The poem "Banović Strahinja" and its cinematic echoes: Presentation of moral heroism
Prnjat Aleksandar B.
Having argued that the screenplay is a kind of literature and that the relationship between literature and the film industry is not something external, but something very intimate and immediate, the paper continues with the analysis of the poem Banović Strahinja. It is about the version recounted by the old man Milija and recorded by Vuk Stefanović Karadžić in 1820. The author of this paper mentions various creative echoes of this epic poem, from drama to poetry and film. He is particularly interested in the depiction of moral heroism in the poem itself, but also in the two film adaptations. The moral aspect of the poem itself was emphasized by Petar Kočić, and other authors who analyzed the poem and its moral tone. The character of Banović Strahinja differs from other heroes of epic poetry in that, in addition to his physical courage, he is also characterized by moral heroism evident in his decision to defy the prevalent moral conceptions, i.e. the morality that he himself grew up with. The author of this paper links this to the fact that Banović Strahinja speaks several foreign languages, i.e. knows more ''forms of life'' (Wittgenstein). He also argues that in different languages there are sometimes expressions and idioms that morally condemn something that is viewed as indifferent or praised in other cultures. The author argues that in different languages and cultures there are expressions and idioms that morally condemn something that speakers in other languages praise or view as indifferent. Different ''forms of life'' may have different values that are expressed in language. Familiarity with the existence of different moral norms could lead to a reflexive attitude towards the moral conceptions of one's own culture. The film Banović Strahinja (1971) by Vatroslav Mimica, based on the screenplay of Aleksandar Petrović, faithfully follows the plot of the poem but nevertheless omits the moment when Banović Strahinja informs his parents-in-law of his wife's betrayal, whereas the film Strahinja Banović (2021) directed by Stefan Arsenijevć, is about an African migrant and his wife who find themselves in Serbia. This African migrant wants to settle in Serbia and in order to integrate better, he adopts the Serbian name Strahinja.
Dengue Virus Infection in Sub-Saharan Africa Between 2010 and 2020: A Systematic Review and Meta-Analysis
Khalid Eltom, K. Enan, A. R. E. El Hussein
et al.
Dengue virus (DENV) infection has garnered a global interest in the past few decades. Nevertheless, its epidemiology in certain developing and low-income regions remains poorly understood, due to the absence of comprehensive surveillance and reporting systems. This systematic review and meta-analysis aimed to determine the prevalence of DENV infection in the population of Sub-Saharan Africa using DENV infection markers, and to track any changes in its prevalence during the past ten years. It was conducted in accordance with the PRISMA guidelines, targeting the literature available at MEDLINE/PubMed, ScienceDirect, Cochrane library and Google Scholar. All articles published in English language between January 2010 and June 2020 were screened for eligibility. Random effects model was used to calculate the pooled prevalence of all infection markers. The Inconsistency Index (I 2) was used to assess the level of heterogeneity between studies. Subgroup analysis according to country and time-frame of studies was conducted to provide possible explanations to substantial heterogeneity. The critical appraisal tool for prevalence studies designed by the Joanna Briggs Institute (JBI) was used to assess the risk of bias in all included studies. A total of 84 articles, covering 21 countries, were included in this review. Quantitative meta-analysis estimated a pooled IgG prevalence of 25% (95% CI: 21-29%, I 2 = 99%), a pooled IgM prevalence of 10% (95% CI: 9-11%, I 2 = 98%) and a pooled DENV RNA prevalence of 14% (95% CI: 12-16%, I 2 = 99%). Evidence for possible publication bias was also found in all three meta-analyses. Subgroup analysis according to the time of sample collection was performed to closely track the changing prevalence of DENV infection markers between 2010 and 2019. This meta-analysis estimates a high prevalence of DENV infection in Sub-Saharan Africa. More cost-efficient vector control strategies should be designed and implemented in order to adapt to the low-resource nature of this region.
Global distribution, host range and prevalence of Trypanosoma vivax: a systematic review and meta-analysis
Eyerusalem Fetene, S. Leta, F. Regassa
et al.
