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Selected AbstractsTHE CO-OPERATIVE REFORM PROCESS IN TANZANIA AND SRI LANKAANNALS OF PUBLIC AND COOPERATIVE ECONOMICS, Issue 3 2010Johnston Birchall ABSTRACT**:,This article reports on findings from a three year study of co-operatives in Sri Lanka and Tanzania. The article asks three questions: why do co-operative sectors need reforming; what is the co-operative reform process; and why has reform succeeded in some countries but not others? It provides a short history of co-operatives in three phases: the colonial period, the post-colonial nationalist period and the period of market liberalisation. It shows that the control exercised by colonial governments was deepened under nationalist governments, with co-operatives becoming parastatals. Liberalisation brought a sustained attempt by international agencies to reassert the distinctive nature of co-operatives as member-owned businesses. However, co-ops were ill-prepared to adjust to a competitive market and the lifting of government regulation; many failed, some were corrupted, while a few became truly member-controlled. The article draws on documentary analysis and key informant interviews to provide accounts of the reform process in Tanzania and Sri Lanka. It finds that the process is incomplete and often contested. [source] FROM SUSA TO ANURADHAPURA: RECONSTRUCTING ASPECTS OF TRADE AND EXCHANGE IN BITUMEN-COATED CERAMIC VESSELS BETWEEN IRAN AND SRI LANKA FROM THE THIRD TO THE NINTH CENTURIES AD*ARCHAEOMETRY, Issue 3 2008B. STERN In contrast with artefactual studies of long-distance trade and exchange in South Asia during the Prehistoric and Early Historic periods (Ardika et al. 1993; Gogte 1997; Krishnan and Coningham 1997; Tomber 2000; Gupta et al. 2001; Ford et al. 2005), few scientifically orientated analyses have focused on artefacts from the region's Historic period. During excavations at the ancient city of Anuradhapura, Sri Lanka, a number of buff ware ceramics with a putative organic coating on the interior were recovered (Coningham 2006). Dated stylistically to between the third and ninth centuries ad, analysis of the coatings using gas chromatography,mass spectrometry (GC,MS) and stable isotope analysis (carbon and deuterium) confirmed that the coatings are bitumen,an organic product associated with petroleum deposits. There are no known bitumen sources in Sri Lanka, and biomarker distributions and isotopic signatures suggest that the majority of the samples appear to have come from a single bitumen source near Susa in Iran. The relationship between the bitumen coatings and the vessels is discussed, and it is suggested that the coatings were used to seal permeable ceramic containers to allow them to transport liquid commodities. This study enhances our knowledge of networks of trade and exchange between Sri Lanka and western Asia during Historic times. [source] War, Livelihoods and Vulnerability in Sri LankaDEVELOPMENT AND CHANGE, Issue 2 2004Benedikt Korf As the number of de-stabilized regions of warfare or post-war conditions worldwide continues to grow, this article investigates how civilians survive in the context of a civil war. It analyses livelihood strategies of farmers in the war-torn areas of Sri Lanka, using an analytical framework based on a revised form of DFID's sustainable rural livelihoods approach, placing particular attention on the institutional reproduction of household capital assets in the war economy. The author delineates a three pillar model of household livelihood strategies focusing on how households (1) cope with the increased level of risk and uncertainty; (2) adjust their economic and social household assets for economic survival; and (3) use their social and political assets as livelihood strategies. Empirical evidence comes from four case study villages in the east of Sri Lanka. Although the four case studies were very close together geographically, their livelihood outcomes differed considerably depending on the very specific local political geography. The role of social and political assets is essential: while social assets (extended family networks) were important to absorb migrants, political assets (alliances with power holders) were instrumental in enabling individuals, households or economic actors to stabilize or even expand their livelihood options and opportunities. The author concludes that civilians in conflict situations are not all victims (some may also be culprits in the political economy of warfare), and that war can be both a threat and an opportunity, often at the same time. [source] Helping South Asia Cope Better with Natural Disasters: The Role of Social ProtectionDEVELOPMENT POLICY REVIEW, Issue 6 2007Rasmus Heltberg Social protection (income) support to households in the wake of major natural disasters is assuming a growing role for the World Bank, and major cash transfers in Turkey, Sri Lanka, the Maldives and Pakistan are reviewed in this article. Such support is usually best provided directly as cash to affected households; it complements other relief and reconstruction efforts, is demanded by client countries and has a positive impact on short-term food security and long-term recovery. It could be geared for greater impact and more efficient delivery in