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Copyright of Journal of Medical Imaging & Radiation Sciences is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Youth gang involvement is a serious public health challenge and there is limited research with adolescents on their understandings of adolescent gang involvement, particularly in low-and middle-income countries (LMICs). This paper reports on the key theme of adolescents' experiences of youth gangs which emerged from qualitative research exploring adolescents' experiences of daily life. Six focus groups and 10 individual interviews were conducted with adolescents aged 13–14 years. Four factors were identified as protective against gang involvement; access to resources, school achievement, positive peer influences and supportive adult relationships. These findings illustrate the multiple factors which contribute to youth gang involvement and highlight the need for interventions to take an integrated and uniform approach to reduce risk factors and increase protective factors at the individual, family, school and community level. [ABSTRACT FROM AUTHOR]

Background In South Africa, many persons in need of augmentative and alternative communication (AAC) come from multilingual backgrounds. There is as yet a limited evidence base (locally and internationally) for the provision of AAC services to multilingual populations. The perspectives of service providers can assist in gaining an understanding of current practices and the factors that influence these. Aims The study aimed to obtain the perspectives of AAC service providers about practices in providing AAC systems and AAC intervention to clients from multilingual backgrounds. Methods & procedures Fifteen AAC service providers were purposefully chosen to participate in one of three focus groups – two face-to-face and one online focus group. Data from the face-to-face focus groups was transcribed verbatim. Thematic analysis was used to identify themes and subthemes in the data. Outcomes & results Four overarching themes were identified, namely (a) current practices, (b) factors influencing current practices, (c) service provides’ orientation towards different language options in AAC intervention, and (d) needs and desired developments regarding AAC technology. This paper reports on the first three themes. Service providers reported their practices to range from a focus on L1 exclusively, L2 exclusively, to a multilingual (sequential or simultaneous) approach. The South African language context, family language preferences and choices, service provider skill and knowledge, as well as AAC technology were identified as factors influencing their practices. Although many viewed access to multiple languages through AAC as positive, they also expressed concerns and reservations about providing multilingual AAC services. Conclusions & implications Although service providers in general saw the need to give clients from multilingual backgrounds access to multiple languages using AAC, this did not always translate into multilingual AAC practices. Both extrinsic factors (e.g. the lack of appropriate AAC devices, software and apps giving access to non-English languages) and intrinsic factors (service providers’ language competency and their beliefs about the cognitive demands of multilingual AAC systems) influenced their practices and choices. Appropriate AAC service delivery to multilingual populations in South Africa would require not only appropriate AAC technology developments, but also research evidence to establish the efficacy of multilingual AAC interventions for clients with a variety of characteristics. [ABSTRACT FROM AUTHOR]

This paper explores the experiences of caregivers in the Eastern Cape Province regarding the alleviation of child poverty, and presents a case for the expansion of monetary support to effectively address the multi-dimensional focus of child poverty in South Africa. The Social Development Approach (SDA) 1 1 Social Development Approach (SDA) addresses the “implementation of policies and programmes to meet needs, promote rights, manage social problems and facilitate maximization of opportunities to achieve social well-being and the promotion of human empowerment and social inclusion” ( Patel, 2005 ). was used together with the Child Focused Multi-dimensional Model (CFMDM) 2 2 Child Focused Multi-dimensional Model (CFMDM) is a model that is ‘child focused’ and is relevant to the child's life. It considers the different domains of deprivation, good access to quality services and, at its core, contains the absolute component that is complemented by the relative dimension which is based on the child's ability to participate fully in society and most importantly considers the applicability for different age groups. to explore the research problem. A phenomenological research design was followed by conducting semi-structured interviews and a focus group discussion with 20 participants who were purposively drawn from four urban and rural areas in the Eastern Cape. The findings concur with the view that the Child Support Grant (CSG) 3 3 Child Support Grant (CSG) is a non-contributory cash transfer programme paid to caregivers with children under the age of 18 years who meet the minimum requirements of the South African Social Security Agency (2016a, 2016b) . monetary support should be increased to better accommodate the multi-dimensional child poverty needs of the CSG recipients. [ABSTRACT FROM AUTHOR]

Ethnopharmacological relevance The aim of the study was to identify and document plants traditionally used to manage HIV and treat its opportunistic infections (OIs) in Mpoza, a rural village located in the Mount Frere Alfred Nzo District, Eastern Cape Province, South Africa. Materials and methods: Semi-structured interviews and focus group discussions (FGDs) were conducted with 18 traditional health practitioners from January 2012 to August 2012 to obtain information about medicinal plants used in the management of HIV and treatment of OIs. Results Seventeen plant species belonging to 12 families were identified for the management of HIV and treatment of OIs in Mpoza. The identified plant species belonged mostly to the families Asparagaceae (12%), Araliaceae (12%), Apiaceae (12%), Xanthorrhoeaceae (12%) and Lamiaceae (12%). The remaining 40% of identified plant species was evenly split over seven families - Urticaceae, Hypoxidaceae, Leguminosae, Verbenaceae, Rosaceae, Compositae and Rutaceae. The most frequently used medicinal plants were Hypoxis hemerocallidea (85%), Asparagus densiflorus (68%) and Lessertia frutescens (68%). The leaves (43.5%) and roots (21.7%) were the most frequently used plant parts, usually prepared as infusions and decoctions for oral administration. Conclusion This study provides documentation of medicinal plants used in the management of HIV and treatment of commonly associated OIs, which might provide a potential lead that will significantly contribute in reducing the burden of HIV infections in South Africa. We envisage that this paper will provide some background for further studies in developing new, effective, safe and affordable plant-derived medicines. [ABSTRACT FROM AUTHOR]

Smallholder farmers are vulnerable and hardest hit by droughts in Africa. One of the main causes of the increased vulnerability is limited access to resources resulting in limited drought preparedness. The heterogeneous nature of smallholder farmers means that they deal with droughts differently. Responses to drought are context-specific depending on the socio-economic, political, and cultural dimensions, which make it difficult to generalize. However, information on smallholder farmer drought perceptions, impacts on livelihoods, and the way droughts are dealt with at farm-level is scarce and mostly site-specific. This paper presents the findings from a study conducted in the Western Cape Province, in South Africa. The main objective of the study was to assess the impacts of the 2015-18 drought on the smallholder farmer livelihoods, and the coping and adaptation strategies adopted. The Sustainable Livelihoods Approach was used to frame questions on the coping mechanisms used by farmers, and any other strategies developed to adapt to future droughts. The study adopted the qualitative research design and focused on 112 smallholder farmers in two districts. Face-to-face interviews and focus group discussions were used to collect data, which was analysed using Atlas. ti 8.1 for Windows. The results showed that ownership of assets and support from private and public organisations facilitates better coping and adaptation to drought. There were social networks in farmer groups, but their benefits did not go beyond the members. Further research is required to determine the best models of support to smallholder farmers to empower them for adaption to future droughts. • Perceptions of drought by smallholder farmers did not translate into strategies for drought coping or adaptation. • Drought support was mainly through fodder for livestock. • Livelihood capitals can enhance smallholder farmer adaptation to drought. • Smallholder farmers were limited in their adaptation strategies mainly because of limited resources. • There was limited social networking beyond the farmer groups. [ABSTRACT FROM AUTHOR]