Trypanosomosis caused by Trypanosoma vivax is one of the diseases threatening the health and productivity of livestock in Africa and Latin America. Trypanosoma vivax is mainly transmitted by tsetse flies; however, the parasite has also acquired the ability to be transmitted mechanically by hematophagous dipterans. Understanding its distribution, host range and prevalence is a key step in local and global efforts to control the disease. The study was conducted according to the methodological recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. A systematic literature search was conducted on three search engines, namely PubMed, Scopus and CAB Direct, to identify all publications reporting natural infection of T. vivax across the world. All the three search engines were screened using the search term Trypanosoma vivax without time and language restrictions. Publications on T. vivax that met our inclusion criteria were considered for systematic review and meta-analysis. The study provides a global database of T. vivax, consisting of 899 records from 245 peer-reviewed articles in 41 countries. A total of 232, 6277 tests were performed on 97 different mammalian hosts, including a wide range of wild animals. Natural infections of T. vivax were recorded in 39 different African and Latin American countries and 47 mammalian host species. All the 245 articles were included into the qualitative analysis, while information from 186 cross-sectional studies was used in the quantitative analysis mainly to estimate the pooled prevalence. Pooled prevalence estimates of T. vivax in domestic buffalo, cattle, dog, dromedary camel, equine, pig, small ruminant and wild animals were 30.6%, 6.4%, 2.6%, 8.4%, 3.7%, 5.5%, 3.8% and 12.9%, respectively. Stratified according to the diagnostic method, the highest pooled prevalences were found with serological techniques in domesticated buffalo (57.6%) followed by equine (50.0%) and wild animals (49.3%). The study provides a comprehensive dataset on the geographical distribution and host range of T. vivax and demonstrates the potential of this parasite to invade other countries out of Africa and Latin America.
Determinants of access to HIV testing and counselling services among female sex workers in sub-Saharan Africa: a systematic review
S. Nnko, E. Kuringe, D. Nyato
et al.
BackgroundHIV testing and counselling (HTC) is an essential component for HIV prevention and a critical entry point into the HIV continuum of care and treatment. Despite the importance of HTC for HIV control, access to HTC services among female sex workers (FSWs) in sub-Saharan Africa (SSA) remains suboptimal and little is known about factors influencing FSWs’ access to HTC. Guided by the client-centred conceptual framework, we conducted a systematic review to understand the facilitators and barriers influencing FSWs in SSA to access HTC services.MethodsA systematic search was conducted in MEDLINE, POPLINE and Web of Science databases for literature published between January 2000 and July 2017. References of relevant articles were also searched. We included primary studies of any design, conducted in SSA and published in the English language. Studies conducted in multi-sites inclusive of SSA were included only if data from sites in SSA were separately analysed and reported.Similarly, studies that included other subpopulations were only eligible if a separate analysis was done for FSWs. This review excluded papers published as systematic reviews, editorial comments and mathematical modelling. The protocol for this review is registered in the Prospective Register of Systematic Reviews (PROSPERO), registration number CRD42017062203.ResultsThis review shows that factors related to approachability, acceptability, availability, affordability and appropriateness of the services are crucial in influencing access to HTC services among FSWs in SSA. These factors were mediated by individual attributes such as HIV risk perceptions, awareness of the availability of HTC, and perceptions of the importance and quality of HTC services. The decision to utilise HTC was predominantly hampered by discriminatory social norms such as HIV stigma and criminalisation of sex work.ConclusionsFSWs’ access to HTC is facilitated by multiple factors, including individual awareness of the availability of HTC services, and perceived quality of HTC especially with regard to assured confidentiality. Concerns about HIV stigma and fear about discrimination due to community intolerance of sex work acted as major barriers for FSWs to seek HTC services from the facilities offering health services to the general population.
Methods for overcoming barriers in palliative care for ethnic/racial minorities: a systematic review
Donna P. Mayeda, K. Ward
Abstract Objectives Ethnic/racial minority groups are less likely to discuss issues involving end-of-life treatment preferences and utilize palliative care or hospice services. Some barriers may be differences in language, religion, lower levels of health literacy, or less access to healthcare services and information. The purpose of this article is to conduct a systematic review on interventional studies that investigated methods to overcome the barriers faced by ethnic/racial minorities when accessing end-of-life services, including completing advanced directives, accepting palliative care, and enrolling in hospice. Methods Literature searches using four standard scientific search engines were conducted to retrieve articles detailing original research in an interventional trial design. All studies were conducted in an outpatient setting, including primary care visits, home visits, and dialysis centers. Target populations were those identified from ethnic or racial minorities. Results Nine articles were selected to be included in the final review. All were full-text English language articles, with target populations including African Americans, Hispanic or Latinos, and Asian or Pacific Islanders. Measured outcomes involved level of comfort in discussing and knowledge of palliative care services, desire for aggressive care at the end-of-life, completion of advance directives, and rate of enrollment in hospice. Significance of Results Three main avenues of interventions included methods to enhance patient education, increase access to healthcare, or improve communication to establish better rapport with target population. Studies indicate that traditional delivery of healthcare services may be insufficient to recruit patients from ethnic/racial minorities, and outcomes can be improved by implementing tailored interventions to overcome barriers.
70 sitasi
en
Psychology, Medicine
Neonatal care practices in sub-Saharan Africa: a systematic review of quantitative and qualitative data
M. Bee, Anushree Shiroor, Zelee Hill
BackgroundRecommended immediate newborn care practices include thermal care (immediate drying and wrapping, skin-to-skin contact after delivery, delayed bathing), hygienic cord care and early initiation of breastfeeding. This paper systematically reviews quantitative and qualitative data from sub-Saharan Africa on the prevalence of key immediate newborn care practices and the factors that influence them.MethodsStudies were identified by searching relevant databases and websites, contacting national and international academics and implementers and hand-searching reference lists of included articles. English-language published and unpublished literature reporting primary data from sub-Saharan Africa (published between January 2001 and May 2014) were included if it met the quality criteria. Quantitative prevalence data were extracted and summarized. Qualitative data were synthesized through thematic analysis, with deductive coding used to identify emergent themes within each care practice. A framework approach was used to identify prominent and divergent themes.ResultsForty-two studies were included as well as DHS data - only available for early breastfeeding practices from 33 countries. Results found variation in the prevalence of immediate newborn care practices between countries, with the exception of skin-to-skin contact after delivery which was universally low.The importance of keeping newborn babies warm was well recognized, although thermal care practices were sub-optimal. Similar factors influenced practices across countries, including delayed drying and wrapping because the birth attendant focused on the mother; bathing newborns soon after delivery to remove the dirt and blood; negative beliefs about the vernix; applying substances to the cord to make it drop off quickly; and delayed breastfeeding because of a perception of a lack of milk or because the baby needs to sleep after delivery or does not showing signs of hunger.ConclusionThe majority of studies included in this review came from five countries (Ethiopia, Ghana, Malawi, Tanzania and Uganda). There is a need for more research from a wider geographical area, more research on newborn care practices at health facilities and standardization in measuring newborn care practices. The findings of this study could inform behaviour change interventions to improve the uptake of immediate newborn care practices.
The marathoner not yet at the finish line: Nuruddin Farah in Rome
Nuruddin Farah, Ali Mumin Ahad
None
African languages and literature
Disadvantaged School Contexts and Female School Leadership in Zimbabwe
Zvisinei Moyo, J. Perumal
Abstract The persistent systemic inequalities inherent in cultural and traditional practices shape how society views women as leaders. This article reviewed the literature to highlight the needs, opportunities, constraints, and resources of disadvantaged schools and how this context influences the leadership practices of female primary school principals. Two questions guided the study: (1) What are the needs, opportunities, constraints, and resources of disadvantaged schools and how do they influence leadership practice? (2) How do female principals adapt their practices to their school contexts? An unbounded search was conducted to identify 22 publications, consisting of 17 peer-reviewed English-language journal articles, three book chapters, and two conference papers on female educational leadership in Zimbabwe. Systematic search criteria were strictly followed to obtain the publications from 2008 to 2018. Through the lens of an African feminist perspective, this study established that the features of a disadvantaged school context influence what female principals do and how they do it. It is important to note that principals craft strategies to expand the available resources while taking advantage of the opportunities at their disposal to manage constraints in order to meet the needs of their schools.
“We are not a ‘fix-it shop’”: the writing centre as a uniquely configured learning space
Sefalane-Nkohla, Puleng, Mtonjeni, Thembinkosi
For decades, writing centre practitioners have contested and protested against the demeaning characterisations of their pedagogic space. The Cape Peninsula University of Technology’s (CPUT) Writing Centre has endured stigmatisation as a “clinic”, “laboratory”, “fix-it shop”, and “remedial agency for removing students’ deficiencies in composition” (Archer and Parker 2016, Drennan 2017, Moore 1950, North 1984). Although writing centre practitioners and theorists have described these centres as hubs for nurturing and enhancing students’ intellectual and linguistic capacities in order to engage and master disciplinary literacies and genres while contributing to the transformation of educational projects, such a value tends to be misrecognised – by both lecturers and students at CPUT – as focusing on improving grammatical competence. This article contributes to the discourse of redefining the writing centre as a space with unique transformational pedagogies in the context of a university of technology, namely CPUT.
Philology. Linguistics, African languages and literature
Die buitestaander (Albert Camus, vertaal deur Jan Rabie)
Charles Malan
...
