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Background/Aims: Extensive research focuses on the advantages and disadvantages of various positions throughout active second stage labour, but there is limited focus on midwives' practice. This study aimed to explore midwives' practice of maternal positions throughout the active phase of second stage labour. Methods: An integrative review of three databases was carried out for research papers published between 2015 and 2022. Thematic analysis was used for data analysis and synthesis. Results: Five eligible research papers were included. There were four key findings: maternal positions practised by midwives, midwives as the prime decision maker, midwives' personal convenience and comfort, and barriers to practising maternal positions. Conclusions: Midwives were seen as prime decision makers, who hindered informed decision making on maternal positions during active second stage labour. Inadequate knowledge, skills and confidence were barriers to practice and attributed to midwives adopting positions that were convenient and comfortable for themselves. Strategies are needed to enhance practice through review and evaluation of current clinical settings, regular updates to evidence-based practice and refreshing essential midwifery skills. [ABSTRACT FROM AUTHOR]

It has been found that people with disabilities remain at the margin as far as the different aspects of their lives are concerned. This paper tests the hypothesis that disability leads to lower quality of life among older adults in low and middle-income countries. The data from the Study on Global Ageing and Adult Health (SAGE) was used in this study which was conducted in Ghana, China, India, Russia, South Africa and Mexico. The disability scores have been made utilising Item Response Theory, Partial Credit Model and are centered on eight functioning and health areas. Bivariate analysis, binary logistic regression and pooled regression analysis have been used to fulfil the objectives of the paper. The findings reveal that disability acts as a hindrance in attaining a high quality of life (HQOL) amongst the older adults in the above mentioned low and middle-income countries. The older adults with disability are as much as 60% less likely to enjoy an HQOL with respect to the older adults without disability. Better socio-economic development like improved health care for disabled older adults with disability enhanced living standards for both abled and disabled, efficient pension schemes for older adults with disability and effective social service schemes would be very much essential to improve overall QOL among older adults. [ABSTRACT FROM AUTHOR]

China is an increasingly major player in the latest global economic configuration. As a formerly developing nation, China has the potential to view the world through a lens distinctive from current Western hegemonies in its news media and soft power strategies. China has already invested heavily in the African continent and South Africa specifically, including in its news media. Some research has suggested that non-Western, non-democratic countries might have a different approach to international news coverage, including more positive and constructive coverage that diverges from Western news coverage (which is often seen as unnuanced and unequal). A content analysis of Chinese print news media thus examined if Chinese news media's construction of South African reality differs from previous Western social constructions. The research analysed China Daily, a newspaper closely affiliated with the Chinese Communist Party, as well as South China Morning Post (SCMP), an independent, privately-owned publication from Hong Kong. It investigated whether these papers use constructive journalism to cover South Africa, and how their coverage diverged and overlapped. The research found that there are observable differences on an ontological scale, and that both papers have different foci of interest and affective slant which diverge from Western news sources. However, similar to Western sources, both papers are largely not constructive on topics relating to South Africa, and are overall disinterested in local events in South Africa, reproducing the same inequalities in news reportage that exist with the current global hegemonic order. [ABSTRACT FROM AUTHOR]

Though a continued increase in life expectancy is a significant public health achievement, keeping older adults active and maintaining their well-being is challenging. Active aging requires physical health, mental health, functional independence, economic stability, social participation, and spiritual identification. Among all these factors, social cohesion has significant importance, but there is a dearth of studies focusing on older adults' social cohesion. Thus, the present study focuses on the level of social cohesion among older adults and its variation among the different economic classes. This article uses data from the Study on Global AGEing and Adult Health (SAGE) conducted in China, Ghana, India, Mexico, Russia, and South Africa during 2007–10. Social cohesion scores have been constructed using Item Response Theory Partial Credit Model. Also, bivariate analysis, concentration curves, concentration indices, and multivariate regressions have been used for the analysis presented in this paper. This study confirms the strong predictive power of age, wealth, education, and working status of older adults on their social cohesion across the countries. Higher social non-cohesion is found among the economically poor older adults in Mexico, Russia, India, and China. In contrast, it is just opposite in the case of older adults in South Africa. Governments should develop policies to foster a society with a high level of social inclusion, social capital, and social diversity, to achieve further advancement in social cohesion. [ABSTRACT FROM AUTHOR]

