The impact of illicit drug networks on the effectiveness of law enforcement in South Africa

In the past few years, South Africa has experienced an enormous increase in the amount and types of illicit drug manufacturing, distribution and use. This has resulted in an increase in the burden of crime and health risks in the community. The patterns of drug availability and drug use have been linked to regional and country variations, socio-economic status, racial and geographical differences. Because of the dramatic increase in the availability of various illicit drugs, the United Nations Office on Drugs and Crime World Drug Report (2012) identified South Africa as one of the drug centres of the world. This raises concerns about whether law enforcement agencies perform their functions effectively. This paper focuses on the illicit drug networks that hinder the effectiveness of law enforcement in South Africa. The modus operandi used to produce and smuggle illicit drugs and the challenges experienced by law enforcement to prevent and combat illicit drugs will be discussed. The data was collected through in-depth interviews with experts within the criminal justice system in South Africa. The study conducted in 2017/ 2018 in terms of the scientific measurements, has adopted a qualitative approach. Data was collected from a target population consisting of 11 SAPS drug-related crime experts, including members of the SAPS specialised detectives of the Directorate for Priority Crime Investigation (DPCI), crime intelligence members, border police, the International Criminal Police Organisation (INTERPOL) and commanders at ports of entries. A documentary study was used as a secondary method of data collection. Data obtained from interviews were analysed by identifying common themes from the respondents' descriptions of their experiences.

Anatomy, Sonographic Features, and Dimensional Variations of Spleen among Individuals with Different Sociodemographic and Anthropometric Measurement

The spleen is a vital lymphoid soft organ located in the left hypochondrium region. It is a multi-dimensional organ that enlarges in all dimensions during some disease conditions. Recently, splenomegaly prevalence has been increasing throughout the world. Due to the lack of attention in clinical practice, splenomegaly has become quite a common problem in all parts of the world. The detection of the spleen by palpation is not approval of enlarged spleen because normal spleen may be palpable. A detailed knowledge of morphometric variations of the spleen is of great value in diagnosing splenomegaly clinically, radiologically, and for surgical procedures. Measurement of spleen size by sonography is important as it gives true result than splenic palpation and for identification of disorders present with enlargement or reduction of the spleen. Therefore, this study aimed to assess the anatomy, sonography, and dimensional variation of spleen among individuals with different sociodemographic and anthropometric measurements. The current study reviews different types of literature conducted on spleen all over the world. The result from overall spleen dimensions review shows measurements vary: spleen length (7–14 cm), spleen width (2–7.5 cm), spleen thickness (2–7 cm), and spleen volume (20–350 cm3). The literature revealed that spleen dimensions are affected by geographical differences, races, nutritional status, physical exercise, and anthropometric measurements. The result from reviews shows that spleen dimensions are larger in males than females. As age increases, spleen dimensions significantly decrease. Spleen dimensions positively correlate with height, weight, body mass index, and body surface of individuals. The spleen dimensions were higher in males than in females and have significant positive correlation with height, weight, body mass index, and body surface area. Clinicians, radiologists, and surgeons should confirm splenomegaly by both palpation and sonography. Spleen dimensions variation due to geographical sex, age, and other anthropometric measurements should be taken into consideration during their clinical investigation. Radiologists should measure all dimensions of spleen rather than the length to rule out splenomegaly correctly.

The European Turtle Dove in the ecotone between woodland and farmland: multi-scale habitat associations and implications for the design of management interventions

The European Turtle Dove (turtle dove) is globally threatened after undergoing a sustained and generalised decline across its breeding range, with habitat loss suggested as the main driver. Here, we reviewed the scientific literature on habitat associations across its European breeding range, in relation to distribution, breeding numbers, nesting substrates, food and foraging habitats, to identify optimal habitat management measures. Large-scale distribution seemed related to the availability, but not dominance, of woodland landscapes; abundance was generally higher in woodland than on farmland. However, abundance in woodland increased with additional structural diversity and proximity to farmland, and abundance on farmland increased with greater availability of non-farmland features. Nesting occurred most frequently on trees (secondarily on bushes) but we found geographical differences in the type of nesting substrate, with thorny bushes being used more frequently in the north, and open canopy trees in the south. Turtle doves fed on a wide spectrum of seeds with a predominance of wild, particularly early-flowering, plants; but we could not identify a single plant species whose abundance determined turtle dove numbers. Across the distribution range, a shift from wild to cultivated seeds occurred as the season progressed. However, interventions should favour the availability and access to wild seeds. Efficient management interventions depend on the dominant habitat; overall, interventions should seek to augment landscape heterogeneity by increasing the mixing of farmland and woodland. Combined forestry and agricultural policies must provide the right conditions for ecotone species like the Turtle dove.

