Events as catalyst to atact tourists to destinations: Spectator perceptions of the social impact of events in East London: A study of Spec-Savers Ironman South Africa 70.3 in Buffalo City
- Authors: Mxunyelwa, Siayabonga
- Date: 2020
- Language: English
- Type: Conference Proceeding
- Identifier: http://hdl.handle.net/11260/10868 , vital:75300
- Description: In recent years, globally events have shown rapid growth as types of attractions within destinations with such events creating a favourable image of a destination, expanding the traditional tourist season, spreading tourist demand evenly through an area and attracting foreign and domestic visitors. As far as South Africa is concerned attracting influx of tourists is the problem in the event sport tourism industry The objective of this study is to address this gap and to evaluate the social impact perceptions of event tourism spectators. The research design for the proposed study primarily involved exploratory and descriptive research. The target-sampling frame was the event tourism spectators at the Spec-Savers Ironman South Africa 70.3 Triathlon event held in East London. The findings suggest that the opportunity to meet new people, attend a major event and enhancing event tourism destination were deemed positive social impacts. Conversely, the study suggested that littering and social inequalities (exclusionary) are negative social impacts. The results in this study have produced a foundation that events management practitioners, event tourism planners, policy makers, decision makers, researchers and academics can utilise in planning for future events that are socially sustainable in a developing economy context such as South Africa.
- Full Text: false
The prevalence of insufficient iodine intake in pregnancy in Africa: protocol for a systematic review and meta-analysis
- Authors: Businge, Charles Bitamazire , Longo-Mbenza , Benjamin , Kengne, Andre Pascal
- Date: 2019
- Subjects: Africa , Iodine , Pregnancy
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/5882 , vital:44662 , https://DOI:10.1186/s13643-019-1092-7
- Description: Background: Insufficient iodine intake in pregnancy is associated with many adverse pregnancy outcomes. About 90% of African countries are at risk of iodine deficiency due to poor soils and dietary goitrogens. Pregnancy predisposes to insufficient iodine nutrition secondary to increased physiological demand and increased renal loss. Iodine deficiency is re-emerging in countries thought to be replete with pregnant women being the most affected. This review seeks to identify the degree of iodine nutrition in pregnancy on the entire African continent before and after the implementation of national iodization programmes. Methods: A systematic search of published literature will be conducted for observational studies that directly determined the prevalence of insufficient iodine intake among pregnant women in Africa. Electronic databases and grey literature will be searched for baseline data before the implementation of population-based iodine supplementation and for follow-up data up to December 2018. Screening of identified articles and data extraction will be conducted independently by two investigators. Risk of bias and methodological quality of the included studies will be assessed using a risk of bias tool. Appropriate meta-analytic techniques will be used to pool prevalence estimates from studies with similar features, overall and by major characteristics including the region of the study, time period (before and after implementation of iodization programmes), sample size and age. Heterogeneity of the estimates across studies will be quantified and publication bias investigated. This protocol is reported according to Preferred Reporting Items for Systematic reviews and Meta-Analysis protocols (PRISMA-P) 2015 guidelines. Discussion: This review will help ascertain the impact of national iodization programmes on the iodine nutrition status in pregnancy in Africa and advise policy on the necessity for monitoring and mitigating iodine deficiency in pregnancy in Africa. This review is part of a thesis that will be submitted to the Faculty of Health Sciences, University of Cape Town, for the award of a PhD in Medicine whose protocol has been granted ethics approval (UCT HREC 135/2018). In addition, the results will be published in a peer-reviewed journal. Systematic review registration: PROSPERO CRD42018099434 Keywords: Iodine, Insufficiency, Pregnancy, Africa
- Full Text:
Adult binge drinking: rate, frequency and intensity in Buffalo City Metropolitan Municipality, South Africa
- Authors: Owolabi, Eyitayo Omolara , Goona, Daniel Ter , Adeniyi, Oladele Vincent , Seekoea, Eunice
- Date: 2018
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/4944 , vital:44305 , https://doi.org/10.1080/20786190.2017.1382970
- Description: This study was conducted to explore views about the execution of powers and functions of the police in the light of related challenges. This study made use of data from a total of 83 adult participants (a survey involving 73 individuals, and 10 in-depth interviews), including males and females of diverse occupational backgrounds from Bindura and Mount Darwin policing districts in Zimbabwe. A closed-ended, mostly Likert-scale-based questionnaire was used to collect data about the prevalent forms of police abuse of powers and functions, while an in-depth interview guide was provided to harvest information qualitatively. Findings reveal that police officers abuse their powers through unlawful arrests, arbitrary search and seizure, excessive use of force, unlawful methods of investigation, and ill treatment of detainees. Though not as prevalent as other forms of abuse, malicious criminal prosecution and partisan policing were also cited.K EYWOR DS: powers, abuse, function, police, Zimbabwe
- Full Text:
Deriving an optimal threshold of waist circumference for detecting cardiometabolic risk in sub-Saharan Africa
- Authors: Longo–Mbenza, Benjamin , K Ekoru, GAV Murphy, EH Young, H Delisle, CS Jerome , F Assah, JPD Nzambi, JBK On'Kin , F Buntix, MC Muyer, DL Christensen, CS Wesseh, A Sabir, C Okafor, ID Gezawa, F Puepet, O Enang, T Raimi, E Ohwovoriole, OO Oladapo, P Bovet, W Mollentze, N Unwin, WK Gray, R Walker K Agoudavi, S Siziya, J Chifamba, M Njelekela, CM Fourie, S Kruger, AE Schutte, C Walsh, D Gareta, A Kamali, J Seeley, SA Norris NJ Crowther, D Pillay, P Kaleebu, AA Motala and MS Sandhu on behalf of the African Partnership for Chronic Disease Research (APCDR)
- Date: 2018
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/5389 , vital:44560 , https://www.nature.com/articles/ijo2017240
- Description: BACKGROUND: Waist circumference (WC) thresholds derived from western populations continue to be used in sub-Saharan Africa (SSA) despite increasing evidence of ethnic variation in the association between adiposity and cardiometabolic disease and availability of data from African populations. We aimed to derive a SSA-specific optimal WC cut-point for identifying individuals at increased cardiometabolic risk. METHODS: We used individual level cross-sectional data on 24 181 participants aged ⩾15 years from 17 studies conducted between 1990 and 2014 in eight countries in SSA. Receiver operating characteristic curves were used to derive optimal WC cutpoints for detecting the presence of at least two components of metabolic syndrome (MS), excluding WC. RESULTS: The optimal WC cut-point was 81.2 cm (95% CI 78.5–83.8 cm) and 81.0 cm (95% CI 79.2–82.8 cm) for men and women, respectively, with comparable accuracy in men and women. Sensitivity was higher in women (64%, 95% CI 63–65) than in men (53%, 95% CI 51–55), and increased with the prevalence of obesity. Having WC above the derived cut-point was associated with a twofold probability of having at least two components of MS (age-adjusted odds ratio 2.6, 95% CI 2.4–2.9, for men and 2.2, 95% CI 2.0–2.3, for women). CONCLUSION: The optimal WC cut-point for identifying men at increased cardiometabolic risk is lower (⩾81.2 cm) than current guidelines (⩾94.0 cm) recommend, and similar to that in women in SSA. Prospective studies are needed to confirm these cut-points based on cardiometabolic outcomes.
- Full Text:
Practice intentions at entry to and exit from medical schools aspiring to social accountability: findings from the Training for Health Equity Network Graduate Outcome Study
- Authors: Iputo, Jehu , Sarah Larkins , Karen Johnston, John C. Hogenbirk, Sara Willems, Salwa Elsanousi, Marykutty Mammen, Kaatje Van Roy, Jehu Iputo , Fortunato L. Cristobal , Jennene Greenhill, Charlie Labarda11 and Andre-Jacques Neusy
- Date: 2018
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/5415 , vital:44567 , https://pubmed.ncbi.nlm.nih.gov/30424760/
- Description: Background: Understanding the impact of selection and medical education on practice intentions and eventual practice is an essential component of training a fit-for-purpose health workforce distributed according to population need. Existing evidence comes largely from high-income settings and neglects contextual factors. This paper describes the practice intentions of entry and exit cohorts of medical students across low and high income settings and the correlation of student characteristics with these intentions. Methods: The Training for Health Equity Network (THEnet) Graduate Outcome Study (GOS) is an international prospective cohort study tracking learners throughout training and ten years into practice as part of the longitudinal impact assessment described in THEnet’s Evaluation Framework. THEnet is an international community of practice of twelve medical schools with a social accountability mandate. Data presented here include cross-sectional entry and exit data obtained from different cohorts of medical students involving eight medical schools in six countries and five continents. Binary logistic regression was used to create adjusted odds ratios for associations with practice intent. Results: Findings from 3346 learners from eight THEnet medical schools in 6 countries collected between 2012 and 2016 are presented. A high proportion of study respondents at these schools come from rural and disadvantaged backgrounds and these respondents are more likely than others to express an intention to work in underserved locations after graduation at both entry and exit from medical school. After adjusting for confounding factors, rural and low income background and regional location of medical school were the most important predictors of intent to practice in a rural location. For schools in the Philippines and Africa, intention to emigrate was more likely for respondents from high income and urban backgrounds.