Fourth Industrial Revolution (4IR) technologies have elevated the capabilities and possibilities of improvement and efficiency in the energy sector. This paper interrogates how energy companies in South Africa, Germany and China apply 4IR technologies. A total of 26 energy companies in those countries were surveyed. An analysis was carried out using the Cronbach Alpha, Kruskal-Wallis and Mann-Whitney tests. Survey results indicate that 85% of companies acknowledge good levels of participation in the 4IR, and were clear about which 4IR technologies are important, although few companies develop these themselves. Technologies enabling access to big, real-time data (BRTD) and BRTD analysis software, are valued the most in measured importance, efficiency, reliability and ability to be integrated across the energy system. The transfer of data using the Internet of things ranked highly as a 4IR technology, whereas artificial intelligence, robotics and machine-human integration (also referred to as machine-human interaction) are considered less important, efficient, and reliable. China rates 4IR technologies as more important than South Africa and Germany do. For South Africa to be competitive in the global energy sector it needs to engage with and embrace 4IR technologies to a greater extent. [ABSTRACT FROM AUTHOR]

The preference of biofloculants over chemical flocculants in water and wastewater remediation systems has gained wider attention due to their biodegradability, innocuousness, safety to human and environmental friendliness. The present study aimed to evaluate research outputs on bioflocculant potentials in wastewater remediation from 1990 to 2019 using bibliometric analyses. To the best of our knowledge, this is the first bibliometric report in bioflocculant research. The subject bibliometric dataset was extracted from the Web of Science Core Collection (WoSCC) and Scopus using the Boolean, 'bioflocculant* and waste*' and analysed for indicators such as a yearly trend, productivity (authors, articles, country, institution and journal source), conceptual framework and collaboration network. We found 119 documents with 347 authors from 78 journal sources on the subject, an annual growth rate of 12·1%, and average citations/document of 15·08. Guo J. and Wang Y. were the top researchers with 15 and 12 outputs respectively. China (42%) and South Africa (9·24%) ranked the top two dominant countries in the field. The top journals were Bioresource Technology (9 papers, 506 citations), Applied Microbiology and Biotechnology (5 papers, 268 citations), whereas, the top institution was Chengdu University of Information and Technology (n = 9 documents) followed by Sichuan Univ. Sci. & Engn, China (n = 8 documents). This study found that lack of intercountry collaboration and research funding adversely affects research participants in the field. [ABSTRACT FROM AUTHOR]

Rapid economic growth propelled China to become South Africa’s largest trade partner, and the recent economic slowdown in China and collapse of commodity prices threatens to reverse this trend. Previous estimations of South Africa’s bilateral trade functions document strong income effects on trade, but evidence for the effects of the exchange rate and its volatility are decidedly mixed. In this paper we argue that this ambiguity is due in part to the omission of information about the level and volatility of commodity prices. We note that South Africa’s exports to China are heavily concentrated in metal ores, and the practice of deflating the nominal exchange rate by either a consumer price index or deflator is a poor proxy for the commodity price movements that matter for exporters. In this paper we use quarterly data from the period 1993-2014 to estimate South Africa’s bilateral export function with China using Chinese GDP, the real bilateral exchange rate, exchange rate volatility, iron ore and precious metals price indices, and their respective volatilities. We specify an error-correction model designed to model departures from, and adjustment to, the long-run equilibrium, and thereby distinguish short-run and long-run effects, and we employ the bounds testing approach of Pesaran, Shin and Smith (2001) to test for long-run cointegration among the variables. The baseline model results in large and statistically significant estimates for income and real exchange rate elasticities that are in the expected direction. The elasticity estimate for exchange-rate volatility suggests a negative but statistically insignificant effect. This ambiguity resonates with much of the literature. In our augmented models we include separate variables to capture the effects of iron ore and precious metals prices and their volatility, resulting in considerable improvement in model fit in both a static and dynamic sense. In the long run, the positive price elasticity is consistent with an upward-sloping export supply curve, and the negative and relatively elastic effect of commodity price volatility suggests an uncertainty effect that reduces exports. Importantly, the inclusion of the commodity price variables improves the precision of other estimates, increasing our confidence in a similar uncertainty effect emanating from volatility in the bilateral exchange rate. Our results highlight South Africa’s continued vulnerability to the commodity price cycle. To escape this boom and bust cycle, South Africa’s government must emphasize public investment and embrace structural reforms aimed at diversifying its export sector. [ABSTRACT FROM AUTHOR]

China's footprint in Africa's media sector over the last decade has reached dimensions that make it impossible to go unnoticed. In South Africa, one of the countries where this imprint is most diversified, Chinese media have been engaged in a varied range of activities, including content production and distribution, infrastructure development, direct investment in local media and training of journalists. Building on previous exploratory studies by the authors, this paper addresses an unresolved question in the study of China's media internationalization: the impact on journalism. Using data from 20 semi-structured in-depth interviews with editors, journalists and policy makers, we investigate how much influence Chinese media exercise on journalism in South Africa. We present responses along three dimensions: consumption of and attitudes towards Chinese media, impact on local journalism and views about South Africa-China relations. Our data offer evidence that, despite having substantially increased their presence, Chinese media are far from having a profound impact on media professionals. While some interviewees report the adoption of some Chinese media in their daily news consumption, scepticism towards China, and by extension its media, dominates. We discuss these findings in the context of Chinese state-owned media's attempts to increase their discursive power globally. [ABSTRACT FROM AUTHOR]

China's trade with South Africa has become more important in recent years, and a SACU-China free trade agreement has been proposed to further strengthen this trade relationship. This paper examines the relevance of this proposed trade policy for further enhancing bilateral trade flows and development in SACU. The paper finds that tariff liberalization alone is inadequate for successful trade integration, as it benefits mostly South Africa only and harms some of SACU's internal and external trade and its welfare through trade diversion. Measures to improve trade complementarity, reduce barriers to intra-industry trade, and implement parallel MFN trade liberalization should also be undertaken by SACU in order to achieve successful trade integration with China. [ABSTRACT FROM AUTHOR]

In this paper, we examine patterns of self-reported diagnosis of noncommunicable diseases (NCDs) and prevalences of algorithm/measured test-based, undiagnosed, and untreated NCDs in China, Ghana, India, Mexico, Russia, and South Africa. Nationally representative samples of older adults aged ≥50 years were analyzed from wave 1 of the World Health Organization's Study on Global Ageing and Adult Health (2007-2010; n = 34,149). Analyses focused on 6 conditions: angina, arthritis, asthma, chronic lung disease, depression, and hypertension. Outcomes for these NCDs were: 1) self-reported disease, 2) algorithm/measured test-based disease, 3) undiagnosed disease, and 4) untreated disease. Algorithm/measured test-based prevalence of NCDs was much higher than self-reported prevalence in all 6 countries, indicating underestimation of NCD prevalence in low- and middle-income countries. Undiagnosed prevalence of NCDs was highest for hypertension, ranging from 19.7% (95% confidence interval (CI): 18.1, 21.3) in India to 49.6% (95% CI: 46.2, 53.0) in South Africa. The proportion untreated among all diseases was highest for depression, ranging from 69.5% (95% CI: 57.1, 81.9) in South Africa to 93.2% (95% CI: 90.1, 95.7) in India. Higher levels of education and wealth significantly reduced the odds of an undiagnosed condition and untreated morbidity. A high prevalence of undiagnosed NCDs and an even higher proportion of untreated NCDs highlights the inadequacies in diagnosis and management of NCDs in local health-care systems. [ABSTRACT FROM AUTHOR]

This paper discusses health policy and systems research in complex and rapidly changing contexts. It focuses on ethical issues at stake for researchers working with government policy makers to provide evidence to inform major health systems change at scale, particularly when the dynamic nature of the context and ongoing challenges to the health system can result in unpredictable outcomes. We focus on situations where 'country ownership' of HSR is relatively well established and where there is significant involvement of local researchers and close ties and relationships with policy makers are often present. We frame our discussion around two country case studies with which we are familiar, namely China and South Africa and discuss the implications for conducting 'embedded' research. We suggest that reflexivity is an important concept for health system researchers who need to think carefully about positionality and their normative stance and to use such reflection to ensure that they can negotiate to retain autonomy, whilst also contributing evidence for health system change. A research process informed by the notion of reflexive practice and iterative learning will require a longitudinal review at key points in the research timeline. Such review should include the convening of a deliberative process and should involve a range of stakeholders, including those most likely to be affected by the intended and unintended consequences of change. [ABSTRACT FROM AUTHOR]

