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1

Manda, Levi Zeleza. "Journalism education and training in Malawi: A case for a national policy." Journal of Development and Communication Studies 5, no. 2 (July 16, 2018): 35. http://dx.doi.org/10.4314/jdcs.v5i2.3.

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2

Banda, Fackson. "Exploring Media Education as Civic Praxis in Africa." Comunicar 16, no. 32 (March 1, 2009): 167–80. http://dx.doi.org/10.3916/c32-2009-02-015.

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This article argues that African media education must define a pedagogical agenda for citizenship. That task lies in a postcolonial revisionism of liberal modes of thought and practice about media. This neo-colonial dependence of African media education is evident in the pedagogical emphasis on professional- journalistic automation. However, Africans are increasingly becoming politically and civically apathetic. This analysis calls for an emancipatory vision of journalism that is embedded in civil society. It uses a case study of radio listening clubs to illustrate the civic influence of the media in Malawi and Zambia. It concludes by proposing a model of media education for citizenship. The key tenets of the model include enhancing critical analysis of the correlation between media, democracy and development; developing an emancipatory vision of journalism; cultivating an active citizenship; entrenching a viable institutional infrastructure of democracy; and promoting an informed adherence to human rights. Este trabajo sostiene que la educación en medios africana debe definir una agenda pedagógica para la ciudadanía. Esa tarea se sitúa en un revisionismo poscolonial de formas liberales de pensamiento y práctica acerca de los medios. Esta dependencia neo-colonial de la educación en medios africana es evidente en el énfasis pedagógico de la automatización periodística-profesional. Sin embargo, los africanos se están volviendo crecientemente apáticos, política y cívicamente. Esta aportación demanda una visión emancipatoria del periodismo inmerso en la sociedad civil. Se basa en el estudio de caso de clubs de radio-escuchas para ilustrar la influencia cívica de los medios en Malawi y Zambia, y propone un modelo de educación mediática para la ciudadanía. La tesis clave de este modelo incluye realzar el análisis crítico de la correlación entre medios, democracia y desarrollo; desarrollar una visión emancipatoria del periodismo; cultivar una ciudadanía activa; fortificar una infraestructura institucional viable de democracia, y promover una adhesión informada a los derechos humanos.
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Nyirongo, Mwaona. "From Watchdog to Lapdog: Political Influence of China on News Reporting in Malawi." Afrika Focus 33, no. 2 (March 11, 2020): 27–48. http://dx.doi.org/10.1163/2031356x-03302005.

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The arrival of China in Malawi has been characterised by a growing sense of uncertainty among academics who have expressed concern over the intentions of the superpower in the country. There are fears that China would like to extend its influence to Malawi as part of a broader push to increase its influence in global politics and economics. That push is in part exercised through the media. This study analyses the perception of Malawian journalists on news media reports of Chinese activities in Malawi. It uses content analysis to understand how the mediascape had changed from 2001-2007 when China had not yet established diplomatic relations with Malawi, and the period from January 2008-2020 in which diplomatic relations with China have existed. The article examines the shifts in journalistic representations of China in Malawi and develops prompts and probes from which journalist interviews were conducted. From the content analysis, it appears that from 2001-2007, Malawian media, especially The Daily Times, was very negative about China, uncritically reproducing Western representations of China. This changed after January 2008 when the press leaned towards an acknowledgement of Chinese activities. Through interviews journalists have indicated that the Chinese government offers certain opportunities such as exchange visits to journalists, making it difficult for them to bite the hand that feeds them. This ‘soft power’ is backed up by the repressive power of the Malawian government that uses intimidation to force journalists to report in their favour, thereby helping to create a positive image for China in Malawi. Journalists report that the significant shifts in journalistic representations of China have been mirrored by changes in the conceptualisation of journalistic roles in Malawi’s mediascape.
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Gil Ramírez, Marta, and Ruth Gómez de Travesedo Rojas. "Uso del Smartphone en el periodismo actual: ¿hacia un nuevo modelo mediático? estudio de caso del contexto malagueño." Ámbitos. Revista Internacional de Comunicación, no. 41 (2018): 5–21. http://dx.doi.org/10.12795/ambitos.2018.i41.01.

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5

Ebuenyi, Ikenna D., Emma M. Smith, Juba Kafumba, Monica Z. Jamali, Alister Munthali, and Malcolm MacLachlan. "Implementation of the Assistive Product List (APL) in Malawi through development of appropriate policy and systems: an action research protocol." BMJ Open 10, no. 11 (November 2020): e040281. http://dx.doi.org/10.1136/bmjopen-2020-040281.

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IntroductionAssistive technology (AT) is important for the achievement of the sustainable development goals (SDGs) for persons with disabilities (PWD). Increasingly, studies suggest a significant gap between the need for and demand for and provisions of AT for PWD in low-income and middle-income settings. Evidence from high income countries highlights the importance of robust AT policies to the achievement of the recommendations of the World Health Assembly on AT. In Malawi, there is no standalone AT policy. The objectives of the Assistive Product List Implementation Creating Enablement of inclusive SDGs (APPLICABLE) project, are to propose and facilitate the development of a framework for creating effective national AT policy and specify a system capable of implementing such policies in low-income countries such as Malawi.Method and analysisWe propose an action research process with stakeholders in AT in Malawi. APPLICABLE will adopt an action research paradigm, through developing a shared research agenda with stakeholders and including users of AT. This involves the formation of an Action Research Group that will specify the priorities for practice—and policy-based evidence, in order to facilitate the development of contextually realistic and achievable policy aspirations on AT in Malawi and provide system strengthening recommendations that will ensure that the policy is implementable for their realisation. We will undertake an evaluation of this policy by measuring supply and support for specific AT prior to, and following the implementation of the policy recommendations.Ethics and disseminationThe study protocol was approved by Maynooth University Research Ethics Committee (SRESC-2019-2378566) and University of Malawi Research Ethics Committee (P.01/20/10). Findings from the study will be disseminated by publication in peer-reviewed journals, presentations to stakeholders in Malawi, Ireland and international audiences at international conferences.
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Srivastava, Abhinav, Shivesh Kumar, and Ranjan Agarwal. "Brugia malayi in Cervical Lymph Node Aspirate: A Rare Case Report." International Journal of Advanced and Integrated Medical Sciences 1, no. 2 (2016): 79–80. http://dx.doi.org/10.5005/jp-journals-10050-10026.

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ABSTRACT Filariasis is endemic worldwide with the main focus in the tropical areas. Reported cases of filarial lymphadenopathy are caused by Wuchereria bancrofti, which is limited to the groin, the femoral triangle, and axilla, causing lymphedema of lower and upper limbs, and is usually diagnosed clinically and by the presence of microfilaria in peripheral blood smear. We are reporting an unusual case of cervical lymphadenitis, which on fine needle aspiration cytology (FNAC) showed microfilaria of a rare species, Brugia malayi. The purpose of this article is to make clinicians aware of this rare disease as one of the differential diagnoses of cervical lymphadenopathy in an endemic country like India. How to cite this article Srivastava A, Mohan C, Kumar S, Agarwal R. Brugia malayi in Cervical Lymph Node Aspirate: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(2):79-80.
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7

Lester, Rebecca, Hendran Maheswaran, Christopher P. Jewell, David G. Lalloo, and Nicholas A. Feasey. "Estimating the burden of antimicrobial resistance in Malawi: protocol for a prospective observational study of the morbidity, mortality and economic cost of third-generation cephalosporin resistant bloodstream infection." Wellcome Open Research 5 (February 13, 2020): 29. http://dx.doi.org/10.12688/wellcomeopenres.15719.1.

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Introduction: Antimicrobial resistance is a global public health concern, but the problems are context specific, with each county or setting facing differing challenges. In Africa, third-generation cephalosporin resistant Enterobacterales (3GCR-E) are of particular concern, given the widespread reliance on ceftriaxone for treatment of severe infection in this setting. In Malawi, despite the rising prevalence of 3GCR-E, the health impact of these infections has not been described. This study is designed to estimate attributable mortality, morbidity and economic cost of 3GC-R bloodstream infection (BSI) in a large, urban hospital. Methods: This study will investigate the burden of antimicrobial resistance by recruiting a a prospective longitudinal cohort of patients who have bloodstream infection with 3GCR-E, at Queen Elizabeth Central Hospital, Blantyre, Malawi. Patients whose blood culture is positive for either 3GC-S or 3GC-R Enterobacterales will be enrolled and provide clinical and healthcare economic data. Patients will be followed throughout their hospital stay and to 6-months post discharge. Mortality, direct and indirect costs and other health outcomes will be compared between patients with 3GC-R and comparable 3GC-sensitive BSI. Based on our observation that some patients with clinical suspicion of sepsis and 3GC-R BSI are surviving without an effective antibiotic, we review each patient prospectively and classify what role the isolated bacteria is playing in the patient’s clinical presentation. These classifications will then be incorporated into our analysis. Ethics and dissemination: The study protocol has been approved by the Malawi College of Medicine Research Ethics Committee and by the Liverpool School of Tropical Medicine Research Ethics committee. Written informed consent will be obtained from study participants or their parents/guardians. Results will be submitted to international peer-reviewed journals, presented at international conferences and shared with participating communities and collaborators.
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Kaler, Amy, Susan Cotts Watkins, and Nicole Angotti. "Making meaning in the time of AIDS: longitudinal narratives from the Malawi Journals Project." African Journal of AIDS Research 14, no. 4 (October 2, 2015): 303–14. http://dx.doi.org/10.2989/16085906.2015.1084342.

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9

Mapulanga, Patrick, Jaya Raju, and Thomas Matingwina. "Research-evidence-based health policy formulation in Malawi." International Journal of Health Governance 25, no. 2 (February 24, 2020): 161–76. http://dx.doi.org/10.1108/ijhg-05-2019-0029.

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PurposeThe paper seeks to report on research-evidence-based health policy formulation in Malawi based on interviews with policymakers and questionnaire administered to health researchers.Design/methodology/approachQuantitative data for inferential statistical analysis was obtained through a questionnaire administered to researchers in the University of Malawi's College of Medicine and the Kamuzu College of Nursing. Interviews were conducted with four directors holding decision-making national health policy roles in the Ministry of Health and the National Assembly. The five national policymakers interviewed constituted five of the nine interviewees. The remaining four interviewed represented other government agencies and non-governmental organisations in the health sector. These constituted a piloted group of health policymakers in Malawi. Data from interviews shows illustrative comments typical of consistent perspectives among interviewees. Where they disagreed, divergent views have been presented.FindingsThe survey has revealed that health researchers rarely interact with health policymakers. Policymakers rarely attend researchers' workshops, seminars and conferences. Researchers prefer to interact with policymakers through expert committees or technical working groups. However, the meetings are called by policymakers at their own will. In terms of health research designed for user relevance, survey respondents suggested that developing research products; formulating study objectives; analysing and interpreting research findings and; developing research designs and methods were their responsibility. However, policymakers felt that research evidence should appeal to specific priorities needed by health policymakers in policy formulation. Health researchers suggested that health research evidence should be communicated through syntheses of the research literature and reprints of articles published in scientific journals. However, policymakers were of the view that research products should not be bulky, should be presented in points form and should provide options for specific policy areas.Practical implicationsUniversity research groups and technical working groups provide an opportunity for interacting and enhancing the use of health research evidence.Originality/valueFor the purposes of facilitating the use of research evidence into policy, the study provides a low-cost framework for linking research groups and technical working groups to inform health research utilisation.
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10

Otmane, A., M. Bensaida, M. A. Birem, and H. Merad. "Initiation des étudiants en communication dans la lutte contre la stigmatisation de la maladie mentale." European Psychiatry 30, S2 (November 2015): S145—S146. http://dx.doi.org/10.1016/j.eurpsy.2015.09.291.

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La stigmatisation altère la représentation sociale de la maladie mentale et constitue un frein majeur à la prise en charge et l’accès aux soins. La lutte contre ce phénomène est mise à contribution par des compagnes nationales via la formation des journalistes. Cette action se devant permanente, se fera à travers la sensibilisation des étudiants en communication et journalisme où, l’échange aidera à la construction d’une identité professionnelle et l’apprentissage est l’occasion d’une structuration et d’un changement de regard.
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11

Ashforth, Adam, and Susan Watkins. "NARRATIVES OF DEATH IN RURAL MALAWI IN THE TIME OF AIDS." Africa 85, no. 2 (April 24, 2015): 245–68. http://dx.doi.org/10.1017/s0001972015000017.

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ABSTRACTThe key to understanding the experience of AIDS mortality lies in the stories that people tell each other about those they know who are suspected to have died from AIDS. We use a unique set of texts produced by rural Malawians reporting everyday conversations in their communities. These texts, drawn from the online archive of the Malawi Journals Project, consist of several thousand instances of ordinary people telling each other stories in the ordinary course of their lives. They are a form of insider ethnography, accounts of everyday life written by people immersed in the lives of their communities. Through analysis of these texts, we show that narratives of death are predicated upon the question ‘Who is to blame?’ We argue that a micropolitics of blame arises from practices of narrating death and shapes individual and collective responses to the epidemic. When we pay attention to the details of the production and exchange of these stories, we can see how the fact that narratives of death are predicated upon the question of blame both expresses and produces a desire for justice, both for the righting of wrongs through retributive punishment and for the restoration of harmonious social relations among the living. This desire for justice, we argue, is a central feature of the social impact of AIDS.
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Boudry, Christophe, Eric Denion, Bruno Mortemousque, and Fréderic Mouriaux. "Trends and topics in eye disease research in PubMed from 2010 to 2014." PeerJ 4 (January 7, 2016): e1557. http://dx.doi.org/10.7717/peerj.1557.

