987 resultados para Missions -- Africa, East.


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This layer is a georeferenced raster image of the historic paper map entitled: Zambezia e Sofálla : mappa coordenado sobre numerosos documentos antigos e modernos portuguezes e estrangeiros, pelo Vde. de Sá da Bandeira, 1861 ; dressé à la moitié de l'original sous la direction de M. V.A Malte-Brun ; gravé chez Erhard. It was published by Société de Géographie in 1862. Scale [ca. 1:7,250,000]. Covers Zimbabwe and portions of Mozambique, Malawi, Zambia, Botswana, and South Africa. Map in Portuguese.The image inside the map neatline is georeferenced to the surface of the earth and fit to the Africa Lambert Conformal Conic projected coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, roads, administrative and territorial boundaries, shoreline features, and more. Relief shown by hachures. Includes inset of Africa showing Portuguese possessions.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

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v.38(1956)

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BACKGROUND Even among HIV-infected patients who fully suppress plasma HIV RNA replication on antiretroviral therapy, genetic (e.g. CCL3L1 copy number), viral (e.g. tropism) and environmental (e.g. chronic exposure to microbial antigens) factors influence CD4 recovery. These factors differ markedly around the world and therefore the expected CD4 recovery during HIV RNA suppression may differ globally. METHODS We evaluated HIV-infected adults from North America, West Africa, East Africa, Southern Africa and Asia starting non-nucleoside reverse transcriptase inhibitorbased regimens containing efavirenz or nevirapine, who achieved at least one HIV RNA level <500/ml in the first year of therapy and observed CD4 changes during HIV RNA suppression. We used a piecewise linear regression to estimate the influence of region of residence on CD4 recovery, adjusting for socio-demographic and clinical characteristics. We observed 28 217 patients from 105 cohorts over 37 825 person-years. RESULTS After adjustment, patients from East Africa showed diminished CD4 recovery as compared with other regions. Three years after antiretroviral therapy initiation, the mean CD4 count for a prototypical patient with a pre-therapy CD4 count of 150/ml was 529/ml [95% confidence interval (CI): 517–541] in North America, 494/ml (95% CI: 429–559) in West Africa, 515/ml (95% CI: 508–522) in Southern Africa, 503/ml (95% CI: 478–528) in Asia and 437/ml (95% CI: 425–449) in East Africa. CONCLUSIONS CD4 recovery during HIV RNA suppression is diminished in East Africa as compared with other regions of the world, and observed differences are large enough to potentially influence clinical outcomes. Epidemiological analyses on a global scale can identify macroscopic effects unobservable at the clinical, national or individual regional level.

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Bibliography: p. [vii]-xii.

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v.1-5. Chine.--v.6-8. Missions de Tong-King et de la Cochinchine.

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Mode of access: Internet.

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Bibliography: p. [vii]-xii.

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BACKGROUND: Data for trends in glycaemia and diabetes prevalence are needed to understand the effects of diet and lifestyle within populations, assess the performance of interventions, and plan health services. No consistent and comparable global analysis of trends has been done. We estimated trends and their uncertainties in mean fasting plasma glucose (FPG) and diabetes prevalence for adults aged 25 years and older in 199 countries and territories. METHODS: We obtained data from health examination surveys and epidemiological studies (370 country-years and 2·7 million participants). We converted systematically between different glycaemic metrics. For each sex, we used a Bayesian hierarchical model to estimate mean FPG and its uncertainty by age, country, and year, accounting for whether a study was nationally, subnationally, or community representative. FINDINGS: In 2008, global age-standardised mean FPG was 5·50 mmol/L (95% uncertainty interval 5·37-5·63) for men and 5·42 mmol/L (5·29-5·54) for women, having risen by 0·07 mmol/L and 0·09 mmol/L per decade, respectively. Age-standardised adult diabetes prevalence was 9·8% (8·6-11·2) in men and 9·2% (8·0-10·5) in women in 2008, up from 8·3% (6·5-10·4) and 7·5% (5·8-9·6) in 1980. The number of people with diabetes increased from 153 (127-182) million in 1980, to 347 (314-382) million in 2008. We recorded almost no change in mean FPG in east and southeast Asia and central and eastern Europe. Oceania had the largest rise, and the highest mean FPG (6·09 mmol/L, 5·73-6·49 for men; 6·08 mmol/L, 5·72-6·46 for women) and diabetes prevalence (15·5%, 11·6-20·1 for men; and 15·9%, 12·1-20·5 for women) in 2008. Mean FPG and diabetes prevalence in 2008 were also high in south Asia, Latin America and the Caribbean, and central Asia, north Africa, and the Middle East. Mean FPG in 2008 was lowest in sub-Saharan Africa, east and southeast Asia, and high-income Asia-Pacific. In high-income subregions, western Europe had the smallest rise, 0·07 mmol/L per decade for men and 0·03 mmol/L per decade for women; North America had the largest rise, 0·18 mmol/L per decade for men and 0·14 mmol/L per decade for women. INTERPRETATION: Glycaemia and diabetes are rising globally, driven both by population growth and ageing and by increasing age-specific prevalences. Effective preventive interventions are needed, and health systems should prepare to detect and manage diabetes and its sequelae. FUNDING: Bill & Melinda Gates Foundation and WHO.

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This paper examines cross-country patterns of economic growth by estimating a stochastic frontier production function for 80 developed and developing countries and decomposing output change into factor accumulation, total factor productivity growth, and production efficiency improvement. In addition, this paper incorporates the quality of inputs in analyzing output growth, where the productivity of capital depends on its average age, while the productivity of labor depends on its average level of education. Our growth decomposition involves five geographic regions - Africa, East Asian, Latin America, South Asia, and the West. Factor growth, especially capital accumulation, generally proves much more important than either the improved quality of factors or total factor productivity growth in explaining output growth. The quality of capital positively and significantly affects output growth in all groups. The quality of labor, however, only possesses a positive and significant effect on output growth in Africa, East Asia, and the West. Labor quality owns a negative and significant effect in Latin America and South Asia.

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Analogous to West- and North Africa, East Africa experienced more humid conditions between approximately 12 to 5 kyr BP, relative to today. While timing and extension of wet phases in the North and West are well constrained, this is not the case for the East African Humid Period. Here we present a record of benthic foraminiferal assemblages and sediment elemental compositions of a sediment core from the East African continental slope, in order to provide insight into the regional shallow Indian Ocean paleoceanography and East African climate history of the last 40 kyr. During glacial times, the dominance of a benthic foraminiferal assemblage characterized by Bulimina aculeata, suggests enhanced surface productivity and sustained flux of organic carbon to the sea floor. During Heinrich Stadial 1 (H1), the Nuttallides rugosus Assemblage indicates oligotrophic bottom water conditions and therefore implies a stronger flow of southern-sourced AAIW to the study site. During the East African Humid Period, the Saidovina karreriana Assemblage in combination with sedimentary C/N and Fe/Ca ratios suggest higher river runoff to the Indian Ocean, and hence more humid conditions in East Africa. Between 8.5 and 8.1 kyr, contemporaneous to the globally documented 8.2 kyr Event, a severe reduction in river deposits implies more arid conditions on the continent. Comparison of our marine data with terrestrial studies suggests that additional moisture from the Atlantic Ocean, delivered by an eastward migration of the Congo Air Boundary during that time period, could have contributed to East African rainfall. Since approximately 9 kyr, the gaining influence of the Millettiana millettii Assemblage indicates a redevelopment of the East African fringe reefs.