future by the use of a best-practice toolkit and a right-on-time technical assistance facility, and its integration in emergency preparedness and capacity-building for implementing agencies. [source] Benefit,Cost Appraisals of Export Processing Zones: A Survey of the LiteratureDEVELOPMENT POLICY REVIEW, Issue 1 2003Kankesu Jayanthakumaran This article surveys research on the performance of Export Processing Zones (EPZs) using a benefit,cost analytical framework. Results suggest that zones in South Korea, Malaysia, Sri Lanka, China and Indonesia are economically efficient and generate returns well above estimated opportunity costs. On the other hand, the heavy infrastructure costs involved in setting up the zone in the Philippines resulted in a negative net present value. The zones have been an important source of employment in all cases and have promoted local entrepreneurs in some. However, as industrial development proceeds, the gap between the market and opportunity costs of labour narrows and the interest in EPZs tends to disappear. It may hold only if the zones generate private profit to domestic shareholders. [source] Prevalence and projections of diabetes and pre-diabetes in adults in Sri Lanka,Sri Lanka Diabetes, Cardiovascular Study (SLDCS)DIABETIC MEDICINE, Issue 9 2008P. Katulanda Abstract Aims To determine the prevalence of diabetes mellitus and pre-diabetes (impaired fasting glucose and impaired glucose tolerance) in adults in Sri Lanka. Projections for the year 2030 and factors associated with diabetes and pre-diabetes are also presented. Methods This cross-sectional study was conducted between 2005 and 2006. A nationally representative sample of 5000 adults aged , 18 years was selected by a multi-stage random cluster sampling technique. Fasting plasma glucose was tested in all participants and a 75-g oral glucose tolerance test was performed in non-diabetic subjects. Prevalence was estimated for those > 20 years of age. Results Response rate was 91% (n = 4532), males 40%, age 46.1 ± 15.1 years (mean ± standard deviation). The age,sex standardized prevalence (95% confidence interval) of diabetes for Sri Lankans aged , 20 years was 10.3% (9.4,11.2%) [males 9.8% (8.4,11.2%), females 10.9% (9.7,12.1%), P = 0.129). Thirty-six per cent (31.9,40.1%) of all diabetic subjects were previously undiagnosed. Diabetes prevalence was higher in the urban population compared with rural [16.4% (13.8,19.0%) vs. 8.7% (7.8,9.6%); P < 0.001]. The prevalence of overall, urban and rural pre-diabetes was 11.5% (10.5,12.5%), 13.6% (11.2,16.0%) and 11.0% (10.0,12.0%), respectively. Overall, 21.8% (20.5,23.1%) had some form of dysglycaemia. The projected diabetes prevalence for the year 2030 is 13.9%. Those with diabetes and pre-diabetes compared with normal glucose tolerance were older, physically inactive, frequently lived in urban areas and had a family history of diabetes. They had higher body mass index, waist circumference, waist,hip ratio, systolic/diastolic blood pressure, low-density lipoprotein cholesterol and triglycerides. Insulin was prescribed to 4.4% (2.7,6.1%) of all diabetic subjects. Conclusions One in five adults in Sri Lanka has either diabetes or pre-diabetes and one-third of those with diabetes are undiagnosed. [source] Prevalence and clinical characteristics of maternally inherited diabetes and deafness caused by the mt3243A > G mutation in young adult diabetic subjects in Sri LankaDIABETIC MEDICINE, Issue 3 2008P. Katulanda Abstract Aims The maternally inherited mt3243A > G mutation is associated with a variable clinical phenotype including diabetes and deafness (MIDD). We aimed to determine the prevalence and clinical characteristics of MIDD in a large South Asian cohort of young adult-onset diabetic patients from Sri Lanka. Methods DNA was available from 994 subjects (age of diagnosis 16,40 years, age at recruitment , 45 years). Mutation screening was performed using a QRT-PCR method on an ABI 7900HT system using sequence-specific probes. Samples with heteroplasmy , 5.0% were considered positive. Results Nine (four males) mutation-positive subjects were identified (prevalence 0.9%). They were diagnosed at a younger age (25.9 ± 4.8 years vs. 31.9 ± 5.6 years, P = 0.002) and were lean (body mass index [BMI] 18.7 ± 2.7 kg/m2 vs. 24.7 ± 4.0 kg/m2, P < 0.001) compared to NMCs. One mutation-positive subject (11.1%) had metabolic syndrome, compared to 633 (64.3%) of NMCs. Insulin therapy within 6 months of diagnosis was used in four (44.0%) carriers compared to 6.9% of NMCs (P = 0.002). Combined screening criteria of any two of maternal history of diabetes, personal history of hearing impairment and family history of hearing impairment only identified five (55%) of the carriers, with a positive predictive value of 7.4%. Conclusions The prevalence of mt3243A > G mutation among young adult-onset diabetic subjects from Sri Lanka was 0.9%. Our study demonstrates that a maternal family history of diabetes and either a personal and/or family history of deafness only distinguish half of patients with MIDD from Sri Lankan subjects with young-onset diabetes. [source] Lessons from a microfinance recapitalisation programmeDISASTERS, Issue 2 2010Angus Poston Following a major disaster, microfinance institutions (MFIs) often face