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1.
Prospective, community-based surveillance systems for measuring birth, death, and population movement rates may have advantages over the ‘gold-standard’ retrospective household survey in humanitarian contexts. A community-based, monthly surveillance system was established in South Kivu, Democratic Republic of the Congo, in partnership with a local implementing partner and the national ministry of health. Data were collected on the occurrence of births, deaths, arrivals, and departures over the course of one year, and a retrospective survey was conducted at the end of the period to validate the information. Discrepancies between the two approaches were resolved by a third visit to the households with discordant records. The study found that the surveillance system was superior in terms of its specificity and sensitivity in measuring crude mortality and birth rates as compared to the survey, demonstrating the method's potential to measure accurately important population-level health metrics in an insecure setting in a timely, community-acceptable manner.  相似文献   
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The United Nations' Monitoring and Reporting Mechanism is charged with documenting six grave violations against children in a time of conflict, including attacks on schools. Many of these incidents, however, remain unreported across the globe. This study explores whether or not a local knowledge base of education and child protection actors in North and South Kivu Provinces, Democratic Republic of the Congo, and in Mogadishu, Somalia, could contribute to a more complete record of attacks on education in those areas. Hundreds of semi‐structured interviews were conducted with key informants across the three settings, and in total 432 attacks on education were documented. Purposive samples of these reports were verified and a large majority was confirmed. Local non‐governmental organisations and education institutions were most knowledgeable about these incidents, but most never reported them to a monitoring authority. The study concludes that attack surveillance and response were largely insufficient, and recommends investing in mechanisms that utilise local knowledge to address these shortcomings.  相似文献   
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In natural resource management facilitation literature, little attention is paid to sensitive issues in multi-stakeholder interaction and learning. This article aims to fill this gap. It discusses the variety of discursive strategies used by stakeholders to address sensitive issues with regard to fishery management in Benin, in three different settings: individual interviews, homogeneous groups' discussions, and a heterogeneous group meeting. Issues that proved sensitive were discussed openly in the interviews or homogeneous groups' discussions, but not at all, or only indirectly, in the heterogeneous group meeting. With indirect discursive strategies, two out of the seven sensitive issues were put on the discussions' agenda. We conclude that the other issues were too sensitive among others because of historically grown interdependency between interventionists and fishers. We suggest that dealing with sensitive issues is an important dimension of the facilitation of interactive learning processes and provide methodological guidelines to detect and address such issues.  相似文献   
4.
RASA1-related disease is a rare autosomal dominant disease characterized by capillary malformations, arteriovenous malformations (AVMs), and/or arteriovenous fistulas (AFVs). Penetrance is nearly complete and vascular malformations may cause serious complications such as organ injury due to oxygenation disorder, brain abscess, hemorrhage, and stroke. Early diagnosis is useful in order to discuss optimal management, including AVMs/AVFs embolization or surgical procedures, and try to prevent some of the complications. In this context, molecular testing of RASA1 gene mutation in relatives may help to better manage the family. All arteriovenous malformations are however not accessible to such procedures. In addition, these therapeutic procedures may result in potential side effects and complications. A couple was referred to our genetics unit and asked us for prenatal genetic testing about a RASA1 mutation. Here, we discuss about arguments that led our team to accept prenatal testing. To the best of our knowledge, no molecular prenatal diagnosis was reported until now in RASA1-related diseases. This first report of prenatal diagnosis in RASA1-related diseases may also offer perspectives for a more general discussion in the field of inherited arteriovenous malformations.  相似文献   
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Environmental Science and Pollution Research - In Brazil, landfills are commonly used as a method for the final disposal of waste that is compliant with the legislation. This technique, however,...  相似文献   
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The Science of Nature -  相似文献   
8.
The potential atmospheric impact of constructed wetlands (CWs) should be examined as there is a worldwide increase in the development of these systems. Fluxes of N(2)O, CH(4), and CO(2) have been measured from CWs in Estonia, Finland, Norway, and Poland during winter and summer in horizontal and vertical subsurface flow (HSSF and VSSF), free surface water (FSW), and overland and groundwater flow (OGF) wetlands. The fluxes of N(2)O-N, CH(4)-C, and CO(2)-C ranged from -2.1 to 1000, -32 to 38 000, and -840 to 93 000 mg m(-2) d(-1), respectively. Emissions of N(2)O and CH(4) were significantly higher during summer than during winter. The VSSF wetlands had the highest fluxes of N(2)O during both summer and winter. Methane emissions were highest from the FSW wetlands during wintertime. In the HSSF wetlands, the emissions of N(2)O and CH(4) were in general highest in the inlet section. The vegetated ponds in the FSW wetlands released more N(2)O than the nonvegetated ponds. The global warming potential (GWP), summarizing the mean N(2)O and CH(4) emissions, ranged from 5700 to 26000 and 830 to 5100 mg CO(2) equivalents m(-2) d(-1) for the four CW types in summer and winter, respectively. The wintertime GWP was 8.5 to 89.5% of the corresponding summertime GWP, which highlights the importance of the cold season in the annual greenhouse gas release from north temperate and boreal CWs. However, due to their generally small area North European CWs were suggested to represent only a minor source for atmospheric N(2)O and CH(4).  相似文献   
9.
The Euratom Treaty confers important powers to the European Commission with regard to monitoring and assessment of levels of radioactivity in the environment and discharges with effluents (Articles 35-37 of the Euratom Treaty). Current developments in the area relate to harmonised reporting of environmental data and to harmonisation of effluent monitoring data. Both developments relate to the requirement under the new Basic Safety Standards (BSS) for a realistic assessment of population exposure. Guidance to this effect is being prepared by the Article 31 Group of Experts. In the context of Article 36 intercomparison exercises for radionuclides measurements in environmental samples are organised. New challenges for environmental monitoring result from the requirement under the BSS to regulate also industries processing NORM materials. Also the international move towards extending the scope of environmental radioactivity to the protection of biota opens new perspectives.  相似文献   
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