Publishing ethics in paediatric research: A cross-cultural comparative review

2012 ◽  
Vol 19 (2) ◽  
pp. 268-278 ◽  
Author(s):  
Inger Brännström
Keyword(s):  
Low Income ◽  
Conflicts Of Interest ◽  
Qualitative Content Analysis ◽  
Sub Saharan Africa ◽  
Original Research ◽  
Systematic Bias ◽  
Comparative Review ◽  
The Usa ◽  
Sub Saharan ◽  
Publishing Ethics

The present article aims to scrutinize publishing ethics in the fields of paediatrics and paediatric nursing. Full-text readings of all original research articles in paediatrics from a high-income economy, i.e. Sweden, and from all low-income economies in Sub-Saharan Africa, were reviewed as they were indexed and stored in Web of Science for the search period from 1 January 2007 to 7 October 2009. The application of quantitative and qualitative content analysis revealed a marked discrepancy in publishing frequencies between the two contrasting economies. Authors from 16 low-income economies in Sub-Saharan Africa, with at least one article stored, were obviously closely linked to co-authorships and foreign funding sources, predominantly from Europe and the USA. Statements concerning conflicts of interest were frequently missing (both regions), even when multiple financial sources, including companies, were involved. It is necessary to be aware of possible systematic bias when using electronic databases to search for certain topics and regions. Further research regarding publishing ethics in paediatrics and paediatric nursing is emphasized.

scholarly journals Survival Outcomes of Double and Triple-Only Combination Anti-Myeloma Chemotherapeutic Regimens on 26 Multiple Myeloma Patients Seen in a Sub-Saharan African Country

Blood ◽  
2014 ◽  
Vol 124 (21) ◽  
pp. 5762-5762
Author(s):  
Ogbonna Collins Nwabuko ◽  
Martin Anazodo Nnoli ◽  
Elizabeth Eneikido Igbigbi ◽  
Dorathy Adaunwa Okoh ◽  
Ijezie Innocent Chukwuonye
Keyword(s):  
Multiple Myeloma ◽  
Developing Countries ◽  
Low Income ◽  
Clinical Laboratory ◽  
Conflicts Of Interest ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
Significant Difference ◽  
Sub Saharan ◽  
Survival Interval

Abstract Backgound: Multiple myeloma (MM) is one of the commonest haematological malignancies of public health importance in low-income countries of sub-Saharan Africa. Though primarily a disease of the bone marrow, it often poses a diagnostic dilemma for the orthopaedic surgeons because of the frequent skeletal manifestations. Consequently, misdiagnosis and late presentation are often common contributory factors to the poor prognosis and survival of victims in this environment. This retrospective study aimed at finding out the therapeutic challenges of MM in developing countries such as Nigeria. Methodology: A-10-year multi-centered retrospective analysis of 26 patients diagnosed and managed in three major centers between 2003 and 2013. Informations on the clinical, laboratory, radiological datas and therapeutic interventions were obtained at presentation until patients were lost to follow-up. Result: The median age of diagnosis was 60.6 years with M:F ratio of 2.3:1.(p<0.05). 61.5%, 30.8% and 7.7% presented in Durie Salmon (DS) stages III, II and I diseases respectively. The mean survival interval was 39.2 months (95% CI, 32.0-47.2 months). 84.5% and 8% were on Melphalan plus Prednisolone (MP) and Cyclophosphamide plus prednisolone (CP) combination chemotherapies respectively. The longest survival interval of 80 months was recorded by MP plus Bortezomib (V) triple regimen.There was no significant difference between the outcome of MP and VMP (p=0.33). Conclusion: Triple combination regimens (i.e,VMP, MPT) are superior to standard MP in terms of overall survival (OS),and quality of life of MM patients in developing countries, although this is not statistically significant. Disclosures No relevant conflicts of interest to declare.

scholarly journals What does the American public know about ‘child marriage’?