- Full Text:
Species distribution and antifungal susceptibility patterns of Candida isolates from a public tertiary teaching hospital in the Eastern Cape Province, South Africa
- Authors: Mnge, P , Okeleye, B I , Vasaikar, S D , Apalata, T
- Date: 2017-03-14
- Subjects: Candida Candida species , Antifungal agents Antifungal susceptibility
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6817 , vital:49389 , http://dx.doi.org/10.1590/1414-431X20175797
- Description: Candida species are the leading cause of invasive fungal infections, and over the past decade there has been an increased isolation of drug resistant Candida species. This study aimed to identify the species distribution of Candida isolates and to determine their unique antifungal susceptibility and resistance patterns. During a cross-sectional study, 209 Candida isolates (recovered from 206 clinical samples) were collected and their species distribution was determined using ChromAgar Candida. The Vitek-2 system (Biomerieux, South Africa) was used to determine minimum inhibitory concentrations (MICs) to azoles (fluconazole, voriconazole), echinocandins (caspofungin, micafungin), polyenes (amphotericin B) and flucytosine. Four species of Candida were isolated, of which C. albicans was the most frequent, isolated in 45.4 percent (95/209) of the isolates, followed by C. glabrata: 31.1 percent (65/209). The MICs of the different antifungal drugs varied amongst the species of Candida. From the 130 isolates tested for MICs, 90.77 percent (112/130) were susceptible to all antifungal drugs and 6.9 percent (9/130) of the isolates were multi-drug resistant. C. dubliniensis (n=2) isolates were susceptible to all the above mentioned antifungal drugs. There was no significant difference in species distribution amongst clinical specimens and between patients’ genders (P40.05). An increase in MIC values for fluconazole and flucytosine towards the resistance range was observed. To our knowledge, this is the first report on surveillance of Candida species distribution and antifungal susceptibility at a public tertiary teaching hospital in Eastern Cape, South Africa.
- Full Text:
Prevalence and factors associated with tobacco use among adults attending selected healthcare facilities in Buffalo City Metropolitan Municipality, South Africa
- Authors: Owolabia, E O , Goona, D T , Adeniyi, Oladele Vincent , Seekoea, E , Adedokun, A O
- Date: 2017
- Subjects: South Africa Tobacco 2078-6204 Computer File
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6127 , vital:45127 , https://doi.org/10.1080/20786190.2017.1340251
- Description: Tobacco use increases the risk of cardiovascular disease, premature death and certain cancers. This study investigated the prevalence and determinants of tobacco use among adults in Buffalo City Metropolitan Municipality (BCMM), South Africa. Methods: This study forms part of the cardio-metabolic risk survey carried out at the three largest outpatient clinics in BCMM. This multi-centre cross-sectional survey utilised the relevant items of the WHO STEPwise questionnaire to obtain information on demographic and behavioural characteristics of 1 107 participants. A total of 109 participants were excluded as a result of incomplete data. Thus, 998 participants (male = 327; female = 671) were included in the analysis. Self-reported, current use of any tobacco product was defined as tobacco use while secondary smoking was defined as exposure of non-smokers to environmental tobacco smoke, either at home or in the workplace. Results: Of all the study participants, 150 (15%) were current tobacco users and 335 (39.5%) of the non-smoking participants were exposed to secondary smoking. The majority of the tobacco users were males (70.7%) compared with females (29.3%). The commonest form of tobacco use was the manufactured cigarette. The mean age at initiation of smoking was 18.3 ± 5.1 and 22.6 ± 8.0 years for men and women, respectively. Only male sex (p = 0.000), single status (p = 0.003), no formal education (p = 0.007) and self-employment (p = 0.043) were significantly associated with tobacco use. Conclusion: High prevalence of tobacco use, especially cigarette smoking, in BCMM is worrisome given its strong association with cardiovascular events and cancers. The district health authorities should prioritise smoking cessation measures at the primary health care level.
- Full Text: