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This systematic review is built on the seminal work by the New London Group in 1996. Few endeavours have synthesized findings of empirical studies pertaining to the effects and challenges of multiliteracies practices in various schooling and geographical contexts. Through a five-point Likert scale and a deductive and inductive thematic analysis, we conducted a systematic review of 66 multiliteracies articles from the ProQuest® database. These studies were empirical, qualitative/mixed-method, and ranged from 2006 to 2015. Findings show a burgeoning number of multiliteracies studies occurring in 15 countries, with Canada being the most prominently involved. Our evaluation of the reviewed studies was generally favourable with strengths identified in researchers' articulation of pertinent theoretical frameworks and connections to existent literature. Our findings refer to insufficient information of data collection and data analysis in a certain number of papers. We also elaborate on major affordances, challenges, and oversights of the multiliteracies practices as reported by the reviewed studies and discuss implications for future multiliteracies research, policies on literacy education, and teacher education in diverse contexts.

Transition from traditional high-fiber to Western diets in urbanizing communities of Sub-Saharan Africa is associated with increased risk of non-communicable diseases (NCD), exemplified by colorectal cancer (CRC) risk. To investigate how urbanization gives rise to microbial patterns that may be amenable by dietary intervention, we analyzed diet intake, fecal 16 S bacteriome, virome, and metabolome in a cross-sectional study in healthy rural and urban Xhosa people (South Africa). Urban Xhosa individuals had higher intakes of energy (urban: 3,578 ± 455; rural: 2,185 ± 179 kcal/d), fat and animal protein. This was associated with lower fecal bacteriome diversity and a shift from genera favoring degradation of complex carbohydrates (e.g., Prevotella) to taxa previously shown to be associated with bile acid metabolism and CRC. Urban Xhosa individuals had higher fecal levels of deoxycholic acid, shown to be associated with higher CRC risk, but similar short-chain fatty acid concentrations compared with rural individuals. Fecal virome composition was associated with distinct gut bacterial communities across urbanization, characterized by different dominant host bacteria (urban: Bacteriodota; rural: unassigned taxa) and variable correlation with fecal metabolites and dietary nutrients. Food and skin microbiota samples showed compositional differences along the urbanization gradient. Rural-urban dietary transition in South Africa is linked to major changes in the gut microbiome and metabolome. Further studies are needed to prove cause and identify whether restoration of specific components of the traditional diet will arrest the accelerating rise in NCDs in Sub-Saharan Africa. Here, the authors present a comparative analysis of the diet, microbiome and metabolome of rural and urban Xhosa people in South Africa, associating urban diets with higher abundances of pro-neoplastic microbial metabolites. [ABSTRACT FROM AUTHOR]

The Sand River area is in the northeastern part of the Central Zone (CZ) of the Limpopo Belt, and represents a key terrane to reveal early Precambrian tectonic processes in southern Africa. Based on petrology, U–Pb zircon ages, and major and trace element data of high-pressure (HP) mafic granulites from the Sand River area, the tectonic evolution of the Central Zone of the Limpopo Belt is re-evaluated here that allows revision of previous interpretations. The protoliths of the HP mafic granulites and amphibolites are sub-alkaline tholeiitic basalts similar to those formed at a mid-ocean ridge and intruded at 2.8 Ga. Based on the distinct mineral assemblages, three metamorphic stages (M1–M3) are recognized in the studied samples: (1) a peak HP granulite facies stage M1 (~1.17–1.32 GPa/~825–870°C), (2) a post-peak near-isothermal decompression stage M2 (~0.70–0.73 GPa/~835–880°C), and (3) a later, independent metamorphic stage M3 (~0.53–0.69 GPa/~793–801°C). M1 and M2 define together a clockwise P–T path. It reveals important information related to the Neoarchean collisional orogeny, and its later overprinted by an independent orogeny with subsequent exhumation and cooling. U–Pb zircon dating of two mafic granulites samples yielded protolith formation of the mafic granulites is prior to ~2.72 Ga, and the two metamorphic age peaks of ~2.72 (M1) and ~2.0 Ga (M3), which present the peak and post-peak cooling stages, respectively. The metamorphic evolution of HP mafic granulites in the Sand River area as reconstructed in this study suggests the Neoarchean collision of the Kaapvaal and Zimbabwe cratons and a discrete Paleoproterozoic orogenic overprint followed by post-orogenic exhumation and cooling. [ABSTRACT FROM AUTHOR]

Background: Delamanid and bedaquiline are two of the most recently developed antituberculosis (TB) drugs that have been extensively studied in patients with multidrug-resistant TB. There is currently a need for more potent, less-toxic drugs with novel mechanisms of action that can be used in combination with these newer agents to shorten the duration of treatment as well as prevent the development of drug resistance. Quabodepistat (QBS) is a newly discovered inhibitor of decaprenylphosphoryl-β-D-ribose-2′-oxidase, an essential enzyme for Mycobacterium tuberculosis to synthesize key components of its cell wall. The objective of this study is to evaluate the safety, efficacy, and appropriate dosing of a 4-month regimen of QBS in combination with delamanid and bedaquiline in participants with drug-susceptible pulmonary TB in comparison with the 6-month standard treatment (i.e., rifampicin, isoniazid, ethambutol, and pyrazinamide). Methods: This phase 2b/c, open-label, randomized, parallel group, dose-finding trial will enroll approximately 120 participants (including no more than 15% with human immunodeficiency virus [HIV] coinfection) aged ≥ 18 to ≤ 65 years at screening with newly diagnosed pulmonary drug-sensitive TB from ~8 sites in South Africa. Following a screening period of up to 14 days, eligible participants will be randomized in a ratio of 1:2:2:1 to one of four arms. Randomization will be stratified by HIV status and the presence of bilateral cavitation on a screening chest x-ray. After the end of the treatment period, participants will be followed until 12 months post randomization. The primary efficacy endpoint is the proportion of participants achieving sputum culture conversion in Mycobacteria Growth Indicator Tube by the end of the treatment period. The safety endpoints consist of adverse events, clinical laboratory tests, vital signs, physical examination findings, and electrocardiographic changes. Discussion: QBS's potent bactericidal activity and distinct mechanism of action (compared with other TB drugs currently available for human use) may make it an ideal candidate for inclusion in a novel treatment regimen to improve efficacy and potentially prevent resistance to concomitant TB drugs. This trial will assess the effectiveness, safety, and dosing of a new, shorter, QBS-based, combination anti-TB treatment regimen. Trial status: ClinicalTrials.gov NCT05221502. Registered on February 3, 2022 [ABSTRACT FROM AUTHOR]

