Atypical HIV-vacuolar myelopathy: a case report :
- Mongezi, Tau, Sibi, Joseph, Jerry, George, Lourdes de Fátima, Ibañez Valdés, Tozama, Dubula, Humberto, Foyaca Sibat
- Authors: Mongezi, Tau , Sibi, Joseph , Jerry, George , Lourdes de Fátima, Ibañez Valdés , Tozama, Dubula , Humberto, Foyaca Sibat
- Date: 2021-06
- Subjects: South Africa HIV (Viruses) Cervical spondylotic myelopathy Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7670 , vital:54741 , https://doi.org/10.1186/s40001-021-00483-0
- Description: Background: Here, we report an atypical HIV-vacuolar myelopathy and search the available medical literature about atypical presentations of human immunodefciency virus associate vacuolar myelopathy (HIV-VM) and immunoglobu‑ lin therapy response. Case: A 26-year-old lady who was 4 weeks postpartum presented to us with acute faccid quadriparesis, with no sen‑ sory level. Extensive workup ruled out other causes of myelopathy. She developed a stage 3 acute kidney injury, and MRI showed difuse cord atrophy involving the lower cervical and thoracic cord. The patient received IV-immunoglob‑ ulin, ARVs, and supportive therapy with inadequate response. Unfortunately, she developed nosocomial pneumonia and died. Discussion: In HIV-VM, there is spinal cord atrophy, which mainly involves the thoracic cord. In our case, this patho‑ logical process also afected the spinal cord’s cervical region, leading to faccid tetraplegia, with high CD4 level, with‑ out response to the treatment, including intravenous immunoglobulin. Keynotes: Vacuolar myelopathy, HIV, Immunoglobulin therapy, faccid tetraplegia, hypokalaemia. Renal failure. Keywords: Human immunodefciency virus, Associated lesions of the nervous system, Human immunodefciency virus-associated myelopathy, Intravenous immunoglobulin administration, Case report, HIV-vacuolar myelopathy
- Full Text:
- Authors: Mongezi, Tau , Sibi, Joseph , Jerry, George , Lourdes de Fátima, Ibañez Valdés , Tozama, Dubula , Humberto, Foyaca Sibat
- Date: 2021-06
- Subjects: South Africa HIV (Viruses) Cervical spondylotic myelopathy Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7670 , vital:54741 , https://doi.org/10.1186/s40001-021-00483-0
- Description: Background: Here, we report an atypical HIV-vacuolar myelopathy and search the available medical literature about atypical presentations of human immunodefciency virus associate vacuolar myelopathy (HIV-VM) and immunoglobu‑ lin therapy response. Case: A 26-year-old lady who was 4 weeks postpartum presented to us with acute faccid quadriparesis, with no sen‑ sory level. Extensive workup ruled out other causes of myelopathy. She developed a stage 3 acute kidney injury, and MRI showed difuse cord atrophy involving the lower cervical and thoracic cord. The patient received IV-immunoglob‑ ulin, ARVs, and supportive therapy with inadequate response. Unfortunately, she developed nosocomial pneumonia and died. Discussion: In HIV-VM, there is spinal cord atrophy, which mainly involves the thoracic cord. In our case, this patho‑ logical process also afected the spinal cord’s cervical region, leading to faccid tetraplegia, with high CD4 level, with‑ out response to the treatment, including intravenous immunoglobulin. Keynotes: Vacuolar myelopathy, HIV, Immunoglobulin therapy, faccid tetraplegia, hypokalaemia. Renal failure. Keywords: Human immunodefciency virus, Associated lesions of the nervous system, Human immunodefciency virus-associated myelopathy, Intravenous immunoglobulin administration, Case report, HIV-vacuolar myelopathy
- Full Text:
The Effect of Using English as A Language of Learning and Teaching on Learner Academic Performance in Senior Phase of Mthatha, Eastern Cape Province
- Authors: Seabela, Marcia Motlatso
- Date: 2021-04
- Subjects: teaching strategies
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/11260/10593 , vital:75188
- Description: The study sought to investigate the effect of using English as a language of learning and teaching on learner academic performance in the senior phase of Mthatha District, Eastern Cape Province. This study employed a mixed-method approach. The researcher used both qualitative and quantitative methods to collect data. The study was conducted in 3 semi-rural senior secondary schools that were conveniently selected. The quantitative part employed Likert-type scale questionnaires that were administered to 10 Mathematics (Math), 10 Natural Sciences (NS) and 10 Social Sciences (SS) teachers making a total of 30 teachers and a total of 30 learners from grades 8 and 9. For the qualitative part, nine (9) teachers and eighteen (18) learners from the selected schools were interviewed. The 18 teachers in three schools were observed as they taught Grade 8 and 9 learners in their respective classes. Qualitative data were, thus, gathered through interviews and observations. Quantitative data was collected using Likert-type scale questionnaires and was analysed using descriptive statistics and Microsoft Excel. The voice recorded qualitative data from the participant’s responses were transcribed and analysed manually through coding, forming categories and themes that were used for data presentation. These are some of the findings: The majority of learners do not understand English, therefore, it was difficult for them to understand the teaching and learning of the selected subjects in Senior Phase (SP) using English as the language of learning and teaching (LoLT); Although the majority of learners reported that they usually use English as a LoLT and their home language when learning the selected subjects, they still struggled to ask and answer questions in English in a classroom and during examinations; Learners who experience difficulties in learning the selected subjects through the use of English as a LoLT in SP, were taught in their home language (isiXhosa) by their teachers; English and isiXhosa, in the form of code-switching, were used when teaching the selected subjects; Inadequate teacher training and preparation made it more difficult for the learners to perform well in the selected subjects. The study recommends that: The Department of Education should conduct enough workshops to help HOD’s and teachers who teach the selected subjects to keep abreast of new developments in these subjects. These should be integrated with appropriate teaching strategies and learning and teaching support materials. Keywords: English as the language of learning and teaching, teaching strategies, learning, teaching support materials. , Thesis (D.Ed) -- Faculty of Education Sciences, 2021
- Full Text:
- Authors: Seabela, Marcia Motlatso
- Date: 2021-04
- Subjects: teaching strategies
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/11260/10593 , vital:75188
- Description: The study sought to investigate the effect of using English as a language of learning and teaching on learner academic performance in the senior phase of Mthatha District, Eastern Cape Province. This study employed a mixed-method approach. The researcher used both qualitative and quantitative methods to collect data. The study was conducted in 3 semi-rural senior secondary schools that were conveniently selected. The quantitative part employed Likert-type scale questionnaires that were administered to 10 Mathematics (Math), 10 Natural Sciences (NS) and 10 Social Sciences (SS) teachers making a total of 30 teachers and a total of 30 learners from grades 8 and 9. For the qualitative part, nine (9) teachers and eighteen (18) learners from the selected schools were interviewed. The 18 teachers in three schools were observed as they taught Grade 8 and 9 learners in their respective classes. Qualitative data were, thus, gathered through interviews and observations. Quantitative data was collected using Likert-type scale questionnaires and was analysed using descriptive statistics and Microsoft Excel. The voice recorded qualitative data from the participant’s responses were transcribed and analysed manually through coding, forming categories and themes that were used for data presentation. These are some of the findings: The majority of learners do not understand English, therefore, it was difficult for them to understand the teaching and learning of the selected subjects in Senior Phase (SP) using English as the language of learning and teaching (LoLT); Although the majority of learners reported that they usually use English as a LoLT and their home language when learning the selected subjects, they still struggled to ask and answer questions in English in a classroom and during examinations; Learners who experience difficulties in learning the selected subjects through the use of English as a LoLT in SP, were taught in their home language (isiXhosa) by their teachers; English and isiXhosa, in the form of code-switching, were used when teaching the selected subjects; Inadequate teacher training and preparation made it more difficult for the learners to perform well in the selected subjects. The study recommends that: The Department of Education should conduct enough workshops to help HOD’s and teachers who teach the selected subjects to keep abreast of new developments in these subjects. These should be integrated with appropriate teaching strategies and learning and teaching support materials. Keywords: English as the language of learning and teaching, teaching strategies, learning, teaching support materials. , Thesis (D.Ed) -- Faculty of Education Sciences, 2021