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Background: The purpose of this study is to provide a report on scientific production during the period 2010–2014 in order to identify the major topics as well as the predominant actors (journals, countries, continents) involved in the field of eye disease.Methods: A PubMed search was carried out to extract articles related to eye diseases during the period 2010–2014. Data were downloaded and processed through developed PHP scripts for further analysis.Results: A total of 62,123 articles were retrieved. A total of 3,368 different journals were found, and 19 journals were identified as “core journals” according to Braford’s law. English was by far the predominant language. A total of 853,182 MeSH terms were found, representing an average of 13.73 (SD = 4.98) MeSH terms per article. Among these 853,182 MeSH terms, 14,689 different MeSH terms were identified. Vision Disorders, Glaucoma, Diabetic Retinopathy, Macular Degeneration, and Cataract were the most frequent five MeSH terms related to eye diseases. The analysis of the total number of publications showed that Europe and Asia were the most productive continents, and the USA and China the most productive countries. Interestingly, using the mean Five-Year Impact Factor, the two most productive continents were North America and Oceania. After adjustment for population, the overall ranking positions changed in favor of smaller countries (i.e. Iceland, Switzerland, Denmark, and New Zealand), while after adjustment for Gross Domestic Product (GDP), the overall ranking positions changed in favor of some developing countries (Malawi, Guatemala, Singapore).Conclusions: Due to the large number of articles included and the numerous parameters analyzed, this study provides a wide view of scientific productivity related to eye diseases during the period 2010–2014 and allows us to better understand this field.
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Allsop, Matthew J., Richard A. Powell, and Eve Namisango. "The state of mHealth development and use by palliative care services in sub-Saharan Africa: a systematic review of the literature." BMJ Supportive & Palliative Care 8, no. 2 (May 20, 2016): 155–63. http://dx.doi.org/10.1136/bmjspcare-2015-001034.

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BackgroundCurrent coverage of palliative care services in sub-Saharan Africa (SSA) remains woefully inadequate, but harnessing mHealth could be one approach to facilitate greater service coverage and engagement with patients with life-limiting progressive disease.AimsA systematic literature review to identify the development and use of mHealth in palliative care services in SSA.Methods13 electronic databases from 1990 to 2015 were searched alongside the manual searching of journals and citation searching of included article reference lists. Articles were assessed against inclusion and exclusion criteria and study details extracted and tabulated by two researchers. Studies were plotted against a modified WHO mHealth and ICT framework to classify how they are targeting health system strengthening.ResultsOf the 1110 articles identified, 5 met the inclusion criteria, describing mHealth use in Nigeria, Uganda, Kenya and Malawi. Descriptive analysis has shown that existing mHealth interventions for palliative care services in SSA are limited in number and are being developed for use at the palliative treatment, guidance and coordination stage of care provision. Levels of detail about the development and structure of interventions are low.ConclusionsmHealth interventions for palliative care in SSA are limited. This is an opportune time to explore how evidence-based mHealth interventions could form part of the evolving palliative care services in the region.
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Thakur, Srinath, Shruti Malagi, and Anirudh B. Acharya. "Evaluation of the Antimicrobial and Anti-inflammatory Efficacy of Two Commercially Available Mouthwashes." Journal of Contemporary Dentistry 7, no. 2 (2017): 119–21. http://dx.doi.org/10.5005/jp-journals-10031-1197.

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ABSTRACT Introduction Various chemical agents are being used as an adjunct to mechanical therapy. Chlorhexidine (CHX), though considered as the gold standard, has certain side effects. The use of herbal products as an adjunctive therapy is thus gaining more popularity. The aim of this study was to evaluate the antimicrobial and anti-inflammatory efficacies of two commercially available mouthwashes. Materials and methods Antimicrobial activity of the mouthwashes was analyzed in vitro by evaluating their minimal inhibitory concentration (MIC) against four microorganisms. The anti-inflammatory efficacy was evaluated in 84 individuals, who were divided into four groups of 21 each based on their gingival index (GI) score. The subjects used the respective mouthwashes allotted to them for 2 weeks. Plaque index (PI), GI, and modified sulcus bleeding index (mSBI) of the participants were recorded at baseline and 14 days. Results The herbal mouthwash was effective against the tested organisms in vitro. The PI and GI scores reduced in all the four groups at the end of 14 days with the CHX group showing more reduction. The herbal mouthwash showed significantly better clinical outcomes when compared with other groups and results comparable to CHX. Conclusion The herbal mouthwash showed antimicrobial and anti-inflammatory effects comparable with that of 0.2% CHX, and may have a potential as an adjunct to scaling and root planing. How to cite this article Thakur S, Malagi S, Acharya AB. Evaluation of the Antimicrobial and Anti-inflammatory Efficacy of Two Commercially Available Mouthwashes. J Contemp Dent 2017;7(2):118-121.
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Tubaishat, Reem Saleem, Zain A. Malkawi, and Zakereyya S. Albashaireh. "The Influence of Different Factors on the Oral Health Status of Smoking and Nonsmoking Adults." Journal of Contemporary Dental Practice 14, no. 4 (2013): 731–37. http://dx.doi.org/10.5005/jp-journals-10024-1392.

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ABSTRACT Aim The aim of this study to determine the influence of smoking on self-reported oral health status among university students. Materials and methods Voluntary sample of 669 adults of 18 to 26 years old were invited to participate in the study. They were asked to read a self-designated questionnaire and a covering letter which explained the purpose of the study. The questionnaire addressed self-reported demographics, oral hygiene and smoking habits; knowledge about smoking and its effects on oral health. Data were statistically analyzed using Chi-square test to determine statistically significant differences across the oral health status. Results The sample included 340 (56.7%) males and 240 (43.3%) females; 56.8% of the subjects were nonsmokers; 43.2% were current smokers, and 17.5% smoke argileh. Almost 24.7% of subjects started smoking because of emotional effects; 66.9% did not smoke because of its harm to health. The percentage of subjects with dental plaque on their teeth was 27.1%, and with calculus was 27.9%, and with stains was 26.9%. About 35.5% of the subjects brushed their teeth once daily. Statistically, significant association was proven between smoking and gender (p < 0.01); and smoking and halitosis (p < 0.01). Conclusion Smoking is significantly related to esthetics, calculus, tooth stains, halitosis, gingival bleeding, and gender with p < 0.01, p < 0.01, p < 0.01, p < 0.01, p = 0.05, and p < 0.01 respectively. How to cite this article Tubaishat RS, Malkawi ZA, Albashaireh ZS. The Influence of Different Factors on the Oral Health Status of Smoking and Nonsmoking Adults. J Contemp Dent Pract 2013;14(4):731-737.
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Malkawi, Zain A., and Reem S. Tubaishat. "Knowledge, Practice and Utilization of Dental Services among Pregnant Women in the North of Jordan." Journal of Contemporary Dental Practice 15, no. 3 (2014): 345–51. http://dx.doi.org/10.5005/jp-journals-10024-1541.

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ABSTRACT Aim The aim of this study was to evaluate women's oral hygiene knowledge, practice, and use of dental services during pregnancy in the north of Jordan. Materials and methods Voluntary sample of 154 pregnant women of 18 to 40 years old were invited to participate in the study. They were asked to read a self-designated questionnaire and a cover letter which explained the purpose of the study. The questionnaire addressed self-reported demographics, knowledge, practice and use of dental services during pregnancy. Data were statistically analyzed using Chi-square test to determine statistically significant differences across knowledge, practice and use of dental services during pregnancy. Results The sample included 29.3% aged 20 to 24 years old; 33.1% having bachelor degree; and 66.9% were housewives. The majority of study sample 68.2% knew they need dental consultation during pregnancy; however, 39.5% received dental consultation during pregnancy. Majority 62.4% brushed their teeth regularly; however, 73.2% does not use auxiliary dental hygiene devices. Majority 44.5% visited dentist, when they feel pain. Statistically significant association were found between educational level and knowledge about need to dental consultation during pregnancy (p = 0.012); educational level and knowledge about link between pregnancy and periodontal diseases (p = 0.01); and economic status and use of auxiliary dental hygiene devices during pregnancy (p = 0.040). Conclusion Pregnant women brushed their teeth regularly and visited dentist occasionally. Income was significantly associated with increase use of auxiliary dental hygiene devices. Educational level was significantly associated with mothers’ knowledge about the need for consultation and possible link between pregnancy and periodontal diseases. How to cite this article Malkawi ZA, Tubaishat RS. Knowledge, Practice and Utilization of Dental Services among Pregnant Women in the North of Jordan. J Contemp Dent Pract 2014;15(3):345-351.
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de Diego-Lázaro, Beatriz, Kevin Winn, and María Adelaida Restrepo. "Cultural Competence and Self-Efficacy After Study Abroad Experiences." American Journal of Speech-Language Pathology 29, no. 4 (November 12, 2020): 1896–909. http://dx.doi.org/10.1044/2020_ajslp-19-00101.

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Purpose Cultural competence is crucial for the successful provision of speech, language, and hearing services. The purpose of this study was to assess and describe gains in cultural awareness, cultural competence, and self-efficacy after service-learning study abroad experiences and to examine whether gains in these areas are related to higher clinical skills ratings in speech-language pathology and audiology students. Method Sixteen speech-language pathology and audiology students participated in two international study abroad experiences (Nicaragua and Malawi). Students completed a survey on cultural awareness, competence, and self-efficacy beliefs and journal entries before, during, and after their trips. In addition, the supervisors assessed the clinical skills of the students by the end of the trip. The researchers applied a mixed-methods approach to analyze data from the survey, clinical ratings, and journals. Results Students showed significant increases in cultural awareness, competence, and self-efficacy. Gains in self-efficacy and cultural awareness were highly correlated with students' clinical ratings in cultural competence as judged by their supervisors. Two main themes were identified from the journal entries: continuing community involvement and growth in cultural self-efficacy. Conclusion Service-learning study abroad experiences help students develop cultural awareness and competence skills and increase their self-efficacy beliefs. Using a mixed-methods approach can help identify strengths and weaknesses in the training of speech-language pathology and audiology students with regard to cultural competence. Supplemental Material https://doi.org/10.23641/asha.12642647
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Cocquyt, Christine, Wolf-Henning Kusber, and Regine Jahn. "Otto Müller’s Surirella taxa (Bacillariophyta) from East Africa, based on a historical collection kept at the Botanic Garden and Botanical Museum Berlin-Dahlem (B)." Afrika Focus 21, no. 1 (February 15, 2008): 65–75. http://dx.doi.org/10.1163/2031356x-02101006.

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At the beginning of the 20th century, Otto Müller described over 100 new freshwater diatom taxa from algae samples, collected during the German “Nyassa-See- und Kinga-Gebirgs-Expedition” in East Africa. He published valuable drawings and wrote detailed descriptions of these microalgae, but subsequent authors regarded many of these African taxa to be synonyms or infraspecific of European species. In the last two decades renewed attention to the diatom flora of East Africa has made it evident that Müller’s taxa have to be reinvestigated, in terms of both light as well as scanning electron microscopy, in order to evaluate possible new or endemic species. This was recently done for his Surirella taxa, a typical component of the African Great Lakes diatom flora of which many species are endemic to this area. Additional data, originating from material of later periods in the same region (e.g. Lakes Tanganyika, Malawi, Victoria, Edward), was incorporated in the investigation to study the variability in valve morphology and the African distribution of each species. Otto Müller’s samples thus provide the means to study historical African diatom diversity as a baseline for modern biodiversity assessment Type information and the English description for taxon have been published in international journals and online at the AlgaTerra Information System [www.algaterra.org], a site developed and updated by the Botanic Garden and Botanical Museum Berlin-Dahlem (BGBM). High resolution digital photographs of the Surirella taxa will also be available in the future on the API website [www.aluka.org.
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Brittan, Francesca. "Berlioz and the Pathological Fantastic: Melancholy, Monomania, and Romantic Autobiography." 19th-Century Music 29, no. 3 (2006): 211–39. http://dx.doi.org/10.1525/ncm.2006.29.3.211.

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Both the literary program of Berlioz's Symphonie fantastique and his personal letters dating from the year of the work's composition are suffused with the rhetoric of illness, detailing a maladie morale characterized by melancholy, nervous "exultation," black presentiments, and a malignant idee fixe.. Often mistakenly identified as a term new to the 1830s, the idee fixe has a considerably longer history, dating from the first decade of the nineteenth century when it appeared in the writings of French psychiatrists Etienne Esquirol and Jean-Etienne Georget. Both Esquirol's early writings on insanity and his seminal 1838 treatise identify mental "fixation" as the primary symptom of monomania, the most contentious and well-known mental disease of the period, and one with far-reaching implications not only for medicine but for Romantic literature, philosophy, and autobiography. Examination of the disease's early reception reveals that, well before Berlioz, the psychiatric terminology surrounding monomania had been absorbed into popular discourse. Malignant and humorous idee fixes appeared in cartoons, diaries, and newspaper articles from the 1810s onward, and in fictional works by Hoffmann, Duras, Scribe, Balzac, and others. Here, and in essays published in musical and literary journals of the period, monomania emerged as an increasingly aestheticized malady, and the idee fixe itself as a signal, not of mental debilitation, but of creative absorption and artistic inspiration. When Berlioz figured himself as a monomaniac, both in his personal writing and his symphonic program, he was responding to a discourse of "creative aberration" permeating Romantic literary and medical culture, and to a fashionable fascination with mental pathology. Berlioz was by no means the only artist of the period to diagnose himself with the symptoms of mental fixation. Musset, Janin, and Georges Sand also described themselves in monomaniacal terms in autobiographical "confessions" permeated with references to hallucination, fixation, and emotional pathology. Indeed, we can draw clear parallels between the veiled self-referentiality of the Fantastique and the autobiographical strategies of the Romantic Confession. Berlioz's "self-sounding" resonates with a host of other confessional autobiographies of the period and reflects the collapse between inspiration and insanity, between anatomy and aesthetics, underpinning early-nineteenth-century theories of genius.
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Padma, R., Saakshi Goel, M. Shriniwas, Annaji Shreedhara, Sachin Malagi, B. Radhika, and BS Jagadish Pai. "Comparative Evaluation of Oxygen Saturation Levels using Pulse Oxymeter during Nonsurgical and Surgical Periodontal Therapy in Chronic Periodontitis Patients." Journal of Contemporary Dental Practice 13, no. 5 (2012): 661–64. http://dx.doi.org/10.5005/jp-journals-10024-1205.

