WorldWideScience

Sample records for cape town rondebosch

  1. 77 FR 29929 - Safety Zone; Town of Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA

    Science.gov (United States)

    2012-05-21

    ... section of this notice. Basis and Purpose On July 4, 2012 the Town of Cape Charles will sponsor a...-AA00 Safety Zone; Town of Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA AGENCY: Coast... temporary safety zone on the waters of Cape Charles City Harbor in Cape Charles, VA in support of the Fourth...

  2. RECURRENT CONVULSIONS IN CAPE TOWN CHILDREN*

    African Journals Online (AJOL)

    1970-11-03

    Nov 3, 1970 ... Child Health, Medical School, University of Cape Town studied and the .... Sex Distribution (Table III) ... family history in children with brain damage is surprisingly high. .... nized that more male infants develop the respiratory.

  3. Comparison of nectar foraging efficiency in the Cape honeybee ...

    African Journals Online (AJOL)

    1987-03-17

    Mar 17, 1987 ... Comparison of nectar foraging efficiency in the Cape honeybee, Apis mellifera capensis Escholtz, and the African honeybee, Apis mellifera adansonii Latreille,. , in the western Cape Province. P.V. W-Worswick*. Department of Zoology, University of Cape Town, Rondebosch 7700 Republic of South Africa.

  4. neonatal bacterial meningitis in Cape Town children

    African Journals Online (AJOL)

    neonatal bacterial meningitis in Cape Town children. Bacterial meningitis is a major cause of childhood morbidity and mortality in South Africa. However, comprehensive regional or national epidemiological data, essential for rational public health interventions, are lacking. The purpose of this 1-year prospective study, from.

  5. Surviving gangs, violence and racism in cape town

    DEFF Research Database (Denmark)

    Lindegaard, Marie Rosenkrantz

    Surviving Gangs, Violence and Racism in Cape Town offers an ethnographic study of young men in Cape Town and considers how they stay safe in when growing up in post-apartheid South Africa. Breaking away from previous studies looking at structural inequality and differences, this unique book focus...... they move between "black" or "coloured" township areas and the "white" suburbs of Cape Town....

  6. The Cape Town Statement on Geoethics

    Science.gov (United States)

    Di Capua, Giuseppe; Peppoloni, Silvia; Bobrowsky, Peter

    2017-04-01

    The interest of geoscientists in (geo)ethical aspects of geoscience knowledge, education, research and practice is rising and today geoethics has a significant visibility. This prominence is the result of hard work done in the last 4 years by the IAPG - International Association for Promoting Geoethics (http://www.geoethics.org), a not-for-profit, multidisciplinary, scientific network (with more than 1350 members in 107 countries) established for widening the discussion and creating awareness about problems of ethics applied to the geosciences. IAPG has produced a strong conceptual substratum on which to base the future development of geoethics, by clarifying the meaning of the word Geoethics, formalizing its definition, and identifying a framework of reference values on which the geoscience community can base more effective codes of conduct. IAPG members have published numerous books and articles in peer reviewed international journals, and organized scientific sessions to bring geoethics at the most important geoscience conferences. Geoethical issues have been included in the European project ENVRI-Plus, dedicated to the environmental and solid Earth research infrastructures. Moreover, the most prestigious geoscience organizations around the world now recognize geoethics as an important issue that warrants attention. This success was confirmed by the high quality of contents and the large participation of scientists in the 6 technical sessions and single panel session on geoethics organized by IAPG at the 35th IGC - International Geological Congress, held in 2016 in Cape Town (South Africa), with the cooperative work of different geoscience organizations (IUGS-TGGP - Task Group on Global Geoscience Professionalism; GSL - Geological Society of London; EFG - European Federation of Geologists; EGS - EuroGeoSurveys; AGI - American Geosciences Institute; AGU - American Geophysical Union, and AAWG - African Association of Women in Geosciences). IAPG considers the 35th

  7. The 1992 measles epidemic in Cape Town - a changing ...

    African Journals Online (AJOL)

    Over the last 6 years there has been a decline in the incidence of measles in Cape Town. However, during August 1992 an outbreak occurred, with cases reported at many schools in children presumably immunised. The objectives of this study were to characterise the epidemic in Cape Town and to determine possible ...

  8. Risk factors for meningococcal disease in Cape Town | Moodley ...

    African Journals Online (AJOL)

    Objective. To determine the risk factors associated with meningococcal disease among children living in Cape Town. Design. A case-control study was conducted from October 1993 to January 1995. Setting. The study population consisted of all children tmder the age of 14 years who were resident in the Cape Town ...

  9. Integrated water resource planning in the city of Cape Town

    African Journals Online (AJOL)

    driniev

    supply (at a 98% level of assurance) in 1999. Should ... WDM policy. The WDM Policy is based on three broad principles namely that ... and Cape Town Water Services. ... audit of all schools, which includes implementing some immediate.

  10. Methamphetamine use and sexual risk behaviour in Cape Town ...

    African Journals Online (AJOL)

    4Department of Psychiatry & Mental Health, University of Cape Town, South Africa. Abstract. Objective: ... Keywords: Methamphetamine; Sexual behaviour; HIV; South Africa ... to high school students who had used drugs other than MA in their.

  11. Temperature breaks within fruit reefer containers in the Cape Town ...

    African Journals Online (AJOL)

    kirstam

    Key words: fruit exports; reefer containers; cold chain; Cape Town Container ... challenges required for maintaining high product quality when exporting large ... perishable products due to the availability of a range of temperature settings.

  12. Narrating Muslim women’s identities in Cape Town

    OpenAIRE

    Boswell, R.

    2011-01-01

    This paper considers the complexity of Muslim women’s identities in the city of Cape Town in 2010. It is argued that emerging super-diversity in the form of African immigration, the commercialisation of Islam and increasing freedoms for women in South Africa impact on women’s engagement with religion and diversifies their identity. The paper also offers glimpses into the diversity of Islam in Cape Town, suggesting that this religion is not monolithic in the city and that it is continuously di...

  13. Perspectives of wild medicine harvesters from Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Leif Petersen

    2017-09-01

    Full Text Available Cape Town is a fast-growing cityscape in the Cape Floristic Region in South Africa with 24 formally protected conservation areas including the World Heritage Table Mountain National Park. These sites have been protected and managed as critical sites for local biodiversity, representing potentially one-third of all Cape Floristic Region flora species and 18% of South Africa's plant diversity. Cape Town is also inhabited by a rapidly growing culturally and economically diverse citizenry with distinct and potentially conflicting perspectives on access to, and management of, local natural resources. In a qualitative study of 58 locally resident traditional healers of distinct cultural groups, we examined motivations underlying the generally illicit activity of harvesting of wild resources from Cape Town protected areas. Resource harvester motivations primarily link to local economic survival, health care and cultural links to particular resources and practices, 'access for all' outlooks, and wholesale profit-seeking perspectives. We describe these motivations, contrast them with the current formal, legal and institutional perspectives for biodiversity protection in the city, and propose managerial interventions that may improve sustainability of ongoing harvest activities. Significance: The study reveals, for the first time in the Cape Floristic Region, informal economy viewpoints on terrestrial nature and how its direct use has important economic and cultural roles – specifically in wild medicine harvesting and trade. We contrast the formal and informal approaches to nature conservation in the city and propose new considerations for conservation managers.

  14. Mongrel: Essays. William Dicey. Cape Town: Umuzi, 2016. 220 pp ...

    African Journals Online (AJOL)

    ey has become the literary executor of the work of a sort of doppelgänger: Michael. D'Arcy has unaccountably disappeared. Dicey's discussion of D'Arcy's works, including a voluminous exploration of. Cape Town's central thoroughfare, en- titled Main Road, sounds fascinating. One is sent scampering to Kalahari or Loot for.

  15. comparison of Cape Town and Durban business perceptions of the ...

    African Journals Online (AJOL)

    comparison of Cape Town and Durban business perceptions of the 2010 FIFA World Cup. ... African Journal for Physical Activity and Health Sciences ... In hosting future events, it is recommended that relevant government departments and stakeholders such as event managers involve and consult local businesses through ...

  16. Underrecognition and undertreatment of asthma in Cape Town ...

    African Journals Online (AJOL)

    Background. In view of the high local prevalence of asthma, the extent of recognition and appropriate managementof childhood asthma was studied in a large suburban area of Cape Town. Design. Cross-sectional study based on random community sample of schools. Method. 1955 parents of sub B pupils from 16 schools ...

  17. Evaluation of the Cape Town Protocol for the isolation of ...

    African Journals Online (AJOL)

    DRINIE

    Available on website http://www.wrc.org.za. Short communication. Evaluation of the Cape Town Protocol for the isolation of. Campylobacter spp. from environmental waters. SM Diergaardt, SN Venter*, M Chalmers, J Theron and VS Brözel. Department of Microbiology and Plant Pathology, University of Pretoria, Pretoria, ...

  18. Injured pedestrians in Cape Town - the role of alcohol

    African Journals Online (AJOL)

    pedestrians and attempt to define the role which alcohol plays in this ... Forensic Chemistry Laboratory, Department of National Health, Cape. Town. J. Monis .... Short term « 8 wks). 80. 40.8. 47. 39.2. 33. 43.4. Long tenn (;;. 8 wks). 54 27.6.

  19. Methamphetamine use and sexual risk behaviour in Cape Town ...

    African Journals Online (AJOL)

    Objective: Community studies and studies of admissions to drug treatment centers indicate a dramatic increase in the prevalence of methamphetamine use in Cape Town since 2003. There has also been a substantial increase over this time period in the prevalence of HIV infection among women attending public antenatal ...

  20. Human papillomavirus in normal cervical smears from Cape Town ...

    African Journals Online (AJOL)

    The types of HPV found in normal cervical tissue from Cape Town did not differ significantly from those found elsewhere in the world. Nine per cent (17/192) were positive for 'high-risk' HPV types which are associated with premalignant and malignant cervical lesions. In the age group 20 - 39 years, 15 of 92 (16%) were ...

  1. Human papillomavirus in normal cervical smears from Cape Town

    African Journals Online (AJOL)

    to be 13% (25/192) using Southern blot hybridisation. The types of HPV found in normaJ cervical tissue from Cape. Town did not differ significantly from those found elsewhere in the world. Nine per cent (17/192) were positive for 'high-risk' HPV types which are associated with premalignant and malignant cervical lesions.

  2. Hypertension care at a Cape Town community health centre | Lunt ...

    African Journals Online (AJOL)

    Objectives. To describe the demographic profile of hypertensive patients and the quality of care for hypertension at a Cape Town community health centre (CHC). Design. Prospective, descriptive study. Setting and subjects. Medium-sized CHC, attended by 1098 hypertensive patients during a 1-year period from 1 January ...

  3. Supernumerary registrar experience at the University of Cape Town ...

    African Journals Online (AJOL)

    Background. Despite supernumerary registrars (SNRs) being hosted in South African (SA) training programmes, there are no reports of their experience. Objectives. To evaluate the experience of SNRs at the University of Cape Town, SA, and the experience of SNRs from the perspective of. SA registrars (SARs). Methods.

  4. Cape Town's central city development: A strategy of partnership and ...

    African Journals Online (AJOL)

    Cape Town's Central City (see Figures. 1 and 2), located between the city's harbour and the iconic slopes of Table. Mountain, has a vital role to play in transforming the wider metropolitan region into a more inclusive and opportunistic urban area. Stretching from Woodstock and Salt. River into the CBD and out into Green.

  5. The mass miniature chest radiography programme in Cape Town ...

    African Journals Online (AJOL)

    Background. Tuberculosis (TB) control programmes rely mainly on passive detection of symptomatic individuals. The resurgence of TB has rekindled interest in active case finding. Cape Town (South Africa) had a mass miniature radiography (MMR) screening programme from 1948 to 1994. Objective. To evaluate screening ...

  6. The Tijaniyya Tariqa in Cape Town | Lliteras | Journal for Islamic ...

    African Journals Online (AJOL)

    This study finds that the spiritual praxis of the Tijaniyya profoundly influences the social behaviour of its followers, as is exemplified by its impact on issues of race relations and identity in South Africa. The findings suggest that the Tijaniyya tariqa in Cape Town offers the unique opportunity to challenge racism and prejudice, ...

  7. Ensuring water supply for all towns and villages in the Eastern Cape ...

    African Journals Online (AJOL)

    Eastern Cape and Western Cape Provinces of South Africa. ER Hay1, K .... The current water balance (see Fig. 1) and the .... in selected towns in the Eastern and Western Cape. Town .... work in order to reduce the risk of failure in the water supply to the town. .... Asset management, to prolong the life of the infrastructure.

  8. Urban Ecology in Cape Town: South African Comparisons and Reflections

    Directory of Open Access Journals (Sweden)

    Sarel S. Cilliers

    2012-09-01

    Full Text Available Little urban ecological research has been done in South Africa. The papers in the Ecology and Society special feature Urban Ecological and Social-Ecological Research in the City of Cape Town make, therefore, an important contribution to the development of urban ecology locally and globally. Different approaches have been used in the study of urban ecology of different urban areas in South Africa. Cape Town is situated in a biodiversity hotspot and is the only South African city which includes a national park. As a result the urban ecological studies were mainly driven by urban nature conservation concerns. In other cities such as Durban, open space planning and environmental management were the major issues which focused ecological studies on urban areas whereas other studies of urban areas in the Eastern Cape and North-West provinces included private and public open spaces and man-made habitats. We reflect on the Cape Town studies in a South African context and highlight conservation of biodiversity, protection of ecosystem services, management of control measures, and the conflict between humans and nature. A brief synthesis has also been given of South African urban ecological research in general.

  9. The Security and Development Nexus in Cape Town

    DEFF Research Database (Denmark)

    Jensen, Steffen Bo

    2010-01-01

    In this article, I argue that the security and development nexus takes on specific forms depending on the context, and that in Cape Town’s coloured townships it is embodied in policies and practices around what has come to be known as the ‘war on gangs’. Furthermore, the war on gangs in Cape Town...... bears resemblances to counterinsurgency strategies — not least in the sense that both are responses to a similar problem of governance. This comparison allows us explore how citizenship is being reconfigured for residents of the townships in ways that resemble what James Holston (2007) calls...

  10. Mourning Mandela: sacred drama and digital visuality in Cape Town

    Directory of Open Access Journals (Sweden)

    Paula Uimonen

    2015-12-01

    Full Text Available The world united in unprecedented ways in mourning the global icon Nelson Mandela, an emotionally charged historical event in which digital visuality played an influential role. The memorial service for Nelson Mandela on Tuesday, 10 December 2013, gathered dignitaries and celebrities from around the world at the First National Bank Stadium in Johannesburg, to mourn the passing of Madiba and to celebrate his life work. At the Grand Parade in Cape Town, the event was broadcast on large public screens, followed by live music performances and narrowcast interaction with the audience. Building on recent research on public screens during global media events, this article addresses the mediated mourning rituals at the Grand Parade in terms of a sacred drama. Focusing on social relationality, the article discusses how digital visuality mediated a sense of global communitas, thus momentarily overcoming historical frictions between the global north and the global south, while expanding the fame of Madiba. Paying attention to the public display of visual memory objects and the emotional agency of images, it argues that digital visuality mediated social frictions between the living and the dead, while recasting a historical subject as a historical object. The article further discusses how digital visuality mediated cultural frictions of apartheid and xenophobia, through the positioning of Mandela in the pantheon of Pan-African icons, thus underlining the African origin of this global icon. The analysis is based on ethnographic observations and experiences in Cape Town.

  11. Managing the Risk of Flooding and Sea-level Rise in Cape Town ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Studies. Managing disasters in the context of climate change : towards sustainable urban flood management in Cape Town ... Moving through the city : gender and floods at play; a case study in Sweet Home Farm informal settlement, Cape Town ... public health, and health systems research relevant to the emerging crisis.

  12. Workload and casemix in Cape Town emergency departments.

    Science.gov (United States)

    Wallis, Lee A; Twomey, Michele

    2007-12-01

    Little is known about the nature of patients presenting to emergency departments (EDs) in South Africa. This study aimed to provide evidence on ED usage in Cape Town by studying patients at four community health centre (CHC) EDs, with details of the severity of their presentation and their disposal. A total of 16,392 patients presented in this 8-week prospective observational study, and 15,681 were included in the descriptive data analysis. One-quarter were children. There were clear and predictable peaks in attendance after 1600 hr and at weekends, with a steady stream of patients presenting overnight. Case severity was evenly distributed between emergency, urgent and routine care. Nearly 10% of patients were referred on to a higher level of care. The data from this study present a model for staffing and resource allocation. It has implications for the provision of emergency care in CHC EDs.

  13. Blood lead levels in preschool children in Cape Town

    Energy Technology Data Exchange (ETDEWEB)

    Deveaux, P.; Kibel, M.A.; Dempster, W.S.; Pocock, F.; Formenti, K.

    1986-03-29

    Blood lead levels were assessed in 293 children aged between 4 and 6 years attending preschool centers in metropolitan Cape Town in order to establish the degree of lead absorption. Anthropometric data, blood count, zinc protoporphyrin and blood lead level were obtained for each child. A questionnaire was used to determine socio-economic status, dietary habits and history of pica. Thirteen children, or 4,4% of those sampled, had blood levels of greater than or equal to 30 micrograms/dl. The majority of these children lived in close proximity to one another in a socially deprived inner urban environment. Environmental sampling for lead was carried out in the homes of children with the highest blood levels as well as in the homes of a matched control group with low levels living in the same area. The only difference was a significantly higher incidence of pica in the children with high levels.

  14. Tourist Profile and Destination Brand Perception: The Case of Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Ikechukwu O. Ezeuduji

    2016-08-01

    Full Text Available Tourists pay for destination brands. This study checked for the relationships between tourists’ profile and how they perceived the destination brand of Cape Town. A questionnaire survey of 220 tourists visiting Cape Town was done. This study found that repeat visit, age of tourist, length of stay, and tourist origin, have significant influences on how tourists visiting Cape Town perceived the destination. The top three destination attributes of Cape Town (cognitive images, which enhance visitor experience satisfaction are (1 the overall level of service quality at facilities in Cape Town, (2 the city being one of the best places the tourists have visited, and (3 the destination’s good value for money. The top three emotional valuations of destination attributes (affective images which enhance visitor experience satisfaction in Cape Town include (1 memorable visit, (2 valuable visit, and (3 friendly and hospitable population. It is therefore recommended that tourism businesses in Cape Town develop relationship marketing tools to attract and retain its tourists segments of loyal, advanced in age, long-staying and domestic tourists. Results from this research could be compared with related findings in the international arena and have related implications, especially for developing economies

  15. Levels of violence among nurses in Cape Town public hospitals.

    Science.gov (United States)

    Khalil, Doris

    2009-01-01

    The paper presents findings from a study examining violence in nursing. A combined ethno-phenomenology was identified as the most appropriate approach. Ethnography is to understand the culture of nursing that permits violence to occur within the profession. Phenomenology is to explore and capture nurse-on-nurse experiences of violence. The population is all nurses registered with the South African Nursing Council. The research participants are nurses employed in eight public hospitals in Cape Town during 2005. METHOD OF DATA COLLECTION: The first stage of data collection was the distributions of confidential questionnaires to nurses employed in eight hospitals and willing to participate in the study. Responses to close-ended questions were analyzed using Microsoft Excel. Responses to open-ended questions were grouped per question. The qualitative data were then compared for similarities and differences in information provided. Six levels of violence exist among nurses. The highest forms of violence among nurses occurred at the psychological level, with the least at the physical level of interaction. The other four levels of violence among nurses were vertical, horizontal, covert, and overt. All categories of nurses in the study had resorted to one or more levels of violence against other nurses during their nursing career. Professional nurses and senior nurse managers were identified as the main category of nurses that frequently resort to mistreating other nurses. However, auxiliary nurses were identified as the main perpetrators of physical violence against other nurses.

  16. Water supply: reshaper of Cape Town's local government a century ago

    CSIR Research Space (South Africa)

    Wall, K

    2008-08-01

    Full Text Available to go a distance of up to 50 miles from Cape Town." (Ibid) The cost would amount to about 1 500 000 pounds (Parker, 1911). During 1904, J Cook (City Engineer of Cape Town) together with R H Charters and R W Menmuir (Town Engineer of Woodstock.... In Woodstock and Maitland moreover, there being no system of surface drainage, slop water was allowed to pass into the street gutter or on to adjacent land, and ultimately to find its way into neighbouring streams - in the other suburbs, the 'very dirty slop...

  17. Potable water use of residential consumers in the Cape Town ...

    African Journals Online (AJOL)

    2016-01-01

    Jan 1, 2016 ... process for supplementary on-site water sources that was introduced by the City of Cape ... research objectives and would include relatively deep garden .... relatively shallow water table provide ideal conditions for small-.

  18. The health benefits of attaining and strengthening air quality standards in Cape Town

    Directory of Open Access Journals (Sweden)

    Samantha Keen

    2016-12-01

    Full Text Available The link between pollution and poor health and mortality has been established globally. Developing countries carry most of the burden of ill health from air pollution, and urban centres like the City of Cape Town even more so. Effective air quality management to protect human health relies on the attainment of air quality standards. This study uses the Benefits Mapping and Analysis Program (BenMAP along with a locally derived exposure-response function and air quality monitor data to investigate whether the consistent attainment of current or more stringent air quality standards would avoid loss of life. The results show that attaining the PM10 24-hour mean South Africa National Standard limit and the PM10 and SO2 24-hour mean World Health Organisation guidelines in Cape Town reduces levels of pollutants and does reduce excess risk of mortality in Cape Town.

  19. Morphological modelling of the response to a shipwreck - A case study at Cape Town

    DEFF Research Database (Denmark)

    Kristensen, Sten Esbjørn; Fredsoe, Jørgen; Deigaard, Rolf

    2012-01-01

    A simulation of the morphological development and degrade of a salient behind a shipwreck located north of Cape Town, South Africa is presented. The morphological model is based on a hybrid morphological model concept which combines a 2D coastal model for calculating sediment transport with a sim......A simulation of the morphological development and degrade of a salient behind a shipwreck located north of Cape Town, South Africa is presented. The morphological model is based on a hybrid morphological model concept which combines a 2D coastal model for calculating sediment transport...

  20. Action needed to help Cape Town adapt to climate change | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2016-06-09

    Jun 9, 2016 ... The impacts of climate change on the city of Cape Town, South Africa, are outlined in a new book, Climate Change at the City Scale. IDRC-supported researchers Anton Cartwright, Susan Parnell, Gregg Oelofse, and Sarah Ward argue that local governments and scientists need to work together to take ...

  1. Language Policy as a Sociocultural Tool: Insights from the University of Cape Town

    Science.gov (United States)

    Karjalainen, Magda

    2016-01-01

    This theoretically oriented article draws on the author's previous research, which examined language policy and planning (LPP) of the University of Cape Town within the context of post-apartheid transformation driven by need to redress inequalities of the past, and demands of globalization. Drawing on critical linguistics, but indicating…

  2. Development of a virtual wave buoy system for the Port of Cape Town, South Africa

    CSIR Research Space (South Africa)

    Rossouw, Marius

    2005-07-01

    Full Text Available The Port of Cape Town is located in Table Bay on the south-west coast of South Africa. Since the port experiences advese weather conditions, especially during the winter period, the monitoring of marine weather and wave conditions forms an integral...

  3. Methamphetamine Use and Sexual Risk Behavior among High School Students in Cape Town, South Africa

    Science.gov (United States)

    Pluddemann, Andreas; Flisher, Alan J.; McKetin, Rebecca; Parry, Charles D.; Lombard, Carl J.

    2012-01-01

    Objective: To investigate whether methamphetamine use is associated with sexual risk behavior among adolescents. Method: A cross-sectional survey of 1,561 male and female high school students in Cape Town (mean age 14.9 years) was conducted using items from the Problem Oriented Screening Instrument for Teenagers (POSIT) HIV Risk Scale. Results:…

  4. Education, Ethnic Homogenization and Cultural Hybridization (Brussels, Belgium, and Cape Town, South Africa).

    Science.gov (United States)

    Leman, Johan, Ed.

    1999-01-01

    The eight chapters of this theme issue examine the ways in which autochthonous communities regard the supply side of education. The supply side is segregational in nature, and immigrants themselves move toward ethnic homogenization. The focus is on urban minorities in Brussels (Belgium). Compares the situation in Cape Town (South Africa). (SLD)

  5. Introductory Astronomy Course at the University of Cape Town: Probing Student Perspectives

    Science.gov (United States)

    Rajpaul, Vinesh; Allie, Saalih; Blyth, Sarah-Louise

    2014-01-01

    We report on research carried out to improve teaching and student engagement in the introductory astronomy course at the University of Cape Town. This course is taken by a diverse range of students, including many from educationally disadvantaged backgrounds. We describe the development of an instrument, the Introductory Astronomy Questionnaire…

  6. Maintaining cold chain integrity: Temperature breaks within fruit reefer containers in the Cape Town Container Terminal

    CSIR Research Space (South Africa)

    Goedhals-Gerber, LL

    2017-08-01

    Full Text Available credibility, and fi nancial losses. Seventy percent (70%) of South African fruit exports are shipped through the Cape Town Container Terminal (CTCT). This in-depth case study provides a better understanding of the signifi cant challenges within the CTCT...

  7. Managing the Risk of Flooding and Sea-level Rise in Cape Town ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    The city of Cape Town is facing the dual challenge of redressing the legacy apartheid (inequality and spatial segregation) and responding to climate change. Over the past two decades, the rate of residential and commercial development in the city almost doubled. Much of the expansion took place along the coastline and ...

  8. Sanitation services for the informal settlements of Cape Town, South Africa

    NARCIS (Netherlands)

    Mels, A.R.; Castellano, D.; Braadbaart, O.D.; Veenstra, S.; Dijkstra, I.; Meulman, B.; Singels, A.; Wilsenach, J.A.

    2009-01-01

    Sanitation coverage in the informal settlements of Cape Town is severely lagging behind. A recent inventory showed that the main barriers to the implementation of proper sanitation systems are unsuitability of the location of many settlements (more than 40% of the sites are located on private land,

  9. The Tangled Web: Investigating Academics' Views of Plagiarism at the University of Cape Town

    Science.gov (United States)

    de Jager, Karin; Brown, Cheryl

    2010-01-01

    This article considers the problematic question of student plagiarism, its causes and manifestations, and how it is addressed in academic environments. A literature survey was conducted to establish how higher education institutions approach these issues, and a twofold investigation was conducted at the University of Cape Town. Data was gathered…

  10. No decrease in annual risk of tuberculosis infection in endemic area in Cape Town, South Africa

    NARCIS (Netherlands)

    Kritzinger, Fiona E.; den Boon, Saskia; Verver, Suzanne; Enarson, Donald A.; Lombard, Carl J.; Borgdorff, Martien W.; Gie, Robert P.; Beyers, Nulda

    2009-01-01

    To estimate the change in annual risk of tuberculosis infection (ARTI) in two neighbouring urban communities of Cape Town, South Africa with an HIV prevalence of approximately 2%, and to compare ARTI with notification rates and treatment outcomes in the tuberculosis (TB) programme. In 1998-1999 and

  11. Options for Water, Energy and Chemical Savings for Finitex, Cape Town

    DEFF Research Database (Denmark)

    Schneider, Zsig; Wenzel, Henrik

    An analysis of the options identified for saving of water, energy and chemicals was conducted at Finitex, Cape Town on the 18th October 2002. Cost savings were calculated from an estimation of the reduction in cost of water, energy and chemical usage associated with various interventions. Capital...

  12. Survival of children in Cape Town known to be vertically infected ...

    African Journals Online (AJOL)

    infected with HIV-1. G D Hussey, R M Reijnhart, A M Sebens,. J Burgess, S Schaaf, S Potgieter. Objective. To determine the survival patterns of children in. Cape Town known ... age and clinical manifestations was determined by calculation of odds .... dermatological problems (45%) and oral thrush (34%). Tuberculosis was ...

  13. Analysis of Early Childhood Development (ECD) facilities within the city of Cape Town

    CSIR Research Space (South Africa)

    Mokgalaka, H

    2011-10-01

    Full Text Available of the current situation of accessibility of ECD facilities in Cape Town in respect of both location and size. This was followed by modelling of the optimal location of a select number of new ECD Centre’s of Excellence facilities to meet the backlog in current...

  14. Research collaboration 2011-2012: A joint publication highlighting the research partnerships between the CSIR and University of the Western Cape, University of Cape Town, Stellenbosch University

    CSIR Research Space (South Africa)

    CSIR

    2012-01-01

    Full Text Available CSIR’s partnerships with the University of the Western Cape (UWC), University of Cape Town (UCT) and Stellenbosch University (SU) seek to conduct research that improves the quality of the lives of the people of South Africa by responding...

  15. Health activism in Cape Town: a case study of the Health Workers Society.

    Science.gov (United States)

    Pick, W; Claassen, J W B; Le Grange, C A; Hussey, G D

    2012-03-02

    The Health Workers Society (HWS), founded in 1980, was one of several progressive health organisations that fought for a democratic health system in South Africa. We document the sociopolitical context within which it operated and some of its achievements. HWS, many of whose members were staff and students of the University of Cape Town (UCT), provided a forum for debate on health-related issues, politics and society, and worked closely with other organisations to oppose the apartheid state's health policies and practices. They assisted with the formation of the first dedicated trade union for all healthcare workers and were one of the first to pioneer the primary healthcare approach in an informal settlement in Cape Town.

  16. Can Cape Town's unique biodiversity be saved? Balancing conservation imperatives and development needs

    Directory of Open Access Journals (Sweden)

    Patricia M. Holmes

    2012-06-01

    Full Text Available Cape Town is an urban hotspot within the Cape Floristic Region global biodiversity hotspot. This city of 2,460 km² encompasses four local centers of fynbos plant endemism, 19 national terrestrial vegetation types (six endemic to the city, wetland and coastal ecosystems, and 190 endemic plant species. Biodiversity in the lowlands is under threat of extinction as a result of habitat loss to agriculture, urban development, mining, and degradation by invasive alien plants. Cape Town's population is 3.7 million, increasing by an estimated 55,000 people/yr, which puts pressure on biodiversity remnants for development. South Africa is a signatory to international instruments to reduce biodiversity loss and has a good legislative and policy framework to conserve biodiversity, yet implementation actions are slow, with limited national and provincial support to conserve Cape Town's unique and irreplaceable biodiversity. The lack-of-action problem is two-fold: national government is slow to implement the policies developed to realize the international instruments it has signed, with conservation initiatives inadequately funded; and local governments are not yet recognized as important implementation partners. A further problem is created by conflicting policies such as the national housing policy that contributes to urban sprawl and loss of critical biodiversity areas. The City's Biodiversity Management Branch, with partners, is making some headway at implementation, but stronger political commitment is needed at all levels of government. Our objective is to improve the status and management of biodiversity in existing conservation areas through the statutory proclamation process and management effectiveness monitoring, respectively, and to secure priority areas of the BioNet, Cape Town's systematic biodiversity plan. The most important tools for the latter are incorporating the BioNet plan into City spatial plans; communication, education, and public

  17. The use of Hemopure® at Groote Schuur hospital, Cape Town: 4 ...

    African Journals Online (AJOL)

    Hemopure® is a cell-free haemoglobin solution that is made from bovine haemoglobin that is designed to carry oxygen in the plasma. It is approved for use in South Africa for the treatment of acute surgical anaemia. We describe the use of Hemopure® at a large tertiary hospital in Cape Town where there is a blood bank on ...

  18. Decision support with respect to facility location and fleet composition for FoodBank Cape Town

    CSIR Research Space (South Africa)

    Lanz, EJ

    2011-09-01

    Full Text Available Fleet Composition Current & Future Work FoodBank Cape Town First in South Africa Launched on 2 March 2009 Warehouse located in Philippi East [1] Majority of food sourced from DCs and retail sector Distributing to approximately 200 agencies... & Future Work Figure: Sourcing & distributing ow diagram EJ Lanz 40th Annual ORSSA Conference 11 of 36 Background Project Focus Demand & Candidate Sites Facility Location Problems Vehicle Fleet Composition Current & Future Work Data Demand Site...

  19. The Impact of Facebook on the Quality of Life of Senior Citizens in Cape Town

    OpenAIRE

    Rylands , Denaneer; Belle , Jean-Paul ,

    2017-01-01

    Part 14: Current Issues; International audience; Social Networking Sites (SNSs), such as Facebook, can be used to maintain social connectedness especially with friends and family, irrespective of geographical distances or physical impairments. This is particularly beneficial for older people who are more prone to social exclusion. This paper investigates the impact that the use of Facebook has on the quality of life (QOL) of senior citizens living in Cape Town. The study use a positivist appr...

  20. Non-communicable disease risk factors and treatment preference of obese patients in Cape Town

    OpenAIRE

    Manning, Kathryn; Senekal, Marjanne; Harbron, Janetta

    2016-01-01

    Background: Insights into the characteristics of treatment seekers for lifestyle changes and treatment preferences are necessary for intervention planning. Aim: To compile a profile of treatment-seeking obese patients with non-communicable diseases (NCDs) or NCD risk factors and to compare patients who choose group-based (facility-based therapeutic group [FBTG]) versus usual care (individual consultations) treatment. Setting: A primary healthcare facility in Cape Town, South Africa. ...

  1. Exploring urban health in Cape Town, South Africa: an interdisciplinary analysis of secondary data

    Science.gov (United States)

    Mumm, Rebekka; Hänselmann, Eva; Freund, Johanna; Wirsching, Michael; Gärtner, Jan; Gminski, Richard; Vögtlin, Katrin; Körner, Mirjam; Zirn, Lena; Wittwer-Backofen, Ursula; Oni, Tolu

    2017-01-01

    Background: With modern information technology, an overwhelming amount of data is available on different aspects of societies. Our research investigated the feasibility of using secondary data sources to get an overview of determinants of health and health outcomes in different population strata of Cape Town, a large city of South Africa. Methods: The methodological approach of secondary-data analysis was similar in the different disciplines: Biological Anthropology, Public Health, Environmental Health, Mental Health, Palliative Care, Medical Psychology and Sociology at the University of Freiburg and Public Health at the University of Cape Town. The teams collected information on Cape Town through Internet searches and published articles. The information was extracted, analyzed, condensed, and jointly interpreted. Results: Data show the typical picture of a population in epidemiological and demographic transition exposed to often difficult social, mental, and physical environmental conditions. Comparison between low and higher socioeconomic districts demonstrated that the former had higher air pollution, poorer water quality, and deficient sanitary conditions in addition to sub-optimal mental health services and palliative care. Conclusion: Although important information gaps were identified, the data draw attention to critical public health interventions required in poor health districts, and to motivate for pro-equity policies. PMID:28093045

  2. Research to action to address inequities: the experience of the Cape Town Equity Gauge

    Directory of Open Access Journals (Sweden)

    Reagon Gavin

    2008-02-01

    Full Text Available Abstract Background While the importance of promoting equity to achieve health is now recognised, the health gap continues to increase globally between and within countries. The description that follows looks at how the Cape Town Equity Gauge initiative, part of the Global Equity Gauge Alliance (GEGA is endeavouring to tackle this problem. We give an overview of the first phase of our research in which we did an initial assessment of health status and the socio-economic determinants of health across the subdistrict health structures of Cape Town. We then describe two projects from the second phase of our research in which we move from research to action. The first project, the Equity Tools for Managers Project, engages with health managers to develop two tools to address inequity: an Equity Measurement Tool which quantifies inequity in health service provision in financial terms, and a Equity Resource Allocation Tool which advocates for and guides action to rectify inequity in health service provision. The second project, the Water and Sanitation Project, engages with community structures and other sectors to address the problem of diarrhoea in one of the poorest areas in Cape Town through the establishment of a community forum and a pilot study into the acceptability of dry sanitation toilets. Methods A participatory approach was adopted. Both quantitative and qualitative methods were used. The first phase, the collection of measurements across the health subdistricts of Cape Town, used quantitative secondary data to demonstrate the inequities. In the Equity Tools for Managers Project further quantitative work was done, supplemented by qualitative policy analysis to study the constraints to implementing equity. The Water and Sanitation Project was primarily qualitative, using in-depth interviews and focus group discussions. These were used to gain an understanding of the impact of the inequities, in this instance, inadequate sanitation

  3. Molecular detection of airborne Emergomyces africanus, a thermally dimorphic fungal pathogen, in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Ilan S Schwartz

    2018-01-01

    Full Text Available Emergomyces africanus is a thermally dimorphic fungus that causes a systemic mycosis in immunocompromised persons in South Africa. Infection is presumed to follow inhalation of airborne propagules. We developed a quantitative PCR protocol able to detect as few as 5 Es. africanus propagules per day. Samples were collected in Cape Town, South Africa over 50 weeks by a Burkard spore trap with an alternate orifice. We detected Es. africanus in air samples from 34 days (10% distributed over 11 weeks. These results suggest environmental exposure to airborne Es. africanus propagules occurs more commonly in endemic areas than previously appreciated.

  4. Molecular detection of airborne Emergomyces africanus, a thermally dimorphic fungal pathogen, in Cape Town, South Africa.

    Science.gov (United States)

    Schwartz, Ilan S; McLoud, Josh D; Berman, Dilys; Botha, Alfred; Lerm, Barbra; Colebunders, Robert; Levetin, Estelle; Kenyon, Chris

    2018-01-01

    Emergomyces africanus is a thermally dimorphic fungus that causes a systemic mycosis in immunocompromised persons in South Africa. Infection is presumed to follow inhalation of airborne propagules. We developed a quantitative PCR protocol able to detect as few as 5 Es. africanus propagules per day. Samples were collected in Cape Town, South Africa over 50 weeks by a Burkard spore trap with an alternate orifice. We detected Es. africanus in air samples from 34 days (10%) distributed over 11 weeks. These results suggest environmental exposure to airborne Es. africanus propagules occurs more commonly in endemic areas than previously appreciated.

  5. Firearm injuries to children in Cape Town, South Africa: impact of the 2004 Firearms Control Act.

    Science.gov (United States)

    Campbell, N M; Colville, J G; van der Heyde, Y; van As, A B

    2013-07-31

    Before the introduction of the Firearms Control Act in 2004, the epidemiology of childhood firearm injuries from 1991 to 2001 in Cape Town, South Africa, was reported. This study analyses current data as a comparator to assess the impact of the Act. Firearm injuries seen at Red Cross War Memorial Children's Hospital, Cape Town, from 2001 to 2010 were respectively reviewed. Data recorded included the patients' folder numbers, gender, date of birth, age, date of presentation, date discharged and inpatient stay, firearm type, number of shots, circumstances, injury sites, injury type, treatment, resulting morbidities and survival. These data were compared with the 1991 - 2001 data. One hundred and sixty-three children presented with firearm injuries during this period. The results showed a decrease in incidence from 2001 to 2010. Older children and males had a higher incidence than younger children and females. Most injuries were to an extremity and were unintentional. Mortality had reduced significantly from the previous study (6% to 2.6%), as did the total number of inpatient days (1 063 to 617). Compared with the earlier study, this study showed a significant reduction in the number of children presenting with a firearm-related injury. Mortality and inpatient stay were also significantly reduced. The study shows the impact that the Firearms Control Act has had in terms of paediatric firearm-related injury and provides evidence that the medical profession can play an important role in reducing violence.

