Walter Sisulu University
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Essential medicine selection during the COVID-19 pandemic: Enabling access in uncharted territory
Get PDFThe COVID-19 pandemic requires urgent decisions regarding treatment policy in the face of rapidly evolving evidence. In response, the South African Essential Medicines List Committee established a subcommittee to systematically review and appraise emerging evidence, within very short timelines, in order to inform the National Department of Health COVID-19 treatment guidelines. To date, the subcommittee has reviewed 14 potential treatments, and made recommendations based on local context, feasibility, resource requirements and equity. Here we describe the rapid review and evidence-to-decision process, using remdesivir and dexamethasone as examples. Our experience is that conducting rapid reviews is a practical and efficient way to address medicine policy questions under pandemic conditions
Comprehensive data on the mechanical properties and biodegradation profile of polylactide composites developed for hard tissue repairs
Get PDFAfrica, the ancestral home of all modern humans, is the most informative continent for understanding the human genome and its contribution to complex disease. To better understand the genetics of schizophrenia, we studied the illness in the Xhosa population of South Africa, recruiting 909 cases and 917 age-, gender-, and residence-matched controls. Individuals with schizophrenia were significantly more likely than controls to harbor private, severely damaging mutations in genes that are critical to synaptic function, including neural circuitry mediated by the neurotransmitters glutamine, γ-aminobutyric acid, and dopamine. Schizophrenia is genetically highly heterogeneous, involving severe ultrarare mutations in genes that are critical to synaptic plasticity. The depth of genetic variation in Africa revealed this relationship with a moderate sample size and informed our understanding of the genetics of schizophrenia worldwide
Events tourism as a conduit to promote underdeveloped tourist destinations, with specific reference to the Mooiplaas Homecoming Music Event in East London, South Africa
Get PDFEvents tourism has demonstrated growth over the years, and has been used as a tool to boost local economies. Hosting such events creates benefits, these include the boost in the local economy, improvement of infrastructure on destinations and job creation. The purpose of this paper was to investigate how events tourism could be utilised as a conduit to promote underdeveloped tourist destinations in Mooiplaas. Secondary data sources were consulted to understand the role of events tourism in the local community of Mooiplaas. This paper utilised a survey questionnaire to collect data. The simple random sampling method was utilised to select the respondents. The findings indicate that 70% of the respondents agreed that they are consulted about the events that promote their community. Furthermore, the findings elucidates that 82% of the respondents concur that events can potentially create entrepreneurial opportunities. These findings contribute significantly in developing the local economic strategies of the municipalities in underdeveloped regions. As such it is recommended that events are planned in a coherent, systematic manner in order to achieve local economic development objectives. Furthermore, the paper provided a foundation on how to plan, organise, lead and control events that can potentially unearth tourism demand particularly in developing tourist destinations. Moreover, it is hoped that the paper will serve as the basis to plan future events in the context of regions such as Mooiplaas that are still engulfed with developmental challenges, these contribute to triple threat of unemployed, poverty and inequality
Molecular Detection of Carbapenemase-Encoding Genes in Multidrug-Resistant Acinetobacter baumannii Clinical Isolates in South Africa
Get PDFhttps://www.hindawi.com/journals/ijmicro/2020/7380740
Late diagnosis of human immunodeficiency virus infection is linked to higher rates of epilepsy in children in the Eastern Cape of South Africa
Get PDFImplementing active surveillance for TB—The views of managers in a resource limited setting, South Africa
Get PDFSuccessful use of an improvised bubble CPAP device for severe respiratory distress caused by pulmonary tuberculosis
Get PDFSymmetry Reductions and Invariants Solutions of a Nonlinear Fokker-Planck Equation Based on the Sharma-Taneja-Mittal Entropy
Get PDFA nonlinear Fokker-Planck equation that arises in the framework of statistical mechanics based on the Sharma-Taneja-Mittal entropy is studied via Lie symmetry analysis. The equation describes kinetic processes in anomalous mediums where both super-diffusive and subdiffusive mechanisms arise contemporarily and competitively. We perform complete group classification of the equation based on two parameters that characterise the underlying Sharma-Taneja-Mittal entropy. For arbitrary values of the parameters, the equation is found to admit a two-dimensional symmetry Lie algebra. We identify and catalogue all the cases in which the equation admits additional Lie point symmetries. We also perform symmetry reductions of the equation and obtain second-order ordinary differential equations that describe all essentially different invariant of the equation