African languages and literature
Health workers’ compliance to rapid diagnostic tests (RDTs) to guide malaria treatment: a systematic review and meta-analysis
A. Kabaghe, B. J. Visser, R. Spijker
et al.
The World Health Organization recommends malaria to be confirmed by either microscopy or a rapid diagnostic test (RDT) before treatment. The correct use of RDTs in resource-limited settings facilitates basing treatment onto a confirmed diagnosis; contributes to speeding up considering a correct alternative diagnosis, and prevents overprescription of anti-malarial drugs, reduces costs and avoids unnecessary exposure to adverse drug effects. This review aims to evaluate health workers’ compliance to RDT results and factors contributing to compliance. A PROSPERO-registered systematic review was conducted to evaluate health workers’ compliance to RDTs in sub-Saharan Africa, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies published up to November 2015 were searched without language restrictions in Medline/Ovid, Embase, Cochrane Central Register of Controlled Trials, Web of Science, LILACS, Biosis Previews and the African Index Medicus. The primary outcome was health workers treating patients according to the RDT results obtained. The literature search identified 474 reports; 14 studies were eligible and included in the quantitative analysis. From the meta-analysis, health workers’ overall compliance in terms of initiating treatment or not in accordance with the respective RDT results was 83 % (95 % CI 80–86 %). Compliance to positive and negative results was 97 % (95 % CI 94–99 %) and 78 % (95 % CI 66–89 %), respectively. Community health workers had higher compliance rates to negative test results than clinicians. Patient expectations, work experience, scepticism of results, health workers’ cadres and perceived effectiveness of the test, influenced compliance. With regard to published data, compliance to RDT appears to be generally fair in sub-Saharan Africa; compliance to negative results will need to improve to prevent mismanagement of patients and overprescribing of anti-malarial drugs. Improving diagnostic capacity for other febrile illnesses and developing local evidence-based guidelines may help improve compliance and management of negative RDT results. Trial registration: CRD42015016151 (PROSPERO)
Mixed-methods research: A tutorial for speech-language therapists and audiologists in South Africa
A. Wium, B. Louw
Background: Mixed-methods research (MMR) offers much to healthcare professions on clinical and research levels. Speech-language therapists and audiologists work in both educational and health settings where they deal with real-world problems. Through the nature of their work, they are confronted with multifaceted questions arising from their efforts to provide evidence-based services to individuals of all ages with communication disorders. MMR methods research is eminently suited to addressing such questions. Objective: The aim of this tutorial is to increase awareness of the value of MMR, especially for readers less familiar with this research approach. Method: A literature review was conducted to provide an overview of the key issues in MMR. The tutorial discusses the various issues to be considered in the critical appraisal of MMR, followed by an explanation of the process of conducting MMR. A critical review describes the strengths and challenges in MMR. Results: MMR is less commonly used or published in the fields of speech-language therapy and audiology. Conclusion: Researchers working in teams can draw on the strengths of different disciples and their research approaches. Such collaborative enterprises will contribute to capacity building. Researchers, SLTs and audiologists are encouraged to make use of MMR to address the complex research issues in the multicultural, multifaceted South African context. MMR makes an important contribution to the understanding of individuals with communication disorders, and in turn, researchers in the two disciplinary fields of speech-language therapy and audiology can contribute to the development of this research approach. MMR is well suited to the complexity of South African contexts and its populations, as it can provide multiple perspectives of a topic.
22 sitasi
en
Medicine, Psychology
Zen Communist: Breyten Breytenbach’s view from underground
Andrew Nash
In an interview after his release from prison, Breyten Breytenbach describes himself, at the time he became involved in underground politics, as a Zen Communist. He returns occasionally to this interaction of Marxist ideas of social revolution and Buddhist ideas of non-attachment, but never attempts to explain the resulting synthesis systematically. Indeed, for Breytenbach, being a Zen Communist is to resist systematic positions, to accept contradiction as a constant source of surprise and invention disruptive of all systematic thought. This paper examines how this interaction of Marxist and Buddhist ideas and practices has informed Breytenbach’s politics in three contexts: his initial exploration of a radical philosophy of history in his poetry (“Bruin reisbrief”, “Brown travel letter”); his role in the underground politics of Okhela in the 1970s; his reflections on politics and social change in his prison and prison-related writings. Key words: Zen communism, anti-apartheid movement, liberation, dialectic.
