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    Nursing students' knowledge and practices related to sharp object injury and management at a university in the Western Cape Province

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    Thesis (Master of Nursing)--Cape Peninsula University of Technology, 2019Background: Like other health care providers, nursing students are unprotected from occupational dangers such as sharp object injuries (SOIs) due to imperfect knowledge and experience. These students face a great risk of exposure to blood borne infections by pathogens such as HIV and the hepatitis B and C viruses while executing their clinical actions in hospitals. SOIs are a significant problem for nursing students, as they increase the risk of contracting blood-borne infections. Purpose: The purpose of this study was to determine nursing students' knowledge and practices related to SOIs and their management at a university in the Western Cape Province. Objectives: The objectives of this study include determining the occurrence of SOIs, and knowledge of risk of SOIs, as well as the reporting and management of SOIs at a university in the Western Cape. Method and sample: A cross-sectional descriptive survey was conducted with nursing students from the second to fourth year of study, registered at a university in the Western Cape Province for the 2017 academic year. Quota sampling was applied to select respondents who, after providing informed consent, then completed and handed the self- administered questionnaires back to the researcher on the same day that they were distributed. Data were obtained from nursing students about whether or not they had experienced an SOI, what they did after the SOI, their perception of the risk, and management of and preventive measures for SOIs. Validity and reliability were ensured, and all ethical principles were adhered to. SPSS was used for the quantitative data analysis. Results: A total of 252 nursing students from the second to fourth years participated in this study. The average age of respondents was 24 years, with a minimum of 19 and maximum of 46 years; 211 (83.7%) of them were females. During their course 63 (25%) respondents experienced SOIs; only 42 (66.67%; N=63) of them reported the occurrence of an SOI, most (25 or 59.52%) reporting it to the professional nurse in charge. The highest occurrence of SOIs was reported by fourth-year students (26 respondents, 41.3%). It was found that 21 (33.3%) of SOIs were not reported, and the main reason for this was because there was little or no perception of associated risk (15, 71.43%). Forty-six (73.02%) respondents experienced a single SOI, while 11 (17.46%) had two SOIs, 4 (6.35%) reported having had three SOIs, and one each (1.59%) had more than four and more than ten SOIs. The activity causing most of the SOIs was administration of medication by injection (48 cases, 76.2%), and in most cases (57, 90.47%) the instruments causing injury were needles or hollow-bore needles. Most of the affected respondents squeezed the puncture site after the SOI (42, 66.7%), followed by washing the area with water and soap (40; 63.5%), and cleaning the site with antiseptic (15, 23.8%). Among those students exposed to SOIs, only 22 (52.4%) had undergone blood tests, and very few of them took post-exposure prophylaxis or treatment (16, 25.40%). The emotion that most of them felt after the SOI was fear (42, 66.7%), and the main reason for not getting treatment was fear of side effects (18, 38.29%). Also, only 61 (24.2%) respondents reported recapping needles after use, while most reported incomplete vaccination against hepatitis B (195, 77.38%). The main reason for not using personal protective equipment (PPE) was noted as the unavailability thereof at the institution (43, 49.4%). Conclusion: This study documented a low rate of reporting SOIs among nursing students. It is plain that there are inadequate levels of knowledge and practice related to SOI management among these students at a university in the Western Cape. One would imagine that because the majority of nursing students had a measure for the practice of universal precautions and used PPE, their management after exposure to SOIs during work training in hospital would be efficient. This was not the instance in this study, where application of these actions in their practical training was poor

    The effects of contraceptives on the anti-oxidant status, skin parameters and anthropometric indicators in female students: a pilot study