Comparative study of phytochemical composition and insecticidal properties of Lemon species from Eastern Cape and KwaZulu-Natal
Get PDFCitrus limon commonly known as lemon is the third most cultivated citrus genus in South Africa mainly cultivated for its juice. This study aims at analysing the chemical composition of Citrus limon waste (leaf and peel) and evaluation of their insecticidal properties. Leaves and peels of Eureka lemons were collected from three South African citrus farms (Addo, Riverside and Mystic), while Lisbon lemons were only collected from two citrus farms (Addo and Riverside) in 2017 and 2018. A total of 36 essential oils were extracted using the Clevenger like apparatus. Analyses of these oils were done using GCMS. An infusion extract of C. limon was prepared according to the standard method and subjected for phytochemical screening to detect and quantify secondary metabolites present. D-Limonene was the major compound identified in all the 36 oils from Eureka and Lisbon peels and leaves (27.9-74.8%). Other dominant compounds identified in Eureka leaf and peel oils were -pinene (5.8-13.2%), -terpinene (4.8-6.7%), geranial (4.0-15.4%), z-citral (6.7-11.7%), sabinene (4.5-6.3%), nerol (4.0-5.4%) and neryl acetate (6.3-9.5%). Some compounds were however present only in some oil such caryophyllene (6.5%) in Mystic dry leaf oil, geraniol (8.0%) in Addo dry leaf oil, as significant compounds. Lisbon leaf and peel essential oils -pinene (4.4- 11.8%), p-cymene (4.2-6.3%), -terpinene (4.4-6.9%), geranial (8.6-17.3%), z-citral (7.1-13.6%), neryl acetate (4.7-9.1%) (5.4-5.9%) were the other prominent peaks identified in the oils. These C. limon essential oils were further tested for insecticidal activities against maize weevils by conducting repellent assay, fumigant assay and contact toxicity; also plant viii powder was used against maize weevils. In general, for all the bioassay, mortality of the insect increased as the contact days with the oil increased. Contact toxicity assays of C. limon peel essential oils were most effective against S. zeamais in which all weevils were dead by day 3 (100% mortality) at 300 μL, while at other concentrations (50, 100, 200 μL) over 50% mortality was observed. The fumigant potential was high with the peel oil with over 50% mortality at 32 and 40 μL in day 4. The oil had moderate repellent effect on the maize weevil. Riverside Eureka dried powder peel was the most effect in all. These results unveil the medicinal potential of South African citrus waste in post-harvest crop protection and good sources of some chemical compounds which are of medicinal value. Furthermore, this study also reveals the economic potential of these wastes in job creation
Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities
Get PDFBackground: Consistent condom use is central to the prevention of transmission of human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs), especially among young adults. This study drew from a cross-sectional survey of two Nigerian universities to determine the level of consistent condom use, explored the determinants of condom use consistency and reasons for inconsistent condom use. Methods: We adopted a descriptive cross-sectional design, which involves the recruitment of 800 male and female students using stratified random sampling. Adjusted and unadjusted logistic regression models were used to examine the factors associated with consistent condom use among a final sample of 498 students who engaged in sex in the last year preceding the study. Results: Only 38.6% of sexually active participants (n = 498) used condoms consistently in the previous year. High condom self-efficacy score (AOR: 2.40; 95% CI: 1.58–3.64), discussion of HIV/STIs with sexual partner (AOR: 1.91; 95%CI: 1.29–2.83), knowing partner’s HIV status (AOR: 1.48; 95% CI: 1.02–2.16), being students of university located in a high HIV prevalence area (AOR: 2.86; 95% CI: 1.92–4.28) and engaging in sex with only steady partner (AOR: 1.74; 95% CI: 1.17–2.60) were associated with a higher odds of consistent condom use. Trust, unavailability of condoms, dislike of condoms and a perception that condoms reduced sexual pleasure were the main reasons for inconsistent use of condoms. Conclusion: The study found a low level of consistent condom use among study participants. Counselling young adults in Nigeria on condom self-efficacy, providing condoms on campuses and encouraging the discussion of sexually transmitted infections with sexual partners are central to improving the level of consistent condom use among Nigerian university students. Keywords: Condoms, Self-efficacy, Consistent condom use, HIV, Drug use, Alcohol use, Nigeria, University student