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ABSTRACT Background and aim Monitoring is the global method of observation and data recording in relation to body organ and system function that afford constant information to ensure continuous evalutation of the patient's physical condition. Basic monitoring provides essential information for assessing the vital signs, both circulatory and respiratory, and fundamentally comprises the control of blood pressure (BP) and heart rate (HR) and rhythm. Pulse oxymetry is used to record HR and oxygen saturation. The objective of the study was to assess and compare hemodynamic changes by monitoring oxygen saturation level changes during periodontal surgical and nonsurgical therapy. Materials and methods A cross-sectional observational study was conducted in 30 chronic periodontitis patients. Patients were divided into two groups; Group A consisted of 15 patients undergoing surgical periodontal therapy, Group B consisted of 15 patients undergoing nonsurgical periodontal therapy. The hemodynamic changes were evaluated by monitoring HR and oxygen saturation level using pulse oxymeter (SaO2). HR and SaO2 were monitored continuously and registered pre-operatively, i.e. 10 minutes before the procedure, intra-operatively and postoperatively, i.e. 10 minutes after the procedure. One-way analysis of variance test (ANOVA) was performed for data analysis. Results Both the groups showed a slight fall in oxygen saturation levels intraoperatively, but within the normal range. More decrease in oxygen saturation levels was observed in nonsurgical periodontal therapy as compared to surgical periodontal therapy at intraoperative levels. The differences in the values were statistically significant. There was no statistical difference seen in the postoperative and preoperative values. Conclusion Most of the hemodynamic changes induced during the periodontal therapy were within normal limits, taking into consideration the anxiety and stress produced by the surgical intervention. The hemodynamic change was more in nonsurgical as compared to surgical periodontal therapy. How to cite this article Padma R, Goel S, Shrinivas M, Shreedhara A, Malagi S, Radhika B, Pai BSJ. Comparative Evaluation of Oxygen Saturation Levels using Pulse Oxymeter during Nonsurgical and Surgical Periodontal Therapy in Chronic Periodontitis Patients. J Contemp Dent Pract 2012;13(5): 661-664.
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Malagi, Sachin, Nihal Devker, Jyoti Mohitey, Akshay Vibhute, Vivek Singh Chouhan, Prithviraj Chavan, and Rosemary Joseph. "A Study to evaluate and compare the Efficacy of Preprocedural Mouthrinsing and High Volume Evacuator Attachment Alone and in Combination in Reducing the Amount of Viable Aerosols Produced during Ultrasonic Scaling Procedure." Journal of Contemporary Dental Practice 13, no. 5 (2012): 681–89. http://dx.doi.org/10.5005/jp-journals-10024-1209.

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ABSTRACT Background and objectives In recent years, ultrasonics has gained prime importance and is considered a valuable tool in the dentist's armamentarium. Studies have confirmed that an aerosolized bacterial contamination is produced during the use of ultrasonic scalers. Aim To evaluate and compare the efficacy of preprocedural mouthrinsing using a bis-biguanide (chlorhexidine gluconate 0.2%) and high volume evacuator attachment alone and in combination in reducing the amount of viable aerosols produced during ultrasonic scaling procedure. Materials and methods A total 90 subjects were assigned to group I (who rinsed with 0.2% chlorhexidine gluconate prior to scaling), group II (high volume evacuator attachment was used during ultrasonic scaling) and group III (who rinsed with 0.2% chlorhexidine gluconate prior to scaling and in whom high volume evacuator attachment was used during ultrasonic scaling). Control group consisted of subject's whose mouth was scaled using a piezoelectric ultrasonic scaler without preprocedural rinsing or high volume suction. Aerosol samples were collected using blood agar plates. The blood agar plates containing the aerosol sample were taken to the microbiology department as soon as the sampling was over and were subjected to aerobic culturing. Results The values obtained showed that all the three groups were effective in reducing the mean colony forming units (CFUs). Conclusion The results of this study showed that preprocedural rinse and high volume suction were effective when used alone as well as together in reducing the microbial load of the aerosols produced during ultrasonic scaling. There was a significant reduction in the number of CFUs in aerosol samples obtained. How to cite this article Devker N, Mohitey J, Vibhute A, Chouhan VS, Chavan P, Malagi S, Joseph R. A Study to evaluate and compare the Efficacy of Preprocedural Mouthrinsing and High Volume Evacuator Attachment Alone and in Combination in Reducing the Amount of Viable Aerosols Produced during Ultrasonic Scaling Procedure. J Contemp Dent Pract 2012;13(5): 681-689.
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Lieberman, Lisa. "Romanticism and the Culture of Suicide in Nineteenth-Century France." Comparative Studies in Society and History 33, no. 3 (July 1991): 611–29. http://dx.doi.org/10.1017/s0010417500017205.

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An anonymous comment on the suicidal inclinations of great men appeared among the regular articles in an 1850 issue of the highly regarded journal of mental hygiene, the Annales médico-psychologiques. “Some curious rapprochements might be drawn,” the author suggested, “given the frequency with which this thought occurs among celebrated men; but it is clear that if insanity were the sole possible explanation, only the lot of the common people would be desirable.” On one level, this statement represents an editorial contribution to an intense debate taking place in the journal's pages concerning the relationship between suicide and insanity. Although most nineteenthcentury observers associated self-destructive behavior with mental instability, viewing the individual who sought to put an end to his existence as weak, if not perverse, a certain mystique also surrounded suicide at this time. Images of Christian martyrs who willingly courted death in preference to leading lives of pagan dishonor, of the self-sacrificing heroes of antiquity, existed alongside more contemporary renderings of unrequited lovers and world-weary young men familiar to readers of Romantic novels and the faits divers. A longing for death was a sign of sensitivity and artistic promise. “Suicide,” wrote the influential critic, Saint-Marc Girardin, “is not the malady of one who is simple of heart or in mind; it is the malady of the refined and of philosophers.” Alphonse de Lamartine, George Sand, Alfred de Musset, Benjamin Constant, and the Vicomte de Chateaubriand all confessed to having been tempted to kill themselves in their youth. No less an idol than Napoleon Bonaparte was known to have entertained morbid ideas on occasion.
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Mosler, Gioia, Victoria Oyenuga, Emmanuel Addo-Yobo, Olayinka Olufunke Adeyeye, Refiloe Masekela, Hilda Angela Mujuru, Rebecca Nantanda, Sarah Rylance, Ismail Ticklay, and Jonathan Grigg. "Achieving Control of Asthma in Children in Africa (ACACIA): protocol of an observational study of children’s lung health in six sub-Saharan African countries." BMJ Open 10, no. 3 (March 2020): e035885. http://dx.doi.org/10.1136/bmjopen-2019-035885.

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IntroductionLittle is known about asthma control in the rising number of African children who suffer from this condition. The Achieving Control of Asthma in Children in Africa (ACACIA) study is an observational study collecting evidence about paediatric asthma in urban areas of Ghana, Malawi, Nigeria, South Africa, Uganda and Zimbabwe. The primary objectives are: (1) to identify 3000 children aged between 12 years and 14 years with asthma symptoms; and (2) to assess their asthma control, current treatment, knowledge of and attitudes to asthma and barriers to achieving good control. Secondary objective is to develop interventions addressing identified barriers to good symptom control.Methods and analysisEach centre will undertake screening to identify 500 school children with asthma symptoms using questions from the Global Asthma Network’s questionnaire. Children identified to have asthma symptoms will fill in a digital survey, including: Asthma Control Test, questions on medication usage and adherence, medical care, the Brief-Illness Perception questionnaire and environmental factors. Exhaled nitric oxide testing and prebronchodilator and postbronchodilator spirometry will be performed. A subgroup of children will participate in focus group discussions. Results will be analysed using descriptive statistics and comparative analysis. Informed by these results, we will assess the feasibility of potential interventions, including the adaption of a UK-based theatre performance about asthma attitudes and digital solutions to improve asthma management.Ethics and disseminationThe ACACIA study has been reviewed by the Queen Mary University of London Ethics of Research Committee in the UK. All African centres have received local ethical approval for this study. Study results will be published in academic journals and at conferences. Study outputs will be communicated to the public via newsfeeds on the ACACIA website and Twitter, and through news media outlets and other local dissemination.Trial registration number269211.
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Chikowe, Ibrahim, Andrew G. Mtewa, David Tembo, Dallas Smith, Edna Ibrahim, Bonface Mwamatope, Justin Nkhungulu, Peter Kumpalume, Peter Kumpalume, and Alfred Maroyi. "Potential of Malawi’s medicinal plants in Covid-19 disease management: A review." Malawi Medical Journal 33, no. 2 (June 30, 2021): 85–107. http://dx.doi.org/10.4314/mmj.v33i2.4.

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The Coronavirus Disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has triggered an international pandemic that has led to significant public health problems. To date, limited evidence exists to suggest that drugs are effective against the disease. As possible treatments are being investigated, herbal medicines have shown potential for producing novel antiviral agents for the COVID-19 disease. Aim This review explored the potential of Malawi’s traditional medicinal plants for the management of COVID-19. MethodsThe authors searched on PubMed and Google scholar for medicinal plants that are used in Malawi and published in openly available peer reviewed journals. Plants linked with antiviral treatment, anti-COVID-19 activity or COVID-19 symptoms management were targeted. These included activity against pneumonia, inflammation, cough, difficulty in breathing, pain/aches, fever, diarrhoea, rheumatism, fatigue, asthma, immunocompromised and cardiovascular diseases.Results11 studies were found with 306 plant species. 127 plant species had at least one COVID-19 related pharmacological activity. Of these plant species, the number of herbal entities used for each indication was: pain/aches (87), fever (2), pneumonia (9), breathing/asthma problems (5), coughing (11), diarrhoea (1), immunosuppression (8), blood issues (10), fatigue (2), heart problems (11), inflammation (8), rheumatism (10) and viral diseases (12). Thirty (30) species were used for more than one disease and Azedarachta indica topped the list (6 of the 13 COVID-19 related diseases). The majority of the species had phytochemicals known to have antiviral activity or mechanisms of actions linked to COVID-19 and consequent diseases’ treatment pathways.ConclusionMedicinal plants are a promising source of compounds that can be used for drug development of COVID-19 related diseases. This review highlights potential targets for the World Health Organization and other research entities to explore in order to assist in controlling the pandemic.
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Ferris, Lorraine E., and Robert H. Fletcher. "Conflict of Interest in Peer-Reviewed Medical Journals: The World Association of Medical Editors (WAME) Position on a Challenging Problem." Philippine Journal of Otolaryngology-Head and Neck Surgery 25, no. 1 (June 16, 2010): 4–6. http://dx.doi.org/10.32412/pjohns.v25i1.645.

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Conflict of interest in medical publishing exists when a participant’s private interests compete with his or her responsibilities to the scientific community, readers, and society. While conflict of interest is common, it reaches the level of concern when “a reasonable observer might wonder if the individual’s behavior or judgment was motivated by his or her competing interests”1. Having a competing interest does not, in itself, imply wrongdoing. But it can undermine the credibility of research results and damage public trust in medical journals. In recent years, the extent of conflict of interest in medical journal articles has been increasingly recognized. Medical journals and the popular media have published numerous examples of competing interests that seemed to have biased published reports 2,3,4. Organizations have expressed concern for the effects of conflicts of interest on research 5, publication 1,6,7 teaching8 and continuing medical and nursing education9. The World Association of Medical Editors (WAME) is one of the institutions engaged in this discussion. WAME was established in 1995 10, 11 to facilitate worldwide cooperation and communication among editors of peer-reviewed journals, improve editorial standards, and promote professionalism in medical editing 12. Membership in WAME is open to all editors of peer-reviewed biomedical journals worldwide; small journals in resource-poor countries are well represented. As of December 2009, WAME had 1595 individual members representing 965 journals in 92 countries. WAME has broad participation as there are no dues and WAME activities are largely carried out through the member list serve and the member password-protected website. In March 2009, WAME released an updated policy statement, “Conflict of Interest in Peer-Reviewed Medical Journals” 1. It details the issues WAME believes journals should address when establishing their own policies for conflict of interest. The editors of this journal thought that the issues were important enough to share with its readers. A summary of the statement is presented in the Table and the full statement 1 can be found on WAME’s website 12. How Does This Statement Differ From Earlier Conflict–of-Interest Statements? First, WAME expands the scope of competing interests. Other statements have been concerned almost exclusively with conflicts of interest related to financial ties to industry – companies that sell healthcare products. The assumption is that financial incentives are especially powerful and are not readily recognized without special efforts to make them apparent. WAME has extended the concept of financial conflict of interest to include the effects of clinical income. For example, physicians who earn their livelihood by reading mammograms or performing colonoscopies may be biased in favor of these technologies. WAME has also included non-financial conflicts of interest (or the appearance of one) related to scholarly commitment: “intellectual passion,” (the tendency to favor positions that one has already espoused or perhaps even established); personal relationships (the tendency to judge the works of friends/colleagues or competitors/foes differently because of the relationship); political or religious beliefs (the tendency to favor or reject positions because it affirms or challenges one’s political or religious beliefs); and institutional affiliations (the tendency to favor or reject results of research because of one’s institutional affiliations). Second, WAME did not prescribe a universal standard for when meaningful conflict of interest exists. Rather, it defined and recommended elements of conflict of interest policies and encouraged journals to establish their own standards. WAME left operational definitions and standards on the basic issues to member journals, recognizing that journals exist in very different contexts across the globe, standards for conflict of interest are evolving, and some journals already have well-established policies and standards. WAME does not presume to judge which conflicts require action and what the appropriate action may be, although its policy does offer factors to consider 1. Obviously, excessive concern for these and more comprehensive lists of possible competing interests could paralyze the peer review and publication process and is not feasible. Editors must make judgments as to the strength of the conflict, but to do so must have uncensored information. Similarly, readers need transparency about conflicts, and therefore editors should publish with every article all relevant author disclosures 1. Third, WAME confirms the seriousness of failure to disclose conflict of interest by indicating that editors have a responsibility for investigating, and if relevant acting, if competing interests surface after a manuscript is submitted or published. The intent is that allegations of failure to declare conflicts of interest must be taken seriously by journals. Finally, WAME has addressed in a single statement the conflicts of interests threatening all participants in the research and publication continuum, including authors, peer reviewers, and editors. Conflicts between editors and journal owners, which might affect both the accuracy of articles and the credibility of journals, have been addressed in another WAME policy statement 13. What Can Be Done About Conflict of Interest in Medical Journals? Conflicts of interest cannot be eliminated altogether but it can be managed so that it has the smallest possible effects on journal content and credibility. The backbone of managing conflicts of interest is full written disclosure; without it, nothing else is possible. Currently, authors may not reveal all of their competing interests and even if they do, journals too often do not publish them 14, so there is plenty of room for improvement. Even so, disclosure alone is an imperfect remedy; editors still must determine whether a conflict has sufficient potential to impair an individual’s objectivity such that the article should not be published. Even more work may be needed on reviewers’ and editors competing interests, given their critical role as gatekeepers for the medical literature. No statement will solve the conflict of interest problem, nor will it ever be solved altogether. As understanding of the problem and its management evolves, journals should be given latitude to establish their own standards, matching their policies to the best standards of their discipline and culture. WAME believes journals should make these policies readily accessible to everyone. All of us—editors, authors, reviewers, and readers--should be paying more attention to conflict of interest than we have been. We hope this statement serves that purpose. Acknowledgment The authors wish to warmly thank the World Association of Medical Editors (WAME) Officers for their helpful comments on an earlier version of this editorial. Many thanks to President Margaret Winker (USA); Past President Michael Callaham (USA); Vice-President John Overbeke (Netherlands); Treasurer Tom Lang (USA); and Secretary Farrokh Habibzadeh (Iran). The WAME Statement on Conflict of Interest in Peer-Reviewed Medical Journals was approved by the WAME Board in March 2009. Many thanks to the members of the WAME Ethics Committee and to the WAME Editorial Policy Committee for their insightful and helpful comments on an earlier version of the statement. Warm thanks to the WAME Board for their input and comments: Margaret Winker; Michael Callaham; John Overbeke; Tom Lang; Farrokh Habibzadeh; Adamson Muula (Malawi) and Rob Siebers (New Zealand).
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Rosenberg, Nora E., Audrey E. Pettifor, Laura Myers, Twambilile Phanga, Rebecca Marcus, Nivedita Latha Bhushan, Nomtha Madlingozi, et al. "Comparing four service delivery models for adolescent girls and young women through the ‘Girl Power’ study: protocol for a multisite quasi-experimental cohort study." BMJ Open 7, no. 12 (December 2017): e018480. http://dx.doi.org/10.1136/bmjopen-2017-018480.

