In: Ismail , S A , Abbara , A , Collin , S M , Orcutt , M , Coutts , A P , Maziak , W , Sahloul , Z , Dar , O , Corrah , T & Fouad , F M 2016 , ' Communicable disease surveillance and control in the context of conflict and mass displacement in Syria ' , International Journal of Infectious Diseases , vol. 47 , pp. 15-22 . https://doi.org/10.1016/j.ijid.2016.05.011
Objectives To describe trends in major communicable diseases in Syria during the ongoing conflict, and the challenges to communicable disease surveillance and control in the context of dynamic, large-scale population displacement, unplanned mass gatherings, and disruption to critical infrastructure. Methods A rapid review of the peer-reviewed and non-peer-reviewed literature from 2005 to 2015 was performed, augmented by secondary analysis of monitoring data from two disease early warning systems currently operational in Syria, focusing mainly on three diseases: tuberculosis (TB), measles, and polio. Results Trend data show discrepancies in case report numbers between government and non-government controlled areas, especially for TB, but interpretation is hampered by uncertainties over sentinel surveillance coverage and base population numbers. Communicable disease control has been undermined by a combination of governance fragmentation, direct and indirect damage to facilities and systems, and health worker flight. Conclusions Five years into the crisis, some progress has been made in disease surveillance, but governance and coordination problems, variable immunization coverage, and the dynamic and indiscriminate nature of the conflict continue to pose a serious threat to population health in Syria and surrounding countries. The risk of major cross-border communicable disease outbreaks is high, and challenges for health in a post-conflict Syria are formidable.
The study aimed to review the challenges and opportunities of mass productivity scale (MPS) for the dates (Phoenix dactylifera L.) farm in Malaysia. The review on site and document was done to drill the issues faced by dates palm farmers. The common issues affecting dates farm in Malaysia were pest attack, import permit, lack of expertise, and climate and soil requirements. In a united response, the government should form the National Dates Palm Centre (NDPC) which will explore opportunities to address issues faced by the dates palm sector in Malaysia.
BACKGROUND: Mass anti-malarial administration has been proposed as a key component of the malaria elimination strategy in South East Asia. The success of this approach depends on the local malaria epidemiology, nature of the anti-malarial regimen and population coverage. Community engagement is used to promote population coverage but little research has systematically analysed its impact. This systematic review examines population coverage and community engagement in programmes of mass anti-malarial drug administration. METHODS: This review builds on a previous review that identified 3049 articles describing mass anti-malarial administrations published between 1913 and 2011. Further search and application of a set of criteria conducted in the current review resulted in 51 articles that were retained for analysis. These 51 papers described the population coverage and/or community engagement in mass anti-malarial administrations. Population coverage was quantitatively assessed and a thematic analysis was conducted on the community engagement activities. RESULTS: The studies were conducted in 26 countries: in diverse healthcare and social contexts where various anti-malarial regimens under varied study designs were administered. Twenty-eight articles reported only population coverage; 12 described only community engagement activities; and 11 community engagement and population coverage. Average population coverage was 83% but methods of calculating coverage were frequently unclear or inconsistent. Community engagement activities included providing health education and incentives, using community structures (e.g. existing hierarchies or health infrastructure), mobilizing human resources, and collaborating with government at some level (e.g. ministries of health). Community engagement was often a process involving various activities throughout the duration of the intervention. CONCLUSION: The mean population coverage was over 80% but incomplete reporting of calculation methods limits conclusions and comparisons ...
Perfluoroalkyl substances (PFASs) are man-made chemicals. Their unique properties make them beneficial for a wide range of industrial and consumer product applications, such as in aqueous film forming foam (AFFF), durable water repellent clothing, hydraulic oils and food packaging materials. Perfluoroalkyl acids (PFAAs), a class of PFASs, are highly persistent in the environment, and long chain PFAAs are bioaccumulative and toxic. International regulation and voluntary actions by the industry have been implemented and led to a recent reduction of primary emissions of PFAAs to the environment. However, point sources such as AFFF training sites as well as diffuse sources continue to contaminate water bodies, soil and biota. Reducing environmental pollution with PFAAs has therefore become a regulatory priority. Designing successful measures to reduce the PFAA contamination requires an understanding of the sources, transport and fate of PFAAs in the environment. Four scientific publications are included in this PhD thesis, which aimed at increasing the holistic understanding of the fate of PFAAs in aquatic systems. This was achieved by chemical trace analysis combined with mass balance modeling. The following topics were covered: Dispersion and fate of PFAAs from an AFFF-impacted site (Paper I), recirculation of PFAAs in the aquatic environment with focus on waste water treatment plants (WWTPs, Paper II), mass balance of PFAAs in the Baltic Sea (Paper III) and transport and fate of PFAAs in two pristine boreal stream catchments (Paper IV). Results from Paper I showed that AFFF-impacted sites at a former military airfield, which was abandoned for more than 30 years, continue to be point sources of PFAAs to recipients. The sum of PFAAs in the ground water and surface waters ranged from 740 to 51000 ng L-1 and <0.5 to 79 ng L-1, respectively. PFOS in muscle tissue of European perch from a nearby lake ranged from 77 to 370 ng g-1 wet weight, representing among the highest values reported worldwide for fish muscle. In Paper II the relative importance of environmental recirculation of PFAAs versus new releases from the technosphere was investigated for PFAAs in WWTP influents. It was shown that tap water can be an important source of PFAAs to WWTPs in areas with elevated environmental levels. This needs to be taken into account when calculating emissions via WWTP effluents. PFAA mass balances over the WWTPs suggested that PFHxA and PFOA were formed from precursor compounds within the plants. Assembled PFAA mass balances for the Baltic Sea (Paper III) showed that river inflow and atmospheric deposition were the dominant input pathways, while wastewater treatment plant (WWTP) effluents discharging directly into the Baltic Sea made a minor contribution. The inputs of PFAAs were estimated to be higher than the outputs, suggesting a current increase of the PFAA inventory in the Baltic Sea. Also the mass balance study of PFAAs in two remote stream catchments presented in Paper IV revealed that inputs dominated over outputs for both catchments, indicating that a considerable portion of the PFAAs deposited from the atmosphere is retained in soil or in deep ground water and may be released to surface and marine water environments in the future ; Perfluoralkilne tvari (PFASs) su umjetne kemikalije. Zbog svojih jedinstvenih svojstava široko su primjenjive u industriji i izradi proizvoda krajnje potrošnje kao što su pjena za gašenje požara (AFFF), vodootporna odjeća, hidraulična ulja i pakiranja za hranu. Perfluoralkilna kiselina (PFAAs) iz skupine perfluoralkilnih tvari iznimno je dugotrajna u okolišu, a dugolančane PFAAs su bioakumulativne i otrovne. Poduzeta međunarodna regulativa i dobrovoljne akcije vodile su nedavno smanjenoj primarnoj emisiji PFAAs u okoliš. Unatoč tome, primarni izvori, kao što su mjesta na kojima se provode treninzi za gašenje požara i difuzni izvori i dalje zagađuju vode, tlo i biotu. Zbog toga, smanjenje onečišćenja