  6. Contraception usage and timing of pregnancy among pregnant teenagers in Cape Town, South Africa.

    Science.gov (United States)

    Vollmer, Linda R; van der Spuy, Zephne M

    2016-06-01

    To evaluate knowledge and use of contraception among pregnant teenagers in the Cape Town metropolitan area. A cross-sectional study enrolled women aged 16 to 19 years who were pregnant and attending prenatal clinics, and prenatal and labor wards at regional hospitals and midwife-run obstetric clinics in the Cape Town area between March 1, 2011 and September 30, 2011. Data were collected using an administered questionnaire. The study enrolled 314 participants. Of the participants, 240 (76.4%) felt their pregnancies had occurred at the "wrong time" but only 38 (12.1%) were using contraception at the time of conception. The form of contraception that participants most commonly had knowledge of was injectable hormonal contraception (274 [87.3%]). Contraception use was low, with 126 (40.1%) participants having never used contraception. The forms of contraception used most commonly were the male condom (106 [33.8%]) and injectable contraception (98 [31.2%]). The majority of participants found it easy to get contraception (192 [61.1%]) and felt that information regarding contraception was readily available (233 [74.2%]). Contraception use is suboptimal but this may not simply be a reflection of ineffective family-planning services. Further research is needed to fully explain the lack of contraceptive use in this population. Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  7. Spatial and temporal disaggregation of anthropogenic CO2 emissions from the City of Cape Town

    Directory of Open Access Journals (Sweden)

    Alecia Nickless

    2015-11-01

    Full Text Available This paper describes the methodology used to spatially and temporally disaggregate carbon dioxide emission estimates for the City of Cape Town, to be used for a city-scale atmospheric inversion estimating carbon dioxide fluxes. Fossil fuel emissions were broken down into emissions from road transport, domestic emissions, industrial emissions, and airport and harbour emissions. Using spatially explicit information on vehicle counts, and an hourly scaling factor, vehicle emissions estimates were obtained for the city. Domestic emissions from fossil fuel burning were estimated from household fuel usage information and spatially disaggregated population data from the 2011 national census. Fuel usage data were used to derive industrial emissions from listed activities, which included emissions from power generation, and these were distributed spatially according to the source point locations. The emissions from the Cape Town harbour and the international airport were determined from vessel and aircraft count data, respectively. For each emission type, error estimates were determined through error propagation techniques. The total fossil fuel emission field for the city was obtained by summing the spatial layers for each emission type, accumulated for the period of interest. These results will be used in a city-scale inversion study, and this method implemented in the future for a national atmospheric inversion study.

  8. Inequitable access to substance abuse treatment services in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Louw Johann

    2010-11-01

    Full Text Available Abstract Background Despite high levels of substance use disorders in Cape Town, substance abuse treatment utilization is low among people from disadvantaged communities in Cape Town, South Africa. To improve substance abuse treatment utilization, it is important to identify any potential barriers to treatment initiation so that interventions to reduce these barriers can be implemented. To date, substance abuse research has not examined the factors associated with substance abuse treatment utilization within developing countries. Using the Behavioural Model of Health Services Utilization as an analytic framework, this study aimed to redress this gap by examining whether access to substance abuse treatment is equitable and the profile of variables associated with treatment utilization for people from poor communities in Cape Town, South Africa. Methods This study used a case-control design to compare 434 individuals with substance use disorders from disadvantaged communities who had accessed treatment with 555 controls who had not accessed treatment on a range of predisposing, treatment need and enabling/restricting variables thought to be associated with treatment utilization. A hierarchical logistic regression was conducted to assess the unique contribution that the need for treatment, predisposing and enabling/restricting variable blocks made on substance abuse treatment utilization. Results Findings revealed that non-need enabling/restricting variables accounted for almost equal proportions of the variance in service utilization as the need for treatment variables. These enabling/restricting variables also attenuated the influence of the treatment need and predisposing variables domains on chances of treatment utilization. Several enabling/restricting variables emerged as powerful partial predictors of utilization including competing financial priorities, geographic access barriers and awareness of treatment services. Perceived severity of

  9. Typhoid fever: A report on a point-source outbreak of 69 cases in Cape Town.

    Science.gov (United States)

    Popkiss, M E

    1980-03-01

    In 1978, after a party in a Cape Town suburb attended by several hundred people, 69 persons were treated for typhoid fever. The precise source of the infection could not be traced, although it is reasonable to suppose that food eaten at the party had been contaminated by the main caterer. All 57 cultures of Salmonella typhi phage-typed were of phage type 46, including that obtained from the stool of the main caterer, who was asymptomatic. An epidemiological profile of the cases and an account of the management of the outbreak is given. There were no deaths and no patient became a carrier. Although the outbreak was contained, certain problems relating thereto are aired, including in particular the potential hazard of food-borne disease wherever housing and environmental standards are low.

  10. Emerging Societal Involvement in City Management : the case of Cape Town

    Directory of Open Access Journals (Sweden)

    Neil Dewar

    1999-02-01

    Full Text Available Since the advent of full participatory democracy in South Africa in April 1994, a fundamental revision of the norms, values and practices of urban management has occurred. A central feature of this is expressed commitment to greater transparency and public participation in decision-making and project execution. Manegerial practice has moved from being essentially technocratic and control-oriented to more pluralistic and development-oriented. The previously disenfranchised and largely impoverished sectors of the community have moved from exclusion and confrontation toward greater involvement and empowerment. This has not been without problems however. The current status of community participation in Cape Town is reviewed and explored against a theoretical model. The conclusion drawn is that, political impediments notwithstanding, a considerable energy and momentum has been generated at local level in civil society towards the goal of improvement in social and living environments in the city.

  11. HIV prevalence and risk behaviours among foreign migrant women residing in Cape Town, South Africa.

    Science.gov (United States)

    Townsend, Loraine; Giorgio, Maggie; Zembe, Yanga; Cheyip, Mireille; Mathews, Catherine

    2014-10-01

    HIV prevalence and risk behaviour among foreign migrants in South Africa has not been explored. This paper describes the effectiveness of respondent-driven sampling (RDS) to recruit foreign migrant women residing in Cape Town, reports HIV prevalence, and describes key characteristics among them. We conducted a biological and behavioural surveillance survey using RDS. After written informed consent, participants completed an audio computer assisted self-interview and provided a dried blood sample for HIV analysis. HIV prevalence was estimated to be 7 % (CI 4.9-9.5) among 935 women. HIV sero-positivity was associated with older age (p = 0.001), country of origin (p used a condom at last sex with a main partner (p = 0.007). Few women reported early sexual debut, or multiple sexual partners. RDS was successful in recruiting foreign migrant women.

  12. Introductory astronomy course at the University of Cape Town: Probing student perspectives

    Directory of Open Access Journals (Sweden)

    Vinesh Rajpaul

    2014-11-01

    Full Text Available We report on research carried out to improve teaching and student engagement in the introductory astronomy course at the University of Cape Town. This course is taken by a diverse range of students, including many from educationally disadvantaged backgrounds. We describe the development of an instrument, the Introductory Astronomy Questionnaire (IAQ, which we administered as pre- and posttests to students enrolled in the course. The instrument comprised a small number of questions which probed three areas of interest: student motivation and expectations, astronomy content, and worldview. Amongst our findings were that learning gains were made in several conceptual areas, and that students appeared to develop a more nuanced view of the nature of astronomy. There was some evidence that the course had a positive impact on students’ worldviews, particularly their attitudes towards science. We also identified a promising predictor of course success that could in the future be used to identify students requiring special teaching intervention.

  13. BARRIERS TO COMMUNITY PARTICIPATION IN CRIME PREVENTION IN LOW INCOME COMMUNITIES IN CAPE TOWN

    Directory of Open Access Journals (Sweden)

    Jean Claude Manaliyo

    2016-01-01

    Full Text Available Community participation in crime prevention has been embraced byanti-crime organizations as apanaceaforcrime problems. Thisapproach gained its preeminent status after governments realisedthatlaw enforcement alone cannot reducecrimewithout involvingcommunities.This paper provides insight into challenges facingcommunityparticipationinone of the Cape Town townships. Thestudy employed qualitative method and participants such as ordinarycitizens and representatives of anti-crime organizati ons operating inKhayelitshawere purposively selected. Data was collected using in-depthface-to-faceinterviews. Key findings show that Khayelitsharesidentspatrolstreets during the night undera neighborhood watchproject; and by reporting committed crimes to police or providingpolice with informationon potential crimes, this same communitypatrol helps decrease potential criminal activities.Communityparticipation in Khayelitsha however, faces some impediments suchaspoverty among the community residents, and ineffective policeresponse to crimes.

  14. Stories of Change: e/merge @ the University of Cape Town

    Science.gov (United States)

    Carr, Tony

    The Center for Educational Technology (CET) is located at the University of Cape Town, which is a leading South African research and teaching university. This implies great opportunities and challenges since we are poised between the experience of and conditions faced by colleagues in other parts of Africa and those of the colleagues in first-world countries. We have access to the intellectual and professional networks of the first world and our university features on global rankings, yet our resourcing, while generous in terms of most other universities in our continent, is a fraction of that enjoyed by first-world universities of similar size and scope. Both globalization and developmental imperatives require us to rapidly extend the effective use of educational technology in our university for teaching and learning. The received models of e-Learning integration developed mostly in first-world countries need to be adapted for contexts with scarce resources.

  15. When students become patients: TB disease among medical undergraduates in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Helene-Mari van der Westhuizen

    2017-06-01

    Full Text Available Background. Medical students acquire latent tuberculosis (TB infection at a rate of 23 cases/100 person-years. The frequency and impact of occupational TB disease in this population are unknown. Methods. A self-administered questionnaire was distributed via email and social media to current medical students and recently graduated doctors (2010 - 2015 at two medical schools in Cape Town. Individuals who had developed TB disease as undergraduate students were eligible to participate. Quantitative and qualitative data collected from the questionnaire and semi-structured interviews were analysed with descriptive statistics and a framework approach to identify emerging themes. Results. Twelve individuals (10 female reported a diagnosis of TB: pulmonary TB (n=6, pleural TB (n=3, TB lymphadenitis (n=2 and TB spine (n=1; 2/12 (17% had drug-resistant disease (DR-TB. Mean diagnostic delay post consultation was 8.1 weeks, with only 42% of initial diagnoses being correct. Most consulted private healthcare providers (general practitioners (n=7; pulmonologists (n=4, and nine underwent invasive procedures (bronchoscopy, pleural fluid aspiration and tissue biopsy. Substantial healthcare costs were incurred (mean ZAR25 000 for drug-sensitive TB, up to ZAR104 000 for DR-TB. Students struggled to obtain treatment, incurred high transport costs and missed academic time. Students with DR-TB interrupted their studies and experienced severe side-effects (hepatotoxicity, depression and permanent ototoxicity. Most participants cited poor TB infection-control practices at their training hospitals as a major risk factor for occupational TB. Conclusions. Undergraduate medical students in Cape Town are at high risk of occupationally acquired TB, with an unmet need for comprehensive occupational health services and support.

  16. From Digital Divide to Digital Equity: Learners' ICT Competence in Four Primary Schools in Cape Town, South Africa

    Science.gov (United States)

    Gudmundsdottir, G. B.

    2010-01-01

    This study explores factors influencing the digital divide in four schools in Cape Town, South Africa. Three of the schools are for disadvantaged learners whereas the fourth was previously for whites only. All the schools use ICT in their curriculum delivery and thereby support the emphasis of provincial educational authorities on ICT access for…

  17. Estimates of CO2 fluxes over the City of Cape Town, South Africa, through Bayesian inverse modelling

    CSIR Research Space (South Africa)

    Nickless, A

    2018-04-01

    Full Text Available The results of a high resolution Bayesian inversion over the City of Cape Town, South Africa, are presented, which used observations of atmospheric carbon dioxide from sites at Robben Island and Hangklip lighthouses collected over a sixteen month...

  18. Temporal trends in TB notification rates during ART scale-up in Cape Town: an ecological analysis

    NARCIS (Netherlands)

    Hermans, Sabine; Boulle, Andrew; Caldwell, Judy; Pienaar, David; Wood, Robin

    2015-01-01

    Although antiretroviral therapy (ART) reduces individual tuberculosis (TB) risk by two-thirds, the population-level impact remains uncertain. Cape Town reports high TB notification rates associated with endemic HIV. We examined population trends in TB notification rates during a 10-year period of

  19. Focus on CSIR research in water resources: Managed aquifer recharge on the west coast north of Cape Town, South Africa

    CSIR Research Space (South Africa)

    Colvin, C

    2007-08-01

    Full Text Available The Atlantis Water Resource Management Scheme (AWRMS) located some 40 km north of Cape Town shows how insightful planning and management can expand the groundwater supply potential of a primary aquifer for bulk urban water supply. The AWRMS...

  20. A community in trouble? The impact of gentrification on the Bo-Kaap, Cape Town

    Directory of Open Access Journals (Sweden)

    Nico Kotze

    2013-01-01

    Full Text Available The Bo-Kaap is an older inner-city, working-class neighbourhood in Cape Town, South Africa. By the 1930s, the area had degenerated into an overcrowded and run-down neighbourhood, consisting largely of dilapidated houses, but by 1941 about 150 housing units had been expropriated by the local authority for redevelopment in a comprehensive renewal scheme for the area. However, the process was halted with the formation of the so-called “Group for the Preservation of the Malay Quarter”, which fought against the demolition of the houses. At present, the area with its colourful housing units and 11 mosques is part of Cape Town’s cultural heritage and a very important tourist attraction. As in the case of De Waterkant, a gentrified neighbourhood adjacent to it, the area has seen a large number of housing units renovated and upgraded. Property prices have increased dramatically, although they are still relatively low, while the number of properties sold is also on the rise – so much so that the community leaders and especially the Muslim residents are in a constant battle to preserve the neighbourhood’s cultural identity.

  1. A qualitative study of methamphetamine initiation in Cape Town, South Africa

    Science.gov (United States)

    Hobkirk, Andréa L.; Watt, Melissa H.; Myers, Bronwyn; Skinner, Donald; Meade, Christina S.

    2015-01-01

    Background Despite a significant rise in methamphetamine use in low- and middle-income countries, there has been little empirical examination of the factors that contribute to individuals’ initiation of methamphetamine use in these settings. The goal of this study was to qualitatively examine factors associated with methamphetamine initiation in South Africa. Methods In-depth interviews were conducted with 30 active methamphetamine users (13 women and 17 men) in Cape Town, South Africa. Interviews included narrative descriptions of the circumstances surrounding methamphetamine initiation. Interviews were audio recorded, transcribed, and translated. Transcripts were analyzed with document memos, data display matrices, and a constant comparison technique to identify themes. Results On average, participants began regularly using methamphetamine around age 21 and had used for seven years. Four major themes emerged related to the initiation of methamphetamine use. The prevalence of methamphetamine users and distributors made the drug convenient and highly accessible to first time users. Methamphetamine has increased in popularity and is considered “trendy”, which contributes to social pressure from friends, and less often, family members to initiate use. Initiation is further fueled by a lack of opportunities for recreation and employment, which leads to boredom and curiosity about the rumored positive effects of the drug. Young people also turn to methamphetamine use and distribution through gang membership as an attempt to generate income in impoverished communities with limited economic opportunities. Finally, participants described initiating methamphetamine as a means of coping with the cumulative stress and psychological burden provoked by the high rates of violence and crime in areas of Cape Town. Conclusion The findings highlight the complex nature of methamphetamine initiation in low- and middle-income countries like South Africa. There is a need for

  2. A qualitative study of methamphetamine initiation in Cape Town, South Africa.

    Science.gov (United States)

    Hobkirk, Andréa L; Watt, Melissa H; Myers, Bronwyn; Skinner, Donald; Meade, Christina S

    2016-04-01

    Despite a significant rise in methamphetamine use in low- and middle-income countries, there has been little empirical examination of the factors that contribute to individuals' initiation of methamphetamine use in these settings. The goal of this study was to qualitatively examine factors associated with methamphetamine initiation in South Africa. In-depth interviews were conducted with 30 active methamphetamine users (13 women and 17 men) in Cape Town, South Africa. Interviews included narrative descriptions of the circumstances surrounding methamphetamine initiation. Interviews were audio recorded, transcribed, and translated. Transcripts were analyzed with document memos, data display matrices, and a constant comparison technique to identify themes. On average, participants began regularly using methamphetamine around age 21 and had used for seven years. Four major themes emerged related to the initiation of methamphetamine use. The prevalence of methamphetamine users and distributors made the drug convenient and highly accessible to first time users. Methamphetamine has increased in popularity and is considered "trendy", which contributes to social pressure from friends, and less often, family members to initiate use. Initiation is further fueled by a lack of opportunities for recreation and employment, which leads to boredom and curiosity about the rumored positive effects of the drug. Young people also turn to methamphetamine use and distribution through gang membership as an attempt to generate income in impoverished communities with limited economic opportunities. Finally, participants described initiating methamphetamine as a means of coping with the cumulative stress and psychological burden provoked by the high rates of violence and crime in areas of Cape Town. The findings highlight the complex nature of methamphetamine initiation in low- and middle-income countries like South Africa. There is a need for community-level interventions to address the

  3. The psychological well-being of children orphaned by AIDS in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Cluver Lucie

    2006-07-01

    Full Text Available Abstract Background An estimated 2 million children are parentally bereaved by AIDS in South Africa. Little is known about mental health outcomes for this group. Methods This study aimed to investigate mental health outcomes for urban children living in deprived settlements in Cape Town. 30 orphaned children and 30 matched controls were compared using standardised questionnaires (SDQ on emotional and behavioural problems, peer and attention difficulties, and prosocial behaviour. The orphan group completed a modified version of a standardised questionnaire (IES-8, measuring Post-Traumatic Stress symptoms. Group differences were tested using t-tests and Pearson's chi-square. Results Both groups scored highly for peer problems, emotional problems and total scores. However, orphans were more likely to view themselves as having no good friends (p = .002, to have marked concentration difficulties (p = .03, and to report frequent somatic symptoms (p = .05, but were less likely to display anger through loss of temper (p = .03. Orphans were more likely to have constant nightmares (p = .01, and 73% scored above the cut-off for Post-Traumatic Stress Disorder. Conclusion Findings suggest important areas for larger-scale research for parentally-bereaved children.

  4. Length of Service versus Employee Retention Factors: Hotels in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Ikechukwu O. Ezeuduji

    2017-04-01

    Full Text Available Employee retention can be measured quite accurately by the actual number of years that employees have worked in an organisation. This study investigates relationships between hotel employees’ length of service and responses to individual variables explaining employee retention factors. A structured questionnaire survey of 217 hotel employees in Cape Town, South Africa was used to obtain information that were subjected to bivariate and multivariate analyses. Key results show that the employees who have worked longer in the hotel have particular characteristics: they perceive that working hours in the hotel do not infringe on their personal quality time with friends; they perceive it will be difficult for them to leave the hotel; they want to remain in the hotel for a long time; and quite interestingly, they perceive they do not receive continuous training in the hotel. Further costs of hiring and developing new employees can be reduced if loyal and talented employees are retained for longer periods through continuous career development. This study is of particular interest to the hotel sector management, as it is focussed on retaining those staff who really want to build a career in the hospitality industry.

  5. Mediators of interpersonal violence and drug addiction severity among methamphetamine users in Cape Town, South Africa.

    Science.gov (United States)

    Hobkirk, Andréa L; Watt, Melissa H; Green, Kimberly T; Beckham, Jean C; Skinner, Donald; Meade, Christina S

    2015-03-01

    South Africa has high rates of interpersonal violence and a rapidly growing methamphetamine epidemic. Previous research has linked experiences of interpersonal violence to higher rates of substance use, and identified mental health constructs as potential mediators of this association. The aim of this study was to examine the relationship between interpersonal violence and addiction severity among active methamphetamine users in Cape Town, South Africa, and to explore symptoms of posttraumatic stress disorder (PTSD) and substance use coping as mediators of this relationship. A community sample of 360 methamphetamine users was recruited through respondent driven sampling and surveyed on their experiences of violence, mental health, coping, and drug use and severity. A series of one-way ANOVAs were conducted to examine the relationship of self-reported interpersonal violence with drug addiction severity, and multiple mediation analyses were used to determine if PTSD symptoms and substance use coping mediated this relationship. The majority (87%) of the sample reported experiencing at least one instance of interpersonal violence in their lifetime, and the number of violent experiences was associated with increased drug addiction severity. PTSD and substance use coping were significant mediators of this association. Only the indirect effect of substance use coping remained significant for the female sample when the mediation model was conducted separately for men and women. The findings point to the need for integrated treatments that address drug use and PTSD for methamphetamine users in South Africa and highlight the importance of coping interventions for women. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. Methodological challenges in a study on falls in an older population of Cape Town, South Africa.

    Science.gov (United States)

    Kalula, Sebastiana Z; Ferreira, Monica; Swingler, George H; Badri, Motasim; Sayer, Avan A

    2017-09-01

    Falls are a major cause of disability, morbidity and mortality in older persons, but have been under researched in developing countries. To describe challenges encountered in a community-based study on falls in a multi-ethnic population aged ≥65 years in a low-income setting. The study was conducted in four stages: A pilot study (n=105) to establish a sample size for the survey. An equipment validation study (n=118) to use for fall risk determination. A cross-sectional baseline (n=837) and a 12-month follow-up survey (n=632) to establish prevalence and risk factors for falls. Prevalence rate of 26.4% (95% CI 23.5-29.5%) and risk factors for recurrent falls: previous falls, self-reported poor mobility and dizziness were established. Adaptations to the gold standard prospective fall research study design were employed: 1) to gain access to the study population in three selected suburbs, 2) to perform assessments in a non-standardised setting, 3) to address subjects' poverty and low literacy levels, and high attrition of subjects and field workers. Studies on falls in the older population of low- to middle-income countries have methodological challenges. Adaptive strategies used in the Cape Town study and the research experience reported may be instructive for investigators planning similar studies in such settings.

  7. Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.

    Science.gov (United States)

    Lion, Ryan R; Watt, Melissa H; Wechsberg, Wendee M; Meade, Christina S

    2017-05-12

    South Africa has experienced a tremendous rise in methamphetamine use since the year 2000. Sex trading is a global phenomenon that has been observed in active drug users and has been associated with risks for HIV infection and violence. This paper describes and examines the correlates of sex trading among active methamphetamine users in Cape Town, South Africa. Through peer referral, 360 (201 male; 159 female) active methamphetamine users were recruited in a peri-urban township. Demographics, sex trading, drug use, trauma, and mental health were assessed by a structured clinical interview and computer survey. Logistic regression models were used to examine predictors of sex trading for men and women. In the past 3 months, 40% of men and 33% of women endorsed trading sex for methamphetamine or money. Among these, they reported trading with same sex partners (33%), high rates of inconsistent condom use (73%), and incidences of physical (23%) and sexual (27%) assault when sex trading. Increased drug use severity was correlated with sex trading. Women with experiences of violence and trauma were also more likely to trade sex. Conclusions/importance: The results stress a need for linkage to drug treatment, as addiction may be fueling sex trading. Targeted interventions geared towards safe sex practices may reduce risky sexual behaviors. Women need interventions that are attuned to their specific vulnerabilities. More research is needed to explore the experiences of men who have sex with men given their particularly high rates of sex trading behavior.

  8. Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa

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    Pasche Sonja

    2010-03-01

    Full Text Available Abstract Background Completion of substance abuse treatment is a proximal indicator of positive treatment outcomes. To design interventions to improve outcomes, it is therefore important to unpack the factors contributing to treatment completion. To date, substance abuse research has not examined the factors associated with treatment completion among poor, disadvantaged communities in developing countries. This study aimed to address this gap by exploring client-level factors associated with treatment completion among poor communities in South Africa. Methods Secondary data analysis was conducted on cross-sectional survey data collected from 434 persons residing in poor communities in Cape Town, South Africa who had accessed substance abuse treatment in 2006. Results Multiple regression analyses revealed that therapeutic alliance, treatment perceptions, abstinence-specific social support, and depression were significant partial predictors of treatment completion. Conclusions Findings suggest that treatment completion rates of individuals from poor South African communities can be enhanced by i improving perceptions of substance abuse treatment through introducing quality improvement initiatives into substance abuse services, ii strengthening clients' abstinence-oriented social networks and, iii strengthening the counselor-client therapeutic alliance.

  9. Family Ties and Young Fathers’ Engagement in Cape Town, South Africa

    Science.gov (United States)

    Clark, Shelley; Cotton, Cassandra; Marteleto, Leticia J.

    2015-01-01

    Young South African fathers are often engaged in their children’s lives even if they do not live together. Using longitudinal data on children (n = 1,209) from the Cape Town area, the authors show that although only 26% of young fathers live with their children, 66% of nonresidential fathers maintain regular contact, and 61% provide financial support. The father–child relationship, however, is embedded in broader family ties. The type of father–mother relationship is strongly associated with whether fathers coreside with their children, but not with fathers’ contact with nonresidential children. Close mother and maternal grandmother bonds reduce the likelihood that fathers live with their children, whereas close ties between fathers and paternal grandmothers increase the chance that fathers visit nonresidential children. Family ties do not affect fathers’ financial contributions, which are driven by men’s current economic situation. These findings illustrate that father–child relationships are best understood in the context of interacting family systems. PMID:25774066

  10. Intertwining lives and logics: Household and informal economies in Cape Town

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    Sophie Oldfield

    2014-07-01

    Full Text Available Enabling households to make ends meet, the practices of small, informal businesses are not simple, but bound up in the struggles of households and the social and economic relationships that weave local economies together. This paper draws on stories of local businesses in an impoverished Cape Town township to situate these diverse logics and strategies, the histories and aspirations that shape small business success and struggle. Drawing on interviews and mapping every informal sector business in the neighbourhood, I reflect on the specific difficulties of running a business in the context of poverty, including unreliable and inadequate incomes, difficulties of credit, as well as the challenges of operating business on a small scale. This material demonstrates the community-based, as well as livelihood, logics that motivate local business owners as well as sustain their livelihoods. The paper concludes with an argument that the neighbourhood economy, instead of a vehicle driven primarily to maximize profit, forms an intimate part of peoples’ lives. This more multifaceted and embedded analysis stretches overly narrow notions of the informal economy, its limits and logics.

  11. Use of crystal methamphetamine among male adolescents in Cape Town, South Africa: Caregivers' experiences.

    Science.gov (United States)

    Asante, Kwaku Oppong; Lentoor, Antonio G

    2017-03-27

    Against the background that crystal methamphetamine (colloquially known as "tik") is extensively used by the emerging working class Coloured youth in Cape Town, South Africa, this exploratory qualitative study was conducted to explore the experience of mothers whose children use methamphetamine. The researchers conducted one-to-one semi-structured in-depth interviews with sixteen (16) purposively selected caregivers (mothers) whose sons use methamphetamine. Interviews were recorded and simultaneously translated and transcribed. Thematic analysis was used to identify themes related to the experiences of caregivers of youth with methamphetamine problems. Findings showed that youth misbehaviour provided a context that led to feelings of shame and embarrassment. Participants also experienced personal challenges which included emotional problems, fear and self-blame. Participants also expressed family disruptions and financial drain as adverse experiences as a results of their sons' misbehaviour. The study results highlight the psychosocial challenges for caregivers of children who use methamphetamine. These findings underscore the need for effort to be directed at the development of formal support interventions for mothers of youth who are troubled with addiction.

  12. Acute appendicitis in the public and private sectors in Cape Town, South Africa.

    Science.gov (United States)

    Yang, Estin; Cook, Colin; Kahn, Delawir

    2015-07-01

    South Africa has a low incidence of acute appendicitis, but poor outcomes. However, South African studies on appendicitis focus solely on public hospitals, neglecting those who utilize private facilities. This study aims to compare appendicitis characteristics and outcomes in public and private hospitals in South Africa. A prospective cohort study was conducted among two public and three private hospitals in the Cape Town metropole, from September 2013 to March 2014. Hospital records, operative notes, and histology results were reviewed for patients undergoing appendectomy for acute appendicitis. Patients were interviewed during their hospitalization and followed up at monthly intervals until normal function was attained. A total of 134 patients were enrolled, with 73 in the public and 61 in the private sector. Education and employment were higher among private sector patients. Public sector patients had a higher rupture rate (30.6 vs 13.2 %, p = 0.023). Times to presentation were not statistically different between the two cohorts. Public sector patients had longer hospital stays (5.3 vs 2.9 days, p = 0.036) and longer return to work times (23.0 vs 12.1 days, p public hospitals were more severe. Public sector patients in South Africa with appendicitis have higher rupture rates, worse complications, longer hospital stays, and longer recoveries than private sector patients. Patients with perforation had longer delays in presentation than patients without perforation.

  13. Enabling disability inclusive practices within the University of Cape Town curriculum: A case study

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    Chioma Ohajunwa

    2015-07-01

    Full Text Available Background: Disability inclusion in the curricula of higher education institutions contributes to socially responsive graduates with a capacity to address the cross-cutting issue of disability in development. This article discusses a study conducted at the University of Cape Town (UCT, South Africa, to explore disability inclusion. Methodology: An instrumental case study approach was adopted and a thematic analysis of data was done. Findings: Academic staff found a variety of ways to include disability, such as discussions in class, practice and service learning, but mainly as part of disciplinary requirements. Including disability as an issue of social justice stems mostly from the personal interest of staff, and is done in an ad hoc manner. Conclusion: Disability should be valued, and integrated into the curriculum in a structured manner as a perspective on diversity with which to interrogate our beliefs about ourselves and society. Theorising on disability is needed, as well as the unique perspectives that emerge across interdisciplinary boundaries, especially within the African context.

  14. Enabling disability inclusive practices within the University of Cape Town curriculum: A case study

    Science.gov (United States)

    Ohajunwa, Chioma

    2015-01-01

    Background Disability inclusion in the curricula of higher education institutions contributes to socially responsive graduates with a capacity to address the cross-cutting issue of disability in development. This article discusses a study conducted at the University of Cape Town (UCT), South Africa, to explore disability inclusion. Methodology An instrumental case study approach was adopted and a thematic analysis of data was done. Findings Academic staff found a variety of ways to include disability, such as discussions in class, practice and service learning, but mainly as part of disciplinary requirements. Including disability as an issue of social justice stems mostly from the personal interest of staff, and is done in an ad hoc manner. Conclusion Disability should be valued, and integrated into the curriculum in a structured manner as a perspective on diversity with which to interrogate our beliefs about ourselves and society. Theorising on disability is needed, as well as the unique perspectives that emerge across interdisciplinary boundaries, especially within the African context. PMID:28730025

  15. The Influence of Load Shedding on the Productivity of Hotel Staff in Cape Town, South Africa

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    Henriëtte STEENKAMP

    2016-07-01

    Full Text Available In South Africa, ESCOM is the country’s main electricity supplier. Since 2008, Eskom has implemented load shedding on an ongoing basis as a result of insufficient electricity supply to meet the demands of all its customers. Owing to the fact that many organisations across South Africa are depended on electricity in order to function, previous research studies show that the wide-spread impact of load shedding has had an adverse on the sustainability of many of these organisations. Among these organisations are those based in the hospitality industry – imperative in relation to the stimulation of the national economy; directly related to tourism. Albeit the aforementioned, the sustainability of organisations in the hospitality industry is also heavily dependent on the productivity of their employees. For this research study the influence of load shedding on the productivity of the staff in the hospitality industry was investigated within one particular hotel (Hotel X based in Cape Town. Empirical research was deployed, making use of a mixed methods approach to obtain both quantitative data and qualitative data from respondents. Stemming from the findings it was found that load shedding did have an adverse influence on the productivity of staff in Hotel X, despite the fact that affordable measures were put in place to mitigate the disruptions caused by load shedding. Moreover, the latter dispensation was found to have an inadvertently adverse influence on the overall sustainability of Hotel X on the long run.

  16. Metropolises in emerging countries: actors in energy transitions? Lessons from Cape Town (South Africa)

    International Nuclear Information System (INIS)

    Jaglin, Sylvy

    2017-01-01

    The role of cities, as places and drivers of the energy transition is increasingly recognized. The research project Termos tested the robustness of this assumption in four cities of emerging countries by asking two questions: to what extent do urban local actors really drive an urban energy transition and of what kind? To what extent are their actions supporting an urban territorialisation of energy systems? The paper first presents the findings of this comparative research, which he then extends with the case study of Cape Town. It analyzes why, despite their energy and environmental voluntarism, the municipality have little room of manoeuvre, while the changes observed seem to strengthen the stranglehold of the 'central sphere' in the energy system. Analyzing this as the expression of a conflict between a strong national electricity sector and an alternative approach to energy issues carried by urban actors, it highlights the resulting tensions and their impact on the municipal actions, both limited by resistance but also 'swallowed up' by actors from the central sphere. The paper finally draws lessons from this example to enrich the general analysis of dynamics observed in other cities of emerging countries

  17. Stratigraphic and morphologic signatures of continental shelves, IGC 2016, Cape Town: an introduction

    Science.gov (United States)

    Green, A. N.; Cooper, J. A. G.

    2018-02-01

    This special issue of Geo-Marine Letters comprises seven contributions to the session "Stratigraphic and morphologic signatures of continental shelves" of the 35th International Geological Congress held in Cape Town (Republic of South Africa) on 27 August-4 September 2016. There is an additional article not presented at the conference but falling into the same general theme. The guest editors are A.N. Green and J.A.G. Cooper. The eight articles address several contemporary themes in continental shelf geology. They include the role of antecedent conditioning on the development of shelf stratigraphy and geomorphology; erosion of submerged shorelines and their preservation during (stepped) postglacial sea-level rise; the role of glacial processes (e.g. iceberg scouring during ice-sheet retreat); and the utility of archival data in addressing contemporary issues such as Holocene climate change and global oceanographic circulation systems. The continental shelf holds important information for understanding past and present global circulation and earth-ice-atmosphere interactions including sea-level change. It is hoped that these themes will spur further research that is slowly coming to the fore in several new and innovative mapping and exploration programmes emerging from an increasing number of coastal nations.

  18. Relationship between firewood usage and urinary Cr, Cu and As in informal areas of Cape Town.

    Science.gov (United States)

    Dalvie, Mohamed Aqiel; Africa, Algernon; Naidoo, Sivapregasen

    2013-09-03

    The study investigated whether wood usage by informal food vendors and household residents in Cape Town results in the absorption of arsenic (As), chromium (Cr) and copper (Cu) owing to release of these metals in the burning of chromated copper arsenate (CCA)-treated wood. The participants (N=78) selected included an equal number of food vendors and non-vendors from 2 informal settlements. All participants answered a questionnaire concerning exposure and were tested for urinary Cr, Cu and As, while the urine of 29 participants was also tested for toxic As (As(tox)). Multivariate analysis showed that the time spent in close proximity to the wood, as well as the quantity of wood used for cooking and for household use, was weakly positively associated with urinary levels of As, Cr and the sum of As, Cr and Cu. The study provides evidence that use of wood likely to contain CCA as a fuel for informal food outlets and household purposes may increase the absorption of inorganic As, Cu and Cr.

  19. Pricing landfill externalities: emissions and disamenity costs in Cape Town, South Africa.

    Science.gov (United States)

    Nahman, Anton

    2011-01-01

    The external (environmental and social) costs of landfilling (e.g. emissions to air, soil and water; and 'disamenities' such as odours and pests) are difficult to quantify in monetary terms, and are therefore not generally reflected in waste disposal charges or taken into account in decision making regarding waste management options. This results in a bias against alternatives such as recycling, which may be more expensive than landfilling from a purely financial perspective, but preferable from an environmental and social perspective. There is therefore a need to quantify external costs in monetary terms, so that different disposal options can be compared on the basis of their overall costs to society (financial plus external costs). This study attempts to estimate the external costs of landfilling in the City of Cape Town for different scenarios, using the benefits transfer method (for emissions) and the hedonic pricing method (for disamenities). Both methods (in particular the process of transferring and adjusting estimates from one study site to another) are described in detail, allowing the procedures to be replicated elsewhere. The results show that external costs are currently R111 (in South African Rands, or approximately US$16) per tonne of waste, although these could decline under a scenario in which energy is recovered, or in which the existing urban landfills are replaced with a new regional landfill. Copyright © 2011 Elsevier Ltd. All rights reserved.

  20. Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

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    R. Parker

    2009-01-01

    Full Text Available Background: The goals of a chronic pain management clinic includeincreasing patient knowledge about pain, developing pain management skillsand increasing patients’ confidence in their pain management abilities.A  Chronic Pain Management Programme (CPMP based on evidence basedguidelines was developed at a chronic pain management clinic to facilitatepatient discharge to a primary healthcare level. Aim: The aim of this study was to explore patient satisfaction with, acceptability of and the perceived success which could be due to the CPMP developed at the Chronic Pain Management Clinic of Groote Schuur Hospital,Cape Town.Methods: Patients (n=14 were referred to the pilot study from the Chronic Pain Management Clinic. A s a pilot, four courses were run over a period ofone year. In order to reach the research aim, an eleven-question, structuredopen-ended interview was conducted with all participants. Results: Fourteen patients enrolled in the CPMP. Responses were favourable with participants emphasising the roleof increased knowledge about pain, the role of exercise and of stress management techniques. Participants also recog-nised a positive change in behaviours and attitudes following participation in the CPMP.Conclusions: Findings suggest that participants found the format of the course acceptable as regards course content,structure and delivery. Participant responses suggest that the course was acceptable and perceived as useful. However,future courses would benefit from refresher courses or structured support groups.

  1. Ambient Air Pollution Exposure and Respiratory, Cardiovascular and Cerebrovascular Mortality in Cape Town, South Africa: 2001?2006

    OpenAIRE

    Wichmann, Janine; Voyi, Kuku

    2012-01-01

    Little evidence is available on the strength of the association between ambient air pollution exposure and health effects in developing countries such as South Africa. The association between the 24-h average ambient PM10, SO2 and NO2 levels and daily respiratory (RD), cardiovascular (CVD) and cerebrovascular (CBD) mortality in Cape Town (2001–2006) was investigated with a case-crossover design. For models that included entire year data, an inter-quartile range (IQR) increase in PM1...

  2. The process of enchancing a geriatric module in undergraduate physiotherapy education in South Africa - perceived attituteds towards ageing among community-dwelling elderly persons in Cape Town

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    S.L. Amosun

    2014-04-01

    Full Text Available The framwork of Bloom's taxonomy was utilised in reviewing the educational outcomes of the geriatric module in undergraduate physiotherapy edication at the University of Cape Town.

  3. Incidence of myocardial injury after noncardiac surgery: Experience at Groote Schuur Hospital Cape Town South Africa

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    R Dyer

    2018-04-01

    Full Text Available Background. Myocardial injury after non-cardiac surgery (MINS is a newly recognised entity identified as an independent risk factor associated with increased 30-day all-cause mortality. MINS increases the risk of death in the perioperative period by ~10-fold. More than 80% of patients with MINS are asymptomatic, so the majority of diagnoses are missed. Awareness of MINS is therefore important for perioperative physicians.Objectives. To investigate the incidence of MINS after elective elevated-risk non-cardiac surgery at Groote Schuur Hospital, Cape Town, South Africa (SA.Methods. Patients aged ≥45 years undergoing elective elevated-risk non-cardiac surgery were enrolled via convenience sampling. The new fifth-generation high-sensitivity cardiac troponin T blood test was used postoperatively to identify MINS. Preoperative troponin levels were not measured.Results. Among 244 patients included in the study, the incidence of MINS was 4.9% (95% confidence interval (CI 2.8 - 8.5, which was not significantly different from that in a major international prospective observational study (VISION (8.0% (95% CI 7.5 - 8.4; p=0.080.Conclusions. Our SA cohort had a lower cardiovascular risk profile but a similar incidence of MINS to that described in international literature. The impact of MINS on morbidity and mortality is therefore likely to be proportionally higher in SA than in published international studies. The limited sample size and lower event rate weaken our conclusions. Larger studies are required to establish patient and surgical risk factors for MINS, allowing for revision of cardiovascular risk prediction models in SA. 