2019 ◽  
Author(s):  
David W Lawson ◽  
Rachel Lynes ◽  
Addison Morris ◽  
Susan B Schaffnit
Keyword(s):  
Low Income ◽  
Online Survey ◽  
The United States ◽  
Sub Saharan Africa ◽  
Public Understanding ◽  
Child Marriage ◽  
Global Campaign ◽  
Agents Of Change ◽  
The Usa ◽  
Sub Saharan

Abstract Background: A global campaign to eradicate ‘child marriage’ (<18 years) increasingly targets governments, the private sector and the general public as agents of change. Here, we measure the current state of public knowledge of child marriage, identifying potential misconceptions and inaccurate beliefs. We then consider the implications of our survey for global health initiatives addressing child marriage. Methods: We surveyed USA nationals via the online survey platform MTurk. Participants provided sociodemographic information and answered ten questions about their understanding of child marriage. To identify potential misconceptions and inaccurate beliefs we present descriptive statistics for participant responses paired with correct answers where available. Results: 609 participants provided data for analysis. 59% were women, with a mean age of 37 years, just over half (55%) were university educated, and the majority (79%) were currently employed. Half of those surveyed mistakenly believed that the cut-off for child marriage is younger than the legal threshold of 18 years, and nearly three-quarters incorrectly believed that most child marriages occur at 15 years or below (child marriage primarily takes place in later adolescence). The large majority of participants incorrectly believed that child marriage is illegal throughout the United States (it’s illegal in only two states), and mistakenly believed that child marriage primarily takes place among Muslim-majority regions of the Middle East and North Africa (it is most common in sub Saharan Africa and South Asia). Participants tended to substantially overestimate the prevalence of child marriage in both the USA and abroad. Conclusions: These findings suggest that public understanding of child marriage is not only poor, but also shaped by wider misperceptions of both relatively high and low-income nations. Organizations seeking to empower girls and young women by reducing child marriage need to be cautious of these misunderstandings, and wary of the potential for their own activities to seed misinformation. For example, we suggest the terminology ‘child marriage’, as opposed to ‘teen marriage’ or ‘adolescent marriage’, may contribute to widespread confusion about the typical ages at which child marriages occur.

scholarly journals What does the American public know about 'child marriage'?

2020 ◽  
Author(s):  
David W Lawson ◽  
Rachel Lynes ◽  
Addison Morris ◽  
Susan B Schaffnit
Keyword(s):  
Low Income ◽  
Online Survey ◽  
The United States ◽  
Sub Saharan Africa ◽  
Public Understanding ◽  
Child Marriage ◽  
Global Campaign ◽  
Agents Of Change ◽  
The Usa ◽  
Sub Saharan

Abstract Background: A global campaign to eradicate ‘child marriage’ (<18 years) increasingly targets governments, the private sector and the general public as agents of change. Here, we measure the current state of public knowledge of child marriage, identifying potential misconceptions and inaccurate beliefs. We then consider the implications of our survey for global health initiatives addressing child marriage.Methods: We surveyed USA nationals via the online survey platform MTurk. Participants provided sociodemographic information and answered ten questions about their understanding of child marriage. To identify potential misconceptions and inaccurate beliefs we present descriptive statistics for participant responses paired with correct answers where available.Results: 609 participants provided data for analysis. 59% were women, with a mean age of 37 years, just over half (55%) were university educated, and the majority (79%) were currently employed. Half of those surveyed mistakenly believed that the cut-off for child marriage is younger than the legal threshold of 18 years, and nearly three-quarters incorrectly believed that most child marriages occur at 15 years or below (child marriage primarily takes place in later adolescence). The large majority of participants incorrectly believed that child marriage is illegal throughout the United States (it’s illegal in only two states), and mistakenly believed that child marriage primarily takes place among Muslim-majority regions of the Middle East and North Africa (it is most common in sub Saharan Africa and South Asia). Participants tended to substantially overestimate the prevalence of child marriage in both the USA and abroad.Conclusions: These findings suggest that public understanding of child marriage is not only poor, but also shaped by wider misperceptions of both relatively high and low-income nations. Organizations seeking to empower girls and young women by reducing child marriage need to be cautious of these misunderstandings, and wary of the potential for their own activities to seed misinformation. For example, we suggest the terminology ‘child marriage’, as opposed to ‘teen marriage’ or ‘adolescent marriage’, may contribute to widespread confusion about the typical ages at which child marriages occur.