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IntroductionIn sub-Saharan Africa, adolescent girls and young women (AGYW) face a range of sexual and reproductive health (SRH) challenges. Clinical, behavioural and structural interventions have each reduced these risks and improved health outcomes. However, combinations of these interventions have not been compared with each other or with no intervention at all. The ‘Girl Power’ study is designed to systematically make these comparisons.Methods and analysisFour comparable health facilities in Malawi and South Africa (n=8) were selected and assigned to one of the following models of care: (1)Standard of care: AGYW can receive family planning, HIV testing and counselling (HTC), and sexually transmitted infection (STI) syndromic management in three separate locations with three separate queues with the general population. No youth-friendly spaces, clinical modifications or trainings are offered, (2)Youth-Friendly Health Services (YFHS): AGYW are meant to receive integrated family planning, HTC and STI services in dedicated youth spaces with youth-friendly modifications and providers trained in YFHS, (3)YFHS+behavioural intervention (BI): In addition to YFHS, AGYW can attend 12 monthly theory-driven, facilitator-led, interactive sessions on health, finance and relationships, (4)YFHS+BI+conditional cash transfer (CCT): in addition to YFHS and BI, AGYW receive up to 12 CCTs conditional on monthly BI session attendance.At each clinic, 250 AGYW 15–24 years old (n=2000 total) will be consented, enrolled and followed for 1 year. Each participant will complete a behavioural survey at enrolment, 6 months and 12 months . All clinical, behavioural and CCT services will be captured. Outcomes of interest include uptake of each package element and reduction in HIV risk behaviours. A qualitative substudy will be conducted.Ethics/disseminationThis study has received ethical approval from the University of North Carolina Institutional Review Board, the University of Cape Town Human Research Ethics Committee and Malawi’s National Health Sciences Research Committee. Study plans, processes and findings will be disseminated to stakeholders, in peer-reviewed journals and at conferences.
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Alalawi, Ahmed, Alejandro Luque-Suarez, Manuel Fernandez-Sanchez, Alessio Gallina, David Evans, and Deborah Falla. "Do measures of physical function enhance the prediction of persistent pain and disability following a whiplash injury? Protocol for a prospective observational study in Spain." BMJ Open 10, no. 10 (October 2020): e035736. http://dx.doi.org/10.1136/bmjopen-2019-035736.

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IntroductionNot all factors that predict persistent pain and disability following whiplash injury are known. In particular, few physical factors, such as changes in movement and muscle behaviour, have been investigated. The aim of this study is to identify predictive factors that are associated with the development of persistent pain and disability following a whiplash injury by combining contemporary measures of physical function together with established psychological and pain-related predictive factors.Methods and analysisA prospective observational study will recruit 150 consecutive eligible patients experiencing whiplash-related symptoms, admitted to a private physiotherapy clinic in Spain within 15 days of their whiplash injury. Poor outcome will be measured using the Neck Disability Index (NDI), defined as an NDI score of 30% or greater at 6 months post injury. Candidate predictors, including demographic characteristics, injury characteristics, pain characteristics, self-reported psychosocial factors and physical factors, will be collected at baseline (within 15 days of inception). Regression analyses will be performed to identify factors that are associated with persistent neck pain and disability over the study period.Ethics and disseminationThe project has been approved by the Ethics Committee of the province of Malaga, Spain (#30052019). The results of this study will be published in peer-reviewed journals.
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Sunarko, Andreas Sese. "Fungsi Keluarga dalam Persepektif Alkitab sebagai Basis Pendidikan Agama Kristen." Jurnal Pendidikan Agama Kristen (JUPAK) 2, no. 1 (June 16, 2021): 79–93. http://dx.doi.org/10.52489/jupak.v2i1.15.

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The family is an institution of God Himself (Genesis 2:18-25) aside from the church (Matthew 16:18) obtaining a glorious mandate through God's family to want the birth of Divine offspring (Malachi 2:15), which is a God-fearing and living in its prescribed streets. To achieve the above goal, a Christian Religious Education of faith became something very important. But unfortunately there are Christian families who are unaware of this and are shifting this glorious mandate to the church through sunday school teachers or transferring it to school (through Christian religious teachers). The writer assesses this distraction on the one hand as a parent's misunderstanding of the mandate or on the other hand because of the parents' inability to handle it. The method the writer uses is a descriptive qualitative with a library approach. The writer tapped relevant resources from the bible, books and journals. Starting with a general understanding and juridis about the family, the Biblical basis of the family and its calling, the family's responsibility for Christian Religious Education and the danger of displacing the function of Christisn Religious Education on the third hand and the writer will eventually conclude that it is important to restore the family's function as a base of Christian Religious Education as well as to accord with scriptural values to be so effective in reaching the goal of bearing Divine offspring.
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Pinto Tortosa, Antonio Jesús. "En casa del cacique: Azorín y Romero Robledo, “En el Romeral” = At the Cacique’s Home: Azorín and Romero Robledo, «En el Romeral»." Espacio Tiempo y Forma. Serie V, Historia Contemporánea, no. 32 (June 23, 2020): 231. http://dx.doi.org/10.5944/etfv.32.2020.26473.

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rancisco Romero Robledo (1838-1906) fue uno de los artífices de la entronización de Alfonso XII y el advenimiento de la Restauración Borbónica (1875-1931). Como Ministro de la Gobernación al servicio de Antonio Cánovas, en el Partido Conservador, se encargó de garantizar el buen funcionamiento del sistema caciquil en España. Poco antes de morir, enfermo de cáncer, ejercería como Presidente del Congreso de los Diputados (1903-1905). Fue entonces cuando el periodista Azorín solicitó entrevistarse con él, a lo que Romero accedió de buen grado. Tras un fin de semana en casa del cacique, la finca antequerana de «El Romeral» (Málaga), Azorín decidió incumplir su misión, publicando, en lugar de la entrevista, las confidencias del personaje en un entorno informal que molestó a este y sus allegados, y que se analiza con detenimiento en el presente artículo. AbstractFrancisco Romero Robledo (1838-1905) sponsored the coronation of Alfonso XII and the start of the Spanish Restauración Borbónica (1875-1931). As Ministry of Internal Affairs in the government of Antonio Cánovas, head of the Partido Conservador, he guaranteed the proper working of state corruption. Before dying of cancer in 1906, they appointed him chairman of the Parliament. It was then that journalist Azorín asked to interview him. Romero accepted, and after spending a weekend at his home, at the state known as «El Romeral», in Antequera (Malaga), Azorín changed his mind: instead of interviewing the despot, he published an accurate description of Romero’s private conversations that the latter took as an offense. In this article I study the elements that Azorín mentions in that article.
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Kaggwa, Mark Mohan, Jonathan Kajjimu, Jonathan Sserunkuma, Sarah Maria Najjuka, Letizia Maria Atim, Ronald Olum, Andrew Tagg, and Felix Bongomin. "Prevalence of burnout among university students in low- and middle-income countries: A systematic review and meta-analysis." PLOS ONE 16, no. 8 (August 30, 2021): e0256402. http://dx.doi.org/10.1371/journal.pone.0256402.

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Background Burnout is common among university students and may adversely affect academic performance. Little is known about the true burden of this preventable malady among university students in low-and-middle-income countries (LMICs). Objectives This study aimed to systematically estimate the prevalence of burnout among university students in LMICs. Methods We searched PubMed, Google Scholar, CINAHL, Web of Science, African Journals Online, and Embase from the inception of each database until February 2021. Original studies were included. No study design or language restrictions were applied. A random-effects meta-analysis was performed using STATA version 16.0. Heterogeneity and publication bias were assessed using Q-statistics and funnel plots, respectively. Results Fifty-five unique articles, including a total of 27,940 (Female: 16,215, 58.0%) university students from 24 LMICs were included. The Maslach Burnout Inventory (MBI) was used in 43 studies (78.2%). The pooled prevalence of burnout was 12.1% (95% Confidence Interval (CI) 11.9–12.3; I2 = 99.7%, Q = 21,464.1, p = < 0.001). The pooled prevalence of emotional exhaustion (feelings of energy depletion), cynicism (negativism), and reduced professional efficacy were, 27.8% (95% CI 27.4–28.3; I2 = 98.17%. p = <0.001), 32.6 (95% CI: 32.0–33.1; I2: 99.5%; p = < 0.001), and 29.9% (95% CI: 28.8–30.9; I2: 98.1%; p = < 0.001), respectively. Conclusion Nearly one-third of university students in LMICs experience burnout. More studies are needed to understand the causes of burnout in this key population. There is a need to validate freely available tools for use in these countries.
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Komodromos, Marcos. "Interactive radio, social network sites and development in Africa: a literature review study." Journal of Enterprising Communities: People and Places in the Global Economy 15, no. 2 (April 5, 2021): 282–95. http://dx.doi.org/10.1108/jec-06-2020-0111.

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Purpose The technology determinism theory facilitated in assessing the impact of interactive radio and social network sites (SNSs) on development factors such as education, agriculture, health, and governance, by conducting an integrative and comprehensive literature review focusing on African countries. This paper aims to conduct this literature review to provide comprehensive empirical evidence on the impact of interactive radio and SNSs on development in Africa. Design/methodology/approach This study examined articles that were retrieved from online databases including EBSCOhost, Elsevier, Science Direct, SAGE Journals, Springer and Wiley Online Library. The keywords used included interactive radio, radio, development in Africa, SNS, agriculture, education, health, peace and governance. Search phrases were formulated using boolean operators “AND” and “OR.” Findings Study results revealed that interactive radio and SNSs improve knowledge among farmers and allow the dissemination of information on innovative agricultural techniques, which supports the adoption of sustainable practices. Interactive radio promotes political accountability because the strategies provide the voiceless and powerless communities with a platform to express themselves. This paper discovers that the incorporation of SNS with existing multimedia communication facilitates the dissemination of health-related information on illnesses such as Ebola, HIV, hypertension, diabetes and Polio, and interactive radio and SNS promote education among marginalized communities and under-served rural schools. Research limitations/implications The findings on the impact of interactive radio and SNSs do not represent all 54 countries in Africa. Although the studies included in this literature review were conducted in several countries such as South Africa, Nigeria, Somalia, Kenya, Malawi, Ghana, Tanzania, Uganda and Zambia, this limited the generalizability of the findings and recommendations. Also, the other potential limitation is that using the inclusion-exclusion criteria could have resulted in bias when selecting the studies to include in the review. Practical implications The paper might serve as a valuable source of information for students, academics and entrepreneurs where the impact of interactive radio and SNSs on agriculture, education, health and governance, which are core determinants of development in Africa, has been assessed for further case studies in this area. Social implications The use of interactive radio has helped in decreasing health issues caused by a deficiency in vitamin A among children in sub-Saharan Africa. Originality/value The development of sustainable and effective interactive radio programs is dependent on the collaboration of the core stakeholders such as governmental ministries, donor organizations and the mass communication sector. Numerous open sources on technology radio stations are available to employ social media managers to help in the application of knowledge.
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Marzal-Felici, Javier, and María Soler-Campillo. "Consumption Patterns and Uses of Photography in Digital Era among Communication Students." Comunicar 19, no. 37 (October 1, 2011): 109–16. http://dx.doi.org/10.3916/c37-2011-03-02.

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This paper presents the results of a research study exploring consumer behaviour and uses of photography among first-year students of the Degrees in Journalism, Audiovisual Communication, and Advertising and Public Relations in four Spanish universities (University of Malaga, University of Santiago de Compostela, University of the Basque Country and Universitat Jaume I in Castellón). As it is well known, the emergence of digital technologies has caused far-reaching transformations in the field of photography. These changes have affected production, distribution and circulation processes. However, digital technology has particularly changed the concept of photography itself as a means of expression and communication, above all among young people. Changes in how photography is perceived nowadays, brought about by the onset of digitalization, in turn raises a series of questions that merit reflection. To this end, a survey was designed and administered to a total of 467 communication sciences students in Spain. The results of this research reveal, on the one hand, how these communication students relate to the use of photography today; on the other hand, and more importantly, the results throw some light on how to approach the teaching of digital photography in a higher education context.Se presenta una investigación sobre los hábitos de consumo y usos de la fotografía entre estudiantes de primer curso de las licenciaturas en periodismo, comunicación audiovisual y publicidad y relaciones públicas, en cuatro universidades españolas (Universidad de Málaga, Universidad de Santiago de Compostela, Universidad del País Vasco y Universitat Jaume I de Castellón). Como es sabido, la aparición de las tecnologías digitales en el campo de la fotografía ha provocado profundas transformaciones en el panorama fotográfico. Estos cambios han afectado a los procesos de producción, a los modos de distribución y circulación de las imágenes. Pero, sobre todo, ha tenido notables consecuencias en la forma misma de conceptualizar la fotografía como forma de expresión y comunicación, y en los usos de la fotografía, en especial entre los más jóvenes. La digitalización ha contribuido a transformar, asimismo, la propia percepción del medio fotográfico, que merece una reflexión en estos momentos. A tal fin, se ha diseñado una encuesta que ha sido realizada a un total de 467 estudiantes de ciencias de la comunicación de nuestro país. En definitiva, el análisis de las respuestas que ofrece la presente investigación nos ha permitido, por un lado, tomar conciencia sobre cómo se relacionan estos estudiantes de comunicación con el medio fotográfico en la actualidad. Pero, sobre todo, se trata de una investigación que nos ofrece algunas pistas sobre cómo abordar, en plena era digital, la enseñanza de la fotografía en el contexto educativo universitario.
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Arifin, Bustanul, and Nur Afni Damanik. "THE IMPLEMENTATION OF INDONESIA’S COUNTER PIRACY STRATEGIES THROUGH MULTILATERAL COOPERATION IN THE MALACCA STRAIT (2004-2009)." Verity: Jurnal Ilmiah Hubungan Internasional (International Relations Journal) 12, no. 23 (June 29, 2020): 5. http://dx.doi.org/10.19166/verity.v12i23.2482.