high levels of bad debt, which may require the institutions to be recapitalised. This paper describes a recapitalisation programme implemented by the SANASA movement of Sri Lanka in 390 microfinance societies following the December 2004 tsunami, and highlights lessons for other similar programmes. MFI recapitalisation is a good use of funds in post-disaster situations. To create successful programmes, donors should expect to relax some of their usual project requirements and MFIs should focus on maintaining credit discipline. [source] Housing anxiety and multiple geographies in post-tsunami Sri LankaDISASTERS, Issue 4 2009Camillo Boano Tsunami intervention has been an extraordinary and unprecedented relief and recovery operation. This article underlines the complexities posed by shelter and housing intervention in post-tsunami Sri Lanka, revealing a pragmatic, reductionist approach to shelter and housing reconstruction in a contested and fragmented environment. Competition, housing anxiety and buffer zone implementation have resulted in compulsory villagisation inland, stirring feelings of discrimination and tension, and becoming major obstacles to equitable rebuilding of houses and livelihoods. A new tsunami geography has been imposed on an already vulnerable conflict-based geography, in which shelter has been conceived as a mono-dimensional artefact. An analysis of the process and outcomes of temporary and permanent post-tsunami housing programmes yields information about the extent to which shelter policies and programmes serve not only physical needs but ,higher order' objectives for a comprehensive and sustainable recovery plan. [source] Civil Society Development Versus the Peace Dividend: International Aid in the WanniDISASTERS, Issue 1 2005Vance Culbert Donors that provide aid to the Wanni region of Sri Lanka, which is controlled by the Liberation Tigers of Tamil Eelam (LTTE), are promoting initiatives that seek to advance the national peace process. Under the rubric of post-conflict reconstruction, the actions of political forces and structural factors have led to the prioritisation of two different approaches to peace-building: community capacity-building projects; and support for the ,peace dividend'. Both of these approaches face challenges. Cooperation with civil society actors is extremely difficult due to intimidation by the LTTE political authority and the authoritarian nature of its control. Peace-building successes with respect to the peace dividend are difficult to measure, and must be balanced against the negative effects of misdirected funds. Aid organisations must be careful not to consider the tasks of peacebuilding, humanitarian relief and community empowerment as either interchangeable or as mutually reinforcing endeavours. [source] Alcohol and Poverty in Sri LankaADDICTION, Issue 8 2004RAMONA L. PÉREZ No abstract is available for this article. [source] Transforming Possession: Josephine and the Work of CultureETHOS, Issue 2 2008Bambi L. Chapin After a 30-year career as a priestess during which she became renowned for deep possession trances, firewalking, and blood sacrifices, she no longer participates in these activities. The analysis of this case argues that problematic dissociation outside a ritual context can be used in and transformed by involvement in culturally available possession rituals to promote healing. This counters Melford Spiro and others who have viewed possession experiences as necessarily abnormal, psychotic, and symptomatic of mental disorder. It supports Gananath Obeyesekere's assertion that engagement with these symbolic systems can lead to "progressive transformations." Parallels between this priestess' lifestory and Western psychotherapy extend Obeyesekere's conception of "the work of culture" beyond the domain of meaning and symbol to include roles for embodied practice and interpersonal relationships. [spirit possession, Sri Lanka, dissociation, healing, mental health] [source] Culture-based fisheries in non-perennial reservoirs in Sri Lanka: production and relative performance of stocked speciesFISHERIES MANAGEMENT & ECOLOGY, Issue 4 2005W. M. H. K. WIJENAYAKE Abstract, In Sri Lanka, there is a great potential for the development of culture-based fisheries because of the availability of around 12 000 non-perennial reservoirs in the dry zone (<187 cm annual rainfall) of the island. These reservoirs fill during the north-east monsoonal period in October to December and almost completely dry up during August to October. As these non-perennial reservoirs are highly productive, hatchery-reared fish fingerlings can be stocked to develop culture-based fisheries during the water retention period of 7,9 months. The present study was conducted in 32 non-perennial reservoirs in five administrative districts in Sri Lanka. These reservoirs were stocked with fingerlings of Indian (catla Catla catla Hamilton and rohu Labeo rohita Hamilton) and Chinese (bighead carp Aristichthys nobilis Richardson) major carps, common carp Cyprinus carpio L., genetically improved farmed tilapia (GIFT) strain of Nile tilapia, Oreochromis niloticus (L.) and post-larvae of giant freshwater prawn, Macrobrachium rosenbergii De Man, at three different species combinations and overall stocking densities (SD) ranging