  4. The prevalence of refractive error in three communities of Cape Town, South Africa

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    M. Otutu

    2012-12-01

    Full Text Available The prevalence, distribution and demographic associations of refractive error in three communities in Cape Town, South Africa were assessed. In this cross-sectional study, a clustered random sampling procedure was used to recruit participants (n=176; age=40.6±14.7 years; males=76, females=96 from Khayelitsha, Milnerton, and Mitchell’s Plain. From March to May 2010, participants underwent autore-fraction and subjective refraction eye examinations.A structured interview was used to collect data on sociodemographics, age, gender, level of education, employment and race. Participants younger than 15 years, non-residents, or residents for less than six months, who declined signing the informed consent forms were excluded from the study. In this study myopia was defined as the spherical equivalent value in the better eye of −1.00D or worse and hyperopia as the spherical equivalent value in the better eye of ≥1.00D. Astigmatism was defined as −0.50 cylinder or worse in the better eye. The prevalence of myopia was 17.4% with a 90% confidence interval (CI of 12.65-22.15, hyperopia was 13.4% (90% CI 9.13-17.67, and astigmatism was 60% (90% CI 53.86-66.14. Myopia was found to be significantly associated with race and age; while hyperopia was significantly associated with age, employment and race. The results of this study may assist in planning for eye care on district level. (S Afr Optom 2012 71(1 32-38

  5. Anxiety, depression, health attitudes and coping strategies in doctors and teachers in a Cape Town setting

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    H van der Bijl

    2007-06-01

    Full Text Available Objective. To investigate two professional groups (doctors and teachers with regard to symptoms of anxiety and depression as a measure of psychological distress, as well as perceptions regarding job satisfaction, workload and adequacy of remuneration. To assess health care behaviour as evidenced by substance use, psychotropic medication use, self-prescribing habits (in doctors, help-seeking behaviour as well as negative coping strategies as indicated by the intention to emigrate and/or leave the profession. Design. Data were collected from randomly distributed questionnaires which included a validated objective screening instrument, the Hospital Anxiety and Depression Scale (HADS. Subjects and setting. Questionnaires were distributed among 260 physicians at Tygerberg Academic Hospital and 200 teachers from five different schools in the northern suburbs of metropolitan Cape Town. Results. We found high levels of job dissatisfaction and symptoms of anxiety and depression in both groups, with teachers more affected than doctors. A large proportion of respondents with clinically significant levels of anxiety and depression remain untreated. Many respondents displayed a passive attitude with regard to seeking help. A significant proportion of doctors self-prescribed antidepressant and benzodiazepine medications. Only a small minority of doctors had a general practitioner whom they would consult when ill. Twenty-nine per cent of doctors indicated their intention to emigrate and 40% of teachers were planning to leave their profession. Conclusion. Our results suggest that doctors and teachers in South Africa are two professional groups at high risk for developing serious mental health problems, with low levels of recognition and intervention at present.

  6. Patients’ perceptions of the triage system in a primary healthcare facility, Cape Town, South Africa

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    Adeloye A. Adeniji

    2016-06-01

    Full Text Available Background: In public healthcare facilities, where the patient numbers and the available resources are often disproportionate, triage is used to prioritise when patients are seen. Patients may not understand the triage process and have strong views on how to improve their experience. Aim: This study explored the views of patients who had undergone triage in the emergency centre of a primary care facility. Setting: Gugulethu Community Health Centre, Cape Town. Methods: A purposive sample consisted of five women (one coded green, three orange, one yellow and four men (one coded green and three yellow. A semi-structured qualitative interview was conducted in either Xhosa or English and the transcripts analysed using the framework method. Results: All of the respondents complained of a lack of information and poor understanding of the triage process. Those coded green experienced the process as biased and unfair and reported that the triage nurse was rude and unprofessional. By contrast, those coded yellow or orange found the triage nurse to be helpful and professional. Most patients turned to support staff (e.g. security staff or cleaners for assistance in dealing with the triage system. Most patients waited longer than the guidelines recommend and the green-coded patients complained about this issue. Conclusion: Patients did not have a good experience of the triage system. Managers of the triage system need to design better strategies to improve patient acceptance and share information. The important role of support staff needs to be recognised and strengthened. Keywords: emergency care; primary care; triage; patient satisfaction

  7. Pricing landfill externalities: Emissions and disamenity costs in Cape Town, South Africa

    International Nuclear Information System (INIS)

    Nahman, Anton

    2011-01-01

    Highlights: → The paper estimates landfill externalities associated with emissions, disamenities and transport. → Transport externalities vary from 24.22 to 31.42 Rands per tonne. → Costs of emissions (estimated using benefits transfer) vary from 0.07 to 28.91 Rands per tonne. → Disamenities (estimated using hedonic pricing) vary from 0.00 to 57.46 Rands per tonne. → Overall, external costs for urban landfills exceed those of a regional landfill. - Abstract: The external (environmental and social) costs of landfilling (e.g. emissions to air, soil and water; and 'disamenities' such as odours and pests) are difficult to quantify in monetary terms, and are therefore not generally reflected in waste disposal charges or taken into account in decision making regarding waste management options. This results in a bias against alternatives such as recycling, which may be more expensive than landfilling from a purely financial perspective, but preferable from an environmental and social perspective. There is therefore a need to quantify external costs in monetary terms, so that different disposal options can be compared on the basis of their overall costs to society (financial plus external costs). This study attempts to estimate the external costs of landfilling in the City of Cape Town for different scenarios, using the benefits transfer method (for emissions) and the hedonic pricing method (for disamenities). Both methods (in particular the process of transferring and adjusting estimates from one study site to another) are described in detail, allowing the procedures to be replicated elsewhere. The results show that external costs are currently R111 (in South African Rands, or approximately US$16) per tonne of waste, although these could decline under a scenario in which energy is recovered, or in which the existing urban landfills are replaced with a new regional landfill.

  8. Quantitative Literacy Interventions at University of Cape Town: Effects of Separation from Academic Disciplines

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    Vera Frith

    2012-01-01

    Full Text Available The aim of the Numeracy Centre at the University of Cape Town is to develop students’ quantitative literacy (QL in a manner consistent with their programmes of study and intended roles in the community. Our theoretical perspective on the nature of QL is in line with that of the New Literacies Studies and sees academic QL as practices in different academic disciplinary contexts. This means that for us the ideal curriculum structure for developing QL would fully integrate it into the teaching of the disciplines. This is in practice not achievable in most cases, especially since many students do not have the necessary foundations of mathematical and statistical knowledge and skills. The unavoidable deviation from the ideal curriculum structure presents challenges to the design of QL interventions. Two illustrative examples which display different degrees of separation from the disciplinary teaching are described and discussed. This discussion is based on lecturers’ reflections on the teaching experience and on student evaluations. The ‘stand-alone’ QL course for Humanities and Law students, which uses a context-based approach, is the least integrated with the disciplinary curriculum, and presents challenges in terms of tensions in the classroom between the contexts and the mathematical and statistical content, as well as challenges in terms of student motivation. The QL intervention for medical students is more closely integrated into the medical curriculum and presents fewer challenges. Both interventions are intended to provide ‘foundations’ in terms of QL and suffer from difficulties in providing students with authentic motivation.

  9. Prevalence of Falls in an Urban Community-Dwelling Older Population of Cape Town, South Africa.

    Science.gov (United States)

    Zimba Kalula, S; Ferreira, M; Swingler, G; Badri, M; Aihie Sayer, A

    2015-12-01

    Falls are a major cause of disability and mortality in older adults. Studies on falls in this population have mainly been conducted in high income countries, and scant attention has been given to the problem in low and middle income countries, including South Africa. The aim of the study was to establish a rate for falls in older adults in South Africa. A cross-sectional survey with a 12-month follow-up survey. Three purposively selected suburbs of Cape Town: Plumstead, Wynberg Central and Gugulethu. Eight hundred and thirty seven randomly sampled ambulant community-dwelling subjects aged ≥ 65 years grouped according to ethnicity in three sub-samples: black Africans, coloureds (people of mixed ancestry) and whites. Data were collected on socio-demographic and health characteristics, and history of falls using a structured questionnaire and a protocol for physical assessments and measurements. Of the total baseline (n=837) and follow-up (n=632) survey participants, 76.5% and 77.2 % were females with a mean (S.D) age of 74 years (6.4) and 75 years (6.2), respectively. Rates of 26.4% and 21.9% for falls and of 11% and 6.3% for recurrent falls, respectively, were calculated at baseline and follow-up. Fall rates differed by ethnic sub-sample at baseline: whites 42 %, coloureds 34.4% and black Africans 6.4 % (p=0.0005). Rates of 236, 406 and 354 falls per 1000 person years were calculated for men, women and both genders, respectively. Recurrent falls were more common in women than in men. Falls are a significant problem in older adults in South Africa. Effective management of falls and falls prevention strategies for older people in South Africa, need to be developed and implemented.

  10. Emergency medicine educational resource use in Cape Town: modern or traditional?

    Science.gov (United States)

    Kleynhans, A C; Oosthuizen, A H; van Hoving, D J

    2017-05-01

    The integration of online resources and social media into higher education and continued professional development is an increasingly common phenomenon. To describe the usage of various traditional and modern educational resources by members of the divisions of emergency medicine at Stellenbosch University and the University of Cape Town. Members affiliated with the divisions during 2014 were invited to participate in an online survey. Participants were given 8 weeks to complete the questionnaire; with weekly reminders until they responded or the deadline expired. Summary statistics were used to describe the variables. Eighty-seven divisional members completed the survey (69.6% response rate). The resources most preferred were textbooks (n=78, 89.7%), open access educational resources (n=77, 88.5%) and journals (n=76, 87.4%). Emergency medicine trainees (n=31, 92.1%) and respondents ≤30 years (n=17, 94.4%) were more inclined to use social media. International Emergency Medicine and Critical Care blogs are frequently being used by 71% of respondents. YouTube (35%) and podcasts (21%) were the most commonly used multimedia resources. Computers (desktop and laptop) were most frequently used to access educational resources except for social media where smart phones were preferred. The use of modern and electronic resources is relatively common, but traditional educational resources are still preferred. This study illustrates an opportunity for greater integration of online resources and social media in educational activities to enhance multimodal and self-directed learning. Specific training in the use of these resources and how to appraise them may further improve their utility. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  11. MACCSAND (Pty Ltd v CITY OF CAPE TOWN 2012 (4 SA 181 (CC

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    Nic Olivier

    2012-12-01

    Full Text Available The Constitutional Court in Maccsand (Pty Ltd v City of Cape Town (CCT 103/11 2012 ZACC 7 decided that the granting of mining rights or mining permits by the Minister of Mineral Resources in terms of the Mineral and Petroleum Resources Development Act 28 of 2002 does not obviate the obligation on an applicant to obtain authorisations in terms of other legislation that deals with functional domains other than minerals, mining and prospecting. This applies to all other legislation, irrespective of whether the responsible administrator of such other legislation is in the national, provincial or local sphere of government. The effect of the decision is that planning and other authorities which derive their statutory mandate and powers from other legislation retain all their powers as regards planning and rezoning, for instance. In addition, the Minister of Mineral Resources cannot make a decision on behalf of, or for, such functionaries. The judgement also clarified the question of whether or not a national Act can supersede provincial legislation dealing with a distinctly different functional domain. In principle, the decision also indicates that the fact that a range of authorisations are required in terms of separate statutory instruments (each with its own functional domain and administered by its own functionary does not necessarily amount to conflicts between these instruments. An owner of land may now insist that his land may not be used for mining purposes if it is not zoned for such purposes. It is submitted that, in order to provide certainty to land owners, developers and government functionaries, and to promote investor confidence (especially in the mining sector, an intergovernmental system for the consideration of applications by the functionaries responsible for the separate statutory instruments needs to be developed as a high priority.

  12. Child pedestrian safety knowledge, behaviour and road injury in Cape Town, South Africa.

    Science.gov (United States)

    Koekemoer, Karin; Van Gesselleen, Megan; Van Niekerk, Ashley; Govender, Rajen; Van As, Arjan Bastiaan

    2017-02-01

    Pedestrian injuries are a leading cause of death among South African children, and young children residing in low-income communities are more at risk, due to various factors such as inadequate road infrastructure, exposure to traffic due to reliance on walking as a means of transport, and lack of supervision. This study used a cross-sectional, non-randomized self-report survey to assess pedestrian safety knowledge, road-crossing behaviour and pedestrian injuries of primary school children in selected low-income settings in Cape Town. The survey focused on three primary schools that had joined the Safe Kids Worldwide Model School Zone Project and was administered to 536 children aged 6-15 years, in their home language of isiXhosa. Descriptive and bivariate analyses as well as multivariate regression analyses were conducted to investigate potential predictor variables for pedestrian collision severity and unsafe road-crossing behaviour. Walking was the sole form of travel for 81% of the children, with a large proportion regularly walking unsupervised. Children who walk to or from school alone were younger and reported riskier road-crossing behaviour, although children who walk accompanied tended to have higher pedestrian collision severity. "Negligent Behaviour" related to road-crossing was significantly associated with higher pedestrian collision severity, with predictors of "Negligent Behaviour" including the lack of pedestrian safety knowledge and greater exposure to traffic in terms of time spent walking. More than half of the reported pedestrian collisions involved a bicycle, and older boys (10-15 years) were most at risk of experiencing a severe pedestrian injury. The findings substantiate emerging evidence that children in low-income settings are at greater risk for child pedestrian injury, and emphasise the need for evidence-based safety promotion and injury prevention interventions in these settings. Copyright © 2016. Published by Elsevier Ltd.

  13. An assessment of care provided by a public sector STD clinic in Cape Town.

    Science.gov (United States)

    Mathews, C; van Rensburg, A; Schierhout, G; Coetzee, N; Lombard, C J; Fehler, H G; Ballard, R C

    1998-11-01

    A study was undertaken in a Cape Town public sector STD clinic to evaluate the content and quality of care provided since it has been recognized that appropriate improvements in the management of conventional sexually transmitted diseases (STDs), including provision of correct therapy, health education, condom promotion and partner notification, could result in a reduced incidence of HIV infection. Our objectives were to assess patients' needs for health education and to assess the quality of STD management in terms of health education, condom promotion, partner notification, the validity of the clinical diagnoses and the adequacy of the treatments prescribed. The study subjects were sampled systematically, according to their gender. Patients included in the study were given a standardized interview and their clinical records reviewed. Specimens were collected for laboratory investigations. For each STD detected, the treatment was defined as adequate if drugs currently known to be active against that infection were prescribed. One hundred and seventy men and 161 women were included in the study (median age: females 22 years, males 26 years). While almost all patients believed their STD may have been caused by unprotected sexual intercourse, many also believed it may have been caused by other factors, such as bewitchment with traditional medicine. Only 21% of male and 37% of female patients received any education about STD transmission during the clinic visit, and only 25% of male and 36% of female patients received education about condom use. As a result of the low sensitivity of the clinicians' diagnoses, 16% of men and 61% of women left the clinic with at least one infection inadequately treated. The majority of patients were not receiving education for the prevention of STDs including HIV. Many were not receiving adequate treatment for their infections. The introduction of a syndromic management protocol in this setting would substantially reduce the proportion

  14. Linkage to HIV care and antiretroviral therapy in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Katharina Kranzer

    2010-11-01

    Full Text Available Antiretroviral therapy (ART has been scaled-up rapidly in Africa. Programme reports typically focus on loss to follow-up and mortality among patients receiving ART. However, little is known about linkage and retention in care of individuals prior to starting ART.Data on adult residents from a periurban community in Cape Town were collected at a primary care clinic and hospital. HIV testing registers, CD4 count results provided by the National Health Laboratory System and ART registers were linked. A random sample (n = 885 was drawn from adults testing HIV positive through antenatal care, sexual transmitted disease and voluntary testing and counseling services between January 2004 and March 2009. All adults (n = 103 testing HIV positive through TB services during the same time period were also included in the study. Linkage to HIV care was defined as attending for a CD4 count measurement within 6 months of HIV diagnosis. Linkage to ART care was defined as initiating ART within 6 months of HIV diagnosis in individuals with a CD4 count ≤200 cells/µl taken within 6 months of HIV diagnosis.Only 62.6% of individuals attended for a CD4 count measurement within 6 months of testing HIV positive. Individuals testing through sexually transmitted infection services had the best (84.1% and individuals testing on their own initiative (53.5% the worst linkage to HIV care. One third of individuals with timely CD4 counts were eligible for ART and 66.7% of those were successfully linked to ART care. Linkage to ART care was highest among antenatal care clients. Among individuals not yet eligible for ART only 46.3% had a repeat CD4 count. Linkage to HIV care improved in patients tested in more recent calendar period.Linkage to HIV and ART care was low in this poor peri-urban community despite free services available within close proximity. More efforts are needed to link VCT scale-up to subsequent care.

  15. Women's experiences seeking informal sector abortion services in Cape Town, South Africa: a descriptive study.

    Science.gov (United States)

    Gerdts, Caitlin; Raifman, Sarah; Daskilewicz, Kristen; Momberg, Mariette; Roberts, Sarah; Harries, Jane

    2017-10-02

    In settings where abortion is legally restricted, or permitted but not widely accessible, women face significant barriers to abortion access, sometimes leading them to seek services outside legal facilities. The advent of medication abortion has further increased the prevalence of informal sector abortion. This study investigates the reasons for attempting self-induction, methods used, complications, and sources of information about informal sector abortion, and tests a specific recruitment method which could lead to improved estimates of informal sector abortion prevalence among an at-risk population. We recruited women who have sought informal sector abortion services in Cape Town, South Africa using respondent driven sampling (RDS). An initial seed recruiter was responsible for initiating recruitment using a structured coupon system. Participants completed face-to-face questionnaires, which included information about demographics, informal sector abortion seeking, and safe abortion access needs. We enrolled 42 women, nearly one-third of whom reported they were sex workers. Thirty-four women (81%) reported having had one informal sector abortion within the past 5 years, 14% reported having had two, and 5% reported having had three. These women consumed home remedies, herbal mixtures from traditional healers, or tablets from an unregistered provider. Twelve sought additional care for potential warning signs of complications. Privacy and fear of mistreatment at public sector facilities were among the main reported reasons for attempting informal sector abortion. Most women (67%) cited other community members as their source of information about informal sector abortion; posted signs and fliers in public spaces also served as an important source of information. Women are attempting informal sector abortion because they seek privacy and fear mistreatment and stigma in health facilities. Some were unaware how or where to seek formal sector services, or believed the

  16. Non-communicable disease risk factors and treatment preference of obese patients in Cape Town

    Directory of Open Access Journals (Sweden)

    Kathryn Manning

    2016-06-01

    Full Text Available Background: Insights into the characteristics of treatment seekers for lifestyle changes and treatment preferences are necessary for intervention planning. Aim: To compile a profile of treatment-seeking obese patients with non-communicable diseases (NCDs or NCD risk factors and to compare patients who choose group-based (facility-based therapeutic group [FBTG] versus usual care (individual consultations treatment. Setting: A primary healthcare facility in Cape Town, South Africa. Methods: One hundred and ninety-three patients were recruited in this cross-sectional study. Ninety six chose FBTG while 97 chose usual care. A questionnaire, the hospital database and patients’ folders were used to collect data. Weight, height and waist circumference were measured. STATA 11.0 was used for descriptive statistics and to compare the two groups. Results: The subjects’ mean age was 50.4 years, 78% were women and of low education levels and income, and 41.5% had type 2 diabetes, 83.4% hypertension and 69.5% high cholesterol. Mean (s.d. HbA1c was 9.1 (2.0%, systolic BP 145.6 (21.0 mmHg, diastolic BP 84.5 (12.0 mmHg, cholesterol 5.4 (1.2 mmol/L, body mass indicator (BMI 39.3 (7.3 kg/m2 and waist circumference 117 (12.6 cm. These figures were undesirable although pharmacological treatment for diabetes and hypertension was in place. Only 14% were physically active, while TV viewing was > 2h/day. Mean daily intake of fruit and vegetables (2.2 portions/day was low while added sugar (5 teaspoons and sugar-sweetened beverages (1.3 glasses were high. Usual care patients had a higher smoking prevalence, HbA1c, number of NCD risk factors and refined carbohydrate intake, and a lower fruit and vegetable intake. Conclusion: Treatment seekers were typically middle-aged, low income women with various modifiable and intermediate risk factors for NCDs. Patients choosing usual care could have more NCD risks. Keywords: Non-communicable diseases; primary health care; family

  17. Alternative approaches to community participation beyond formal structures: evidence from Langa within the municipality of Cape Town

    Directory of Open Access Journals (Sweden)

    Adam Andani

    2018-05-01

    Full Text Available While ward committees and Integrated Development Planning (IDP representative forums constitute formal participatory mechanisms in South Africa’s local government, little is known about the potential of local approaches in enhancing participation in municipal planning. This paper examines alternative approaches to participation based on research conducted in Langa – a township situated on the Cape Flats of Cape Town. The paper highlights approaches to residents’ participation in planning tested during the ‘interregnum’ – the period when ward committees are in abeyance due to elections. The study found that, while IDP participatory processes facilitated awareness of participation, ward councillors were crucial in operationalising participation that reflects the diversity of the community.

  18. Perceived risks of HIV/AIDS and first sexual intercourse among youth in Cape Town, South Africa.

    Science.gov (United States)

    Tenkorang, Eric Y; Rajulton, Fernando; Maticka-Tyndale, Eleanor

    2009-04-01

    The 'Health Belief Model' (HBM) identifies perception of HIV/AIDS risks, recognition of its seriousness, and knowledge about prevention as predictors of safer sexual activity. Using data from the Cape Area Panel Survey (CAPS) and hazard models, this study examines the impact of risk perception, considered the first step in HIV prevention, set within the context of the HBM and socio-economic, familial and school factors, on the timing of first sexual intercourse among youth aged 14-22 in Cape Town, South Africa. Of the HBM components, female youth who perceive their risk as 'very small' and males with higher knowledge, experience their sexual debut later than comparison groups, net of other influences. For both males and females socio-economic and familial factors also influence timing of sexual debut, confirming the need to consider the social embeddedness of this sexual behavior as well as the rational components of decision making when designing prevention programs.

  19. Physical abuse in early childhood and transition to first sexual intercourse among youth in Cape Town, South Africa.

    Science.gov (United States)

    Tenkorang, Eric Y; Obeng Gyimah, Stephen

    2012-01-01

    This study examined the relationship of physical abuse in early childhood and timing of first sexual intercourse among young South Africans aged 14 to 22 in Cape Town. Using the Cape area panel survey and applying log-normal models, time ratios were estimated to show how rapidly or slowly youth experience first sexual intercourse. Results indicated that boys who experienced physical abuse in early childhood had faster timing to first sex. Boys and girls with violent school environments had faster timing to first sex. Race moderated the effects of physical abuse. Compared to Blacks, Coloreds who experienced higher levels of physical abuse in early childhood had faster timing to first sex. Youth with greater knowledge about HIV/AIDS and those with greater risk perception of contracting HIV/AIDS delayed first sex. On the basis of these findings, policy makers are encouraged to consider the early childhood experiences of youth when designing policies toward HIV/AIDS prevention in South Africa.

  20. South African Association of Physicists in Medicine and Biology: 25. Anniversary Congress, 18-22 Mar 1985, Cape Town

    International Nuclear Information System (INIS)

    1985-01-01

    The twenty-fifth anniversary congress of the South African Association of Physicists in Medicine and Biology was held from 18-22 March 1985 in Cape Town. The tremendous growth of nuclear energy and radiation technology in South Africa led to an increasing need for biophysicists, especially health physicists, for the application of radioisotopes and radiation as well as nuclear power, including the uranium industry. Papers delivered on the conference covered subjects like medical physics, radiotherapy, radiopharmaceuticals, radiation protection, the calibration of radiation monitors, radiation detectors, radiation doses and dosimetry

  1. Empowering adolescents to engage in healthy behaviours through peer leadership training in the townships of Cape Town

    DEFF Research Database (Denmark)

    Eklund Karlsson, Leena; Andersson, Mikael; Johansson, Josefine

    2014-01-01

    and qualitative interviews and analysed through thematic content analysis. The results showed that peer educators’ self-esteem, confidence and motivation increased, as did their knowledge and skills related to communication, supporting and motivating peers and clients. Additionally the results showed......This paper investigated peer educators’ perceptions of their self-empowerment, learning, and experiences of being a peer educator within the Leadership South Programme (LSP) in Cape Town, South Africa. The data about the peer educators’ perceptions was gathered through open-ended questionnaires...

  2. On a Green Municipal Initiative in Cape Town (South Africa): Lessons from the Solar Water Heater Advanced Program

    International Nuclear Information System (INIS)

    Dubresson, Alain

    2013-01-01

    During the 2000's, the metropolitan municipality of Cape Town elaborated an ambitious energy transition strategy, backed up by the Energy and Climate Action Plan approved in 2010. One element of this plan is a mass solar water heater roll-out programme for households. Analysing the difficulties in the implementation of this programme, this article argues that the main limits to metropolitan action do not result primarily from local and/or multi-level governance issues but from national constraints and stakes which are deeply rooted in the political economy of South Africa. Any attempt to build an autonomous metropolitan energy policy is therefore today illusory in South Africa

  3. "They must understand we are people": Pregnancy and maternity service use among signing Deaf women in Cape Town.

    Science.gov (United States)

    Gichane, Margaret W; Heap, Marion; Fontes, Mayara; London, Leslie

    2017-07-01

    Women with disabilities are at disproportionate risk for adverse pregnancy outcomes, however, there is limited information on their pregnancy histories. This mixed-methods study focuses on signing Deaf women whose access to health care may be compromised by language barriers related to their disability. To describe and compare the pregnancy outcomes and maternity service use of a sample of signing Deaf women of child-bearing age in Cape Town to the population of the Western Cape of South Africa. We interviewed 42 Deaf women selected by non-probability snowball sampling, using a structured questionnaire in South African Sign Language in Cape Town in July 2016. Average parity of the sample was similar to that of the Western Cape population. Most women had one or two children (74%). Thirty-one percent of women had experienced a miscarriage and 19% had terminated a pregnancy. Almost all women (96%) attended at least one antenatal appointment during their pregnancies, and all deliveries occurred at a health facility. Women primarily relied on writing to communicate during antenatal visits and labor/delivery. The majority of women reported communication issues due to limited interpretation services, and some reported experiencing mistreatment from hospital staff. This study provides novel information on the pregnancy histories of Deaf women. While maternal service usage was high, the quality of services were inadequate with reports of linguistic barriers and mistreatment. Findings suggest the need to improve maternity care for Deaf women through implementing interpretation services and providing sensitivity training to health care providers. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  4. Stable carbon isotopic assessment of prehistoric diets in the south-western Cape, Cape Town, South Africa

    Energy Technology Data Exchange (ETDEWEB)

    Sealy, J C

    1984-01-01

    This thesis consists of a stable carbon isotopic assessment of the diets of the Holocene human inhabitants of the south-western Cape, South-Africa. Samples of the foods these people ate were collected from each of the four major physiographic zones in the area, and their /sup 13/C//sup 12/C ratios measured. A total of more than 200 such analyses enabled the estimation of the average delta /sup 13/C values of prehistoric human diets in each zone. This information is used to interpret delta /sup 13/C measurements on a series of archaeological human skeletons. The results are consistent with a model of prehistoric subsistence behaviour in which people living at the coast made intensive use of marine food resources throughout the Holocene, consuming such a large proportion of these foods that they must have spent much, if not all of their time at the coast. Inland skeletons reflect an almost entirely terrestrial diet. These results contradict hypotheses about seasonal population movements between the coast and the interior generated from excavated archaeological material. Considerable changes in many of our current views of the Late Stone Age of the south-western Cape will have to be made in order to accommodate these data.

  5. INTERGRATION OF LiDAR DATA WITH AERIAL IMAGERY FOR ESTIMATING ROOFTOP SOLAR PHOTOVOLTAIC POTENTIALS IN CITY OF CAPE TOWN

    Directory of Open Access Journals (Sweden)

    A. K. Adeleke

    2016-06-01

    Full Text Available Apart from the drive to reduce carbon dioxide emissions by carbon-intensive economies like South Africa, the recent spate of electricity load shedding across most part of the country, including Cape Town has left electricity consumers scampering for alternatives, so as to rely less on the national grid. Solar energy, which is adequately available in most part of Africa and regarded as a clean and renewable source of energy, makes it possible to generate electricity by using photovoltaics technology. However, before time and financial resources are invested into rooftop solar photovoltaic systems in urban areas, it is important to evaluate the potential of the building rooftop, intended to be used in harvesting the solar energy. This paper presents methodologies making use of LiDAR data and other ancillary data, such as high-resolution aerial imagery, to automatically extract building rooftops in City of Cape Town and evaluate their potentials for solar photovoltaics systems. Two main processes were involved: (1 automatic extraction of building roofs using the integration of LiDAR data and aerial imagery in order to derive its’ outline and areal coverage; and (2 estimating the global solar radiation incidence on each roof surface using an elevation model derived from the LiDAR data, in order to evaluate its solar photovoltaic potential. This resulted in a geodatabase, which can be queried to retrieve salient information about the viability of a particular building roof for solar photovoltaic installation.

  6. "Coming to town": the impact of urbanicity, cigarette advertising, and network norms on the smoking attitudes of black women in Cape Town, South Africa.

    Science.gov (United States)

    Williams, Chyvette T; Grier, Sonya A; Marks, Amy Seidel

    2008-07-01

    This study was conducted to examine the effect of urban living on smoking attitudes among black African women in South Africa. We examine how urbanicity affects attitudes toward smoking and how it moderates the relationship between both advertising exposure and network norms on black women's smoking attitudes. Respondents were 975 black women currently living in Cape Town townships, some of which were raised in rural villages or small towns. Respondents completed a cross-sectional survey, which included data on smoking attitudes, norms, and exposure to cigarette advertising. Multiple linear regression analysis was performed with smoking attitudes as the response variable, and urbanicity, cigarette advertising exposure, and network smoking norms as primary explanatory variables. Interactions were tested to determine whether urbanicity modified the effect of advertising exposure and network norms on smoking attitudes. Independent effects of urbanicity, exposure to cigarette advertising, and greater smoking prevalence within women's networks were associated with more favorable smoking attitudes. In addition, urbanicity moderated the relationship between network smoking norms and smoking attitudes, but not cigarette advertising exposure and smoking attitudes. Urbanicity, cigarette advertising, and networks play important roles in women's attitudes toward smoking, and potentially, smoking behavior. Overall, our results suggest that strong and creative anti-smoking efforts are needed to combat the potential for a smoking epidemic among an increasingly urbanized population of black women in South Africa and similar emerging markets. Additional research is warranted.

  7. The impact of Information Systems usage on productivity: A retrospective analysis and an empirical study in Cape Town tourism of South Africa

    Directory of Open Access Journals (Sweden)

    Anthony Bere

    2014-01-01

    Full Text Available In this article, the researchers examine the direct impact of Information Systems Usage to Productivity at Cape Town Tourism. Data for the full sample of individuals who use information systems was analysed. The results clearly demonstrate that information systems has a positive impact on productivity. This is compromised however when there is a lack of training and poor systems performance. The study determined that in order to obtain the best out of the system, end users need to be consulted before implementation of any new system. System performance was also found out to be problematic as faced by employees of Cape Town Tourism when using their information systems.

  8. “Coming to Town”: The Impact of Urbanicity, Cigarette Advertising, and Network Norms on the Smoking Attitudes of Black Women in Cape Town, South Africa

    OpenAIRE

    Williams, Chyvette T.; Grier, Sonya A.; Marks, Amy Seidel

    2008-01-01

    This study was conducted to examine the effect of urban living on smoking attitudes among black African women in South Africa. We examine how urbanicity affects attitudes toward smoking and how it moderates the relationship between both advertising exposure and network norms on black women’s smoking attitudes. Respondents were 975 black women currently living in Cape Town townships, some of which were raised in rural villages or small towns. Respondents completed a cross-sectional survey, whi...

  9. Dynamics of Indian Ocean Slavery Revealed through Isotopic Data from the Colonial Era Cobern Street Burial Site, Cape Town, South Africa (1750-1827)

    OpenAIRE

    Kootker, Lisette M.; Mbeki, Linda; Morris, Alan G.; Kars, Henk; Davies, Gareth R.

    2016-01-01

    The Dutch East India Company (VOC) intended the Cape of Good Hope to be a refreshment stop for ships travelling between the Netherlands and its eastern colonies. The indigenous Khoisan, however, did not constitute an adequate workforce, therefore the VOC imported slaves from East Africa, Madagascar and Asia to expand the workforce. Cape Town became a cosmopolitan settlement with different categories of people, amongst them a non-European underclass that consisted of slaves, exiles, convicts a...

  10. A survey of trainee specialists experiences at the University of Cape Town (UCT): impacts of race and gender.

    Science.gov (United States)

    London, Leslie; Kalula, Sebastiana; Xaba, Bonga

    2009-05-27

    Efforts to redress racial and gender inequalities in the training of medical specialists has been a central part of a dedicated programme in the Faculty of Health Sciences at the University of Cape Town (UCT). This study aimed to describe trends in race and gender profiles of postgraduate students in medical specialties (registrars) from 1999 to 2006 and to identify factors affecting recruitment and retention of black and female trainees. Review of faculty databases for race and gender data from 1999 to 2006. Distribution of an anonymous self-administered questionnaire to all registrars in 2005/2006. The percentage of African registrars doubled from 10% to 19% from 1999 to beyond 2002. The percentages of Africans, Coloureds and Indians rose steadily from 26% to 46% from 1999 to 2005, as did that of women from 27% to 44%. The institution's perceived good reputation, being an alumnus and originating from Cape Town were common reasons for choosing UCT for training. A quarter of respondents reported knowledge of a friend who decided against studying at UCT for reasons which included anticipated racial discrimination. Black respondents (23%), particularly African (50%), were more likely to describe registrarship at UCT as unwelcoming than white respondents (12%). Specific instances of personal experience of discrimination were uncommon and not associated with respondents' race or gender. Registrars who had had a child during registrarship and those reporting discrimination were more likely to rate the learning and research environment as poor (Odds Ratio, 4.01; 95% CI 0.98 - 16.47 and 1.99 95% CI 0.57 - 6.97, respectively). The proportion of black and female registrars at the University of Cape Town has increased steadily from 1999 to 2006, most likely a result of systematic equity policies and procedures adopted in the faculty during this period. The data point to a need for policies to make the institution more welcoming to diversity and for strategies to address

  11. A survey of trainee specialists experiences at the University of Cape Town (UCT: Impacts of race and gender

    Directory of Open Access Journals (Sweden)

    Xaba Bonga

    2009-05-01

    Full Text Available Abstract Background Efforts to redress racial and gender inequalities in the training of medical specialists has been a central part of a dedicated programme in the Faculty of Health Sciences at the University of Cape Town (UCT. This study aimed to describe trends in race and gender profiles of postgraduate students in medical specialties (registrars from 1999 to 2006 and to identify factors affecting recruitment and retention of black and female trainees. Method Review of faculty databases for race and gender data from 1999 to 2006. Distribution of an anonymous self-administered questionnaire to all registrars in 2005/2006. Results The percentage of African registrars doubled from 10% to 19% from 1999 to beyond 2002. The percentages of Africans, Coloureds and Indians rose steadily from 26% to 46% from 1999 to 2005, as did that of women from 27% to 44%. The institution's perceived good reputation, being an alumnus and originating from Cape Town were common reasons for choosing UCT for training. A quarter of respondents reported knowledge of a friend who decided against studying at UCT for reasons which included anticipated racial discrimination. Black respondents (23%, particularly African (50%, were more likely to describe registrarship at UCT as unwelcoming than white respondents (12%. Specific instances of personal experience of discrimination were uncommon and not associated with respondents' race or gender. Registrars who had had a child during registrarship and those reporting discrimination were more likely to rate the learning and research environment as poor (Odds Ratio, 4.01; 95% CI 0.98 – 16.47 and 1.99 95% CI 0.57 – 6.97, respectively. Conclusion The proportion of black and female registrars at the University of Cape Town has increased steadily from 1999 to 2006, most likely a result of systematic equity policies and procedures adopted in the faculty during this period. The data point to a need for policies to make the

  12. Estimates of CO2 fluxes over the city of Cape Town, South Africa, through Bayesian inverse modelling

    Science.gov (United States)

    Nickless, Alecia; Rayner, Peter J.; Engelbrecht, Francois; Brunke, Ernst-Günther; Erni, Birgit; Scholes, Robert J.

    2018-04-01

    We present a city-scale inversion over Cape Town, South Africa. Measurement sites for atmospheric CO2 concentrations were installed at Robben Island and Hangklip lighthouses, located downwind and upwind of the metropolis. Prior estimates of the fossil fuel fluxes were obtained from a bespoke inventory analysis where emissions were spatially and temporally disaggregated and uncertainty estimates determined by means of error propagation techniques. Net ecosystem exchange (NEE) fluxes from biogenic processes were obtained from the land atmosphere exchange model CABLE (Community Atmosphere Biosphere Land Exchange). Uncertainty estimates were based on the estimates of net primary productivity. CABLE was dynamically coupled to the regional climate model CCAM (Conformal Cubic Atmospheric Model), which provided the climate inputs required to drive the Lagrangian particle dispersion model. The Bayesian inversion framework included a control vector where fossil fuel and NEE fluxes were solved for separately.Due to the large prior uncertainty prescribed to the NEE fluxes, the current inversion framework was unable to adequately distinguish between the fossil fuel and NEE fluxes, but the inversion was able to obtain improved estimates of the total fluxes within pixels and across the domain. The median of the uncertainty reductions of the total weekly flux estimates for the inversion domain of Cape Town was 28 %, but reach as high as 50 %. At the pixel level, uncertainty reductions of the total weekly flux reached up to 98 %, but these large uncertainty reductions were for NEE-dominated pixels. Improved corrections to the fossil fuel fluxes would be possible if the uncertainty around the prior NEE fluxes could be reduced. In order for this inversion framework to be operationalised for monitoring, reporting, and verification (MRV) of emissions from Cape Town, the NEE component of the CO2 budget needs to be better understood. Additional measurements of Δ14C and δ13C isotope

  13. “All Like and Yet Unlike the Old Country:” Kipling in Cape Town ...

    African Journals Online (AJOL)

    The Woolsack was commissioned by Cecil John Rhodes, mining magnate, sometime Cape prime minister and fervent builder of the British Empire. Designed by Rhodes's protégé, the architect Herbert Baker, this sunny atrium protected from the winds that buffet Devil's Peak was first occupied by that empire's most famous ...

  14. The profile of disability grant applicants in Bishop Lavis, Cape Town ...

    African Journals Online (AJOL)

    Background: Disability grants in South Africa increased from 600 000 in 2000 to almost 1.3 million in 2004. This rise can be attributed to the HIV/ AIDS epidemic, South Africa's high rate of unemployment and possibly an increased awareness of constitutional rights. The Western Cape, which has a disability prevalence of ...

  15. Impact of Sexual Trauma on HIV Care Engagement: Perspectives of Female Patients with Trauma Histories in Cape Town, South Africa.