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<p><span>International Maritime Organization data shows that the trend in piracy in the Malacca Strait was significant from 2000-2004. In 2005, the Malacca Strait was categorised as a high-risk zone by the Lloyd’s Joint War Risk Committee. In the 2000s, post 9/11 terrorist attacks have galvanised the rising concern of the international community over the security of the Malacca Strait since there was a concern that sea piracy could lead to sea terrorism. Prior to 2004, apart from conducting unilateral patrols, Indonesia had bound itself to engage in bilateral cooperation with Malaysia and Singapore respectively. During 2004-2009, there were multiple multilateral cooperation initiatives proposed to Indonesia of which Indonesia responded in different ways. This research employs the qualitative method utilising journals, reports, official documents, and books to analyse the implementation of Indonesia’s counter piracy strategy in the Strait of Malacca from 2004-2009. Indonesia’s counter piracy strategy was implemented through MALSINDO Coordinated Patrol, Eyes in the Sky, which is later followed by the Malacca Strait Patrol – Intelligence Exchange Group (MSP-IEG). The launch of coordinated sea patrols of MALSINDO in 2004 was followed with the air patrol of the Eyes in the Sky in 2005 and ended with the information sharing system through MSP-IEG in 2006. The multilateral cooperation conducted by Indonesia, Malaysia, and Singapore has shown a positive result regarding the strategy to counter piracy in the Malaca Strait.</span></p><p><strong>Bahasa Indonesia Abstract: </strong>Data Organisasi Kelautan Internasional menunjukkan tren perompakan di Selat Malaka dengan keberadaan yang signifikan dari 2000-2004. Pada tahun 2005, Selat Malaka dikategorikan sebagai zona berisiko tinggi oleh Komite Risiko Perang Bersama Lloyd. Pada tahun 2000-an, pasca serangan teroris 11 September telah membangkitkan keprihatinan masyarakat internasional atas keamanan Selat Malaka karena ada gagasan perompakan laut dapat beresiko terhadap terorisme laut. Sebelum tahun 2004, selain melakukan patroli sepihak, Indonesia telah mengikat diri untuk terlibat dalam kerjasama bilateral dengan Malaysia dan Singapura. Dalam periode 2004-2009, ada beberapa inisiatif kerjasama multilateral yang diajukan untuk penanggulangan perompakan di Selat Malaka dimana Indonesia memberikan respon yang berbeda. Penelitian ini menggunakan metode kualitatif berdasarkan jurnal, laporan, dokumen resmi, dan buku untuk menganalisa pelaksanaan strategi Indonesia dalam penanggulangan perompakan di Selat Malaka dalam periode 2004-2009. Strategi penanggulangan perompakan Indonesia diimplementasikan melalui Patroli Terkoordinasi MALSINDO, Eyes in the Sky, yang kemudian diikuti dengan Patrol Selat Malaka - Pertukaran Informasi Intelijen. Peluncuran patroli laut terkoordinasi MALSINDO pada tahun 2004 diikuti dengan patroli udara Eyes in the Sky pada tahun 2005 dan dilengkapi dengan sistem pembagian informasi melalui MSP-IEG pada tahun 2006. Kerjasama multilateral yang dilakukan oleh Indonesia, Malaysia, dan Singapura menunjukkan hasil positif terhadap strategi untuk menanggulangi perompakan di Selat Malaka.</p>
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Nyirongo, Mwaona. "From watchdog to lapdog: political influence of China on news reporting in Malawi." Afrika Focus 33, no. 2 (December 20, 2020). http://dx.doi.org/10.21825/af.v33i2.17575.

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The arrival of China in Malawi has been characterised by a growing sense of uncertainty among academics who have expressed concern over the intentions of the superpower in the country. There are fears that China would like to extend its influence to Malawi as part of a broader push to increase its influence in global politics and economics. That push is in part exercised through the media. This study analyses the perception of Malawian journalists on news media reports of Chinese activities in Malawi. It uses content analysis to understand how the mediascape had changed from 2001-2007 when China had not yet established diplomatic relations with Malawi, and the period from January 2008-2020 in which diplomatic relations with China have existed. The article examines the shifts in journalistic representations of China in Malawi and develops prompts and probes from which journalist interviews were conducted. From the content analysis, it appears that from 2001-2007, Malawian media, especially The Daily Times, was very negative about China, uncritically reproducing Western representations of China. This changed after January 2008 when the press leaned towards an acknowledgement of Chinese activities. Through interviews journalists have indicated that the Chinese government offers certain opportunities such as exchange visits to journalists, making it difficult for them to bite the hand that feeds them. This ‘soft power’ is backed up by the repressive power of the Malawian government that uses intimidation to force journalists to report in their favour, thereby helping to create a positive image for China in Malawi. Journalists report that the significant shifts in journalistic representations of China have been mirrored by changes in the conceptualisation of journalistic roles in Malawi’s mediascape. KEY WORDS: SOLUTION JOURNALISM, CONSTRUCTIVE JOURNALISM, CHINESE MEDIA, AFRICAN JOURNALISM CULTURE
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Joy, Edward J. M., Alexander A. Kalimbira, Dawd Gashu, Elaine L. Ferguson, Joanna Sturgess, Alan D. Dangour, Leonard Banda, et al. "Can selenium deficiency in Malawi be alleviated through consumption of agro-biofortified maize flour? Study protocol for a randomised, double-blind, controlled trial." Trials 20, no. 1 (December 2019). http://dx.doi.org/10.1186/s13063-019-3894-2.

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Abstract Background Micronutrient deficiencies including selenium (Se) are widespread in Malawi and potentially underlie a substantial disease burden, particularly among poorer and marginalised populations. Concentrations of Se in staple cereal crops can be increased through application of Se fertilisers – a process known as agronomic biofortification (agro-biofortification) – and this may contribute to alleviating deficiencies. The Addressing Hidden Hunger with Agronomy (AHHA) trial aims to establish the efficacy of this approach for improving Se status in rural Malawi. Methods A double-blind, randomised, controlled trial will be conducted in a rural community in Kasungu District, Central Region, Malawi. The hypothesis is that consumption of maize flour agro-biofortified with Se will increase serum Se concentration. We will recruit 180 women of reproductive age (WRA) (20–45 years) and 180 school-age children (SAC) (5–10 years) randomly assigned in a 1:1 ratio to receive either maize flour enriched through agro-biofortification with Se or a control flour not enriched with Se. Households will receive flour (330 g per capita per day) for 12 weeks. The primary outcome is Se concentration in serum (μg/L). Serum will be extracted from venous blood samples drawn at baseline (prior to flour distribution) and end-line. Selenium concentration will be measured by using inductively coupled plasma mass spectrometry. Discussion Findings will be communicated to policy stakeholders and participating communities and reported in peer-reviewed journals. Trial registration The Addressing Hidden Hunger with Agronomy (Malawi) trial is registered (5th March 2019; ISCRTN85899451).
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"Contra Consilium Medicinae: A Strange Malady Affecting Indian Healthcare!!" Indian Journal of Critical Care Medicine 23, no. 3 (2019): 113–14. http://dx.doi.org/10.5005/jp-journals-10071-23131.

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Kanmounye, Ulrick Sidney, Joel Noutakdie Tochie, Aimé Mbonda, Cynthia Kévine Wafo, Leonid Daya, Thompson Hope Atem, Arsène Daniel Nyalundja, and Daniel Cheryl Eyaman. "Systematic review and bibliometric analysis of African anesthesia and critical care medicine research part I: hierarchy of evidence and scholarly productivity." BMC Anesthesiology 20, no. 1 (September 28, 2020). http://dx.doi.org/10.1186/s12871-020-01167-8.

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Abstract Background Research is an essential component of Anesthesia, and the contributions of researchers and institutions can be appreciated from the analysis of scholarly outputs. Such analyses help identify major contributors and trends in publication. Little is known about the state of Anesthesia and Critical Care Medicine (A.C.C.M.) research in Africa. We aimed to describe African A.C.C.M. research’s current landscape by determining its productivity per country and point towards possible ideas for improvement. Methods The authors searched PubMed, Embase, Web of Science, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) from inception to May 4, 2020, for articles on or about A.C.C.M. in Africa. Studies were selected based on their titles and abstracts. Rayyan software was later on used for data management in the review selection process. Then, the full-text of eligible articles were screened. Data were extracted, and the number of articles per physician anesthesia providers and provider density were calculated. Kruskal Wallis test and Spearman’s correlation were used, and a P-value < 0.05 was considered statistically significant. Results Of the 4690 articles, only 886 (18.9%) were included in the analysis. The articles were published between 1946 and 2020 in 278 target journals. 55 (6.2%) articles were published in the South African Journal of Surgery, 51 (5.8%) in Anesthesia and Analgesia, and 46 (5.2%) in Anaesthesia. 291 (32.8%) studies were cross-sectional. 195 (22.0%) first authors were from Nigeria, 118 (13.3%) from South Africa, and 88 (9.9%) from the U.S.A. Malawi (1.67), Togo (1.06), and Sierra Leone (1.00) had the highest number of articles per provider. Whereas Ethiopia (580.00), Nigeria (336.21), and Malawi (333.33) had the highest number of articles per provider density. Conclusion We identified the most and least productive African countries in A.C.C.M. research and a low-quality hierarchy of evidence in these publications. Hence, the study’s findings may aid in driving the A.C.C.M. research agenda and capacity building in Africa.
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Sarangi, Jaydeep. "‘a night where june and moon rhyme’." Writers in Conversation 7, no. 2 (August 2, 2020). http://dx.doi.org/10.22356/wic.v7i2.77.

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Dr Raphael d’Abdon is a writer, scholar, spoken word poet, editor and translator. In 2007 he complied, translated and edited I nostri semi/Peo tsa rona, an anthology of contemporary South African poetry. In 2011 he translated into Italian (with Lorenzo Mari) Bless Me Father, the autobiography of South African poet Mario d’Offizi. In 2013, he compiled and edited the collection Marikana: A Moment in Time. He is the author of three collections of poems, sunnyside nightwalk (Johannesburg: Geko, 2013), salt water (Johannesburg: Poetree Publishing, 2016) and the bitter herb (East London: The Poets Printery, 2018), and he has read his poetry in South Africa, Nigeria, Somaliland, Italy, Sweden and the USA. His poems are published in journals, magazines and anthologies in South Africa, Nigeria, Ghana, Malawi, Singapore, Palestine, India, Italy, Canada, USA and UK, he is South Africa’s representative of AHN (Africa Haiku Network), and he is a member of ZAPP (The South African Poetry Project) and IPP (International Poetry Project), two joint-projects of the University of Cambridge, UNISA and the University of the Witwatersrand, whose chief aims are to promote poetry in schools in South Africa, UK and beyond, and to instill knowledge, understanding and a love of poetry in young learners.This interview is conducted through e mails in the months of April-May 2020 when Corona virus ravished the world. We saw light through the wings of poesy. We reached out each other through questions and answers about poetry, life and the immediate.
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Cocquyt, Christine, Wolf-Henning Kusber, and Regine Jahn. "Otto Müller’s Surirella taxa (Bacillariophyta) from East Africa, based on a historical collection kept at the Botanic Garden and Botanical Museum Berlin-Dahlem (B)." Afrika Focus 21, no. 1 (March 8, 2008). http://dx.doi.org/10.21825/af.v21i1.5049.

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At the beginning of the 20th century, Otto Müller described over 100 new freshwater diatom taxa from algae samples, collected during the German “Nyassa-See– und Kinga-Gebirgs-Expedition” in East Africa. He published valuable drawings and wrote detailed descriptions of these micro-algae, but subsequent authors regarded many of these African taxa to be synonyms or infraspecific of European species. In the last two decades renewed attention to the diatom flora of East Africa has made it evident that Müller’s taxa have to be reinvestigated, in terms of both light as well as scanning electron microscopy, in order to evaluate possible new or endemic species. This was recently done for his Surirella taxa, a typical component of the African Great Lakes diatom flora of which many species are endemic to this area. Additional data, originating from material of later periods in the same region (e.g. Lakes Tanganyika, Malawi, Victoria, Edward), was incorporated in the investigation to study the variability in valve morphology and the African distribution of each species. Otto Müller’s samples thus provide the means to study historical African diatom diversity as a baseline for modern biodiversity assessment. Type information and the English description for taxon have been published in international journals and online at the AlgaTerra Information System [www.algaterra.org], a site developed and updated by the Botanic Garden and Botanical Museum Berlin-Dahlem (BGBM). High resolution digital photographs of the Surirella taxa will also be available in the future on the API website [www.aluka.org]. Key words: Algae, Diatoms, Historic Collections, East Africa
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Shallon, Atuhaire, Oladosu A. Ojengbede, John Francis Mugisha, and Akin-Tunde A. Odukogbe. "Social reintegration and rehabilitation of obstetric fistula patients before and after repair in Sub-Saharan Africa: A systematic review." Nepal Journal of Obstetrics and Gynaecology 13, no. 2 (November 29, 2018). http://dx.doi.org/10.3126/njog.v13i2.21846.