The Impact of Social Screening on the Performance of US and European Funds

This chapter investigates the relationship between the performance and the screening strategies of US and European socially responsible funds. For the full sample and, in particular, for US funds, the results show a curvilinear relationship between screening intensity and fund performance. Continental European funds exhibit a positive relationship between the number of screens and performance. Furthermore, for the full sample and US funds, screening on governance impacts performance positively. In turn, environment and products screens have a negative impact on US fund performance. Finally, funds certified with social labels tend to yield higher performance. Overall, the geographical differences in the impact of the screening process on SRI fund performance are consistent with the contextual nature of socially responsible investments.

Mapping the Aetiology and Antimicrobial Resistance Patterns of Maternal Bacterial Infection in Sub-Saharan Africa: A Systematic Review and Meta-Analysis Protocol

Background: Over two-thirds of global maternal deaths occur in Sub-Saharan Africa (SSA), with more than 200,000 deaths per year. Maternal sepsis causes 10% of these deaths, twice the proportion observed in high-income countries. In SSA, limited access to diagnostic microbiology facilities poses difficulties in promptly identifying and managing maternal infection and sepsis. This protocol describes a systematic review and meta-analysis that aims to summarize available data on the main bacterial agents causing maternal infections and their antibiotic susceptibility in SSA. Methods: Three electronic databases will be searched: MEDLINE, Embase and African Journals Online. Our search strategy will combine terms relating to laboratory-confirmed bacterial infection, pregnancy, postnatal period and SSA. We will include observational studies describing maternal bacterial infection's aetiology and antimicrobial resistance patterns in SSA. Two authors will perform study selection, data extraction and quality assessment. A third author will be consulted to resolve disagreements if they arise.We will summarize the proportion (and 95% confidence intervals) of samples testing positive for the most common bacteria and, depending on the data's availability and heterogeneity, examine results by country and/or region. If possible, we will describe trends over time and differentiate aetiological organisms and resistance/sensitivities by maternal infection sources. We will also undertake subgroup analyses based on HIV status, the invasive and non-invasive status of the infection, SSA sub-regions and mortality if there is adequate information to make such subgroup analysis feasible. Discussion: Data on the microbiologic outcomes for maternal infections in SSA are likely fragmented and not fully representative due to the limited availability of microbiology diagnostics and geographical differences in clinical and laboratory practices. If this is the case, policies and programme strategies to guide treatment and identify antimicrobial resistance threats in SSA settings will be challenging to target. Our systematic review aims to provide a comprehensive summary of the available data, describe the main organisms causing maternal infection and their sensitivities, and identify areas that require further research. Prospero ID: CRD42021238515

Geographical Differences and Their Associated Factors in Chronic Obstructive Pulmonary Disease Mortality in Japan: An Ecological Study Using Nationwide Data

Geographical differences in chronic obstructive pulmonary disease (COPD) mortality have not been determined using municipal-specific data in Japan. This study determined the geographical differences in COPD mortality in Japan using municipal-specific data and identified associated factors. Data on COPD mortality from 2013 to 2017 for each municipality were obtained from the Vital Statistics of Japan. We calculated the standardized mortality ratio (SMR) of COPD by an empirical Bayes method for each municipality and located the SMRs on a map of Japan. In addition, an ecological study was conducted to identify factors associated with the SMR using demographic, socioeconomic, and medical characteristics of municipalities by a spatial statistics model. Geographical differences in the SMR were different in men and women, and municipalities with a low SMR tended to be more frequent in women. Spatial regression analysis identified that the total population and taxable income per capita were negatively associated with the SMR in men. In women, population density, the proportion of fatherless households, and the number of clinics per capita were positively associated with the SMR, whereas taxable income per capita was negatively associated with the SMR. There were some differences in regional characteristics associated with COPD mortality by sex.