    Science.gov (United States)

    Watt, Melissa H; Dennis, Alexis C; Choi, Karmel W; Ciya, Nonceba; Joska, John A; Robertson, Corne; Sikkema, Kathleen J

    2017-11-01

    South African women have disproportionately high rates of both sexual trauma and HIV. To understand how sexual trauma impacts HIV care engagement, we conducted in-depth qualitative interviews with 15 HIV-infected women with sexual trauma histories, recruited from a public clinic in Cape Town. Interviews explored trauma narratives, coping behaviors and care engagement, and transcripts were analyzed using a constant comparison method. Participants reported multiple and complex traumas across their lifetimes. Sexual trauma hindered HIV care engagement, especially immediately following HIV diagnosis, and there were indications that sexual trauma may interfere with future care engagement, via traumatic stress symptoms including avoidance. Disclosure of sexual trauma was limited; no women had disclosed to an HIV provider. Routine screening for sexual trauma in HIV care settings may help to identify individuals at risk of poor care engagement. Efficacious treatments are needed to address the psychological and behavioral sequelae of trauma.

  16. Gender identity and HIV risk among men who have sex with men in Cape Town, South Africa.

    Science.gov (United States)

    Jobson, Geoffrey; Tucker, Andrew; de Swardt, Glenn; Rebe, Kevin; Struthers, Helen; McIntyre, James; Peters, Remco

    2018-04-18

    Gender identity plays a potentially important role contributing to HIV risk among MSM in South Africa. Where studies have included a focus on gender identity, MSM reporting gender non-conformity have been found to have a higher risk of being HIV positive than other MSM. This article examines HIV risk among gender non-conforming MSM in a sample of 316 MSM in Cape Town, South Africa. Reporting gender non-conformity was associated with higher HIV prevalence and increased HIV risk behaviour. Gender non-conformity was also associated with a higher likelihood of being unemployed and reporting low household incomes. These findings highlight the importance of gender-identity as a factor affecting access to HIV treatment, care, and prevention in South Africa and this is an issue that needs to be addressed in interventions targeting MSM populations.

  17. Objectively assessed physical activity and associated factors of sedentary behavior among survivors of stroke living in Cape Town, South Africa.

    Science.gov (United States)

    Joseph, Conran; Conradsson, David; Hagströmer, Maria; Lawal, Isa; Rhoda, Anthea

    2017-06-18

    To investigate objectively measured physical activity in stroke survivors living in low-income areas of Cape Town, South Africa, specifically to: (a) describe the volume of daily physical activity and time spent in different intensity levels and (b) investigate the association of factors covering the International Classification of Functioning, Disability and Health with sedentary behavior. A cross-sectional design was used, where forty-five ambulatory community-dwelling stroke survivors participated. Volume and intensity of physical activity were assessed with accelerometers for three to five consecutive days. Personal and environmental factors, along with body function and activity, were captured. Multiple linear regression was used to investigate factors associated with the percentage of days spent sedentary. The median number of steps per day was 2393, and of the average 703 minutes of wear time, 80% were spent in sedentary, 15% in light, and 5% in moderate-to-vigorous intensity physical activity. Age, stroke severity, and failing to receive outpatient rehabilitation were independently associated with sedentary, which, taken together, explained 52% of the variance. Low volumes of physical activity and high amount of sedentary time emphasize the need to develop strategies that will increase physical activity. Providing outpatient rehabilitation in a systematic manner post-stroke is a potential target of health care programs in order to reduce sedentary behavior. Implications for rehabilitation Objectively measured physical activity among community-dwelling survivors of stroke in Cape Town, South Africa was low in volume, and the majority did not meet the recommendations of 150 minutes of at least moderate intensity physical activity. The majority of stroke survivors in South Africa spent most of their time sedentary, which could further increase the risk of cardiovascular impairments. Outpatient rehabilitation should be provided to all patients after stroke

  18. The mass miniature chest radiography programme in Cape Town, South Africa, 1948-1994: The impact of active tuberculosis case finding

    NARCIS (Netherlands)

    Hermans, S. M.; Andrews, J. R.; Bekker, L.-G.; Wood, R.

    2016-01-01

    Tuberculosis (TB) control programmes rely mainly on passive detection of symptomatic individuals. The resurgence of TB has rekindled interest in active case finding. Cape Town (South Africa) had a mass miniature radiography (MMR) screening programme from 1948 to 1994. To evaluate screening coverage,

  19. Infinity in Logic and Computation: International Conference, ILC 2007, Cape Town, South Africa, November 3-5, 2007: Revised selected papers

    NARCIS (Netherlands)

    Archibald, M.; Brattka, V.; Goranko, V.; Löwe, B.

    2009-01-01

    Edited in collaboration with FoLLI, the Association of Logic, Language and Information, this volume constitutes a selection of papers presented at the Internatonal Conference on Infinity in Logic and Computation, ILC 2007, held in Cape Town, South Africa, in November 2007. The 7 revised papers

  20. Bricolage: Re-Discovering History through Intermediality and Performance. A Report on the UCT/CityVarsity Production of "A Day, Across" at the Cape Town Fringe 2014

    Science.gov (United States)

    Muftic, Sanjin

    2016-01-01

    "A Day, Across," performed by the CityVarsity School of Creative Arts at the Cape Town Fringe 2014, was a student production that investigated the link between the youth of South Africa and the centennial of the start of World War I. This paper presents a brief analysis of the rehearsal process as well as certain performance sequences in…

  1. Ecological correlates of multiple sexual partnerships among adolescents and young adults in urban Cape Town: a cumulative risk factor approach.

    Science.gov (United States)

    Muchiri, Evans; Odimegwu, Clifford; Banda, Pamela; Ntoimo, Lorreta; Adedini, Sunday

    2017-07-01

    Studies in South Africa have reported unsafe levels of risky sexual behvaiours among adolescents and young adults, with the country reporting the highest burden of HIV/AIDS globally, as well as a high rate of teenage pregnancy. While determinants of risky sexual behaviours have been investigated for factors occurring at the individual and household levels, not fully explored in the literature is the effect of community level factors. Furthermore, it is unclear whether risk factors occurring within the ecology of adolescents and young adults act cumulatively to influence their sexual practices. This article aims to address this knowledge gap using a case study of the Cape Area Panel Study of adolescents and young adults in urban Cape Town, South Africa. The ecological framework was adopted to guide the selection of risk factors at the individual, household, and community levels. Multivariate linear discriminant function analyses were used to select significant risk factors for multiple sexual partnerships and used to produce risk indices for the respondents. The cumulative risk approach was applied to test whether significant risk factors acted cumulatively. Findings point to the importance of ecological factors in influencing outcomes of multiple sexual partnerships among respondents and further demonstrate that ecological risk factors may act cumulatively. These findings are important for South Africa that is grappling with teenage pregnancy and disproportionate HIV epidemic among the youth.

  2. Facilitating access to English for Xhosa-speaking pupils in black township primary schools around Cape Town, South Africa

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    Liesel Hibbert

    2013-02-01

    Full Text Available The paper results from a research project completed by the author in 1994 on the quality of language-learning environments in the Cape Town area . . Xhosa is now constitutionally enshrined as one of the eleven official languages of South Africa, and is the dominant language in Western Cape black townships. This paper questions the fruitfUlness of primary schools in black townships attempting to use English as the sole medium of instruction. The paper shows that in actual classroom situations the Ll (Xhosa is used as an aid to L2 (English medium instruction in the schools of Khayelitsha and Lagunya townships around Cape Town. The paper argues for the recognition and forther extension of such bilingual practices in primary schools to work towards more successfUl use of the L2 as the medium of instruction. It assesses the implications of such bilingual policy for classroom interaction and materials development. Hierdie artikel spruit voort uit 'n navorsingsprojek wat in 1994 deur die skrywer onderneem is in groter Kaapstad oor die kwaliteit van die omgewings waarbinne taal aange/eer word. Xhosa is volgens die konstitusie een van die elf amptelike tale in Suid-Afrika en is die oorheersende taal in die swart woonbuurte van die Wes-Kaap. In hierdie artikel word die waarde bevraagteken van die poging wat in die primere skole in die swart woonbuurte aangewend word om Engels as enigste medium van onderrig te gebruik. In die artikel word ook daarop gewys dat skole in Khayelitsha en Lagunya, twee swart woonbuurte naby Kaapstad, Xhosa (Tl gebruik as hulpmiddel by die onderrig deur medium van Engels (T2. Daar word aangevoer dat hierdie gebruik van tweetalige onderrig in primere skole erkenning behoort te kry en verder uitgebrei behoort te word sodat daar gestrewe kan word na 'n meer suksesvol/e gebruik van die tweede taal as onderrigmedium. 'n Waardebepaling van die implikasies van so 'ntweetalige beleid vir k/askamerinteraksie en die ontwikkeling van

  3. Compensation for What? An Analysis of the Outcome in Arun Property Development (PTY LTD v Cape Town City

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    Bradley Slade

    2016-04-01

    Full Text Available In Arun Property Development (Pty Ltd v Cape Town City the Constitutional Court awarded compensation for land that vested in the City of Cape Town in terms of a regulatory framework. The regulatory framework, sections 25 and 28 of the Cape Land Use Planning Ordinance of 1985 (LUPO, provides that land needed for public streets and places and indicated as such on a subdivision plan should vest in the local authority concerned, but without compensation if that land is based on the normal need of providing the particular development with such public streets and places. The appellant argued that since land in excess of the normal need also vested in the City, it had a right to be compensated for the excess land that vested in the City. The Court, overturning two Supreme Court of Appeal decisions, awarded compensation. The Court hinted that the compensation was for the expropriation of the appellant's land that was excess to the normal need. In the absence of a formal expropriation procedure, this case note investigates whether the compensation could have been awarded for statutory expropriation or constructive expropriation. Therefore, the question that is posed is whether the alleged expropriation for which the Court awarded compensation can be classified as either statutory expropriation or constructive expropriation. It is pointed out that the Court accepted that section 28 of the LUPO constitutes a development contribution for the land based on the normal need. In terms of the notion of development contributions, a developer has to donate land to the local authority concerned if that land is required to provide the particular development with public streets and places. A development contribution, as part of the administrative process of approving developments, is regulatory in nature and its validity is judged in terms of the requirements for a valid deprivation of property. It is argued that since the Court interpreted section 28 of the LUPO to

  4. New and interesting marine and littoral diatoms from sea point, near Cape Town, South Africa

    CSIR Research Space (South Africa)

    Giffen, MH

    1970-01-01

    Full Text Available Steenbras, South Western Cape and mentions that the species had not until then been re corded from South African waters. ? 591, 592. C. serpentina var. pusilla (GREvILLE) PERAGALLO. ? Small individuals of this variety, sometimes less than the 25?SO... ~ given for length (1-lusTaD 1. C.: 50) are easily overlooked when both C. serpentina var. pusilla and C. an,gu/osa are present in a sample. They can only be distin guished by counting the striae viz. 14?20 in 10 it for C. angulosa and 22?25 in 10...

  5. The clinical and molecular spectrum of galactosemia in patients from the Cape Town region of South Africa

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    Brown Ruth

    2002-09-01

    Full Text Available Abstract Background The objective of this study was to document the clinical, laboratory and genetic features of galactosemia in patients from the Cape Town metropolitan region. Methods Diagnoses were based on thin layer chromatography for galactosuria/galactosemia and assays of erythrocyte galactose-1-phosphate uridyltransferase (GALT and galactokinase activities. Patients were screened for the common S135L and Q188R transferase gene mutations, using PCR-based assays. Screening for the S135L mutation in black newborns was used to estimate the carrier rate for galactosemia in black South Africans. Results A positive diagnosis of galactosemia was made in 17 patients between the years 1980 to 2001. All had very low or absent galactose-1-phosphate uridyltransferase (GALT activity, and normal galactokinase levels. The mean age at diagnosis was 5.1 months (range 4 days to 6.5 months. A review of 9 patients showed that hepatomegaly (9/9, and splenomegaly, failure to thrive, developmental delay, bilateral cataracts (6/9 were the most frequent features at diagnosis. Six had conjugated hyperbilirubinemia. Four experienced invasive E. coli infection before diagnosis. Ten patients were submitted to DNA analysis. All 4 black patients and 2 of mixed extraction were homozygous for the S135L allele, while all 3 white patients were homozygous for the Q188R allele. The remaining patient of mixed extraction was heterozygous for the Q188R allele. The estimated carrier frequency of the S135L mutation in 725 healthy black newborns was 1/60. Conclusions In the absence of newborn screening the delay in diagnosis is most often unacceptably long. Also, carrier frequency data predict a galactosemia incidence of approximately 1/14 400 for black newborns in the Cape Metropole, which is much higher than the current detection rate. It is thus likely that many patients go undetected.

  6. Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa.

    Science.gov (United States)

    Sikkema, Kathleen J; Watt, Melissa H; Meade, Christina S; Ranby, Krista W; Kalichman, Seth C; Skinner, Donald; Pieterse, Desiree

    2011-07-01

    Alcohol-serving venues in South Africa provide a location for HIV prevention interventions due to risk factors of patrons in these establishments. Understanding the association between mental health and risk behaviors in these settings may inform interventions that address alcohol use and HIV prevention. Participants (n = 738) were surveyed in 6 alcohol-serving venues in Cape Town to assess post-traumatic stress disorder (PTSD) and depression symptoms, traumatic experiences, sexual behavior, and substance use. Logistic regression models examined whether traumatic experiences predicted PTSD and depression. Generalized linear models examined whether substance use, PTSD, and depressive symptoms predicted unprotected sexual intercourse. Men and women were analyzed separately. Participants exhibited high rates of traumatic experiences, PTSD, depression, alcohol consumption, and HIV risk behaviors. For men, PTSD was associated with being hit by a sex partner, physical child abuse, sexual child abuse and HIV diagnosis; depression was associated with being hit by a sex partner, forced sex and physical child abuse. For women, both PTSD and depression were associated with being hit by a sex partner, forced sex, and physical child abuse. Unprotected sexual intercourse was associated with age, frequency and quantity of alcohol use, drug use, and PTSD for men and frequency and quantity of alcohol use, depression, and PTSD for women. Mental health in this setting was poor and was associated with sexual risk behavior. Treating mental health and substance-use problems may aid in reducing HIV infection. Sexual assault prevention and treatment after sexual assault may strengthen HIV prevention efforts.

  7. Development of a Compendium of Local, Wild-Harvested Species Used in the Informal Economy Trade, Cape Town, South Africa

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    L. M. Petersen

    2012-06-01

    Full Text Available Wild harvesting has taken place over millennia in Africa. However urbanization and cash economies have effectively altered harvesting from being cultural, traditional, and subsistence activities that are part of a rural norm, to being a subculture of commonly illicit activities located primarily within the urban, cash-based, informal economy. This paper focuses on Cape Town, South Africa where high levels of poverty and extensive population growth have led to a rapidly growing informal industry based on the cultural, subsistence, and entrepreneurial harvesting and consumption of products obtained from the local natural environment. Through a process of literature reviews, database analysis, and key informant interviews, a compendium of harvested species was developed, illustrating the breadth of illicit harvesting of products from nature reserves, public open space, and other commonage within the City. The compendium records 448 locally occurring species (198 animals and 250 plants that are extracted for medicinal, energy, ornamental, sustenance, nursery, and other uses. The sustainability of harvesting is questionable; nearly 70% of all harvested flora and 100% of all collected fauna are either killed or reproductively harmed through the harvesting processes. Furthermore, for the 183 indigenous flora species currently recorded on the International Union for Conservation of Nature (IUCN Red List, 28% (51 hold assessments ranging from Declining through to Critically Endangered. With respect to the more poorly assessed fauna (46 spp., approximately 24% (11 have Declining or Threatened status.

  8. Demographic and circumstantial accounts of burn mortality in Cape Town, South Africa, 2001-2004: An observational register based study

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    Laflamme L

    2009-10-01

    Full Text Available Abstract Background Burns are a persisting public health problem in low- and middle-income countries; however, epidemiologic data for these settings is scarce. South Africa is no exception although there is an emerging knowledge base, especially for paediatric burns. The current study describes the epidemiology of burn mortality across the lifespan in Cape Town (2.9 million inhabitants in 2001, one of the six South African metropolitan centres. Methods The distribution of burn mortality across socio-demographic groups and also their circumstances of occurrence were investigated using four year (2001 to 2004 surveillance data from the National Injury Mortality Surveillance System (n = 1024 cases. Results Burn mortality occurred at a rate of 7.9 per 100 000 person-years (95% CI: 7.3-8.3. Males sustained fatal rates 2.2 times more than that for females (p Conclusion Besides paediatric burns, the high prevalence and circumstances of occurrence of burns among middle age men are a source of concern. There are reasons to believe that this over-representation is a reflection of detrimental living conditions, life-style and poor socio-economic status. It is recommended that there be greater prioritisation of prevention activities that involve the control or management of kerosene heat sources, the provision of alternatives to flammable housing materials, and the implementation of strategies to reduce harmful drinking practices.

  9. Poverty, sexual behaviour, gender and HIV infection among young black men and women in Cape Town, South Africa.

    Science.gov (United States)

    Nattrass, Nicoli; Maughan-Brown, Brendan; Seekings, Jeremy; Whiteside, Alan

    2012-12-01

    This article contributes methodologically and substantively to the debate over the importance of poverty, sexual behaviour and circumcision in relation to HIV infection, using panel data on young black men and women in Cape Town, South Africa. Methodological challenges included problems of endogeneity and blunt indicator variables, especially for the measurement of sexual behaviour. Noting these difficulties, we found that the importance of socioeconomic and sexual-behavioural factors differed between men and women. While we found a clear association between the number of years of sexual activity and HIV status among both men and women, we found that past participation in a concurrent sexual partnership increased the odds of HIV infection for men but not women. Women, but not men, who made the transition from school to tertiary education (our key indicator of socioeconomic status) were less likely to be HIV-positive than those who made the transition from school to unemployment. Both poverty and sexual behaviour matter to individuals' HIV risk, but in gendered ways.

  10. Community perceptions of risk factors for interpersonal violence in townships in Cape Town, South Africa: A focus group study.

    Science.gov (United States)

    Makanga, Prestige Tatenda; Schuurman, Nadine; Randall, Ellen

    2017-10-01

    Interpersonal violence is a major contributor to the burden of disease globally, and in South Africa, it is the leading cause of injury. There is an emerging consensus that the development of actionable policy and effective prevention strategies for interpersonal violence requires an understanding of the contextual matters that elevate risk for interpersonal violence. The objective of this study was to explore community perceptions of risks for interpersonal violence in five townships in Cape Town, South Africa, with high rates of violence. Focus group discussions were conducted with community members to identify key factors in that contributed to being either a perpetrator or victim of interpersonal violence. The ecological framework was used to classify the risk factors as occurring at individual, relationship, community or society levels. Some of the risk factors identified included alcohol abuse, poverty, informality of settlements and cultural norms. Differences in how each of these risk factors are expressed and experienced in the five communities are also elucidated. This approach enabled the collection of contextual community-based data that can complement conventional surveillance data in the development of relevant community-level strategies for interpersonal violence prevention.

  11. The Philani Mentor Mothers Intervention: Neighbourhood wide impact on child growth in Cape Town's peri-urban settlements.

    Science.gov (United States)

    Tomlinson, Mark; Hartley, Mary; le Roux, Ingrid; Rotheram-Borus, Mary Jane

    2016-01-01

    The purpose of this research was to determine whether or not routine home visiting (by the Philani Maternal Child Health and Nutrition Project) influences the prevalence of stunted, wasted and underweight children in Cape Town peri-urban settlements. The study was a cross-sectional cohort in which weight and height measurements were collected for all children from 24 matched neighbourhoods; three years earlier 12 of these neighbourhoods were randomized to receive the home visiting intervention and 12 did not. The research took place at all households located within the 24 neighbourhoods in Khayelitsha and Mfuleni peri-urban settlements. Participants included 8715 children aged 0-6 years old (4694 intervention; 4021 control). A total of 41.3% of children were stunted, 3.1% were underweight and 1.4% were wasted. Children in the intervention group were significantly less likely to be underweight or severely underweight for age than children in the control group. While the rates of stunting were also significantly lower in intervention areas, the effect was not clinically significant, and no significant differences were found between the study arms on the prevalence of wasting. The Philani model is effective in the prevention and rehabilitation of underweight children. Philani could strengthen their intervention by focussing specifically on screening for child stunting in addition to underweight children. The results also suggests that efforts to address the long-term adverse effects of undernutrition require structural and economic transformation, in addition to socio-medical intervention.

  12. Gender-based violence, alcohol use, and sexual risk among female patrons of drinking venues in Cape Town, South Africa.

    Science.gov (United States)

    Pitpitan, Eileen V; Kalichman, Seth C; Eaton, Lisa A; Cain, Demetria; Sikkema, Kathleen J; Skinner, Donald; Watt, Melissa H; Pieterse, Desiree

    2013-06-01

    Gender-based violence is a well-recognized risk factor for HIV infection among women. Alcohol use is associated with both gender-based violence and sexual risk behavior, but has not been examined as a correlate of both in a context of both high HIV risk and hazardous drinking. The purpose of this paper is to examine the association between recent abuse by a sex partner with alcohol and sexual risk behavior among female patrons of alcohol serving venues in South Africa. Specifically, the aim of this study is to determine whether sexual risk behaviors are associated with gender-based violence after controlling for levels of alcohol use. We surveyed 1,388 women attending informal drinking establishments in Cape Town, South Africa to assess recent history of gender-based violence, drinking, and sexual risk behaviors. Gender-based violence was associated with both drinking and sexual risk behaviors after controlling for demographics among the women. A hierarchical logistic regression analysis showed that after controlling for alcohol use sexual risk behavior remained significantly associated with gender-based violence, particularly with meeting a new sex partner at the bar, recent STI diagnosis, and engaging in transactional sex, but not protected intercourse or number of partners. In South Africa where heavy drinking is prevalent women may be at particular risk of physical abuse from intimate partners as well as higher sexual risk. Interventions that aim to reduce gender-based violence and sexual risk behaviors must directly work to reduce drinking behavior.

  13. Ethical considerations in forensic genetics research on tissue samples collected post-mortem in Cape Town, South Africa.

    Science.gov (United States)

    Heathfield, Laura J; Maistry, Sairita; Martin, Lorna J; Ramesar, Raj; de Vries, Jantina

    2017-11-29

    The use of tissue collected at a forensic post-mortem for forensic genetics research purposes remains of ethical concern as the process involves obtaining informed consent from grieving family members. Two forensic genetics research studies using tissue collected from a forensic post-mortem were recently initiated at our institution and were the first of their kind to be conducted in Cape Town, South Africa. This article discusses some of the ethical challenges that were encountered in these research projects. Among these challenges was the adaptation of research workflows to fit in with an exceptionally busy service delivery that is operating with limited resources. Whilst seeking guidance from the literature regarding research on deceased populations, it was noted that next of kin of decedents are not formally recognised as a vulnerable group in the existing ethical and legal frameworks in South Africa. The authors recommend that research in the forensic mortuary setting is approached using guidance for vulnerable groups, and the benefit to risk standard needs to be strongly justified. Lastly, when planning forensic genetics research, consideration must be given to the potential of uncovering incidental findings, funding to validate these findings and the feedback of results to family members; the latter of which is recommended to occur through a genetic counsellor. It is hoped that these experiences will contribute towards a formal framework for conducting forensic genetic research in medico-legal mortuaries in South Africa.

  14. The early printed Books of Hours in the Grey Collection in Cape Town: evidence of an information revolution

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    F C Steyn

    2014-11-01

    Full Text Available Printed books of hours, the best-seller of the late medieval trade in books, provide evidence of an information revolution equal to that occasioned by the Internet today. The Grey Collection of the National Library in Cape Town possesses eight books of hours, printed between 1498 and 1530, and they are almost completely unknown. Yet these valuable incunabula, all of them printed on vellum with hand-painted initials, and some of them with hand-painted miniatures, are of importance to anybody interested in books, the history of the book, the dissemination of information, the art of the late 15th to the early 16th centuries and early printing. They are also religious books, and of value to people interested in that discipline. The books are therefore eminently suitable as subjects for transdisciplinary research through which the subjects of history, sociology, art and religion can be drawn together. Two of these books, printed by Thielman Kerver in Paris, are discussed in detail in this article. The books are especially remarkable for their many illustrations that include pictures around the borders of each page as well as full-page illustrations. The pictures are neither metal cuts nor woodcuts, as were usual in that period, but relief prints. The most important part of the texts is a sequence of prayers to the Virgin Mary. Soon after these books were printed , in 1571, Pope Pius V prohibited the use of all existing books of hours.

  15. A prospective study of methamphetamine use as a predictor of high school non-attendance in Cape Town, South Africa

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    Parry Charles D

    2010-10-01

    Full Text Available Abstract Background This prospective study investigated the association between life-long methamphetamine and other drug use and high school non-attendance, in a sample of high school students in Cape Town, South Africa. Methods A random sample of 1535 high school students completed a baseline questionnaire in 2006, and were asked to complete a follow-up questionnaire 12 months later. The questionnaire included questions on substance use, including tobacco, alcohol, methamphetamine and cannabis use, demographic factors, and questions relating to school attendance and performance. Results Forty-three percent of the students surveyed at baseline did not complete a follow-up questionnaire after 12 months. Compared with students who were not using selected substances, an adjusted logistic regression model showed that life-time methamphetamine use in addition to other substances was significantly associated with non-attendance (OR = 2.58, 95% CI: 1.24 - 5.36 when other non-substance use factors (repeating a year at school and being older than the norm for current grade were taken into account. Conclusions Early identification of students with methamphetamine and other substance use problems, and a supportive rather than punitive school policy, may be valuable in improving high school completion and student retention rates.

  16. Condom negotiation, HIV testing, and HIV risks among women from alcohol serving venues in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Eileen V Pitpitan

    Full Text Available Women in South Africa are at particularly high-risk for HIV infection and are dependent on their male partners' use of condoms for sexual risk reduction. However, many women are afraid to discuss condoms with male partners, placing them at higher risk of HIV infection.To examine the association between fear of condom negotiation with HIV testing and transmission risk behaviors, including alcohol use and sexual risks among South African women.Women (N = 1333 residing in a primarily Xhosa-speaking African township in Cape Town and attending informal alcohol-serving venues (shebeens completed anonymous surveys. Logistic regression was used to test the hypothesis that fear of condom negotiation would be associated with increased risk for HIV.Compared to women who did not fear condom negotiation, those who did were significantly less likely to have been tested for HIV, were more likely to have experienced relationship abuse, and to report more alcohol use and more unprotected sex.For women in South Africa, fear of condom negotiation is related to higher risk of HIV. HIV prevention efforts, including targeted HIV counseling and testing, must directly address gender issues.

  17. Assessing the role of socio-economic values on entrepreneurial intentions among university students in Cape Town

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    Vivence Kalitanyi

    2017-12-01

    Full Text Available Background: This article presents the findings of an empirical fieldwork study conducted in Cape Town, South Africa. Aim: The aim of the study was to establish how socio-economic values (income, economic development, employment or unemployment in the university students’ direct environment shape their entrepreneurial intentions. Setting and method: The study was built on Ajzen’ psychological model on entrepreneurial intentions, and used a semi-structured questionnaire to collect data from 274 entrepreneurship university students. Cronbach’s alpha was used to measure the reliability of the questionnaire, where six variables out of nine, had a coefficient alpha of more than 0.7, while the remaining three had a coefficient alpha of between 0.5 and 0.7. This instrument was assessed by both statisticians and academics who are experts in their fields to ensure its validity. Multivariate tests of statistical significance were conducted, where correlation and regression statistics were used to analyse the data. Results: Findings suggest that socio-economic factors have an impact in shaping entrepreneurial intentions of the university students. Conclusion: The study formulates the recommendations to the government, businesses, civil society organisations as well as the community within which students live.

  18. Ambient air pollution exposure and respiratory, cardiovascular and cerebrovascular mortality in Cape Town, South Africa: 2001–2006.

    Science.gov (United States)

    Wichmann, Janine; Voyi, Kuku

    2012-11-05

    Little evidence is available on the strength of the association between ambient air pollution exposure and health effects in developing countries such as South Africa. The association between the 24-h average ambient PM(10), SO(2) and NO(2) levels and daily respiratory (RD), cardiovascular (CVD) and cerebrovascular (CBD) mortality in Cape Town (2001-2006) was investigated with a case-crossover design. For models that included entire year data, an inter-quartile range (IQR) increase in PM(10) (12 mg/m3) and NO(2) (12 mg/m3) significantly increased CBD mortality by 4% and 8%, respectively. A significant increase of 3% in CVD mortality was observed per IQR increase in NO(2) and SO(2) (8 mg/m3). In the warm period, PM(10) was significantly associated with RD and CVD mortality. NO(2) had significant associations with CBD, RD and CVD mortality, whilst SO(2) was associated with CVD mortality. None of the pollutants were associated with any of the three outcomes in the cold period. Susceptible groups depended on the cause-specific mortality and air pollutant. There is significant RD, CVD and CBD mortality risk associated with ambient air pollution exposure in South Africa, higher than reported in developed countries.

  19. Ambient Air Pollution Exposure and Respiratory, Cardiovascular and Cerebrovascular Mortality in Cape Town, South Africa: 2001–2006

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    Kuku Voyi

    2012-11-01

    Full Text Available Little evidence is available on the strength of the association between ambient air pollution exposure and health effects in developing countries such as South Africa. The association between the 24-h average ambient PM10, SO2 and NO2 levels and daily respiratory (RD, cardiovascular (CVD and cerebrovascular (CBD mortality in Cape Town (2001–2006 was investigated with a case-crossover design. For models that included entire year data, an inter-quartile range (IQR increase in PM10 (12 mg/m3 and NO2 (12 mg/m3 significantly increased CBD mortality by 4% and 8%, respectively. A significant increase of 3% in CVD mortality was observed per IQR increase in NO2 and SO2 (8 mg/m3. In the warm period, PM10 was significantly associated with RD and CVD mortality. NO2 had significant associations with CBD, RD and CVD mortality, whilst SO2 was associated with CVD mortality. None of the pollutants were associated with any of the three outcomes in the cold period. Susceptible groups depended on the cause-specific mortality and air pollutant. There is significant RD, CVD and CBD mortality risk associated with ambient air pollution exposure in South Africa, higher than reported in developed countries.

  20. HIV viraemia and mother-to-child transmission risk after antiretroviral therapy initiation in pregnancy in Cape Town, South Africa.

    Science.gov (United States)

    Myer, L; Phillips, T K; McIntyre, J A; Hsiao, N-Y; Petro, G; Zerbe, A; Ramjith, J; Bekker, L-G; Abrams, E J

    2017-02-01

    Maternal HIV viral load (VL) drives mother-to-child HIV transmission (MTCT) risk but there are few data from sub-Saharan Africa, where most MTCT occurs. We investigated VL changes during pregnancy and MTCT following antiretroviral therapy (ART) initiation in Cape Town, South Africa. We conducted a prospective study of HIV-infected women initiating ART within routine antenatal services in a primary care setting. VL measurements were taken before ART initiation and up to three more times within 7 days postpartum. Analyses examined VL changes over time, viral suppression (VS) at delivery, and early MTCT based on polymerase chain reaction (PCR) testing up to 8 weeks of age. A total of 620 ART-eligible HIV-infected pregnant women initiated ART, with 2425 VL measurements by delivery (median gestation at initiation, 20 weeks; median pre-ART VL, 4.0 log 10 HIV-1 RNA copies/mL; median time on ART before delivery, 118 days). At delivery, 91% and 73% of women had VL ≤ 1000 and ≤ 50 copies/mL, respectively. VS was strongly predicted by time on therapy and pre-ART VL. The risk of early MTCT was strongly associated with delivery VL, with risks of 0.25, 2.0 and 8.5% among women with VL 1000 copies/mL at delivery, respectively (P pregnancy and with high VL appear substantially less likely to achieve VS and require targeted research and programmatic attention. © 2016 British HIV Association.

  1. Impact of the 2010 FIFA (Federation Internationale de Football Association) World Cup on Pediatric Injury and Mortality in Cape Town, South Africa.

    Science.gov (United States)

    Zroback, Chris; Levin, David; Manlhiot, Cedric; Alexander, Angus; van As, Ab Sebastian; Azzie, Georges

    2014-02-01

    To examine how a mass-gathering event (the Federation Internationale de Football Association World Cup, 2010, South Africa) impacts trauma and mortality in the pediatric (≤ 18 years) population. We investigated pediatric emergency visits at Cape Town's 3 largest public trauma centers and 3 private hospital groups, as well as deaths investigated by the 3 city mortuaries. We compared the 31 days of World Cup with equivalent periods from 2007-2009, and with the 2 weeks before and after the event. We also looked at the World Cup period in isolation and compared days with and without games in Cape Town. There was significantly decreased pediatric trauma volume during the World Cup, approximately 2/100,000 (37%) fewer injuries per day, compared with 2009 and to both pre- and post-World Cup control periods (P emergency visits corresponding with local match start time, with fewer all-cause emergency visits during the 5 hours surrounding this time (-16.4%, P = .01), followed by a subsequent spike (+26.2%, P = .02). There was an increase in trauma 12 hours following matches (+15.6%, P = .06). In Cape Town, during the 2010 Federation Internationale de Football Association World Cup, there were fewer emergency department visits for traumatic injury. Furthermore, there were fewer all-cause pediatric emergency department visits during hometown matches. These results will assist in planning for future mass-gathering events. Copyright © 2014 Mosby, Inc. All rights reserved.

  2. Dynamics of Indian Ocean Slavery Revealed through Isotopic Data from the Colonial Era Cobern Street Burial Site, Cape Town, South Africa (1750-1827)

    Science.gov (United States)

    Morris, Alan G.; Kars, Henk; Davies, Gareth R.

    2016-01-01

    The Dutch East India Company (VOC) intended the Cape of Good Hope to be a refreshment stop for ships travelling between the Netherlands and its eastern colonies. The indigenous Khoisan, however, did not constitute an adequate workforce, therefore the VOC imported slaves from East Africa, Madagascar and Asia to expand the workforce. Cape Town became a cosmopolitan settlement with different categories of people, amongst them a non-European underclass that consisted of slaves, exiles, convicts and free-blacks. This study integrated new strontium isotope data with carbon and nitrogen isotope results from an 18th-19th century burial ground at Cobern Street, Cape Town, to identify non-European forced migrants to the Cape. The aim of the study was to elucidate individual mobility patterns, the age at which the forced migration took place and, if possible, geographical provenance. Using three proxies, 87Sr/86Sr, δ13Cdentine and the presence of dental modifications, a majority (54.5%) of the individuals were found to be born non-locally. In addition, the 87Sr/86Sr data suggested that the non-locally born men came from more diverse geographic origins than the migrant women. Possible provenances were suggested for two individuals. These results contribute to an improved understanding of the dynamics of slave trading in the Indian Ocean world. PMID:27309532

  3. Dynamics of Indian Ocean Slavery Revealed through Isotopic Data from the Colonial Era Cobern Street Burial Site, Cape Town, South Africa (1750-1827).

    Science.gov (United States)

    Kootker, Lisette M; Mbeki, Linda; Morris, Alan G; Kars, Henk; Davies, Gareth R

    2016-01-01

    The Dutch East India Company (VOC) intended the Cape of Good Hope to be a refreshment stop for ships travelling between the Netherlands and its eastern colonies. The indigenous Khoisan, however, did not constitute an adequate workforce, therefore the VOC imported slaves from East Africa, Madagascar and Asia to expand the workforce. Cape Town became a cosmopolitan settlement with different categories of people, amongst them a non-European underclass that consisted of slaves, exiles, convicts and free-blacks. This study integrated new strontium isotope data with carbon and nitrogen isotope results from an 18th-19th century burial ground at Cobern Street, Cape Town, to identify non-European forced migrants to the Cape. The aim of the study was to elucidate individual mobility patterns, the age at which the forced migration took place and, if possible, geographical provenance. Using three proxies, 87Sr/86Sr, δ13Cdentine and the presence of dental modifications, a majority (54.5%) of the individuals were found to be born non-locally. In addition, the 87Sr/86Sr data suggested that the non-locally born men came from more diverse geographic origins than the migrant women. Possible provenances were suggested for two individuals. These results contribute to an improved understanding of the dynamics of slave trading in the Indian Ocean world.

  4. Dynamics of Indian Ocean Slavery Revealed through Isotopic Data from the Colonial Era Cobern Street Burial Site, Cape Town, South Africa (1750-1827.

    Directory of Open Access Journals (Sweden)

    Lisette M Kootker

    Full Text Available The Dutch East India Company (VOC intended the Cape of Good Hope to be a refreshment stop for ships travelling between the Netherlands and its eastern colonies. The indigenous Khoisan, however, did not constitute an adequate workforce, therefore the VOC imported slaves from East Africa, Madagascar and Asia to expand the workforce. Cape Town became a cosmopolitan settlement with different categories of people, amongst them a non-European underclass that consisted of slaves, exiles, convicts and free-blacks. This study integrated new strontium isotope data with carbon and nitrogen isotope results from an 18th-19th century burial ground at Cobern Street, Cape Town, to identify non-European forced migrants to the Cape. The aim of the study was to elucidate individual mobility patterns, the age at which the forced migration took place and, if possible, geographical provenance. Using three proxies, 87Sr/86Sr, δ13Cdentine and the presence of dental modifications, a majority (54.5% of the individuals were found to be born non-locally. In addition, the 87Sr/86Sr data suggested that the non-locally born men came from more diverse geographic origins than the migrant women. Possible provenances were suggested for two individuals. These results contribute to an improved understanding of the dynamics of slave trading in the Indian Ocean world.

  5. A prospective study of the demographics, management and outcome of patients with acute kidney injury in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Thandiwe A L Dlamini

    Full Text Available To study the demographics and outcome of acute kidney injury (AKI at Groote Schuur Hospital, Cape Town, South Africa.A prospective observational study of AKI fulfilling the Kidney Disease: Improving Global Outcomes definition, from 8 July 2012 to 8 July 2013. Ethics approval was granted by the University of Cape Town Human Research Ethics Committee. Consent was waived because patient data was de-identified and patient management was not adversely affected by the study. A clerking sheet was used for data collection. Patients were reassessed after 3 months. Main outcomes were renal recovery and 3 month mortality. Descriptive statistics and multivariate logistic regression were carried out for risk factors. Over this period there were 10,750 hospital admissions and 366 patients with AKI giving an incidence of 3.4%. Median age was 44 years (IQR 14-82 and 214 (58.5% were male, with 152 (41.5% female. Most, 265 (72.4%, had community acquired AKI. Common underlying comorbidities were hypertension (n = 152, 41.5%, diabetes mellitus (n = 65, 17.8% Human immunodeficiency virus (HIV (n = 75, 20.6%, heart disease (n = 58, 16.1%, and chronic kidney disease (n = 37, 10.1%. Renal biopsies were performed in 36 (9.8% patients. In total, 202 (55.2% patients were in the intensive care unit, and of the whole study population 204 (55.7% were dialysed. Those admitted to ICU who required dialysis amounted to 145 (39.6%. The overall 3 month mortality was 38.8%. Among the 145 patients dialysed in ICU, there were 71 deaths (49% at 3 month follow up. Of the 119 patients with follow up serum creatinine, 95 (79.8% had full renal recovery, and 4 (3.4% had end-stage renal disease. On multivariate analysis, mechanical ventilation was associated with 3 month mortality (OR 2.46, p-value 0.019, 95% CI 1.41-4.03. Sepsis had a borderline significant association (OR 1.83, P-value 0.066, 95%CI 1.02-3.27, as did prolonged time to dialysis (OR 1.93, p-value 0.08, 095% CI 0.93-4.03. HIV

  6. Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa.

    Science.gov (United States)

    Yemeke, Tatenda T; Sikkema, Kathleen J; Watt, Melissa H; Ciya, Nonceba; Robertson, Corne; Joska, John A

    2017-07-01

    Traumatic events can negatively affect clinical outcomes among HIV positive women, particularly when those events result in ongoing psychological distress. Consequently, there have been calls to integrate screening and treatment of traumatic experiences and associated mental health disorders into HIV care. In South Africa, screening for traumatic experiences and mental health is not a routine part of HIV care. The goal of this study was to examine the prevalence of traumatic experiences and mental health distress among women in an HIV clinic in Cape Town, South Africa, and to explore the acceptability of routine screening in this setting. Seventy HIV positive women were screened following referral from health care workers in the clinic. Among the participants, 51% reported a history of sexual abuse and 75% reported physical intimate partner violence (physical IPV). Among all participants, 36% met screening criteria for depression; among those with traumatic experiences ( n = 57), 70% met screening criteria for posttraumatic stress disorder (PTSD). Compared with reporting no sexual abuse or physical IPV, having experienced both sexual abuse and physical IPV was significantly associated with higher odds of depression, while reporting either sexual abuse or physical IPV individually was not significantly associated with increased odds of depression. Among women reporting sexual abuse, 61% were disclosing their experience for the first time during the screening; 31% of women with physical IPV experience were disclosing for the first time. Overall, 98% of participants thought screening should be routine and extended to all women as part of clinic care. Screening women for sexual abuse and physical IPV may be an important component of ensuring HIV care engagement.

  7. Ethnicity and self-reported experiences of stigma in adults with intellectual disability in Cape Town, South Africa.

    Science.gov (United States)

    Ali, A; Kock, E; Molteno, C; Mfiki, N; King, M; Strydom, A

    2015-06-01

    Studies have shown that individuals with intellectual disability (ID) are aware of stigma and are able to describe experiences of being treated negatively. However, there have been no cross-cultural studies examining whether self-reported experiences of stigma vary between ethnic groups. Participants with mild and moderate ID were recruited from a number of different settings in Cape Town, South Africa. Self-reported experiences of stigma in three ethnic groups were measured using the South African version of the Perceived Stigma of Intellectual Disability tool, developed by the authors. One-way anova was used to test whether there were differences in the total stigma score between the ethnic groups. Regression analysis was performed to identify factors associated with stigma. A total of 191 participants agreed to take part; 53 were Black, 70 were of mixed ethnicity and 68 were Caucasian. There were no differences in the levels of stigma reported by the three groups but the Black African ethnic group were more likely to report being physically attacked and being stared at, but were also more likely to report that they thought they were 'the same as other people'. There was an interaction effect between ethnicity and level of ID, with participants with mild ID from the Black African group reporting higher levels of stigma compared with those with moderate ID. Younger age was the only factor that was associated with stigma but there was a trend towards ethnicity, additional disability and socio-economic status being related to stigma. Interventions should target the Black African community in South Africa and should include the reduction of both public stigma and self-reported stigma. © 2014 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

  8. Opportunities for technology-based HIV prevention programming among high school students in Cape Town, South Africa.

    Science.gov (United States)

    Ybarra, Michele L; Mwaba, Kelvin; Prescott, Tonya L; Roman, Nicolette V; Rooi, Bronwyn; Bull, Sheana

    2014-01-01

    One in three new cases of HIV in South Africa is among adolescents. Given that adolescents are particularly affected, scalable, and cost-effective prevention programs are urgently needed. This study aims to identify opportunities to integrate technology into youth HIV prevention efforts. In 2012, 1107 8th-11th graders completed a paper-and-pencil survey. Respondents were enrolled in one of three public high schools in Langa, a lower income community in Cape Town, South Africa. Eighty-nine percent of respondents have used text messaging (SMS) and 86% have gone online. If an HIV prevention program was offered online, 66% of youth would be somewhat or extremely likely to access it; slightly fewer (55%) felt the same about SMS-based programming. In comparison, 85% said they would be somewhat or extremely likely to access a school-based HIV prevention program. Interest in Internet- (60%) and SMS-based (54%) HIV prevention programming was similar for youth who had a self-appraised risk of HIV compared to youth who appraised their risk to be lower, as it was for youth who were tired of hearing messages about HIV prevention. Technology use is common - even among high school students who live in lower income communities. At the same time, these data reveal that it is not uncommon for youth to be tired of hearing messages about HIV prevention, and many of the typical topics key to HIV prevention have low interest levels among youth. HIV prevention researchers need to be mindful of the extent of existing programming that youth are exposed to. Technology-based programming may be especially amenable to meeting these requirements because of its novelty especially in developing countries, and because interactive functionality can be easily integrated into the program design. Given the preference for school- and Internet-based programming, it seems that a hybrid approach is likely feasible and acceptable.

  9. Dietary Intake of the Urban Black Population of Cape Town: The Cardiovascular Risk in Black South Africans (CRIBSA Study

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    Nelia P. Steyn

    2016-05-01

    Full Text Available Introduction: To determine dietary intake of 19 to 64 years old urban Africans in Cape Town in 2009 and examine the changes between 1990 and 2009. Methods: A representative cross-sectional sample (n = 544, stratified by gender and age was randomly selected in 2009 from the same areas sampled in 1990. Socio-demographic data and a 24-h dietary recall were obtained by trained field workers. The associations of dietary data with an asset index and degree of urbanization were assessed. Results: Fat intakes were higher in 19–44-year-old men (32% energy (E and women (33.4%E in 2009 compared with 1990 (men: 25.9%E, women: 27.0%E while carbohydrate intakes were lower in 2009 (men 53.2%E, women: 55.5%E than in 1990 (men: 61.3%E; women: 62%E while sugar intake increased significantly (p < 0.01 in women. There were significant positive correlations between urbanization and total fat (p = 0.016, saturated fat (p = 0.001, monounsaturated fat (p = 0.002 and fat as a %E intake (p = 0.046. Urbanization was inversely associated with intake of carbohydrate %E (p < 0.001. Overall micronutrient intakes improved significantly compared with 1990. It should also be noted that energy and macronutrient intakes were all significant in a linear regression model using mean adequacy ratio (MAR as a measure of dietary quality in 2009, as was duration of urbanization. Discussion: The higher fat and lower carbohydrate %E intakes in this population demonstrate a transition to a more urbanized diet over last two decades. These dietary changes reflect the nutrition transitions that typically occur as a longer time is spent in urban centers.

  10. A practical approach to the nutritional management of chronic kidney disease patients in Cape Town, South Africa.

    Science.gov (United States)

    Ameh, Oluwatoyin I; Cilliers, Lynette; Okpechi, Ikechi G

    2016-07-08

    The multi-racial and multi-ethnic population of South Africa has significant variation in their nutritional habits with many black South Africans undergoing a nutritional transition to Western type diets. In this review, we describe our practical approaches to the dietary and nutritional management of chronic kidney disease (CKD) patients in Cape Town, South Africa. Due to poverty and socio-economic constraints, significant challenges still exist with regard to achieving the nutritional needs and adequate dietary counselling of many CKD patients (pre-dialysis and dialysis) in South Africa. Inadequate workforce to meet the educational and counselling needs of patients, inability of many patients to effectively come to terms with changing body and metabolic needs due to ongoing kidney disease, issues of adherence to fluid and food restrictions as well as adherence to medications and in some cases the inability to obtain adequate daily food supplies make up some of these challenges. A multi-disciplinary approach (dietitians, nurses and nephrologists) of regularly reminding and educating patients on dietary (especially low protein diets) and nutritional needs is practiced. The South African Renal exchange list consisting of groups of food items with the same nutritional content has been developed as a practical tool to be used by dietitians to convert individualized nutritional prescriptions into meal plan to meet the nutritional needs of patients in South Africa. The list is currently utilized in counselling CKD patients and provides varied options for food items within the same group (exchangeable) as well as offering ease for the description of suitable meal portions (sizes) to our patients. Regular and continuous education of CKD patients by a multi-disciplinary team in South Africa enables our patients to meet their nutritional goals and retard CKD progression. The South African renal exchange list has proved to be a very useful tool in meeting this need.

  11. Estrogenic activity, chemical levels and health risk assessment of municipal distribution point water from Pretoria and Cape Town, South Africa.

    Science.gov (United States)

    Van Zijl, Magdalena Catherina; Aneck-Hahn, Natalie Hildegard; Swart, Pieter; Hayward, Stefan; Genthe, Bettina; De Jager, Christiaan

    2017-11-01

    Endocrine disrupting chemicals (EDCs) are ubiquitous in the environment and have been detected in drinking water from various countries. Although various water treatment processes can remove EDCs, chemicals can also migrate from pipes that transport water and contaminate drinking water. This study investigated the estrogenic activity in drinking water from various distribution points in Pretoria (City of Tshwane) (n = 40) and Cape Town (n = 40), South Africa, using the recombinant yeast estrogen screen (YES) and the T47D-KBluc reporter gene assay. The samples were collected seasonally over four sampling periods. The samples were also analysed for bisphenol A (BPA), nonylphenol (NP), di(2-ethylhexyl) adipate (DEHA), dibutyl phthalate (DBP), di(2-ethylhexyl) phthalate (DEHP), diisononylphthalate (DINP), 17β-estradiol (E 2 ), estrone (E 1 ) and ethynylestradiol (EE 2 ) using ultra-performance liquid chromatography-tandem mass spectrophotometry (UPLC-MS/MS). This was followed by a scenario based health risk assessment to assess the carcinogenic and toxic human health risks associated with the consumption of distribution point water. None of the water extracts from the distribution points were above the detection limit in the YES bioassay, but the EEq values ranged from 0.002 to 0.114 ng/L using the T47D-KBluc bioassay. BPA, DEHA, DBP, DEHP, DINP E 1 , E 2, and EE 2 were detected in distribution point water samples. NP was below the detection limit for all the samples. The estrogenic activity and levels of target chemicals were comparable to the levels found in other countries. Overall the health risk assessment revealed acceptable health and carcinogenic risks associated with the consumption of distribution point water. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. High rates of bacterial vaginosis and Chlamydia in a low-income, high-population-density community in Cape Town

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    Katie S. Lennard

    2017-12-01

    Full Text Available Young South African women, from resource-poor communities, face several sexual and reproductive health challenges. Here we describe the vaginal microbiota and sexually transmitted infection (STI prevalence of 102; 16–22-year-old, HIV-negative South African women from a low-income, high-population-density community in Cape Town (CPT. Vaginal microbiota were profiled using 16S rRNA amplicon sequencing; bacterial vaginosis (BV status was established using Nugent scoring and STIs were determined by multiplex polymerase chain reaction. STIs were common, with 55% of women having at least one STI; 41% were infected with high-risk human papilloma virus (HPV and a further 28% with low-risk HPV; 44% were infected with Chlamydia, 16% of whom had at least one additional STI. Similarly, BV rates were very high, with 55% of women classified as BV-positive (Nugent score ≥7, 7% as BV-intermediate (Nugent score 3–6 and 38% as BV-negative (Nugent 0–2. Group B Streptococcus (Streptococcus agalactiae, the leading cause of neonatal sepsis, was present in 25% of BV-positive women and 28% of BV-negative women, and was significantly more abundant among BV-negative women. Both Chlamydia infection and BV may adversely affect reproductive health and place these women at additional risk for HIV acquisition. The high abundance of Prevotella amnii, in particular, may increase HIV risk, given its inflammatory capacity. Laboratory-based testing for STIs (Chlamydia and Gonorrhoeae in particular appear to be warranted in this community, together with further monitoring or treatment of BV. Research correlation: This article is the original version, of which an Afrikaans translation was made available to provide access to a larger readership, available here: https://doi.org/10.4102/satnt.v36i1.1495

  13. Heterosexual anal intercourse and HIV infection risks in the context of alcohol serving venues, Cape Town, South Africa

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    Carey Kate B

    2011-10-01

    Full Text Available Abstract Background The most efficient sexual behavior for HIV transmission is unprotected receptive anal intercourse. However, it is unclear what role heterosexual unprotected anal sex is playing in the world's worst HIV epidemics of southern Africa. The objective is to examine the prevalence of heterosexual unprotected anal intercourse among men and women who drink at informal alcohol serving establishments (shebeens in South Africa. Methods Cross-sectional surveys were collected from a convenience sample of 5037 patrons of 10 shebeens in a peri-urban township of Cape Town, South Africa. Analyses concentrated on establishing the rates of unprotected anal intercourse practiced by men and women as well as the factors associated with practicing anal intercourse. Results We found that 15% of men and 11% of women reported anal intercourse in the previous month, with 8% of men and 7% of women practicing any unprotected anal intercourse. Multiple logistic regression showed that younger age, having primary and casual sex partners, and meeting sex partners at shebeens were independently associated with engaging in anal intercourse. Mathematical modeling showed that individual risks are significantly impacted by anal intercourse but probably not to the degree needed to drive a generalized HIV epidemic. Conclusions Anal intercourse likely plays a significant role in HIV infections among a small minority of South Africans who patronize alcohol serving establishments. Heterosexual anal intercourse, the most risky sexual behavior for HIV transmission, should not be ignored in HIV prevention for South African heterosexuals. However, this relatively infrequent behavior should not become the focus of prevention efforts.

  14. Building freeways: piloting communication skills in additional languages to health service personnel in Cape Town, South Africa.

    Science.gov (United States)

    Claassen, Joel; Jama, Zukile; Manga, Nayna; Lewis, Minnie; Hellenberg, Derek

    2017-06-07

    This study reflects on the development and teaching of communication skills courses in additional national languages to health care staff within two primary health care facilities in Cape Town, South Africa. These courses were aimed at addressing the language disparities that recent research has identified globally between patients and health care staff. Communication skills courses were offered to staff at two Metropolitan District Health Services clinics to strengthen patient access to health care services. This study reflects on the communicative proficiency in the additional languages that were offered to health care staff. A mixed-method approach was utilised during this case study with quantitative data-gathering through surveys and qualitative analysis of assessment results. The language profiles of the respective communities were assessed through data obtained from the South African National census, while staff language profiles were obtained at the health care centres. Quantitative measuring, by means of a patient survey at the centres, occurred on a randomly chosen day to ascertain the language profile of the patient population. Participating staff performed assessments at different phases of the training courses to determine their skill levels by the end of the course. The performances of the participating staff during the Xhosa and Afrikaans language courses were assessed, and the development of the staff communicative competencies was measured. Health care staff learning the additional languages could develop Basic or Intermediate Xhosa and Afrikaans that enables communication with patients. In multilingual countries such as South Africa, language has been recognised as a health care barrier preventing patients from receiving quality care. Equipping health care staff with communication skills in the additional languages, represents an attempt to bridge a vital barrier in the South African health care system. The study proves that offering communication

  15. Scalability and sustainability of M-Government projects implementation in developing countries

    CSIR Research Space (South Africa)

    Ogunleye, OS

    2013-11-01

    Full Text Available Research Meiring Naude Road, Lynnwood, Pretoria South Africa oogunleye@csir.co.za Jean-Paul Van Belle Department of Information Systems University of Cape Town Rondebosch, Cape Town South Africa Abstract Mobile technology has played a...

  16. Sexual relationships, intimate partner violence and STI partner notification in Cape Town, South Africa: an observational study.

    Science.gov (United States)

    Mathews, Catherine; Kalichman, Moira O; Laubscher, Ria; Hutchison, Cameron; Nkoko, Koena; Lurie, Mark; Kalichman, Seth C

    2018-03-01

    We aimed to identify individual and sexual partnership characteristics associated with partner notification (PN) among people with STI. We hypothesised that PN would be less likely in more casual sexual partnerships and in partnerships with intimate partner violence (IPV). We conducted an observational study among the first 330 patients with STI enrolled in a trial of a behavioural intervention to reduce STI incidence, at a clinic in a poor, Cape Town community. We included 195 index patients (those reporting STI symptoms), and conducted longitudinal analyses using participant-completed questionnaires on the day of diagnosis and 2 weeks later. Using partnership data for five recent sexual partners, we assessed factors associated with reported PN with logistic regressions, adjusting for repeated measurements on the same participant for each partner. The sample included 99 males with 303 partners and 96 females with 158 partners. Males reported perpetrating IPV in 46.2% of partnerships. Females reported being IPV victims in 53.2% of partnerships. Males notified 58.1%, females 75.4% of partners during the 2 weeks following diagnosis. Type of partner was an independent correlate of PN for males and females, with the odds of PN lower in more casual partnerships. For males, reporting physical IPV perpetration in the partnership was an independent correlate of PN. For females, there was no association between IPV victimisation in a partnership and PN. Efforts to decrease the pool of infectious partners need to have a strong focus on the promotion of PN in casual relationships and one-night stands. IPV was not identified as a barrier to PN. In future, we need to investigate the association between IPV with an objective measure of PN success such as partner testing or treatment, or index patient reinfection. PACTR201606001682364; Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No

  17. Respiratory microbes present in the nasopharynx of children hospitalised with suspected pulmonary tuberculosis in Cape Town, South Africa

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    Felix S. Dube

    2016-10-01

    Full Text Available Abstract Background Lower respiratory tract infection in children is increasingly thought to be polymicrobial in origin. Children with symptoms suggestive of pulmonary tuberculosis (PTB may have tuberculosis, other respiratory tract infections or co-infection with Mycobacterium tuberculosis and other pathogens. We aimed to identify the presence of potential respiratory pathogens in nasopharyngeal (NP samples from children with suspected PTB. Method NP samples collected from consecutive children presenting with suspected PTB at Red Cross Children’s Hospital (Cape Town, South Africa were tested by multiplex real-time RT-PCR. Mycobacterial liquid culture and Xpert MTB/RIF was performed on 2 induced sputa obtained from each participant. Children were categorised as definite-TB (culture or qPCR [Xpert MTB/RIF] confirmed, unlikely-TB (improvement of symptoms without TB treatment on follow-up and unconfirmed-TB (all other children. Results Amongst 214 children with a median age of 36 months (interquartile range, [IQR] 19–66 months, 34 (16 % had definite-TB, 86 (40 % had unconfirmed-TB and 94 (44 % were classified as unlikely-TB. Moraxella catarrhalis (64 %, Streptococcus pneumoniae (42 %, Haemophilus influenzae spp (29 % and Staphylococcus aureus (22 % were the most common bacteria detected in NP samples. Other bacteria detected included Mycoplasma pneumoniae (9 %, Bordetella pertussis (7 % and Chlamydophila pneumoniae (4 %. The most common viruses detected included metapneumovirus (19 %, rhinovirus (15 %, influenza virus C (9 %, adenovirus (7 %, cytomegalovirus (7 % and coronavirus O43 (5.6 %. Both bacteria and viruses were detected in 73, 55 and 56 % of the definite, unconfirmed and unlikely-TB groups, respectively. There were no significant differences in the distribution of respiratory microbes between children with and without TB. Using quadratic discriminant analysis, human metapneumovirus, C. pneumoniae, coronavirus 043

  18. Age-disparity, sexual connectedness and HIV infection in disadvantaged communities around Cape Town, South Africa: a study protocol

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    Aerts Marc

    2011-08-01

    Full Text Available Abstract Background Crucial connections between sexual network structure and the distribution of HIV remain inadequately understood, especially in regard to the role of concurrency and age disparity in relationships, and how these network characteristics correlate with each other and other risk factors. Social desirability bias and inaccurate recall are obstacles to obtaining valid, detailed information about sexual behaviour and relationship histories. Therefore, this study aims to use novel research methods in order to determine whether HIV status is associated with age-disparity and sexual connectedness as well as establish the primary behavioural and socio-demographic predictors of the egocentric and community sexual network structures. Method/Design We will conduct a cross-sectional survey that uses a questionnaire exploring one-year sexual histories, with a focus on timing and age disparity of relationships, as well as other risk factors such as unprotected intercourse and the use of alcohol and recreational drugs. The questionnaire will be administered in a safe and confidential mobile interview space, using audio computer-assisted self-interview (ACASI technology on touch screen computers. The ACASI features a choice of languages and visual feedback of temporal information. The survey will be administered in three peri-urban disadvantaged communities in the greater Cape Town area with a high burden of HIV. The study communities participated in a previous TB/HIV study, from which HIV test results will be anonymously linked to the survey dataset. Statistical analyses of the data will include descriptive statistics, linear mixed-effects models for the inter- and intra-subject variability in the age difference between sexual partners, survival analysis for correlated event times to model concurrency patterns, and logistic regression for association of HIV status with age disparity and sexual connectedness. Discussion This study design is

  19. Poor anticoagulation control in patients taking warfarin at a tertiary and districtlevel prothrombin clinic in Cape Town South Africa

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    I Ebrahim

    2018-05-01

    Full Text Available Background. Warfarin is the most commonly used anticoagulant for both primary and secondary prevention of thromboembolism. For anticoagulation efficacy, the international normalised ratio (INR needs to be within the therapeutic range for at least 65% of time on warfarin.Objectives. To describe INR control in patients on long-term warfarin and identified predictors of good INR control at two dedicated warfarin follow-up clinics in Cape Town, South Africa (SA.Methods. We reviewed clinical records of patients in care at the INR clinics at Mitchell’s Plain Community Health Centre and Groote Schuur Hospital. We included patients who had been on warfarin therapy for at least 27 months and excluded patients with <6 months of INR monitoring data or a >70-day gap between INR tests in the calculation period, and if >25% of follow-up time was at an alternative site. The time in therapeutic range (TTR over 180 days using the Rosendaal method was calculated, and we categorised INR control as good if the TTR was ≥65%. We constructed a multivariate logistic regression model to identify associations with good INR control.Results. We included 363 patients, with a median age of 55 years (interquartile range (IQR 44 - 64, of whom 65.6% were women. The most common indications for warfarin were valvular heart disease (45.7% and atrial fibrillation (25.1%. The mean TTR was 47%, with only 91/363 patients having good INR control. In a multivariate model adjusted for age, sex, clinic and target INR, patients aged ≥55 years were more likely to have good INR control than younger patients (adjusted odds ratio 1.69, 95% confidence interval 1.03 - 2.79. Poorly controlled patients had more frequent INR monitoring than those with good INR control, with a median of 8 INRs (IQR 6 - 10 v. 6 INRs (IQR 5 - 8 in the 180-day period (p<0.0001.Conclusions. Only 25.1% of patients in our study achieved good INR control, despite regular INR monitoring. There is an

  20. Parental supervision and discomfort with children walking to school in low-income communities in Cape Town, South Africa.

    Science.gov (United States)

    Simons, Abigail; Koekemoer, Karin; Niekerk, Ashley van; Govender, Rajen

    2018-05-19

    The risk of pedestrian injury is compounded for children living in low-income communities due to factors such as poor road and pedestrian infrastructure, reliance on walking as a means of transport, and compromised supervision. Parents play an important role in child pedestrian safety. The primary objective of this study was to examine the effects of child pedestrian variables on parental discomfort with regard to letting their child walk to and from school and on the frequency of adult supervision. A cross-sectional study was conducted using a convenience sample from 3 schools participating in a pedestrian safety school initiative. The schools are situated in low-income, high-risk communities in the City of Cape Town. A parent survey form was translated into isiXhosa and sent home with learners to those parents who had consented to participate. The response rate was 70.4%, and only parents of children who walk to and from school were included in the final sample (n = 359). Child pedestrian variables include the time taken to walk to school, parental rating of the child's ability to safely cross the road, and the frequency of adult supervision. More than half of parents reported that their child walked to and from school without adult supervision. About 56% of children took less than 20 min to walk to school. Most parents (61%) were uncomfortable with their child walking to school, although the majority of parents (55.7%) rated their child's ability to cross the road safely as better or significantly better than average (compared to peers). The parents did not perceive any differences in pedestrian risk factors between boys and girls or between younger (6-9 years) and older (10-15 years) children. The time spent by a child walking to school and parents' perceptions of their child's road-crossing ability were found to be significant predictors of parental discomfort (in letting their child walk). Younger children and children who spent less time walking were more

  1. The profile of people reporting with low back pain to a resource poor clinic in Cape Town

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    D.L. Yates

    2010-01-01

    Full Text Available In order to provide targeted information regarding understanding and  management  of  low  back  pain  (LBP,  it  is  necessary  to  understand  the life situation of patients. The objective of this study was to develop a profile of patients with LBP seeking care in an under-resourced area of Cape Town.The subjects were all patients attending a community health centre with a primary diagnosis of LBP. A self-designed questionnaire was used to gather relevant information such as BMI, smoking, physical activities at home and work and  potentially  stressful  life  events.  Questions  about  perceptions  of  LBP,  the role of health personnel, income and employment were included.  Subjects could also identify which information they would like to be given by their health care providers. Fifty  subjects  were  interviewed,  74%  were  female.  The  mean  ages  were  50.7  years  (SD  14.0  and  54.1  years (SD  15.1  for  males  and  females  respectively.  There  was  a  high  prevalence  of  smoking  and  obesity,  low  levels  of  education, and many reported high stress levels. There were a high percentage of manual workers and the nature of their activities could put them at risk for development and exacerbation of LBP. Few people knew what to expect with regard to the likely outcome of their pain and the majority identified the need for communication about the duration, prognosis, implications and management of LBP. Conclusion: A profile developed of the typical LBP patient in this community provided valuable information, which can be utilized to develop appropriate intervention strategies.

  2. An analysis of the influence of logistics activities on the export cold chain of temperature sensitive fruit through the Port of Cape Town

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    Leila L. Goedhals-Gerber

    2015-09-01

    Full Text Available Background: South Africa exports a large variety of different fruit types and cultivars worldwide. Yet, there is concern in the South African fruit industry that too much fruit and money is lost each year due to breaks along the fresh fruit export cold chain. Objective: The objective of this article was to identify the influence of logistics activities on breaks along the South African fruit export cold chain. The focus is specifically on temperature sensitive fruit, exported in refrigerated containers to Europe and the United Kingdom through the Port of Cape Town. This supply chain was selected as this was the most accessible supply chain in terms of retrieving the necessary temperature data. Method: The cold chain was investigated from the cold store, through all segments, until the Port of Cape Town. Temperature data collected with temperature monitoring devices from different fruit export supply chains of grapes, plums and pome fruit (apples and pears were analysed to identify the percentage of temperature breaks and the length of temperature breaks that occur at each segment of the cold chain. Results: The results show that a large number of breaks are experienced along South Africa’s fruit export cold chain, specifically at the interface between the cold store and the truck. In addition, the findings also show that there has been an improvement in the number of breaks experienced in the Port of Cape Town following the implementation of the NAVIS and Refcon systems. Conclusion: This article concludes by providing the fruit industry with areas that require addressing to improve operational procedures along the fruit export cold chain to help ensure that the fruit arrives at its final destination at optimal quality.

  3. Spatio-temporal variation of organotin compounds in seawater and sediments from Cape Town harbour, South Africa using gas chromatography with flame photometric detector (GC-FPD

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    Hussein K. Okoro

    2016-01-01

    Full Text Available The spatio-temporal variation of two organotin compounds (OTCs of tributyltin and triphenyltin in the seawater and sediment of Cape Town harbour was investigated. The organotin compounds were determined by GC-FPD following prior extraction with 0.02% tropolone. The concentration of OTCs varies for locations in Cape Town harbour. The concentration of OTCs in seawater ranges from 0.067 ± 0.01 to 111.290 ± 32.20 × 10−3 μg/l for TBT while that of TPT ranges between between ND ± SD and 23008.0 ± 0.03 × 10−3 μg/l respectively between locations. Relatively higher concentrations were measured for TBT and TPT during summer than in winter and spring seasons (p ⩽ 0.05. Apparently, the observed high or low values recorded for TBT in Cape Town harbour could be the result of an increase or decrease in the traffic of ships and boats. TBT was detected in all the sediment samples analysed except for location 9 (entrance to harbour, the two control sites (which are located far away from the inner harbour where boating activities are taking place, and location 12 (Robinson dry dock 2 where the samples were not at all found. For the control sites, antifouling compounds TBT and TPT were not detected throughout except for TBT that was found in control A during summer. The seasonal variation of OTC abundance in sediment was also investigated. The results indicated that TBT is present throughout the seasons but is predominantly present in this order summer > winter > spring.

  4. The role of urban food policy in preventing diet-related non-communicable diseases in Cape Town and New York.

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    Libman, K; Freudenberg, N; Sanders, D; Puoane, T; Tsolekile, L

    2015-04-01

    Cities are important settings for production and prevention of non-communicable diseases. This article proposes a conceptual framework for identification of opportunities to prevent diet-related non-communicable diseases in cities. It compares two cities, Cape Town in South Africa and New York City in the United States, to illustrate municipal, regional, national and global influences in three policy domains that influence NCDs: product formulation, shaping retail environments and institutional food practices, domains in which each city has taken action. Comparative case study. Critical analysis of selected published studies and government and non-governmental reports on food policies and systems in Cape Town and New York City. While Cape Town and New York City differ in governance, history and culture, both have food systems that make unhealthy food more available in low-income than higher income neighborhoods; cope with food environments in which unhealthy food is increasingly ubiquitous; and have political economies dominated by business and financial sectors. New York City has more authority and resources to take on local influences on food environments but neither city has made progress in addressing deeper social determinants of diet-related NCDs including income inequality, child poverty and the disproportionate political influence of wealthy elites. Through their intimate connections with the daily lives of their residents, municipal governments have the potential to shape environments that promote health. Identifying the specific opportunities to prevent diet-related NCDs in a particular city requires intersectoral and multilevel analyses of the full range of influences on food environments. Copyright © 2014 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  5. Evaluation of a Cape Town Safety Intervention as a Model for Good Practice: A Partnership between Researchers, Community and Implementing Agency

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    Tali Cassidy

    2015-05-01

    Full Text Available VPUU has a wealth of experience to share and is engaged with broader national and international policymakers and implementing agencies. Researchers are grappling with the difficulty of providing a rigorous project evaluation for these collaborations which could identify project elements that work with a view to their replication. This paper traces the evolution of an evidence-based approach to violence prevention in the Western Cape Province of South Africa. The Violence Prevention through Urban Upgrading (VPUU project in Cape Town uses such an approach, and relies on a ‘whole-of-society’ methodology as well. The project and the difficulty of its evaluation are discussed. A partnership between VPUU, researchers, the community and local government has revealed both opportunities and obstacles, which are the subjects of a case study described here.

  6. From medical manners to moral reasoning: an historical overview of bioethics in the University of Cape Town's Faculty of Health Sciences.

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    Benatar, Solomon R; Benatar, David

    2012-03-02

    The history of bioethics in the Faculty of Health Sciences of the University of Cape Town (UCT) follows a similar pattern to elsewhere. At first, bioethics received little formal attention, but there has been a flowering of interest over the last few decades. There has also been a shift from a professionally insular view of bioethics to one informed by non-medical disciplines. While this pattern is to be found in many parts of the world, there are some distinctive, but not unique, features of bioethics at South Africa's oldest medical school.

  7. The relevance of social contexts and social action in reducing substance use and victimization among women participating in an HIV prevention intervention in Cape Town, South Africa

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    Reed E

    2013-06-01

    Full Text Available Elizabeth Reed,1 Andrea N Emanuel,2 Bronwyn Myers,3,4 Kim Johnson,3 Wendee M Wechsberg2,5–7 1George Washington University School of Public Health, Department of Prevention and Community Health, Washington, DC, USA; 2RTI International, Research Triangle Park, NC, USA; 3Alcohol and Drug Abuse Research Unit, Medical Research Council, Cape Town, South Africa; 4Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; 5Gillings Global School of Public Health, University of North Carolina, Chapel Hill, NC, USA; 6Psychology in the Public Interest, North Carolina State University, NC, USA; 7Psychiatry and Behavioral Sciences, Duke University School of Medicine, NC, USA Objectives: To examine qualitatively how women's social context and community mobilization (eg, mobilizing women to take social action and engaging their community in social change influence substance use abstinence and victimization among women participating in a human immunodeficiency virus (HIV intervention in Cape Town, South Africa. Methods: Thirty women who had participated in a randomized controlled trial of a group-delivered intervention to address substance use, gender-based violence, and associated risk for HIV (The Women's Health CoOp were selected to participate in semi-structured interviews about their perceived impact of the intervention on their substance use and exposure to victimization. The Women's CoOp intervention involved creating a new positive social environment for women within a group setting that also fostered women's social action (eg, educating peers or family members in the community. Interviews were analyzed using content analysis and coded to examine women's descriptions of social contexts and social action, and the influence of these on women's substance use abstinence and exposure to victimization. Results: Social support (eg, via program staff and other participants and social action (eg, engaging others in the

  8. Transplantation of the heart: An overview of 40 years' clinical and research experience at Groote Schuur Hospital and the University of Cape Town: Part II. Laboratory research experience.

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    Hassoulas, J

    2012-03-29

    Extensive experimental research on various aspects of heart transplantation was undertaken during the first 2 decades. An overview of this work is presented, and some still unpublished work has been included. Experimental laboratory investigation was an integral activity of the cardiac transplantation programme at the University of Cape Town over these years, and has remained so ever since. These studies provided invaluable fundamental information upon which future clinical work was based. It is therefore necessary to briefly mention and discuss this information, most of which has been published in detail by the various investigators concerned.

  9. Contribution of Water Pollution From Inadequate Sanitation and Housing Quality to Diarrheal Disease in Low-Cost Housing Settlements of Cape Town, South Africa

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    Barnes, Jo M.; Pieper, Clarissa H.

    2011-01-01

    Objectives. We investigated the effects of failing sanitation, poor housing conditions, and fecal pollution in runoff water on the health—particularly the incidence of diarrheal disease—of residents of low-cost housing settlements in Cape Town, South Africa. Methods. In November 2009, we conducted a cross-sectional survey with structured interviews in 4 communities (n = 336 dwellings; 1080 persons). We used Colilert defined-substrate technology to determine Escherichia coli levels in runoff water samples taken from the study communities. Results. Almost 15% of households disposed of soiled products in storm water drains and 6% disposed of soiled products in the street. In only 26% of the dwellings were toilets washed daily. Approximately 59% of dwellings lacked a tap near the toilet for hand washing, and 14% of respondents suffered 1 or more attacks of diarrhea in the 2 weeks preceding their interview. E.coli counts of runoff environmental water samples ranged from 750 to 1 580 000 000 per 100 milliliters. Conclusions. A holistic and integrated approach is needed to improve housing quality and sanitation among Cape Town's low-income citizens. PMID:21566018

  10. The impact of densification by means of informal shacks in the backyards of low-cost houses on the environment and service delivery in cape town, South Africa.

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    Govender, Thashlin; Barnes, Jo M; Pieper, Clarissa H

    2011-01-01

    This paper investigates the state-sponsored low cost housing provided to previously disadvantaged communities in the City of Cape Town. The strain imposed on municipal services by informal densification of unofficial backyard shacks was found to create unintended public health risks. Four subsidized low-cost housing communities were selected within the City of Cape Town in this cross-sectional survey. Data was obtained from 1080 persons with a response rate of 100%. Illegal electrical connections to backyard shacks that are made of flimsy materials posed increased fire risks. A high proportion of main house owners did not pay for water but sold water to backyard dwellers. The design of state-subsidised houses and the unplanned housing in the backyard added enormous pressure on the existing municipal infrastructure and the environment. Municipal water and sewerage systems and solid waste disposal cannot cope with the increased population density and poor sanitation behaviour of the inhabitants of these settlements. The low-cost housing program in South Africa requires improved management and prudent policies to cope with the densification of state-funded low-cost housing settlements.

  11. Of voyeuristic safari tours and responsible tourism with educational value: Observing moral communication in slum and township tourism in Cape Town and Mumbai

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    Burgold. Julia

    2013-11-01

    Full Text Available Sightseeing in the poorest quarters of southern hemisphere cities has been observed occurring in Cape Town, Rio de Janeiro, Mumbai and many other cities. The increasing global interest in touring poor urban environments is accompanied by a strong morally charged debate; so far, this debate has not been critically addressed. This article avoids asking if slum tourism is good or bad, but instead seeks a second-order observation, i.e. to investigate under what conditions the social praxis of slum tourism is considered as good or bad, by processing information on esteem or disesteem among tourists and tour providers. Special attention is given to any relation between morality and place, and the thesis posited is that the moral charging of slum tourism is dependent on the presence of specific preconceived notions of slums and poverty. This shall be clarified by means of references to two empirical case studies carried out in (1 Cape Town in 2007 and 2008 and (2 Mumbai in 2009.

  12. 76 FR 38302 - Safety Zone; Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA

    Science.gov (United States)

    2011-06-30

    ... the Town of Cape Charles will sponsor a fireworks display on the shoreline of the navigable waters of...-AA00 Safety Zone; Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA AGENCY: Coast Guard... navigable waters of Cape Charles City Harbor in Cape Charles, VA in support of the Fourth of July Fireworks...

  13. Possible impacts of sea-level rise on the Diep river/Rietvlei system, Cape-Town

    CSIR Research Space (South Africa)

    Hughes, P

    1993-10-01

    Full Text Available Many of the Cape Province's estuaries and tidal inlets have sandy connections to the sea and are often intensively developed for industrial or residential purposes. The possible impacts of sea-level rise are of considerable interest...

  14. A description of pharmacological analgesia administration by public sector advanced life support paramedics in the City of Cape Town

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    Ryan Matthews

    2017-03-01

    Discussion: Pre-hospital acute pain management in the Western Cape does not appear to conform to best practice as Advanced Life Support providers in the Western Cape use low doses of morphine. Chest pain is an important reason for drug administration in acute pre-hospital pain. Multimodal analgesia is not a feature of care in this pre-hospital service. The development of a Clinical Practice Guideline for and training in pre-hospital pain should be viewed as imperative.

  15. Gender-based violence and HIV sexual risk behavior: alcohol use and mental health problems as mediators among women in drinking venues, Cape Town.

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    Pitpitan, Eileen V; Kalichman, Seth C; Eaton, Lisa A; Sikkema, Kathleen J; Watt, Melissa H; Skinner, Donald

    2012-10-01

    Gender-based violence is a key determinant of HIV infection among women in South Africa as elsewhere. However, research has not examined potential mediating processes to explain the link between experiencing abuse and engaging in HIV sexual risk behavior. Previous studies suggest that alcohol use and mental health problems may explain how gender-based violence predicts sexual risk. In a prospective study, we examined whether lifetime history of gender-based violence indirectly affects future sexual risk behavior through alcohol use, depression and post-traumatic stress disorder (PTSD) in a high-risk socio-environmental context. We recruited a cohort of 560 women from alcohol drinking venues in a Cape Town, South African township. Participants completed computerized interviews at baseline and 4 months later. We tested prospective mediating associations between gender-based violence, alcohol use, depression, PTSD, and sexual risk behavior. There was a significant indirect effect of gender-based violence on sexual risk behavior through alcohol use, but not mental health problems. Women who were physically and sexually abused drank more, which in turn predicted more unprotected sex. We did not find a mediated relationship between alcohol use and sexual risk behavior through the experience of recent abuse or mental health problems. Alcohol use explains the link between gender-based violence and sexual risk behavior among women attending drinking venues in Cape Town, South Africa. Efforts to reduce HIV risk in South Africa by addressing gender-based violence must also address alcohol use. Copyright © 2012 Elsevier Ltd. All rights reserved.

  16. Pregnant in a foreign city: A qualitative analysis of diet and nutrition for cross-border migrant women in Cape Town, South Africa.

    Science.gov (United States)

    Hunter-Adams, Jo; Rother, Hanna-Andrea

    2016-08-01

    How do migrant women navigate their food environment during pregnancy? Foods are imbued with new meanings in a new place, and in low-and-middle-income countries including South Africa, a changing food environment leaves the poor, including many migrants, vulnerable to malnutrition. Thus, one of the ways economic and social vulnerability may be experienced and reproduced is via the foods one consumes. Examining food perceptions in the context of pregnancy offers a potentially powerful lens on wellbeing. Nine focus group discussions (N = 48) with Somali, Congolese, and Zimbabwean men and women, and 23 in-depth interviews with Congolese, Somali and Zimbabwean women living in Cape Town were conducted, exploring maternal and infant nutrition. We used thematic analysis to guide analysis. (1) Participants described longing for self-categorised "traditional" foods, yet had limited access and little time and space to prepare these foods in the manner they had back home. (2) Sought-after foods available-and even celebratory-for migrants in Cape Town during pregnancy tended to be calorie-dense, nutrient poor fast foods and junk foods. (3) The fulfilment of cravings was presented as the embodiment of health during pregnancy. (4) Iron-folic acid supplementation was perceived as curative rather than preventive. (5) While participants did not describe hunger during pregnancy, food scarcity seemed possible. Food perceptions during pregnancy reflected migrants' orientation towards home. Fast foods were widely acceptable and available during pregnancy. These foods were not perceived to have negative health consequences. Nutrition interventions targeting migrants should consider the symbolic nature of food, the increasingly globalised food environment in urban LMIC settings, as well as the contexts in which health perceptions evolve. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. "I passed the test!" Evidence of diagnostic misconception in the recruitment of population controls for an H3Africa genomic study in Cape Town, South Africa.

    Science.gov (United States)

    Masiye, Francis; Mayosi, Bongani; de Vries, Jantina

    2017-02-15

    Advances in genetic and genomic research have introduced challenges in obtaining informed consent for research in low and middle-income settings. However, there are only few studies that have explored challenges in obtaining informed consent in genetic and genomic research in Africa and none in South Africa. To start filling this gap, we conducted an empirical study to investigate the efficacy of informed consent procedures for an H3Africa genomic study on Rheumatic Heart Disease (RHDGen) at the University of Cape Town in South Africa. The main aim of the study was to understand ethical challenges in obtaining informed consent in the RHDGen study. We used a qualitative study methodology involving in-depth interviews and participant observations. Our study participants were RHDGen cases (patients), healthy controls and research staff involved in the recruitment of RHDGen cases and controls. In total, we conducted 32 in-depth interviews with RHDGen cases and controls, 2 in-depth interviews with research staff and 57 direct observations of the consent procedures of RHDGen cases and controls. The interviews were conducted in English, audio-recorded and transcribed verbatim. Data were analyzed using thematic content analysis. The study was conducted in 3 sites within Cape Town, South Africa. Most healthy controls joined the RHDGen study in order to be screened for rheumatic heart disease (diagnostic misconception). A majority of RHDGen cases decided to join the RHDGen study because of therapeutic misconception. The ethical challenges that impacted on obtaining informed consent in the RHDGen study were complex. In this study, the main challenges were diagnostic misconception among RHDGen controls and therapeutic misconception among RHDGen cases.

  18. Factors associated with linkage to HIV care and TB treatment at community-based HIV testing services in Cape Town, South Africa.

    Science.gov (United States)

    Meehan, Sue-Ann; Sloot, Rosa; Draper, Heather R; Naidoo, Pren; Burger, Ronelle; Beyers, Nulda

    2018-01-01

    Diagnosing HIV and/or TB is not sufficient; linkage to care and treatment is conditional to reduce the burden of disease. This study aimed to determine factors associated with linkage to HIV care and TB treatment at community-based services in Cape Town, South Africa. This retrospective cohort study utilized routinely collected data from clients who utilized stand-alone (fixed site not attached to a health facility) and mobile HIV testing services in eight communities in the City of Cape Town Metropolitan district, between January 2008 and June 2012. Clients were included in the analysis if they were ≥12 years and had a known HIV status. Generalized estimating equations (GEE) logistic regression models were used to assess the association between determinants (sex, age, HIV testing service and co-infection status) and self-reported linkage to HIV care and/or TB treatment. Linkage to HIV care was 3 738/5 929 (63.1%). Linkage to HIV care was associated with the type of HIV testing service. Clients diagnosed with HIV at mobile services had a significantly reduced odds of linking to HIV care (aOR 0.7 (CI 95%: 0.6-0.8), p<0.001. Linkage to TB treatment was 210/275 (76.4%). Linkage to TB treatment was not associated with sex and service type, but was associated with age. Clients in older age groups were less likely to link to TB treatment compared to clients in the age group 12-24 years (all, p-value<0.05). A large proportion of clients diagnosed with HIV at mobile services did not link to care. Almost a quarter of clients diagnosed with TB did not link to treatment. Integrated community-based HIV and TB testing services are efficient in diagnosing HIV and TB, but strategies to improve linkage to care are required to control these epidemics.

  19. “Not on the agenda”: A qualitative study of influences on health services use among poor young women who use drugs in Cape Town, South Africa

    Science.gov (United States)

    Myers, Bronwyn; Carney, Tara; Wechsberg, Wendee M.

    2016-01-01

    Background Poor young women who use alcohol and other drugs (AODs) in Cape Town, South Africa, need access to health services to prevent HIV. Efforts to link young women to services are hampered by limited information on what influences service initiation. We explored perceptions of factors that influence poor AOD-using young women’s use of health services. Methods We conducted four focus groups with young women (aged 16 to 21) who used AODs and were recruited from two township communities in Cape Town. We also conducted 14 in-depth interviews with health and social welfare service planners and providers. Discussion topics included young women’s use of health services and perceived influences on service use. Qualitative data were analysed using a framework approach. Results The findings highlighted structural, contextual, and systemic influences on the use of health services by young women who use AODs. First, young women were absent from the health agenda, which had an impact on the provision of women-specific services. Resource constraints and gender inequality were thought to contribute to this absence. Second, gender inequality and stigma toward young women who used AODs led to their social exclusion from education and employment opportunities and health care. Third, community poverty resulted in the emergence of perverse social capital and social disorder that limited social support for treatment. Fourth, the health care system was unresponsive to the multiple service needs of these young women. Conclusion To reach young women who use AODs, interventions need to take cognisance of young women’s risk environment and health systems need to adapt to respond better to their needs. For these interventions to be effective, gender must be placed on the policy agenda. PMID:26797188

  20. "Not on the agenda": A qualitative study of influences on health services use among poor young women who use drugs in Cape Town, South Africa.

    Science.gov (United States)

    Myers, Bronwyn; Carney, Tara; Wechsberg, Wendee M

    2016-04-01

    Poor young women who use alcohol and other drugs (AODs) in Cape Town, South Africa, need access to health services to prevent HIV. Efforts to link young women to services are hampered by limited information on what influences service initiation. We explored perceptions of factors that influence poor AOD-using young women's use of health services. We conducted four focus groups with young women (aged 16-21) who used AODs and were recruited from two township communities in Cape Town. We also conducted 14 in-depth interviews with health and social welfare service planners and providers. Discussion topics included young women's use of health services and perceived influences on service use. Qualitative data were analysed using a framework approach. The findings highlighted structural, contextual, and systemic influences on the use of health services by young women who use AODs. First, young women were absent from the health agenda, which had an impact on the provision of women-specific services. Resource constraints and gender inequality were thought to contribute to this absence. Second, gender inequality and stigma toward young women who used AODs led to their social exclusion from education and employment opportunities and health care. Third, community poverty resulted in the emergence of perverse social capital and social disorder that limited social support for treatment. Fourth, the health care system was unresponsive to the multiple service needs of these young women. To reach young women who use AODs, interventions need to take cognisance of young women's risk environment and health systems need to adapt to respond better to their needs. For these interventions to be effective, gender must be placed on the policy agenda. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. Clinical characteristics and causes of heart failure adherence to treatment guidelines and mortality of patients with acute heart failure: Experience at Groote Schuur Hospital Cape Town South Africa

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    P Szymanski

    2018-02-01

    Full Text Available Background. There is limited information on acute heart failure (AHF and its treatment in sub-Saharan Africa.Objective. To describe the clinical characteristics and causes of heart failure (HF, adherence to HF treatment guidelines, and mortality of patients with AHF presenting to Groote Schuur Hospital (GSH, Cape Town, South Africa.Methods. This sub-study of The Sub-Saharan Africa Survey of Heart Failure (THESUS-HF was a prospective and observational survey that focused on the enrolment and follow-up of additional patients with AHF presenting to GSH and entered into the existing registry after publication of the primary THESUS-HF article in 2012. The patients were classified into prevalent (existing or incident (new cases of HF.Results. Of the 119 patients included, 69 (58.0% were female and the mean (standard deviation age was 49.9 (16.3 years. The majority of prevalent cases were patients of mixed ancestry (63.3%, and prevalent cases had more hypertension (70.0%, diabetes mellitus (36.7%, hyperlipidaemia (33.3% and ischaemic heart disease (IHD (36.7% than incident cases. The top five causes of HF were cardiomyopathy (20.2%, IHD (19.3%, rheumatic valvular heart disease (RHD (18.5%, cor pulmonale (11.8% and hypertension (10.1%, with the remaining 20.1% consisting of miscellaneous causes including pericarditis, toxins and congenital heart disease. Most patients received renin-angiotensin system blockers and loop diuretics on discharge. There was a low rate of beta-blocker, aldosterone antagonist and digoxin use. Rehospitalisation within 180 days occurred in 25.2% of cases. In-hospital mortality was 8.4% and the case fatality rate at 6 months was 26.1%.Conclusion. In Cape Town, the main causes of AHF are cardiomyopathy, IHD and RHD. AHF affects a young population and is associated with a high rate of rehospitalisation and mortality. There is serious under-use of beta-blockers, aldosterone antagonists and digoxin. Emphasis on the rigorous

  2. Prevalence and determinants of unplanned pregnancy in HIV-positive and HIV-negative pregnant women in Cape Town, South Africa: a cross-sectional study.

    Science.gov (United States)

    Iyun, Victoria; Brittain, Kirsty; Phillips, Tamsin K; le Roux, Stanzi; McIntyre, James A; Zerbe, Allison; Petro, Greg; Abrams, Elaine J; Myer, Landon

    2018-04-03

    Prevention of unplanned pregnancy is a crucial aspect of preventing mother-to-child HIV transmission. There are few data investigating how HIV status and use of antiretroviral therapy (ART) may influence pregnancy planning in high HIV burden settings. Our objective was to examine the prevalence and determinants of unplanned pregnancy among HIV-positive and HIV-negative women in Cape Town, South Africa. Cross-sectional analysis. Single primary-level antenatal care clinic in Cape Town, South Africa. HIV-positive and HIV-negative pregnant women, booking for antenatal care from March 2013 to August 2015, were included. Unplanned pregnancy was measured at the first antenatal care visit using the London Measure of Unplanned Pregnancy (LMUP). Analyses examined LMUP scores across four groups of participants defined by their HIV status, awareness of their HIV status prior to the current pregnancy and/or whether they were using antiretroviral therapy (ART) prior to the current pregnancy. Among 2105 pregnant women (1512 HIV positive; 593 HIV negative), median age was 28 years, 43% were married/cohabiting and 20% were nulliparous. Levels of unplanned pregnancy were significantly higher in HIV-positive versus HIV-negative women (50% vs 33%, p<0.001); and highest in women who were known HIV positive but not on ART (53%). After adjusting for age, parity and marital status, unplanned pregnancy was most common among women newly diagnosed and women who were known HIV positive but not on ART (compared with HIV-negative women, adjusted OR (aOR): 1.43; 95% CI 1.05 to 1.94 and aOR: 1.57; 95% CI 1.13 to 2.15, respectively). Increased parity and younger age (<24 years) were also associated with unplanned pregnancy (aOR: 1.42; 95% CI 1.25 to 1.60 and aOR: 1.83; 95% CI 1.23 to 2.74, respectively). We observed high levels of unplanned pregnancy among HIV-positive women, particularly among those not on ART, suggesting ongoing missed opportunities for improved family planning and

  3. Exploration of Deaf People's Health Information Sources and Techniques for Information Delivery in Cape Town: A Qualitative Study for the Design and Development of a Mobile Health App.

    Science.gov (United States)

    Chininthorn, Prangnat; Glaser, Meryl; Tucker, William David; Diehl, Jan Carel

    2016-11-11

    Many cultural and linguistic Deaf people in South Africa face disparity when accessing health information because of social and language barriers. The number of certified South African Sign Language interpreters (SASLIs) is also insufficient to meet the demand of the Deaf population in the country. Our research team, in collaboration with the Deaf communities in Cape Town, devised a mobile health app called SignSupport to bridge the communication gaps in health care contexts. We consequently plan to extend our work with a Health Knowledge Transfer System (HKTS) to provide Deaf people with accessible, understandable, and accurate health information. We conducted an explorative study to prepare the groundwork for the design and development of the system. To investigate the current modes of health information distributed to Deaf people in Cape Town, identify the health information sources Deaf people prefer and their reasons, and define effective techniques for delivering understandable information to generate the groundwork for the mobile health app development with and for Deaf people. A qualitative methodology using semistructured interviews with sensitizing tools was used in a community-based codesign setting. A total of 23 Deaf people and 10 health professionals participated in this study. Inductive and deductive coding was used for the analysis. Deaf people currently have access to 4 modes of health information distribution through: Deaf and other relevant organizations, hearing health professionals, personal interactions, and the mass media. Their preferred and accessible sources are those delivering information in signed language and with communication techniques that match Deaf people's communication needs. Accessible and accurate health information can be delivered to Deaf people by 3 effective techniques: using signed language including its dialects, through health drama with its combined techniques, and accompanying the information with pictures in

  4. Learning that circumcision is protective against HIV: risk compensation among men and women in Cape Town, South Africa.

    Science.gov (United States)

    Maughan-Brown, Brendan; Venkataramani, Atheendar S

    2012-01-01

    We examined whether knowledge of the HIV-protective benefits of male circumcision (MC) led to risk compensating behavior in a traditionally circumcising population in South Africa. We extend the current literature by examining risk compensation among women, which has hitherto been unexplored. We used data on Xhosa men and women from the 2009 Cape Area Panel Study. Respondents were asked if they had heard that MC reduces a man's risk of contracting HIV, about their perceived risk of contracting HIV, and condom use. For each gender group we assessed whether risk perception and condom use differed by knowledge of the protective benefits of MC using bivariate and then multivariate models controlling for demographic characteristics, HIV knowledge/beliefs, and previous sexual behaviors. In a further check for confounding, we used data from the 2005 wave to assess whether individuals who would eventually become informed about the protective benefits of circumcision were already different in terms of HIV risk perception and condom use. 34% of men (n=453) and 27% of women (n=690) had heard that circumcision reduces a man's risk of HIV infection. Informed men perceived slightly higher risk of contracting HIV and were more likely to use condoms at last sex (pwomen perceived lower HIV risk (pwomen but not men. Further attention should be paid to the role of new information regarding MC, and drivers of HIV risk more broadly, in modulating sexual behavior among women.

  5. Impact of ART on TB case fatality stratified by CD4 count for HIV-positive TB patients in Cape Town, South Africa (2009-2011).

    Science.gov (United States)

    Kaplan, Richard; Caldwell, Judy; Middelkoop, Keren; Bekker, Linda-Gail; Wood, Robin

    2014-08-15

    To identify determinants of tuberculosis (TB) case fatality including the impact of antiretroviral therapy (ART) at different CD4 thresholds for HIV-positive adult and adolescent TB patients. Through a retrospective analysis of the electronic TB database, we identified the HIV status of newly registered patients aged ≥15 years. Multivariable Cox proportional hazard models were used to determine the risk factors for TB case fatality in these patients. In 2009, 2010, and 2011, 25,841, 26,104, and 25,554 newly registered adult TB patients were treated in primary health care clinics in Cape Town, of whom 49.7%, 50.4%, and 50.9% were HIV positive. ART uptake increased over 3 years from 43% to 64.9%, and case fatality of the HIV-positive patients decreased from 7.0% to 5.8% (P ART had a substantial decrease in case fatality. The difference in case fatality between patients on ART and not on ART was most pronounced at low CD4 counts with the positive influence of ART noted up to a CD4 count threshold of 350 cells per cubic millimeter (P ART uptake, in 2011, 21% of the patients with CD4 counts ART during TB treatment. This study showed a relatively poor uptake of ART among severely immune-compromised TB patients. Patients with CD4 counts ART during TB treatment, and ART initiation should be prioritized for this category of patients.

  6. 'When you visit a man you should prepare yourself': male community care worker approaches to working with men living with HIV in Cape Town, South Africa.

    Science.gov (United States)

    Gittings, Lesley

    2016-08-01

    Caring is typically constructed as a feminised practice, resulting in women shouldering the burden of care-related work. Health-seeking behaviours are also constructed as feminine and men have poorer health outcomes globally. Employing men as carers may not only improve the health of the men they assist but also be transformative with regards to gendered constructions of caring. Using semi-structured interviews and observational home visits, this study explored the techniques that community care workers employ when working with male clients. The empirical analysis draws on the perspectives of eight care workers and three of their male clients from the Cape Town area. Interviews reveal how care workers and clients perform and negotiate masculinities as they navigate hegemonic masculine norms that require men to act tough, suppress emotions and deny weakness and sickness. Both parties bump up against ideals of what it means to be a man as they strive to provide care and receive support. Community care workers avoid rupturing client performances of hegemonic masculinities which inhibit confession and support. To do this, they use techniques of indirectly broaching sensitive subjects, acting in a friendly way and being clear about the intention of their work.

  7. The influence of environmental variables on the presence of white sharks, Carcharodon carcharias at two popular Cape Town bathing beaches: a generalized additive mixed model.

    Directory of Open Access Journals (Sweden)

    Kay Weltz

    Full Text Available Shark attacks on humans are high profile events which can significantly influence policies related to the coastal zone. A shark warning system in South Africa, Shark Spotters, recorded 378 white shark (Carcharodon carcharias sightings at two popular beaches, Fish Hoek and Muizenberg, during 3690 six-hour long spotting shifts, during the months September to May 2006 to 2011. The probabilities of shark sightings were related to environmental variables using Binomial Generalized Additive Mixed Models (GAMMs. Sea surface temperature was significant, with the probability of shark sightings increasing rapidly as SST exceeded 14 °C and approached a maximum at 18 °C, whereafter it remains high. An 8 times (Muizenberg and 5 times (Fish Hoek greater likelihood of sighting a shark was predicted at 18 °C than at 14 °C. Lunar phase was also significant with a prediction of 1.5 times (Muizenberg and 4 times (Fish Hoek greater likelihood of a shark sighting at new moon than at full moon. At Fish Hoek, the probability of sighting a shark was 1.6 times higher during the afternoon shift compared to the morning shift, but no diel effect was found at Muizenberg. A significant increase in the number of shark sightings was identified over the last three years, highlighting the need for ongoing research into shark attack mitigation. These patterns will be incorporated into shark awareness and bather safety campaigns in Cape Town.

  8. A social network typology and sexual risk-taking among men who have sex with men in Cape Town and Port Elizabeth, South Africa.

    Science.gov (United States)

    de Voux, Alex; Baral, Stefan D; Bekker, Linda-Gail; Beyrer, Chris; Phaswana-Mafuya, Nancy; Siegler, Aaron J; Sullivan, Patrick S; Winskell, Kate; Stephenson, Rob

    2016-01-01

    Despite the high prevalence of HIV among men who have sex with men in South Africa, very little is known about their lived realities, including their social and sexual networks. Given the influence of social network structure on sexual risk behaviours, a better understanding of the social contexts of men who have sex with men is essential for informing the design of HIV programming and messaging. This study explored social network connectivity, an understudied network attribute, examining self-reported connectivity between friends, family and sex partners. Data were collected in Cape Town and Port Elizabeth, South Africa, from 78 men who have sex with men who participated in in-depth interviews that included a social network mapping component. Five social network types emerged from the content analysis of these social network maps based on the level of connectivity between family, friends and sex partners, and ranged from disconnected to densely connected networks. The ways in which participants reported sexual risk-taking differed across the five network types, revealing diversity in social network profiles. HIV programming and messaging for this population can greatly benefit from recognising the diversity in lived realities and social connections between men who have sex with men.

  9. Assessing the impact of a waiting time survey on reducing waiting times in urban primary care clinics in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Johann Daniels

    2017-09-01

    Full Text Available A waiting time survey (WTS conducted in several clinics in Cape Town, South Africa provided recommendations on how to shorten waiting times (WT. A follow-up study was conducted to assess whether WT had reduced. Using a stratified sample of 22 clinics, a before and after study design assessed changes in WT. The WT was measured and perceptions of clinic managers were elicited, about the previous survey’s recommendations. The overall median WT decreased by 21 minutes (95%CI: 11.77- 30.23, a 28% decrease from the previous WTS. Although no specific factor was associated with decreases in WT, implementation of recommendations to reduce WT was 2.67 times (95%CI: 1.33-5.40 more likely amongst those who received written recommendations and 2.3 times (95%CI: 1.28- 4.19 more likely amongst managers with 5 or more years’ experience. The decrease in WT found demonstrates the utility of a WTS in busy urban clinics in developing country contexts. Experienced facility managers who timeously receive customised reports of their clinic’s performance are more likely to implement changes that positively impact on reducing WT.

  10. Adherence challenges encountered in an intervention programme to combat chronic non-communicable diseases in an urban black community, Cape Town

    Directory of Open Access Journals (Sweden)

    Nasheetah Solomons

    2017-10-01

    Full Text Available Background: Chronic non-communicable diseases (CNCD have become the greatest contributor to the mortality rate worldwide. Despite attempts by Governments and various non-governmental organisations to prevent and control the epidemic with various intervention strategies, the number of people suffering from CNCD is increasing at an alarming rate in South Africa and worldwide. Objectives: Study's objectives were to explore perceived challenges with implementation of, and adherence to health messages disseminated as part of a CNCD intervention programme; to gain an understanding of participants' expectations of CNCD intervention programmes;, and to explore the acceptability and preference of health message dissemination methods. In addition, participants' awareness of, and willingness to participate inCNCDs intervention programmes in their community was explored. Methods: Participants were recruited from the existing urban Prospective Urban Rural Epidemiology study site in Langa, Cape Town. Focus group discussions were conducted with 47participants using a question guide. Summative content analysis was used to analyse the data. Results: Four themes emerged from the data analysis: practical aspects of implementation and adherence to intervention programmes; participants' expectations of intervention programmes; aspects influencing participants' acceptance of interventions; and their preferences for health message dissemination. The results of this study will be used to inform CNCDs intervention programmes. Conclusions: Our findings revealed that although participants found current methods of health message dissemination in CNCDs intervention acceptable, they faced real challenges with implementing and adhering to CNCDs to these messages.

  11. In search of an African dining experience: International visitors views on service at V&A Waterfront restaurants in Cape Town

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    Takawira Windy Mutsago

    2011-01-01

    Full Text Available Culturalism and ethnicity form integral parts of destination attractions in tourism and hospitality. The article explores the degree of African authenticity expected by international travelers from a dining experiences in restaurants located in a popular tourist hub, the Victoria and Alfred Waterfront in Cape Town. The research reveals that integrating traditional African values and standards to five star dining international standards is difficult and problematic. Consequently international diners seeking authentic African dining experience in popular tourists’ hubs have been disappointed. The paper revealed that the majority 75.3% perceived the dining experience in the V&A Waterfront as just a copy of the Western countries, 19, 2% percent noted some African traits largely diluted by foreign standards and 6, 5% believed it was truly an African dining experience. The article recommends that, for commercial purposes a staged African experience be created using such strategies as manipulating the architecture, the music, interior décor, staff uniforms and anything that immediately identifies with Africa or South Africa on a more local level.

  12. The 13 th world congress on medical and health informatics, Cape Town, South Africa: Partnerships for effective e-Health solutions

    Directory of Open Access Journals (Sweden)

    Andrew Georgiou

    2011-01-01

    Full Text Available The 13 th World Congress on Medical and Health Informatics (Medinfo was held in 2010 between 12 and 15 September in Cape Town, South Africa. This triennial international gathering is the official conference of the International Medical Informatics Association (IMIA and brings together leading health informatics leaders, scientists, clinicians, researchers, vendors, developers and government and health care planners from around the globe. The conference attracted 905 submissions and resulted in a program that included 260 oral presentations, 349 posters presentations and 21 scientific demonstrations representing contributions from 58 countries. The Medinfo program covered all aspects of health informatics from traditional areas, such as hospital information systems, patient registries, nursing informatics, data integration, standards, interoperability issues and decision support, to innovative topics, such as translational bioinformatics, text mining, intelligent data analysis, emerging technologies, quality, social networking, workflow and organizational issues. The outgoing President of the IMIA, Professor Reinhold Haux, presented on health informatics challenges into the future, reinforcing that today and in the future, health care has to be considered as part of a continuous and coordinated life-time journey and not just as episodes of disease. Medical informatics has a key role to play in this paradigm shift. The new IMIA President, Professor Antoine Geissbuhler, was announced at the closing ceremony. The next Medinfo congress will take place in Copenhagen, Denmark, in September 2013.

  13. Is younger really safer? A qualitative study of perceived risks and benefits of age-disparate relationships among women in Cape Town, South Africa.

    Science.gov (United States)

    Beauclair, Roxanne; Delva, Wim

    2013-01-01

    Young women in age-asymmetric relationships may be at an elevated risk for acquisition of HIV, since relationships with older men are also correlated with other risk behaviors like less condom use. Qualitative studies have shown that women are motivated to participate in these relationships for money and emotional support. However, there is a paucity of research on women's perceived risks of these relationships, particularly in South Africa. To this end, we conducted in-depth interviews with 23 women recruited from three urban communities in Cape Town. A thematic question guide was used to direct the interviews. Thematic content analysis was used to explore women's perceived risks of age-disparate and non-age-disparate relationships, the benefits of dating older men, and risk perceptions that influence decisions around beginning or ending a relationship. A plurality of women thought that dating an older man does not bring any adverse consequences, although some thought that older men do not use condoms and may be involved in concurrent partnerships. Many women were less inclined to date same-age or younger men, because they were viewed as being disrespectful and abusive. This study points to the need for more awareness raising about the risks of age-disparate relationships. In addition to these initiatives, there is an urgent need to implement holistic approaches to relationship health, in order to curb intimate partner violence, improve gender equity and make non-age-disparate relationships more attractive.

  14. Is younger really safer? A qualitative study of perceived risks and benefits of age-disparate relationships among women in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Roxanne Beauclair

    Full Text Available Young women in age-asymmetric relationships may be at an elevated risk for acquisition of HIV, since relationships with older men are also correlated with other risk behaviors like less condom use. Qualitative studies have shown that women are motivated to participate in these relationships for money and emotional support. However, there is a paucity of research on women's perceived risks of these relationships, particularly in South Africa. To this end, we conducted in-depth interviews with 23 women recruited from three urban communities in Cape Town. A thematic question guide was used to direct the interviews. Thematic content analysis was used to explore women's perceived risks of age-disparate and non-age-disparate relationships, the benefits of dating older men, and risk perceptions that influence decisions around beginning or ending a relationship. A plurality of women thought that dating an older man does not bring any adverse consequences, although some thought that older men do not use condoms and may be involved in concurrent partnerships. Many women were less inclined to date same-age or younger men, because they were viewed as being disrespectful and abusive. This study points to the need for more awareness raising about the risks of age-disparate relationships. In addition to these initiatives, there is an urgent need to implement holistic approaches to relationship health, in order to curb intimate partner violence, improve gender equity and make non-age-disparate relationships more attractive.

  15. Is Younger Really Safer? A Qualitative Study of Perceived Risks and Benefits of Age-Disparate Relationships among Women in Cape Town, South Africa

    Science.gov (United States)

    Beauclair, Roxanne; Delva, Wim

    2013-01-01

    Young women in age-asymmetric relationships may be at an elevated risk for acquisition of HIV, since relationships with older men are also correlated with other risk behaviors like less condom use. Qualitative studies have shown that women are motivated to participate in these relationships for money and emotional support. However, there is a paucity of research on women’s perceived risks of these relationships, particularly in South Africa. To this end, we conducted in-depth interviews with 23 women recruited from three urban communities in Cape Town. A thematic question guide was used to direct the interviews. Thematic content analysis was used to explore women’s perceived risks of age-disparate and non-age-disparate relationships, the benefits of dating older men, and risk perceptions that influence decisions around beginning or ending a relationship. A plurality of women thought that dating an older man does not bring any adverse consequences, although some thought that older men do not use condoms and may be involved in concurrent partnerships. Many women were less inclined to date same-age or younger men, because they were viewed as being disrespectful and abusive. This study points to the need for more awareness raising about the risks of age-disparate relationships. In addition to these initiatives, there is an urgent need to implement holistic approaches to relationship health, in order to curb intimate partner violence, improve gender equity and make non-age-disparate relationships more attractive. PMID:24260585

  16. Feasibility and Acceptability of Screening and Brief Interventions to Address Alcohol and Other Drug Use among Patients Presenting for Emergency Services in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Bronwyn Myers

    2012-01-01

    Full Text Available Despite evidence from high income countries, it is not known whether screening and brief interventions (SBI for alcohol and other drug (AOD use are feasible to implement in low and middle income countries. This paper describes the feasibility and acceptability of a peer-led SBI for AOD-using patients presenting with injuries at emergency services in Cape Town, South Africa. Data were extracted from program records on the number of eligible patients screened and the number of program refusals. A questionnaire examined preliminary responses to the intervention for 30 patients who had completed the program and 10 emergency personnel. Peer counselors were also interviewed to identify barriers to implementation. Of the 1458 patients screened, 21% (305 met inclusion criteria, of which 74% (225 were enrolled in the intervention. Of the 30 patients interviewed, most (83% found the program useful. Emergency personnel were supportive of the program but felt that visibility and reach could improve. Peer counselors identified the need for better integration of the program into emergency services and for additional training and support. In conclusion, with limited additional resources, peer-led SBIs for AOD use are feasible to conduct in South African emergency services and are acceptable to patients and emergency personnel.

  17. I am not "umqwayito'': a qualitative study of peer pressure and sexual risk behaviour among young adolescents in Cape Town, South Africa.

    Science.gov (United States)

    Selikow, Terry-Ann; Ahmed, Nazeema; Flisher, Alan J; Mathews, Catherine; Mukoma, Wanjiru

    2009-06-01

    Young people in South Africa are susceptible to HIV infection. They are vulnerable to peer pressure to have sex, but little is known about how peer pressure operates. The aim of the study was to understand how negative peer pressure increases high risk sexual behaviour among young adolescents in Cape Town, South Africa. Qualitative research methods were used. Eight focus groups were conducted with young people between the ages of 13 and 14 years. Peer pressure among both boys and girls undermines healthy social norms and HIV prevention messages to abstain, be faithful, use a condom and delay sexual debut. HIV prevention projects need to engage with peer pressure with the aim of changing harmful social norms into healthy norms. Increased communication with adults about sex is one way to decrease the impact of negative peer pressure. Peer education is a further mechanism by which trained peers can role model healthy social norms and challenge a peer culture that promotes high risk sexual behaviour. Successful HIV prevention interventions need to engage with the disconnect between educational messages and social messages and to exploit the gaps between awareness, decision making, norms, intentions and actions as spaces for positive interventions.

  18. Trends in admissions, morbidity and outcomes at Red Cross War Memorial Children’s Hospital, Cape Town, 2004 - 2013

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    Y Isaacs-Long

    2017-03-01

    Full Text Available Background. Routinely collected patient information has the potential to yield valuable information about health systems and population health, but there have been few comprehensive analyses of paediatric admissions at South African (SA hospitals. Objectives. To investigate trends in hospitalisation and outcomes at Red Cross War Memorial Children’s Hospital (RCWMCH, a major referral hospital for children in the Western Cape and SA. Methods. Using routinely collected observational health data from the hospital informatics system, we investigated admissions between 2004 and 2013. Clinical classification software was used to group International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10 codes to rank causes during 2008 - 2013, when ICD-10 codes were widely available. Analyses examined trends in medical and surgical admissions over time. Results. There were 215 536 admissions over 10 years of 129 733 patients. Admissions increased by 9.3%, with increases in the general medical wards (5%, medical specialty wards (74%, the burns unit (73%, and the intensive care unit (16%. In contrast, admissions decreased in the trauma unit (21% and short-stay medical wards (1%. In-hospital mortality decreased by 54% (p-trend <0.001 over 10 years. Diarrhoea and lower-respiratory tract illness were the most common causes for medical admissions, although admissions and deaths due to these conditions decreased between 2008 and 2013, which coincided with the national introduction of related vaccines. Similarly, tuberculosis admissions and deaths decreased over this period. These trends could be owing to a concurrent decrease in HIV comorbidity (p-trend <0.001. Trauma was the most common reason for surgical admission. Conclusion. Paediatric in-hospital mortality decreased consistently over a decade, despite an overall increase in admissions. Pneumonia and diarrhoea admissions decreased markedly over a 6-year period, but

  19. Learning that circumcision is protective against HIV: risk compensation among men and women in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Brendan Maughan-Brown

    Full Text Available We examined whether knowledge of the HIV-protective benefits of male circumcision (MC led to risk compensating behavior in a traditionally circumcising population in South Africa. We extend the current literature by examining risk compensation among women, which has hitherto been unexplored.We used data on Xhosa men and women from the 2009 Cape Area Panel Study. Respondents were asked if they had heard that MC reduces a man's risk of contracting HIV, about their perceived risk of contracting HIV, and condom use. For each gender group we assessed whether risk perception and condom use differed by knowledge of the protective benefits of MC using bivariate and then multivariate models controlling for demographic characteristics, HIV knowledge/beliefs, and previous sexual behaviors. In a further check for confounding, we used data from the 2005 wave to assess whether individuals who would eventually become informed about the protective benefits of circumcision were already different in terms of HIV risk perception and condom use.34% of men (n=453 and 27% of women (n=690 had heard that circumcision reduces a man's risk of HIV infection. Informed men perceived slightly higher risk of contracting HIV and were more likely to use condoms at last sex (p<0.10. Informed women perceived lower HIV risk (p<0.05, were less likely to use condoms both at last sex (p<0.10 and more generally (p<0.01, and more likely to forego condoms with partners of positive or unknown serostatus (p<0.01. The results were robust to covariate adjustment, excluding people living with HIV, and accounting for risk perceptions and condom use in 2005.We find evidence consistent with risk compensation among women but not men. Further attention should be paid to the role of new information regarding MC, and drivers of HIV risk more broadly, in modulating sexual behavior among women.

  20. Details for Manuscript Number SSM-D-06-00290R2 “Internalized Stigma, Discrimination, and Depression among Men and Women Living with HIV/AIDS in Cape Town, South Africa”

    OpenAIRE

    Simbayi, Leickness C.; Strebel, Anna; Cloete, Allanise; Henda, Nomvo; Mqeketo, Ayanda

    2007-01-01

    AIDS stigmas interfere with HIV prevention, diagnosis and treatment and can become internalized by people living with HIV/AIDS. However, the effects of internalized AIDS stigmas have not been investigated in Africa, home to two-thirds of the more than 40 million people living with AIDS in the world. The current study examined the prevalence of discrimination experiences and internalized stigmas among 420 HIV positive men and 643 HIV positive women recruited from AIDS services in Cape Town, So...

  1. Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study.

    Science.gov (United States)

    Meade, Christina S; Towe, Sheri L; Watt, Melissa H; Lion, Ryan R; Myers, Bronwyn; Skinner, Donald; Kimani, Stephen; Pieterse, Desiree

    2015-07-01

    Since 2000, there has been a dramatic increase in methamphetamine use in South Africa, but little is known about the experiences of out-of-treatment users. This mixed-methods study describes the substance use histories, addiction symptoms, and treatment experiences of a community-recruited sample of methamphetamine users in Cape Town. Using respondent driven sampling, 360 methamphetamine users (44% female) completed structured clinical interviews to assess substance abuse and treatment history and computerized surveys to assess drug-related risks. A sub-sample of 30 participants completed in-depth interviews to qualitatively explore experiences with methamphetamine use and drug treatment. Participants had used methamphetamine for an average of 7.06 years (SD=3.64). They reported using methamphetamine on an average of 23.49 of the past 30 days (SD=8.90); 60% used daily. The majority (90%) met ICD-10 criteria for dependence, and many reported severe social, financial, and legal consequences. While only 10% had ever received drug treatment, 90% reported that they wanted treatment. In the qualitative interviews, participants reported multiple barriers to treatment, including beliefs that treatment is ineffective and relapse is inevitable in their social context. They also identified important motivators, including desires to be drug free and improve family functioning. This study yields valuable information to more effectively respond to emerging methamphetamine epidemics in South Africa and other low- and middle-income countries. Interventions to increase uptake of evidence-based services must actively seek out drug users and build motivation for treatment, and offer continuing care services to prevent relapse. Community education campaigns are also needed. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  2. Changing sex risk behaviors, gender norms, and relationship dynamics among couples in Cape Town, South Africa: Efficacy of an intervention on the dyad.

    Science.gov (United States)

    Speizer, Ilene S; Zule, William A; Carney, Tara; Browne, Felicia A; Ndirangu, Jacqueline; Wechsberg, Wendee M

    2018-05-18

    South Africa continues to experience new HIV infections, with the highest risk among Black Africans living in poor communities. Most HIV prevention interventions target women or men separately and only a small number target couples jointly. This study examines varying strategies to engage women and men around HIV prevention and improved couple interactions. The study comprises three arms: (1) a couple-based intervention delivered to women and men jointly; (2) women and men both offered a gender-focused intervention that is delivered to them separately; and (3) an intervention offered to women only and their male partners receive standard HIV testing and counseling (comparison arm). Between June 2010 and April 2012, men were identified in and around drinking establishments in a large disadvantaged community in Cape Town and asked to participate in the study if they drink regularly, had recent unprotected sex with their partner, and have a female partner who was willing to participate in the study. A total of 299 couples completed the baseline assessment and 276 were included in the analysis of sexual risk, partner communication, conflict resolution, and gender norm outcomes at baseline and six-month follow-up. Couples that participated in the couple-level intervention and couples where both partners received the intervention separately had better couple-level gender norms than couples in the comparison arm (women only receive intervention). Further, couples in the couple-level intervention and the both partners exposed separately arms were more likely to have the man only report consistent condom use than neither partner report consistent condom use than couples in the comparison arm. Community-based HIV prevention intervention programs need to consider strategies to engage women and men and, if feasible, reach both partners jointly. Couple-level interventions are promising to improve gender norms and subsequently improve health outcomes, including reduced HIV risk

  3. Suicidal ideation and behaviour among persons seeking HIV testing in peri-urban areas of Cape Town, South Africa: a lost opportunity for suicide prevention.

    Science.gov (United States)

    Bantjes, Jason; Kagee, Ashraf; Saal, Wylene

    2017-07-01

    Suicidal ideation and behaviour (SIB) are among the psychiatric sequela of HIV/AIDS. Few studies have however examined the prevalence and correlates of SIB among persons seeking HIV testing. We set out to document the prevalence and correlates of SIB among people seeking HIV testing in peri-urban areas of Cape Town, South Africa (SA). A cross-sectional research design was used to recruit a sample (n = 500) of individuals seeking HIV testing. Self-report measures were used to assess two-week prevalence of SIB as well as life-time prevalence of suicide attempt. A structured clinical interview was used to assess common mental disorders (CMDs). Regression analysis was used to determine if CMD and socio-demographic variables predicted suicidal ideation. The mean age of the sample was 36 years, 51.6% were female and 46.6% were unemployed. The two-week prevalence of suicidal ideation was 24.27% while the two-week prevalence of suicide attempt and suicide plans was 2.8%. Suicidal ideation was not associated with age, gender, employment status, family income or household food insecurity. CMDs were significantly associated with suicidal ideation; individuals with depressive disorders were approximately 5.5 times more likely to report suicidal ideation, while those with generalised anxiety disorder, trauma-related disorders and alcohol use disorder were approximately 7, 4.7 and 2.8 times more likely to report suicidal ideation, respectively. Results suggest that persons seeking HIV testing may be a well-delineated group of persons at risk of suicide in this region of SA. Contact with the health care system during HIV testing provides an opportunity for targeted suicide prevention interventions in what appears to be a high risk group.