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    Thesis (MSc (Biomedical Technology))--Cape Peninsula University of Technology, 2019Introduction: The provision of access to safe and effective contraception is a critical element in the health of women that enables them to make choices about their fertility. This element of control empowers them and indirectly enables them to access better social and economic opportunities. Hormonal contraceptives are a convenient, effective and relatively safe method of fertility control. Extensive research has been done on the effects of hormonal contraceptives on undesirable metabolic and haemostatic changes, but data on the relationship between oxidative stress and oral contraceptives is scarce and remains subject to debate. Aging of the skin due to oestrogen loss at menopause is thought to include atrophy, decreased collagen content, water content, and sebaceous secretions, loss of elasticity, wrinkling, poor wound healing and manifestations of hyperandrogenism. A number of studies have shown that oestrogens serve many important beneficial and protective functions in skin physiology. Despite extensive clinical experience, many metabolic effects of oral contraceptive treatment remain to be explored. The effects of progesterone on body weight and composition are of interest from several standpoints. Since hormonal contraceptives are widely used, it is important to investigate the effect thereof on oxidative status, skin parameters and anthropometric indicators, to enable women make informed choices about the use of contraceptives, or to adapt their lifestyle if necessary. The aim of the present study was therefore, to assess certain effects of contraceptives in a student population at the Cape Peninsula University of Technology (CPUT). Objectives of the study: To determine the differences in skin health, anthropometric \parameters and oxidative stress status in female university students using various hormonal contraceptives versus non-contraceptive users. Research design: The study adopted a quantitative approach to examine a crosssectional research sample in order to provide a snapshot of the population at a particular time. Concenting participants were selected through the use of questionnaires aimed at ascertaining the type of contraceptive used as well as general health and lifestyle patterns. Blood samples were collected and the antioxidant status was determined. Body composition and skin analysis was conducted on each of the participants in the selected groups and the results were compared to determine the differences between contraceptive and non-contraceptive users. Results: With regards to oxidative stress status, the results indicated a significant increase in superoxide dismutase (SOD) activities within the triphasic contraceptive group compared to the monophasic contraceptive group, suggesting higher levels of oxidative stress in monophasic contraceptive groups. There was also an increase in lipid peroxidation (TBARS) for the triphasic contraceptive group when compared to the control, monophasic contraceptive and injectable contraceptive groups respectively, indicative of increased oxidative stress levels in the triphasic contraceptive group. In this study, skin parameters evaluation revealed that there was a general increase in the presence of erythema in the monophasic contraceptive group compared to the control; injectable contraceptive; implant contraceptive and triphasic contraceptive groups, symptomatic of higher vascular activity in the monophasic group. Melanocyte activity measured in the forehead, cheek and chin areas were also significantly increased when the monophasic contraceptive group was compared to the control and other contraceptive groups, characterised by the pigmentation pattern of chloasma/melasma known to be caused by hormones. The hydration measurements were significantly increased in the implant contraceptive group compared to the control and monophasic contraceptive groups. Furthermore, a significant increase in hydration was evident in the injectable contraceptive group when compared to the control and monophasic contraceptive groups. Injectable contraceptives and implant contraceptives mainly contain progesterone which has been proven to combat signs of aging and increase collagen and elastin in the skin. With respect to anthropometric measurements, there was a significant increase in the measurement of waist to hip ratio in the implant contraceptive group compared to the control group (non-contraceptive). Progesterone influence on adipose tissue distribution indicated a more significant increase of adipose tissue in the abdominal region. Conclusion: In this study there was some evidence that the type of hormonal contraceptive used does have significant effects on the variables tested in the population sample. These effects are dependent on the composition of the contraceptive and the levels of progesterone and/or oestrogen

    Measuring quality of work life of municipal firefighters in the Western Cape, South Africa

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    Thesis (MTech (Business Administration))--Cape Peninsula University of Technology, 2019Municipal firefighters face a number of risks and much stress at work. In the South African context, the quality of work life (QWL) is impacted considerably by high stress levels and work-related demands. Currently, firefighting organisations face serious challenges that hamper the QWL among municipal firefighters. These challenges include physical and mental challenges, and the element of work which negatively affects the job performance among the firefighters. The primary research objective has been to identify the key factors that impact on the QWL of municipal firefighters in the Western Cape, South Africa. In addition, this study explores a common approach for measuring the QWL and determining an effective way to maintain a better work life for the firefighters. The quantitative research method was employed. This study measured and analysed the key factors that had impacted on the QWL of municipal firefighters in the Western Cape, South Africa. A questionnaire was used to collect data from a group of 120 municipal firefighters from the Goodwood Fire Department. This study used the ethical principles of informed consent, the right to privacy and honesty, and confidentiality/anonymity in the research process. The quantitative data were analysed using the Statistical Package for the Social Sciences (SPSS). The findings and results provide insight into and guidance to management and employees in a practical way to improve the QWL among municipal firefighters. The fire department should upgrade the QWL of its workers so as to hold them and get its very own vital needs. The fire department should develop and keep up QWL programmes. Support from ranking employees are basic to a useful QWL programme. In addition, unmistakable upper level management contribution is one of the critical factors in the procedure accomplishment

    Fuel cell power conditioning multiphase converter for 1400 VDC megawatts stacks

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    Thesis (PhD (Electrical Engineering))--Cape Peninsula University of Technology, 2019Energy systems based on fossil fuel have demonstrated their abilities to permit economic development. However, with the fast exhaustion of this energy source, the expansion of the world energy demand and concerns over global warming, new energy systems dependent on renewable and other sustainable energy are gaining more interests. It is a fact that future development in the energy sector is founded on the utilisation of renewable and sustainable energy sources. These energy sources can enable the world to meet the double targets of diminishing greenhouse gas emissions and ensuring reliable and cost-effective energy supply. Fuel cells are one of the advanced clean energy technologies to substitute power generation systems based on fossil fuel. They are viewed as reliable and efficient technologies to operate either tied or non-tied to the grid to power applications ranging from domestic, commercial to industrial. Multiple fuel cell stacks can be associated in series and parallel to obtain a fuel cell system with high power up to megawatts. The connection of megawatts fuel cell systems to a utility grid requires that the power condition unit serving as the interface between the fuel cell plant and the grid operates accordingly. Different power conditioning unit topologies can be adopted, this study considers a multilevel inverter. Multilevel inverters are getting more popularity and attractiveness as compared to conventional inverters in high voltage and high-power applications. These inverters are suitable for harmonic mitigation in high-power applications whereby switching devices are unable to function at high switching frequencies. For a given application, the choice of appropriate multilevel topology and its control scheme are not defined and depend on various engineering compromises, however, the most developed multilevel inverter topologies include the Diode Clamped, the Flying Capacitor and the Cascade Full Bridge inverters. On the other hand, a multilevel inverter can be either a three or a five, or a nine level, however, this research focuses on the three-level diode clamped inverters. The aim of this thesis is to model and control a three-level diode clamped inverter for the grid connection of a megawatt fuel cell stack. Besides the grid, the system consists of a 1.54 MW operating at 1400 V DC proton exchange membrane fuel cell stack, a 1.26 MW three-level diode clamped inverter with a nominal voltage of 600 V and an LCL filter which is designed to reduce harmonics and meet the standards such as IEEE 519 and IEC 61000-3-6. The inverter control scheme comprises voltage and current regulators to provide a good power factor and satisfy synchronisation requirements with the grid. The frequency and phase are synchronised with those of the grid through a phase locked loop. The modelling and simulation are performed using Matlab/Simulink. The results show good performance of the developed system with a low total harmonic distortion of about 0.35% for the voltage and 0.19% for the current

    Application of mass and energy balances to determine coal, air required and flue gas flow rates in a power plant

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    Thesis (MEng (Mechanical Engineering))--Cape Peninsula University of Technology, 2019The primary objective of this study was to determine the heat rate of the power plant using the measurements of critical parameters and MEB calculations. An additional goal of the project was to determine the flue gas and air mass flow rates which influence the efficiency of the coal power plant. The consumption of coal is a critical parameter affecting the efficiency of coal-fired steam boilers. From an operational perspective, the mass flow rate of pulverised coal is a major indicator of the rate of combustion and plant heat rate. However, the cost of electricity production in thermal coal power plants operated by ESKOM, is predominantly influenced by pulverized coal which represents between 60-70% of the total cost. Monitoring the consumption of coal can determine corrective actions which will ultimately improve the power plant’s efficiency, reliability and associated economic benefits. Initially, the fundamental concepts of a boiler and its auxiliaries were studied, which led to the required coal, air and flue gas systems required in a coal-fired boiler plant. From the literature review, it was established that coal consumption is a critical indicator of a plant’s performance in terms of cost and efficiency. The different methods used for the flow measurements of coal, air and flue gas in a coal-fired boiler plant, such as MEB and CFD were reviewed. The MEB method was used to determine the pulverised coal, air, and flue gas mass flow rates and the plant’s heat rate. The MEB method was used to establish a coherent set of input and output data for the boiler, as well as to troubleshoot existing measurements from ESKOM’s coal-fired power plant. The plant’s coal consumption and heat rate results were calculated by means of a Mathcad model that was developed using BMEB methodology. Mathcad was chosen because it allows to visually check calculations. Furthermore ANSYS Fluent was used for the CFD simulation in the secondary air system

    Performance assessment of recycled alum sludge in the treatment of textile industry effluent in South Africa

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    Thesis (MEng (Civil Engineering))--Cape Peninsula University of Technology, 2019The textile industry is considered one of the most polluting sectors in terms of the large volume and toxic composition of the effluent that is generated. For example, the effluent contains dyes, which represent an environmental hazard when discharged without proper treatment. This study aimed to assess the use of recycled alum sludge (RAS) as an alternative treatment for the reduction of colour from dye based synthetic textile industry wastewater. To determine treatment efficiency, the colour, chemical oxygen demand (COD), total dissolved solids (TDS), and pH before and after treatment were monitored. The pH at which optimal removal rates were achieved was also determined. Coagulation/flocculation experiments were conducted on five batches of synthetic wastewater containing disperse dye with an average colour, COD and TDS of 133 ± 13 mg/l (range 115-145 mg/l), 38 ± 4 mg/l (range 32-43 mg/l) and 779 ± 18 mg/l (range 754-804 mg/l), respectively, using a coagulant of alum:RAS mixed in ratios of 1:0, 0:1. 1:1, and 1:2. An average removal efficiency of 89 ± 2% (range: 81-96%) for colour, 29 ± 3% (range: 19-41%) for COD, and 36 ± 4% (range 19-59%) of TDS was recorded during treatment with fresh alum (unmixed). The average removal efficiencies for treatment with RAS (ratio 1:0, i.e. unmixed) were 78 ± 3% (range 67-88%), 22 ± 3% (range 14-34%) and 32 ± 1% (range 29-35%) for colour, COD and TDS, respectively. When fresh alum sludge was mixed with RAS at a ratio of 1:1, average colour and TDS removal efficiencies of 86 ± 3% (range 83-88%), 37 ± 5% (range 30-50%), respectively were achieved, while at ratios of 1:2, the average colour and TDS removal efficiencies were 82 ± 2% (range: 80-84%) and 30 ± 5% (range 22-35%), respectively. Increases in the COD concentrations were observed when fresh alum sludge was mixed with RAS in 1:1 and 1:2 ratios. However, the initial COD concentrations in the synthetic wastewater were low [38 ± 4 mg/l (range 32-43 mg/l)] and increases after treatment were marginal (3 ± 7% and 9 ± 3%, respectively). A second method was applied for colour removal from the synthetic wastewater, namely adsorption with corn cobs. Results were inconclusive due to high levels of turbidity in the treated effluent caused by leaching of components from the shredded corn cobs. This study intended to present alternative means or methods for the treatment of textile wastewater containing dye. The findings of this study compared well with previous laboratory studies conducted with synthetic textile wastewater containing dye. The coagulant of fresh alum and RAS mix ratio of 1:1 offered the best alternative to fresh alum in the treatment of synthetic textile wastewater in terms of reduction of disperse dye from the synthetic textile wastewater. The use of RAS could reduce the volume of waste to be discarded as well as the amount of fresh coagulant necessary for the daily operation