Why People Settle in Shrinking Communities: A Unified Framework of Psychological, Environmental, and Cognitive Factors

The interpretation of settlement behavior in shrinking areas can provide insights into sustainability strategies in shrinking communities. However, the choice to settle in areas undergoing shrinkage is hard to interpret when considering residents as rational decisionmakers. To attain a deeper understanding of this decision-making process, a framework of residential decision making (RDM) considering a subjective environmental evaluation dimension, psychological dimension, and cognitive dimension is proposed. This process was further validated by conducting a questionnaire survey in Japanese communities. The results of the structural equation modeling reveal that the RDM framework proposed is applicable to RDM in shrinking communities. By considering geographical differences, we further found that residents in suburban communities tend to consider overall satisfaction with their location when deciding whether to stay, whereas residents in mountainous communities value emotional satisfaction factors such as place attachment when considering continuous residence. Different residential preferences contributing to the formation of RDM factors were also revealed between communities. The results of this study imply that sustainable development strategies to assist shrinking communities should be tailored to their geographical characteristics. Further, a regional design that can enrich residential experiences and neighborhood communication is important for promoting population settlement.

“Humanizing intensive care: A scoping review (HumanIC)”

Significant scientific and technological advances in intensive care have been made. However, patients in the intensive care unit may experience discomfort, loss of control, and surreal experiences. This has generated relevant debates about how to humanize the intensive care units and whether humanization is necessary at all. This paper aimed to explore how humanizing intensive care is described in the literature. A scoping review was performed. Studies published between 01.01.1999 and 02.03.2020 were identified in the CINAHL, Embase, PubMed, and Scopus databases. After removing 185 duplicates, 363 papers were screened by title and abstract. Full-text screening of 116 papers led to the inclusion of 68 papers in the review based on the inclusion criteria; these papers mentioned humanizing or dehumanizing intensive care in the title or abstract. Humanizing care was defined as holistic care, as a general attitude of professionals toward patients and relatives and an organizational ideal encompassing all subjects of the healthcare system. Technology was considered an integral component of intensive care that must be balanced with caring for the patient as a whole and autonomous person. This holistic view of patients and relatives could ameliorate the negative effects of technology. There were geographical differences and the large number of studies from Spain and Brazil reflect the growing interest in humanizing intensive care in these particular countries. In conclusion, a more holistic approach with a greater emphasis on the individual patient, relatives, and social context is the foundation for humanizing intensive care, as reflected in the attitudes of nurses and other healthcare professionals. Demands for mastering technology may dominate nurses’ attention toward patients and relatives; therefore, humanized intensive care requires a holistic attitude from health professionals and organizations toward patients and relatives. Healthcare organizations, society, and regulatory frameworks demanding humanized intensive care may enforce humanized intensive care.

Women in Central America since Independence

In the struggle to reduce gender inequalities, women were recognized as having rights during the liberal reform movements and achieved greater access to education in the nineteenth and early twentieth centuries. They then began to form their own organizations, demand voting rights, and join major social struggles. In the mid-twentieth century, women began to modernize their living conditions in the context of the Cold War, development policies, and broader access to contraceptive methods that allowed them greater control over their reproductive capacity. At the same time, they gained a greater foothold in the labor market and education, began to become professionals, and joined movements promoting the democratization of their societies, including through armed struggle. Beginning in the 1990s, pro-feminist laws and institutions were created throughout the region, against which conservative religious and neoliberal forces have pushed back. Despite important gains, the progress achieved by women has been strongly influenced by class, ethnic, generational, and geographical differences, so young, urban, White, and mixed-race women of the middle and upper classes have been able to take better advantage of the new opportunities than have their indigenous, Afro-descendant, rural, working-class, and older counterparts.

Local Characteristics Shape the Intended Political Behaviours of Adolescents

Among the different factors that predict political participation, the characteristics of the local community are often described. The types and the intensity of political participation differ in urban and rural communities. The local community provides social and cultural resources for political participation and at the same time acts as a driver of political socialisation. The political attitudes of adolescents differ depending on the characteristics of the communities in which they live, i.e. the local context of their political socialisation. This paper describes the context of the political socialisation of adolescents in the German federal state of North Rhine-Westphalia (NRW) in terms of geographical differences in socioeconomic, sociostructural, and sociocultural characteristics. The approach uses public databases to construct indicators that describe administrative districts in terms of their degree of urbanisation, degree of aggregated individual wealth, and variety of opportunity. These indicators were merged with the NRW subset of the International Civic and Citizenship Education Study (ICCS 2016), which comprises N = 1451 students in N = 59 schools. Neither the degree of urbanisation nor the degree of aggregated individual wealth was suitable for explaining differences in the intended political behaviour of secondary school students in the 8th grade in NRW. However, the higher the variety of opportunity in a certain district, the less frequently students intend to participate in elections as adults. Also, the higher the measure, the more frequently students intend to participate in illegal protest activities. Apparently certain local environments mobilise intentions to participate in protest activities and suppress more conventional political activities.