Monetary Policy in Sub-Saharan Africa

2018 ◽  
Keyword(s):  
Monetary Policy ◽  
Low Income ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
African Countries ◽  
Policy Regimes ◽  
Export Prices ◽  
Policy Work ◽  
Sub Saharan ◽  
Policy Guidance

Having broadly stabilized inflation over the past two decades, many policymakers in sub-Saharan Africa are now asking more of their monetary policy frameworks. They are looking to avoid policy misalignments and respond appropriately to both domestic and external shocks, including swings in fiscal policy and spikes in food and export prices. In many cases they are finding current regimes—often characterized as ‘money targeting’—lacking, with opaque and sometimes inconsistent objectives, inadequate transmission of policy to the economy, and difficulties in responding to supply shocks. At the same time, little existing research on monetary policy is targeted to low-income countries. What do we know about the empirics of monetary transmission in low-income countries? (How) Does monetary policy work in countries characterized by a huge share of food in consumption, underdeveloped financial markets, and opaque policy regimes? (How) Can we use methods largely derived in advanced countries to answer these questions? And (how) can we use the results to guide policymakers? This book draws on years of research and practice at the IMF and in central banks from the region to shed empirical and theoretical light on these questions and to provide practical tools and policy guidance. A key feature of the book is the application of dynamic general equilibrium models, suitably adapted to reflect key features of low-income countries, for the analysis of monetary policy in sub-Saharan African countries.

scholarly journals COVID-19 pandemic: the implications of the natural history, challenges of diagnosis and management for care in sub-Saharan Africa

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Lawrence Omo-Aghoja ◽  
Emuesiri Goodies Moke ◽  
Kenneth Kelechi Anachuna ◽  
Adrian Itivere Omogbiya ◽  
Emuesiri Kohworho Umukoro ◽  
...  
Keyword(s):  
Public Health ◽  
Natural History ◽  
Low Income ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
Diagnosis And Management ◽  
Severe Acute Respiratory Infection ◽  
Identification Technique ◽  
Sub Saharan ◽  
Policies And Programs

Abstract Background Coronavirus disease (COVID-19) is a severe acute respiratory infection which has afflicted virtually almost all nations of the earth. It is highly transmissible and represents one of the most serious pandemics in recent times, with the capacity to overwhelm any healthcare system and cause morbidity and fatality. Main content The diagnosis of this disease is daunting and challenging as it is dependent on emerging clinical symptomatology that continues to increase and change very rapidly. The definitive test is the very expensive and scarce polymerase chain reaction (PCR) viral identification technique. The management has remained largely supportive and empirical, as there are no officially approved therapeutic agents, vaccines or antiviral medications for the management of the disease. Severe cases often require intensive care facilities and personnel. Yet there is paucity of facilities including the personnel required for diagnosis and treatment of COVID-19 in sub-Saharan Africa (SSA). It is against this backdrop that a review of key published reports on the pandemic in SSA and globally is made, as understanding the natural history of a disease and the documented responses to diagnosis and management is usually a key public health strategy for designing and improving as appropriate, relevant interventions. Lead findings were that responses by most nations of SSA were adhoc, paucity of public health awareness strategies and absence of legislations that would help enforce preventive measures, as well as limited facilities (including personal protective equipment) and institutional capacities to deliver needed interventions. Conclusion COVID-19 is real and has overwhelmed global health care system especially low-income countries of the sub-Sahara such as Nigeria. Suggestions for improvement of healthcare policies and programs to contain the current pandemic and to respond more optimally in case of future pandemics are made herein.

scholarly journals Gestational weight gain in low-income and middle-income countries: a modelling analysis using nationally representative data

2020 ◽  
Vol 5 (11) ◽  
pp. e003423
Author(s):  
Dongqing Wang ◽  
Molin Wang ◽  
Anne Marie Darling ◽  
Nandita Perumal ◽  
Enju Liu ◽  
...  
Keyword(s):  
Weight Gain ◽  
North Africa ◽  
Low Income ◽  
Sub Saharan Africa ◽  
Middle Income ◽  
Middle Income Countries ◽  
Gestational Weight ◽  
Latin America And Caribbean ◽  
Nationally Representative ◽  
Sub Saharan

