627 research outputs found

    Transhumance in the Tigray highlands (Ethiopia)

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    Transhumance, the seasonal movement of herds occurring between two points and following precise routes repeated each year, is practiced on a broad scale in the open field areas of Tigray (North Ethiopia). This article presents a characterization of the practice, factors that explain its magnitude, and recent changes. Eleven villages were selected randomly, semistructured interviews were conducted, and data on the sites were collected both in the field and from secondary sources. The transhumance destination zones are characterized as better endowed with water and fodder resources, essentially due to their great extent. The sample villages can be classified into three groups: annual transhumance (average one-way traveling distance 8.1 km), home range herding (average traveling distance 2.2 km), and keeping livestock near homesteads. Movements are basically induced by the fact that there is little to no space for livestock near the villages during the crop-growing period—not by the significantly different temperature or rainfall conditions in the grazing lands. Adults will only herd the flocks when the distance for transhumance is great or considered unsafe; otherwise, young boys tend the livestock for the entire summer rainy season. Faced with social (schooling) and technological (reservoir construction and establishment of exclosures) changes, transhumance in Tigray has adjusted in a highly adaptive way, with new routes being developed and others abandoned. Transhumance does not lead to major conflicts in the study area even when livestock are brought to areas that belong to other ethnic groups (Afar, Amhara)

    Protocol for an HTA report: Does therapeutic writing help people with long-term conditions? Systematic review, realist synthesis and economic modelling

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    This article is made available through the Brunel Open Access Publishing Fund. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/Introduction: Long-term medical conditions (LTCs) cause reduced health-related quality of life and considerable health service expenditure. Writing therapy has potential to improve physical and mental health in people with LTCs, but its effectiveness is not established. This project aims to establish the clinical and cost-effectiveness of therapeutic writing in LTCs by systematic review and economic evaluation, and to evaluate context and mechanisms by which it might work, through realist synthesis. Methods: Included are any comparative study of therapeutic writing compared with no writing, waiting list, attention control or placebo writing in patients with any diagnosed LTCs that report at least one of the following: relevant clinical outcomes; quality of life; health service use; psychological, behavioural or social functioning; adherence or adverse events. Searches will be conducted in the main medical databases including MEDLINE, EMBASE, PsycINFO, The Cochrane Library and Science Citation Index. For the realist review, further purposive and iterative searches through snowballing techniques will be undertaken. Inclusions, data extraction and quality assessment will be in duplicate with disagreements resolved through discussion. Quality assessment will include using Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. Data synthesis will be narrative and tabular with meta-analysis where appropriate. De novo economic modelling will be attempted in one clinical area if sufficient evidence is available and performed according to the National Institute for Health and Care Excellence (NICE) reference case.National Institute for Health Research Health Technology Assessment (NIHR HTA) Programm
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