534 research outputs found

    Na Koronivalu ni Bā: Upland Settlement during the Last Millennium in the Bā River Valley and Vatia Peninsula, Northern Viti Levu Island, Fiji

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    Former settlements, now abandoned, are found in inland upland locations on many larger islands in the tropical Pacific. In Fiji, such settlements are known today as koronivalu (war-towns) and, as elsewhere in the region, appear to have been established within the same period during the first half of the last millennium. Twenty-seven koronivalu were mapped for this research in the Bā Valley and nearby Vatia Peninsula, northern Viti Levu Island (Fiji); of these, nine were subject to detailed investigation. All koronivalu are in defensible locations, either with exceptional views across the surrounding landscape or hidden within deep narrow valleys. At all koronivalu, evidence for the consumption of marine shellfish was found, even though the sites are often far from the coast. Twenty-four radiocarbon ages from charcoal and shellfish remains were obtained. A single age around a.d. 700 from the farthest inland site (Koroikewa) appears anomalous. The remainder, once adjusted, suggest that most koronivalu in the study area were established a.d. 1200–1750, perhaps separable into early (a.d. 1200–1450) and later (a.d. 1500–1750) phases. While questions remain about the functions of these koronivalu, the fact that, as elsewhere in Fiji and in other western Pacific Island groups, they appear to have been established within the same period suggests that there is a region-wide explanation for the profound settlement-pattern change this implies. Climate change, perhaps expressed through drought and/or sea-level change, appears the only plausible external forcing mechanism

    Coastal Geomorphology of the Beqa and Yanuca Islands, South Pacific Ocean, and Its Significance for the Tectonic History of the Vatulele-Beqa Ridge

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    Data referring to elevations of emerged shoreline indicators along the coasts of Beqa and Yanuca islands in southern Fiji were collected and indicate the presence of former mean sea levels at elevations (and shoreline names) of 0.96 m (MUAI), 1.93 m (BULl), 2.63 m (MUA2), 4.32 m (MUA3), 5.94 m (MUA4), and 7.79 m (MUA5) above present mean sea level. No dates for shoreline formation or emergence are available directly although age is believed to increase with increasing elevation. Investigations of the Beqa lagoon floor and comparison of shoreline levels between eastern Beqa, western Beqa, Yanuca, and Vatulele island (at the western end of the Vatulele-Beqa Ridge) suggest that downfaulting along faults and grabens trending a little west of north has occurred both during and since the time of shoreline emergence. Uplift related perhaps to either compression of the area between the Kadavu Trench (Hunter Fracture Zone) to the south and the Fiji Fracture Zone to the north or the renewal of northward underplating along the Kadavu Trench is believed to be responsible for shoreline emergence, which was probably contemporary along the whole Vatulele-Beqa Ridge and occurred during-the middle and late Quaternary

    Clinical Trials

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    Understanding climate-human interactions in Small Island Developing States (SIDS): Implications for future livelihood sustainability

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    Purpose – Climate change poses diverse, often fundamental, challenges to livelihoods of island peoples. The purpose of this study is to demonstrate that these challenges must be better understood before effective and sustainable adaptation is possible. Design/methodology/approach – Understanding past livelihood impacts from climate change can help design and operationalize future interventions. In addition, globalization has had uneven effects on island countries/jurisdictions, producing situations especially in archipelagoes where there are significant differences between core and peripheral communities. This approach overcomes the problems that have characterized many recent interventions for climate-change adaptation in island contexts which have resulted in uneven and at best only marginal livelihood improvements in preparedness for future climate change. Findings – Island contexts have a range of unique vulnerability and resilience characteristics that help explain recent and proposed responses to climate change. These include the sensitivity of coastal fringes to climate-environmental changes: and in island societies, the comparatively high degrees of social coherence, closeness to nature and spirituality that are uncommon in western contexts. Research limitations/implications – Enhanced understanding of island environmental and social contexts, as well as insights from past climate impacts and peripherality, all contribute to more effective and sustainable future interventions for adaptation. Originality/value – The need for more effective and sustainable adaptation in island contexts is becoming ever more exigent as the pace of twenty-first-century climate change increases

    An evaluation of culture results during treatment for tuberculosis as surrogate endpoints for treatment failure and relapse.

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    It is widely acknowledged that new regimens are urgently needed for the treatment of tuberculosis. The primary endpoint in the Phase III trials is a composite outcome of failure at the end of treatment or relapse after stopping treatment. Such trials are usually both long and expensive. Valid surrogate endpoints measured during or at the end of treatment could dramatically reduce both the time and cost of assessing the effectiveness of new regimens. The objective of this study was to evaluate sputum culture results on solid media during treatment as surrogate endpoints for poor outcome. Data were obtained from twelve randomised controlled trials conducted by the British Medical Research Council in the 1970s and 80s in East Africa and East Asia, consisting of 6974 participants and 49 different treatment regimens. The month two culture result was shown to be a poor surrogate in East Africa but a good surrogate in Hong Kong. In contrast, the month three culture was a good surrogate in trials conducted in East Africa but not in Hong Kong. As well as differences in location, ethnicity and probable strain of Mycobacteria tuberculosis, Hong Kong trials more often evaluated regimens with rifampicin throughout and intermittent regimens, and patients in East African trials more often presented with extensive cavitation and were slower to convert to culture negative during treatment. An endpoint that is a summary measure of the longitudinal profile of culture results over time or that is able to detect the presence of M. tuberculosis later in treatment is more likely to be a better endpoint for a phase II trial than a culture result at a single time point and may prove to be an acceptable surrogate. More data are needed before any endpoint can be used as a surrogate in a confirmatory phase III trial

    Peripherality as key to understanding opportunities and needs for effective and sustainable climate - change adaptation: a case study from Viti Levu Island, Fiji

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    A study of various defining aspects of 11 rural communities along the cross-island road on Viti Levu (Fiji) shows diversity attributable largely to their peripherality, proxied by distance along this 200-km long road. Strong relationships are found between peripherality and both community size and the dependency ratio (percent of young/old dependents), as well as traditional medicine usage (and percent traditional healers), and autonomous community coping after disasters. Two measures are calculated to capture community autonomy, both of which proxy peripherality. Results show the usefulness of peripherality as a way of measuring community diversity in developing-country contexts. Peripherality also correlates with community autonomy, more-peripheral communities having greater autonomous coping abilities/capacity than near-core (less-peripheral) communities. Results also show the unhelpfulness of the default ‘“one-size-fits-all’” approach to communities implicit in many external assistance programs. Yet while traditional coping in such communities may not be able to fully overcome future climate-change challenges, the conservation of the traditional knowledge underpinning this should be encouraged, mainly because of the likelihood that external funding for future adaptation in such communities will be inadequate. The best hope for effective and sustainable adaptation to future climate change, focused on sustaining livelihoods, lies in strengthening autonomous community coping
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