IntroductionGestational weight gain (GWG) has important implications for maternal and child health and is an ideal modifiable factor for preconceptional and antenatal care. However, the average levels of GWG across all low-income and middle-income countries of the world have not been characterised using nationally representative data.MethodsGWG estimates across time were computed using data from the Demographic and Health Surveys Program. A hierarchical model was developed to estimate the mean total GWG in the year 2015 for all countries to facilitate cross-country comparison. Year and country-level covariates were used as predictors, and variable selection was guided by the model fit. The final model included year (restricted cubic splines), geographical super-region (as defined by the Global Burden of Disease Study), mean adult female body mass index, gross domestic product per capita and total fertility rate. Uncertainty ranges (URs) were generated using non-parametric bootstrapping and a multiple imputation approach. Estimates were also computed for each super-region and region.ResultsLatin America and Caribbean (11.80 kg (95% UR: 6.18, 17.41)) and Central Europe, Eastern Europe and Central Asia (11.19 kg (95% UR: 6.16, 16.21)) were the super-regions with the highest GWG estimates in 2015. Sub-Saharan Africa (6.64 kg (95% UR: 3.39, 9.88)) and North Africa and Middle East (6.80 kg (95% UR: 3.17, 10.43)) were the super-regions with the lowest estimates in 2015. With the exception of Latin America and Caribbean, all super-regions were below the minimum GWG recommendation for normal-weight women, with Sub-Saharan Africa and North Africa and Middle East estimated to meet less than 60% of the minimum recommendation.ConclusionThe levels of GWG are inadequate in most low-income and middle-income countries and regions. Longitudinal monitoring systems and population-based interventions are crucial to combat inadequate GWG in low-income and middle-income countries.

scholarly journals Contrasting Monetary and Multidimensional Poverty Measures in a Low-Income Sub-Saharan African Country

2020 ◽  
Vol 151 (2) ◽  
pp. 547-574 ◽  
Author(s):  
Lukas Salecker ◽  
Anar K. Ahmadov ◽  
Leyla Karimli
Keyword(s):  
Risk Factors ◽  
Low Income ◽  
Multidimensional Poverty ◽  
Poverty Measurement ◽  
Sub Saharan Africa ◽  
Analytical Strategy ◽  
Poverty Risk ◽  
Two Measures ◽  
Sub Saharan ◽  
Over Time

AbstractDespite significant progress in poverty measurement, few studies have undertaken an in-depth comparison of monetary and multidimensional measures in the context of low-income countries and fewer still in Sub-Saharan Africa. Yet the differences can be particularly consequential in these settings. We address this gap by applying a distinct analytical strategy to the case of Rwanda. Using data from two waves of the Rwandan Integrated Household Living Conditions Survey, we combine comparing poverty rates cross-sectionally and over time, examining the overlaps and differences in the two measures, investigating poverty rates within population sub-groups, and estimating several statistical models to assess the differences between the two measures in identifying poverty risk factors. We find that using a monetary measure alone does not capture high incidence of multidimensional poverty in both waves, that it is possible to be multidimensional poor without being monetary poor, and that using a monetary measure alone overlooks significant change in multidimensional poverty over time. The two measures also differ in which poverty risk factors they put emphasis on. Relying only on monetary measures in low-income sub-Saharan Africa can send inaccurate signals to policymakers regarding the optimal design of social policies as well as monitoring their effectiveness.

Factors limiting the adoption of hemp as an alternative sustainable material for green building delivery in Ghana

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kofi Agyekum ◽  
Emmanuel Adinyira ◽  
James Anthony Oppon
Keyword(s):  
Building Materials ◽  
Green Building ◽  
Sub Saharan Africa ◽  
Content Type ◽  
Sustainable Material ◽  
Environmental Threats ◽  
Additional Information ◽  
Comparative Review ◽  
Sub Saharan ◽  
The Government

PurposeThe increased awareness of global environmental threats like climate change has created an upsurge of interest in low embodied carbon building materials for green building delivery. Though the literature advocates for the use of hemp-based building materials, there is no evidence of studies to explore its potential use in Ghana. Therefore, this study explores the potential factors that limit the adoption of hemp as an alternative sustainable material for green building delivery in Ghana.Design/methodology/approachA structured questionnaire was used to solicit the views of built environment professionals operating in construction, consulting and developer firms. The questions were developed through a comparative review of the related literature and complemented with a pilot review. Data were analysed via descriptive and inferential statistics.FindingsOn the average, the majority of the respondents showed a moderate level of awareness of hemp and its related uses in the construction industry. Also, certain key factors like the perceived association of hemp with marijuana, lack of expertise in the production of hemp-related building materials, farmers not getting the needed clearance for the cultivation of hemp, lack of legislation by the government in the legalisation of hemp and the inadequate knowledge of consumers on the benefits of hemp-based building materials were identified as potential limitations to the adoption of hemp as an alternative sustainable material for green building delivery.Originality/valueThe findings from this study provide insights into a less investigated area in sub-Saharan Africa and further provide new and additional information to the current state-of-the-art on the potential for the use of hemp in the building construction sector.

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