Walter Sisulu University
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Management approach of patients with violent and aggressive behaviour in a district hospital setting in South Africa
Get PDFBackground: Given the physical and mental health consequences of tobacco use amongst individuals with mental illness, it was imperative to assess the burden of tobacco use in this population. Aim: This study examined the patterns and factors associated with tobacco use in individuals attending the outpatient unit. Setting: Cecilia Makiwane Hospital Mental Health Department in Eastern Cape province, South Africa. Methods: Lifetime (ever use) use and current use of any tobacco products were examined in a cross-sectional study of 390 individuals between March and June 2020. A logistic regression was fitted to determine the correlates of lifetime and current use of any tobacco products. Results: The rates of ever use and current use of tobacco products were 59.4% and 44.6%, respectively. Of the participants interviewed, lifetime tobacco use was more prevalent amongst individuals with schizophrenia (67.9%) and cannabis-induced disorders (97.3%) and lower in those with major depressive disorders (36.1%) and bipolar and related disorders (43.5%). Men were six times more likely to have ever used or currently use tobacco products in comparison to women. Also, those who had a salaried job or owned a business were over three times more likely to have ever used or currently use tobacco products compared with those receiving government social grants. Conclusions: The prevalence of tobacco use in this study was significantly higher than the general population in the Eastern Cape. Therefore, smoking prevention and cessation interventions targeted at the general population should target this often neglected sub-population in the region. Keywords: aggressive and violent behaviour; assisted user; emergency centres; involuntary user; Mental Health Care Act
Heavy metal profiles in limpets and algae on the Eastern Cape coast of South Africa
Get PDFHeavy metal pollution is an increasing threat to the marine environment and is a major health concern. Both marine limpets and algae have been employed as biomonitors elsewhere in the world, but there are few or no data for these taxa along the South African coast. We investigated heavy metal concentrations in the tissues of selected limpet and algae species sampled at four sites on the southeast coast of South Africa (Silaka, Hluleka, Mthatha and Mbhashe), and determined whether there was any relationship between heavy metal concentrations in the limpets and their algae food sources as evidenced by the trophic transfer factor (TTF). Samples were collected in July 2019 and the tissues were digested following normal protocols. Heavy metals were detected using inductively coupled plasma optical emission spectrometry (ICP-OES). Significant differences in metal concentrations were observed among the algae species. The soft tissues of limpets from Silaka had the highest heavy metal concentrations, and samples from Mthatha had the lowest, with only mercury (Hg) occurring in high concentrations. Metal concentrations in soft tissues were generally 10-times higher than in shell tissues and differed between lower- and upper-shore species. Cadmium (Cd) biomagnified (TTF > 1) in all limpet species at all sites. Cd, arsenic (As), lead (Pb) and Hg measured in our study were above the maximum limits set by the South African Department of Health. This study suggests that the use of limpet and algae species as bioindicators is feasible since they are widely distributed and can accumulate a wide range of heavy metals
The significance of mentorship in supporting the career advancement of women in the public sector
Get PDFHistorically, patriarchy has manifested itself in the workplace and influenced career opportunities afforded to women in the public sector. The slow progress in the transformation of organisations indicates there is a need for a structural developmental approach for women's career advancement. Mentoring has been recognised as a valuable development strategy and an affirmative action tool that can be used to support and promote women and groups that have been viewed as previously disadvantaged. The aim of the study was to highlight the significance of mentorship as a career advancement mechanism for women in the South African public sector. The study identified dimensions of mentorship (female mentors, career support, mentoring policy and leadership development) and tested the proposed hypotheses to determine whether a statistically significant relationship existed between mentorship and career advancement. A quantitative approach was followed to collect data from a sample of 200 women employed in the public sector in the different provinces of South Africa. Statistical methods used to conduct the data analysis included descriptive statistics and inferential statistics. The results indicate that women employees in the public sector view mentorship as an important factor for development; however, the gender of the mentor does not necessarily influence career advancement. Mechanisms to support mentoring have not been established in the public sector, highlighting the urgency for managers in the public sector to ensure that mentorship policies are put in place
T Kondo (Ed) law and investment in Africa: the fovernance of foreign direct investment in Zimbabwe
Get PDFTinashe Kondo’s book, Law and investment in Africa, narrates the efforts of a country to regain the trust [and the love] of foreign investors after several decades of argument and hostility. Encapsulated in the “Zimbabwe is open for business” slogan, these efforts show “how a country can move to regain credibility and commit to global rules despite its recent history”. This review of Kondo’s book concerns the manner in which readers can take advantage of this immensely useful publication. Particularly, this review looks into the book in order to advise law academics on possible strategies to integrate the book into their curricula in Zimbabwe and elsewhere on the continent
Making sense of the unknown: a narrative analysis of COVID-19 stories as told by WSU research students
Get PDFThe original objectives of this research was to find a research project for third year students which they could do during lockdown (National Diploma: Journalism). To find a research project for Advanced Diploma in Public Relations Management that they can do during lockdown. To introduce Year 1 Communication students to the basic principles of research through a project that they can relate to. to use the online platform for teaching and to discover people’s personal stories of their COVID-19 experiences
Barriers to Implementing Information Communication Technology (ICT) in Managing Small to Medium Tourism Enterprises (SMTEs): the Case of Hogsback, Eastern Cape,SouthAfrica
Get PDFInformation 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 secto
Socio-demographic associations of HIV among women attending antenatal care in selected rural primary care facilities in South Africa’s Eastern Cape province
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Barriers to access second-trimester abortion: A case report
Get PDFDespite 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
Detection of Extended Spectrum Beta-Lactamase Genes in Pseudomonas Aeruginosa Isolated from Patients in Rural Eastern Cape Province, South Africa
Get PDFThe proliferation of extended-spectrum beta‑lactamase (ESBL) producing Pseudomonas aeruginosa represents a major public health threat. In this study, we evaluated the antimicrobial resistance patterns of P. aeruginosa strains and characterized the ESBLs and Metallo‑ β‑lactamases (MBL) produced. Strains of P. aeruginosa cultured from patients who attended Nelson Mandela Academic Hospital and other clinics in the four district municipalities of the Eastern Cape between August 2017 and May 2019 were identified; antimicrobial susceptibility testing was carried out against thirteen clinically relevant antibiotics using the BioMérieux VITEK 2 and confirmed by the Beckman autoSCAN‑4 System. Real‑time PCR was done using Roche Light Cycler 2.0 to detect the presence of ESBLs; blaSHV, blaTEM and blaCTX‑M genes; and MBLs; blaIMP, blaVIM. Strains of P. aeruginosa demonstrated resistance to wide‑ranging clinically relevant antibiotics, including piperacillin (64.2%), followed by aztreonam (57.8%), cefepime (51.5%), ceftazidime (51.0%), piperacillin/tazobactam (50.5%), and imipenem (46.6%). A total of 75 (36.8%) multidrug‑resistant (MDR) strains were observed of the total pool of isolates. The blaTEM, blaSHV and blaCTX‑M was detected in 79.3%, 69.5% and 31.7% isolates (n=82), respectively. The blaIMP was detected in 1.25% while no blaVIM was detected in any of the strains tested. The study showed a high rate of MDR P. aeruginosa in our setting. The vast majority of these resistant strains carried blaTEM and blaSHV genes. Continuous monitoring of antimicrobial resistance and strict compliance towards infection prevention and control practices are the best defence against spread of MDR P. aeruginosa