This paper assesses the role of the BASIC countries — Brazil, South Africa, India, and China — in UN climate change negotiations. The paper explores the formation and evolution of the group, and focuses on how the four major developing countries of China, India, Brazil, and South Africa have coordinated their positions and acted jointly to achieve an agreed outcome with other players in the recent UN Climate Change Conferences in Copenhagen and Cancun, based on an analysis of their country profiles and negotiation positions on a wide range of climate issues. The paper argues that the emergence of the BASIC Group is a reflection of the ongoing power shift from EU–US agreement to BASIC–US compromise in UN climate negotiations since the early 1990s. The rise of BASIC also has its roots in recent global market dynamics and further reflects the power transformation in the economic dimension of the international system. [ABSTRACT FROM AUTHOR]

Focusing on recent and upcoming mega-events in South Africa, China and Brazil, this paper contrasts and critiques the associated image and identity opportunities and risks, as well as comparative motivations for hosting such events. Accordingly, the paper considers the 2010 World Cup in South Africa, the 2008 Beijing Olympics and the scheduled 2014 World Cup and 2016 Rio de Janeiro Olympics in Brazil. In the context of an increasing number of mega-events being hosted in the BRICS (Brazil, Russia, India and China; South Africa is to join), the paper provides broader continuity and introduces a broader research agenda. [ABSTRACT FROM AUTHOR]

There has been much controversy about the impact of Chinese growth on the rest of the world. It is generally accepted that China has a dampening effect on global inflation through the supply of cheap products. On the other hand, imports from China could displace domestic production and hence have adverse effects on economic growth and employment. Thus, the question of whether a country benefits from trading with China is a country-specific issue. The results in this paper indicate that limited short-term costs have resulted from the strengthening of trade relations between South Africa and China. As far as inflation is concerned, the paper does not find convincing empirical evidence at the aggregate level for inflation in China leading to domestic price changes. At the disaggregate level, however, there appear to be stronger sector-specific linkages between prices in China and South Africa. [ABSTRACT FROM AUTHOR]

The simultaneity of globalisation and the rise of powers such as China, India, Brazil and South Africa are raising fundamental questions about the aptness of the contemporary global governance architecture. A few years ago, former Canadian Prime Minister Paul Martin proposed a "Leaders' 20" or "L20" as an apex body for global governance. After having put the L20 proposal in theoretical and historical perspective, the paper investigates structural trends in favour of the L20 proposal as well as obstacles to it. Taking into account the challenges the world's powerful states are facing, an enlargement of the G8 looks inevitable. But thus far the obstacles appear to be even stronger. The paper concludes by elaborating on the idea that neither conducing elements nor obstacles are deterministically given. [ABSTRACT FROM AUTHOR]

Objectives: Human trafficking is as complex human rights and public health issue. The issue of human trafficking for sexual exploitation at large global sporting events has proven to be elusive given the clandestine nature of the industry. This piece examines the issue from a public health perspective. Study Design: This is a literature review of the 'most comprehensive' studies published on the topic. Methods: A PubMed search was done using MeSH terms 'human traffickings' and 'sex trafficking' and 'human rights abuses'. Subheadings included 'statistics and numerical data', 'legislation and jurispudence', 'prevention and control', and 'therapy'. Only papers published in English were reviewed. Results: The search showed that very few well-designed empirical studies have been conducted on the topic and only one pertinent systematic review was identified. Findings show a high prevalence of physical violence among those trafficked compared to nontrafficked women. Sexually transmitted infections and HIV AIDS are prevalent and preventive care is virtually non-existent. Conclusion: Quantifying human trafficking for sexual exploitation at large global sporting events has proven to be elusive given the clandestine nature of the industry. This is not to say that human trafficking for sex as well as forced sexual exploitation does not occur. It almost certainly exists, but to what extent is the big question. It is a hidden problem on a global scale in plain view with tremendous public health implications. [ABSTRACT FROM AUTHOR]

Brazil, the Russian Federation, India, China and South Africa -- the countries known as BRICS -- are currently undergoing a deep epidemiological transition that is mainly driven by rapid economic growth and technological change. The changes being observed in the distribution of the burden of diseases and injuries -- such as recent increases in the incidence of road traffic injuries -- are matters of concern. BRICS may need stronger institutional capacity to address such changes in a timely way. In this paper, we present data on road traffic injuries in BRICS and illustrate the enormous challenge that these countries currently face in reducing the incidence of such injuries. There is an urgent need to improve road safety indicators in every country constituting BRICS. It is imperative for BRICS to invest in system-wide road safety interventions and reduce the mortality and morbidity from road traffic injuries. [ABSTRACT FROM AUTHOR]

This paper considers the rise of the BASIC bloc of emerging economies (Brazil, South Africa, India and China) and its influence in pursuing the adoption of an international agreement on climate change acceptable for all countries. It first questions the mere existence of BASIC as a negotiation group. Indeed, whereas the BASIC bloc is now a reality, BASIC countries do not formally want to be distinguished from the Global South. The study tries to explain this equivocal matter of fact by decoding the perimeter and dynamics of BASIC. It also analyses what would be a balanced outcome of climate change negotiations from BASIC's point of view, through the three challenges any future agreement will have to take up, namely legitimacy, equity and effectiveness. It appears that BASIC may be considered in a transitive phase regarding the climate change issue. BASIC countries seem to want more power but to fear responsibilities. Therefore, they find it much more comfortable to experience their evolving status as parts of a group of other growing actors of international climate negotiations. [ABSTRACT FROM AUTHOR]

Abstract: In August 2006 the South African government announced quotas on the imports of clothing and textile products from China. Three questions arise. What are these expected benefits? What will be the most likely impact of the import quotas on the South African economy? And what are the policy implications? In this paper we answer these questions by using a computable general equilibrium (CGE) model. We find that, contrary to the motivations apparently underlying the quota implementation, the macro-economic, sector and household effects are negative and result in greater inequality between poorer and richer households. We refer to modeling results elsewhere in the literature which report results consistent to ours. The policy implications are that the imposition of these quotas could come to be seen as a policy mistake, and that South Africa may benefit more from considering a free trade agreement with China. [Copyright &y& Elsevier]

In this paper, we address two major questions. First, the question of whether China and India are displacing the African manufacturing export from the third market. Second, whether there is an evidence of shifting comparative advantage from China and India to Africa. We employed a gravity model with a panel data using 13 African exporters of clothing and accessories for the period 1995–2005 to answer the first question. To answer the second question, we used a flying-geese model and estimated Spearman's rank correlation coefficients on indices of the revealed comparative advantage vectors of the African exporters and China and India for the same period. Both the gravity and flying-geese models predicted similar outcomes. We found that there is strong evidence that China has been displacing African manufactures from the third market while India has been complementing it in the early years of the study. However, the overall third market impact of China and India has been that of complementarity in the later years of the study period. This result is found to vary across countries. Furthermore, we found evidence of shifting comparative advantage from China and India to Africa as the flying-geese theory predicts, South Africa being the leading goose followed by Kenya. The major implication of the study is that, in the world where China and India are reshaping the global economic order dynamically, the outcomes of the traditionally received wisdom of trade liberalization and industrialization policies through export promotion may be uncertain and requires strategic thinking. [ABSTRACT FROM AUTHOR]

The BRICS economies group (i.e., Brazil, Russia, India, China, and South Africa) has become an important contributor to the growth of the world economy, which is increasingly concerned about carbon emissions due to the recent increase in energy use in these countries. While the embodied energy use related to emissions of the BRICS group has been discussed in the literature, an integrated analysis of energy, carbon footprints, and value added flows associated with international trade among the BRICS group has, to date, rarely been reported. Based on an improved Multi-Regional Input-Output model, South Africa was extracted from the rest of the world in the World Input-Output Database (WIOD) to analyze the above-mentioned flows embodied in trade within the BRICS countries, as well as between the BRICS group and other economies. The results show that the BRICS economic entity was a net embodied flows exporter. More flows were embodied in intermediate products than in final demand within the BRICS group. Compared with other BRICS economies, China, which is the largest transit country, transferred more embodied flows from Russia to other BRICS countries, and drove more embodied flows from major economies, including the United States and European countries outside the BRICS group than those within the BRICS group. However, China imported a relatively higher embodied energy and CO 2 in per unit value added from the BRICS countries than non-BRICS countries, while exporting relative lower embodied energy and CO 2 per value added to other BRICS economies than non-BRICS countries. The potential policy implications on cleaner development within the BRICS economies are discussed at the end of this paper. Image 1 • Comprehensively assessing embodied energy, CO 2 and value-added flows in BRICS′ trade. • The BRICS economy entity is a net embodied flows exporter. • Embodied flows in intermediate use are larger than those in final demand. • China transfers the most embodied flows between BRICS and non-BRICS countries. [ABSTRACT FROM AUTHOR]

The article reports that the Eighth World Print and Communication Congress in Cape Town, South Africa, in late January was the biggest gathering of producers and users of printed media and products ever to take place on the African continent. WPC8 was the first event held by the merged Comprint International and the World Print Congress. WPC delegates represent major national and multinational printing organizations and suppliers that are interested in the long-term health and success of the industry globally. The conference attracts producers and users of printed media, as well as publishers, advertising agencies, printers, converters and suppliers. Organized by the Printing Industries Federation of South Africa and sponsored by coated fine paper producer Sappi, WPC8 drew almost 700 participants from all over the world, many of them from China, Japan and Africa. In 2001, the People's Republic of China created the foundation for investments of foreign businesses in the print and publishing sector. With the exception of packaging print, only joint ventures under Chinese management are allowed. With a volume share of roughly 48 percent, the packaging sector dominates the Chinese printing industry.

Background: Resource allocation in health is universally challenging, but especially so in resource-constrained contexts in the Global South. Pursuing a strategy of evidence-based decision-making and using tools such as Health Technology Assessment (HTA), can help address issues relating to both affordability and equity when allocating resources. Three BRICS and Global South countries, China, India and South Africa have committed to strengthening HTA capacity and developing their domestic HTA systems, with the goal of getting evidence translated into policy. Through assessing and comparing the HTA journey of each country it may be possible to identify common problems and shareable insights. Objectives: This collaborative paper aimed to share knowledge on strengthening HTA systems to enable enhanced evidence-based decision-making in the Global South by: Identifying common barriers and enablers in three BRICS countries in the Global South; and Exploring how South-South collaboration can strengthen HTA capacity and utilisation for better healthcare decision-making. Methods: A descriptive and explorative comparative analysis was conducted comprising a Within-Case analysis to produce a narrative of the HTA journey in each country and an Across-Case analysis to explore both knowledge that could be shared and any potential knowledge gaps. Results: Analyses revealed that China, India and South Africa share many barriers to strengthening and developing HTA systems such as: (1) Minimal HTA expertise; (2) Weak health data infrastructure; (3) Rising healthcare costs; (4) Fragmented healthcare systems; and (5) Significant growth in non-communicable diseases. Stakeholder engagement and institutionalisation of HTA were identified as two conducive factors for strengthening HTA systems. Conclusion: China, India and South Africa have all committed to establishing robust HTA systems to inform evidence-based priority setting and have experienced similar challenges. Engagement among countries of the Global South can provide a supportive platform to share knowledge that is more applicable and pragmatic. [ABSTRACT FROM AUTHOR]

Abstract: Chinese manufacturing exports to Sub-Saharan Africa challenge South Africa's economic influence in the region. To evaluate this, the paper develops and applies a conceptual framework that distinguishes between the intensive and extensive margins of Chinese export competition. South African exports of new and existing manufactured products to Sub-Saharan Africa are found to have been negatively affected by Chinese competition relative to exports from other countries. Consequently, South Africa's exports to the region in 2010 were 20% lower than they would have been if they had been affected to the same degree as other countries. The crowding-out effects are found to be strongest in medium- and low-technology products. Overall, the data suggest that Chinese exports of manufactures have diminished South Africa's participation and economic influence in the region. [Copyright &y& Elsevier]

The article gives information about papers published in the vol. 18 of the periodical Ophthalmic and Physiological Optics. The eighty items constituted in the volume were categorized into regular articles, reviews, academic, clinical and technical research notes. Atleast 25 items were directly relevant to clinical work in general optometric practice. The majority of the overseas submissions originated from optometry research centres in North America and Australasia, the remainder and an increasing proportion being made up from Hongkong, mainland Europe, South Africa and the Middle East.