Determinants of credit constraint of artisanal fishermen in Ghana / Determinantes da restrição de crédito a pescadores artesanais em Gana

ABSTRACT: Due to the high risk associated with fishing, access to credit becomes very difficult for fishermen. The study was conducted to investigate the determinants of credit constraint on artisanal fishermen with survey data collected from artisanal fishermen in the Western and Central Regions of Ghana. A multi-stage sampling procedure was used to select respondents for the study. Data collected were analyzed with the aid of descriptive and IV-Probit model. Most of the fishermen were in their youthful stage. From the study, while boat ownership and off-fishing activity reduce the probability being credit constrained, complex procedure, and disbursement time lag increase fishermen probability of being credit constrained. The findings of the study also indicated that there is a significant difference between constrained and unconstrained fishermen fishing activity and financial status. Therefore, fishermen in need of additional credit should be catered for to increase their production, hence, livelihood.

RESUMO: Devido ao alto risco associado à pesca, o acesso ao crédito se torna muito difícil para os pescadores. O estudo foi conduzido para investigar os determinantes da restrição de crédito em pescadores artesanais com dados de pesquisa coletados nas regiões oeste e central de Gana. Um procedimento de amostragem em vários estágios foi usado para selecionar os entrevistados para o estudo. Os dados coletados foram analisados com o auxílio do modelo descritivo e IV-Probit. A maioria dos pescadores estava em sua fase juvenil. A partir do estudo, enquanto a propriedade do barco e a atividade fora da pesca reduzem a probabilidade de restrição de crédito, procedimentos complexos e atraso no desembolso aumentam a probabilidade dos pescadores sofrerem restrição de crédito. Os resultados do estudo também indicaram que há uma diferença significativa entre a atividade pesqueira e a situação financeira dos pescadores com e sem restrição. Portanto, os pescadores que precisam de crédito adicional devem ser atendidos para aumentar sua produção e, portanto, meios de subsistência.

The Role of Nuclear Medicine in the Staging and Management of Human Immune Deficiency Virus Infection and Associated Diseases / 대한핵의학회잡지

Human immune deficiency virus (HIV) is a leading cause of death. It attacks the immune system, thereby rendering the infected host susceptible to many HIV-associated infections, malignancies and neurocognitive disorders. The altered immune system affects the way the human host responds to disease, resulting in atypical presentation of these disorders. This presents a diagnostic challenge and the clinician must use all diagnostic avenues available to diagnose and manage these conditions. The advent of highly active antiretroviral therapy (HAART) has markedly reduced the mortality associated with HIVinfection but has also brought in its wake problems associated with adverse effects or drug interaction and may even modulate some of the HIV-associated disorders to the detriment of the infected human host. Nuclear medicine techniques allow non-invasive visualisation of tissues in the body. By using this principle, pathophysiology in the body can be targeted and the treatment of diseases can be monitored. Being a functional imaging modality, it is able to detect diseases at the molecular level, and thus it has increased our understanding of the immunological changes in the infected host at different stages of the HIV infection. It also detects pathological changes much earlier than conventional imaging based on anatomical changes. This is important in the immunocompromised host as in some of the associated disorders a delay in diagnosis may have dire consequences. Nuclear medicine has played a huge role in the management of many HIV-associated disorders in the past and continues to help in the diagnosis, prognosis, staging, monitoring and assessing the response to treatment of many HIV-associated disorders. As our understanding of the molecular basis of disease increases nuclear medicine is poised to play an even greater role. In this review we highlight the functional basis of the clinicopathological correlation of HIV from a metabolic view and discuss how the use of nuclear medicine techniques, with particular emphasis of F-18 fluorodeoxyglucose, may have impact in the setting of HIV. We also provide an overview of the role of nuclear medicine techniques in the management of HIV-associated disorders.

Lead exposure in urban and rural school children in Ghana

Human exposure to lead in non industrial urban areas is commonly ascribed to vehicular combustion of leaded gasoline. This belief is based on results of studies in societies with high vehicular density which show emission of lead fumes into the air by automobiles that use gasoline with high lead content. To assess this view; blood lead levels were evaluated in 11 to 15-year old school children in urban and rural communities of the Greater Accra Region; Ghana. Blood lead levels was significantly higher in all the urban children studied (mean +/-SD: 8.3+/- 12.7g/dl) than in their rural counterparts (4.0+/-7.2g/dl) (P0.002). The trend was the same when only those who tested positive for blood lead were considered (24.1+/- 9.2g/dl; urban compared with 14.6+/- 5.8g/dl; rural). The prevalence of lead exposure was; however; not significantly different between the two groups (34.3. percent; urban and 27.1 per cent; rural). The presence of anaemia and/or increased urine total protein levels was unrelated to the blood lead levels in the children form both communities. Although a set goal to achieve lead free gasoline is desirable; the closeness of the prevalence rate of lead exposure obtained in the study indicate that factors other than leaded gasoline may be important determinant in exposure to lead in the Ghanaian community