okoliša izazvanog PFAAs predstavlja regulatorni prioritet. Stvaranje uspješnih mjera kojima bi se smanjilo onečišćenje izazvano PFAAs zahtjeva razumijevanje izvora, prijenosa i sudbine tih tvari u okolišu. U ovaj doktorat uključena su četiri znanstvena članka kojima je cilj povećati sveukupno razumijevanje sudbine PFAAs u vodenim sustavima. To je postignuto kemijskom analizom elemenata u tragovima u kombinaciji s modeliranjem masene ravnoteže. Obrađene su sljedeće teme: Širenje i sudbina PFAAs na područjima zahvaćenim AFFF (Članak I), ponovna cirkulacija PFAAs u vodenom okolišu s naglaskom na postrojenja za pročišćavanje otpadnih voda (Članak II), masena ravnoteža PFAAs u Baltičkom moru (Članak III) te prijenos i sudbina PFAAs u dva udaljena sjeverna vodena toka (Članak IV). Rezultati iz Članka I pokazali su da su područja zahvaćena AFFF na bivšem vojnom aerodromu napuštenom prije 30 godina i dalje je glavni izvor PFAA zagadenja okolisa. Zbroj PFAAs u podzemnim i površinskim vodama kreće se u rasponu od 740 do 51000 ng L-1 i <0.5 do 79 ng L-1. PFOS u mišićnom tkivu grgeča iz obližnjeg jezera kreće se od 77 do 370 ng g-1 mokre težine, predstavljajući jednu od najviših vrijednosti u svijetu za riblje mišiće. Članak II istražuje relativnu važnost ponovne cirkulacije PFAAs imajući na umu novu emisiju PFAAs iz tehnosfere u postrojenjima za pročišćavanje otpadnih voda. Cirkulacija/kruženje u okolišu može se pojaviti kada PFAAs iz sustava pitke voda (rijeka, bunara i jezera) odlaze u otpadne vode. Prikazano je kako voda iz slavine može biti važan izvor PFAAs sustavima za pročišćavanje otpadnih voda u područjima s povišenim razinama zaštite okoliša. To se treba uzeti u obzir pri računanju emisije putem strojeva koji se koriste za pročišćenje otpadnih voda. Masena ravnoteža PFAA u postrojenjima za pročišćavanje otpadnih voda upućuje na to da su PFHxA i PFOA stvoreni kao prethodni spojevi unutar postrojenja. Prikupljene masene ravnoteže PFAA za Baltičko more (Članak III) pokazale su da su pritoke rijeka i atmosfersko taloženje dominantni ulazni putovi, dok postrojenja za pročišćenje otpadnih voda pridonose tek u manjoj mjeri. Ulaz PFAAs je procijenjen višim od izlaza, što objašnjava trenutno povećanje sadržaja PFAA u Baltičkom moru. Masena ravnoteža PFAAs u dva udaljena riječna toka predstavljena u Članku IV otkriva da ulaz dominira nad izlazom za oba riječna toka, što upućuje na značajan udio PFAAs koji je iz atmosfere zadržan u tlu ili podzemnim vodama te može biti ispušten u područja površinskih voda i mora. ; Perfluorerade alkylsyror (PFAA) är kemikalier som är producerade av människan. Deras unika egenskaper gör att de kan användas i många olika industriella applikationer. PFAAs används i brandsläckningsskum, vattenavvisande kläder, hydrauliska oljor och matförpackningar. PFAAs har visat sig vara persistenta i miljön, och långkedjiga PFAA-homologer har visat sig vara bioackumulerbara samt ha en toxisk verkan. Reglering på internationell nivå tillsammans med initiativ från industrin har lett till minskning av direkta utsläpp. Punktkällor som brandövningsplatser samt andra diffusa källor fortsätter att förorena omgivande vattendrag, jordlager och fauna. Den utbredda föroreningen av PFAAs har därför blivit prioriterad för reglering. För att förstå utsläppen av PFAAs i miljön, hur de transporteras samt deras öde i miljön, är det viktigt att utföra studier som belyser dessa områden. Denna doktorsavhandling inkluderar fyra vetenskapliga publikationer. Syftet med de underliggande studierna var att öka den holistiska förståelsen av PFAAs rörelse i akvatiska system. Studierna gjordes genom att kombinera kemiska analysmetoder med modellering. Följande studier genomfördes; Transport och spridning av PFAAs från en brandövningsplats (Paper I), recyklering av PFAAs i den akvatiska miljön med fokus på vattenreningsverk (Paper II), massbalans av PFAAs i Östersjön (Paper III), transport och öde av PFAAs i två pristina vattendrag (Paper