Why do Nigerian manufacturing firms take action on AIDS?

This repository item contains a single issue of the Health and Development Discussion Papers, an informal working paper series that began publishing in 2002 by the Boston University Center for Global Health and Development. It is intended to help the Center and individual authors to disseminate work that is being prepared for journal publication or that is not appropriate for journal publication but might still have value to readers.OBJECTIVE: To identify differences between manufacturing firms in Nigeria that have undertaken HIV/AIDS prevention activities and those that have not as a step toward improving the targeting of HIV policies and interventions. METHODS: A survey of a representative sample of registered manufacturing firms in Nigeria, stratified by location, workforce size, and industrial sector. The survey was administered to managers of 232 firms representing most major industrial areas and sectors in March-April 2001. RESULTS: 45.3 percent of the firms’ managers received information about HIV/AIDS from a source outside the firm in 2000; 7.7 percent knew of an employee who was HIV-positive at the time of the survey; and 13.6 percent knew of an employee who had left the firm and/or died in service due to AIDS. Only 31.7 percent of firms took any action to prevent HIV among employees in 2000, and 23.9 percent had discussed the epidemic as a potential business concern. The best correlates of having taken action on HIV were knowledge of an HIV-positive employee or having lost an employee to AIDS (odds ratio [OR] 6.36, 95% confidence interval [CI]: 2.30, 17.57) and receiving information about the disease from an outside source (OR 7.83, 95% CI: 3.46, 17.69). CONCLUSIONS: Despite a nationwide HIV seroprevalence of 5.8 percent, as of 2001 most Nigerian manufacturing firm managers did not regard HIV/AIDS as a serious problem and had neither taken any action on it nor discussed it as a business issue. Providing managers with accurate, relevant information about the epidemic and practical prevention interventions might strengthen the business response to AIDS in countries like Nigeria

Reflecting on South African psychology: published research, ‘relevance’ and social issues

As South Africa prepared to host the 30th International Congress of Psychology in 2012, a call was made to reflect on the strengths of and challenges facing contemporary South African Psychology. This paper presents our response to our brief to focus on social issues by presenting the results of a situational analysis of South African Psychology over the last five years and comparing this corpus of data to a similar analysis reported in Macleod (2004). Articles appearing in the South African Journal of Psychology (SAJP) and abstracts in PsycINFO with the keyword ‘South Africa’ over a 5½ year period were analysed. The content of 243 SAJP articles and 1986 PsycINFO abstracts were analysed using the codes developed by Macleod (2004). Results indicate: an increase in the number of articles, a reduction in the percentage of articles using quantitative methodologies and ‘hard’ science theoretical frameworks (particularly in the SAJP), and an increase in qualitative, theoretical, and methodological papers, and papers using systems-oriented theory (particularly in the SAJP). Traditional topics of assessment, stress and psychopathology continue to dominate, with social issues such as housing, land reform, development programmes, water resources and socio-economic inequities being largely ignored. Most research continues to be conducted in Gauteng, KwaZulu/Natal and the Western Cape, predominantly with adult, urban-based, middle-class participants, sourced mainly from universities, hospitals or clinics and schools. Collaborations or comparisons with other African, Asian, South American and Middle East countries have decreased. While the analysis presented in this paper is limited by its exclusion of books, theses, research reports and monographs, it shows that in published research there are some positive trends and some disappointments. The limited number of social issues featuring in published research, the under-representation of certain sectors of the population as participants, and the decrease in collaboration with, or comparison to, countries from the global ‘South’ represent challenges that require systematic attention

Exploring practical approaches to maximising data quality in electronic healthcare records in the primary care setting and associated benefits

Exploiting the information contained within electronic healthcare records (EHR) data will be key to addressing major challenges to public health both nationally and globally, ultimately offering a means of maximising efficiency and equality in care. There are, however, significant challenges in using EHRs effectively and particularly in ensuring the quality of data recorded. Incorrect or missing data could render records as useless or indeed misleading such that conclusions drawn from the data could have a negative impact. Amongst other difficulties, recording data can be time consuming to the extent of conflicting with the GP’s primary focus of patient consultation in an already time-constrained environment. Understanding the requirements of and the demands upon GPs must be central to addressing the issue of data quality (DQ) within EHRs. As part of on-going work into DQ at the Clinical Practice Research Datalink (CPRD) and in collaboration with the University of Sussex (UoS), a workshop session was held at the SAPC (Society for Academic Primary Care) conference in 2014 with the aim of exploring issues of DQ in primary care EHRs from the perspective of different users of GP data and with particular focus on how and why data is recorded in the first instance. The intended outcome was a furthered understanding of both the challenges and the direct benefits to GPs of ensuring high quality data with a view to establishing a workable approach to recording data and maximising benefits to all users of EHRs

A model of estrogen-related gene expression reveals non-linear effects in transcriptional response to tamoxifen

SynthSys is a Centre for Integrative Systems Biology (CISB) funded by BBSRC and EPSRC, reference BB/D019621/1.Background: Estrogen receptors alpha (ER) are implicated in many types of female cancers, and are the common target for anti-cancer therapy using selective estrogen receptor modulators (SERMs, such as tamoxifen). However, cell-type specific and patient-to-patient variability in response to SERMs (from suppression to stimulation of cancer growth), as well as frequent emergence of drug resistance, represents a serious problem. The molecular processes behind mixed effects of SERMs remain poorly understood, and this strongly motivates application of systems approaches. In this work, we aimed to establish a mathematical model of ER-dependent gene expression to explore potential mechanisms underlying the variable actions of SERMs. Results: We developed an equilibrium model of ER binding with 17 beta-estradiol, tamoxifen and DNA, and linked it to a simple ODE model of ER-induced gene expression. The model was parameterised on the broad range of literature available experimental data, and provided a plausible mechanistic explanation for the dual agonism/antagonism action of tamoxifen in the reference cell line used for model calibration. To extend our conclusions to other cell types we ran global sensitivity analysis and explored model behaviour in the wide range of biologically plausible parameter values, including those found in cancer cells. Our findings suggest that transcriptional response to tamoxifen is controlled in a complex non-linear way by several key parameters, including ER expression level, hormone concentration, amount of ER-responsive genes and the capacity of ER-tamoxifen complexes to stimulate transcription (e. g. by recruiting co-regulators of transcription). The model revealed non-monotonic dependence of ER-induced transcriptional response on the expression level of ER, that was confirmed experimentally in four variants of the MCF-7 breast cancer cell line. Conclusions: We established a minimal mechanistic model of ER-dependent gene expression, that predicts complex non-linear effects in transcriptional response to tamoxifen in the broad range of biologically plausible parameter values. Our findings suggest that the outcome of a SERM's action is defined by several key components of cellular micro-environment, that may contribute to cell-type-specific effects of SERMs and justify the need for the development of combinatorial biomarkers for more accurate prediction of the efficacy of SERMs in specific cell types.Publisher PDFPeer reviewe

Why do Nigerian manufacturing firms take action on AIDS?

Objective: To identify differences between manufacturing firms in Nigeria that have undertaken HIV/AIDS prevention activities and those that have not as a step toward improving the targeting of HIV policies and interventions. Methods: A survey of a representative sample of registered manufacturing firms in Nigeria, stratified by location, workforce size, and industrial sector. The survey was administered to managers of 232 firms representing most major industrial areas and sectors in March-April 2001. Results: 45.3 percent of the firms’ managers received information about HIV/AIDS from a source outside the firm in 2000; 7.7 percent knew of an employee who was HIV-positive at the time of the survey; and 13.6 percent knew of an employee who had left the firm and/or died in service due to AIDS. Only 31.7 percent of firms took any action to prevent HIV among employees in 2000, and 23.9 percent had discussed the epidemic as a potential business concern. The best correlates of having taken action on HIV were knowledge of an HIV-positive employee or having lost an employee to AIDS (odds ratio [OR] 6.36, 95% confidence interval [CI]: 2.30, 17.57) and receiving information about the disease from an outside source (OR 7.83, 95% CI: 3.46, 17.69). Conclusions: Despite a nationwide HIV seroprevalence of 5.8 percent, as of 2001 most Nigerian manufacturing firm managers did not regard HIV/AIDS as a serious problem and had neither taken any action on it nor discussed it as a business issue. Providing managers with accurate, relevant information about the epidemic and practical prevention interventions might strengthen the business response to AIDS in countries like Nigeria

Quantifying the value of ecosystem services: a case study of honeybee pollination in the UK

There is concern that insect pollinators, such as honey bees, are currently declining in abundance, and are under serious threat from environmental changes such as habitat loss and climate change; the use of pesticides in intensive agriculture, and emerging diseases. This paper aims to evaluate how much public support there would be in preventing further decline to maintain the current number of bee colonies in the UK. The contingent valuation method (CVM) was used to obtain the willingness to pay (WTP) for a theoretical pollinator protection policy. Respondents were asked whether they would be WTP to support such a policy and how much would they pay? Results show that the mean WTP to support the bee protection policy was £1.37/week/household. Based on there being 24.9 million households in the UK, this is equivalent to £1.77 billion per year. This total value can show the importance of maintaining the overall pollination service to policy makers. We compare this total with estimates obtained using a simple market valuation of pollination for the UK

Task conflict in the Stroop task: When Stroop interference decreases as Stroop facilitation increases in a low task conflict context.

In the present study participants completed two blocks of the Stroop task, one in which the response-stimulus interval (RSI) was 3500 ms and one in which RSI was 200 ms. It was expected that, in line with previous research, the shorter RSI would induce a low Task Conflict context by increasing focus on the color identification goal in the Stroop task and lead to a novel finding of an increase in facilitation and simultaneous decrease in interference. Such a finding would be problematic for models of Stroop effects that predict these indices of performance should be affected in tandem. A crossover interaction is reported supporting these predictions. As predicted, the shorter RSI resulted in incongruent and congruent trial reaction times (RTs) decreasing relative to a static neutral baseline condition; hence interference decreased as facilitation increased. An explanatory model (expanding on the work of Goldfarb and Henik, 2007) is presented that: (1) Shows how under certain conditions the predictions from single mechanism models hold true (i.e., when Task conflict is held constant); (2) Shows how it is possible that interference can be affected by an experimental manipulation that leaves facilitation apparently untouched; and (3) Predicts that facilitation cannot be independently affected by an experimental manipulation

Scottish leaders’ debates on Twitter: Sturgeon, Davidson, and ‘indyref2’ dominated proceedings

As the dust begins to settle on the 2017 General Election campaign, Graeme Baxter, Simon Burnett, John Isaacs, Iain MacLeod, Sarah Pedersen, and Elizabeth Tait reflect upon the Twitter response to the two televised Scottish leaders’ debates held in the lead-up to polling day