from 218 to 3902 fingerlings ha,1, during the 2002,2003 culture cycle. Of the 32 reservoirs stocked, reliable data on harvest were obtained from 25 reservoirs. Fish yield ranged from 53 to 1801 kg ha,1 and the yields of non-perennial reservoirs in southern region were significantly (P < 0.05) higher than those in the northern region. Naturally-recruited snakehead species contributed the catches in northern reservoirs. Fish yield was curvilinearly related to reservoir area (P < 0.05), and a negative second order relationship was evident between SD and yield (P < 0.05). Chlorophyll- a and fish yield exhibited a positive second order relationship (P < 0.01). Bighead carp yield impacted positively on the total yield (P < 0.05), whereas snakehead yield impact was negative. Bighead carp, common carp and rohu appear suitable for poly-culture in non-perennial reservoirs. GIFT strain O. niloticus had the lowest specific growth rate among stocked species and freshwater prawn had a low return. [source] Developing co-management in an artisanal gill net fishery of a deep hydro-electric reservoir in Sri LankaFISHERIES MANAGEMENT & ECOLOGY, Issue 5 2002S. NATHANAEL Abstract Victoria, is a recently (1984) impounded, deep, hydro-electric reservoir in Sri Lanka with an established commercial fishery. Participatory appraisal of the fishing community revealed decreasing reliance on fishing income with many fishermen moving away to supplementary occupations because of declining fish catches. Illegal fishing and theft of fishing gear resulting from open access, difficulties encountered in enforcing fisheries regulations and the need for fishermen to find alternative sources of income during low water levels are the major management problems. The top,down centralized management approach previously practised was ineffective in addressing any of these issues. Therefore, the possibilities and limitations for introducing co-management as an alternative management strategy were discussed. Financial hardship coupled with perceived benefits through state sponsored welfare schemes caused a positive attitude change among fishermen, making them respond favourably to fishery management. Establishing a licensing system for controlled access, ensuring greater user-group participation through equitable distribution of state sponsored benefits among members, attempting to enforce penalties for illegal fishing linked with surprise checks to enforce management regulations, and obtaining stakeholder perceptions regarding management issues are some of the recent steps taken by the Fishermen's Co-operative Society which would positively contribute towards developing effective co-management in this reservoir. [source] Rockshelter sedimentation in a dynamic tropical landscape: Late Pleistocene,Early Holocene archaeological deposits in Kitulgala Beli-lena, southwestern Sri LankaGEOARCHAEOLOGY: AN INTERNATIONAL JOURNAL, Issue 6 2009Nikos Kourampas Kitulgala Beli-lena, a rockshelter in gneiss in humid tropical southwestern Sri Lanka, was inhabited by Late Pleistocene,Early Holocene (>31,000,7880 B.P.) hunter-gatherers who made geometric microliths and exploited rainforest resources. Micromorphological analysis of a ca. 3-m-thick succession of diamictic loams, clays, and breccia with cultural content suggests that relative contribution of episodic colluviation and roof fall, water seepage through joints and diverse human activity varied through time. Facies changes across the profile reflect monsoon weakening ca. 20,000,16,000 cal B.P. and abrupt intensification ca. 15,700 cal B.P., on the wane of the global Last Glacial Maximum (LGM). Post-depositional modification included clay, sesquioxide, and minor phosphate translocation; termite and other arthropod bioturbation; and clast weathering on the rockshelter floor. Human input (tools and tool-making refuse, reworked charcoal and associated combustion by-products) is markedly higher in sediments younger than ca. 15,700 cal B.P., suggesting intensification of site use immediately after the LGM. © 2009 Wiley Periodicals, Inc. [source] Reterritorilizing the Relationship between People and Place in Refugee StudiesGEOGRAFISKA ANNALER SERIES B: HUMAN GEOGRAPHY, Issue 1 2001Cathrine Brun The article discusses different conceptions of space and place in refugee studies, especially contributions from anthropology and geography. A main distinction is drawn between two understandings of space and place; an essentialist conception, stating a natural relationship between people and places and an alternative conception attempting to de-naturalize the relationship between people and places. The consequences of applying different conceptions of space and place for the development of refugee policies and representations of refugees and displaced persons are addressed. For many displaced persons, displacement is experienced as being physically present at one place, but at the same time having a feeling of belonging somewhere else. It is argued that though attempts to de-naturalize the relationship between people and places have been important for how the refugee experience is conceptualized, there has been too much focus on imagination accompanied by a neglect of the local perspective of migrants and displaced people. In the local perspective of forced migration, the present lives of displaced people are emphasized. Especially the attitudes from the host communities, the policy environment that displaced people are part of, and their livelihood opportunities are the focus of regard. ,Territoriality' and ,reterritorialization' of the relationship between people and places are discussed as tools to analyse the local perspective of forced migration in general and the strategies of internally displaced persons and their hosts in Sri Lanka in particular. [source] Distant warriors, distant peace workers?GLOBAL NETWORKS, Issue 4 2008Multiple diaspora roles in Sri Lanka's violent conflict Abstract This article provides a critical, empirically based analysis of the multiple ways in which diaspora communities participate in transnational politics related to their war-affected former home countries. The case of Sri Lanka , and the Tamil and Sinhalese diasporas in the West , is used to illustrate how contemporary armed conflicts are increasingly waged in an international arena. Active diaspora groups have enabled an extension of nationalist mobilization, hostilities and polarization across the globe. Diaspora actors take part in propaganda work and fundraising in support of the belligerent parties in Sri Lanka, while the polarization between Sinhalese and Tamils is to a large extent replicated in the diaspora. However, there are also examples of diaspora groups that challenge war and militarism, for instance by calling for non-violent conflict resolution, condemning atrocities by both sides, and engaging in cross-ethnic dialogue. The article also argues that diaspora engagement in reconstruction of war-torn areas can be a double-edged sword, as it can reproduce , or reduce , grievances and inequalities that fuel the conflict. By discussing the many ways in which diasporas engage in homeland politics, the article challenges simplified understandings of diasporas as either,warriors'or,peace workers' in relation to their homeland conflicts. [source] Catastrophic payments for health care in AsiaHEALTH ECONOMICS, Issue 11 2007Eddy van Doorslaer Abstract Out-of-pocket (OOP) payments are the principal means of financing health care throughout much of Asia. We estimate the magnitude and distribution of OOP payments for health care in fourteen countries and territories accounting for 81% of the Asian population. We focus on payments that are catastrophic, in the sense of severely disrupting household living standards, and approximate such payments by those absorbing a large fraction of household resources. Bangladesh, China, India, Nepal and Vietnam rely most heavily on OOP financing and have the highest incidence of catastrophic payments. Sri Lanka, Thailand and Malaysia stand out as low to middle income countries that have constrained both the OOP share of health financing and the catastrophic impact of direct payments. In most low/middle-income countries, the better-off are more likely to spend a large fraction of total household resources on health care. This may reflect the inability of the poorest of the poor to divert resources from other basic needs and possibly the protection of the poor from user charges offered in some countries. But in China, Kyrgyz and Vietnam, where there are no exemptions of the poor from charges, they are as, or even more, likely to incur catastrophic payments. Copyright © 2007 John Wiley & Sons, Ltd. [source] Interannual variability of atmospheric water balance over South Peninsular India and Sri Lanka during northeast monsoon seasonINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 15 2008Venkatraman Prasanna Abstract In this study we have investigated atmospheric water balance over South Peninsular India and Sri Lanka during the months October to December (OND) using computed moisture convergence (C) and residual evaporation (E) from National Centers for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR) reanalysis data and Global Precipitation and Climatology Project (GPCP) precipitation data. The interannual signatures of OND precipitation, moisture convergence and evaporation over the South Peninsular India and Sri Lanka have been captured. The spatial and temporal characteristics of the hydrological cycle and the contribution of evaporation (E) and convergence (C) to precipitation (P) are discussed in detail. Over the South Peninsular India and Sri Lanka, evaporation (E) dominates during the entire monsoon months (OND). However, the interannual variability of precipitation over the domain is not necessarily influenced by the same criteria which influences the mean seasonal precipitation. The moisture from the Indian Ocean (IO) sector also modulates the precipitation over this region on a year-to-year basis. It has been noted that the positive northeast monsoon rainfall (NEMR) is associated with El Nino coupled with IO dipole, but negative NEMR is weakly associated only with La Nina over South Peninsular India and Sri Lanka. There also exists a significant land-atmospheric interaction over the region in modulating the hydrological cycle on a year-to-year basis. Copyright © 2008 Royal Meteorological Society [source] Trends in the southern oscillation phenomenon and Australian rainfall and changes in their relationshipINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 3 2004Ramasamy Suppiah Abstract An attempt has been made to investigate decadal-scale trends in Australian rainfall and in the southern oscillation index (SOI) and their influence on the relationship between them. Monthly rainfall data from high-quality stations in Australia (from 1900 to 1995), India, Sri Lanka and Tahiti are used. The relationship between the SOI and Australian rainfall is positive, but shows decadal-scale variations during the past century. Although there were extended and severe El Niño events in the early 1990s and in 1997, Australia did not experience the expected severe rainfall deficiencies characteristic of previous events. However, severe drought conditions over eastern Australia were associated with a moderate El Niño event during 2002,03. Long-term fluctuations of March,May (MAM) rainfall show high-frequency variations, but trends during June,August (JJA), September,November (SON) and December,February (DJF) show low-frequency or decadal-scale variations. Trends and multi-decadal fluctuations in all-Australian spring (SON) and summer (DJF) rainfall are strongly dominated by rainfall trend fluctuations in northern and eastern Australia. Austral summer rainfall shows an increasing trend during the 1980s and 1990s, particularly in Queensland and New South Wales, despite the occurrence of extended and severe El Niños. However, some parts of New South Wales and Queensland experienced severe rainfall deficiencies during 2002,03 in conjunction with an El Niño event. The relationship between the SOI and rainfall on the interannual time scale is strong when the SOI and rainfall follow the same direction, but it is weak when they follow opposite directions on a decadal-time scale. The poor correlation during the 1920s and 1930s was due to a slightly increasing trend in the SOI and a stronger decreasing trend in rainfall. A weakening in the relationship between the SOI and rainfall in recent years, after the mid-1970s, is due to a small increase in rainfall in the 1980s and 1990s and a strong decrease in the SOI. Rainfall trends were enhanced (stronger decreases or increases) when the influence of the SOI (or El Niño-southern oscillation (ENSO)) was removed. Enhanced increases and decreases are particularly strong during SON and DJF, when the ENSO phenomenon is at the mature stage and also the influence on Australian rainfall is strong. The increasing trend in rainfall during the 1980s and 1990s in some parts of eastern Australia and the decreasing trend in the SOI result in more rainfall for a given SOI compared with the same SOI during the previous period, i.e. before the mid-1970s. A similar analysis was carried out for two periods, before and after 1972, for Tahiti, India and Sri Lanka. The upward or downward shift in regression lines is very clear during the season, that shows a strong relationship between rainfall and the SOI. Moreover, strengthening or weakening of the relationship between rainfall and the SOI is largely dependent on their multi-decadal variations and trends during the past century. Increases in rainfall during the 1980s and the 1990s and decreases in the SOI have weakened their relationship, both in Australia and India. Such a relationship gives more rainfall for a given SOI after 1973. The pattern was reversed for Sri Lanka, where rainfall during the second intermonsoon season has decreased. Analyses of trends in temperature at Darwin and Tahiti and of rainfall over Australia, India, Tahiti and Sri Lanka suggest a regional-scale change in climate, whereas the SOI reflects a change in the large-scale circulation pattern over the Indo-Pacific region after the mid-1970s. Copyright © 2004 Royal Meteorological Society [source] Chromoblastomycosis: combined treatment with pulsed itraconazole therapy and liquid nitrogen cryotherapyINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 4 2009Ranthilaka R. Ranawaka MD Background, Three patients with histology- and culture-proven chromoblastomycosis reported to the Colombo South Teaching Hospital, Sri Lanka, in 2005. All three were men (age range, 48,53 years). The duration of symptoms varied from 1 to 8 years and the lesions were on the lower limbs. Methods, The patients were treated simultaneously with liquid nitrogen cryotherapy and itraconazole pulses, i.e. 200 mg twice daily for 7 days per month, 1 week on and 3 weeks off. Cryotherapy was given every fortnight using large cotton swabs attached to ekels or the cryogun. Results, Two patients showed a good clinical response within 4 months, with negative histopathology and culture in 4,6 months. The third patient was very resistant to treatment and needed a step-up of the itraconazole dose. Conclusion, A combination of fortnightly liquid nitrogen cryotherapy and pulsed monthly itraconazole is cost-effective and shortens the duration of therapy compared with the use of itraconazole or cryotherapy alone. [source] Norms for the mini-mental state examination from a sample of Sri Lankan older peopleINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 7 2009Ranil De Silva Abstract Objective To derive norms for the Mini Mental State Examination (MMSE) based on age, gender and level of formal education among the elderly in Sri Lanka. Method A validated