Health Worker Opinion/Perception of Health Services provided to Patients in the Selebi Phikwe Ni-Cu Mine Area, Botswana

This study determines the prevalence of types of sicknesses and diseases affecting patients visiting health service facilities and the available health services within the Selebi Phikwe Ni-Cu mine area, Botswana. Through the administration of questionnaires and structured questions, attempts were made to establish and verify the existing human health problems at the study area by focusing on respiratory tract related symptoms of sicknesses and diseases. With the aid of statistical package for social sciences (SPSS), interpreted results from respondents indicated that all the health service providers served patients suffering from headaches, persistent coughing, chest pains, lower abdominal pains, pain when passing out urine, genital discharge and diarrhea. Seventy one percent of the health service providers indicated that their patients suffered from body weakness, 86 % indicated that they had patients who suffered from recent loss of body weight, and another 86 % pointed out that their patients had influenza/common cold. Other health complaints reported included unusual spitting, shortness of breath, palpitations, nausea/vomiting, diarrhoea, and constipation. Moreover the health service providers indicated that they had patients who suffered from significant illnesses of which some passed away. However if there are lacking facilities, patients are referred to bigger health service providers in the country. The findings of the study do not in general depict demarcating differences of health status of residents of the study area to those of the control site. A need therefore for further investigations to be conducted to establish relations of mining activities to human health at Selebi Phikwe is called for. African Journal of Health Sciences Vol. 13 (1-2) 2008: pp. 101-10

Health status of learners of educational institutions within Selebi Phikwe Ni-Cu mine area, Botswana

Published ArticleHealth effects associated with Ni-Cu mining on learners living within the mining area at Selebi Phikwe were investigated through the administration of questionnaires. Results depicted learners suffering from a wide range of different symptoms and illnesses. 70% of the learners complained of coughs, 77% had influenza / common cold, and 80% had headaches. The repeated coughing, constant influenza / common cold and persistent headaches from which learners suffered, were very significantly higher than those at the control site; and incidences of their occurrence increased with closeness to the mining area. The unusual high occurrences of these ailments and illnesses coupled with associated diseases among learners were attributed to several environmental factors including contaminated particulate air matter (PAM) (rich in sulphur and heavy metals) linked to the mining and smelting of Ni-Cu

Headaches among residents within the Selebi Phikwe Nickel-Copper mining environment, Botswana

Headache occurrences among different classes of residents within a nickel-copper (Ni-Cu) mining and smelting environment in Botswana are investigated using questionnaires and statistical package for social sciences (SPSS). Interpreted results from respondents indicated that all of the health service providers, 80% of educational institutions, and 70 % of businesses enterprises had patients, learners and workers respectively, and 77 % of individuals, complained of one form of headache or the other. Similar high values were obtained when responses were considered according to study sites, especially for frontal and temple headaches. Females suffered slightly more often from headaches than males. Values for sites close to smelter/concentrator plant and mine were in general higher. Mining activities especially the release of sulphur gases and fumes into the atmosphere, and other climatic factors could possibly be contributory to the rampant occurrence of headaches at Selebi Phikwe. African Journal of Health Sciences Vol. 13 (3-4) 2006: pp. 43-5

The role of the gamma function shape parameter in determining differences between condensation rates in bin and bulk microphysics schemes

The condensation and evaporation rates predicted by bin and bulk microphysics schemes in the same model framework are compared in a statistical way using simulations of non-precipitating shallow cumulus clouds. Despite other fundamental disparities between the bin and bulk condensation parameterizations, the differences in condensation rates are predominantly explained by accounting for the width of the cloud droplet size distributions simulated by the bin scheme. While the bin scheme does not always predict a cloud droplet size distribution that is well represented by a gamma distribution function (which is assumed by bulk schemes), this fact appears to be of secondary importance for explaining why the two schemes predict different condensation and evaporation rates. The width of the cloud droplet size is not well constrained by observations, and thus it is difficult to know how to appropriately specify it in bulk microphysics schemes. However, this study shows that enhancing our observations of this width and its behavior in clouds is important for accurately predicting condensation and evaporation rates

Turning the Tide: The Role of Collective Action for Addressing Structural and Gender-based Violence in South Africa

The case study discussed in this Evidence Report explores the value and limitations of collective action in challenging the community, political, social and economic institutions that reinforce harmful masculinities and gender norms related to sexual and gender-based violence (SGBV). As such, the concept of structural violence is used to locate SGBV in a social, economic and political context that draws histories of entrenched inequalities in South Africa into the present. The research findings reinforce a relational and constructed understanding of gender emphasising that gender norms can be reconfigured and positively transformed. We argue that this transformation can be catalysed through networked and multidimensional strategies of collective action that engage the personal agency of men and women and their interpersonal relationships at multiple levels and across boundaries of social class, race and gender. This collectivity needs to be conscious of and engaged with the structural inequalities that deeply influence trajectories of change. Citizens and civil society must work with the institutions – political, religious, social and economic – that reinforce structural violence in order to ensure their accountability in ending SGBV.UK Department for International Developmen

