundation for achieving better outcomes in urban decision making.Peer reviewe