To understand the forming and tectonic evolution of the South China Sea basin, new data of the structural styles and geochronology were obtained from the Dulong-Song Chay dome, southeastern Yunnan and northern Vietnam...To understand the forming and tectonic evolution of the South China Sea basin, new data of the structural styles and geochronology were obtained from the Dulong-Song Chay dome, southeastern Yunnan and northern Vietnam. The structural styles were acquired through field investigation and geo-chronological dating was carried out using zircon SHRIMP Ⅱ U-P and argon isotopic analyses. The South China Sea basin extension occurred firstly at Late Mesozoic to Early Cenozoic, and then at Late Oligocene to Middle Miocene （32-17 Ma）. The second stage of extension formed immediately after the first stage, and both extensions have a consistent forming mechanism. New structural analysis and geo-chronological data do not support the models of ＂backarc spreading＂ and ＂strike-slip faults producing the extension＂. Then what mechanism resulted in the extension of South China Sea basin？ The data indicate that at least two episodes of major extensional tectonics, i.e. , the D1 deformation at 237-228 Ma resulted in the rising and exhumation of the dome, and D2 deformation at 86-78 Ma overprinted and redeformed the dome. Of them, the D2 shows a consistent forming time, extensional direction and tectonic regime among Dulong-Song Chay dome, South China block and the northern margin of the South China Sea basin. Regional geology has proved that the northern margin of the South China Sea basin belongs to the South China block, therefore, we interpreted that the Late Mesozoic to Early Cenozoic extensional tectonics occurred in the northern margin of the South China Sea basin due to the intraplate deformation of the South China block, while the Ailaoshan-Red River sinistral slip strengthened the Cenozoic extension in the South China Sea basin.展开更多
Globally, there is increasing evidence that HIV self-testing (HIVST) is commonly practiced among health care workers (HCWs). Although HIVST kits are available in South Africa, their distribution and use remain unregul...Globally, there is increasing evidence that HIV self-testing (HIVST) is commonly practiced among health care workers (HCWs). Although HIVST kits are available in South Africa, their distribution and use remain unregulated and its acceptability, undocumented. The aim of the study was to explore the acceptability of HIV self-testing among student nurses, examine their willingness to use self-testing, and evaluate their views on the implementation of a regulated HIV self-testing programme. This was a qualitative explorative study, and six focus group discussions were conducted with 67 student nurses recruited from a private nursing college, in Pretoria, South Africa. Thematic analysis and NVivo10 qualitative software were used for data analysis. The nurses perceived HIVST as an acceptable option for HIV testing and most were willing to self-test. Self-testing will provide confidential and accessible HIV testing services, reduce the stigma associated with the condition, and increase partner testing and disclosure. HIVST is more likely to be practised if self-testing kits are easily accessible and affordable, and there are strategies to educate people before the adoption of HIVST. The lack of pre- and post-test counselling, the risk of inaccurate test results, and lack of strategies for the confirmation of self-testing results were the main arguments against HIVST. The high acceptance of HIVST among nurses suggests that HIVST is a feasible option to increase the uptake of HIV-testing among HCWs. However, pre- and post-test counselling should be considered important components in the implementation of self-testing services. Educational and awareness campaigns should precede the roll-out of the self-testing programs.展开更多
Background:Despite the end of apartheid in the early 1990s,South Africa remains racially and economically segregated.The country is beset by persistent social inequality,poverty,unemployment,a heavy burden of disease ...Background:Despite the end of apartheid in the early 1990s,South Africa remains racially and economically segregated.The country is beset by persistent social inequality,poverty,unemployment,a heavy burden of disease and the inequitable quality of healthcare service provision.The South African health system is currently engaged in the complex project of establishing universal health coverage that ensures the system's ability to deliver comprehensive care that is accessible,affordable and acceptable to patients and families,while acknowledging the significant pressures to which the system is subject.Within this framework,the Bertha Centre for Social Innovation&Entrepreneurship works to pursue social impact towards social justice in Africa with a systems lens on social innovation within innovative finance,health,education and youth development.The aim of this study is to demonstrate the capacity for social innovation in health with respect for South Africa,and to highlight some current innovations that respond to issues of health equity such as accessibility,affordability,and acceptability.展开更多
