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This study explores the perceptions of health profession students participating in academic service learning in Morocco with respect to adapting health care practices to cultural diversity.Authors utilized semi-structured, open-ended interviews to explore the perceptions of health profession students. Nine dental hygiene and nursing students who traveled to Morocco to provide oral and general health services were interviewed. After interviews were recorded, they were transcribed verbatim to...
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Pregnancy and the postpartum are vulnerable periods for maternal mental health conditions and at least 15% of postpartum women in developing countries experience depression. Maternal depression has also been shown to be associated with poor infant health outcomes. As developing countries such as Ghana have few psychiatrists, perinatal depression screening and management rely on primary care providers and obstetricians. The purpose of this study was to investigate providers' views of and...
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Hearing loss is the most frequent sensory disorder. It affects 3 in 1000 newborns. It is genetically heterogeneous with 60 causally-related genes identified to date. Mutations in GJB2 gene account for half of all cases of non-syndromic deafness. The aim of this study was to determine the relative frequency of GJB2 allele variants in Tunisia. In this study, we screened 138 patients with congenital hearing loss belonging to 131 families originating from different parts of Tunisia for mutations...
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It may be necessary for a Public health institution to segregate hospital waste in order to facilitate collection and disposal. In addition, this would save on treatment cost by setting appropriate waste minimization strategies, minimize environmental pollution and hence reduce risks to public health. This would also, provide accurate planning data for health care waste minimization and hence promote public health in all health facilities. The study was done in Kenyatta National Hospital,...
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This article highlights the importance of basic educational training and career placement in the process of reintegrating offenders who have completed their jail term into Nigerian society. Proceeding from the position that the majority of incarcerated offenders lack the basic educational qualifications that could facilitate sustainable employment for them before and/or after their prison term, which may also have implications for the increased rate of recidivism, this article argues that...
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<h2>Abstract</h2><h3>Objective</h3> We aim to demonstrate that vitreoretinal surgery can be established in Nairobi, Kenya, by intermittent short visits of experienced surgeons combined with clinical/surgical observerships over a longer period of cooperation. This strategy might be a model for other developing countries. <h3>Design</h3> Time series over 11 years. <h3>Participants</h3> 685 operations were performed over 11 years. <h3>Methods</h3> After the 1998 al-Qaeda bomb assault on the...
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This paper proposes a new model for predicting the optimal warfarin dosing for African American patients. The prediction model is created using the multivariable regression method. The accuracy of dosing prediction is directly related to patient's safety. We show that the proposed model has better accuracy compare to all other available prediction methods for optimal dosing of warfarin.
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The Rukwa–Malawi rift zone has a record of seismic events down to depths in excess of 30 km, deep for a zone of active continental extension. This deep seismicity, as well as the presence of long (~ 100 km) border faults, has previously been explained by the long-term bulk rheology of intact, old, cold, anhydrous strong crust in east Africa, or the presence of mafic material in the lower crust. The Karonga sequence of 2009 showed a style of faulting different from continuous slip along long...
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Human activities on coasts and climate changes during the past ten years have given rise to considerable shoreline changes along the El Arish coast (the northern coast of the Sinai Peninsula). In the El Arish Power Plant, sediment accretion has reached the tip of the breakwater of the cooling water intake basin, necessitating extensive dredging inside the basin. To the east of El Arish Harbour, the shoreline has been in continuous retreat. The differences between the year 2000 and 2010 in...
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This study explored the influences of school type on girls’ attitude towards mathematics. A total of 200 girls (80 from girls only schools and 120 from Coeducational schools) responded to a three-point rating scale instrument that measured attitudes towards mathematics. The study focused on four aspects of attitudes towards mathematics. These were; students’ confidence in mathematics, their mathematical enjoyment, perceptions of their ability and perceived usefulness of the subject. The...
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Purpose Reliable data on sexual behavior are needed to identify adolescents at risk of acquiring human immunodeficiency virus or other sexually transmitted diseases, as well as unintended pregnancies. This study aimed to investigate whether schooling status and literacy and numeracy skills affect adolescents' reports of premarital sex, collected using audio computer-assisted self-interviews. Methods We analyzed data on 2,320 participants in the first three rounds of the Malawi Schooling and...
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The paper discusses the issues and problems of early childhood education in Nigeria. It establishes that the Federal Government of Nigeria in its National policy on Education has given official recognition to the development and provision of early childhood education in the country. This combined with a number of factors to give rise to an unprecedented expansion in the provision of child care and early childhood education institutions in the country. However, nearly all the early childhood...
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A PRI investigation of Catholic Relief Services of Madagascar has revealed that CRS is using funding from American Catholics to distribute contraceptive and abortifacient drugs and devices in concert with some of the world's biggest population control/family planning organizations.
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Salt marshes are fringe ecosystems susceptible to physico-chemical variations and therefore ecophysiological studies are needed to predict responses to climate change. For such studies, selection of plant species across a tidal range is critical, as species responses could be used as a proxy for that of the tidal range. These responses would then inform management options for salt marshes. The responses of Triglochin buchenaui, Bassia diffusa and Limonium linifolium to inundation and...
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Using qualitative data on post abortion care services at the Komfo Anokye Teaching Hospital in Kumasi, Ghana, the paper explored evidence of social stigma as a factor in post abortion care.Results from 6 focus group discussions, 10 narratives and observations identified three areas of stigma.The Patients (perspective and experience), the Providers (the medical environment and setting) and the Community (family, relations and peers).Evidence from the focus group discussions, narratives and...
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This thesis is carried out against the backdrop of serious concerns that climate change will affect the livelihoods of rural people in Sub-Saharan Africa. I examine the adaptive capacity of people at the micro-scale of action and practice in rural Africa, in particular those in Makondo Parish, in the southwest of Uganda. The focus is on the way adaptive capacity emerges from the interaction of community members, extra-local actors such as non-governmental organizations, and national and...
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In West Africa predictions of future changes in climate and especially rainfall are highly uncertain, and up to now no long-term analyses are available of the effects of climate on crop production. This study analyses long-term trends in climate variability at N’Tarla and Sikasso in southern Mali using a weather dataset from 1965 to 2005. Climatic variables and crop productivity were analysed using data from an experiment conducted from 1965 to 1993 at N’Tarla and from a crop yield database...