    Potential toxic elements in the soil of a closed Metalliferous Ore Mine

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    Thesis (MEng (Chemical Engineering))--Cape Peninsula University of Technology, 2019Potential Toxic Elements (PTEs) contamination is a serious environmental concern in soils and sediments. In many ways, mining activities contribute negatively to the environment and its ecosystems with PTE pollution extending far beyond the seizure of mining activity. Some of the negative impact of mining industry includes formation of sinkholes, contamination of groundwater, surface water and as for the scope of this research study, PTE contamination of soils. Understanding PTE bioavailability and mobility in the contaminated soil near mining activity has become a public concern, and research towards the minimization of the PTEs ecological impact is required, thus the aim of this study, i.e. to evaluate the bioavailability and mobility of PTEs from a closed metalliferous ore mine, deemed to be a potential polluter. The three-stage BCR sequential extraction procedure along with multivariate analysis techniques such as XRF and FTIR were employed to evaluate metal chemical fractions and total concentrations of selected PTEs, such as Aluminium (Al), Chromium (Cr), Copper (Cu), Iron (Fe), Manganese (Mn) and Zinc (Zn) in the analysed soil samples. The total organic matter and distribution of particle size were investigated and the affinity of organic matter to grain size was highlighted. The results indicated that higher susceptibility and bioavailability of Cu, Zn and Mn with a strong affinity to the exchangeable fraction – carbonate bounded. Substantial amount of Fe was observed in the reducible fraction which may be due to the stable complexes formed and bound to the Fe-Mn oxides. In the oxidizable fractions, Al showed dominance with Fe and Cu also showing the strong affinity to be embedded in organic matter. Cr was generally the least mobile metal as indicated by the lowest concentration in all fractions. Generally, the mobility of PTEs in the sediments was as follows: exchangeable>reducible and oxidizable. The strong affinity of organic matter to attach to fine grain sized soil was observed with a high fine fraction being observed in samples obtained from the source of pollution. Furthermore, downstream from the source of pollution, there was an indication that the soil had lower organic matter content with coarser particle sized soil. The FITR and XRF results showed a strong association of silicates and quartz minerals, with the soil being constituted predominantly by SiO2, Fe2O3, Al2O3 and traces of MgO, Cr2O3 and MnO. A Risk Assessment Code (RAC) was also used as a criterion to quantitatively evaluate the risks associated with the soil samples and PTEs risk to the environment decreased as follows Cu>Al>Fe>Mn>Zn> with the least risk posed by Cr

    The determination of the need for after- hours diagnostic radiological reporting in emergency departments

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    Thesis (MSc (Radiography))--Cape Peninsula University of Technology, 2019Introduction: After-hours diagnostic imaging is essential in the majority of large public hospitals, as it plays a vital role in the treatment and management of patients. Radiologists are not always available after hours to provide reports on radiographic images since, nationally and globally, there is a shortage of these professionals. Radiographic images are frequently interpreted by emergency physicians after hours. Thus, while diagnostic imaging represents an essential component in patient care (including management and treatment), according to the literature, a significant cause of clinical error occurs through the misinterpretation of radiographic images by emergency physicians. The aim of this study was to determine emergency physicians’ views on whether there was a need for an after-hours diagnostic radiology reporting service in emergency departments at some public hospitals, in the Durban Metropole. It is important to note that in addition to the above, this study calculated the number of radiographic examinations performed after-hours, and the number that was reported by the radiologist during office hours, since there was no radiology cover after hours. Methods: A descriptive cross-sectional quantitative survey design was employed using a self-administered questionnaire as a data collection instrument completed by emergency physicians at four public hospitals. In addition, additional data was collected to determine the number of radiographic examinations that had been performed after hours, at the selected four public hospitals over a period of three months, as well as the number of radiographic examinations that was reported on. This enabled the authors to determine the number of radiographic examinations that went unreported during this study period. Results: A total of 39 emergency physicians participated in the survey, with a mean and median age of 39.46 and 38 years, respectively (SD = 9.11 years). The results of this study showed that between 0.1% and 0.6% of radiographic examinations performed after hours were reported on by radiologists during office hours, for this study period. This implies that less than 1% of all examinations produced after hours at the four public hospitals, received a radiology report. Emergency physicians felt that the interpretation of images took up valuable time. The survey found that there was near total consensus amongst respondents on whether they prefer after-hours reporting to be performed by a radiologist as 46.2% (n = 18) of the respondents strongly agreed and 41.0% agreed (n = 16). Furthermore, a total of 35.9% (n=14) of respondents agreed and 43.6% (n=17) strongly agreed, that having a reporting radiographer reporting on radiographic images after-hours, would benefit patient flow. The survey also found that 92% of the sampled emergency physicians agreed (59.0% strongly agreed and 33.3% agreed, respectively) that there was a need for further training in the interpretation of radiographic images. Discussion: From the above results, it is evident that since the majority of radiographic examinations went unreported after hours, the task to interpret the radiographic images is left to the emergency physicians as part of their patient management. Conceivably, this added image interpretation results in a further increase in the workload of emergency physicians. It is therefore not surprising that emergency physicians preferred that after-hours reporting of radiographic images be done by radiologists. According to the literature, reporting radiographers also play a role in alleviating the workload of emergency physicians and improving patient flow, by providing a report for the radiographic images during after-hours. Thus, reporting radiographers afford emergency physicians additional time to concentrate on patient treatment, resulting in faster patient throughput. Reporting on radiographic images is not yet included in the scope of the South African radiographer. The findings of this study, though, suggested that there was a need for emergency physicians to undergo training in the interpretation of radiographic images. Conclusion: The study recommends that an after-hours reporting service be considered for the four public hospitals concerned. It is recommended that the heads of the emergency and radiology departments further consider offering courses on radiographic image interpretation for emergency physicians