Sinhalese version of the MMSE was administered to people aged 55 years and above residing in 14 randomly selected elders' homes. Effects of age, gender and level of formal education on MMSE scores were compared using multiple linear regression analysis. Results A total of 446 subjects [male/female,=,136/320] formed the final sample. Level of education and gender exerted a significant influence on MMSE scores, but not age. The median and 10th percentile scores on the Sinhalese MMSE for the education groups were as follows: education <5 years,=,19 and 12; education >5 years,=,24 and 16, respectively. Conclusion The findings confirm the influence of level of education on MMSE scores among the elderly living in care homes in Sri Lanka, and suggest that education stratified cut-off scores should be used while screening for cognitive impairment in this population. Copyright © 2009 John Wiley & Sons, Ltd. [source] The Clinical Interview Schedule , Sinhala version: validation in a community setting in Sri LankaINTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 4 2002Shiranee Champika Wickramasinghe Abstract The Clinical Interview Schedule , Revised (CIS-R) was validated in a clinic setting for adolescents 15,19 years of age in Sri Lanka. The interview schedule was translated into Sinhala and modified to include sections introducing each symptom group. One-hundred-and-thirty-one adolescents attending a psychiatric clinic for the first time were interviewed by a lay interviewer using CIS-R (Translated). They had previously been examined and rated by a psychiatrist using local (emic) diagnostic procedures. All the filtering questions showed a high level of sensitivity (80%,96%). None of the questions in the sleep problems and phobias sections were effective at discriminating between those who did and did not show significant symptoms in these areas according to the psychiatrist. The internal consistency of the sections of the interview schedule (when these two sections were excluded) varied between 0.60 and 0.82. Linear regression showed that, when both sections were excluded, 97% of the variation of total score could be explained. Therefore, it was decided to exclude the sleep problems and phobias sections from the modified interview schedule. As the population samples are likely to be different from clinic samples it is necessary to test the validity again in a community sample before confirming the validity of the modified interview schedule. Copyright © 2002 Whurr Publishers Ltd. [source] Records of Traditional Watercraft from South and West Sri LankaINTERNATIONAL JOURNAL OF NAUTICAL ARCHAEOLOGY, Issue 2 2009JULIAN WHITEWRIGHT No abstract is available for this article. [source] Perceptions of older people on disaster response and preparednessINTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 1 2010BSc(Hons)Nursing, Post Grad/Dip Nurse Education, Seana Duggan RN Duggan S., Deeny P., Spelman R. & Vitale C.T. (2010) Perceptions of older people on disaster response and preparedness. International Journal of Older People Nursing5, 71,76 doi: 10.1111/j.1748-3743.2009.00203.x Most disasters occur in developing countries but in the last decade due to the increasing threat of floods, air disasters and terrorist threat, disaster response and preparedness is a growing global concern. Due to an ageing population across the world, older people now constitute a significant proportion of those at risk from disasters. This paper reports on a qualitative study carried out in Sri Lanka and in the United States where a group of older people were asked about aspects of disaster response and preparedness. The group from Sri Lanka (n = 9) who had direct experience of the 2004 Indian Ocean Tsunami were asked how they perceived international aid relief and a group of white Caucasians from East Coast USA (n = 8) were asked about disaster preparedness. Findings indicate that both groups had similar issues albeit that they were looking at different phases of the disaster cycle and from different cultural perspectives. Both groups identified issues related to, protecting the rights of the older person and preventing loss of independence in responding and preparing for a disaster, mistrust of government and access to resources and all expressed strong feelings of self-responsibility. [source] Prevalence and impact of oral pain in 8-year-old children in Sri LankaINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 2 2005N. RATNAYAKE Summary.,, Objective., The present study aimed to determine the prevalence and impact of oral pain in 8-year-old Sri Lankan children and their parents. Design., A cross-sectional study using a multistage cluster sampling technique was carried out in a sample of 614 children attending schools in the Education Division of Badulla, Uva province, Sri Lanka. Data were collected by means of a pre-tested questionnaire that was sent to each of the children and their parents. The children were also given an oral examination. Of the 614 questionnaires which were sent to parents, 30 were not returned and eight had to be excluded from the analysis because the respondents had answered only two questions. Therefore, the present analysis is limited to data from 576 children and their parents. Results., The lifetime prevalences of oral