- Full Text:
The Effect of Using English as A Language of Learning and Teaching on Learner Academic Performance in Senior Phase of Mthatha, Eastern Cape Province
- Authors: Seabela, Marcia Motlatso
- Date: 2021-04
- Subjects: teaching strategies
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/11260/6782 , vital:49059
- Description: The study sought to investigate the effect of using English as a language of learning and teaching on learner academic performance in the senior phase of Mthatha District, Eastern Cape Province. This study employed a mixed-method approach. The researcher used both qualitative and quantitative methods to collect data. The study was conducted in 3 semi-rural senior secondary schools that were conveniently selected. The quantitative part employed Likert-type scale questionnaires that were administered to 10 Mathematics (Math), 10 Natural Sciences (NS) and 10 Social Sciences (SS) teachers making a total of 30 teachers and a total of 30 learners from grades 8 and 9. For the qualitative part, nine (9) teachers and eighteen (18) learners from the selected schools were interviewed. The 18 teachers in three schools were observed as they taught Grade 8 and 9 learners in their respective classes. Qualitative data were, thus, gathered through interviews and observations. Quantitative data was collected using Likert-type scale questionnaires and was analysed using descriptive statistics and Microsoft Excel. The voice recorded qualitative data from the participant’s responses were transcribed and analysed manually through coding, forming categories and themes that were used for data presentation. These are some of the findings: The majority of learners do not understand English, therefore, it was difficult for them to understand the teaching and learning of the selected subjects in Senior Phase (SP) using English as the language of learning and teaching (LoLT); Although the majority of learners reported that they usually use English as a LoLT and their home language when learning the selected subjects, they still struggled to ask and answer questions in English in a classroom and during examinations; Learners who experience difficulties in learning the selected subjects through the use of English as a LoLT in SP, were taught in their home language (isiXhosa) by their teachers; English and isiXhosa, in the form of code-switching, were used when teaching the selected subjects; Inadequate teacher training and preparation made it more difficult for the learners to perform well in the selected subjects. The study recommends that: The Department of Education should conduct enough workshops to help HOD’s and teachers who teach the selected subjects to keep abreast of new developments in these subjects. These should be integrated with appropriate teaching strategies and learning and teaching support materials. Keywords: English as the language of learning and teaching, teaching strategies, learning, teaching support materials. , Thesis (D.Ed) -- Faculty of Education Sciences, 2021
- Full Text:
- Authors: Seabela, Marcia Motlatso
- Date: 2021-04
- Subjects: teaching strategies
- Language: English
- Type: Doctoral theses , text
- Identifier: http://hdl.handle.net/11260/6782 , vital:49059
- Description: The study sought to investigate the effect of using English as a language of learning and teaching on learner academic performance in the senior phase of Mthatha District, Eastern Cape Province. This study employed a mixed-method approach. The researcher used both qualitative and quantitative methods to collect data. The study was conducted in 3 semi-rural senior secondary schools that were conveniently selected. The quantitative part employed Likert-type scale questionnaires that were administered to 10 Mathematics (Math), 10 Natural Sciences (NS) and 10 Social Sciences (SS) teachers making a total of 30 teachers and a total of 30 learners from grades 8 and 9. For the qualitative part, nine (9) teachers and eighteen (18) learners from the selected schools were interviewed. The 18 teachers in three schools were observed as they taught Grade 8 and 9 learners in their respective classes. Qualitative data were, thus, gathered through interviews and observations. Quantitative data was collected using Likert-type scale questionnaires and was analysed using descriptive statistics and Microsoft Excel. The voice recorded qualitative data from the participant’s responses were transcribed and analysed manually through coding, forming categories and themes that were used for data presentation. These are some of the findings: The majority of learners do not understand English, therefore, it was difficult for them to understand the teaching and learning of the selected subjects in Senior Phase (SP) using English as the language of learning and teaching (LoLT); Although the majority of learners reported that they usually use English as a LoLT and their home language when learning the selected subjects, they still struggled to ask and answer questions in English in a classroom and during examinations; Learners who experience difficulties in learning the selected subjects through the use of English as a LoLT in SP, were taught in their home language (isiXhosa) by their teachers; English and isiXhosa, in the form of code-switching, were used when teaching the selected subjects; Inadequate teacher training and preparation made it more difficult for the learners to perform well in the selected subjects. The study recommends that: The Department of Education should conduct enough workshops to help HOD’s and teachers who teach the selected subjects to keep abreast of new developments in these subjects. These should be integrated with appropriate teaching strategies and learning and teaching support materials. Keywords: English as the language of learning and teaching, teaching strategies, learning, teaching support materials. , Thesis (D.Ed) -- Faculty of Education Sciences, 2021
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Features of Graduate Underemployment in South Africa: A Study in Mthatha, Eastern Cape Province
- Mayekiso, Cwenga, Obioha, Emeka E
- Authors: Mayekiso, Cwenga , Obioha, Emeka E
- Date: 2021-03
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7451 , vital:53966 , https://journals.co.za/doi/full/10.31920/2634-3649/2021/v11n1a8
- Description: This paper articulates the patterns and feel of graduate underemployment in Mthatha, a South African town in the Eastern Cape Province. Foregrounded on Peter Blua’s Social Exchange Theory, this study adopted a quantitative approach. A sample of 60 respondents was drawn from underemployed graduate population through a combination of stratified and random sampling techniques. Data collected from survey (questionnaire) were analysed with appropriate tools in the Statistical Package for the Social Sciences. The study found that majority of underemployed graduates are between 21 and 25 years of age, married, hold bachelor’s degrees in Social Sciences. Gender, qualification type and level of qualification have no significant influence on determining underemployed graduates’ choice of occupation as single and combined variables or factors. While only very few (5%) of the underemployed graduates are never happy at work, femaleness, older graduates, Africans, higher qualification, higher basic salary and longer years of underemployment best predict happiness at work, although not at significant level, except for basic salary. A majority of graduates (73.3%) do sometimes consider leaving their current jobs, even when there are no alternatives. This is influenced by maleness, older graduates, being Whites, higher qualification, lower basic salary and lower years of underemployment. Lack of networking was found to be the most important factor in graduate underemployment, followed by lack of experience and gender not being significant. This study recommends policy intervention by state, where there is legislation that provides for entry level jobs that may not require previous experience. Also, there should be another legislation that protects the underemployed through salary regulation and incentivising of employers that engage workers in such capacity. Keywords: Underemployment, Youth, Graduates, South Africa.