  4. Depression, alcohol use, and stigma in younger versus older HIV-infected pregnant women initiating antiretroviral therapy in Cape Town, South Africa.

    Science.gov (United States)

    Wong, Marcia; Myer, Landon; Zerbe, Allison; Phillips, Tamsin; Petro, Greg; Mellins, Claude A; Remien, Robert H; Shiau, Stephanie; Brittain, Kirsty; Abrams, Elaine J

    2017-02-01

    HIV-infected pregnant women in sub-Saharan Africa are at risk for depression and alcohol abuse. Young women may be more vulnerable, but little is known about the psychosocial functioning of this population. We compared younger (18-24 years old) and older (≥25 years old) HIV-infected pregnant women initiating antiretroviral therapy (ART) in Cape Town, South Africa. Women were assessed on a range of psychosocial measures, including the Alcohol Use Disorders Identification Test and the Edinburgh Postnatal Depression Scale (EPDS). Among 625 women initiating ART, 16 % reported risky alcohol use and 21 % alcohol-related harm; these percentages were similar across age groups. When younger women were stratified by age, 37 % of 18-21 years old versus 20 % of 22-24 years old reported alcohol-related harm (p = 0.02). Overall, 11 % of women had EPDS scores suggesting probable depression, and 6 % reported self-harming thoughts. Younger women reported more depressive symptoms. Report of self-harming thoughts was 11 % in younger and 4 % in older women (p = 0.002). In multivariable analysis, age remained significantly associated with depressive symptoms and report of self-harming thoughts. Level of HIV-related stigma and report of intimate partner violence modified the association between age and depressive symptoms. Young HIV-infected pregnant women in South Africa were more likely to report depressive symptoms and self-harming thoughts compared to older women, and the youngest women reported the highest levels of alcohol-related harm. HIV-related stigma and intimate partner violence may be moderating factors. These findings have implications for maternal and infant health, underscoring the urgent need for effective targeted interventions in this vulnerable population.

  5. Implementation and Operational Research: Community-Based Adherence Clubs for the Management of Stable Antiretroviral Therapy Patients in Cape Town, South Africa: A Cohort Study.

    Science.gov (United States)

    Grimsrud, Anna; Lesosky, Maia; Kalombo, Cathy; Bekker, Linda-Gail; Myer, Landon

    2016-01-01

    Community-based models of antiretroviral therapy (ART) delivery are widely discussed as a priority in the expansion of HIV treatment services, but data on their effectiveness are limited. We examined outcomes of ART patients decentralized to community-based adherence clubs (CACs) in Cape Town, South Africa and compared these to patients managed in the community health center. The analysis included 8150 adults initiating ART from 2002 to 2012 in a public sector service followed until the end of 2013. From June 2012, stable patients (on ART >12 months, suppressed viral load) were referred to CACs. Loss to follow-up (LTFU) was compared between services using proportional hazards models with time-varying covariates and inverse probability weights of CAC participation. Of the 2113 CAC patients (71% female, 7% youth ages ≤ 24 years), 94% were retained on ART after 12 months. Among CAC patients, LTFU [adjusted hazard ratio (aHR): 2.17, 95% confidence interval (CI): 1.26 to 3.73 ] and viral rebound (aHR 2.24, 95% CI: 1.00 to 5.04) were twice as likely in youth (16-24 years old) compared with older patients, but no difference in the risk of LTFU or viral rebound was observed by sex (P-values 0.613 and 0.278, respectively). CAC participation was associated with a 67% reduction in the risk of LTFU (aHR: 0.33, 95% CI: 0.27 to 0.40) compared with community health centre, and this association persisted when stratified by patient demographic and clinic characteristics. CACs are associated with reduced risk of LTFU compared with facility-based care. Community-based models represent an important development to facilitate ART delivery and possibly improve patient outcomes.

  6. A qualitative study on the experiences and perspectives of public sector patients in Cape Town in managing the workload of demands of HIV and type 2 diabetes multimorbidity.

    Science.gov (United States)

    Matima, Rangarirai; Murphy, Katherine; Levitt, Naomi S; BeLue, Rhonda; Oni, Tolu

    2018-01-01

    Current South African health policy for chronic disease management proposes integration of chronic services for better outcomes for chronic conditions; that is based on the Integrated Chronic Disease Model (ICDM). However, scant data exist on how patients with chronic multimorbidities currently experience the (re)-organisation of health services and what their perceived needs are in order to enhance the management of their conditions. A qualitative study was conducted in a community health centre treating both HIV and diabetes patients in Cape Town. The study was grounded in the Shippee's Cumulative Complexity Model (CCM) and explored "patient workload" and "patient capacity" to manage chronic conditions. Individual interviews were conducted with 10 adult patient-participants with HIV and type two diabetes (T2D) multimorbidity and 6 healthcare workers who provided health services to these patient-participants. Patient-participants in this study experienced clinic-related workload such as: two separate clinics for HIV and T2D and perceived and experienced power mismatch between patients and healthcare workers. Self-care related workloads were largely around nutritional requirements, pill burden, and stigma. Burden of these demands varied in difficulty among patient-participants due to capacity factors such as: positive attitudes, optimal health literacy, social support and availability of economic resources. Strategies mentioned by participants for improved continuity of care and self-management of multi-morbidities included integration of chronic services, consolidated guidelines for healthcare workers, educational materials for patients, improved information systems and income for patients. Using the CCM to explore multimorbidity captured most of the themes around "patient workload" and "patient capacity", and was thus a suitable framework to explore multimorbidity in this high HIV/T2D burden setting. Integration of chronic services and addressing social

  7. Pregnancy intent among a sample of recently diagnosed HIV-positive women and men practicing unprotected sex in Cape Town, South Africa.

    Science.gov (United States)

    Mantell, Joanne E; Exner, Theresa M; Cooper, Diane; Bai, Dan; Leu, Cheng-Shiun; Hoffman, Susie; Myer, Landon; Moodley, Jennifer; Kelvin, Elizabeth A; Constant, Debbie; Jennings, Karen; Zweigenthal, Virginia; Stein, Zena A

    2014-12-01

    Sexual and reproductive health (SRH) services for HIV-positive women and men often neglect their fertility desires. We examined factors associated with pregnancy intent among recently diagnosed HIV-positive women (N = 106) and men (N = 91) who reported inconsistent condom use and were enrolled in an SRH intervention conducted in public sector HIV care clinics in Cape Town. Participants were recruited when receiving their first CD4 results at the clinic. All reported unprotected sex in the previous 3 months. Logistic regression identified predictors of pregnancy intent for the total sample and by gender. About three fifths of men and one fifth of women reported intent to conceive in the next 6 months. In the full-sample multiple regression analysis, men [adjusted odds ratio (AOR = 6.62)] and those whose main partner shared intent to conceive (AOR = 3.80) had significantly higher odds of pregnancy intent; those with more years of education (AOR = 0.81) and more biological children (AOR = 0.62) had lower odds of intending pregnancy. In gender-specific analyses, partner sharing pregnancy intent was positively associated with intent among both men (AOR = 3.53) and women (AOR = 13.24). Among men, odds were lower among those having more biological children (AOR = 0.71) and those unemployed (AOR = 0.30). Among women, relying on hormonal contraception was negatively associated with intent (AOR = 0.08), and main partner knowing her HIV status (AOR = 5.80) was positively associated with intent to conceive. Findings underscore the importance of providing integrated SRH services, and we discuss implications for clinical practice and care.

  8. Factors associated with alcohol use prior to and during pregnancy among HIV-infected pregnant women in Cape Town, South Africa.

    Science.gov (United States)

    Brittain, Kirsty; Remien, Robert H; Phillips, Tamsin; Zerbe, Allison; Abrams, Elaine J; Myer, Landon; Mellins, Claude A

    2017-04-01

    Alcohol use during pregnancy is prevalent in South Africa, but there are few prospectively-collected data exploring patterns of consumption among HIV-infected women, which may be important to improve maternal and child health outcomes. We examined patterns of and factors associated with alcohol use prior to and during pregnancy among HIV-infected pregnant women in Cape Town, South Africa. Participants were enrolled when entering antenatal care at a large primary care clinic, and alcohol use was assessed using the AUDIT (Alcohol Use Disorders Identification Test). In analysis, the AUDIT-C scoring was used as a measure of hazardous drinking, and we examined factors associated with patterns of alcohol use in logistic regression models. Among 580 women (median age: 28.1 years), 40% reported alcohol use during the 12 months prior to pregnancy, with alcohol use characterised by binge drinking and associated with single relationship status, experience of intimate partner violence (IPV), and lower levels of HIV-related stigma. Of this group, 65% had AUDIT-C scores suggesting hazardous alcohol use, with hazardous alcohol users more likely to report having experienced IPV and having higher levels of education. Among hazardous alcohol users, 70% subsequently reported reduced levels of consumption during pregnancy. Factors independently associated with reduced consumption included earlier gestation when entering antenatal care and report of a better patient-healthcare provider relationship. These unique data provide important insights into alcohol use trajectories in this context, and highlight the urgent need for an increased focus on screening and intervention at primary care level. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Living resources provide diverse opportunities to coastal human ...

    African Journals Online (AJOL)

    denise

    Subsistence fishers were first recognized as a formal fishing sector in South Africa when ... 3 Department of Zoology, University of Cape Town, Rondebosch 7701, South Africa ...... HARRIS, J. M., BRANCH, G. M., SIBIYA, C. S. and C. BILL (in.

  10. Sea-air CO2 fluxes in the Southern Ocean for the period 1990-2009

    CSIR Research Space (South Africa)

    Lenton, A

    2013-01-01

    Full Text Available ´ Pierre et Marie Curie, Paris, France 13National Institute of Water and Atmospheric Research, Wellington 6021, New Zealand 14Department of Oceanography, University of Cape Town, Rondebosch 7700, South Africa and Ocean Systems & Climate Group, CSIR...

  11. The Cape Town Carbon Observatory

    CSIR Research Space (South Africa)

    Nickless, A

    2012-10-01

    Full Text Available in the air very precisely and continuously, and by knowing how the air moves over the Earth’s surface, it is possible to estimate where the gases came from, and in what quantity. This is called inverse modelling. The method has been developed and tested...

  12. Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Parker Whadi-ah

    2012-07-01

    Full Text Available Abstract Background Due to a paucity of data regarding the availability and efficacy of equipment, health promotion methods and materials currently used by health professionals for the management of patients with non-communicable diseases (NCDs at primary health care (PHC facilities in Cape Town, an audit was undertaken. Methods A multi-centre cross-sectional study was undertaken to interview patients (n = 580 with NCDs at 30 PHC facilities. A questionnaire was used to obtain information on preferences for health promotion methods for lifestyle modification. Individual semi-structured interviews were conducted with selected health professionals (n = 14 and captured using a digital recorder. Data were transferred to the Atlas ti software programme and analysed using a thematic content analysis approach. Results Blood pressure measurement (97.6% was the most common diagnostic test used, followed by weight measurement (88.3%, urine (85.7% and blood glucose testing (80.9%. Individual lifestyle modification counselling was the preferred health education method of choice for the majority of patients. Of the 64% of patients that selected chronic clubs/support groups as a method of choice, only a third rated this as their first choice. Pamphlets, posters and workshops/group counselling sessions were the least preferred methods with only 9%, 13% and 11% of patients choosing these as their first choice, respectively. In an individual counselling setting 44.7% of patients reported that they would prefer to be counselled by a doctor, followed by a nurse (16.9%, health educator (8.8% and nutrition advisor (4.8%. Health professionals identified numerous barriers to education and counselling. These can be summarised as a lack of resources, including time, space and equipment; staff-related barriers such as staff shortage and staff turnover; and patient-related barriers such as patient load and patient non-compliance. Conclusion The majority of patients

  13. Sexual risk behavior, alcohol use, and social media use among secondary school students in informal settlements in Cape Town and Port Elizabeth, South Africa.

    Science.gov (United States)

    Kaufman, Z A; Braunschweig, E N; Feeney, J; Dringus, S; Weiss, H; Delany-Moretlwe, S; Ross, D A

    2014-09-01

    South Africa's HIV prevalence among young people remains among the highest in the world. A cross-sectional study was carried out in 2012 to estimate prevalences of sexual risk behavior and hazardous alcohol use (HAU) (via the Alcohol Use Disorder Identification Test) as well as to investigate potential associations between these outcomes and social media use. In all, 4485 students (mean age 15.66 years, SD 1.39) at 46 secondary schools in informal settlements in Cape Town and Port Elizabeth completed mobile-phone-assisted, self-administered baseline questionnaires within a cluster-randomized trial. In all, 312 females (12.5 %) and 468 males (23.5 %) screened positive for HAU (AOR = 1.98, 95 % CI 1.69-2.34). 730 males (39.9 %) and 268 females (11.8 %) reported having had two or more partners in the last year (AOR = 3.46, 95 % CI 2.87-4.16). Among females, having a Facebook account was associated with reported multiple partnerships in the last year (AOR = 1.81, 95 % CI 1.19-2.74), age-disparate sex in the last year (AOR = 1.96, 95 % CI 1.16-3.32) and HAU (AOR = 1.97, 95 % CI 1.41-2.74). Using Mxit-a popular mobile instant messaging application-was associated with higher odds of reported multiple partnerships in the last year among both males (AOR = 1.70, 95 % CI 1.35-2.14) and females (AOR = 1.45, 95 % CI 1.07-1.96) and with HAU among both males (AOR = 1.47, 95 % CI 1.14-1.90) and females (AOR = 1.50, 95 % CI 1.18-1.90). Further longitudinal and qualitative research should explore in more depth the observed links between social media and risk behavior.

  14. A Cross Sectional Analysis of Gonococcal and Chlamydial Infections among Men-Who-Have-Sex-with-Men in Cape Town, South Africa.

    Directory of Open Access Journals (Sweden)

    Kevin Rebe

    Full Text Available Men-who-have-sex-with-men (MSM are at high risk of HIV and sexually transmitted infection (STI transmission. Asymptomatic STIs are common in MSM and remain undiagnosed and untreated where syndromic management is advocated. Untreated STIs could be contributing to high HIV rates. This study investigated symptomatic (SSTI and asymptomatic STIs (ASTIs in MSM in Cape Town.MSM, 18 years and above, were enrolled into this study. Participants underwent clinical and microbiological screening for STIs. Urine, oro-pharyngeal and anal swab specimens were collected for STI analysis, and blood for HIV and syphilis screening. A psychosocial and sexual questionnaire was completed. STI specimens were analysed for Neisseria gonorrhoeae (NG and Chlamydia trachomatis (CT infection.200 MSM were recruited with a median age of 32 years (IQR 26-39.5. Their median number of sex partners within the last year was 5 (IQR 2-20. 155/200 (78% reported only male sex partners while 45/200 (23% reported sex with men and women. 77/200 (39% reported transactional sex. At enrolment, 88/200 (44% were HIV positive and 8/112 (7% initially HIV-negative participants seroconverted during the study. Overall, 47/200 (24% screened positive for either NG or CT. There were 32 MSM (16% infected with NG and 7 (3.5% of these men had NG infections at two anatomical sites (39 NG positive results in total. Likewise, there were 23 MSM (12% infected with CT and all these men had infections at only one site. Eight of the 47 men (17% were infected with both NG and CT. ASTI was more common than SSTI irrespective of anatomical site, 38 /200 (19% versus 9/200 (5% respectively (p<0.001. The anus was most commonly affected, followed by the oro-pharynx and then urethra. Asymptomatic infection was associated with transgender identity (OR 4.09 CI 1.60-5.62, ≥5 male sex partners in the last year (OR 2.50 CI 1.16-5.62 and transactional sex (OR 2.33 CI 1.13-4.79 but not with HIV infection.Asymptomatic STI was

  15. Self-assessment of eligibility for early medical abortion using m-Health to calculate gestational age in Cape Town, South Africa: a feasibility pilot study.

    Science.gov (United States)

    Momberg, Mariette; Harries, Jane; Constant, Deborah

    2016-04-16

    Although abortion is legally available in South Africa, barriers to access exist. Early medical abortion is available to women with a gestational age up to 63 days and timely access is essential. This study aimed to determine women's acceptability and ability to self-assess eligibility for early medical abortion using an online gestational age calculator. Women's acceptability, views and preferences of using mobile technology for gestational age (GA) determination were explored. No previous studies to ascertain the accuracy of online self-administered calculators in a non-clinical setting have been conducted. A convenience sample of abortion seekers were recruited from two health care clinics in Cape Town, South Africa in 2014. Seventy-eight women were enrolled and tasked with completing an online self-assessment by entering the first day of their last menstrual period (LMP) onto a website which calculated their GA. A short survey explored the feasibility and acceptability of employing m-Health technology in abortion services. Self-calculated GA was compared with ultrasound gestational age obtained from clinical records. Participant mean age was 28 (SD 6.8), 41% (32/78) had completed high school and 73% (57/78) reported owning a smart/feature phone. Internet searches for abortion information prior to clinic visit were undertaken by 19/78 (24%) women. Most participants found the online GA calculator easy to use (91%; 71/78); thought the calculation was accurate (86%; 67/78) and that it would be helpful when considering an abortion (94%; 73/78). Eighty-three percent (65/78) reported regular periods and recalled their LMP (71%; 55/78). On average women overestimated GA by 0.5 days (SD 14.5) and first sought an abortion 10 days (SD 14.3) after pregnancy confirmation. Timely access to information is an essential component of effective abortion services. Advances in the availability of mobile technology represent an opportunity to provide accurate and safe abortion

  16. Treatment guidelines and early loss from care for people living with HIV in Cape Town, South Africa: A retrospective cohort study.

    Directory of Open Access Journals (Sweden)

    Ingrid T Katz

    2017-11-01

    Full Text Available South Africa has undergone multiple expansions in antiretroviral therapy (ART eligibility from an initial CD4+ threshold of ≤200 cells/μl to providing ART for all people living with HIV (PLWH as of September 2016. We evaluated the association of programmatic changes in ART eligibility with loss from care, both prior to ART initiation and within the first 16 weeks of starting treatment, during a period of programmatic expansion to ART treatment at CD4+ ≤ 350 cells/μl.We performed a retrospective cohort study of 4,025 treatment-eligible, non-pregnant PLWH accessing care in a community health center in Gugulethu Township affiliated with the Desmond Tutu HIV Centre in Cape Town. The median age of participants was 34 years (IQR 28-41 years, almost 62% were female, and the median CD4+ count was 173 cells/μl (IQR 92-254 cells/μl. Participants were stratified into 2 cohorts: an early cohort, enrolled into care at the health center from 1 January 2009 to 31 August 2011, when guidelines mandated that ART initiation required CD4+ ≤ 200 cells/μl, pregnancy, advanced clinical symptoms (World Health Organization [WHO] stage 4, or comorbidity (active tuberculosis; and a later cohort, enrolled into care from 1 September 2011 to 31 December 2013, when the treatment threshold had been expanded to CD4+ ≤ 350 cells/μl. Demographic and clinical factors were compared before and after the policy change using chi-squared tests to identify potentially confounding covariates, and logistic regression models were used to estimate the risk of pre-treatment (pre-ART loss from care and early loss within the first 16 weeks on treatment, adjusting for age, baseline CD4+, and WHO stage. Compared with participants in the later cohort, participants in the earlier cohort had significantly more advanced disease: median CD4+ 146 cells/μl versus 214 cells/μl (p < 0.001, 61.1% WHO stage 3/4 disease versus 42.8% (p < 0.001, and pre-ART mortality of 34.2% versus 16.7% (p

  17. Samuel Patton Impey, M.D. (Aberdeen) (1856-1928). Cape Town's primordial leprologist, dermatologist, radiotherapist and rock-art enthusiast.

    Science.gov (United States)

    Findlay, G H

    1987-03-21

    Samuel Impey was a noteworthy medical pioneer of the Cape Colony. He was the author of what was probably the first medical textbook of note to be written in South Africa, a Handbook of Leprosy, published in London in 1896. He carried much of the frontier spirit into the medical life of the time, entering vigorously into controversy and fresh developments. As an amateur artist, he also put forward some individual views on rock paintings.

  18. The Humansdorp Cape Griffon Site

    African Journals Online (AJOL)

    ZeldaH

    Figure 1. The cliff north-west of the town of Humansdorp, Eastern Cape, South Africa, where a small group of Cape Griffons Gyps coprotheres roosted, and reportedly bred, until the end of the. 19 th century. The trees seen in the picture are all alien, invasive, black wattles Acacia mearnsii. (Photo: A Boshoff).

  19. Large numbers of seabirds are killed each year by long- line ...

    African Journals Online (AJOL)

    denise

    member nations to produce “Plans of Action for ... Percy FitzPatrick Institute, University of Cape Town, Rondebosch 7701, South Africa. ... Marine & Coastal Management, Private Bag X2, Rogge Bay 8012, Cape Town, ... Affairs and Tourism, were placed aboard tuna long- ... a South African port once, making it difficult to de-.

  20. Factors impacting knowledge and use of long acting and permanent contraceptive methods by postpartum HIV positive and negative women in Cape Town, South Africa: a cross-sectional study.

    Science.gov (United States)

    Credé, Sarah; Hoke, Theresa; Constant, Deborah; Green, Mackenzie S; Moodley, Jennifer; Harries, Jane

    2012-03-16

    The prevention of unintended pregnancies among HIV positive women is a neglected strategy in the fight against HIV/AIDS. Women who want to avoid unintended pregnancies can do this by using a modern contraceptive method. Contraceptive choice, in particular the use of long acting and permanent methods (LAPMs), is poorly understood among HIV-positive women. This study aimed to compare factors that influence women's choice in contraception and women's knowledge and attitudes towards the IUD and female sterilization by HIV-status in a high HIV prevalence setting, Cape Town, South Africa. A quantitative cross-sectional survey was conducted using an interviewer-administered questionnaire amongst 265 HIV positive and 273 HIV-negative postpartum women in Cape Town. Contraceptive use, reproductive history and the future fertility intentions of postpartum women were compared using chi-squared tests, Wilcoxon rank-sum and Fisher's exact tests where appropriate. Women's knowledge and attitudes towards long acting and permanent methods as well as factors that influence women's choice in contraception were examined. The majority of women reported that their most recent pregnancy was unplanned (61.6% HIV positive and 63.2% HIV negative). Current use of contraception was high with no difference by HIV status (89.8% HIV positive and 89% HIV negative). Most women were using short acting methods, primarily the 3-monthly injectable (Depo Provera). Method convenience and health care provider recommendations were found to most commonly influence method choice. A small percentage of women (6.44%) were using long acting and permanent methods, all of whom were using sterilization; however, it was found that poor knowledge regarding LAPMs is likely to be contributing to the poor uptake of these methods. Improving contraceptive counselling to include LAPM and strengthening services for these methods are warranted in this setting for all women regardless of HIV status. These study results

  1. Factors impacting knowledge and use of long acting and permanent contraceptive methods by postpartum HIV positive and negative women in Cape Town, South Africa: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Credé Sarah

    2012-03-01

    Full Text Available Abstract Background The prevention of unintended pregnancies among HIV positive women is a neglected strategy in the fight against HIV/AIDS. Women who want to avoid unintended pregnancies can do this by using a modern contraceptive method. Contraceptive choice, in particular the use of long acting and permanent methods (LAPMs, is poorly understood among HIV-positive women. This study aimed to compare factors that influence women's choice in contraception and women's knowledge and attitudes towards the IUD and female sterilization by HIV-status in a high HIV prevalence setting, Cape Town, South Africa. Methods A quantitative cross-sectional survey was conducted using an interviewer-administered questionnaire amongst 265 HIV positive and 273 HIV-negative postpartum women in Cape Town. Contraceptive use, reproductive history and the future fertility intentions of postpartum women were compared using chi-squared tests, Wilcoxon rank-sum and Fisher's exact tests where appropriate. Women's knowledge and attitudes towards long acting and permanent methods as well as factors that influence women's choice in contraception were examined. Results The majority of women reported that their most recent pregnancy was unplanned (61.6% HIV positive and 63.2% HIV negative. Current use of contraception was high with no difference by HIV status (89.8% HIV positive and 89% HIV negative. Most women were using short acting methods, primarily the 3-monthly injectable (Depo Provera. Method convenience and health care provider recommendations were found to most commonly influence method choice. A small percentage of women (6.44% were using long acting and permanent methods, all of whom were using sterilization; however, it was found that poor knowledge regarding LAPMs is likely to be contributing to the poor uptake of these methods. Conclusions Improving contraceptive counselling to include LAPM and strengthening services for these methods are warranted in this setting

  2. Over the past decades, the Cape anchovy Engraulis capensis has ...

    African Journals Online (AJOL)

    spamer

    Data on the thermal structure, copepod biomass and production, and total number of eggs of the Cape anchovy ... To identify factors controlling the area of this water mass, a cluster ...... thesis, University of Cape Town: [vii] + 278 pp. SHANNON ...

  3. Influences of social network sites on the occupational performance of adolescents in a secondary school in Cape Town, South Africa: a phenomenological study.

    Science.gov (United States)

    Mthembu, Thuli G; Beets, Charmaine; Davids, Gafeedha; Malyon, Kelly; Pekeur, Marchelle; Rabinowitz, Avital

    2014-06-01

    The habit of using social networking sites among adolescents has grown exponentially; there is little accompanying research to understand the influences on adolescents' occupational performance with this technology. The majority of adolescents are engaging in social network as part of their daily routines. Occupational performance is the act of doing and accomplishing a selected occupation that results from the dynamic transaction among the person, the environment and the occupation components. This study aimed to explore the influences of social networking on occupational performance of adolescents in a high school in Western Cape Province, South Africa. A phenomenological approach was used. Adolescents aged 13-17 years in a high school were purposively recruited for the study. Semi-structured interviews were conducted with four participants (two adolescents and two teachers) and two focus groups were undertaken with adolescents, analysed using thematic analysis. Four major themes emerged: 'It's a good way to keep in touch', 'It's part of me and it's not a bad thing', 'There is a time and place for it' and 'There's an urgency to be on the phone'. This study highlighted that social networking sites play a major role in the social life of adolescents, though it can result in occupational imbalance on their occupational performance. Furthermore, this study contributes to the knowledge of occupational therapists who work with adolescents in communities and health promoting school settings. Thus, collaboration between teachers, parents and occupational therapists can help to develop adolescents' time management and learning skills. © 2013 Occupational Therapy Australia.

  4. Electrocotyle whittingtoni n. gen., n. sp. (Monogenea: Monocotylidae: Heterocotylinae) from the gills of a captive onefin electric ray, Narke capensis (Narkidae) at Two Oceans Aquarium, Cape Town, South Africa.

    Science.gov (United States)

    Vaughan, David B; Chisholm, Leslie A; Hansen, Haakon

    2016-09-01

    Electrocotyle whittingtoni n. gen., n. sp. (Monogenea: Monocotylidae) is described from the gills of a captive female onefin electric ray, Narke capensis, collected for exhibition at Two Oceans Aquarium in Cape Town, South Africa. Electrocotyle n. gen. is most similar to the heterocotyline genera Heterocotyle and Potamotrygonocotyle but could not be accommodated easily in either of these groups. The new genus is characterised by a haptor with one central and eight peripheral loculi, four unsclerotised structures on the dorsal surface of the haptor, a single unsclerotised non-sinous ridge on the ventral surface of the haptoral septa, large hamuli with a long handle and reduced guard, a vagina with sclerotised walls, and tetrahedral eggs. Molecular phylogenetic analyses based on 28S sequences strongly support the separate genus status of Electrocotyle n. gen and thus support our morphological conclusion. The Heterocotylinae is amended to accommodate the new genus, and the new species is fully described and illustrated herein. This is the first record of a monocotylid from the Narkidae. Electrocotyle whittingtoni n. gen. n. sp. is considered potentially pathogenic given its negative impact on the health of its captive host kept in the quarantine facility at Two Oceans Aquarium.

  5. Improving the quality of papers submitted to dental journals: Transcription of session for editors, associate editors, publishers and others with an interest in scientific publishing held at IADR meeting in Cape Town on Wednesday, 25 June 2014.

    Science.gov (United States)

    Eaton, Kenneth A; Giannobile, William V; Sourgen, Deborah L; Balaji, S M; Honkala, Eino; Lynch, Christopher D

    2015-08-01

    This satellite symposium was the fourth in a series for editors, publishers, reviewers and all those with an interest in scientific publishing. It was held on Wednesday 25th June 2014 at the IADR International meeting in Cape Town, South Africa. The symposium attracted more than 180 attendees. This symposium placed an emphasis on how the quality of papers submitted to dental journals could be improved. The panel included representation from editors, researchers and publishers from North America, India and the Gulf States. The symposium identified a number of challenges for editors and publishers, including the poor quality of many papers submitted to dental and other scientific journals, plagiarism, attempted duplicate publication and sometimes fraudulent results. Where possible speakers are identified by name. A subsequent symposium was held during the IADR meeting in Boston on March 11th 2015. Involvement open to editors, associate editors, publishers and others with an interest in scientific publishing. Copyright © 2015. Published by Elsevier Ltd.. All rights reserved.

  6. Cape fearless.

    Science.gov (United States)

    1998-01-01

    This article describes the Ilita Labantu (IL) group in South Africa, that is working to reduce child abuse and violence against women. The group started in 1989, with the aim of reducing child rape and sexual assaults in five townships in Cape Town. Child rape is perpetuated by myths sustained by witch doctors and indigenous medicine that promote child rape as a cure-all for symptoms ranging from poverty to AIDS. IL has four satellite groups that educate rape and abuse victims and potential victims. It is assumed that girls are potential victims because of their early unawareness that gender is tied to some patterns of behavior. IL trained mass media groups to educate the general public. IL distributes public information materials on how to identify domestic violence and abuse and how to identify potential rapists within households. Materials are distributed to individuals in community programs and in training programs. Child survivors make presentations in playgroups in a nonthreatening way. IL interacts with courts of law, police stations, hospitals, and schools. The group refers 25-35 cases per day. The group is working on setting up private rooms in police stations where rape victims can make confidential complaints without public attention. IL also works to promote the use of alternative strategies for solving family conflicts.

  7. cutaneous manifestatio s of tuberculosis i the wester cape

    African Journals Online (AJOL)

    lEA WALKER, M.B., CH.B. (CAPE TOWN). Department of Dermatology, University of Cape Town and Croote Schuur Ho pital. Skin tuberculosis has been chosen as the subject of ... are fairly representative of the total number of skin cases seeking advice. .... results of vitamin D2 in the treatment of lupus."5-7. At -about the ...

  8. Familial Hypercholesterolaemia: The Cape Town Experience | Firth ...

    African Journals Online (AJOL)

    Familial hypercholesterolaemia (FH), an autosomal dominantly inherited disorder characterised by elevated plasma low-density lipoprotein (LDL) cholesterol levels, tendon xanthomata and premature ischaemic heart disease, is amenable to treatment with modern medication. The clinical and biochemical details of 1 031 ...

  9. Cape Town to Cairo: Connecting Africa

    International Development Research Centre (IDRC) Digital Library (Canada)

    Cathy Egan

    rapid spread of low-cost telephone and Internet service. Improved access to these information and communication .... The process gathered substantial information from fully two-thirds ... practical blueprint for action by governments wishing to ...

  10. Asphyxia Neonatorum-Incidence In Cape Town

    African Journals Online (AJOL)

    task of all concerned with the process of human repro- duction. In order to achieve this, a study of the incidence and risk factors of asphyxia neonatorum was undertaken in the Groote Schuur Maternity Hospital. TABLE I. INCIDENCE OF ASPHYXIA NEONATORUM. Source of. Hospital. Apgar score 0 - 3% information.

  11. GEOCHEMICAL ASSESSMENT OF SEDIMENT IN CAPE TOWN ...

    African Journals Online (AJOL)

    Preferred Customer

    Both the water and sediment samples at this site are very muddy ... a Phillip PANnalytical PW 3830/40 X-ray generator with a PW 3710 MPD control. X-ray ..... Shuping, L.S.; Snyman, R.G.; Odendaal, J.P.; Ndakidemi, P.A. Water Air Soil Pollut.

  12. Zoology Department, University of Cape Town

    African Journals Online (AJOL)

    Patella coneolor occurs on the east coast of South Africa and predominates in the baJanoid ... the cold west coast fauna is distinct from the warmer south coast element and the ... in et G a tew a. y u n d er licen ce gra n ted b y th e P u b lish er (d a ted. 2010). ..... The constitution of the intertidal fauna and flora of South Mrica.

  13. The Compilation of Multilingual Concept Literacy Glossaries at the University of Cape Town: A Lexicographical Function Theoretical Approach Die samestelling van veeltaligekonsep-geletterheidswoordelyste by die Universiteit van Kaapstad: 'n Leksikografiesefunksieteoretiese benadering.

    Directory of Open Access Journals (Sweden)

    Dion Nkomo

    2012-01-01

    Full Text Available

    This article proposes a lexicographical approach to the compilation of multilingual concept literacy glossaries which may play a very important role in supporting students at institutions of higher education. In order to support concept literacy, especially for students for whom English is not the native language, a number of universities in South Africa are compiling multilingual glossaries through which the use of languages other than English may be employed as auxiliary media. Terminologies in languages other than English are developed by translating English terms or coining new terms in these languages to exploit the native language competence of most students. The glossary project at the University of Cape Town (UCT which was conceived under the auspices of the Multilingualism Education Project (MEP is discussed. It is shown that the UCT glossaries are compiled using methods consistent with those employed in modern lexicography or proffered in lexicographical theory. The lexicographical function theory is specifically used to account for the glossaries and their production. It is suggested that modern lexicography can provide useful guidance for the production of glossaries, given that the earliest glossaries constitute the humble beginnings of lexicography.

    Hierdie artikel stel 'n leksikografiese benadering tot die samestelling van meertaligekonsep-geletterheidswoordelyste voor wat 'n baie belangrike rol kan speel by die ondersteuning van studente by instellings vir hoër onderwys. Om konsepgeletterdheid te ondersteun, veral vir studente vir wie Engels nie die moedertaal is nie, stel 'n aantal universiteite in Suid-Afrika meertalige woordelyste saam waardeur die gebruik van ander tale as Engels as hulpmedia aangewend kan word. Terminologieë in ander tale as Engels word ontwikkel deur Engelse terme te vertaal of nuwe terme in hierdie tale te skep om die moedertaalvaardigheid van die meeste

  14. Exploring how different modes of governance act across health system levels to influence primary healthcare facility managers' use of information in decision-making: experience from Cape Town, South Africa.

    Science.gov (United States)

    Scott, Vera; Gilson, Lucy

    2017-09-15

    Governance, which includes decision-making at all levels of the health system, and information have been identified as key, interacting levers of health system strengthening. However there is an extensive literature detailing the challenges of supporting health managers to use formal information from health information systems (HISs) in their decision-making. While health information needs differ across levels of the health system there has been surprisingly little empirical work considering what information is actually used by primary healthcare facility managers in managing, and making decisions about, service delivery. This paper, therefore, specifically examines experience from Cape Town, South Africa, asking the question: How is primary healthcare facility managers' use of information for decision-making influenced by governance across levels of the health system? The research is novel in that it both explores what information these facility managers actually use in decision-making, and considers how wider governance processes influence this information use. An academic researcher and four facility managers worked as co-researchers in a multi-case study in which three areas of management were served as the cases. There were iterative cycles of data collection and collaborative analysis with individual and peer reflective learning over a period of three years. Central governance shaped what information and knowledge was valued - and, therefore, generated and used at lower system levels. The central level valued formal health information generated in the district-based HIS which therefore attracted management attention across the levels of the health system in terms of design, funding and implementation. This information was useful in the top-down practices of planning and management of the public health system. However, in facilities at the frontline of service delivery, there was a strong requirement for local, disaggregated information and experiential

  15. Anti-retroviral Therapy Based HIV Prevention Among a Sample of Men Who Have Sex with Men in Cape Town, South Africa: Use of Post-exposure Prophylaxis and Knowledge on Pre-exposure Prophylaxis.

    Science.gov (United States)

    Hugo, J M; Stall, R D; Rebe, K; Egan, J E; De Swardt, G; Struthers, H; McIntyre, J A

    2016-12-01

    Men who have Sex with Men (MSM) have been affected disproportionately by the global HIV pandemic. Rates of consistent condom-use are low and there is a need for further biomedical prevention interventions to prevent new HIV infections. Post exposure prophylaxis (PEP) can reduce the risk of HIV, but uptake among MSM is low. Pre-exposure prophylaxis (PrEP), an innovative anti-retroviral-based HIV prevention tool might be an appropriate intervention for MSM who have recently accessed PEP that involves HIV negative individuals taking daily tenofovir+emtricitabine for HIV prevention. 44 MSM, attending a primary health-care level MSM-focused sexual health clinic in Cape Town, South Africa, who had initiated PEP were enrolled in this study. Participants were followed up after 2, 4 and 12 weeks. Self-administered electronic surveys were completed at the initial, 4 and 12 week visit. Barriers and facilitators to accessing PEP and remaining adherent were examined, as was knowledge about PrEP. Thirty-two participants (80 %) were <40 years of age (range 20-65 years). 35 % of the participants reported their reason for requiring PEP as condomless receptive anal intercourse. A further 20 % required PEP following condomless penetrative anal intercourse; 27.5 % required PEP due to a broken condom during receptive anal sex and 2 participants during insertive anal sex. Three participants did not complete 28 days of PEP or were lost to follow up. Over half (58.5 %) of the participants reported being completely adherent to their regime; under a third (31.7 %) reported missing one PEP dose; and 9.8 % reported missing more than one dose. 36/40 (90 %) had heard of PrEP and 30/40 (75 %) indicated that they would use PrEP if it were accessible to them. That we enrolled 44 MSM who accessed PEP from a Department of Health affiliated clinic over 12 months, speaks to the low uptake by MSM of PEP services in South Africa. Adherence was high and demonstrates that adherence

  16. Terrace Town

    Science.gov (United States)

    Sabin, Heather

    2010-01-01

    The "Terrace Town" program brings architecture and city planning curriculum to elementary schools in Madison, Wisconsin, and surrounding areas. Over eight weeks, classrooms discuss what makes a community livable, sustainable, and kid-friendly. Throughout the process, students gain a better understanding of their own city environments and…

  17. The use of logistic regression in modelling the distributions of bird ...

    African Journals Online (AJOL)

    Avian Demography Unit, Department of Statistical Sciences, University of Cape Town, Rondebosch ... each species the variables which were significantly related to its distribution were identified. ..... for the two species with the highest mean deviance of the re- .... the mean deviance of the residual, was found to be closely re-.

  18. Influence of hatching order and brood size on growth in jackass ...

    African Journals Online (AJOL)

    1991-06-26

    Jun 26, 1991 ... Percy FitzPatrick Institute of African Ornithology, University of Cape Town, Private Bag, Rondebosch, ... Singletons showed only a non-significant trend towards faster growth in mass ... may adversely affect rates of provisioning to chicks, food ..... tions were so bad as to result in chick mortality (van Heezik.