IV). Resultat från (Paper I) visade att brandövningsplatser vid en flygplats som inte har varit i bruk i mer än 30 år, fortfarande är punktkällor av PFAAs till omgivande vattendrag. Summan av PFAAs koncentrationer i grundvattnet och ytvattnet sträckte sig från 740 till 51000 ng L-1 och <0.5 till 79 ng L-1 i respektive vattendrag. Koncentrationen av PFOS i muskelvävnad från aborre i en av sjöarna var 77 till 370 ng g-1 våtvikt. Dessa värden representerar några av de högsta uppmätta koncentrationerna i världen. I Paper II testades betydelsen av PFAAs från recirkulering i miljön i jämförelse med nya utsläpp från teknosfären. Recirkulering av PFAAs i miljön kan förekomma då PFAAs i inkommande vatten till reningsverk kommer från dricksvatten. Denna studie visar att dricksvatten kan vara en påtaglig källa av PFAAs till vattenreningsverk i områden med förhöjda halter av PFAAs i miljön. Detta måste tas hänsyn till när man beräknar emissioner med utgående vatten från vattenreningsverk. Massbalanser av PFAAs i reningsverken visar att PFHxA och PFOA bildades av prekursorämnen i vattenreningsverken. I Paper III beräknades massbalanserna av PFAAs i Östersjön, beräkningarna visar att floder och atmosfärisk nedebörd var de viktigaste källorna medan utsläppen från vattenreningsverk var markant lägre. Importen av PFAAs estimerades vara högre än exporten, varför vi tror att PFAAs mängden I Östersjön kommer att öka över tid. Vidare gjordes en mass balans av PFAAs i två avlägsna avrinningsområden (Paper IV). Resultaten visar att importen av PFAAs dominerar över exporten från båda avrinningsområdena. Detta indikerar att en stor del av PFAAs som kommer ner via nederbörd kommer att ansamlas i jorden eller i grundvattnet. Dessa PFAAs kan vid senare tillfälle komma att släppas ut till floder som rinner ut i marina vatten. ; At the time of the doctoral defense, the following paper was unpublished and had a status as follows: Paper 2: Manuscript.
This paper analyses the transformations of mass media in the process of constructing the European identity after the two enlargements. I will focus on the impact of mass communication on Europeanization. I study the transition in Romania in particular to understand Europeanization, otherwise it sounds as if my study covers the broad scope in Europe, and case study is Romanian media. My thesis is that mass media could play an active role in promoting the European integration process if it shifted its attention from reflecting historical particularities to reflecting upon the modern evolution of each EU member. I introduce the concept of tendentious modernity, useful in studying mass communication in transitional societies. In such societies, modernization began with political institutional construction and not with the building of the capitalist economy. Modernity is the framework and main element upon which a nation is supported, a mosaic however not by means of economy, the basis of a national development and progress. In these societies, such as Romania, mass media promote this mosaic modernity, and, at the same time they, acts the primary messenger of modernity and Europeanization. Keywords: Europeanization; Mass media; Modernity; Tendentious modernity ; Este artigo analisa as transformações dos meios de comunicação de massa no processo de construção de identidade europeia após as duas ampliações. Irei me concentrar no impacto dos meios de comunicação de massa na europeização. Estudo a transição na Romênia em particular para entender a europeização, do contrário parece como se meu estudo cobrisse toda a Europa, e os meios de comunicação na Romênia. Minha tese é que os meios de comunicação poderiam exercer um papel ativo na promoção do processo de integração europeia caso mudasse sua atenção das particularidades históricas para a evolução moderna de cada país-membro da UE. Introduzo o conceito de modernidade tendenciosa, útil para estudar meios de comunicação de massa em sociedades em transição. Nessas ...