Sensitivity of warm-frontal processes to cloud-nucleating aerosol concentrations

An extratropical cyclone that crossed the United States on 9-11 April 2009 was successfully simulated at high resolution (3-km horizontal grid spacing) using the Colorado State University Regional Atmospheric Modeling System. The sensitivity of the associated warm front to increasing pollution levels was then explored by conducting the same experiment with three different background profiles of cloud-nucleating aerosol concentration. To the authors' knowledge, no study has examined the indirect effects of aerosols on warm fronts. The budgets of ice, cloud water, and rain in the simulation with the lowest aerosol concentrations were examined. The ice mass was found to be produced in equal amounts through vapor deposition and riming, and the melting of ice produced approximately 75% of the total rain. Conversion of cloud water to rain accounted for the other 25%. When cloud-nucleating aerosol concentrations were increased, significant changes were seen in the budget terms, but total precipitation remained relatively constant. Vapor deposition onto ice increased, but riming of cloud water decreased such that there was only a small change in the total ice production and hence there was no significant change in melting. These responses can be understood in terms of a buffering effect in which smaller cloud droplets in the mixed-phase region lead to both an enhanced vapor deposition and decreased riming efficiency with increasing aerosol concentrations. Overall, while large changes were seen in the microphysical structure of the frontal cloud, cloud-nucleating aerosols had little impact on the precipitation production of the warm front

Retrospective outcome analysis of urethroplasties performed for various etiologies in a single South African centre

This is the author’s version of a work that was accepted for publication of the article: African Journal of Urology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in African Journal of Urology, VOL 18, Issue 3, 2012, DOI: 10.1016/j.afju.2012.03.001.Objectives: To compare the results of anastomotic versus augmentation urethroplasty (buccal mucosa graft (BMG) onlay), as well as dorsal versus ventral BMG techniques. Methods: A retrospective audit of 69 patients who underwent urethroplasty at Eersteriver Hospital in Cape Town, South Africa between October 2004 and July 2011 was undertaken. Analysis included stricture etiology, location and length, type of surgery performed as well as complication rates over the follow-up period. Results: The predominant stricture etiologies were traumatic and infective causes (55%), with a mean stricture length of 3 cm (0.5–15 cm). Forty two patients had bulbar urethra strictures (61%), with 8 (11%) located in the posterior, and penile & bulbar regions, respectively. The remaining strictures were located in the penile urethra (16%). Surgery performed included bulbar (12) and membranous anastomotic (8) urethroplasty, ventral (13) and dorsal (22) buccal mucosa onlay grafts (BMG), and 2-stage urethroplasty (14). Overall stricture recurrence was seen in 9 patients (13%), including 1 patient (8%) of the anterior end-to-end anastomotic group compared to 2 patients (6%) of the onlay BMG group (p = 0.77). The re-stricture rates were 5% and 8% in the dorsal (1/22) and ventral BMG onlay groups (1/13), respectively (p = 0.72)

Experience with chronic haemodialysis in Johannesburg

Since 1966 the treatment for patients with end-stage renal disease in Johannesburg has primarily been renal transplantation. This has required an adequate programme of regular dialysis. All patients were treated at the central hospital or at two small satellite units. A total of 158 patients, mean age 34,2 years (88 males) have been dialysed. The mean duration on dialysis prior to transplantation was 5,6 months (range 1 week - 23 months). The commonest cause of renal failure in males was chronic glomerulonephritis (63%), whereas in females it was analgesic nephropathy (39%). Twenty-seven patients (17%) died while on dialysis, including 6 who had had unsuccessful transplantations. Renal osteodystrophy was diagnosed in 30% of the patients. Hepatitis has been endemic among both patients and staff. Nephrectomies were done in 106 patients. Ten patients had operations for peptic ulcer and 5 parathyroidectomies were performed. The number of patients unsuccessfully transplanted, or who died, was less than the number of new patients requiring treatment. In addition, an increasing proportion of patients have become 'relatively untransplaotable'. This has led to overloading of facilities.S. Afr. Med. J., 48, 1821 (1974

Trimodal cloudiness and tropical stable layers in simulations of radiative convective equilibrium

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95176/1/grl24304.pd

Ammonia masers toward G358.931-0.030

We report the detection of ammonia masers in the non-metastable (6, 3), (7, 5) and (6, 5) transitions, the latter is the first unambiguous maser detection of that transition ever made. Our observations include the first VLBI detection of ammonia maser emission, which allowed effective constrain of the (6, 5) maser brightness temperature. The masers were detected towards G358.931-0.030, a site of 6.7-GHz class~II methanol maser emission that was recently reported to be undergoing a period of flaring activity. These ammonia masers appear to be flaring contemporaneously with the class~II methanol masers during the accretion burst event of G358.931-0.030. This newly detected site of ammonia maser emission is only the twelfth such site discovered in the Milky Way. We also report the results of an investigation into the maser pumping conditions, for all three detected masing transitions, through radiative transfer calculations constrained by our observational data. These calculations support the hypothesis that the ammonia (6, 5) maser transition is excited through high colour temperature infrared emission, with the (6, 5) and (7, 5) transition line-ratio implying dust temperatures >400K. Additionally, we detect significant linearly polarised emission from the ammonia (6, 3) maser line. Alongside our observational and radiative transfer calculation results, we also report newly derived rest frequencies for the ammonia (6, 3) and (6, 5) transitions.Comment: Accepted into MNRAS 2023 April 24. 13 pages, 5 figures, 3 table