- Full Text:
- Authors: Mayekiso, Cwenga , Obioha, Emeka E
- Date: 2021-03
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7451 , vital:53966 , https://journals.co.za/doi/full/10.31920/2634-3649/2021/v11n1a8
- Description: This paper articulates the patterns and feel of graduate underemployment in Mthatha, a South African town in the Eastern Cape Province. Foregrounded on Peter Blua’s Social Exchange Theory, this study adopted a quantitative approach. A sample of 60 respondents was drawn from underemployed graduate population through a combination of stratified and random sampling techniques. Data collected from survey (questionnaire) were analysed with appropriate tools in the Statistical Package for the Social Sciences. The study found that majority of underemployed graduates are between 21 and 25 years of age, married, hold bachelor’s degrees in Social Sciences. Gender, qualification type and level of qualification have no significant influence on determining underemployed graduates’ choice of occupation as single and combined variables or factors. While only very few (5%) of the underemployed graduates are never happy at work, femaleness, older graduates, Africans, higher qualification, higher basic salary and longer years of underemployment best predict happiness at work, although not at significant level, except for basic salary. A majority of graduates (73.3%) do sometimes consider leaving their current jobs, even when there are no alternatives. This is influenced by maleness, older graduates, being Whites, higher qualification, lower basic salary and lower years of underemployment. Lack of networking was found to be the most important factor in graduate underemployment, followed by lack of experience and gender not being significant. This study recommends policy intervention by state, where there is legislation that provides for entry level jobs that may not require previous experience. Also, there should be another legislation that protects the underemployed through salary regulation and incentivising of employers that engage workers in such capacity. Keywords: Underemployment, Youth, Graduates, South Africa.
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Assessing South African Medical Interns’ Experience and Confidence in Managing Obstetric Emergencies
- Authors: Miller, Andrew
- Date: 2021-02
- Subjects: Obstetrical emergencies
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/6882 , vital:52352
- Description: Background: Medical doctors in South Africa are required to complete a two-year internship at training hospitals, including a four-month rotation in obstetrics and gynaecology. Following this, doctors are allocated to community service posts; many of which are at district and primary level facilities where supervision is limited. The latest triennial Saving Mothers Report identified district hospitals as the second leading site for maternal deaths of all causes. District hospital were also the leading site for maternal deaths secondary to obstetric haemorrhage and the most likely site for the lack of a skilled doctor to be identified as a factor in deaths associated with caesarean delivery. Methods: This cross-sectional descriptive study aimed to describe the self-perceived readiness of medical interns completing their training to independently manage obstetric emergencies, based on the ESMOE modules in the HPCSA internship logbook. The research assessed medical interns in the last three months of their training, using a self-administered online questionnaire, with data collection between October and December 2019. Cluster sampling of interns at training facilities throughout the country resulted in a total of 182 respondents from 17 hospitals in seven provinces in the country, with an overall response rate of 34.1%. Results: Most interns had experience with, and confidence in, the management of miscarriage and hypertension in pregnancy. However, gaps in labour ward management, pregnancy related sepsis and surgical skills were identified. Only 42.3% of respondents were confident in their ability to diagnose obstructed labour, 26.3% had performed an assisted delivery, 39.0% were confident in their knowledge of the indications and contraindications of assisted deliveries and 35.7% had been involved in the delivery of a baby with shoulder dystocia. Regarding pregnancy related sepsis, 54.4% had experience with managing a wound abscess and 29.7% were confident managing puerperal endometritis. While 78.0% felt confident to perform a caesarean section, only 28.6% had performed uterine compression sutures for uterine atony at caesarean section. Additionally, there was a statistically significant variation in scores between training hospitals. Conclusion: A gap exists between the shortcomings in district hospital obstetric services, the prioritisation of placement of community service doctors at primary care and district hospitals, and the self-perceived readiness of medical interns completing their training to safely manage obstetric emergencies. This highlights the importance of clinical support for junior doctors at district hospitals and standardisation of intern training at accredited facilities across the country. , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
Assessing South African Medical Interns’ Experience and Confidence in Managing Obstetric Emergencies
- Authors: Miller, Andrew
- Date: 2021-02
- Subjects: Obstetrical emergencies
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/6882 , vital:52352
- Description: Background: Medical doctors in South Africa are required to complete a two-year internship at training hospitals, including a four-month rotation in obstetrics and gynaecology. Following this, doctors are allocated to community service posts; many of which are at district and primary level facilities where supervision is limited. The latest triennial Saving Mothers Report identified district hospitals as the second leading site for maternal deaths of all causes. District hospital were also the leading site for maternal deaths secondary to obstetric haemorrhage and the most likely site for the lack of a skilled doctor to be identified as a factor in deaths associated with caesarean delivery. Methods: This cross-sectional descriptive study aimed to describe the self-perceived readiness of medical interns completing their training to independently manage obstetric emergencies, based on the ESMOE modules in the HPCSA internship logbook. The research assessed medical interns in the last three months of their training, using a self-administered online questionnaire, with data collection between October and December 2019. Cluster sampling of interns at training facilities throughout the country resulted in a total of 182 respondents from 17 hospitals in seven provinces in the country, with an overall response rate of 34.1%. Results: Most interns had experience with, and confidence in, the management of miscarriage and hypertension in pregnancy. However, gaps in labour ward management, pregnancy related sepsis and surgical skills were identified. Only 42.3% of respondents were confident in their ability to diagnose obstructed labour, 26.3% had performed an assisted delivery, 39.0% were confident in their knowledge of the indications and contraindications of assisted deliveries and 35.7% had been involved in the delivery of a baby with shoulder dystocia. Regarding pregnancy related sepsis, 54.4% had experience with managing a wound abscess and 29.7% were confident managing puerperal endometritis. While 78.0% felt confident to perform a caesarean section, only 28.6% had performed uterine compression sutures for uterine atony at caesarean section. Additionally, there was a statistically significant variation in scores between training hospitals. Conclusion: A gap exists between the shortcomings in district hospital obstetric services, the prioritisation of placement of community service doctors at primary care and district hospitals, and the self-perceived readiness of medical interns completing their training to safely manage obstetric emergencies. This highlights the importance of clinical support for junior doctors at district hospitals and standardisation of intern training at accredited facilities across the country. , Thesis (Masters) -- Faculty of Health Sciences, 2021
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Outcomes of Drug Resistant Tuberculosis in Two Rural District Hospitals, Eastern Cape Province, South Africa
- Authors: Lotz, John-D Knipe
- Date: 2021-02
- Subjects: Medicinal plants
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/6834 , vital:51018
- Description: Tuberculosis (TB) is still rampant in South Africa, and drug resistant tuberculosis (DR-TB) forms a significant part of this burden on both the health care system and economy. A number of interventions have recently been introduced to help curb the growing epidemic of DR-TB, including increasing access to novel and repurposed drugs, decentralisation of care, and a new shorter (9-11 month) treatment regimen recently endorsed by the World Health Organization (WHO). Significantly, this new regimen has now also become injectable-free (also known as an all-oral regimen). However, at the time of implementation in 2017, the shorter regimen was yet to be proven effective in a programmatic setting in South Africa. This is a retrospective cohort study to describe the outcomes in patients on short and long DR-TB treatment regimens, over five years, at two treatment sites in a rural setting in the Eastern Cape province of South Africa. It is the hope that elucidation of factors involved in affecting outcomes in DR-TB may direct future interventions in these two facilities, and the wider DR-TB program in South Africa , Thesis (Masters) -- Faculty of Health Sciences, 2021
- Full Text:
- Authors: Lotz, John-D Knipe
- Date: 2021-02
- Subjects: Medicinal plants
- Language: English
- Type: Masters theses , text
- Identifier: http://hdl.handle.net/11260/6834 , vital:51018
- Description: Tuberculosis (TB) is still rampant in South Africa, and drug resistant tuberculosis (DR-TB) forms a significant part of this burden on both the health care system and economy. A number of interventions have recently been introduced to help curb the growing epidemic of DR-TB, including increasing access to novel and repurposed drugs, decentralisation of care, and a new shorter (9-11 month) treatment regimen recently endorsed by the World Health Organization (WHO). Significantly, this new regimen has now also become injectable-free (also known as an all-oral regimen). However, at the time of implementation in 2017, the shorter regimen was yet to be proven effective in a programmatic setting in South Africa. This is a retrospective cohort study to describe the outcomes in patients on short and long DR-TB treatment regimens, over five years, at two treatment sites in a rural setting in the Eastern Cape province of South Africa. It is the hope that elucidation of factors involved in affecting outcomes in DR-TB may direct future interventions in these two facilities, and the wider DR-TB program in South Africa , Thesis (Masters) -- Faculty of Health Sciences, 2021
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A case for ethical frameworks to enhance mobile government implementation at South African municipalities
- Makwembere, Sandra, Garidzira, Rufaro
- Authors: Makwembere, Sandra , Garidzira, Rufaro
- Date: 2021
- Subjects: Government Ethics Technology and state Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7170 , vital:53081 , xlink:href="https://doi.org/10.4102/td.v17i1.826"
- Description: Interest in mobile government (m-government) is growing globally. Mobile government refers to the use of wireless and mobile technologies to deliver services to citizens, businesses, employees and other government entities. Presently, technological advancements take place despite questions on whether the existing policy and regulatory frameworks are suitable to regulate the effects of m-government. With m-government, municipal operations take place in virtual spaces where the consequences of such operations are still largely unknown and the frameworks that are apt to minimise any long-term effects on society are yet to be defined. This conceptual article suggests that ethical frameworks should be encouraged as part of mobile government implementation in municipalities to encourage reflective municipal practices and to improve judgement and behaviour in m-government decision-making. It contributes to debates on approaches to comprehensively support and guide mobile government towards positive municipal service delivery outcomes. Keywords: m-government; ethics; ethical frameworks; municipal service delivery; e-government; mobile technology
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- Authors: Makwembere, Sandra , Garidzira, Rufaro
- Date: 2021
- Subjects: Government Ethics Technology and state Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7170 , vital:53081 , xlink:href="https://doi.org/10.4102/td.v17i1.826"
- Description: Interest in mobile government (m-government) is growing globally. Mobile government refers to the use of wireless and mobile technologies to deliver services to citizens, businesses, employees and other government entities. Presently, technological advancements take place despite questions on whether the existing policy and regulatory frameworks are suitable to regulate the effects of m-government. With m-government, municipal operations take place in virtual spaces where the consequences of such operations are still largely unknown and the frameworks that are apt to minimise any long-term effects on society are yet to be defined. This conceptual article suggests that ethical frameworks should be encouraged as part of mobile government implementation in municipalities to encourage reflective municipal practices and to improve judgement and behaviour in m-government decision-making. It contributes to debates on approaches to comprehensively support and guide mobile government towards positive municipal service delivery outcomes. Keywords: m-government; ethics; ethical frameworks; municipal service delivery; e-government; mobile technology
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A Critical Review of Environmental Governance, Land Restitution, and Tourism in Protected Areas
- Authors: Ramukumba, Takalani
- Date: 2021
- Subjects: Tourism Land use Environmental protection Wildlife conservation Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7029 , vital:52756 , xlink:href=":https://doi.org/10.46222/ajhtl.19770720.200"
- Description: Natural areas, when protected, conserve the natural environment and function as social spaces in which tourism brings increased income, employment, and financial support for conservation. The inclusion of local community members in the planning and management of protected areas has been on the rise since the early 1900s. Tourism has been advocated as a strategy that can help in achieving economic development, especially in rural areas. However, governance issues and potential negative impacts of tourism development have been under inspection. Conservation efforts in Southern Africa especially in the late 1800s and early 1900s had negative impacts on the local communities since this led to many communities being displaced or having limited access to these protected areas. This has seen the need for ways and efforts to get local community members' despondency and attitudes towards protected areas change such that in the 20th century, there were efforts to use conservation models that included community members in the decision-making and benefit-sharing process to garner their support for protected areas. This paper reviews literature on environmental governance, land restitution in protected areas, tourism in protected areas, co-management, and the importance of community participation. These concepts are reviewed using Manyeleti Game Reserve as a case study. Keywords: Tourism, land restitution, environmental governance, wildlife resources, and stakeholder participation
- Full Text:
- Authors: Ramukumba, Takalani
- Date: 2021
- Subjects: Tourism Land use Environmental protection Wildlife conservation Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7029 , vital:52756 , xlink:href=":https://doi.org/10.46222/ajhtl.19770720.200"
- Description: Natural areas, when protected, conserve the natural environment and function as social spaces in which tourism brings increased income, employment, and financial support for conservation. The inclusion of local community members in the planning and management of protected areas has been on the rise since the early 1900s. Tourism has been advocated as a strategy that can help in achieving economic development, especially in rural areas. However, governance issues and potential negative impacts of tourism development have been under inspection. Conservation efforts in Southern Africa especially in the late 1800s and early 1900s had negative impacts on the local communities since this led to many communities being displaced or having limited access to these protected areas. This has seen the need for ways and efforts to get local community members' despondency and attitudes towards protected areas change such that in the 20th century, there were efforts to use conservation models that included community members in the decision-making and benefit-sharing process to garner their support for protected areas. This paper reviews literature on environmental governance, land restitution in protected areas, tourism in protected areas, co-management, and the importance of community participation. These concepts are reviewed using Manyeleti Game Reserve as a case study. Keywords: Tourism, land restitution, environmental governance, wildlife resources, and stakeholder participation
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A framework to test South Africa’s readiness for the fourth industrial revolution
- Olaitan, Olutoyin O., Issah, Moshood, Wayi, Ntombovuyo
- Authors: Olaitan, Olutoyin O. , Issah, Moshood , Wayi, Ntombovuyo
- Date: 2021
- Subjects: Industry 4.0 Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7153 , vital:53072 , xlink:href=" https://doi.org/10.4102/sajim.v23i1.1284"
- Description: Background: The fourth industrial revolution (4IR) is being touted as having the capacity to lift South Africa out of the challenges of poverty, unemployment and inequitable distribution of wealth. However, the state of the country’s readiness for the enabling technologies of the 4IR is in question. Objective: This article sought to investigate South Africa’s state of readiness for the technologies that enable the 4IR. The article proposed a framework which can be used to measure the country’s level of preparedness and implement the necessary processes to move the country into the 4IR era. Method: A detailed analysis of literature was carried out on the current and futuristic technologies employed by developed countries as they moved towards the 4IR. The fit – viability and the task – technology theories were employed to propose a framework to government for measuring its state of readiness for the 4IR in South Africa. Results: Based on findings from the literature study, the article proposed the 4IR readiness framework for government to measure and subsequently plans its response to the advent of 4IR technologies in the country. Conclusion: The framework revealed that South Africa has low technological capability, plummeting economic complexity and a fall in digital technological readiness. There is also a dearth of skilled workforce and technological infrastructure. It was recommended that government should focus on building and strengthening the resilience of both public and private institutions, investment in relevant 4IR education, infrastructural improvement, and promulgation and enforcement of legal framework to ensure security and privacy of data. Keywords: 4IR; task – technology; fit – viability; digital technology readiness; economic complexity
- Full Text:
- Authors: Olaitan, Olutoyin O. , Issah, Moshood , Wayi, Ntombovuyo
- Date: 2021
- Subjects: Industry 4.0 Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7153 , vital:53072 , xlink:href=" https://doi.org/10.4102/sajim.v23i1.1284"
- Description: Background: The fourth industrial revolution (4IR) is being touted as having the capacity to lift South Africa out of the challenges of poverty, unemployment and inequitable distribution of wealth. However, the state of the country’s readiness for the enabling technologies of the 4IR is in question. Objective: This article sought to investigate South Africa’s state of readiness for the technologies that enable the 4IR. The article proposed a framework which can be used to measure the country’s level of preparedness and implement the necessary processes to move the country into the 4IR era. Method: A detailed analysis of literature was carried out on the current and futuristic technologies employed by developed countries as they moved towards the 4IR. The fit – viability and the task – technology theories were employed to propose a framework to government for measuring its state of readiness for the 4IR in South Africa. Results: Based on findings from the literature study, the article proposed the 4IR readiness framework for government to measure and subsequently plans its response to the advent of 4IR technologies in the country. Conclusion: The framework revealed that South Africa has low technological capability, plummeting economic complexity and a fall in digital technological readiness. There is also a dearth of skilled workforce and technological infrastructure. It was recommended that government should focus on building and strengthening the resilience of both public and private institutions, investment in relevant 4IR education, infrastructural improvement, and promulgation and enforcement of legal framework to ensure security and privacy of data. Keywords: 4IR; task – technology; fit – viability; digital technology readiness; economic complexity
- Full Text:
An Analysis of Employee Motivation in a Multinational Context in Sub Saharan Africa
- Acha-Anyi, Paul Nkemngu, Masaraure, Robson
- Authors: Acha-Anyi, Paul Nkemngu , Masaraure, Robson
- Date: 2021
- Subjects: Employee motivation Sub-Saharan Africa Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7021 , vital:52757 , xlink:href=":https://doi.org/10.46222/ajhtl.19770720-119"
- Description: This study assesses motivational preferences of employees in a multinational context in Sub Saharan Africa. Using the Grundfos group operating sites in Ghana, Kenya and South Africa as a case study, the study explores quantitative data on possible differences in employee motivational factors based on selected variables such as location, length of service and managerial status. Questionnaires were employed in collecting data from 131 participants from the three locations of Grundfos Sub Saharan Africa (SSA). Results of the study reveal that the factor “equal treatment of employees” is considered most important among the respondents. It is also noted that there were no significant statistical differences among the participants based on the examined variables. Policy and practical implications of the findings of this study are discussed, particularly around the development and implementation of Human resources policies that address employee perceptions of equity. This study makes a contribution to existing literature on employee motivation in multinational settings. Keywords: Employee motivation, motivational factors, multinational context, Sub-Saharan Africa
- Full Text:
- Authors: Acha-Anyi, Paul Nkemngu , Masaraure, Robson
- Date: 2021
- Subjects: Employee motivation Sub-Saharan Africa Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7021 , vital:52757 , xlink:href=":https://doi.org/10.46222/ajhtl.19770720-119"
- Description: This study assesses motivational preferences of employees in a multinational context in Sub Saharan Africa. Using the Grundfos group operating sites in Ghana, Kenya and South Africa as a case study, the study explores quantitative data on possible differences in employee motivational factors based on selected variables such as location, length of service and managerial status. Questionnaires were employed in collecting data from 131 participants from the three locations of Grundfos Sub Saharan Africa (SSA). Results of the study reveal that the factor “equal treatment of employees” is considered most important among the respondents. It is also noted that there were no significant statistical differences among the participants based on the examined variables. Policy and practical implications of the findings of this study are discussed, particularly around the development and implementation of Human resources policies that address employee perceptions of equity. This study makes a contribution to existing literature on employee motivation in multinational settings. Keywords: Employee motivation, motivational factors, multinational context, Sub-Saharan Africa
- Full Text:
Barriers to access second-trimester abortion: A case report
- Authors: Ramprakash, Kaswa
- Date: 2021
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/3330 , vital:43314 , https://doi.org/10.4102/safp.v63i1.5028
- Description: Despite the implementation of the Choice on Termination of Pregnancy (CTOP) Act, many women continue to procure illegal abortions in South Africa. A lack of knowledge of the CTOP Act and poor access to legal abortion in public health facilities is a big challenge. In the scope of the CTOP Act, the termination of pregnancy is a time-restricted health service, and women presented to a health care facility in the second trimester have encounter more obstacles to access the services. Keywords: Abortion; termination of pregnancy; CTOP Act; Illegal; Second Trimester.
- Full Text:
- Authors: Ramprakash, Kaswa
- Date: 2021
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/3330 , vital:43314 , https://doi.org/10.4102/safp.v63i1.5028
- Description: Despite the implementation of the Choice on Termination of Pregnancy (CTOP) Act, many women continue to procure illegal abortions in South Africa. A lack of knowledge of the CTOP Act and poor access to legal abortion in public health facilities is a big challenge. In the scope of the CTOP Act, the termination of pregnancy is a time-restricted health service, and women presented to a health care facility in the second trimester have encounter more obstacles to access the services. Keywords: Abortion; termination of pregnancy; CTOP Act; Illegal; Second Trimester.
- Full Text:
Barriers to Implementing Information Communication Technology (ICT) in Managing Small to Medium Tourism Enterprises (SMTEs): the Case of Hogsback, Eastern Cape,SouthAfrica
- Authors: Mxunyelwa, Siyabonga
- Date: 2021
- Subjects: Hogsback, South Africa Small and medium-sized enterprises Small Business Information Communication Technology (ICT) Computer File
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6031 , vital:45083 , https://www.ijicc.net/images/Vol_15/Iss_10/151057_Mxunyelwa_2021_E_R.pdf
- Description: Information Communication Technology is recognised worldwide for its contribution towardsSMTEs development and the economy. However, the level of ICT implementation as a management tool, its contribution and the extent of benefits on SMTEs is a debateable phenomenon. The purpose of this study was to investigate the barriers to the implementation of ICT within the context of small and medium tourism enterprises in Hogsback. Both quantitative and qualitative research methods were applied in this study. Questionnaire interviews were conducted with owner/managers in Hogsback. The stratified sampling methodwas utilised to collect data. The study indicates that (46.2%) of the business respondents wereoperating the accommodation establishments. The findings of the study underscores that (25.6%) of the business owners identified the barriers of ICT appears to be high costs. Further(23.1%) stated that accessing technology was also an impediment. Moreover, the study elucidates that (94.9%) of the SMTE concur that implementation ICT as a management tool helps to meet objectives of the business for the daily operations of the business. It is therefore recommended that ICT be implemented as a management tool for small and medium tourism enterprises. Furthermore, the study recommends that the managers/owners should invest in technology to ensure the success of the SMTEs in all aspects. Furthermore, the study serves asthe basis for future studies in the area of ICT within the SMTE sector
- Full Text:
- Authors: Mxunyelwa, Siyabonga
- Date: 2021
- Subjects: Hogsback, South Africa Small and medium-sized enterprises Small Business Information Communication Technology (ICT) Computer File
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6031 , vital:45083 , https://www.ijicc.net/images/Vol_15/Iss_10/151057_Mxunyelwa_2021_E_R.pdf
- Description: Information Communication Technology is recognised worldwide for its contribution towardsSMTEs development and the economy. However, the level of ICT implementation as a management tool, its contribution and the extent of benefits on SMTEs is a debateable phenomenon. The purpose of this study was to investigate the barriers to the implementation of ICT within the context of small and medium tourism enterprises in Hogsback. Both quantitative and qualitative research methods were applied in this study. Questionnaire interviews were conducted with owner/managers in Hogsback. The stratified sampling methodwas utilised to collect data. The study indicates that (46.2%) of the business respondents wereoperating the accommodation establishments. The findings of the study underscores that (25.6%) of the business owners identified the barriers of ICT appears to be high costs. Further(23.1%) stated that accessing technology was also an impediment. Moreover, the study elucidates that (94.9%) of the SMTE concur that implementation ICT as a management tool helps to meet objectives of the business for the daily operations of the business. It is therefore recommended that ICT be implemented as a management tool for small and medium tourism enterprises. Furthermore, the study recommends that the managers/owners should invest in technology to ensure the success of the SMTEs in all aspects. Furthermore, the study serves asthe basis for future studies in the area of ICT within the SMTE sector
- Full Text:
Cardiometabolic risk factors and early indicators of vascular dysfunction: a cross-sectional cohort study in South African adolescents
- Letswalo, Boitumelo Prescilla, Schmid-Zalaudek, Karin, Brix, Bianca, Matjuda, Edna Ngoakoana, Klosz, Fabian, Obernhumer, Natalie, Gaisl, Michael, Engwa, Godwill Azeh, Sewani-Rusike, Constance, Fredriksen, Per Morten, Nkeh-Chungag, Benedicta, Goswami, Nandu
- Authors: Letswalo, Boitumelo Prescilla , Schmid-Zalaudek, Karin , Brix, Bianca , Matjuda, Edna Ngoakoana , Klosz, Fabian , Obernhumer, Natalie , Gaisl, Michael , Engwa, Godwill Azeh , Sewani-Rusike, Constance , Fredriksen, Per Morten , Nkeh-Chungag, Benedicta , Goswami, Nandu
- Date: 2021
- Language: English
- Type: Journal article
- Identifier: http://hdl.handle.net/11260/3864 , vital:43959
- Full Text:
- Authors: Letswalo, Boitumelo Prescilla , Schmid-Zalaudek, Karin , Brix, Bianca , Matjuda, Edna Ngoakoana , Klosz, Fabian , Obernhumer, Natalie , Gaisl, Michael , Engwa, Godwill Azeh , Sewani-Rusike, Constance , Fredriksen, Per Morten , Nkeh-Chungag, Benedicta , Goswami, Nandu
- Date: 2021
- Language: English
- Type: Journal article
- Identifier: http://hdl.handle.net/11260/3864 , vital:43959
- Full Text:
Cereal stem borer (Lepidoptera) assemblage structure in a sub-tropical agro-ecosystem, Eastern Cape Province, South Africa
- Authors: Niba, AS. , Mdazu, S.
- Date: 2021
- Subjects: Cereal products Stem borers Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6958 , vital:52619 , xlink:href="https://doi.org/10.1080/0035919X.2021.1893861"
- Description: Insect pests, especially lepidopterous stem borers, cause significant losses to cereal production at local and global scales. The borer species associated with cultivated grain cereals and alternative wild host plants were identified at three elevation gradients in the former Transkei area of the Eastern Cape Province, South Africa. Stem borer sampling was undertaken during maize crop and non-crop seasons in Port St Johns (PSJ), Mthatha and Elliot, sites that differ in elevation above sea level, annual precipitation and temperature. Morphologically identical borers retrieved from each sampling unit were recorded, processed and reared to adult stage for identification at an ambient temperature range of 25–28°C and a relative humidity range of 65–80%. Specimens were sorted first into morphospecies (MS1–MS6) based on external morphological characteristics. Six stem borer species (Busseola fusca, Sesamia calamistis, Eldana saccharina, Chilo orichalcocili, Chilo sacchariphagus and Chilo partellus) were collected during the survey. E. saccharina and C. orichalcocili were absent in PSJ; in Elliot, E. saccahrina occurred in very low numbers whereas C. partellus was absent. Busseola fusca was more abundant at high altitude (i.e. Elliot). Borer community structure in the study showed similarity between Mthatha and Elliot. Species richness and abundance across study sites were not statistically significant (P > 0.05). The study provides information on borer species occurrence in the study area, and techniques to identify larval stages for effective control by local farmers and extension workers. When designing strategies for borer control, elevation may not be a major concern at this spatial scale.
- Full Text:
- Authors: Niba, AS. , Mdazu, S.
- Date: 2021
- Subjects: Cereal products Stem borers Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6958 , vital:52619 , xlink:href="https://doi.org/10.1080/0035919X.2021.1893861"
- Description: Insect pests, especially lepidopterous stem borers, cause significant losses to cereal production at local and global scales. The borer species associated with cultivated grain cereals and alternative wild host plants were identified at three elevation gradients in the former Transkei area of the Eastern Cape Province, South Africa. Stem borer sampling was undertaken during maize crop and non-crop seasons in Port St Johns (PSJ), Mthatha and Elliot, sites that differ in elevation above sea level, annual precipitation and temperature. Morphologically identical borers retrieved from each sampling unit were recorded, processed and reared to adult stage for identification at an ambient temperature range of 25–28°C and a relative humidity range of 65–80%. Specimens were sorted first into morphospecies (MS1–MS6) based on external morphological characteristics. Six stem borer species (Busseola fusca, Sesamia calamistis, Eldana saccharina, Chilo orichalcocili, Chilo sacchariphagus and Chilo partellus) were collected during the survey. E. saccharina and C. orichalcocili were absent in PSJ; in Elliot, E. saccahrina occurred in very low numbers whereas C. partellus was absent. Busseola fusca was more abundant at high altitude (i.e. Elliot). Borer community structure in the study showed similarity between Mthatha and Elliot. Species richness and abundance across study sites were not statistically significant (P > 0.05). The study provides information on borer species occurrence in the study area, and techniques to identify larval stages for effective control by local farmers and extension workers. When designing strategies for borer control, elevation may not be a major concern at this spatial scale.
- Full Text:
Cereal stem borer (Lepidoptera) assemblage structure in a sub-tropical agro-ecosystem, Eastern Cape Province, South Africa
- Authors: Niba, AS. , Mdazu, S.