Gladiolus is an important ornamental plant that is one of the world's four most-grown cut flowers. Gladiolus gandavensis has only been found in the Cangnan County (Zhejiang Province) of China, which is recorded in the "Botanical". To explore the origin of G. gandavensis, chloroplast genome sequencing was conducted. The results indicated that a total of 151,654 bp of circular DNA was obtained. The chloroplast genome of G. gandavensis has a quadripartite structure (contains a large single-copy (LSC) region (81,547 bp), a small single-copy region (SSC) (17,895 bp), and two inverted repeats (IRs) (IRa and IRb, 52,212 bp)), similar to that of other species. In addition, a total of 84 protein-coding genes, 8 rRNA-encoding genes, and 38 tRNA-encoding genes were present in the chloroplast genome. To further study the structural characteristics of the chloroplast genome in G. gandavensis, a comparative analysis of eight species of the Iridaceae family was conducted, and the results revealed higher similarity in the IR regions than in the LSC and SSC regions. In addition, 265 simple sequence repeats (SSRs) were detected in this study. The results of the phylogenetic analysis indicated that the chloroplast genome of G. gandavensis has high homology with the Crocus cartwrightianus and Crocus sativus chloroplast genomes. Genetic analysis based on the rbcl sequence among 49 Gladiolus species showed that samples 42, 49, 50, and 54 had high homology with the three samples from China (64, 65, and 66), which might be caused by chance similarity in genotypes. These results suggest that G. gandavensis may have originated from South Africa. [ABSTRACT FROM AUTHOR]

We study how financial reforms affect the extent of consumption smoothing in a dynamic stochastic general equilibrium model of an emerging economy. Consistent with the empirical literature and reform efforts in South Korea and South Africa, we emphasize the relation between consumer credit and durable purchases, and model reforms as the relaxation of the collateral constraint on lower income households. We find that the relaxation of the collateral constraint accounts for a substantial share of the decline in consumption smoothing experienced in South Korea and South Africa. [ABSTRACT FROM AUTHOR]

The evolutionary and demographic history of African swine fever virus (ASFV) is potentially quite valuable for developing efficient and sustainable management strategies. In this study, we performed phylogenetic, phylodynamic, and phylogeographic analyses of worldwide ASFV based on complete ASFV genomes, B646L gene, and E183L gene sequences obtained from NCBI to understand the epidemiology of ASFV. Bayesian phylodynamic analysis and phylogenetic analysis showed highly similar results of group clustering between E183L and the complete genome. The evidence of migration and the demographic history of ASFV were also revealed by the Bayesian phylodynamic analysis. The evolutionary rate was estimated to be 1.14 × 10−5 substitution/site/year. The large out-migration from the viral population in South Africa played a crucial role in spreading the virus worldwide. Our study not only provides resources for the better utilization of genomic data but also reveals the comprehensive worldwide evolutionary history of ASFV with a broad sampling window across ~70 years. The characteristics of the virus spatiotemporal transmission are also elucidated, which could be of great importance for devising strategies to control the virus. [ABSTRACT FROM AUTHOR]

A sensitive modified QuEChERS extraction method was developed to assess the levels of free and conjugated bisphenols (BPs) in human milk collected between 2018 and 2019 from two regions of South Africa (the Limpopo Province Vhembe district, n = 194; Pretoria, n = 193) and Canada (Montreal, n = 207). Total BPA (free and conjugated) and BPS were the predominant bisphenols detected in samples from Vhembe and Pretoria, whereas total BPS was the predominant bisphenol detected in Montreal samples. The levels of total BPA in samples from Vhembe and Pretoria ranged between < MDL-18.61 and

Early detection of SARS-CoV-2 variants enables timely tracking of clinically important strains in order to inform the public health response. Current subtype-based variant surveillance depending on prior subtype assignment according to lag features and their continuous risk assessment may delay this process. We proposed a weighted network framework to model the frequency trajectories of mutations (FTMs) for SARS-CoV-2 variant tracing, without requiring prior subtype assignment. This framework modularizes the FTMs and conglomerates synchronous FTMs together to represent the variants. It also generates module clusters to unveil the epidemic stages and their contemporaneous variants. Eventually, the module-based variants are assessed by phylogenetic tree through sub-sampling to facilitate communication and control of the epidemic. This process was benchmarked using worldwide GISAID data, which not only demonstrated all the methodology features but also showed the module-based variant identification had highly specific and sensitive mapping with the global phylogenetic tree. When applying this process to regional data like India and South Africa for SARS-CoV-2 variant surveillance, the approach clearly elucidated the national dispersal history of the viral variants and their co-circulation pattern, and provided much earlier warning of Beta (B.1.351), Delta (B.1.617.2), and Omicron (B.1.1.529). In summary, our work showed that the weighted network modeling of FTMs enables us to rapidly and easily track down SARS-CoV-2 variants overcoming prior viral subtyping with lag features, accelerating the understanding and surveillance of COVID-19. [ABSTRACT FROM AUTHOR]

Handheld point-of-care blood analyzers deliver rapid results for biochemical and hematologic parameters, making them very useful in veterinary clinics and in fieldwork applications. This study compared the biochemical and hematologic parameters generated by the novel point-of-care analyzer i-STAT® Alinity V CHEM8+ cartridge between human-managed and free ranging populations of southern white rhinoceros (Ceratotherium simum simum). In addition, a novel reference interval for ionized calcium (iCa), a parameter of diagnostic and prognostic importance, was established for southern white rhinoceros. Blood samples were obtained from 10 managed (6 at NC Zoo and 4 at Busch Gardens Tampa Bay in 2019) and 30 free ranging white rhinoceros (collected in South Africa between 2018 and 2019) and analyzed using the i-STAT. Multiple parameters were higher (P < 0.05) in free ranging versus managed animals including potassium, blood urea nitrogen, creatinine, glucose, hematocrit, and hemoglobin. Conversely, iCa concentrations were higher (P < 0.05) in the managed populations of white rhinoceros. The RI determined for iCa was 1.36–1.56 mmol/L, with a mean of 1.46 mmol/L, and was determined using the guidelines from the American Society for Veterinary Clinical Pathology. There was no difference in anion gap, chlorine, total carbon dioxide, or sodium between the populations. Seasonality and locality of sampling as well as diet may be contributing factors to the higher iCa concentrations in managed rhinoceros. The six elevated parameters in free ranging rhinoceros are likely attributable to dehydration compounded by capture stress. This data provides insight into the state of several biochemical and hematologic parameters in southern white rhinoceros and will allow veterinarians to better assess the health of both managed and free ranging populations. [ABSTRACT FROM AUTHOR]

Major advances have been made in understanding the dynamics of humoral immunity briefly after the acute coronavirus disease 2019 (COVID-19). However, knowledge concerning long-term kinetics of antibody responses in convalescent patients is limited. During a one-year period post symptom onset, we longitudinally collected 162 samples from 76 patients and quantified IgM and IgG antibodies recognizing the nucleocapsid (N) protein or the receptor binding domain (RBD) of the spike protein (S). After one year, approximately 90% of recovered patients still had detectable SARS-CoV-2-specific IgG antibodies recognizing N and RBD-S. Intriguingly, neutralizing activity was only detectable in ~43% of patients. When neutralization tests against the E484K-mutated variant of concern (VOC) B.1.351 (initially identified in South Africa) were performed among patients who neutralize the original virus, the capacity to neutralize was even further diminished to 22.6% of donors. Despite declining N- and S-specific IgG titers, a considerable fraction of recovered patients had detectable neutralizing activity one year after infection. However, neutralizing capacities, in particular against an E484K-mutated VOC were only detectable in a minority of patients one year after symptomatic COVID-19. Our findings shed light on the kinetics of long-term immune responses after natural SARS-CoV-2 infection and argue for vaccinations of individuals who experienced a natural infection to protect against emerging VOC. [ABSTRACT FROM AUTHOR]

Perdicium of the Gerbera -complex (Mutisieae, Compositae) contains two species from the Western Cape of South Africa, but its phylogenetic position within the complex remains poorly understood. In this study, we assess the position of Perdicium based on a molecular phylogenetic analysis as well as leaf and pollen morphology, using a sampling scheme that includes 28 species from the Gerbera -complex. The phylogenetic results based on data from two nuclear markers (ITS and ETS) and three chloroplast regions (trn L –trn F, trn L –rpl 32 and trn C –pet N) suggest that Perdicium is the sister group of a large clade of five genera that includes the African Gerbera , E Asian and N American Leibnitzia , the Eurasian Oreoseris , the American Chaptalia and the Australian Amblysperma. The clade of Perdicium + Amblysperma + Gerbera + Leibnitzia + Oreoseris + Chaptalia is then sister to the largely South American clade of Trichocline , Brachyclados and Lulia. The morphological data show that Perdicium leiocarpum bears unique stomates with wax covering the guard cells on the adaxial epidermal leaf surface. Furthermore, the ratio of the polar axes and equatorial axes of the Perdicium leiocarpum pollen grains was only 1.10, which is the smallest among that of the sampled species of the Gerbera -complex. The morphological and molecular phylogenetic data suggest an isolated position for Perdicium within the Gerbera complex, independent from Gerbera. • The South African endemic genus Perdicium is not the sister group of the African Gerbera. • Perdicium is the sister group of a large clade of five genera within the Gerbera -complex. • Perdicium bears stomates with wax covering the guard cells on the adaxial leaf surface. • Perdicium has the smallest pollen P/E ratio among the sampled species of Gerbera -complex. [ABSTRACT FROM AUTHOR]

This is the first study in South Africa to investigate the association of violence against children with human capital development, including short- and long-term health and educational outcomes. Hypotheses were tested by applying logistic regressions, zero inflated poisson regressions, linear regressions and ordered logistic regressions with a large and representative sample of adolescents from the Cape Area Panel Study (CAPS). Household fixed effects model and treatment-effects model were performed to check the robustness of the results. Analyses indicate that 58% of adolescents in South Africa have experienced physical or emotional violence in childhood. All forms of violence, especially physical violence, are associated with adverse physical and mental health, poorer academic achievement and lower education level of the victims in both the short and long term. Adolescent males who have experienced violence in childhood are more likely to report poorer educational outcomes and long-term physical health, while female victims are at higher risk of mental illness. The findings provide support for the negative effects of violence against children on health and educational outcomes, which lead to increasing inequalities that impact on the future development of South Africa. Urgent violence against children prevention programming is needed alongside health and educational initiatives in the country. [ABSTRACT FROM AUTHOR]

Purpose: To compare clinical outcomes of double-bundle medial patellofemoral ligament (MPFL) reconstruction with different patellar fixation techniques including Kujala score, functional failure and complications.Methods: Pubmed, Embase, and Cochrane Library databases were searched for studies with clinical results of double-bundle MPFL reconstruction. The hamstring tendon autografts were used, and femoral fixation was performed with bone tunnel and an interference screw, and knee fixation angle was less than or equal to 45°. Patellar fixation methods were broadly categorized into 3 treatment groups: suture anchor (SA), bone tunnel (BT) and suture techniques (SU). Pooled means for Kujala score and pooled estimates for functional failure rate and complication rate were compared.Results: 21 studies (23 groups) consisting of 691 knees met the inclusion criteria. 12 groups with 344 knees were in SA group, 5 groups of 161 knees were in BT group and 6 groups with 186 knees were in SU group. Statistically significant differences in Kujala score were found among three groups, 90.2 (95% CI 88.7-91.7) in SA group, 88.7 (95% CI 85.3-92.2) in BT group and 89.4 (95% CI 84.2-94.6) in SU group (all P < 0.001), but these differences were not clinically significant. No statistically significant differences were found in the positive apprehension sign rate, recurrent subluxation or dislocation rate, and major or minor complication rate among three groups.Conclusion: Patellar fixation with bone tunnel, suture anchor or suture techniques were all effective in the double-bundle MPFL reconstruction. The present systematic review failed to show that one technique was better than the others. More high-quality trials and randomized controlled trials are needed. [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]

Background. Reports of a single case of human immunodeficiency virus (HIV) eradication suggest that elimination of HIV from individuals is possible. Anticipating both increased research funding and the development of effective, durable cure technologies, we describe the circumstances under which a cure might improve survival and be cost-effective in South Africa. Methods. We adapted a simulation model comparing a hypothetical cure strategy ("Cure") to the standard of care, lifetime antiretroviral therapy ("LifetimeART") among adherent South Africans (58% female; mean age 33.8 years; mean CD4 257/μL; virologic suppression ≥1 year). We portrayed cure as a single intervention, producing sustained viral eradication without ART. We considered both a plausible, more imminently achievable "Baseline Scenario" and a more aspirational "Optimistic Scenario". Inputs (Baseline/Optimistic) included the following: 50%/75% efficacy; 0.6%/0.0% fatal toxicity; 0.37%/0.085% monthly relapse over 5 years (0.185%/0.0425% per month thereafter); and $2000/$500 cost. These inputs were varied extensively in sensitivity analysis. Results. At baseline, Cure was "dominated," yielding lower discounted life expectancy (19.31 life-years [LY] vs 19.37 LY) and greater discounted lifetime costs ($13 800 vs $13 700) than LifetimeART. Under optimistic assumptions, Cure was "cost-saving," producing greater survival (19.91 LY) and lower lifetime costs ($11 000) than LifetimeART. Findings were highly sensitive to data assumptions, leaving little middle ground where a tradeoff existed between improved survival and higher costs. Conclusions. Only under the most favorable performance assumptions will an HIV cure strategy prove clinically and economically justifiable in South Africa. The scientific pursuit of a cure should not undermine continued expansions of access to proven, effective, and cost-effective ART. [ABSTRACT FROM AUTHOR]

• 18 contaminants were analyzed in 168 food from Canada and South Africa. • Bisphenol A (BPA), bisphenol S (BPS) and seven plasticizers were detected in food. • DBP and DEP were the most frequently detected contaminants in Montreal. • DINP was the most frequently detected contaminant in South Africa. • DEHA levels in packaged fish were higher than the values for non-packaged fish. A sensitive method based on ultrasound-assisted liquid extraction coupled with liquid chromatography was applied to screen 18 plastic-related contaminants in 168 food composites (namely fish fillets, chicken breast, canned tuna, leafy vegetables, bread and butter) collected in Montreal (Canada), Pretoria and Vhembe (South Africa). Bisphenol A (BPA), bisphenol S (BPS) and seven plasticizers (di- n -butyl phthalate (DBP), diethyl phthalate (DEP), (2-ethylhexyl) phthalate (DEHP), di-(2-ethylhexyl) adipate (DEHA), di-isononyl phthalate (DINP), di-(isononyl)-cyclohexane-1,2-dicarboxylate (DINCH)) were detected in different foods from both countries. DBP and DEP were the most frequently detected contaminants in food collected in Montreal (75% for both) and DINP was the most frequently detected contaminant in food from South Africa (67%). DEHA concentration in packaged fish were significantly higher than the values for non-packaged fish (p < 0.01) suggesting that the packaging film can be one source of DEHA in fish. [ABSTRACT FROM AUTHOR]

The WHO Framework Convention on Tobacco Control is increasingly referenced and incorporated into the objectives, definitions and provisions of domestic legislation worldwide. It is also relied upon by courts in interpreting and upholding strong tobacco control measures challenged by the tobacco industry. In this special communication, we describe these trends and explore the important new online resource Tobacco Control Laws (http://www.tobaccocontrollaws.org)—that has been used to track them. [ABSTRACT FROM AUTHOR]

Until the mid-20th century, mortality rates were often very high during measles epidemics, particularly among previously isolated populations (e.g., islanders), refugees/internees who were forcibly crowded into camps, and military recruits. Searching for insights regarding measles mortality rates, we reviewed historical records of measles epidemics on the Polynesian island of Rotuma (in 1911), in Boer War concentration camps (in 1900–1902), and in US Army mobilization camps during the First World War (in 1917–1918). Records classified measles deaths by date and clinical causes; by demographic characteristics, family relationships (for Rotuma islanders and Boer camp internees), and prior residences; and by camp (for Boer internees and US Army recruits). During the Rotuman and Boer War epidemics, measles-related mortality rates were high (up to 40%); however, mortality rates differed more than 10-fold across camps/districts, even though conditions were similar. During measles epidemics, most deaths among camp internees/military recruits were due to secondary bacterial pneumonias; in contrast, most deaths among Rotuman islanders were due to gastrointestinal complications. The clinical expressions, courses, and outcomes of measles during first-contact epidemics differ from those during camp epidemics. The degree of isolation from respiratory pathogens other than measles may significantly determine measles-related mortality risk. [ABSTRACT FROM PUBLISHER]

The New Funding Framework weights the components of teaching output and the components of research output for each unit of subsidy invested by the government. Higher education (HE) funding is thus based on the aggregate research outputs of universities and is driven by specific goals. Universities of Technology (UoTs) are therefore under pressure to increase their research performance and measurable outputs in particular. This has resulted in a corresponding demand for a range of services to support and develop postgraduate students, supervisors and early career researchers. As research in South African UoTs is at an embryonic stage, this study benchmarked South African UoTs against Australian ones. The aim of the study was to identify best practice in terms of postgraduate research development and support service delivery in the South Africa and Australian contexts to inform the development of a quality model for postgraduate and/or research centres (PG/RCs) at UoTs in South Africa. Using the mixed-methods research approach, the study gathered data from postgraduate students and staff who had experience with PG/RC services. Service quality of the PG/RCs in the study was determined by measuring the service gaps in terms of student perceptions and expectations so that steps may be taken to close these gaps in an attempt to improve service quality. Based on the literature reviewed, best practice gleaned from the findings of the study, and benchmarking against the Australian UoTs; the study proposed a centralised and decentralised PG/RC model for South Africa UoTs to provide service quality to their 'customers'. [ABSTRACT FROM AUTHOR]

The use of graphic symbols forms an integral part of augmentative and alternative communication (AAC) strategies, particularly for pre-literate children. Although some studies have indicated that typically developing children and those with autism are able to learn symbol meanings with multiple exposures to graphic symbols, little is known about how children with autism rate the degree to which the symbol represents its referent (translucency) with repeated exposures. The purpose of this study was to describe the translucency ratings of children with autism over three consecutive exposures. Twenty-two children with autism participated in a Blissymbol translucency task that included 40 symbols. The Blissymbol task was modified from Bornman, Alant, and du Preez (2009), who explored the translucency of Blissymbols with typically developing children. Findings of this study indicated statistically significant differences in total translucency ratings of the Blissymbols by the children with autism between Day 1 and Day 3 (medium effect size) with Day 3 yielding more positive ratings than Day 1. No single Blissymbol showed statistically significant differences over the days. Findings are interpreted and further implications for research are discussed. [ABSTRACT FROM AUTHOR]

In a study of 257 new ventures from China, India, Mexico, and South Africa, we find support for the mediating effect of strategic early internationalization on international sales intensity. We argued that when new ventures from emerging markets internationalize early and with commitment, the legitimacy they acquire helps them overcome liabilities of newness and foreignness. We develop a typology of international new ventures that, based on strategic intent and timing of internationalization, distinguishes strategic early internationalizers from persistent, serendipitous, and long-term internationalizers. We show that strategic early internationalization accounts for over half of the explained variance in international sales intensity and either fully or partially mediates the effects of managerial knowledge and market orientation on international sales intensity. [ABSTRACT FROM AUTHOR]

Introduction. Nevirapine (NVP) resistance may decrease the effectiveness of viral suppression with NVP-based antiretroviral therapy (ART) in women infected with human immunodeficiency virus (HIV) with previous exposure to single-dose NVP. However, the alternative lopinavir-ritonavir-based ART regimen is more expensive. Our objectives were to project the tradeoffs regarding life expectancy, cost, and cost-effectiveness of these ART regimens for NVP-exposed, HIV-infected women in South Africa. Methods. We developed a simulation model in which NVP-exposed, HIV-infected South African women received 1 of 5 treatment strategies: HIV care without ART, NVP-based ART, lopinavir-ritonavir-based ART, NVP-based ART followed by lopinavir-ritonavir-based ART, or lopinavir-ritonavir-based ART followed by NVP-based ART. The prevalence of NVP resistance was 39%; other data were obtained from the published literature. Results. Projected life expectancy was 43.7 months for women who did not receive ART, 77.4 months for women who received a single NVP-based regimen, and 84.5 months for women who received a single lopinavir-ritonavir-based regimen. NVP resistance reduced survival time by up to 11.6 months among women who received NVP-based ART. The cost-effectiveness of NVP-based ART was $800 (US dollars) per year of life saved, compared with no ART, and the cost-effectiveness of lopinavir-ritonavir-based therapy was $4400 per year of life saved, compared with NVP-based ART. Lopinavir-ritonavir followed by NVP-based ART yielded the greatest life expectancy (105.4 months), had a cost-effectiveness of $2300 per year of life saved, and, if the efficacy of NVP-based regimens improved >6 months postpartum, further increased survival. Conclusions. NVP resistance substantially decreased the projected survival time associated with NVP-based ART, and lopinavir-ritonavir-based ART resulted in a superior survival time but at higher cost. A sequential regimen starting with lopinavir-ritonavir-based ART followed by NVP-based ART maximized projected survival and was cost effective in South Africa. [ABSTRACT FROM AUTHOR]

The spread of antimicrobial resistance pathogens in humans has increasingly become an issue that threatens public health. While the NCBI Pathogen Detection Isolates Browser (NPDIB) database has been collecting clinical isolate samples over time for various countries, few studies have been done to identify genes and pathogens responsible for the antimicrobial resistance in clinical settings. This study conducted the first multivariate statistical analysis of the high-dimensional historical data from the NPDIB database for six different countries from majorly inhabited landmasses, including Australia, Brazil, China, South Africa, the UK, and the US. The similarities among different countries in terms of genes and pathogens were investigated to understand the potential avenues for antimicrobial-resistance gene spreading. The genes and pathogens that were closely involved in antimicrobial resistance were further studied temporally by plotting time profiles of their frequency to evaluate the trend of antimicrobial resistance. It was found that several of these significant genes (i.e., aph(3″)-Ib, aph(6)-Id, blaTEM-1, and qacEdelta1) are shared among all six countries studied. Based on the time profiles, a large number of genes and pathogens showed an increasing occurrence. The most shared pathogens responsible for carrying the most important genes in the six countries in the clinical setting were Acinetobacter baumannii, E. coli and Shigella, Klebsiella pneumoniae and Salmonella enterica. South Africa carried the least similar antimicrobial genes to the other countries in clinical isolates. [ABSTRACT FROM AUTHOR]

This work aimed to investigate the effects of p‐synephrine on the differentiation of adipocyte and explore the underlying mechanism. We found that p‐synephrine suppressed the 3T3‐L1 cell adipogenesis by reducing the expression level of CCAAT/enhancer‐binding protein α (C/EBPα) and peroxisome proliferator‐activated receptor γ (PPARγ), which subsequently led to a reduction in the fatty acid‐binding protein 4 (aP2) expression. p‐Synephrine treatment markedly activated the protein kinase B (PKB/Akt) pathway and sequentially inhibited glycogen synthase kinase 3β (GSK3β) activity. Inhibition of GSK3β activity by LiCl was found to partially ameliorate the above‐mentioned effects. All these data suggested that p‐synephrine exhibited the anti‐adipogenic effects via the regulation of Akt signaling pathway and the suppression of adipogenesis‐related proteins. Practical applications: Citrus aurantium often uses as herbal or dietary supplement in various countries around the world, including in Seville, Spain and South Africa. In traditional Chinese herbs, it is referred to as "Fructus aurantii immaturus," "Zhi shi," or "Zhi ke," and has been used for hundreds of years for various digestive problems. Its primary protoalkaloid, p‐synephrine, exhibited lipolytic effects and energy expenditure, which has rapidly replaced ephedrine as an "ephedra‐free" alternative dietary supplement. The current study firstly demonstrated the anti‐adipogenic effects of p‐synephrine in 3T3‐L1 preadipocytes, which was due to the regulation of Akt signaling pathway and the subsequent suppression of adipogenesis‐related proteins. The present study may offer invaluable opinions into the mechanisms of body weight/fat‐losing activities of p‐synephrine in theory, and scientific experimental evidence on dietary supplement in practice. p‐Synephrine could be utilized for the preventive and therapeutic uses against metabolic syndrome. [ABSTRACT FROM AUTHOR]

• The infection fatality ratio (IFR) of COVID-19 is the risk of death per infection. • IFR is estimated based on reported deaths and serologically inferred infections. • RT-PCR-confirmed deaths were much lower than the excess deaths in some countries. • RT-PCR-based case fatality rate under extensive testing is a reliable proxy of IFR. The infection fatality ratio (IFR) is the risk of death per infection and is one of the most important epidemiological parameters. Enormous efforts have been undertaken to estimate the IFR for COVID-19. This study examined the pros and cons of several approaches. It is found that the frequently used approaches using serological survey results as the denominator and the number of confirmed deaths as the numerator underestimated the true IFR. The most typical examples are South Africa and Peru (before official correction), where the confirmed deaths are one-third of the excess deaths. We argue that the RT-PCR-based case fatality ratio (CFR) is a reliable indicator of the lethality of COVID-19 in locations where testing is extensive. An accurate IFR is crucial for policymaking and public-risk perception. [ABSTRACT FROM AUTHOR]

Highlights • Solvent-based sugaring-out extraction was developed to separate SA. • Different sugars and solvent consisting systems were investigated. • The effect of TLL, pH, glucose, t -butanol and SA concentration were evaluated. • Salts-assisted sugaring-out extraction on SA partition behavior were illustrated. • Sugaring-out extraction combining crystallization was applied to obtain SA crystal. Abstract In this study, sugaring-out extraction combining crystallization was developed for succinic acid separation and purification. From the different sugaring-out extraction systems investigated, the following order in the phase forming ability of the solvents and sugars were observed: t -butanol > n -propanol > isopropanol, and galactose > glucose > fructose > mannose ≈ sucrose > xylose, respectively. Tert -butanol/glucose system showed the potential superiority in the partition behavior of succinic acid, glucose and solvent. The system parameters influencing the extraction efficiency, such as tie line length, system pH, temperature, glucose, t -butanol and succinic acid concentration were evaluated. The results showed that partition coefficient of succinic acid increased linearly as tie line length increased, and strongly depend on the system pH. 88.15% of succinic acid and 96.72% of t -butanol was distributed into the top phase while 94.69% of glucose into the bottom phase at a system consisting of 27% (w/w) glucose and 40% (w/w) t -butanol under pH 3.0 and temperature 25 °C. Succinic acid concentration had influence on its partition behavior due to its broadened scope of phase formation. The effect of temperature in the t -butanol/glucose system was not obvious for partition of succinic acid. Salts-assisted sugaring-out extraction of succinic acid in t -butanol-glucose system was also investigated. When the mass fraction of (NH 4) 2 SO 4 was increased from 1% to 9% (w/w), the recovery of SA from the broth increased from 87.62% to 89.55%. It was noteworthy that t -butanol recovery increased obviously from 96.21% to 99.48%, which means almost all of t -butanol was recovered to the top phase. Finally, succinic acid purification was developed by gradient crystallization after recovering t -butanol by vacuum distillation and glucose by water-washing. By combining sugaring-out extraction with gradient crystallization, an identical total yield (73%) and a higher purity (98%) of succinic acid were obtained. The results obtained in this work support the establishment of sugaring-out extraction combining crystallization as a potential effective and economic strategy for bio-succinic acid separation. [ABSTRACT FROM AUTHOR]

In this paper, we report new limits on 21 cm emission from cosmic reionization based on a 135 day observing campaign with a 64-element deployment of the Donald C. Backer Precision Array for Probing the Epoch of Reionization in South Africa. This work extends the work presented in Parsons et al. with more collecting area, a longer observing period, improved redundancy-based calibration, improved fringe-rate filtering, and updated power-spectral analysis using optimal quadratic estimators. The result is a new 2σ upper limit on Δ2(k) of (22.4 mK)2 in the range at z = 8.4. This represents a three-fold improvement over the previous best upper limit. As we discuss in more depth in a forthcoming paper, this upper limit supports and extends previous evidence against extremely cold reionization scenarios. We conclude with a discussion of implications for future 21 cm reionization experiments, including the newly funded Hydrogen Epoch of Reionization Array. [ABSTRACT FROM AUTHOR]

Brazil, Russia, India, China and South Africa (BRICS) account for nearly half of the world's population. We aimed to analyse mortality trends of breast cancer across the BRICS countries from 1990 to 2019. Breast cancer mortality estimates were obtained from the Global Burden of Disease Study 2019. An age-period-cohort model was adopted to estimate age, period and cohort effects on breast cancer mortality between 1990 and 2019. Results showed that breast cancer caused 0.23 million deaths across the BRICS countries in 2019, accounting for 32.7% of the total death caused by breast cancer worldwide. China had the largest number of deaths, followed by India. All five BRICS countries showed positive percentage changes in deaths from 1990 to 2019. The age-standardized mortality rates (ASMRs) in India, South Africa and China presented increased trends. South Africa presented the fastest increased rate with age. Downward period trends were observed in China, South Africa, Brazil and Russia, while an upward trend was seen in India, with the period rate ratio increasing from 0.95 to 1.17. In conclusion, the disease burden of breast cancer is still heavy across the BRICS countries. It is important to pay more attention to elderly patients. The increasing disease burden must be addressed multidimensionally, incorporating screening and early detection, timely and sufficient treatment and appropriate prevention. [ABSTRACT FROM AUTHOR]

Sedimentary rocks and minerals formed during the final two-hundred million years of the Archean Eon (2.7 to 2.5 billion years ago, or Ga) are more depleted in 56Fe than at any other time in Earth's past. Three hypotheses are proposed to explain these 56Fe depletions: (1) a very negative late-Archean seawater δ56Fe value, (2) "shuttling" of isotopically light Fe across the chemocline in redox-stratified settings, and (3) pyrite formation in an Fe(II)-rich ocean. Each of these scenarios has different implications for the initial oxidation of Earth's surface, the climax of which – the Great Oxidation Event – immediately post-dates the appearance of these 56Fe depletions in the rock record. To help inform this debate, we measured the Fe isotope ratios of 120 shale and pyrite samples from Western Australia (Mt. McRae Shale and Jeerinah Formation) and South Africa (Klein Naute Formation) deposited between ∼2.65 Ga and ∼2.50 Ga. As in previous studies, we also find very strong sedimentary 56Fe depletions, to as low as δ56Fe = −2.06 ± 0.08‰ in bulk shales and δ56Fe = −2.31 ± 0.08‰ in pyrite. Some, but not all, of the severest 56Fe depletions appear alongside evidence of an Fe shuttle and local pyrite formation. These processes need not be mutually exclusive, and some combination of them likely played a partial, probably faciliatory role in driving some strong 56Fe depletions in our dataset. Most interestingly, and with little exception, the severest 56Fe depletions appear in samples deposited farther from shore under H 2 S-rich and anoxic ("euxinic") conditions. We find it difficult to explain this connection without invoking the persistent presence of a very negative global seawater δ56Fe value during the latest Archean, one that was most consistently captured in sediments formed in distal euxinic settings. In order to impart this isotopic effect on seawater, the global seawater Fe(II) reservoir needed to have been partially oxidized during at least the final few hundreds of millions of years leading up to the Great Oxidation Event. Our new data add support to the idea that Earth's initial oxidation was a long and protracted process rather than a rapid event. [ABSTRACT FROM AUTHOR]

• Phytoplankton diversity was resolved by high-throughput sequencing in Bohai Sea (BS). • Phytoplankton communities during brown tides in 2013 and 2014 were compared. • Pelagophyte Aureococcus anophagefferens was confirmed as major bloom-forming species. • Strong inter-annual variations implied increasing dominance of dinoflagellates in BS. Large-scale blooms formed by pico-sized phytoplankton, which strongly inhibited feeding activity and growth of cultured scallops, have been recorded along the coast of Qinhuangdao in the Bohai Sea since 2009. Based on pigment profiles and clone library analysis of phytoplankton samples during the blooms, the major bloom-forming species was primarily identified as pelagophyte Aureococcus anophagefferens Hargraves et Sieburth, the causative species of intensive brown tides in the United States and South Africa. Due to the indistinct morphological features of the bloom-forming microalgae and limited knowledge on the composition of phytoplankton communities, there were still disputes concerning the causative species of the blooms. In this study, the method of high-throughput sequencing targeted 18S rDNA V4 region was used to study the composition of pico- and nano-sized phytoplankton communities in 2013 and 2014. A total of 18 groups of eukaryotic microalgae at the class level and more than 2000 operational taxonomic units (OTUs) were identified in phytoplankton samples collected from the brown-tide zone in the Qinhuangdao coastal waters. For both years, A. anophagefferens was the most dominant species during the bloom period and its maximum relative abundance exceeded 60 percent. Along with other evidence, the results further confirm that A. anophagefferens is the major causative species of the pico-sized phytoplankton blooms in the Bohai Sea. The outbreak of brown tide exhibited a strong inter-annual variation between 2013 and 2014, and an increasing dominance of dinoflagellates could be observed in the Qinhuangdao coastal waters. [ABSTRACT FROM AUTHOR]

Multiple attempts have been made using the ancient shale record to track the molybdenum isotope composition (δ98Mo) of seawater during the final two-hundred million years of the Archean Eon (2.7 to 2.5 billion-years-ago, or Ga). This seawater δ98Mo value is important because it should have scaled with levels of ocean oxygenation during the runup to the Great Oxidation Event (GOE). Unfortunately, however, it is difficult to tell if the majority of the existing late-Archean shale δ98Mo record tracks an ancient seawater value. Here, we further attempt to track pre-GOE seawater δ98Mo using an expanded and well-characterized shale sample set from Western Australia (Jeerinah, Wittenoom, and Mt. Sylvia formations) and South Africa (Nauga and Klein Naute formations). Most importantly, and in contrast to most previous Mo isotope studies of similarly aged shales, local redox conditions for our shales have been independently constrained using the iron (Fe) speciation proxy and bottom-water Mo contents at the time of deposition have been qualitatively estimated using Mo/TOC ratios. Local redox conditions and bottom water Mo availability are important parameters because transfer of the seawater δ98Mo to sediments today is shown to be dependent on these conditions. According to our updated sedimentary δ98Mo record, seawater δ98Mo commonly exceeded 1.0‰ between ~2.69 Ga and 2.50 Ga. In order to drive such a heavy seawater δ98Mo, there must have been a marine sink with a strong preference for lighter-mass Mo isotopes frequently present over this timeframe. The operation of some anaerobic processes in late-Archean marine settings could theoretically explain the heavier seawater δ98Mo. Such processes are known to promote the preferential retention of lighter-mass Mo isotopes in marine sediments today (e.g., interactions between Mo and organic matter or the formation of thio-complexes). Alternatively, or in addition, adsorption of lighter-mass Mo isotopes to Fe and Mn oxide minerals formed in oxygenated marine environments can explain the heavier seawater δ98Mo. A compilation of previous work suggests that oxygenated shallow marine environments were fairly common during the late-Archean, and thus Mo adsorption to Fe Mn oxides formed in these settings probably played an important role in driving heavy seawater δ98Mo over this timeframe. [ABSTRACT FROM AUTHOR]

Introduction: Intimate partner violence (IPV) is a barrier to consistent HIV treatment in South Africa. Previous trials have established that the Common Elements Treatment Approach (CETA), a cognitive-behavioural-based intervention, is effective in reducing mental and behavioural health problems but has not been trialled for effectiveness in improving HIV outcomes. This paper describes the protocol for a randomised trial that is testing the effectiveness of CETA in improving HIV treatment outcomes among women experiencing IPV in South Africa., Methods and Analysis: We are conducting a randomised trial among HIV-infected women on antiretroviral therapy, who have experienced sexual and/or physical IPV, to test the effect of CETA on increasing retention and viral suppression and reducing IPV. Women living with HIV who have an unsuppressed viral load or are at high risk for poor adherence and report experiencing recent IPV, defined as at least once within in the last 12 months, will be recruited from HIV clinics and randomised 1:1 to receive CETA or an active attention control (text message reminders). All participants will be followed for 24 months. Follow-up HIV data will be collected passively using routinely collected medical records. HIV outcomes will be assessed at 12 and 24 months post-baseline. Questionnaires on violence, substance use and mental health will be administered at baseline, post-CETA completion and at 12 months post-baseline. Our primary outcome is retention and viral suppression (<50 copies/mL) by 12 months post-baseline. We will include 400 women which will give us 80% power to detect an absolute 21% difference between arms. Our primary analysis will be an intention-to-treat comparison of intervention and control by risk differences with 95% CIs., Ethics and Dissemination: Ethics approval provided by University of the Witwatersrand Human Research Ethics Committee (Medical), Boston University Institutional Review Board and Johns Hopkins School Institutional Review Board. Results will be published in peer-reviewed journals., Trial Registration Number: NCT04242992., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Background: Testing urine improves the number of tuberculosis diagnoses made among patients in hospital with HIV. In conjunction with the two-country randomised Rapid Urine-based Screening for Tuberculosis to Reduce AIDS-related Mortality in Hospitalised Patients in Africa (STAMP) trial, we used a microsimulation model to estimate the effects on clinical outcomes and the cost-effectiveness of adding urine-based tuberculosis screening to sputum screening for hospitalised patients with HIV., Methods: We compared two tuberculosis screening strategies used irrespective of symptoms among hospitalised patients with HIV in Malawi and South Africa: a GeneXpert assay (Cepheid, Sunnyvale, CA, USA) for Mycobacterium tuberculosis and rifampicin resistance (Xpert) in sputum samples (standard of care) versus sputum Xpert combined with a lateral flow assay for M tuberculosis lipoarabinomannan in urine (Determine TB-LAM Ag test, Abbott, Waltham, MA, USA [formerly Alere]; TB-LAM) and concentrated urine Xpert (intervention). A cohort of simulated patients was modelled using selected characteristics of participants, tuberculosis diagnostic yields, and use of hospital resources in the STAMP trial. We calibrated 2-month model outputs to the STAMP trial results and projected clinical and economic outcomes at 2 years, 5 years, and over a lifetime. We judged the intervention to be cost-effective if the incremental cost-effectiveness ratio (ICER) was less than US$750/year of life saved (YLS) in Malawi and $940/YLS in South Africa. A modified intervention of adding only TB-LAM to the standard of care was also evaluated. We did a budget impact analysis of countrywide implementation of the intervention., Findings: The intervention increased life expectancy by 0·5-1·2 years and was cost-effective, with an ICER of $450/YLS in Malawi and $840/YLS in South Africa. The ICERs decreased over time. At lifetime horizon, the intervention remained cost-effective under nearly all modelled assumptions. The modified intervention was at least as cost-effective as the intervention (ICERs $420/YLS in Malawi and $810/YLS in South Africa). Over 5 years, the intervention would save around 51 000 years of life in Malawi and around 171 000 years of life in South Africa. Health-care expenditure for screened individuals was estimated to increase by $37 million (10·8%) and $261 million (2·8%), respectively., Interpretation: Urine-based tuberculosis screening of all hospitalised patients with HIV could increase life expectancy and be cost-effective in resource-limited settings. Urine TB-LAM is especially attractive because of high incremental diagnostic yield and low additional cost compared with sputum Xpert, making a compelling case for expanding its use to all hospitalised patients with HIV in areas with high HIV burden and endemic tuberculosis., Funding: UK Medical Research Council, UK Department for International Development, Wellcome Trust, US National Institutes of Health, Royal College of Physicians, Massachusetts General Hospital., (Copyright © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.)