    Trends and reporting of medication administration errors among nursing students at a higher education institution in the Western Cape

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    Thesis (Master of Nursing)--Cape Peninsula University of Technology, 2019One of the most important issues in the provision of healthcare services which threaten the patient's safety, is medication administration errors. These could compromise patient safety and may lead to patient disability or even death, besides the financial cost of these errors. Nurses are responsible for administering medication to numerous patients. They thus are the last defence line against medication administration errors. All student nurses are trained very early in their courses on how to administer medication and all the complications and implications that accompany this important procedure. Although lecturers spend time and effort in teaching nursing students about protocols for safe medication administration, nurses still commit medication administration errors. The aim of the study was to determine awareness and perception of the occurrence and reporting of medication administration errors (MAEs) among nursing students. A descriptive quantitative design was employed. A questionnaire was used to collect data. Responses were collected from 291 nursing students at a higher education institution in the Western Cape, South Africa. Nonprobability proportional quota sampling was used in this study for data collection. Data was analysed with IBM SPSS® software. Data was presented in graphs, percentages, means, and standard deviation, while inferential statistics were conducted. The findings of the study reveal that 85.2% of the respondents were aware of MAE occurrence, but 40.1% were unaware of reporting of these errors. The top and most significant subscale for MAE occurrence was the physician communication subscale, while the top and only significant barrier to reporting these errors was the fear subscale. In conclusion, most of the respondents were aware of MAE occurrence, while more than a third were unaware of the reporting of these errors. The study recommended building non-punitive blame-free reporting systems to emphasise the importance of reporting errors

    Towards a framework for the implementation of a secure quantum teleportation infrastructure in South Africa

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    Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2019The availability of high-speed/high-volume Data Link Layer (Layer 2) transmission networks fuelled by the implementation of mission critical and performance-intensive technologies, such as Cloud and Data Centre services transmitting sensitive data over the wide area network (WAN) has shifted the attention of hackers, eavesdroppers, cyber-criminals and other malicious attackers to the exploitation of these data transmission technologies. It is argued that security on the current classical technologies that store, transmit and manipulate information on the OSI Layer 2 have historically not been adequately addressed when it comes to secure communication and exchange of information. Quantum teleportation (QT) stemming from quantum communication a branch of quantum information science (QIS) has emerged as a technology that promise unconditional security and providing new ways to design and develop frameworks that operate based on the laws of quantum physics. It is argued that it has a potential to address the data transmission security GAP for OSI layer 2 technologies. This research study aims to propose a framework for the implementation of secure quantum teleportation infrastructures in South Africa. There is currently a lack of generic models and methods to guide the implementation of QT infrastructures that will enable secure transmission of information. A design science research (DSR) was undertaken in order to develop a secure quantum teleportation artefact called (SecureQT-Framework). SecureQT-Framework is a generic model and method that guides the selection and implementation of QT infrastructures motivated by multi-disciplinary domains such as QIS, Quantum Physics, Computer Science as well as information and communication technology (ICT). The DSR process employed a primary DSR cycle with four DSR sub-cycles which involved the awareness and suggestion phase guided by a systematic literature review (SLR), development and evaluation phase guided by Software Defined Network’s OpenFlow, Mininet, Mininet-Wifi and computer simulations for QT using SQUANCH framework. We investigated, examined and collected credible QT techniques and its variant protocols to develop and simulate secure transmission of information over the WAN, We studied their features and challenges. We concluded the study by describing the QT techniques, protocols and implementations that has potential to bridge the security GAP for OSI Layer 2 technologies over the WAN. The results gained were used in the construction of a framework for the implementation of a secure quantum teleportation infrastructure in South Africa. The framework describes the main factors that need to be taken into consideration when implementing quantum teleportation infrastructures

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