The sensitivity of GCC firms’ stock returns to exchange rate, interest rate, and oil price volatility

This study seeks to investigate the sensitivity of stock returns to exchange rate, interest rate and oil price volatility in the Gulf Cooperation Council (GCC) countries. It employs both the multivariate ordinary least square (OLS) regression and the exponential generalized autoregressive conditional heteroscedastic in mean (EGARCH-M) models to analyse the data collected from Bloomberg and Datastream on the GCC countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and United Arab Emirates) for the period January 2007 to June 2012. The study shows that stock returns in GCC countries are influenced by the exchange rate risk, interest rate risk and oil price risk. However, the exposure is highest for exchange rate risk and lowest for interest rate risk. While the effects of these risks were mixed, overall, exchange rate risk and oil price risk showed a positive and significant relationship as compared to the interest rate risk that showed a negative significant effect on firm values. The level of the effect of these risks also differed from country to country. Further, foreign operations and firm size had a significant influence on the extent of the firms’ exposure to all the three risks. The study findings suggest that the volatility of stock returns affected by changes in the risk factors could indicate non-prioritisation of risk management by firms. This has implications in terms of consideration of the long-term exposure of firms to these three risks and thus, the need for effective risk management strategies

Acute bacterial meningitis in children admitted to the Queen Elizabeth Central Hospital Blantyre, Malawi in 1996-97.

In order to design appropriate interventioos, we collected clinical and demographic data prospectively on all children aged one day to 14 years admitted with a diagnosis of bacterial meningitis (BM) from April 1st 1996 to March 31st 1997 to the Queen Elizabeth Central Hospital (QECH), Blantyre Malawi. During the study period 267 children (2.7% of all paediatric admissions) were found to have BM; 83% were under 5 years of age, 61 % under one year and 23% under one month. The most common causative organisms in the post neonatal period (n = 206) were Streptococcus pneumoniae (27%), Haemophilus influenzae type b (Hib) 21 %, and Salmonella typhimurium (6%). In the neonatal group «I month, n = 61) the most common causes were Streptococcus agalactiae (23%), S. typhimurium (15%), S. pneumoniae (11. 5%) and other gram negative rods (11.5%). Nineteen of 21 salmonella infections were in children under one year of age and all S. agalactiae were in infants under three months. There was delay on presentation: the average length of fever was 4.6 days, 39.5% had convulsed prior to arrival and 57% had an altered level of consciousness. An initial diagnosis of malaria had probably contributed to the delay in 22.5% , (42 of 186 tested). Forty eight percent were < 80% weight for age, with 18% < 60 % weight for age. The overall mortality was 40%. The outcome was worst in salmonella infections, particularly neonatal salmonella BM with a case fatality rate (CFR) of 89% (8 of 9 cases). Coma on presentation worsened prognosis (mortality 64% if Blantyre Coma Score <3, 26% if > 3). Fifteen percent of survivors had sequelae on discharge. Twenty percent of Hib isolates were resistant to chloramphenicol, but all salmonellae were sensitive. Five percent of S. pneumoniae were resistant to penicillin and 8% to chloramphenicol. Earlier access to adequate health care and awareness of BM in a malaria endemic area would reduce mortality and morbidity. Vaccination against Hib infection would have reduced death by 18 (17%) and prevented sequelae in 7

Ward Round – A patient with multi-organ failure

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Taking up the cudgels against gay rights? Trends and trajectories in African Christian theologies on homosexuality

Against the background of the HIV epidemic and the intense public controversy on homosexuality in African societies, this article investigates the discourses of academic African Christian theologians on homosexuality. Distinguishing some major strands in African theology, that is, inculturation, liberation, women’s and reconstruction theology, the article examines how the central concepts of culture, liberation, justice, and human rights function in these discourses. On the basis of a qualitative analysis of a large number of publications, the article shows that stances of African theologians are varying from silence and rejection to acceptance. Although many African theologians have taken up the cudgels against gay rights, some “dissident voices” break the taboo and develop more inclusive concepts of African identity and African Christianity

Community-linked maternal death review (CLMDR) to measure and prevent maternal mortality: a pilot study in rural Malawi.