pain, as reported by the children and parents, were 49% and 53%, respectively. According to the children's report, 25% had experienced oral pain in the past 2 months while 31% of the parents reported that their child had experienced oral pain within the same period. Of those children who reported that they had experienced oral pain in the past 2 months, nearly 45% stated that the pain was severe. In 48%, the pain was triggered when biting. ,Presence of cavity/decayed tooth' was cited as the most common cause of oral pain (67%). Overall, 74% of children had experienced a negative impact as a result of the pain whilst 66% of the parents said that the child's pain had had an impact on them. Ethnic group, parental income and level of education, and the caries experience of the child were significantly associated with the reporting of oral pain in the past 2 months. Conclusions., The prevalence of oral pain was high among these children, and had a considerable impact on both the children and their parents. [source] Prevalence of osteoporosis among postmenopausal women in Sri Lanka: a cross-sectional community studyINTERNATIONAL JOURNAL OF RHEUMATIC DISEASES, Issue 3 2007Sarath LEKAMWASAM Abstract Objective:, This study was designed to estimate the prevalence of osteoporosis among postmenopausal women selected from seven provinces in Sri Lanka. Method:, The study was a community-based cross-sectional survey of a group of 1642 community-dwelling postmenopausal women in seven provinces, except the North and East, in Sri Lanka. Phalangeal bone mineral density (BMD) was measured in all subjects using an AccuDEXA. In a subgroup of 150 women BMDs in the spine from L2,L4 and proximal femur were measured using a Norland Eclipse central DXA machine. In this subgroup, the diagnosis of osteoporosis was made according to the WHO criteria based on T-scores of the spine or femoral neck. The sensitivity, specificity, positive predictive value and negative predictive value of different phalangeal BMD levels were examined and the prevalence of osteoporosis was calculated using the most acceptable cut-off value. Results:, A sharp decline in phalangeal BMD (0.006 g/cm2/year) was seen during the postmenopausal period. Phalangeal T-score of ,2.00, which had sensitivity, specificity, positive predictive value and negative predictive value of 78%, 85%, 91% and 68% respectively, was selected as the most suitable value to predict osteoporosis: 357 women had phalangeal T-scores either equal to or lower than ,2.00. When the positive predictive value and negative predictive value of this cut-off value were applied, 736 women (44.9%) in our sample were likely to have osteoporosis. Conclusions:, Osteoporosis is a prevalent disease among postmenopausal women in Sri Lanka. Similar prevalence figures have been reported from other Asian countries. [source] Development of stroke care in Sri LankaINTERNATIONAL JOURNAL OF STROKE, Issue 1 2009Padma S. Gunaratne No abstract is available for this article. [source] Cost Efficiency in South Asian Banking: The Impact of Bank Size, State Ownership and Stock Exchange Listings,INTERNATIONAL REVIEW OF FINANCE, Issue 1-2 2007SHRIMAL PERERA ABSTRACT This study examines the cost efficiency performance of 111 commercial banks in Bangladesh, India, Pakistan and Sri Lanka over 1997,2004. The primary focus is to assess whether bank size, state ownership and stock exchange listing have significant effects on South Asian banks' efficiency performance. To this end, a translog-form composite-error cost efficiency model, which allows for exogenous environmental influences, is estimated. The results indicate that the overall efficiency of South Asian banks declined over 1997,2004. Larger banks and banks with widespread ownership through stock exchange listings were found to be relatively more cost efficient. In contrast, state-owned banks were less efficient. [source] New directions: a South Asian perspectiveINTERNATIONAL SOCIAL SCIENCE JOURNAL, Issue 167 2001Gamini Lakshman Peiris The central challenge facing countries of the developing world such as Sri Lanka is how to reconcile ethnic and cultural diversity with the concept of mature and cohesive nationhood. This is especially so where a federation is created not by the traditional pattern of independent entities coming together, but by devolution from a unitary state to one involving power sharing. In such situations there arealways fears that federalism is a precursor of dismemberment or disintegration. What is needed is to reconcile competing objectives for a strong and effective centre and for recognition of cultural and ethnic diversity. This may require hybrid or quasi-federal structures that do not fit neatly into unitary or federal categories. In attempting to achieve this reconciliation practicalities may require asymmetrical devolution, but this in turn may provoke emotional resistance to special or disparate treatment of particular minorities. Nor is devolution by itself sufficient. To be viable there must be suitable mechanisms to resolve intergovernmental disputes. Particularly important if confrontation and polarisation are to be minimised isemphasis upon compromise and proportionality and a public respect for pluralism, secularism, and representative democracy. [source] |