The transformational role of primary school principals in the Bellville region of the Western Cape

Magister Educationis - ME

Effectiveness of public health programs for decreasing alcohol consumption

Excessive alcohol consumption and the associated negative consequences are a major public health concern in the United States and throughout the world. Historically, there have been numerous attempts to develop policies and prevention programs aimed at decreasing high-risk alcohol use. Policy initiatives have demonstrated considerable effectiveness and include changes in the minimum legal drinking age, reductions in acceptable legal limits for blood alcohol concentration while operating a motor vehicle, as well as decreasing availability and access to alcohol for underage individuals. Primary prevention programs that have used exclusively educational approaches have received mixed results. Increasing effectiveness has been associated with prevention programs that have utilized a multi-component approach and have included educational initiatives with environmental changes

Evaluating the recruitment of American eel, Anguilla rostrata, to the Potomac - Spring 2000 : March 2000 - June 2000

Measures of juvenile recruitment success have long been recognized as a valuable fisheries management tool. In the Chesapeake Bay, these measures have provided reliable indicators for future year class strength for blue crabs (Lipcius and van Engel, 1990), striped bass (Goodyear, 1985), and several other recreationally important fishes (Geer and Austin, 1999). The American eel, Anguilla rostrata, is a valuable commercial species along the entire Atlantic coast from New Brunswick to Florida. Landings along the U.S. Atlantic coast have varied from 290 MT in 1962 to a high of 1600 MT in 1975 (NMFS, 1999). In recent years there seems to be declining harvest, with similar pattems seen in the Canadian maritime providences. The Mid-Atlantic states (New York, New Jersey, Delaware, Maryland, and Virginia) have comprised the largest portion of the East Coast catch (88% of the reported landings) since 1988 (NMFS 1999). The Chesapeake Bay jurisdictions ofVirginia, Maryland, and Potomac River Fisheries Commission (PRFC) alone represent 30, 15, and 18% respectively, of the annual United States (Gulf and Atlantic coast states) commercial harvest for the years 1987-1996 (ASMFC, 1999). Some fishery -independent indices have shown a decline in abundance in recent years (Richkus and Whalens 1999). Hypotheses for the decline include shifts in the Gulf Stream, pollution, over- fishing, parasites, and barriers to passage (Castonguay et al. 1994 ). Many fisheries management teclmiques have not been applied to American eels because little basic biological infom1ation is known. Variation in growth rates, length at age, and other biological parameters has complicated stock assessment methodologies and management efforts. Additionally, few studies have addressed the recruitment of glass eels to the estuaries from the spawning grounds in the Sargasso Sea

Factors related to knowledge and perception of women about smoking: a cross sectional study from a developing country

<p>Abstract</p> <p>Background</p> <p>Smoking rates among women are currently low, but they are the fastest growing segment of cigarette smoking population in developing countries. We aimed to assess the knowledge and perceptions towards smoking and to identify the factors related with level of knowledge and perceptions among adult women in urban slums.</p> <p>Methods</p> <p>This was a cross sectional study conducted on 250 adult (≥18 years of age) women attending primary care clinics in three slums of Karachi, Pakistan. A pre-tested and structured, interviewer administered questionnaire was used for data collection. Factors associated with level of understanding about smoking were analyzed with chi-square test.</p> <p>Results</p> <p>Most of the women knew that smoking has adverse effects on women and children's health but the knowledge of specific health effects was limited. About one third of the women knew that active smoking can cause lung disease, but only a small percentage (7%) knew that it could lead to heart disease. None of the women were aware that smoking contributes to infertility and osteoporosis. A small proportion of women were aware that smoking can lead to low birth weight (7%), congenital anomalies (5%) and less than 1% of women knew that it contributes to pregnancy loss, still birth and preterm delivery. The understanding of passive smoking affecting children's lung was low (20%) and a similar proportion voiced concern about the bad influence of maternal smoking on children. Educated women had better knowledge of health effects of smoking. Education was associated with having better knowledge about effects on women health in general (p = 0.02) and specific effects like lung (p = 0.03) and reproductive health effects (p < 0.001). Education was also associated with knowledge regarding effects on fetus (p < 0.001) and children (p < 0.005). Although most of the women disliked being around smokers, more than one third thought that smoking decreases boredom (39%), tension (38%) and also helps to relax (40%). A large proportion (48%) of women had the misconception that smoking helps to reduce weight.</p> <p>Conclusions</p> <p>This study reveals that women are aware of the general ill effects of smoking but fail to identify smoking to be associated with female maladies particularly those who were illiterate and had lower levels of education. Understanding and attitudes needs to be improved by increasing health awareness and education of women in these urban communities with special emphasis on the effects of smoking on women's health.</p

Criteria for Viability Assessment of Discarded Human Donor Livers during Ex Vivo Normothermic Machine Perfusion

Although normothermic machine perfusion of donor livers may allow assessment of graft viability prior to transplantation, there are currently no data on what would be a good parameter of graft viability. To determine whether bile production is a suitable biomarker that can be used to discriminate viable from non-viable livers we have studied functional performance as well as biochemical and histological evidence of hepatobiliary injury during ex vivo normothermic machine perfusion of human donor livers. After a median duration of cold storage of 6.5 h, twelve extended criteria human donor livers that were declined for transplantation were ex vivo perfused for 6 h at 37 °C with an oxygenated solution based on red blood cells and plasma, using pressure controlled pulsatile perfusion of the hepatic artery and continuous portal perfusion. During perfusion, two patterns of bile flow were identified: (1) steadily increasing bile production, resulting in a cumulative output of ≥ 30 g after 6 h (high bile output group), and (2) a cumulative bile production <20 g in 6 h (low bile output group). Concentrations of transaminases and potassium in the perfusion fluid were significantly higher in the low bile output group, compared to the high bile output group. Biliary concentrations of bilirubin and bicarbonate were respectively 4 times and 2 times higher in the high bile output group. Livers in the low bile output group displayed more signs of hepatic necrosis and venous congestion, compared to the high bile output group. In conclusion, bile production could be an easily assessable biomarker of hepatic viability during ex vivo machine perfusion of human donor livers. It could potentially be used to identify extended criteria livers that are suitable for transplantation. These ex vivo findings need to be confirmed in a transplant experiment or a clinical trial

Preconception care for infertile couples: Nurses' and midwives' roles in promoting better maternal and birth outcomes.

INTRODUCTION: Preconception care promotes better maternal outcomes, may assist in preventing birth defects and improves fertility awareness among healthy childbearing couples. Yet, the significance of preconception care for infertile couples is undeveloped area of practice in Europe. AIMS AND OBJECTIVES: To discuss the importance of nurses and midwives in providing preconception care to infertile couples in the United Kingdom and Spain. DESIGN: Discursive paper. METHOD: A comparison of different midwifery and nursing approaches to preconception care for infertile couples in two European countries. FINDINGS: At present, infertile couples' needs for preconception care are not routinely identified or understood. There is an opportunity for these needs to be considered and identified by nurses at the time of investigation for infertility or when planning pregnancy with assisted conception. CONCLUSIONS: We argue that, by providing preconception care, nurses and midwives have an opportunity to deliver important advice to infertile couples in both primary care and specialist infertility services