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Aims: To review how social reintegration and rehabilitation processes are being executed among obstetric patients in Sub-Saharan Africa and highlight projects and programs involved. Methods: This is a systematic review involving a search of relevant literature from PubMed, Google scholar, PsychINFO, African Journals Online, Australian Journals Online, and open access journal of international organizations such as WHO, UNFPA, USAID, Engender Health, Fistula Foundation, and Fistula Care Plus published between 1978 to date. Of the 46 articles identified, 25 were suitable for achievement of this study’s purpose. Results: Sub-Saharan African countries have recognized the overall burden of obstetric fistula and have devised strategies for its’ holistic management. Most countries have National Obstetric Fistula Strategic Frameworks which emphasize multi-sectoral and multidisciplinary approaches other than medical paradigm. Extraordinary among others are: Nigeria, Uganda, Tanzania and Guinea while some countries such as Benin Republic, Chad, Malawi, Mali, and Zambia lack support the at policy level, and have inadequate community outreach programmes. Social reintegration and rehabilitation have been done through the identification of individual patient’s need/s. Upon discharge from hospital, they are counseled, given soap, clothes, transportation fund and are referred to community based projects for elementary education and skills development. Projects and programmes aiming to combat obstetric fistula and restore patients’ self-worth and dignity are: Lamaneh Suisse, and Delta Survie in Mali, Dimol in Niger, Medecins Sans Frontieres (MSF) in Burundi, FORWARD in Nigeria and Sierra Leone, Handicap International in Benin Republic, Women For Africa in Ghana and Liberia, TERREWODE and CoRSU both in Uganda, Hamlin Fistula Ethiopia in Ethiopia, and Safe Motherhood Initiative, Fistula Foundation, Fistula Care Plus, Engender Health, UNFPA, AMREF for Health, WHO and others which cut across the region. Conclusions: Most Sub-Saharan countries have registered progress in assuring effective social reintegration and rehabilitation of obstetric fistula patients although some are still grappling with the issue due to lack of political commitment and inadequate outreach programmes. There is scanty information regarding reintegration and rehabilitation before obstetric fistula repair and yet it would hasten physical and mental wellbeing of the patients as they await repair.
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Zayachkivska, Oksana, and Vassyl Lonchyna. "THE SYNERGY OF THE WORLD AND UKRAINIAN EXPERIENCES." Proceedings of the Shevchenko Scientific Society. Medical Sciences 62, no. 2 (November 23, 2020). http://dx.doi.org/10.25040/ntsh2020.02.01.

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The COVID-19 pandemic and the resultant economic downturn has brought to the forefront the need for expeditious action to create answers for the diagnosis, treatment and prevention of this newest human malady. This crisis has crystalized the prioritization of expenditures of resources for medical research, clinical practice and public health measures in combating this deadly virus. The Johns Hopkins School of Public Health Coronavirus Resource Center has counted a total of 46,168,459 cases and 1,196,891 deaths worldwide (November 1, 2020). The data for Ukraine is 407,573 cases and 7,515 deaths. It is now 10 months since the recognition of the worldwide involvement of the SARS-COV-2 virus as the etiologic agent of this pandemic. Although progress has been made, there is still a large gap in our efforts to find a cure and create an effective vaccine for the world population. A corollary lesson is the need for life-long learning and the acceptance of change in everyday practice. Harvard and Ukrainian Catholic University Professor of business management Adrian Slywotzky develops a succinct idea in his book «David Conquers: The Discipline of Asymmetric Victory». He states that David’s sling is a modest investment that results in a giant return. Such is our modest investment in this scholarly medical journal: Proceedings of the Shevchenko Scientific Society. Medical Sciences. We rely heavily on the social media mechanism of «word-of mouth» to promote our journal and its offerings of current medical breakthroughs and findings. Our wide range of interest is underscored by the more than 101 countries from whence our readers query our online journal. This is our modest investment on behalf of our readers to gain current information, an example of our asymmetric battle with the giant coronavirus. In this issue (Vol. 59, No.2 [62]) we inaugurate a video supplement of the proceedings of the Fourth International Symposium “SMARTLION2020’ which took place as a virtual meeting on 29 September 2020. O Danyliak and I Stryjska have collated the sessions related to the coronavirus pandemic. [4] The speakers include: 1. Boris Lushniak, Professor and Dean, School of Public Health, University of Maryland, USA: «A short history of pandemics». 2. Serhuy Souchelnytskyi, Professor at the College of Medicine, Quatar University, Doha, Quatar: «Why is COVID-19 so aggressive? Molecular insights with clinical application». 3. Andriy Cherkas, PhD candidate, Scientist, Sanofi, Frankfurt am Main, Germany: «COVID-19 and diabetes - a dangerous combination». 4. Armen Gasparyan, Associate Professor of Medicine, University of Birmingham, UK and Expert Reviewer of SCOPUS journals: «Infodemic and Misinformation in the COVID-19 era». 5. Oksana Souter, PhD, CEO of Swiss Organic Solutions, Zurich, Switzerland: “The systemic evaluations of proximity tracing app SwissCovid.” Next, S Souchelnytsky discusses the effectiveness of coronavirus testing that relies on the identification of the infrastructure of nucleic acids. This deepens our understanding of the importance of the procedure of detecting, amplifying and sequencing the coronavirus genome. [5] Our knowledge of the etiology, pathogenesis, clinical course and treatment regimens of the coronavirus is evolving and ever changing. Yesterday’s knowledge is superseded by today’s investigations and discoveries. In this light we present the latest case studies of the cardiovascular complications of COVID-19 by N Oryshchyn and Y Ivaniv [6]. M Cherkas et al discuss the critical care management of COVID-19 with emphasis on the MATH+algorithm [7]. PS Gaur et al inform us how to obtain valid information and recognize disinformation in medical research publications as a result of the adaptation of a changing paradigm in research [8]. The advice based on the thinking of Joseph Aoun, taken from his book «Robot-Proof: Higher Education in the Age of Artificia Intelligence» Here he proposes a strategy of how to prepare future scientists in the era of artificial intelligence [9]. In today’s medicine, smart machines and deep learning compete with the thinking of highly educated professionals. It is rare to see a modern era physician without instant access to the latest scientific research and sophisticated electronic devices that rely on algorithms of artificial intelligence to produce that information. Without such machine learning, we would not have the great advances in the diagnosis and treatment of cardiovascular, hematologic, oncologic diseases, infertility and many other medical dilemmas. It is critically important to have timely publications that introduce these innovations in medicine to the practitioner. We therefore also present to you the latest information about cardiovascular treatments in Lviv by D Beshley et al [10], and introduce you to the use of robotics in gynecologic surgery by A. Brignoni and O. Mudra [11]. In this era of artificial intelligence and the knowledge that comes to us with lightening speed, we must expect that all research be conducted in an ethical manner. The window to this work is through publications. We summarize a series of webinars held this year by the editorial board of this journal that focused on academic integrity and its reflection through scholarly writing [12]. Their full video is presented too [13]. «The ethical code of researchers» is published as a guide for our scientists on conducting and reporting research in a transparent and ethical fashion [14]. The title page of this publication reflects its contents. The collage “Life, idea, innovation" embodies the interplay of past and present, of history and innovation. At the center, the image of the human heart symbolizes life and self-sacrifice - in all of its aspects. More than a century ago, man devoted himself to science, bequeathing his heart to teach the next generation . The heart pictured is a reflection of the mummified specimen of the human heart found in the Anatomical Museum of the Department of Normal Anatomy, Danylo Halytsky Lviv National Medical University. The history of the creation and development of this museum can be found in a recently published monograph reviewed in this issue by A. Pitukh-Novorolska[15]. The heart on the cover of this journal is the personification of a physician, who lives by the motto "Consumor aliis inserviendo" (Latin: "I am consumed by being nice to others”). How relevant especially now - during the COVID-19 pandemic - when loss of human life is so high. In this crisis, ideas are generated. Many of them are veiled in histograms. They arise not from nothing, but from a scientific basis. It is the sacrifice of scientists that is their source. The latest book by S. Komisarenko reagarding important scientific achievements in biochemistry and immunology leading to the awarding of the Nobel Prize is herewith reviewed by S. Sushelnytsky [16]. Returning to the cover, the number of icons from the heart decreases the further ir goes : some are lost, others scatter and a few create innovation. The final elements of the collage represent the contemporary world. Building on previous sacrifices, ideas and life, innovation is the future. The aortic valve prosthesis for transcatheter aortic valve implantation (TAVI) and the image of the coronary arteries as visualized by intravascular ultrasound (IVUS) are among the most recent innovations in cardiology and cardiac surgery. Therefore, they are located next to the heart. Depicting the triad “life, idea, innovation", we invite our readers to enjoy the articles presented in this issue: new ideas for significant innovations. The Editorial Board extents their deep gratitude and thanks to the many colleagues responsible for the the support and advancement of our Journal [17]. We look forward to new ideas and innovations in 2021!
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Krøvel, Roy. "The Role of Conflict in Producing Alternative Social Imaginations of the Future." M/C Journal 16, no. 5 (August 28, 2013). http://dx.doi.org/10.5204/mcj.713.