African languages and literature
Communities of practice in the design of a curriculum for student teachers of English
Dippenaar, Hanlie , Dippenaar, Hanlie
This article interprets the new Curriculum and Assessment Policy Statement for Further Education and Training for teacher education as an opportunity for creating communities of practice, which means viewing teaching and learning as socially situated (Barton, 1994: 68). A transliteracies framework for language development was used (Stornaiuolo, Smith and Phillips (2016: 4), which refers to resemiotisation. Guiterrez (2008) implies that, in an institutionalised learning context, it is acknowledged that multiple discourses come together around a specific task, such as in this case, English education. Multiple intersecting discourses are at play, and individuals develop meaningful connections to each other in the process of collaborative negotiation of meaning. In these communities, certain practices originate, and are developed, perpetuated and discarded, or adapted with the intention of expanding student linguistic and intellectual development. The content of the specific English teacher education curriculum design discussed here, is on globally pertinent issues of political, social and ecological ethics, in an attempt to address existing and persistent hierarchies of power while developing agency, voice, empathy and reflexivity, qualities which may enhance community development. A strong emphasis on critical reading, collaborative argumentation and engagement with text production is proposed, as a means of building community in the classroom.
Language and Literature, African languages and literature
Finding Soutbek.
Shaun Viljoen
African languages and literature
Toevallige tekens.
Louise Viljoen
African languages and literature
Alles het niet kom wôd (Nathan Trantraal)
Henning J Pieterse
African languages and literature
J. C. Kannemeyer (1939–2011)
Wium Van Zyl
“Dit sou lesers van my biografieë van die afgelope twee dekades opgeval het dat my belangstelling in die besonder uitgaan na daardie figure in ons letterkunde wat teenoor die koloniaal denkende bewindhebbers ’n ander, humaner gesig van die Afrikaner toon.”
African languages and literature
Practices and views of audiologists regarding aural rehabilitation services for adults with acquired hearing loss
M. Makhoba, N. Joseph
Background Hearing loss in adults is one of the leading disabilities globally. It is managed through aural rehabilitation for which there is a paucity of literature in South Africa. This raises the question of interest, the integrity of holistic service provision amongst audiologists and whether interest and challenges affect current practices. Objectives To describe audiologists’ practices and views on aural rehabilitation services for adults, including interest and challenges experienced. Method A descriptive online survey was completed by 45 of 1440 invited practicing audiologists who were members of the two national professional associations in South Africa. Each association emailed the questionnaire link to all its members. Data were analysed using the Statistical Package for the Social Sciences version 21, and included the paired samples t-test and chi-squared tests. Results The most provided services were hearing aids (81.4%), communication strategies training (69.8%) and informational counselling (79.8%). A strong interest was reported by most for each service. Challenges included limited client compliance, unaffordability of services, limited undergraduate training, language barriers, unrealistic expectations and individual differences. Statistically significant differences between service provision, interest and challenges indicated that these are influential but not individually significant to service provision. Conclusion Imbalanced service provision, high interest and many more challenges are experienced. These factors contribute but are not solely markedly influential in service provision.
Solid medical waste management in Africa
E. Udofia, J. Fobil, G. Gulis
Increased awareness about inadequate management of solid medical waste (SMW) has led to increased independent surveys in African countries and yet published data remain scanty on the subject in Africa as compared to the rest of the world. To evaluate the overall compliance with World Health Organization (WHO)’s ten recommendations on SMW practices in Africa through a literature review, we conducted literature search using search terms as “medical waste OR clinical waste OR biomedical waste OR hospital waste OR healthcare waste OR hazardous waste AND Africa” in PubMed, African Journals Online, Web of Science, Proquest, Embase, Google scholar and Scopus. Additional articles were included from open google search. Articles were selected for inclusion if they described SMW management activities such as waste segregation, collection, transport (on-site and/or off-site), temporary storage, treatment and final disposal; were located in an African country and were written in English; or if written in a different language, had an English abstract with the relevant information. Evaluations were based on fifty eight (58) full text articles which were pooled together. The fifty eight (58) full text articles represented research undertaken in 20 countries. Overall, six countries (30%) broadly met half of the WHO’s 10 recommendations. Based on the reviewed articles, the greatest compliance was shown with “daily collection of waste from the service areas” (100%). Areas of least compliance were “appropriate use of color codes” (18%) for labeling waste bins, “off-site conveyance” (16%) and “periodic training” (18%). In spite of growing awareness, SMW management in most African countries was sub-standard. Appropriate use of color codes, periodic training and off-site conveyance need to be addressed in terms of reporting and practice. Common challenges and unremarkable progress in SMW management in Africa raise a question about whether a unified approach should replace independent country efforts. Key words: Africa, hospital waste, solid medical wastes, waste management.