文摘To understand the forming and tectonic evolution of the South China Sea basin, new data of the structural styles and geochronology were obtained from the Dulong-Song Chay dome, southeastern Yunnan and northern Vietnam. The structural styles were acquired through field investigation and geo-chronological dating was carried out using zircon SHRIMP Ⅱ U-P and argon isotopic analyses. The South China Sea basin extension occurred firstly at Late Mesozoic to Early Cenozoic, and then at Late Oligocene to Middle Miocene （32-17 Ma）. The second stage of extension formed immediately after the first stage, and both extensions have a consistent forming mechanism. New structural analysis and geo-chronological data do not support the models of ＂backarc spreading＂ and ＂strike-slip faults producing the extension＂. Then what mechanism resulted in the extension of South China Sea basin？ The data indicate that at least two episodes of major extensional tectonics, i.e. , the D1 deformation at 237-228 Ma resulted in the rising and exhumation of the dome, and D2 deformation at 86-78 Ma overprinted and redeformed the dome. Of them, the D2 shows a consistent forming time, extensional direction and tectonic regime among Dulong-Song Chay dome, South China block and the northern margin of the South China Sea basin. Regional geology has proved that the northern margin of the South China Sea basin belongs to the South China block, therefore, we interpreted that the Late Mesozoic to Early Cenozoic extensional tectonics occurred in the northern margin of the South China Sea basin due to the intraplate deformation of the South China block, while the Ailaoshan-Red River sinistral slip strengthened the Cenozoic extension in the South China Sea basin.
文摘Globally, there is increasing evidence that HIV self-testing (HIVST) is commonly practiced among health care workers (HCWs). Although HIVST kits are available in South Africa, their distribution and use remain unregulated and its acceptability, undocumented. The aim of the study was to explore the acceptability of HIV self-testing among student nurses, examine their willingness to use self-testing, and evaluate their views on the implementation of a regulated HIV self-testing programme. This was a qualitative explorative study, and six focus group discussions were conducted with 67 student nurses recruited from a private nursing college, in Pretoria, South Africa. Thematic analysis and NVivo10 qualitative software were used for data analysis. The nurses perceived HIVST as an acceptable option for HIV testing and most were willing to self-test. Self-testing will provide confidential and accessible HIV testing services, reduce the stigma associated with the condition, and increase partner testing and disclosure. HIVST is more likely to be practised if self-testing kits are easily accessible and affordable, and there are strategies to educate people before the adoption of HIVST. The lack of pre- and post-test counselling, the risk of inaccurate test results, and lack of strategies for the confirmation of self-testing results were the main arguments against HIVST. The high acceptance of HIVST among nurses suggests that HIVST is a feasible option to increase the uptake of HIV-testing among HCWs. However, pre- and post-test counselling should be considered important components in the implementation of self-testing services. Educational and awareness campaigns should precede the roll-out of the self-testing programs.
文摘Background:Despite the end of apartheid in the early 1990s,South Africa remains racially and economically segregated.The country is beset by persistent social inequality,poverty,unemployment,a heavy burden of disease and the inequitable quality of healthcare service provision.The South African health system is currently engaged in the complex project of establishing universal health coverage that ensures the system's ability to deliver comprehensive care that is accessible,affordable and acceptable to patients and families,while acknowledging the significant pressures to which the system is subject.Within this framework,the Bertha Centre for Social Innovation&Entrepreneurship works to pursue social impact towards social justice in Africa with a systems lens on social innovation within innovative finance,health,education and youth development.The aim of this study is to demonstrate the capacity for social innovation in health with respect for South Africa,and to highlight some current innovations that respond to issues of health equity such as accessibility,affordability,and acceptability.