In Malawi, maternal mortality remains high. Existing maternal death reviews fail to adequately review most deaths, or capture those that occur outside the health system. We assessed the value of community involvement to improve capture and response to community maternal deaths

Processing and Characterization of Activated Carbon from Coconut Shell and Palm Kernel Shell Waste by H3PO4 Activation

Palm kernel shell and coconut shell are used as a precursor for the production of activated carbon, a way of mitigating the tons of waste produced in Ghana. The raw Palm kernel shell and coconut shell were activated chemically using H3PO4. A maximum activated carbon yield of 26.3 g was obtained for Palm kernel shell and 22.9 g for coconut shell at 400oC, an impregnation ratio of 1.2 and 1-hour carbonization time. Scanning electron microscopy reveals well-developed cavities of the H3PO4 activated coconut shell and Palm kernel shell compared to the non-activated carbon. Iodine number of 743.02 mg/g and 682.11 mg/g, a porosity of 0.31 and 0.49 and the electrical conductivity of 2010 μS/cm and 778 μS /cm were obtained for the AC prepared from the coconut shell and Palm kernel shell respectively. The results of this work show that high-quality activated carbon can be manufactured locally from coconut shell and Palm kernel shell waste, and a scale-up of this production will go a long way to reduce the tons of coconut shell and Palm kernel shell waste generated in the country

Multi-Level Risk and Protective Factors for Substance Use among Zambian Street Youth

Background: High rates of substance use have been reported among youth in Zambia. This is particularly concerning given that substance use is one of the biggest risk factors placing young people at risk for HIV infection. Objectives: The purpose of the current study is to examine how multilevel risk and protective factors (i.e., community, family, peers, individual) influence alcohol and marijuana use. Methods: A total of 250 street youth in Lusaka, Zambia, were interviewed in the summer of 2014 about their alcohol and marijuana use and reasons for usage. Data were analyzed using descriptive and multivariate methods. Results: Youth reported high rates of alcohol use. At the multivariate level, peer- and individual-level variables (e.g., using alcohol or drugs for coping or for fun) explained the most variance, followed by family-level factors. Community-level variables explained the least variance in all models. Conclusion/Importance: A better understanding of multilevel risk and protective factors for young people’s alcohol and marijuana use could lead to the development of better intervention strategies to reduce this behavior among Zambian street youth

New cut-off values for ferritin and soluble transferrin receptor for the assessment of iron deficiency in children in a high infection pressure area

Background: Due to the potential risk of iron supplementation in iron replete children, it is important to properly identify children who may require iron supplementation. However, assessment of the iron status has proven to be difficult, especially in children living in areas with high infection pressure (including malaria). Aims and Methods: Biochemical iron markers were compared to bone marrow iron findings in 381 Malawian children with severe anaemia. Results: Soluble transferrin receptor/log ferritin (TfR-F index), using a cut-off of 5.6, best predicted bone marrow iron stores deficiency (sensitivity 74%, specificity 73%, accuracy 73%). In order to improve the diagnostic accuracy of ferritin or sTfR as a stand-alone marker, the normal cut-off value needed to be increased by 810% and 83% respectively. Mean cell haemoglobin concentration (MCHC), using a cut-off of 32.1 g/dl, had a sensitivity of 67% and specificity of 64% for detecting iron stores deficiency. Conclusion: TfR-F index incorporated the high sensitivity of sTfR, a proxy for cellular iron need, and the high specificity of ferritin, a proxy for iron stores. In areas with a high infection pressure, the TfR-F index best predicted iron deficiency. However, in settings where diagnostic tests are limited, MCHC may be an acceptable alternative screening test

Effects of Compost Manure on Soil Microbial Respiration, Plant-Available-Water, Peanut (Arachis hypogaea L.) Yield and Pre-Harvest Aflatoxin Contamination

Peanut production in Zambia is often characterized by low yields and high aflatoxin incidence in harvested kernels. Soil amendments such as farmyard manure have shown potential to increase yields and reduce pre-harvest aflatoxin incidence. The aim of the current study was to evaluate the effects of composted cattle manure on soil properties that relate to yield and pre-harvest aflatoxin contamination of peanut kernels. Research evaluated the effects of composted cattle manure on soil respiration, plant-available water (PAW), peanut yield and pre-harvest aflatoxin contamination in a field experiment conducted in two successive rain-fed cropping seasons starting in December, 2015 and ending in April 2017, in Chongwe District, Zambia. Six (6) levels of compost were incorporated into the top 10 cm of the soil at rates of 0, 4.5, 12.0, 19.5, 27.0, and 34.5 metric tons/ha 1 wk before planting. There was a strong positive relationship between levels of compost and soil microbial respiration (R2=0.84) and PAW (R2=0.86). Secondly, compost manure was associated with increases in pod (R2=0.65) and kernel (R2=0.61) yield. The kernel yield potential of the planted cultivar was achieved at the rate of 12 metric tons per ha. Thirdly, there was a reduction in total aflatoxin levels with increasing levels of compost (R2=0.85). The improvement in peanut yield and the decrease in aflatoxin concentrations in kernels can be attributed to the improvement in soil moisture retention capacity and soil microbial activity arising from manure amendments. This study demonstrated the potential of compost manure to increase soil microbial activity, PAW, peanut yield and minimize aflatoxin contamination at field level