As the capital of Indonesia, DKI Jakarta is classified as having the highest population density, resulting in emergent problems in transportation- specifically traffic congestion. The use of basements may be a potential alternative in solving congestion problems in DKI Jakarta. In terms of licensing the use of underground space, used by PT Mass Rapid Transit Jakarta (MRT) as the responsibility of MRT infrastructure implementation and procurement, the authorized licensing is governed through regulation. From a legal perspective, a central issue may be the lack of clear legislation regarding the use of the basement. Therefore, an analysis of the governor's licensing mechanism is required, as well as the governor's issue of conformity with regulations, in addition to the legislation pertaining to the crypt. With normative juridical research, this article argues that those authorized to grant permits for the use of basements in an area are public officials, rather than the laws and regulations. The results of the study indicate that the mechanism of licensing the use of basements has been in accordance with the laws, as are the regulations through the regional authority to implement the regional autonomy. Keywords: Underground, Power of Local Government, Permissions
In this pioneering volume, Robert Skloot brings together four plays â€" three of which are published here for the first time â€" that fearlessly explore the face of modern genocide. The scripts deal with the destruction of four targeted populations: Armenians in Lorne Shirinian's Exile in the Cradle, Cambodians in Catherine Filloux's Silence of God, Bosnian Muslims in Kitty Felde's A Patch of Earth, and Rwandan Tutsis in Erik Ehn's Maria Kizito. Taken together, these four plays erase the boundaries of theatrical realism to present stories that probe the actions of the perpetrators and the suffering of their victims. A major artistic contribution to the study of the history and effects of genocide, this collection carries on the important journey toward understanding the terror and trauma to which the modern world has so often been witness.
The objective of this study was to evaluate the sample size and area of the quadrats necessary to accurately estimate the forage mass (FM) of a fenced pasture of stargrass (Cynodon nlemfuensis cv. Florico) during the winter. Five metal quadrats were used: a 0.09 m² square (0.30 m side), a 0.25 m2 square (0.50 m side), a 0.25 m2 circle (0.28 m diameter), a 0.5 m2 rectangle (0.5 x 1.0 m), and a 1 m2 square (1.0 m side), each with eight replicates. The size and shape of the quadrats were determined based on cumulative variances to identify combinations that minimized the coefficient of variation (CV). The minimum sample size required to estimate the FM, morphological components and height was established by the CV maximum curvature method. The 0.25 m2 square quadrat (0.5 m side) presented the lowest cumulative CV in estimating the FM and the dry mass of dead material. However, for the estimation of the leaf and stem dry mass, the 1.00 m2 square quadrat (1.00 m side) presented the lowest CV. Using the 0.25 m2 square quadrat, a minimum number of six samples were required for the FM estimation, and eight samples were required for estimating the mean height of the stargrass pasture. Therefore, at least eight samples are recommended to obtain accurate results for the estimation of both variables.
Objective To develop a new model to quantify information management dynamically and to identify factors that lead to information gaps. Background Information management is a core task for emergency medical service (EMS) team leaders during the prehospital phase of a mass-casualty incident (MCI). Lessons learned from past MCIs indicate that poor information management can lead to increased mortality. Various instruments are used to evaluate information management during MCI training simulations, but the challenge of measuring and improving team leaders' abilities to manage information remains. Method The Dynamic Communication Quantification (DCQ) model was developed based on the knowledge representation typology. Using multi point-of-view synchronized video, the model quantifies and visualizes information management. It was applied to six MCI simulations between 2014 and 2019, to identify factors that led to information gaps, and compared with other evaluation methods. Results Out of the three methods applied, only the DCQ model revealed two factors that led to information gaps: first, consolidation of numerous casualties from different areas, and second, tracking of casualty arrivals to the medical treatment area and departures from the MCI site. Conclusion The DCQ model allows information management to be objectively quantified. Thus, it reveals a new layer of knowledge, presenting information gaps during an MCI. Because the model is applicable to all MCI team leaders, it can make MCI simulations more effective. Application This DCQ model quantifies information management dynamically during MCI training simulations.
AbstractThis work examines the influence of mass media on rural out‐migration using historical and contemporary data from a setting experiencing massive social and economic development in the last half‐century. Data come from the Chitwan Valley Family Study, an ongoing study of an agrarian region in rural Nepal. Media are hypothesized to affect migration by inducing attitudinal and behavioural changes similar to those of other determinants of migration. As their influence differs from other determinants in important ways, media represent a unique form of influence that should be taken into account. I find that movie and television exposure are significant determinants of out‐migration in historical contexts, although television exposure was important in more contemporary contexts. Differences in these effects probably indicate the timing of the spread of each type of media and changing preferences among media consumers.