- Date: 2021
- Subjects: Cereal products Stem borers Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6948 , vital:52620 , xlink:href="https://doi.org/10.1080/0035919X.2021.1893861"
- Description: Insect pests, especially lepidopterous stem borers, cause significant losses to cereal production at local and global scales. The borer species associated with cultivated grain cereals and alternative wild host plants were identified at three elevation gradients in the former Transkei area of the Eastern Cape Province, South Africa. Stem borer sampling was undertaken during maize crop and non-crop seasons in Port St Johns (PSJ), Mthatha and Elliot, sites that differ in elevation above sea level, annual precipitation and temperature. Morphologically identical borers retrieved from each sampling unit were recorded, processed and reared to adult stage for identification at an ambient temperature range of 25–28°C and a relative humidity range of 65–80%. Specimens were sorted first into morphospecies (MS1–MS6) based on external morphological characteristics. Six stem borer species (Busseola fusca, Sesamia calamistis, Eldana saccharina, Chilo orichalcocili, Chilo sacchariphagus and Chilo partellus) were collected during the survey. E. saccharina and C. orichalcocili were absent in PSJ; in Elliot, E. saccahrina occurred in very low numbers whereas C. partellus was absent. Busseola fusca was more abundant at high altitude (i.e. Elliot). Borer community structure in the study showed similarity between Mthatha and Elliot. Species richness and abundance across study sites were not statistically significant (P > 0.05). The study provides information on borer species occurrence in the study area, and techniques to identify larval stages for effective control by local farmers and extension workers. When designing strategies for borer control, elevation may not be a major concern at this spatial scale.
- Full Text:
- Authors: Niba, AS. , Mdazu, S.
- Date: 2021
- Subjects: Cereal products Stem borers Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6948 , vital:52620 , xlink:href="https://doi.org/10.1080/0035919X.2021.1893861"
- Description: Insect pests, especially lepidopterous stem borers, cause significant losses to cereal production at local and global scales. The borer species associated with cultivated grain cereals and alternative wild host plants were identified at three elevation gradients in the former Transkei area of the Eastern Cape Province, South Africa. Stem borer sampling was undertaken during maize crop and non-crop seasons in Port St Johns (PSJ), Mthatha and Elliot, sites that differ in elevation above sea level, annual precipitation and temperature. Morphologically identical borers retrieved from each sampling unit were recorded, processed and reared to adult stage for identification at an ambient temperature range of 25–28°C and a relative humidity range of 65–80%. Specimens were sorted first into morphospecies (MS1–MS6) based on external morphological characteristics. Six stem borer species (Busseola fusca, Sesamia calamistis, Eldana saccharina, Chilo orichalcocili, Chilo sacchariphagus and Chilo partellus) were collected during the survey. E. saccharina and C. orichalcocili were absent in PSJ; in Elliot, E. saccahrina occurred in very low numbers whereas C. partellus was absent. Busseola fusca was more abundant at high altitude (i.e. Elliot). Borer community structure in the study showed similarity between Mthatha and Elliot. Species richness and abundance across study sites were not statistically significant (P > 0.05). The study provides information on borer species occurrence in the study area, and techniques to identify larval stages for effective control by local farmers and extension workers. When designing strategies for borer control, elevation may not be a major concern at this spatial scale.
- Full Text:
Clinical outcomes of hospitalised COVID-19 patients at Mthatha Regional Hospital, Eastern Cape, South Africa: A retrospective study
- Kaswa, Ramprakash, Yogeswaran, Parimalaranie, Cawe, Busisiwe
- Authors: Kaswa, Ramprakash , Yogeswaran, Parimalaranie , Cawe, Busisiwe
- Date: 2021
- Subjects: COVID-19 Diabetes Hypertension Diseases Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7330 , vital:53402 , xlink:href="https://doi.org/10.4102/safp.v63i1.5253"
- Description: Background: Coronavirus disease 2019 (COVID-19) is a public health crisis that threatens the current health system. The sudden expansion in the need for inpatient and intensive care facilities raised concerns about optimal clinical management and resource allocation. Despite the pressing need for evidence to make context-specific decisions on COVID-19 management, evidence from South Africa remained limited. This study aimed to describe the clinical characteristics and outcomes of COVID-19 hospitalised patients. Methods: A retrospective cross-sectional study design was used to evaluate the clinical outcomes of hospitalised adult patients (≥ 18 years old) with laboratory-confirmed COVID-19 illness at Mthatha Regional Hospital (MRH), Eastern Cape. Results: Of the 1814 patients tested for COVID-19 between 20 March 2020 and 31 July 2020 at MRH, two-thirds (65.4%) were female. About two-thirds (242) of the 392 patients (21.6%) who tested positive for this disease were hospitalised and one-third (150) were quarantined at home. The mean age of the patients tested for COVID-19 was 42.6 years and there was no difference between males and females. The mean age of hospitalised patients was 55.5 years and the mean age of hospitalised patients who died (61.3 years) was much higher than recovered (49.5 years). Overall, 188 (77.6%) hospitalised patients had clinical comorbidity on admission. Diabetes (36.8%) and hypertension (33.1%) were the most common comorbidities amongst COVID-19 hospitalised patients. Conclusion: The majority of the patients who were hospitalised for COVID-19 were elderly and had high baseline comorbidities. Advance age and underlying comorbidities (diabetes, hypertension and HIV) were associated with high mortality in hospitalised COVID-19 patients. Keywords: COVID-19, diabetes; hypertension; hospitalised; co-morbidity.
- Full Text:
- Authors: Kaswa, Ramprakash , Yogeswaran, Parimalaranie , Cawe, Busisiwe
- Date: 2021
- Subjects: COVID-19 Diabetes Hypertension Diseases Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/7330 , vital:53402 , xlink:href="https://doi.org/10.4102/safp.v63i1.5253"
- Description: Background: Coronavirus disease 2019 (COVID-19) is a public health crisis that threatens the current health system. The sudden expansion in the need for inpatient and intensive care facilities raised concerns about optimal clinical management and resource allocation. Despite the pressing need for evidence to make context-specific decisions on COVID-19 management, evidence from South Africa remained limited. This study aimed to describe the clinical characteristics and outcomes of COVID-19 hospitalised patients. Methods: A retrospective cross-sectional study design was used to evaluate the clinical outcomes of hospitalised adult patients (≥ 18 years old) with laboratory-confirmed COVID-19 illness at Mthatha Regional Hospital (MRH), Eastern Cape. Results: Of the 1814 patients tested for COVID-19 between 20 March 2020 and 31 July 2020 at MRH, two-thirds (65.4%) were female. About two-thirds (242) of the 392 patients (21.6%) who tested positive for this disease were hospitalised and one-third (150) were quarantined at home. The mean age of the patients tested for COVID-19 was 42.6 years and there was no difference between males and females. The mean age of hospitalised patients was 55.5 years and the mean age of hospitalised patients who died (61.3 years) was much higher than recovered (49.5 years). Overall, 188 (77.6%) hospitalised patients had clinical comorbidity on admission. Diabetes (36.8%) and hypertension (33.1%) were the most common comorbidities amongst COVID-19 hospitalised patients. Conclusion: The majority of the patients who were hospitalised for COVID-19 were elderly and had high baseline comorbidities. Advance age and underlying comorbidities (diabetes, hypertension and HIV) were associated with high mortality in hospitalised COVID-19 patients. Keywords: COVID-19, diabetes; hypertension; hospitalised; co-morbidity.
- Full Text:
Covid-19 and the restrictive measures: The national security conundrum for Zimbabwe
- Mugari, Ishmael, Obioha, Emeka E.
- Authors: Mugari, Ishmael , Obioha, Emeka E.