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Introduction Greater resilience is associated with the ability to self-organise, and with social learning as part of a process of adaptation and transformation (Goldstein 341). This article deals with responses to a crisis in a Norwegian community in the late 1880s, and with some of the many internal conflicts it caused. The crisis and the subsequent conflicts in this particular community, Volda, were caused by a number of processes, driven mostly by external forces and closely linked to the expansion of the capitalist mode of production in rural Norway. But the crisis also reflects a growing nationalism in Norway. In the late 1880s, all these causes seemed to come together in Volda, a small community consisting mostly of independent small farmers and of fishers. The article employs the concept of ‘resilience’ and the theory of resilience in order better to understand how individuals and the community reacted to crisis and conflict in Volda in late 1880, experiences which will cast light on the history of the late 1880s in Volda, and on individuals and communities elsewhere which have also experienced such crises. Theoretical Perspectives Some understandings of social resilience inspired by systems theory and ecology focus on a society’s ability to maintain existing structures. Reducing conflict to promote greater collaboration and resilience, however, may become a reactionary strategy, perpetuating inequalities (Arthur, Friend and Marschke). Instead, the understanding of resilience could be enriched by drawing on ecological perspectives that see conflict as an integral aspect of a diverse ecology in continuous development. In the same vein, Grove has argued that some approaches to anticipatory politics fashion subjects to withstand ‘shocks and responding to adversity through modern institutions such as human rights and the social contract, rather than mobilising against the sources of insecurity’. As an alternative, radical politics of resilience ought to explore political alternatives to the existing order of things. Methodology According to Hall and Lamont, understanding “how individuals, communities, and societies secured their well-being” in the face of the challenges imposed by neoliberalism is a “problem of understanding the bases for social resilience”. This article takes a similarly broad approach to understanding resilience, focusing on a small group of people within a relatively small community to understand how they attempted to secure their well-being in the face of the challenges posed by capitalism and growing nationalism. The main interest, however, is not resilience understood as something that exists or is being produced within this small group, but, rather, how this group produced social imaginaries of the past and the future in cooperation and conflict with other groups in the same community. The research proceeds to analyse the contributions mainly of six members of this small group. It draws on existing literature on the history of the community in the late 1800s and, in particular, biographies of Synnøve Riste (Øyehaug) and Rasmus Steinsvik (Gausemel). In addition, the research builds on original empirical research of approximately 500 articles written by the members of the group in the period from 1887 to 1895 and published in the newspapers Vestmannen, Fedraheimen and 17de Mai; and will try to re-tell a history of key events, referring to a selection of these articles. A Story about Being a Woman in Volda in the Late 1880s This history begins with a letter from Synnøve Riste, a young peasant woman and daughter of a local member of parliament, to Anders Hovden, a friend and theology student. In the letter, Synnøve Riste told her friend about something she just had experienced and had found disturbing (more details in Øyehaug). She first sets her story in the context of an evangelical awakening that was gaining momentum in the community. There was one preacher in particular who seemed to have become very popular among the young women. He had few problems when it comes to women, she wrote, ironically. Curious about the whole thing, Synnøve decided to attend a meeting to see for herself what was going on. The preacher noticed her among the group of young women. He turned his attention towards her and scolded her for her apparent lack of religious fervour. In the letter she explained the feeling of shame that came over her when the preacher singled her out for public criticism. But the feeling of shame soon gave way to anger, she wrote, before adding that the worst part of it was ‘not being able to speak back’; as a woman at a religious meeting she had to hold her tongue. Synnøve Riste was worried about the consequences of the religious awakening. She asked her friend to do something. Could he perhaps write a poem for the weekly newspaper the group had begun to publish only a few months earlier? Anders Hovden duly complied. The poem was published, anonymously, on Wednesday 17 March 1888. Previously, the poem says, women enjoyed the freedom to roam the mountains and valleys. Now, however, a dark mood had come over the young women. ‘Use your mind! Let the madness end! Throw off the blood sucker! And let the world see that you are a woman!’ The puritans appreciated neither the poem nor the newspaper. The newspaper was published by the same group of young men and women who had already organised a private language school for those who wanted to learn to read and write New Norwegian, a ‘new’ language based on the old dialects stemming from the time before Norway lost its independence and became a part of Denmark and then, after 1814, Sweden. At the language school the students read and discussed translations of Karl Marx and the anarchist Peter Kropotkin. The newspaper quickly grew radical. It reported on the riots following the hanging of the Haymarket Anarchists in Chicago in 1886. It advocated women’s suffrage, agitated against capitalism, argued that peasants and small farmers must learn solidarity from the industrial workers defended a young woman in Oslo who was convicted of killing her newborn baby and published articles from international socialist and anarchist newspapers and magazines. Social Causes for Individual Resilience and Collaborative Resilience Recent literature on developmental psychology link resilience to ‘the availability of close attachments or a supportive and disciplined environment’ (Hall and Lamont 13). Some psychologists have studied how individuals feel empowered or constrained by their environment. Synnøve Riste clearly felt constrained by developments in her social world, but was also resourceful enough to find ways to resist and engage in transformational social action on many levels. According to contemporary testimonies, Synnøve Riste must have been an extraordinary woman (Steinsvik "Synnøve Riste"). She was born Synnøve Aarflot, but later married Per Riste and took his family name. The Aarflot family was relatively well-off and locally influential, although the farms were quite small by European standards. Both her father and her uncle served as members of parliament for the (‘left’) Liberal Party. From a young age she took responsibility for her younger siblings and for the family farm, as her father spent much time in the capital. Her grandfather had been granted the privilege of printing books and newspapers, which meant that she grew up with easy access to current news and debates. She married a man of her own choosing; a man substantially older than herself, but with a reputation for liberal ideas on language, education and social issues. Psychological approaches to resilience consider the influence of cognitive ability, self-perception and emotional regulation, in addition to social networks and community support, as important sources of resilience (Lamont, Welburn and Fleming). Synnøve Riste’s friend and lover, Rasmus Steinsvik, later described her as ‘a mainspring’ of social activity. She did not only rely on family, social networks and community support to resist stigmatisation from the puritans, but she was herself a driving force behind social activities that produced new knowledge and generated communities of support for others. Lamont, Welburn and Fleming underline the importance for social resilience of cultural repertoires and the availability of ‘alternative ways of understanding social reality’ (Lamont, Welburn and Fleming). Many of the social activities Synnøve Riste instigated served as arenas for debate and collaborative activity to develop alternative understandings of the social reality of the community. In 1887, Synnøve Riste had relied on support from her extended family to found the newspaper Vestmannen, but as the group around the language school and newspaper gradually produced more radical alternative understandings of the social reality they came increasingly into conflict with less radical members of the Liberal Party. Her uncle owned the printing press where Vestmannen was printed. He was also a member of parliament seeking re-election. And he was certainly not amused when Rasmus Steinsvik, editor of Vestmannen, published an article reprimanding him for his lacklustre performance in general and his unprincipled voting in support of a budget allocating the Swedish king a substantial amount of money. Steinsvik advised the readers to vote instead for Per Riste, Synnøve Riste’s liberal husband and director of the language school. The uncle stopped printing the newspaper. Social Resilience in Volda The growing social conflicts in Volda might be taken to indicate a lack of resilience. This, however, would be a mistake. Social connectedness is an important source of social resilience (Barnes and Hall 226). Strong ties to family and friends matter, as does membership in associations. Dense networks of social connectedness are related to well-being and social resilience. Inversely, high levels of inequality seem to be linked to low levels of resilience. Participation in democratic processes has also been found to be an important source of resilience (Barnes and Hall 229). Volda was a small community with relatively low levels of inequality and local cultural traditions underlining the importance of cooperation and the obligations of everyone to participate in various forms of communal work. Similarly, even though a couple of families dominated local politics, there was no significant socioeconomic division between the average and the more prosperous farmers. Traditionally, women on the small, independent farms participated actively in most aspects of social life. Volda would thus score high on most indicators predicting social resilience. Reading the local newspapers confirms this impression of high levels of social resilience. In fact, this small community of only a few hundred families produced two competing newspapers at the time. Vestmannen dedicated ample space to issues related to education and schools, including adult education, reflecting the fact that Volda was emerging as a local educational centre; local youths attending schools outside the community regularly wrote articles in the newspaper to share the new knowledge they had attained with other members of the community. The topics were in large part related to farming, earth sciences, meteorology and fisheries. Vestmannen also reported on other local associations and activities. The local newspapers reported on numerous political meetings and public debates. The Liberal Party was traditionally the strongest political party in Volda and pushed for greater independence from Sweden, but was divided between moderates and radicals. The radicals joined workers and socialists in demanding universal suffrage, including, as we have seen, women’s right to vote. The left libertarians in Volda organised a ‘radical left’ faction of the Liberal Party and in the run-up to the elections in 1888 numerous rallies were arranged. In some parts of the municipality the youth set up independent and often quite radical youth organisations, while others established a ‘book discussion’. The language issue developed into a particularly powerful source for social resilience. All members of the community shared the experience of having to write and speak a foreign language when communicating with authorities or during higher education. It was a shared experience of discrimination that contributed to producing a common identity. Hing has shown that those who value their in-group ‘can draw on this positive identity to provide a sense of self-worth that offers resilience’. The struggle for recognition stimulated locals to arrange independent activities, and it was in fact through the burgeoning movement for a New Norwegian language that the local radicals in Volda first encountered radical literature that helped them reframe the problems and issues of their social world. In his biography of Ivar Mortensson Egnund, editor of the newspaper Fedraheimen and a lifelong collaborator of Rasmus Steinsvik, Klaus Langen has argued that Mortensson Egnund saw the ideal type of community imagined by the anarchist Leo Tolstoy in the small Norwegian communities of independent small farmers, a potential model for cooperation, participation and freedom. It was not an uncritical perspective, however. The left libertarians were constantly involved in clashes with what they saw as repressive forces within the communities. It is probably more correct to say that they believed that the potential existed, within these communities, for freedom to flourish. Most importantly, however, reading Fedraheimen, and particularly the journalist, editor and novelist Arne Garborg, infused this group of local radicals with anti-capitalist perspectives to be used to make sense of the processes of change that affected the community. One of Garborg’s biographers, claims that no Norwegian has ever been more fundamentally anti-capitalist than Garborg (Thesen). This anti-capitalism helped the radicals in Volda to understand the local conflicts and the evangelical awakening as symptoms of a deeper and more fundamental development driven by capitalism. A series of article in Vestmannen called for solidarity and unity between small farmers and the growing urban class of industrial workers. Science and Modernity The left libertarians put their hope in science and modernity to improve the lives of people. They believed that education was the key to move forward and get rid of the old and bad ways of doing things. The newspaper was reporting the latest advances in natural sciences and life sciences. It reported enthusiastically about the marvels of electricity, and speculated about a future in which Norway could exploit the waterfalls to generate it on a large scale. Vestmannen printed articles in defence of Darwinism (Egnund), new insights from astronomy (Steinsvik "Kva Den Nye Astronomien"), health sciences, agronomy, new methods of fishing and farming – and much more. This was a time when such matters mattered. Reports on new advances in meteorology in the newspaper appeared next to harrowing reports about the devastating effects of a storm that surprised local fishermen at sea where many men regularly paid with their lives. Hunger was still a constant threat in the harsh winter months, so new knowledge that could improve the harvest was most welcome. Leprosy and other diseases continued to be serious problems in this region of Norway. Health could not be taken lightly, and the left libertarians believed that science and knowledge was the only way forward. ‘Knowledge is a sweet fruit,’ Vestmannen wrote. Reporting on Darwinism and astronomy again pitted Vestmannen against the puritans. On several occasions the newspaper reported on confrontations between those who promoted science and those who defended a fundamentalist view of the Bible. In November 1888 the signature ‘-t’ published an article on a meeting that had taken place a few days earlier in a small village not far from Volda (Unknown). The article described how local teachers and other participants were scolded for holding liberal views on science and religion. Anyone who expressed the view that the Bible should not be interpreted literally risked being stigmatised and ostracised. It is tempting to label the group of left libertarians ‘positivists’ or ‘modernists’, but that would be unfair. Arne Garborg, the group’s most important source of inspiration, was indeed inspired by Émile Zola and the French naturalists. Garborg had argued that nothing less than the uncompromising search for truth was acceptable. Nevertheless, he did not believe in objectivity; Garborg and his followers agreed that it was not possible or even desirable to be anything else than subjective. Adaptation or Transformation? PM Giærder, a friend of Rasmus Steinsvik’s, built a new printing press with the help of local blacksmiths, so the newspaper could keep afloat for a few more months. Finally, however, in 1888, the editor and the printer took the printing press with them and moved to Tynset, another small community to the east. There they joined forces with another dwindling left libertarian publication, Fedraheimen. Generations later, more details emerged about the hurried exit from Volda. Synnøve Riste had become pregnant, but not by her husband Per. She was pregnant by Rasmus Steinsvik, the editor of Vestmannen and co-founder of the language school. And then, after giving birth to a baby daughter she fell ill and died. The former friends Per and Rasmus were now enemies and the group of left libertarians in Volda fell apart. It would be too easy to conclude that the left libertarians failed to transform the community and a closer look would reveal a more nuanced picture. Key members of the radical group went on to play important roles on the local and national political scene. Locally, the remaining members of the group formed new alliances with former opponents to continue the language struggle. The local church gradually began to sympathise with those who agitated for a new language based on the Norwegian dialects. The radical faction of the Liberal Party grew in importance as the conflict with Sweden over the hated union intensified. The anarchists Garborg and Steinsvik became successful editors of a radical national newspaper, 17de Mai, while two other members of the small group of radicals went on to become mayors of Volda. One was later elected member of parliament for the Liberal Party. Many of the more radical anarchist and communist ideas failed to make an impact on society. However, on issues such as women’s rights, voting and science, the left libertarians left a lasting impression on the community. It is fair to say that they contributed to transforming their society in many and lasting ways. Conclusion This study of crisis and conflict in Volda indicate that conflict can play an important role in social learning and collective creativity in resilient communities. There is a tendency, in parts of resilience literature, to view resilient communities as harmonious wholes without rifts or clashes of interests (see for instance Goldstein; Arthur, Friend and Marschke). Instead, conflicts should rather be understood as a natural aspect of any society adapting and transforming itself to respond to crisis. Future research on social resilience could benefit from an ecological understanding of nature that accepts polarisation and conflict as a natural part of ecology and which helps us to reach deeper understandings of the social world, also fostering learning, creativity and the production of alternative political solutions. This research has indicated the importance of social imaginaries of the past. Collective memories of ‘what everybody knows that everybody else knows’ about ‘what has worked in the past’ form the basis for producing ideas about how to create collective action (Swidler 338, 39). Historical institutions are pivotal in producing schemas which are default options for collective action. In Volda, the left libertarians imagined a potential for freedom in the past of the community; this formed the basis for producing an alternative social imaginary of the future of the community. The social imaginary was not, however, based only on local experience and collective memory of the past. Theories played an important role in the process of trying to understand the past and the present in order to imagine future alternatives. The conflicts themselves stimulated the radicals to search more widely and probe more deeply for alternative explanations to the problems they experienced. This search led them to new insights which were sometimes adopted by the local community and, in some cases, helped to transform social life in the long-run. References Arthur, Robert, Richard Friend, and Melissa Marschke. "Fostering Collaborative Resilience through Adaptive Comanagement: Reconciling Theory and Practice in the Management of Fisheries in the Mekong Region." Collaborative Resilience: Moving through Crisis to Opportunity. Ed. Bruce Evan Goldstein. Cambridge, Mass., and London: MIT Press, 2012. 255-282. Barnes, Lucy, and Peter A. Hall. "Neoliberalism and Social Resilience in the Developed Democracies." Social Resilience in the Neoliberal Era. Eds. Peter A. Hall and Michèle Lamont. New York: Cambridge University Press, 2013. 209-238. Egnund, Ivar Mortensson. "Motsetningar." Vestmannen 13.6 (1889): 3. Gausemel, Steffen. Rasmus Steinsvik. Oslo: Noregs boklag, 1937. Goldstein, Bruce Evan. "Collaborating for Transformative Resilience." Collaborative Resilience: Moving through Crisis to Opportunity. Ed. Bruce Evan Goldstein. Cambridge, Mass., and London: MIT Press, 2012. 339-358. Hall, Peter A., and Michèle Lamont. "Introduction." Social Resilience in the Neoliberal Era. Eds. Peter A. Hall and Michèle Lamont. New York: Cambridge University Press, 2013. Lamont, Michèle, Jessica S Welburn, and Crystal M Fleming. "Responses to Discrimination and Social Resilience under Neoliberalism: The United States Compared." Social Resilience in the Neoliberal Era. Eds. Peter A. Hall and Michèle Lamont. New York: Cambridge University Press, 2013. 129-57. Steinsvik, Rasmus. "Kva Den Nye Astronomien Kan Lære Oss." Vestmannen 8.2 (1889): 1. ———. "Synnøve Riste." Obituary. Vestmannen 9.11 (1889): 1. Swidler, Ann. "Cultural Sources of Institutional Resilience: Lessons from Chieftaincy in Rural Malawi." Social Resilience in the Neoliberal Era. Eds. Peter A. Hall and Michèle Lamont. New York: Cambridge University Press, 2013.
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43

Nile, Richard. "Post Memory Violence." M/C Journal 23, no. 2 (May 13, 2020). http://dx.doi.org/10.5204/mcj.1613.

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Abstract:
Hundreds of thousands of Australian children were born in the shadow of the Great War, fathered by men who had enlisted between 1914 and 1918. Their lives could be and often were hard and unhappy, as Anzac historian Alistair Thomson observed of his father’s childhood in the 1920s and 1930s. David Thomson was son of a returned serviceman Hector Thomson who spent much of his adult life in and out of repatriation hospitals (257-259) and whose memory was subsequently expunged from Thomson family stories (299-267). These children of trauma fit within a pattern suggested by Marianne Hirsch in her influential essay “The Generation of Postmemory”. According to Hirsch, “postmemory describes the relationship of the second generation to powerful, often traumatic, experiences that preceded their births but that were nevertheless transmitted to them so deeply as to seem to constitute memories in their own right” (n.p.). This article attempts to situate George Johnston’s novel My Brother Jack (1964) within the context of postmemory narratives of violence that were complicated in Australia by the Anzac legend which occluded any too open discussion about the extent of war trauma present within community, including the children of war.“God knows what damage” the war “did to me psychologically” (48), ponders Johnston’s protagonist and alter-ego David Meredith in My Brother Jack. Published to acclaim fifty years after the outbreak of the First World War, My Brother Jack became a widely read text that seemingly spoke to the shared cultural memories of a generation which did not know battlefield violence directly but experienced its effects pervasively and vicariously in the aftermath through family life, storytelling, and the memorabilia of war. For these readers, the novel represented more than a work of fiction; it was a touchstone to and indicative of their own negotiations though often unspoken post-war trauma.Meredith, like his creator, is born in 1912. Strictly speaking, therefore, both are not part of the post-war generation. However, they are representative and therefore indicative of the post-war “hinge generation” which was expected to assume “guardianship” of the Anzac Legend, though often found the narrative logic challenging. They had been “too young for the war to have any direct effect”, and yet “every corner” of their family’s small suburban homes appear to be “impregnated with some gigantic and sombre experience that had taken place thousands of miles away” (17).According to Johnston’s biographer, Garry Kinnane, the “most teasing puzzle” of George Johnston’s “fictional version of his childhood in My Brother Jack is the monstrous impression he creates of his returned serviceman father, John George Johnston, known to everyone as ‘Pop.’ The first sixty pages are dominated by the tyrannical figure of Jack Meredith senior” (1).A large man purported to be six foot three inches (1.9 metres) in height and weighing fifteen stone (95 kilograms), the real-life Pop Johnston reputedly stood head and shoulders above the minimum requirement of five foot and six inches (1.68 metres) at the time of his enlistment for war in 1914 (Kinnane 4). In his fortieth year, Jack Johnston senior was also around twice the age of the average Australian soldier and among one in five who were married.According to Kinnane, Pop Johnston had “survived the ordeal of Gallipoli” in 1915 only to “endure three years of trench warfare in the Somme region”. While the biographer and the Johnston family may well have held this to be true, the claim is a distortion. There are a few intimations throughout My Brother Jack and its sequel Clean Straw for Nothing (1969) to suggest that George Johnston may have suspected that his father’s wartime service stories had been embellished, though the depicted wartime service of Pop Meredith remains firmly within the narrative arc of the Anzac legend. This has the effect of layering the postmemory violence experienced by David Meredith and, by implication, his creator, George Johnston. Both are expected to be keepers of a lie masquerading as inviolable truth which further brutalises them.John George (Pop) Johnston’s First World War military record reveals a different story to the accepted historical account and his fictionalisation in My Brother Jack. He enlisted two and a half months after the landing at Gallipoli on 12 July 1915 and left for overseas service on 23 November. Not quite the imposing six foot three figure of Kinnane’s biography, he was fractionally under five foot eleven (1.8 metres) and weighed thirteen stone (82.5 kilograms). Assigned to the Fifth Field Engineers on account of his experience as an electric tram fitter, he did not see frontline service at Gallipoli (NAA).Rather, according to the Company’s history, the Fifth Engineers were involved in a range of infrastructure and support work on the Western Front, including the digging and maintenance of trenches, laying duckboard, pontoons and tramlines, removing landmines, building huts, showers and latrines, repairing roads, laying drains; they built a cinema at Beaulencourt Piers for “Brigade Swimming Carnival” and baths at Malhove consisting of a large “galvanised iron building” with a “concrete floor” and “setting tanks capable of bathing 2,000 men per day” (AWM). It is likely that members of the company were also involved in burial details.Sapper Johnston was hospitalised twice during his service with influenza and saw out most of his war from October 1917 attached to the Army Cookery School (NAA). He returned to Australia on board the HMAT Kildonian Castle in May 1919 which, according to the Sydney Morning Herald, also carried the official war correspondent and creator of the Anzac legend C.E.W. Bean, national poet Banjo Paterson and “Warrant Officer C G Macartney, the famous Australian cricketer”. The Herald also listed the names of “Returned Officers” and “Decorated Men”, but not Pop Johnston who had occupied the lower decks with other returning men (“Soldiers Return”).Like many of the more than 270,000 returned soldiers, Pop Johnston apparently exhibited observable changes upon his repatriation to Australia: “he was partially deaf” which was attributed to the “constant barrage of explosions”, while “gas” was suspected to have “left him with a legacy of lung disorders”. Yet, if “anyone offered commiserations” on account of this war legacy, he was quick to “dismiss the subject with the comment that ‘there were plenty worse off’” (Kinnane 6). The assumption is that Pop’s silence is stoic; the product of unspeakable horror and perhaps a symptom of survivor guilt.An alternative interpretation, suggested by Alistair Thomson in Anzac Memories, is that the experiences of the vast majority of returned soldiers were expected to fit within the master narrative of the Anzac legend in order to be accepted and believed, and that there was no space available to speak truthfully about alternative war service. Under pressure of Anzac expectations a great many composed stories or remained selectively silent (14).Data gleaned from the official medical history suggest that as many as four out of every five returned servicemen experienced emotional or psychological disturbance related to their war service. However, the two branches of medicine represented by surgeons and physicians in the Repatriation Department—charged with attending to the welfare of returned servicemen—focused on the body rather than the mind and the emotions (Murphy and Nile).The repatriation records of returned Australian soldiers reveal that there were, indeed, plenty physically worse off than Pop Johnston on account of bodily disfigurement or because they had been somatically compromised. An estimated 30,000 returned servicemen died in the decade after the cessation of hostilities to 1928, bringing the actual number of war dead to around 100,000, while a 1927 official report tabled the medical conditions of a further 72,388 veterans: 28,305 were debilitated by gun and shrapnel wounds; 22,261 were rheumatic or had respiratory diseases; 4534 were afflicted with eye, ear, nose, or throat complaints; 9,186 had tuberculosis or heart disease; 3,204 were amputees while only; 2,970 were listed as suffering “war neurosis” (“Enlistment”).Long after the guns had fallen silent and the wounded survivors returned home, the physical effects of war continued to be apparent in homes and hospital wards around the country, while psychological and emotional trauma remained largely undiagnosed and consequently untreated. David Meredith’s attitude towards his able-bodied father is frequently dismissive and openly scathing: “dad, who had been gassed, but not seriously, near Vimy Ridge, went back to his old job at the tramway depot” (9). The narrator-son later considers:what I realise now, although I never did at the time, is that my father, too, was oppressed by intimidating factors of fear and change. By disillusion and ill-health too. As is so often the case with big, strong, athletic men, he was an extreme hypochondriac, and he had convinced himself that the severe bronchitis which plagued him could only be attributed to German gas he had swallowed at Vimy Ridge. He was too afraid to go to a doctor about it, so he lived with a constant fear that his lungs were decaying, and that he might die at any time, without warning. (42-3)During the writing of My Brother Jack, the author-son was in chronically poor health and had been recently diagnosed with the romantic malady and poet’s disease of tuberculosis (Lawler) which plagued him throughout his work on the novel. George Johnston believed (correctly as it turned out) that he was dying on account of the disease, though, he was also an alcoholic and smoker, and had been reluctant to consult a doctor. It is possible and indeed likely that he resentfully viewed his condition as being an extension of his father—vicariously expressed through the depiction of Pop Meredith who exhibits hysterical symptoms which his son finds insufferable. David Meredith remains embittered and unforgiving to the very end. Pop Meredith “lived to seventy-three having died, not of German gas, but of a heart attack” (46).Pop Meredith’s return from the war in 1919 terrifies his seven-year-old son “Davy”, who accompanies the family to the wharf to welcome home a hero. The young boy is unable to recall anything about the father he is about to meet ostensibly for the first time. Davy becomes overwhelmed by the crowds and frightened by the “interminable blaring of horns” of the troopships and the “ceaseless roar of shouting”. Dwarfed by the bodies of much larger men he becomestoo frightened to look up at the hours-long progression of dark, hard faces under wide, turned-up hats seen against bayonets and barrels that are more blue than black ... the really strong image that is preserved now is of the stiff fold and buckle of coarse khaki trousers moving to the rhythm of knees and thighs and the tight spiral curves of puttees and the thick boots hammering, hollowly off the pier planking and thunderous on the asphalt roadway.Depicted as being small for his age, Davy is overwrought “with a huge and numbing terror” (10).In the years that follow, the younger Meredith desires emotional stability but remains denied because of the war’s legacy which manifests in the form of a violent patriarch who is convinced that his son has been rendered effeminate on account of the manly absence during vital stages of development. With the return of the father to the household, Davy grows to fear and ultimately despise a man who remains as alien to him as the formerly absent soldier had been during the war:exactly when, or why, Dad introduced his system of monthly punishments I no longer remember. We always had summary punishment, of course, for offences immediately detected—a cuffing around the ears or a sash with a stick of a strap—but Dad’s new system was to punish for the offences which had escaped his attention. So on the last day of every month Jack and I would be summoned in turn to the bathroom and the door would be locked and each of us would be questioned about the sins which we had committed and which he had not found out about. This interrogation was the merest formality; whether we admitted to crimes or desperately swore our innocence it was just the same; we were punished for the offences which, he said, he knew we must have committed and had to lie about. We then had to take our shirts and singlets off and bend over the enamelled bath-tub while he thrashed us with the razor-strop. In the blind rages of these days he seemed not to care about the strength he possessed nor the injuries he inflicted; more often than not it was the metal end of the strop that was used against our backs. (48)Ironically, the ritualised brutality appears to be a desperate effort by the old man to compensate for his own emasculation in war and unresolved trauma now that the war is ended. This plays out in complicated fashion in the development of David Meredith in Clean Straw for Nothing, Johnston’s sequel to My Brother Jack.The imputation is that Pop Meredith practices violence in an attempt to reassert his failed masculinity and reinstate his status as the head of the household. Older son Jack’s beatings cease when, as a more physically able young man, he is able to threaten the aggressor with violent retaliation. This action does not spare the younger weaker Davy who remains dominated. “My beating continued, more ferociously than ever, … . They ceased only because one day my father went too far; he lambasted me so savagely that I fell unconscious into the bath-tub, and the welts across my back made by the steel end of the razor-strop had to be treated by a doctor” (53).Pop Meredith is persistently reminded that he has no corporeal signifiers of war trauma (only a cough); he is surrounded by physically disabled former soldiers who are presumed to be worse off than he on account of somatic wounding. He becomes “morose, intolerant, bitter and violently bad-tempered”, expressing particular “displeasure and resentment” toward his wife, a trained nurse, who has assumed carer responsibilities for homing the injured men: “he had altogether lost patience with her role of Florence Nightingale to the halt and the lame” (40). Their marriage is loveless: “one can only suppose that he must have been darkly and profoundly disturbed by the years-long procession through our house of Mother’s ‘waifs and strays’—those shattered former comrades-in-arms who would have been a constant and sinister reminder of the price of glory” (43); a price he had failed to adequately pay with his uncompromised body intact.Looking back, a more mature David Meredith attempts to establish order, perspective and understanding to the “mess of memory and impressions” of his war-affected childhood in an effort to wrest control back over his postmemory violation: “Jack and I must have spent a good part of our boyhood in the fixed belief that grown-up men who were complete were pretty rare beings—complete, that is, in that they had their sight or hearing or all of their limbs” (8). While the father is physically complete, his brooding presence sets the tone for the oppressively “dark experience” within the family home where all rooms are “inhabited by the jetsam that the Somme and the Marne and the salient at Ypres and the Gallipoli beaches had thrown up” (18). It is not until Davy explores the contents of the “big deep drawer at the bottom of the cedar wardrobe” in his parents’ bedroom that he begins to “sense a form in the shadow” of the “faraway experience” that had been the war. The drawer contains his father’s service revolver and ammunition, battlefield souvenirs and French postcards but, “most important of all, the full set of the Illustrated War News” (19), with photographs of battlefield carnage. These are the equivalent of Hirsch’s photographs of the Holocaust that establish in Meredith an ontology that links him more realistically to the brutalising past and source of his ongoing traumatistion (Hirsch). From these, Davy begins to discern something of his father’s torment but also good fortune at having survived, and he makes curatorial interventions not by becoming a custodian of abjection like second generation Holocaust survivors but by disposing of the printed material, leaving behind artefacts of heroism: gun, the bullets, the medals and ribbons. The implication is that he has now become complicit in the very narrative that had oppressed him since his father’s return from war.No one apparently notices or at least comments on the removal of the journals, the images of which become linked in the young boys mind to an incident outside a “dilapidated narrow-fronted photographer’s studio which had been deserted and padlocked for as long as I could remember”. A number of sun-damaged photographs are still displayed in the window. Faded to a “ghostly, deathly pallor”, and speckled with fly droppings, years earlier, they had captured young men in uniforms before embarkation for the war. An “agate-eyed” boy from Davy’s school joins in the gazing, saying nothing for a long time until the silence is broken: “all them blokes there is dead, you know” (20).After the unnamed boy departs with a nonchalant “hoo-roo”, young Davy runs “all the way home, trying not to cry”. He cannot adequately explain the reason for his sudden reaction: “I never after that looked in the window of the photographer’s studio or the second hand shop”. From that day on Davy makes a “long detour” to ensure he never passes the shops again (20-1). Having witnessed images of pre-war undamaged young men in the prime of their youth, he has come face-to-face with the consequences of war which he is unable to reconcile in terms of the survival and return of his much older father.The photographs of the young men establishes a causal connection to the physically wrecked remnants that have shaped Davy’s childhood. These are the living remains that might otherwise have been the “corpses sprawled in mud or drowned in flooded shell craters” depicted in the Illustrated News. The photograph of the young men establishes Davy’s connection to the things “propped up our hallway”, of “Bert ‘sobbing’ in the backyard and Gabby Dixon’s face at the dark end of the room”, and only reluctantly the “bronchial cough of my father going off in the dawn light to the tramways depot” (18).That is to say, Davy has begun to piece together sense from senselessness, his father’s complicity and survival—and, by association, his own implicated life and psychological wounding. He has approached the source of his father’s abjection and also his own though he continues to be unable to accept and forgive. Like his father—though at the remove—he has been damaged by the legacies of the war and is also its victim.Ravaged by tuberculosis and alcoholism, George Johnston died in 1970. According to the artist Sidney Nolan he had for years resembled the ghastly photographs of survivors of the Holocaust (Marr 278). George’s forty five year old alcoholic wife Charmian Clift predeceased him by twelve months, having committed suicide in 1969. Four years later, in 1973, George and Charmian’s twenty four year old daughter Shane also took her own life. Their son Martin drank himself to death and died of organ failure at the age of forty three in 1990. They are all “dead, you know”.ReferencesAWM. Fifth Field Company, Australian Engineers. Diaries, AWM4 Sub-class 14/24.“Enlistment Report”. Reveille, 29 Sep. 1928.Hirsch, Marianne. “The Generation of Postmemory.” Poetics Today 29.1 (Spring 2008): 103-128. <https://read.dukeupress.edu/poetics-today/article/29/1/103/20954/The-Generation-of-Postmemory>.Johnston, George. Clean Straw for Nothing. London: Collins, 1969.———. My Brother Jack. London: Collins, 1964.Kinnane, Garry. George Johnston: A Biography. Melbourne: Nelson, 1986.Lawler, Clark. Consumption and Literature: the Making of the Romantic Disease. Basingstoke: Palgrave Macmillan, 2006.Marr, David, ed. Patrick White Letters. Sydney: Random House, 1994.Murphy, Ffion, and Richard Nile. “Gallipoli’s Troubled Hearts: Fear, Nerves and Repatriation.” Studies in Western Australian History 32 (2018): 25-38.NAA. John George Johnston War Service Records. <https://recordsearch.naa.gov.au/SearchNRetrieve/Interface/ViewImage.aspx?B=1830166>.“Soldiers Return by the Kildonan Castle.” Sydney Morning Herald, 10 May 1919: 18.Thomson, Alistair. Anzac Memories: Living with the Legend. Clayton: Monash UP, 2013.
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