Philos Trans A Math Phys Eng Sci
December 2024
Recently the transportation sector has witnessed several new technologically driven disruptions that have amplified the complexity of city planning and policymaking. Traditional well-established processes of decision-making in urban planning and transportation are proving insufficient to deal with this degree of complexity and uncertainty. This paper proposes an alternative approach, combining qualitative and normative urban design, with quantitative and predictive transport modelling.
View Article and Find Full Text PDFObjectives: The objective of this study was to assess the relationship between pelvic measurements, namely pelvic height (PH), pelvic area (PA), and pelvic width, and linear body measurement traits, such as hindquarters width, rump length (RL), hip height (HH), body weight (BW), shoulder height, chest depth (CD), body length, and also calve birth weight (CBW) under different calving ease scores, namely no assistance, gently pull, and hard pull.
Material And Methods: A total of 51 first calf Sussex heifers at 24 months old, weighing approximately 440 ± 40.26 kg, were used for this study.
Annu Int Conf IEEE Eng Med Biol Soc
July 2019
Attention-deficit/hyperactivity disorder (ADHD) is a common neuropsychiatric disorder that impairs social, academic, and occupational functioning in children, adolescents and adults. In South Africa, youth prevalence of ADHD is estimated as 10%. It is therefore necessary to further investigate methods that objectively diagnose, treat, and manage the disorder.
View Article and Find Full Text PDFPigs are kept by farmers as a source of livelihood and food. Unfortunately, helminthiasis and other internal parasites are major setbacks to profitable pig production in Africa. There is a lack of information on the prevalence and intensity of gastrointestinal helminths and parasites plaguing resource-poor pig farmers in the Free State.
View Article and Find Full Text PDFGlobally, there is an urgency to address fragmented mental health systems, especially in low-to-middle income countries. State and non-state mental health service collaboration is a central strategy to strengthen care. The study was undertaken to analyse the power in governance processes of public mental health service provision.
View Article and Find Full Text PDFThe Life Esidimeni tragedy in South Africa showed that, despite significant global gains in recognizing the salience of integrated public mental health care during the past decade, crucial gaps remain. State and non-state mental health service collaboration is a recognized strategy to increase access to care and optimal use of community resources, but little evidence exist about how it unfolds in low- to middle-income countries. South Africa's Mental Health Policy Framework and Strategic Plan 2013-20 (MHPF) underlines the importance of collaborative public mental health care, though it is unclear how and to what extent this happens.
View Article and Find Full Text PDFInt J Integr Care
September 2016
Integrated care occurs within micro, meso and macro levels of governance structures, which are shaped by complex power dynamics. Yet theoretically-led notions of power, and scrutiny of its meanings and its functioning, are neglected in the literature on integrated care. We explore an alternative approach.
View Article and Find Full Text PDFBackground: Mental illness is a well-known challenge to global development, particularly in low-to-middle income countries. A key health systems response to mental illness is different models of integrated health care, especially popular in the South African Development Community (SADC) region. This complex construct is often not well-defined in health policy, hampering implementation efforts.
View Article and Find Full Text PDFGlob Soc Policy
December 2015
Regional organisations can effectively promote regional health diplomacy and governance through engagement with regional social policy. Regional bodies make decisions about health challenges in the region, for example, the Union of South American Nations (UNASUR) and the World Health Organisation South East Asia Regional Office (WHO-SEARO). The Southern African Development Community (SADC) has a limited health presence as a regional organisation and diplomatic partner in health governance.
View Article and Find Full Text PDFAfr J AIDS Res
February 2016
This article reviews the methodology of future scenario-building in the context of HIV and AIDS in Africa. It considers three scenario studies conducted in the past decade: UNAIDS (2005), Metropolitan Holdings (2006) and the AIDS Governance scenarios (2015). The article is a critical reflection of Future Studies epistemology which claims to contribute a unique heuristic niche in the study of AIDS.
View Article and Find Full Text PDFBackground: In much of the world, President George W. Bush was not admired for his foreign policy and diplomacy. It is therefore ironic that Bush's single most uncontested foreign policy triumph was an instance of what has now become known as "health diplomacy".
View Article and Find Full Text PDFMissile embolism occurs very rarely. It was first reported by Thomas Davis in 1834, and only 153 cases had been reported up to 1988. Rich et al.
View Article and Find Full Text PDFScenario planning or futures studies have their origin in military planning, but have also been used with great success in the private sector, most notably in the energy industry. UNAIDS and the South African financial services group Metropolitan each recently published a set of scenarios regarding the future impact of HIV/AIDS in Africa and South Africa, respectively. This article reviews the methodologies and outcomes of those two studies, and highlights the many lessons to be gleaned for HIV-related health planning and policy-making in general.
View Article and Find Full Text PDFAJNR Am J Neuroradiol
October 2004
We describe a case of midcervical angiosarcoma causing compression of the cervical spinal cord, producing rapidly progressive neurologic deficits. The tumor had recurred despite previous resection and was refractory to radiation and chemotherapy. Shrinkage of the tumor by percutaneous embolization was not considered feasible.
View Article and Find Full Text PDFPurpose: To describe the endovascular management of vertebrovertebral and caroticojugular fistulas in the same patient using a combination of endovascular techniques including covered stent placement in the high extracranial internal carotid artery.
Case Report: A 22-year-old man presented with ipsilateral vertebrovertebral and caroticojugular fistulas at the C1 level several weeks after sustaining a solitary penetrating knife injury below the right ear. The right vertebral artery was sacrificed after a failed endovascular attempt to close the vertebrovertebral fistula.
We describe a simple, inexpensive, and very effective method of achieving circumferential flow reduction during direct percutaneous cyanoacrylate embolization of a high-flow vascular malformation of the scalp. By using a plastic "cookie cutter" placed over the lesion and applying various degrees of pressure, both venous outflow from and arterial inflow into the lesion were limited. This flow reduction technique improved both the efficacy and safety of the procedure.
View Article and Find Full Text PDFAJNR Am J Neuroradiol
April 2003
Thromboembolic events are potential complications of neurointerventional procedures. The mainstay of therapy for these complications is both supportive therapy and the use of fibrinolytic agents. In some cases, the occluding clot seems to be resistant to fibrinolytic or anti-platelet agents.
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