- Date: 2021
- Subjects: COVID-19 (Disease) National security Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6926 , vital:52571 , xlink:href="https://10.1080/10246029.2021.1972015"
- Description: The emergence of the COVID-19 pandemic at the onset of the year 2020 brought unprecedented suffering to humanity. Economic activities in virtually all nations across the globe were brought to a shuddering halt, with the third world suffering the worst effects on the economic front. The health security of nations across the globe was shaken, as nations came to terms with the surging health needs for the infected citizens. In order to grapple with the pandemic, nations took drastic measures, chief among them being the implementation of lockdowns, coupled with harsh restrictions. These measures, however, came at a cost. This paper explores the impacts of the restrictive measures that were implemented by the Zimbabwean government to combat COVID-19 pandemic. The paper interrogates these measures in the context of the national security discourse. In the analysis, the paper also makes reference to South Africa- a more developed nation and Zimbabwe’s neighbour. Keywords: COVID-19 , national security, health security, lockdown
- Full Text:
- Authors: Mugari, Ishmael , Obioha, Emeka E.
- Date: 2021
- Subjects: COVID-19 (Disease) National security Article
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/11260/6926 , vital:52571 , xlink:href="https://10.1080/10246029.2021.1972015"
- Description: The emergence of the COVID-19 pandemic at the onset of the year 2020 brought unprecedented suffering to humanity. Economic activities in virtually all nations across the globe were brought to a shuddering halt, with the third world suffering the worst effects on the economic front. The health security of nations across the globe was shaken, as nations came to terms with the surging health needs for the infected citizens. In order to grapple with the pandemic, nations took drastic measures, chief among them being the implementation of lockdowns, coupled with harsh restrictions. These measures, however, came at a cost. This paper explores the impacts of the restrictive measures that were implemented by the Zimbabwean government to combat COVID-19 pandemic. The paper interrogates these measures in the context of the national security discourse. In the analysis, the paper also makes reference to South Africa- a more developed nation and Zimbabwe’s neighbour. Keywords: COVID-19 , national security, health security, lockdown
- Full Text:
COVID‑19: the androgen hypothesis
- Authors: Jeff John , Ken Kesner
- Date: 2021
- Language: English
- Type: Journal article
- Identifier: http://hdl.handle.net/11260/4417 , vital:44116
- Full Text:
- Authors: Jeff John , Ken Kesner
- Date: 2021
- Language: English
- Type: Journal article
- Identifier: http://hdl.handle.net/11260/4417 , vital:44116
- Full Text:
Demographical variables and entrepreneurial disposition: a narrative overview of literature
- Lose, Thobekani, Kwahene, Francis
- Authors: Lose, Thobekani , Kwahene, Francis
- Date: 2021
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/7408 , vital:53970 , https://www.abacademies.org/articles/demographical-variables-and-entrepreneurial-disposition-a-narrative-overview-of-literature-9990.html
- Description: Significant scholarship on the criticality of entrepreneurship to economic development exists. Policy makers have also accepted existing entrepreneurship and economic development theories in efforts to drive economic development reduce poverty, unemployment and increase wealth levels of the populations. In view of this, researches on the qualities and related predictors or antecedents that are related to the inclination of individuals to engage in entrepreneurial activities have been considered. The present study sought to pull together research studies on the demographical variables that affect entrepreneurial disposition. A narrative overview of literature anchored the study. The study found that most sections of the literature on predictors of entrepreneurial disposition have focused on personal attitudes, personality traits and qualities that increase the likelihood of an individual to engage in entrepreneurship. Gender has been the most prominent demographical variable that has received scholarship and it has been established that males seem to be more predisposed to engage in entrepreneurship than females, even though female entrepreneurship is on the rise. Studies on age have suggested that entrepreneurial predisposition seems to ascend among the younger age groups to a peak around middle age before it starts to decline. It appears that consideration of other demographical variables such as marital status, race and place of origin have not been adequately explored.
- Full Text:
- Authors: Lose, Thobekani , Kwahene, Francis
- Date: 2021
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/7408 , vital:53970 , https://www.abacademies.org/articles/demographical-variables-and-entrepreneurial-disposition-a-narrative-overview-of-literature-9990.html
- Description: Significant scholarship on the criticality of entrepreneurship to economic development exists. Policy makers have also accepted existing entrepreneurship and economic development theories in efforts to drive economic development reduce poverty, unemployment and increase wealth levels of the populations. In view of this, researches on the qualities and related predictors or antecedents that are related to the inclination of individuals to engage in entrepreneurial activities have been considered. The present study sought to pull together research studies on the demographical variables that affect entrepreneurial disposition. A narrative overview of literature anchored the study. The study found that most sections of the literature on predictors of entrepreneurial disposition have focused on personal attitudes, personality traits and qualities that increase the likelihood of an individual to engage in entrepreneurship. Gender has been the most prominent demographical variable that has received scholarship and it has been established that males seem to be more predisposed to engage in entrepreneurship than females, even though female entrepreneurship is on the rise. Studies on age have suggested that entrepreneurial predisposition seems to ascend among the younger age groups to a peak around middle age before it starts to decline. It appears that consideration of other demographical variables such as marital status, race and place of origin have not been adequately explored.
- Full Text:
Detection of a SARS-CoV-2 variant of concern in South Africa
- Authors: Oluwakemi Laguda-Akingba
- Date: 2021
- Language: English
- Type: Journal Article
- Identifier: http://hdl.handle.net/11260/4505 , vital:44127
- Description: Continued uncontrolled transmission of SARS-CoV-2 in many parts of the world is creating conditions for substantial evolutionary changes to the virus1,2. Here we describe a newly arisen lineage of SARS-CoV-2 (designated 501Y.V2; also known as B.1.351 or 20H) that is defined by eight mutations in the spike protein, including three substitutions (K417N, E484K and N501Y) at residues in its receptor-binding domain that may have functional importance3–5. This lineage was identified in South Africa after the first wave of the epidemic in a severely affected metropolitan area (Nelson Mandela Bay) that is located on the coast of the Eastern Cape province. This lineage spread rapidly, and became dominant in Eastern Cape, Western Cape and KwaZulu– Natal provinces within weeks. Although the full import of the mutations is yet to be determined, the genomic data—which show rapid expansion and displacement of other lineages in several regions—suggest that this lineage is associated with a selection advantage that most plausibly results from increased transmissibility or immune escape6–8.
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- Authors: Oluwakemi Laguda-Akingba
- Date: 2021
- Language: English
- Type: Journal Article
- Identifier: http://hdl.handle.net/11260/4505 , vital:44127
- Description: Continued uncontrolled transmission of SARS-CoV-2 in many parts of the world is creating conditions for substantial evolutionary changes to the virus1,2. Here we describe a newly arisen lineage of SARS-CoV-2 (designated 501Y.V2; also known as B.1.351 or 20H) that is defined by eight mutations in the spike protein, including three substitutions (K417N, E484K and N501Y) at residues in its receptor-binding domain that may have functional importance3–5. This lineage was identified in South Africa after the first wave of the epidemic in a severely affected metropolitan area (Nelson Mandela Bay) that is located on the coast of the Eastern Cape province. This lineage spread rapidly, and became dominant in Eastern Cape, Western Cape and KwaZulu– Natal provinces within weeks. Although the full import of the mutations is yet to be determined, the genomic data—which show rapid expansion and displacement of other lineages in several regions—suggest that this lineage is associated with a selection advantage that most plausibly results from increased transmissibility or immune escape6–8.
- Full Text: