Impact of Rubber Farming on the Socio-Economic Status of Households of Smallholders: A Descriptive Analysis

Rubber farming in Moneragala District has been introduced to enhance the socio-economic status of households of smallholders. Four focus group discussions and six qualitative case studies were conducted to assess the impact of rubber farming on their household level in 2020. Rubber smallholders were selected for the focus group discussions, using stratified random sampling technique and each discussion was comprised of twelve rubber smallholders. Data was collected using interview criteria which was developed and evaluated prior to its use with the expert team. The rubber smallholders were asked a series of semi-structured questions according to the interview guide by the researcher until theoretical saturation is obtained. Then a set of codes and categories were developed according to the grounded theory approach. Qualitative case studies were carried out with six rubber smallholders who were randomly selected from different land categories. A structured direct interview schedule was used in gathering data from rubber smallholders according to eleven criteria which were developed in collaboration with the expert team. It was highlighted that continuous household income from rubber farming has contributed to meet the expenses of education of children, medicine, food, purchasing agricultural and non-agricultural vehicles and renovation of living house with sustainable household income and regional development in Moneragala. In addition, it has generated new employment opportunities and new source of income for other labourers. Hence, expansion of rubber farming into non-traditional rubber growing areas in the country can be recommended in order to improve the socio-economic status of smallholders.     DOI: http://doi.org/10.31357/fhss/vjhss.v08i02.0

Impacts of river regulation and other anthropogenic activities on floodplain vegetation: A case study from Sri Lanka

Since the initiation of large-scale development in late 1970s, the Mahaweli River basin in Sri Lanka has experienced significant changes. However, no comprehensive study has been undertaken so far to evaluate the impacts of river regulation on associated ecosystems including floodplains in the downstream. The present study was aimed at identifying the impacts due to both river regulation and other anthropogenic activities on inland floodplain habitats (locally known as villus) located along the final stretch of the River Mahaweli before reaching the Indian Ocean. Four villus, Handapana (HAN), Bendiya (BEN), Karapola (KAR) and Gengala (GEN), were selected for the study. HAN and BEN can be considered as highly influenced (HI) by river regulation while KAR and GEN as less influenced (LI) due to their respective locations. Due to the absence of pre- regulation vegetation data, HI villus were compared with LI villus in order to explore any potential impacts of river regulation. Vegetation was enumerated using belt transect method. To find out other on-going anthropogenic impacts on these villu ecosystems, a survey was conducted using 100 individuals living in two villages located nearby. The results revealed some significant modification in the composition and the diversity of the vegetation, most possibly due to river regulation and other on-going anthropogenic activities. However, the most notable changes were recorded in the herbaceous layer. Some native aquatic herbaceous species have been completely absent over the period of two decades since the developmental activities begun, while some exotic invasive aquatic species (Eichhornia crassipes) dominated the herbaceous layer in HI villus threatening the survival of the remaining native species. Density and richness of lianas too diminished significantly in HI villus perhaps due to changes of micro-habitat conditions as a result of river regulation and also due to over-harvesting for commercial purposes. The results suggest that these ecosystems have been altered over the years due to culmination of factors including altered flow regimes following river regulation and some on-going human influences. The present study highlights the importance of regulating such human influences on villus including fishing and extracting cane and reed in order to protect these vulnerable ecosystems for future generations. The potential of these ecosystems to develop ecotourism has also been emphasized

Exposure Analysis of Drinking and Dietary Contaminants in a Selected Population, Padaviya, Anuradhapura

This study focused to analyse exposure of selected drinking and dietary contaminants and to assess the health risk for the selected population of Padaviya, Anuradhapura. Thirty families were randomly selected from which fifteen families were with the presence CKDu patients and other fifteen families were with absence of CKDu patients. Questionnaire based social survey was conducted and relevant data were collected for the risk analysis. Water, rice and soil samples were collected on family basis for the quality assessment. Nitrate-N, total hardness and fluoride varied within the range of 1.01 - 23.4 mg/L, 40.04 – 644.58 mg/L and 0.47 – 1.92mg/L respectively. All physiochemical parameters were significantly different among the wells (P<0.05). Water pH, conductivity and TDS in well water were below the Sri Lankan standard for portable water level (SLPWL). However, exceeded SLPWL value of NO3-N (C10, C14, C15&N3), hardness (C12 & C13) and fluoride (C7, C15 & N3) were observed in some wells. Both iron and copperconcentrations in well water were lower than the provisional maximum tolerable daily intake (PMTDI) ofWHO (Fe: 2 mg/L and Cu: 2 mg/L). Dietary iron and copper concentrations in rice were higher than thePMTDI of WHO (0.5 mg/kg) except for family N7. Copper and Iron varied within the range of 1.55 – 48.4 mg/kg dw and 467.08-893.61 mg/kg dw in soil respectively. Probable exposure concentration was higher than probable non-exposure concentration in the selected population. Therefore, Relative Risk for CKDu wasgreater than 1 for all selected contaminants and it explains that there is a possible risk due to drinking water and eating rice for the selected contaminants. Non-cancer risk values in selected families were higher than the unity of the risk level (1x10-6) and therefore the contaminants in drinking water and rice in Padaviya area can be considered as risk factors for prevailing chronic kidney disease.KEYWORDS:Exposure, contaminants, drinking, dietary, risk, recommended leve

Widening access to cardiovascular healthcare: community screening among ethnic minorities in inner-city Britain – the Healthy Hearts Project

<p>Abstract</p> <p>Background</p> <p>The burden of cardiovascular disease (CVD) in Britain is concentrated in inner-city areas such as Sandwell, which is home to a diverse multi-ethnic population. Current guidance for CVD risk screening is not established, nor are there specific details for ethnic minorities. Given the disparity in equitable healthcare for these groups, we developed a 'tailored' and systematic approach to CVD risk screening within communities of the Sandwell locality. The key anticipated outcomes were the numbers of participants from various ethnic backgrounds attending the health screening events and the prevalence of known and undiagnosed CVD risk within ethnic groups.</p> <p>Methods</p> <p>Data was collected during 10 health screening events (September 2005 and July 2006), which included an assessment of raised blood pressure, overweight, hyperlipidaemia, impaired fasting glucose, smoking habit and the 10 year CVD risk score. Specific features of our approach included (i) community involvement, (ii) a clinician who could deliver immediate attention to adverse findings, and (iii) the use of an interpreter.</p> <p>Results</p> <p>A total of 824 people from the Sandwell were included in this study (47% men, mean age 47.7 years) from community groups such as the Gujarati Indian, Punjabi Indian, European Caucasian, Yemeni, Pakistani and Bangladeshi. A total of 470 (57%) individuals were referred to their General Practitioner with a report of an increased CVD score – undetected high blood pressure in 120 (15%), undetected abnormal blood glucose in 70 (8%), undetected raised total cholesterol in 149 (18%), and CVD risk management review in 131 (16%).</p> <p>Conclusion</p> <p>Using this systematic and targeted approach, there was a clear demand for this service from people of various ethnic backgrounds, of whom, one in two needed review from primary or secondary healthcare. Further work is required to assess the accuracy and clinical benefits of this community health screening approach.</p

Utility of WIfI foot assessment tool in a Sri Lankan setting; an initial experience

Introduction: Potential for limb salvage and wound healing in a lower limb ulcer depends on degreeof ischemia, wound grade and superadded foot infection.Objectives: Our objective was to assess the feasibility of applying WIfI classification system to stratifypatients presenting with limb ulceration according to risk of undergoing amputation and benefit ofrevascularization.Methods: Fifty four consecutive patients with ulcerated limbs presenting over two months to theUniversity unit at the National Hospital were staged according to the Society for Vascular Surgery(SVS)Wound, Ischemia, and Foot Infection (WIfI) classification system.Results: The median age was 64 (39-93), and 42 (79%) patients were males. Diabetes (87%),hypertension (53%), ischemic heart disease (14%), cerebrovascular disease (13%), chronic renal disease(13%) were identified risk factors. Smoking was reported among 35%. Median Anterior TibialArtery(ATA), Posterior Tibial Artery(PTA), Toe pressures, Ankle Brachial Index, Pole test values ofthe affected side lower limbs were 114.5mmHg, 107.5mmHg, 41mmHg, 0.87 and 85cm respectively.Values for the contralateral limb were 140mmHg, 120mmHg, 74mmHg, 1.0 and 85cm respectively.84% of ATA and 90 % of PTA pulses were not palpable on the affected side. Grades of ischemia were;none (23.3%), mild (27.9%), moderate (18.6%), severe (30.2%), grades of infection were none (20.9%),mild (37.2%), moderate (39.5%), severe (2.3%), and wound grades were 0(0%), 1(20%.9), 2(39.5%),3(39.5%). Estimated risk of amputation were high (65.1%), moderate (11.6%), low (11.6%), very low(11.6%) and estimated benefit of revascularization were high (46.5%) moderate (23.3%), low (7.0%),very low (23.3%).Conclusions: Application of WIfI system was useful to prioritize patients with eminent limb loss forurgent intervention. Toe pressure assessment for diabetic foot ulcer stratification should become acommon practice

Expectations versus reality in chronic venous ulceration; a quality of life assessment study

Introduction: Chronic venous ulceration is a common problem worldwide with a significant effect onQuality of Life (QoL).Objectives: Our objective was to assess Sri Lankan patients’ perspective with regard to this scenario.Methods: We involved 141 consenting patients presenting to the OPD, National Hospital with a venousulcer lasting one month or more. Data was collected using an interviewer administered questionnaire, aclinical interview and a lower limb duplex scan. Short form 36 questionnaire was used for QoLassessment.Results: The majority were elderly (median age 53 years) men (n=9[69.5%]). Fifty four (38.3%) wereunemployed at the time of the study and 28 (19.9%) directly attributed the ulcer as the cause forunemployment. Median duration of ulcer was 10[1-360] months and mean Venous Clinical SeverityScore (VCSS) was 13.85(4-24). Family history (44[31.2%]), previous limb trauma or non-venoussurgery (24[17.0%]), smoking among men (57 [58.2%]) and history of pregnancy among females(34[79.1%]) were identified as risk factors. Role limitation due to physical health (28.4[SD 42.8]) androle emotional problems (40.9 [SD 46.7]) had a mean SF 36 score below 50. Factors such as pain,duration of ulcer, older age and higher BMI significantly affected many domains of QoL (p<0.05). Sixtysix (46.8%) patients continue to have ulcers despite having had surgical treatment for varicose veins.Conclusions: Venous ulcers have a considerable impact on the quality of life in Sri Lankan patientswith venous ulcer. The need for providing preventive and rapid healing methods together with socialsupport must be emphasized

Isolation of Flow and Nonflow Correlations by Two- and Four-Particle Cumulant Measurements of Azimuthal Harmonics in sNN=\sqrt{s_{_{\rm NN}}} = 200 GeV Au+Au Collisions

A data-driven method was applied to measurements of Au+Au collisions at $\sqrt{s_{_{\rm NN}}} =$ 200 GeV made with the STAR detector at RHIC to isolate pseudorapidity distance $\Delta\eta$-dependent and $\Delta\eta$-independent correlations by using two- and four-particle azimuthal cumulant measurements. We identified a component of the correlation that is $\Delta\eta$-independent, which is likely dominated by anisotropic flow and flow fluctuations. It was also found to be independent of $\eta$ within the measured range of pseudorapidity $|\eta|<1$. The relative flow fluctuation was found to be $34\% \pm 2\% (stat.) \pm 3\% (sys.)$ for particles of transverse momentum $p_{T}$ less than $2$ GeV/$c$. The $\Delta\eta$-dependent part may be attributed to nonflow correlations, and is found to be $5\% \pm 2\% (sys.)$ relative to the flow of the measured second harmonic cumulant at $|\Delta\eta| > 0.7$

Observation of charge asymmetry dependence of pion elliptic flow and the possible chiral magnetic wave in heavy-ion collisions

We present measurements of $\pi^-$ and $\pi^+$ elliptic flow, $v_2$, at midrapidity in Au+Au collisions at $\sqrt{s_{_{\rm NN}}} =$ 200, 62.4, 39, 27, 19.6, 11.5 and 7.7 GeV, as a function of event-by-event charge asymmetry, $A_{ch}$, based on data from the STAR experiment at RHIC. We find that $\pi^-$ ($\pi^+$) elliptic flow linearly increases (decreases) with charge asymmetry for most centrality bins at $\sqrt{s_{_{\rm NN}}} = \text{27 GeV}$ and higher. At $\sqrt{s_{_{\rm NN}}} = \text{200 GeV}$, the slope of the difference of $v_2$ between $\pi^-$ and $\pi^+$ as a function of $A_{ch}$ exhibits a centrality dependence, which is qualitatively similar to calculations that incorporate a chiral magnetic wave effect. Similar centrality dependence is also observed at lower energies.Comment: 6 pages, 4 figure