  19. The fish community of the Berg River estuary and an assessment of ...

    African Journals Online (AJOL)

    Zoology Department and Marine Biology Research Institute, University of Cape Town, Rondebosch, 7700. Republic of South Africa. Received I May 1993; accepted 6 October /993. Data concerning the species composition, abundance and distribution of fishes inhab~ing the Berg River estuary are presented and used to ...

  20. The distribution of the West Coast rock lobster Jasus lalandii ranges ...

    African Journals Online (AJOL)

    spamer

    Key words: abalone Haliotis midae, Jasus lalandii, predation, sea urchins. * Formerly Marine Biology Research Institute, Zoology Department, University of Cape Town, Rondebosch 7701, South Africa; now. 1/19 Alpha Road, Prospect 5082, South Australia. † Formerly Marine Biology Research Institute; now SARDI Aquatic ...

  1. Considerable progress has been made in the past 20 years in the ...

    African Journals Online (AJOL)

    denise

    national plan for seaweed systematics or herbarium collections. ... temperate South Coast and those of the tropical Indian Ocean are necessary, and ... Botany Department, University of Cape Town, Rondebosch 7701, South ... South African Journal of Marine Science 24 ..... of Cladophora, are difficult to identify, and the tax-.

  2. In 1994, the Minister responsible for Environmental Affairs and ...

    African Journals Online (AJOL)

    denise

    Affairs and Tourism launched a process leading to ... To achieve this, the Chief Director of Marine & Coastal Management (MCM), the authority responsible for ... 1 Department of Zoology, University of Cape Town, Rondebosch 7701, South Africa. ... 3 Rural Research and Development Institute, University of Transkei, Private ...

  3. In the early morning of 23 June 2000, the bulk ore carrier MV ...

    African Journals Online (AJOL)

    spamer

    1 Marine & Coastal Management, Private Bag X2, Rogge Bay 8012, South Africa. ... 3 Department of Environmental Affairs & Tourism, Private Bag X2, Rogge Bay 8012, South Africa ... 5 Avian Demography Unit, University of Cape Town, Rondebosch 7701, South Africa .... breeding pair, a factor computed for Robben Island.

  4. It is generally appreciated that estuaries are productive systems that ...

    African Journals Online (AJOL)

    spamer

    Marine & Coastal Management, Private Bag X2, Rogge Bay 8012, South ... Percy FitzPatrick Institute, University of Cape Town, Rondebosch 7701, .... Va – Obligate catadromous species that require a freshwater phase in their development .... It is difficult to attribute the actual contribution of ... The 14 factors described in.

  5. Parechinus angu/osus

    African Journals Online (AJOL)

    Venetia Stuart and J.G. Field. Department of Zoology, University of Cape Town, Rondebosch. Respiration rates of Parechinus angulosus collected from in- tertidal pools at Dalebrook, False Bay, were measured in the laboratory at 16°C USing the sealed-vessel method. No respiratory rhythms were detected over three ...

  6. penguin Spheniscus demersus

    African Journals Online (AJOL)

    Percy FitzPatrick Institute of African Ornithology, University of Cape Town, Rondebosch. The inshore distribution .... either travelling or foraging (Siegfried, Frost, Kinahan & ..... significantly different (d = 0,78; P> 0,01; n = 138; Student's t test for ...

  7. New project examining Bearded Vulture movements in southern ...

    African Journals Online (AJOL)

    campbell

    southern Africa to inform wind turbine placement. Tim Reid. 1. , Sonja Krüger. 1,2 and Arjun Amar. 1. 1. Percy FitzPatrick Institute of African Ornithology, DST/NRF Centre of. Excellence, Dept. of Biological Sciences, University of Cape Town,. Rondebosch 7701, South Africa. 2. Ezemvelo KwaZulu-Natal Wildlife, P.O. Box ...

  8. Creating liveable neighborhoods through context - sensitive multimodal road planning

    NARCIS (Netherlands)

    Beukes, Edward; Vanderschuren, Marianne; Zuidgeest, M.H.P.; Brussel, M.J.G.

    2011-01-01

    PDF (3.8 MB)First Page Preview Authors E. Beukes1, M. Vanderschuren1, M. Zuidgeest2, M. Brussel2 1Department of Civil Engineering, University of Cape Town, P. Bag X3, Rondebosch 7701, South Africa2Faculty of Geo-Information Science and Earth Observation, University of Twente, P.O. Box 217, 7500 AE,

  9. Evaluation of satellite and reanalysis wind products with in situ wave glider wind observations in the Southern Ocean

    CSIR Research Space (South Africa)

    Schmidt, KM

    2017-12-01

    Full Text Available observations in the Southern Ocean 2 3 Kevin M. Schmidta, Sebastiaan Swartb,c,d, Chris Reasonc, Sarah Nicholsonb,c 4 a Marine Research Institute, University of Cape Town, Rondebosch, South Africa 5 b Southern Ocean Carbon & Climate Observatory, Council...

  10. Dinoflagellate cysts from surface sediments of Saldanha Bay, South Africa: an indication of the potential risk of harmful algal blooms

    CSIR Research Space (South Africa)

    Joyce, LB

    2005-02-01

    Full Text Available Africa bZoology Department, University Cape Town, Rondebosch 7701, Cape Town, South Africa cCouncil for Scientific and Industrial Research, P.O. Box 320, Stellenbosch 7759, South Africa Received 14 May 2004; received in revised form 21 July 2004; accepted... 15 August 2004 Abstract The distribution and abundance of dinoflagellate cysts from recent coastal sediments in Saldanha Bay, was investigated, and compared to the cyst assemblages of the adjacent coastal upwelling system as reflected in the sediments...

  11. Cloning and sequencing the degS-degU operon from an alkalophilic Bacillus-brevis

    CSIR Research Space (South Africa)

    Louw, M

    1994-10-01

    Full Text Available of Microbiology, University of Cape Town, Private Bag, Rondebosch 7700, Cape Town, Republic of South Africa al. 1989). Similarities were found between DegS and the histidine protein kinase family and between DegU and the response... and evaluate its effect on extracellular enzyme production. Materials and methods Strains and plasmids Transformation The polyethylene-glycol-induced protoplast transformation pro- cedure of Chang and Cohen (1979) was used...

  12. Town and Regional Planning - Vol 59 (2011)

    African Journals Online (AJOL)

    Land quality, urban development and urban agriculture within the Cape Town urban edge · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. H Geyer, B Schloms, D du Plessis, A van Eeden, 41-52 ...

  13. rural grade 2 western Cape disorders in in the and hearing ...

    African Journals Online (AJOL)

    1991-01-19

    Jan 19, 1991 ... Departments of Otolaryngology and Paediatrics and Child. Health, University of Cape Town, and Red Cross War. Memorial Children's Hospital, Cape Town. C. A. J. PRESCOTT, F.R.CS. M. A. KIBEL, F.R.CP., D.CH. Accepted 21 Mar 1990. ear disease in the population. This statement can be justified.

  14. Cape Verde

    Science.gov (United States)

    2007-01-01

    This Mars Exploration Rover Opportunity Pancam 'super resolution' mosaic of the approximately 6 m (20 foot) high cliff face of the Cape Verde promontory was taken by the rover from inside Victoria Crater, during the rover's descent into Duck Bay. Super-resolution is an imaging technique which utilizes information from multiple pictures of the same target in order to generate an image with a higher resolution than any of the individual images. Cape Verde is a geologically rich outcrop and is teaching scientists about how rocks at Victoria crater were modified since they were deposited long ago. This image complements super resolution mosaics obtained at Cape St. Mary and Cape St. Vincent and is consistent with the hypothesis that Victoria crater is located in the middle of what used to be an ancient sand dune field. Many rover team scientists are hoping to be able to eventually drive the rover closer to these layered rocks in the hopes of measuring their chemistry and mineralogy. This is a Mars Exploration Rover Opportunity Panoramic Camera image mosaic acquired on sols 1342 and 1356 (November 2 and 17, 2007), and was constructed from a mathematical combination of 64 different blue filter (480 nm) images.

  15. A Town Divided

    OpenAIRE

    Waldron, Lucas H

    2018-01-01

    Residents of rural Patagonia, AZ are bitterly divided over mining. Half of the town supports Arizona Mining Inc., a Canadian mining company that bought up land near town for vast exploratory drilling. The other half of the town is fighting the mining company at every turn, seeking to preserve the region's unique wildlife and steer the economy toward environmental restoration.

  16. Colonel John Graham of Fintry and the Fourth Cape Eastern Frontier ...

    African Journals Online (AJOL)

    Graham's grand strategy to clear the eastern frontier of Xhosa invaders was carefully planned. He warned Major ..... This created a market for local ... interests surpassed the 'luxury' of military and security needs, regulated from Cape Town and.

  17. A 'private adventure'? John Herschel's Cape voyage and the production of the 'Cape Results'

    Science.gov (United States)

    Ruskin, Steven William

    2002-07-01

    This dissertation considers the life of John Herschel (1792 1871) from the years 1833 to 1847. In 1833 Herschel sailed from London to Cape Town, southern Africa, to undertake (at his own expense) an astronomical exploration of the southern heavens, as well as a terrestrial exploration of the area around Cape Town. After his return to England in 1838, he was highly esteemed and became Britain's most recognized scientist. In 1847 his southern hemisphere astronomical observations were published as the Cape Results. The main argument of this dissertation is that Herschel's voyage, and the publication of the Cape Results, in addition to their contemporary scientific importance, were also significant for nineteenth-century politics and culture. This dissertation is a two-part dissertation. The first part is entitled “John Herschel's Cape Voyage: Private Science, Public Imagination, and the Ambitions of Empire”; and the second part, “The Production of the Cape Results.” In the first part it is demonstrated that the reason for Herschel's cultural renown was the popular notion that his voyage to the Cape was a project aligned with the imperial ambitions of the British government. By leaving England for one of its colonies, and pursuing there a significant scientific project, Herschel was seen in the same light as other British men of science who had also undertaken voyages of exploration and discovery. It is then demonstrated, in the second part of this work, that the production of the Cape Results, in part because of Herschel's status as Britain's scientific figurehead, was a significant political and cultural event. In addition to the narrow area of Herschel scholarship, this dissertation touches on other areas of research in the history of science as well: science and culture, science and empire, science and politics, and what has been called the “new” history of scientific books.

  18. Book review: Don Pinnock, Gang town | van der Spuy | South African ...

    African Journals Online (AJOL)

    Title: Gang town. Publisher: Tafelberg, Cape Town, 2016. Price: 312. Pages: R196 Availability: Published ISBN: 9780624067894. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for ...

  19. The South African functional metropolis – A synthesis | Geyer | Town ...

    African Journals Online (AJOL)

    Confusing usage of terms such as metropolis and metropolitan region in planning policy in South Africa has led to the need for a fundamental investigation into the morphological and functional properties of the country's three largest cities. Using Gauteng, Cape Town and Durban as examples, the article distinguishes ...

  20. Cape Kennedy Thunderstorms Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Cape Kennedy Thunderstorms Data contains an account of all thunderstorms reported in weather observations taken at Cape Kennedy Air Force Station, Florida between...

  1. Salinity of irrigation water in the Philippi farming area of the Cape ...

    African Journals Online (AJOL)

    Salinity of irrigation water in the Philippi farming area of the Cape Flats, Cape Town, ... Isotope analysis was done for the summer samples so as to assess effects of ... It is concluded that the accumulation of salts in groundwater and soil in the ...

  2. in-town tour optimization town tour optimization town tour

    African Journals Online (AJOL)

    eobe

    operation was formulated as a Traveling Salesman Problem on Excel spreadsheet. The results ... 19.27 %, tour time by 0.33-22.80 %, and fuel consumption. 22.80 %, and fuel ..... solving TSPs and reports a real world in-town tour improvement ...

  3. VT Boundaries - town polygons

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) The BNDHASH dataset depicts Vermont villages, towns, counties, Regional Planning Commissions (RPC), and LEPC (Local Emergency Planning Committee)...

  4. Increase in hospital admissions for acute childhood asthma in Cape ...

    African Journals Online (AJOL)

    To determine whether hospital admissions for acute childhood asthma were rising in Cape Town in line with the experience of other countries, Red Cross War Memorial Children's Hospital's records for the period 1978 - 1990 were analysed. These were compared with total admissions for non-surgical causes and lower ...

  5. Inflammatory bowel disease Cape Town, 1975-1980

    African Journals Online (AJOL)

    1983-02-12

    Patients with hepatobiliary complications are being reported in a companion paper by Tobias el al. J) In addition to the 3 mentioned above,S patients died during this study; 2 had an acute fulminating course, 1 had a lymphoma ...

  6. New ways to deal with Cape Town's flooded communities | CRDI ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Tens of thousands live in cramped conditions, in low-cost formally registered houses or rickety squatter camps. During the dry summer months, many places here look perfect for settlement. People buy a shack on the informal housing market, or build on an open piece of land. But when the winter rains come to this natural ...

  7. Zoology Department, University of Cape Town. Patella vulgata and ...

    African Journals Online (AJOL)

    In California, rodents occasionally eat Acmaea spp., although Frank (1965) ..... The shell is kept low, and there is never any "mushrooming" as in ... implicated because of the specificity of the response, and because mechanical stimulus alone.

  8. New ways to deal with Cape Town's flooded communities | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2013-12-03

    Dec 3, 2013 ... While the state used to force people of colour to settle there under the apartheid ... to more severe and heavier rains that increase the risk of floods. ... to develop a rigorous coastal policy and management framework to better ...

  9. Risk of cardiovascular disease among teachers in Cape Town ...

    African Journals Online (AJOL)

    The prevalence of CVD risk factors was high and featured hypertension (48.5%), hypercholesterolaemia (20.5%), smoking (18.0%), diabetes (10.1%) and chronic kidney disease (10.4%), while 84.7% were overweight or obese. Of the participants, 18.7% were at high risk of a heart attack or stroke within 10 years.

  10. Cytomegalovirus retinitis in Cape Town, South Africa: Clinical ...

    African Journals Online (AJOL)

    has been shown to have a better pharmacokinetic profile than intravitreal ... therapy. At the time of this study, intravitreal ganciclovir alone, ... The diagnosis and management of CMV retinitis differ among treatment centres in SA. S Afr Med J ...

  11. Influences on residential water consumption in Cape Town

    African Journals Online (AJOL)

    2011-12-14

    Dec 14, 2011 ... gies, centred upon tiered pricing, seasonal restrictions and leak elimination. ... Integrated water resource management (IWRM) is the pro- motion and ..... Analysis. The results of a correlation test for traditional determinants and.

  12. Incidence of seropositive myasthenia gravis in Cape Town and ...

    African Journals Online (AJOL)

    Background. Myasthenia gravis (MG) is a treatable autoimmune disease characterised by fatiguable weakness of skeletal muscles. More than 85% of MG patients have antibodies to the acetylcholine receptor (AChR) at the neuromuscular junction or are seropositive for MG (SPMG). In the developed world the incidence of ...

  13. The 1992 tneasles epidetnic in Cape Town - a changing ...

    African Journals Online (AJOL)

    In addition detailed clinical histories of 10 patients were collected via telephonic interviews of parents. The fol- lowing measles case defmitions were applied in this study: (z) definite case - high fever, generalised macu- lopapular rash for 3 or more days, and one or more of the following: coryza, cough, conjunctivitis and ...

  14. Neighbourhood renewal in Cape Town's inner city: Is it gentrification?

    African Journals Online (AJOL)

    privaat

    The second definition is more inclusive. It incorporates ... The choice of definition for this study is that of Bourne .... the same basic floor plan, although they were built in different eras .... data, contingency tables were constructed and the per-.

  15. Inflammatory bowel disease Cape Town, 1975-1980

    African Journals Online (AJOL)

    White, 37% Coloured and 1% Black. The incidence for the Coloured and White population groups was calculated to be .... between onset of symptoms and diagnosis in the"different racial groups. .... North Americans and Western European7 experience and, as in the case of ulcerative colitis, in conflict with data from Israel.9.

  16. Popular Education in Three Organisations in Cape Town, South Africa

    Science.gov (United States)

    Endresen, Kristin

    2013-01-01

    In the past, non-formal education in South Africa was committed to supporting the Mass Democratic Movement (MDM) in opposition to apartheid. Such non-formal political education was concerned with education for democracy. Post 1994, South African adult education policy has exclusively concentrated on vocational training, shifting the focus away…

  17. Growth of preschool coloured children in Cape Town | Molteno ...

    African Journals Online (AJOL)

    At birth they were relatively light and short for gestational age. Size at birth correlated with social class. A rapid postnatal weight gain rendered them relatively overweight between 3 and 6 months. Thereafter they became lighter and shorter than the NCHS reference values and this persisted throughout the preschool period.

  18. management of pulmonary tb in nurse-based cape town

    African Journals Online (AJOL)

    Kurt

    a recording and reporting system enabling assessment of the outcomes of each patient ... scopically at the regional laboratory. (NHLS) for .... auditing of aspects of clinical and resource management. ... and information systems. The TB nurs-.

  19. Experience with pericarditis at Groote Schuur Hospital, Cape Town

    African Journals Online (AJOL)

    This study is concerned with the aetiology, natural history ... dwellers. The Bantu, descendants of migrant tribes from Central ... cardiac catheterization or even exploratory thoracotomy may ... (tamponade), reflected in jugular venous distension,.

  20. Violence and injury mortality in the Cape Town metropole

    African Journals Online (AJOL)

    mortality in a South African city and demonstrate the utility of secondary ... accidents (1 130 cases; 29% of all non-natural mortality), fire (295 .... Infanticide and fatal child abuse, according to police recOf'ds. Table Ill. .... 10 the USA, targets for the reduction of injury and violence mortality ... The Department of Health recently.

  1. ORIGINAL ARTICLES Workload and casemix in Cape Town ...

    African Journals Online (AJOL)

    2007-11-27

    Nov 27, 2007 ... An 8-week audit period was chosen, commencing on 11 July. 2005 and terminating ... nursing assistants (ENAs) were appointed, with 5 working at each ED. ... The day was divided into 4-hour sections to provide a reflection of ...

  2. 1Department of Psychiatry, University of Stellenbosch, Cape Town ...

    African Journals Online (AJOL)

    that it was equally harmful for a woman to drink during any of the trimesters of pregnancy, but ... both communities and also to address gaps in knowledge regarding the effects of ... study and surrounding areas (May et al., 2005; ... needed to be visited, i.e. every “nth” farm. If ..... ers compared to just 0.4% in the PC and pay.

  3. Trends in University cardiac surgery of Cape Town, at the

    African Journals Online (AJOL)

    1. D...\\I..\\\\ED. CHIR...\\\\.5.. PH. D., F.."'.C.5.. L"'.CC., DSC. HO:-:. CAl'SA '. Professor. Date recei\\Cd: )() .\\larch 1982. Clinical material. A raral of 6 161 cardiac operarion were performed during rhe. I I-year period (mean 560 per annum), of which 4 618 (75%) were for acquired heart disease and 1543 (25%) for congeniral heart.

  4. Preschool development of coloured children in Cape Town

    African Journals Online (AJOL)

    1991-06-01

    Jun 1, 1991 ... Social class, father's education and mother's personality were associated with gross motor and total development, while mother's education was· associated with fme motor and total development. The gross motor score was dependent on who was mainly in charge of the child, with the children who were.

  5. The 2012 University of Cape Town Faculty of Health Sciences ...

    African Journals Online (AJOL)

    2014-12-19

    Dec 19, 2014 ... Mottern, who had no formal training in nutrition science,20,21 were criticised by ... experiment, with themselves as subjects, on the strength of so very little .... that it has never been shown that persons with heart disease eat.

  6. Cytomegalovirus retinitis in Cape Town, South Africa: Clinical ...

    African Journals Online (AJOL)

    Macular (central vision) involvement had a significant adverse effect on visual outcome compared with cases in which the macula was uninvolved (p=0.005). Conclusions. Independent risk factors that predict final visual outcome include presenting VA, number of retinal quadrants involved, macular involvement and being on ...

  7. Comprehensive family hygiene promotion in peri-urban Cape Town ...

    African Journals Online (AJOL)

    Facilitators from the communities monitored symptoms weekly and reinforced disease prevention behaviours, focusing on handwashing and bathing with soap, cleaning toilet/food surfaces, and treating skin problems with antiseptic. Results. Children aged under 5 years in all communities had significant reductions in ...

  8. De værdige byrum i Cape Town

    DEFF Research Database (Denmark)

    Gehl, Jan; Damm van Deurs, Camilla

    2004-01-01

    Om Dignified Places-programmet hvor byens fællesrum anvendes som katalysatorer for den begyndende udvikling i fattige townships.......Om Dignified Places-programmet hvor byens fællesrum anvendes som katalysatorer for den begyndende udvikling i fattige townships....

  9. The mass miniature chest radiography programme in Cape Town ...

    African Journals Online (AJOL)

    Canada, the UK and France combined.[1] ... [3] Before effective chemotherapy became available in .... of Europeans was not deemed cost-effective and screening policy was .... screening coverage threshold exists above which TB transmission.

  10. Medical inpatient mortality at Groote Schuur Hospital, Cape Town ...

    African Journals Online (AJOL)

    Annual increases in mortality rates were highest during the first 2 days following admission (increasing from 30.1 to 50.3 deaths per 1 000), and were associated with increasing age, non-paying patient status, black population group and male sex, and were greatest in the emergency ward (adjusted MRR 1.73, comparing ...

  11. The burden of imported malaria in Cape Town, South Africa

    African Journals Online (AJOL)

    of Home Affairs registered 778 600 new asylum applications, with. Zimbabweans accounting for more than half of these.[2] However, as ... Many foreign migrants come from malaria-endemic areas and present to SA healthcare services after ...

  12. High prevalence of cisplatin-induced ototoxicity in Cape Town ...

    African Journals Online (AJOL)

    Background. Cisplatin is administered as the first-line treatment of soft-tissue cancers. It has a reported cure rate of up to 85%, but is associated with a high incidence of ototoxicity, characterised by irreversible bilateral hearing loss and affecting 23 - 50% of adults who receive the drug. Objectives. To determine the incidence ...

  13. Planning Study Hospital, Cape Town The Hospital Information at ...

    African Journals Online (AJOL)

    Tile HOspital Information Plan- ning Study ... Hospital, and based on. the Business Systems Plan- ... technology can be of considerable benefit in dealing with these issues. .... coherenr, flexible information systems with a minimum of data.

  14. Johann Graaff. What is Sociology? Cape Town. Oxford University ...

    African Journals Online (AJOL)

    African Sociological Review / Revue Africaine de Sociologie. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 6, No 2 (2002) >. Log in or Register to get access to full text downloads.

  15. Notes from the Lost Property Department. Bridget Pitt. Cape Town ...

    African Journals Online (AJOL)

    as a loss of motor-skills and memory, and changes in behaviour. Bridget Pitt's Notes from the Lost Property Department (2015) is primarily concerned with the ways in which these invisible wounds cause dis- junctions in personal identity and fissures in relationships. ... together her cracked sense of self, all the time keeping ...

  16. Marina Constantatos (University of Cape Town) Rosanna Bettarini ...

    African Journals Online (AJOL)

    User

    convegni, capitoli di libro, note introduttive, pagine di quotidiani quali “Il. Secolo XIX” e “Il Sole 24 Ore”, sia per quanto concerne gli argomenti trattati, tanto questioni strettamente filologiche quanto problematiche di tipo più ampiamente letterario e anche ricordi autobiografici della propria conoscenza con il poeta.

  17. A Caledonian college in Cape Town and beyond: an investigation ...

    African Journals Online (AJOL)

    Adopting a historical approach, this article traces the origins of key features of the South African university system, viz the general nature of its undergraduate degrees, its heavy reliance on lectures to convey information and its extensive use of examinations to assess levels of student achievement. This historical ...

  18. "Stressed and Sexy": Lexical Borrowing in Cape Town Xhosa

    Science.gov (United States)

    Dowling, Tessa

    2011-01-01

    Codeswitching by African language speakers in South Africa (whether speaking English or the first language) has been extensively commented on and researched. Many studies analyse the historical, political and sociolinguistic factors behind this growing phenomenon, but there appears to be a little urgency about establishing a database of new…

  19. Substance abuse and trauma in Cape Town | Peden | South African ...

    African Journals Online (AJOL)

    Alcohol consumption was assessed by means of the lion SD2 alcolmeter. Chronic alcoholism was assessed using the CAGE questionnaire. Each patient's urine was analysed for four drugs (cannabis, morphine, opiates and methaqualone) using conventional 'wet' analysis. Sweat was tested for cannabis using a Drugwipe.

  20. Company Town Shutdown.

    Science.gov (United States)

    Turnage, Martha A.

    Saltville, Virginia, is a former company town whose main employer, a soda ash plant, shut down on July 1, 1971. The closure of the chemical plant displaced 700 workers, and created a crisis that threatened not only the existence of the town, but of the entire region. In response, Virginia Highlands Community College (VHCC), in cooperation with the…

  1. Great deal achieved at Cape's nuclear island

    International Nuclear Information System (INIS)

    Anon.

    1979-01-01

    Since the civil engineering contract commenced a great deal has been achieved at Escom's Koeberg nuclear power station north of Cape Town. About 50 percent of the civil work has now been done and the entire project remains on schedule for a January 1982 start-up on nuclear reactor unit number one and a January 1983 start-up on unit two. Final handover is scheduled for January 1984. Completion of the civil works is scheduled for December 1981. The construction of the Koeberg nuclear power station is discussed, as well as the contractors for the civil engineering work

  2. Indiana Bat (Towns)

    Data.gov (United States)

    Vermont Center for Geographic Information — This dataset includes towns that contain documented hibernacula or summer range occupied by federally endangered Indiana bats. Survey data used to create this...

  3. New Mexico Ghost Towns

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — This data provides locations and non-spatial attributes of many ghost towns in the State of New Mexico, compiled from various sources. Locations provided with...

  4. 76 FR 27970 - Safety Zone; Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA.

    Science.gov (United States)

    2011-05-13

    ... Charles will sponsor a fireworks display on the shoreline of the navigable waters of Cape Charles City...[deg]01'30'' W (NAD 1983). This safety zone will be established in the vicinity of Cape Charles, VA...-AA00 Safety Zone; Cape Charles Fireworks, Cape Charles Harbor, Cape Charles, VA. AGENCY: Coast Guard...

  5. Ram pressure statistics for bent tail radio galaxies

    CSIR Research Space (South Africa)

    Mguda, Z

    2015-01-01

    Full Text Available ), Department of Astronomy, University of Cape Town, Private Bag X3, Rondebosch 7701, South Africa 2South African Astronomical Observatory (SAAO), PO Box 9, 7935 Observatory, Cape Town, South Africa 3Department of Physics, University of Witwatersrand... Published by Oxford University Press on behalf of the Royal Astronomical Society at South A frican A stronom ical O bservatory on D ecem ber 18, 2014 http://m nras.oxfordjournals.org/ D ow nloaded from Statistics for bent radio sources 3311 are left for a...

  6. Cape Kennedy Weather Data

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Digitized data taken from original weather observations taken at Cape Kennedy Air Force Station, Florida. Elements recorded are wind speed and direction,...

  7. An agrarian town?

    DEFF Research Database (Denmark)

    Haase, Kirstine

    This paper will discuss how to understand the early development of Odense seen through the archaeological record. Is it possible to see if, how and when the town transformed from agrarian to urban during the 11th to 16th Century? Untill now the evidence of the earliest history of Odense has mainl...... these features change over time....

  8. Town Meeting and Community Engagement.

    Science.gov (United States)

    Uline, Cynthia L.

    1998-01-01

    Draws upon the history of the American town meeting as a vehicle for understanding this institution. Considers how a New England public school district has used town meetings effectively as a reform vehicle. Town meetings should be considered an honorable, truly democratic forum, not a symbolic gesture to improve public relations. (24 references)…

  9. Heritage and the Development of Stellenbosch, Western Cape, South Africa

    Directory of Open Access Journals (Sweden)

    Fabio Todeschini

    2017-06-01

    Full Text Available The jurisdiction of Stellenbosch, located adjacent to, but outside of, the Cape Town metropolitan area in the Western Cape Province of South Africa, comprises over one thousand square kilometers of landscapes spanning: spectacular mountain wilderness areas; many productive rural valleys that are an integral part of the celebrated Cape Winelands; and a number of historic, characterful urban centres founded during the 17th century. Overall, this blend of domains attracts increasing numbers of tourists, while the places are also home to a growing population. The pressures for change and growth are significant: so is the need for appropriate policies and plans in the longer-term public interest. The authors report on a three-year project they are conducting for the local authority that focuses on the definition of the natural and cultural heritage and, in principle, on how development should be channelled.

  10. Town gas plants

    International Nuclear Information System (INIS)

    Anastos, G.J.; Johnson, G.M.; Schapot, R.M.; Velez, V.G.

    1990-01-01

    Town gas plant sites are receiving increasing attention from the utility industry and regulatory communities. This attention has been prompted by greater environmental awareness of impacts due to past disposal practices and the understanding that gas plant wastes contain a wide range of chemical constituents that have persisted in the environment. This paper discusses the history of the town gas plant industry, the various processes utilized and the resultant by-products and wastes. Potential problem areas relating to these sites as well as potential approaches to site characterization are addressed. Included are recommendations for the phasing of site investigations and the use of relatively inexpensive and rapid field screening techniques to identify contamination

  11. County town -- jian-zhi town differentials and migration to towns in China.

    Science.gov (United States)

    Ma, R

    1993-07-01

    China's urbanization process is unique in having been due to economic systems and migration policies. Towns and townships in rural areas are different from cities in their social and economic characteristics and their structure and function. The urban system in China is initially described with the distinction drawn between cities, "jian-zhi towns", (organic town) which are officially recognized, and rural areas. Analysis is provided f the economic and residential registration status of town residents and migration in northern China. Data were obtained from a 1987 survey of 1314 households in Wongnioute Banner in Inner Mongolia, and a 1985 migration survey of 2089 rural households in 41 villages. The study area was selected because jian-zhi town status was easily obtained and the are needed more towns for local administration and trade; the area was similar in geographic, social, economic, and cultural characteristics to other northern and northwestern regions. The Wongnioute Banner comprises 5 towns (Qiaotou, Wufendi, Hairesu, Wuduentaohai, and Wutonghua) and 1 country town (Wudan). All citizens from birth have an agricultural or nonagricultural status, which can be changed by passing national exams or completing a university education, joining the military and becoming an officer, marrying someone with a nonagricultural status, reunifying the family, or holding a special program. Quotas are set annually for status changes, e.g. in Tibet Autonomous Region the annual quota was 3%. Town residents may have either status. In the sample, 56.6% lived in town and had a nonagricultural status; 17.7% of heads of household town residents had an agricultural status and had stronger ties to villages because of family connections. Commuters are a third group and comprise 8.9%. County towns and jian-zhi towns are grouped the same, but are quite different in population size. Wudan had a population of 27,600 spread over an area of 480 hectares. The jian-zhi towns each had an

  12. Town Centre Redevelopment Strategies

    DEFF Research Database (Denmark)

    Vagnby, Bo Hellisen

    After many years of urban growth Danish downtowns are facing some important choices. Shall the stake one-sidedly be on the town centres as driving forces for growth and 'city marketing', or do they still have a role to play in a broader socio-economic context? In the paper we look back on eight...... as slum clearence and urban renewal. To a certain extent parallels are drawn to international experiences, especially where these are of such a nature that they can be assumed transferred to Danish connctions. Conclusively, the strategies are discussed in the light of the turn of Danish urban planning...

  13. Expectations of urban residents in the Western Cape on the 2010 ...

    African Journals Online (AJOL)

    In general, those residing in the city of Cape Town and those who declare themselves supporters of football, show a high level of optimism about the potential economic growth as a result of the tournament. However, the residents outside the metropolitan core are less convinced that the World Cup will benefi t them directly ...

  14. Mental illness in the Western Cape Province, South Africa: A review ...

    African Journals Online (AJOL)

    attending routine HIV follow-up care in Cape Town had mental disorders, including ... e.g. alcohol abuse is associated with depression and anxiety disorders and is also a risk factor for .... Poorly trained nursing staff. Lack of appropriate ...

  15. Non-metropolitan residential gated developments in the Western Cape Province, South Africa

    CSIR Research Space (South Africa)

    Spocter, M

    2011-07-01

    Full Text Available -metropolitan locale and the topic is also unexplored in the South African context. This research attempts to address this research gap by investigating the locations of gated developments in non-metropolitan towns of varying sizes in the Western Cape...

  16. Archives: Town and Regional Planning

    African Journals Online (AJOL)

    Items 1 - 12 of 12 ... Archives: Town and Regional Planning. Journal Home > Archives: Town and Regional Planning. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives. 1 - 12 of 12 ...

  17. Properties and CAPE

    DEFF Research Database (Denmark)

    Gani, Rafiqul; O'Connell, J.P.

    2001-01-01

    The role of properties in the solution of Computer Aided Process Engineering (CAPE) problems is described in terms of current trend, future challenges and important issues. Three distinct roles of properties in CAFE have been identified - a service role, a service plus advice role and a service......, advice plus solve role. The CAFE problems solved under each of these roles are described together with simple illustrative examples. Finally, the paper describes how some of the future problems related to integration of synthesis, design and control might be dealt with efficiently and reliably through co......-operative CAFE and properties methodologies. (C) 2001 Elsevier Science Ltd. All rights reserved....

  18. Reconstruction of major maternal and paternal lineages of the Cape Muslim population

    Directory of Open Access Journals (Sweden)

    Shafieka Isaacs

    2013-01-01

    Full Text Available The earliest Cape Muslims were brought to the Cape (Cape Town -South Africa from Africa and Asia from 1652 to 1834. They were part of an involuntary migration of slaves, political prisoners and convicts, and they contributed to the ethnic diversity of the present Cape Muslim population of South Africa. The history of the Cape Muslims has been well documented and researched however no in-depth genetic studies have been undertaken. The aim of the present study was to determine the respective African, Asian and European contributions to the mtDNA (maternal and Y-chromosomal (paternal gene pool of the Cape Muslim population, by analyzing DNA samples of 100 unrelated Muslim males born in the Cape Metropolitan area. A panel of six mtDNA and eight Y-chromosome SNP markers were screened using polymerase chain reaction-restriction fragment length polymorphisms (PCR-RFLP. Overall admixture estimates for the maternal line indicated Asian (0.4168 and African mtDNA (0.4005 as the main contributors. The admixture estimates for the paternal line, however, showed a predominance of the Asian contribution (0.7852. The findings are in accordance with historical data on the origins of the early Cape Muslims.

  19. 33 CFR 80.525 - Cape Lookout, NC to Cape Fear, NC.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Cape Lookout, NC to Cape Fear, NC... INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Fifth District § 80.525 Cape Lookout, NC to Cape Fear... southeast side of the Inlet. (g) Except as provided elsewhere in this section from Cape Lookout to Cape Fear...

  20. The Capes Current: a summer countercurrent flowing past Cape Leeuwin and Cape Naturaliste, Western Australia

    Science.gov (United States)

    Pearce, Alan; Pattiaratchi, Charitha

    1999-03-01

    Although the dominant boundary current off Western Australia is the poleward-flowing Leeuwin Current, satellite imagery shows that there is a cool equatorward coastal countercurrent running close inshore in the extreme southwest during the summer months. This seasonal current has been named the Capes Current as it appears to be strongest between Cape Leeuwin (34°20'S) and Cape Naturaliste (33°30'S), and it is probably linked with the general northward shelf current which has been observed previously along most of the Western Australian coastline further north. Strong northwards wind stresses between November and March slow the Leeuwin Current (which moves offshore) and drive the Capes Current, and there may be localised upwelling as well (Gersbach et al., Continental Shelf Research, 1998). It has important implications for the salmon fishery as it may affect the migration of adult salmon around Cape Leeuwin at this time of year.

  1. Sickly slaves, soldiers and sailors. Contextualising the Cape's 18th–19th century Green Point burials through isotope investigation

    NARCIS (Netherlands)

    Mbeki, Linda; Kootker, Lisette M.; Kars, Henk; Davies, Gareth R.

    2017-01-01

    Strontium isotope data of multiple dental enamel samples, and carbon and nitrogen isotope data of dentine and bone collagen samples from 27 individuals excavated from the mid-18th to mid-19th century Victoria & Albert Marina Residence paupers burial ground in the vicinity of Green Point, Cape Town,

  2. GREENHOUSE-GROWN CAPE GOOSEBERRY

    African Journals Online (AJOL)

    /2006 S 4,00. Printed in Uganda. All rights reserved O2006, African Crop Science Society. SHORT COMMINICATION. EFFECT OF GIBBERRELLIC ACID ON GROWTH AND FRUIT YIELD OF. GREENHOUSE-GROWN CAPE GOOSEBERRY.

  3. Container terminal spatial planning - A 2041 paradigm for the Western Cape Province in South Africa

    Directory of Open Access Journals (Sweden)

    Jan Havenga

    2012-11-01

    Full Text Available This paper investigates the suitable location for an intermodal inland container terminal (IICT in the city of Cape Town. A container market segmentation approach is used to project growth for container volumes over a 30-year period for all origin and destination pairings on a geographical district level in an identified catchment area. The segmentation guides the decision on what type of facility is necessary to fulfil capacity requirements in the catchment area and will be used to determine the maximum space requirements for a future IICT. Alternative sites are ranked from most suitable to least suitable using multi-criteria analysis, and preferred locations are identified. Currently, South Africa’s freight movement is dominated by the road sector. Heavy road congestion is thus prevalent at the Cape Town Container Terminal (CTCT. The paper proposes three possible alternative sites for an IICT that will focus on a hub-and-spoke system of transporting freight.

  4. A town in the making

    DEFF Research Database (Denmark)

    Dahlström, Hanna Sofia Strandmark

    on the site of Town Hall Square c. AD 1050-1300. This paper will discuss the two questions: What can the study of social practices connected to the iron processing activities, in combination with technical analyses, reveal of urban development, of people and networks involved in the iron handling? And what...... new aspects to this problem by studying urbanity through social practices in the first phases of the developing town of Copenhagen, Denmark. One of these areas concerns crafting, specifically iron processing. Through four areas of study, I analyse the material remains of social practices undertaken...

  5. Marketing the Uniqueness of Small Towns. Small Town Strategy.

    Science.gov (United States)

    Hogg, David H.; Dunn, Douglas

    A small town can strengthen its local economy as a result of business people and concerned citizens collectively identifying that community's uniqueness and then capitalizing on it via advertising, personal selling, sales promotion, or publicity. This publication relates the science of marketing to communities. Seven simple techniques are provided…

  6. Thirty years history of Daeduk Science Town

    International Nuclear Information System (INIS)

    2003-11-01

    This book records the history of Daeduk science town for 30 years, which includes plan of construction and selection of location like background of construction and general idea of construction, transition of basic plan to construct Daeduk science town such as change of promotion organization and plan, and establishment of construction general planning, building base for town like land, infrastructure, and measures to control speculative investment, construction and present situation of moving into the science town, management of Daeduk science town, public welfare for researchers, and fruit and image of the future of the town.

  7. Observations of an early Agulhas current retroflection event in 2001: a temporary cessation of inter-ocean exchange south of Africa?

    CSIR Research Space (South Africa)

    Van Aken, HM

    2013-02-01

    Full Text Available -1 Deep-Sea Research Part 1: Oceanographic Research Papers February 2013/Vol. 72, pp 1-8 Observations of an early Agulhas current retroflection event in 2001: A temporary cessation of inter-ocean exchange south of Africa? H.M. van Akena,*, J.R.E.... Lutjeharms b, M. Rouault b,c, C. Whittle d,b, W.P.M. de Ruijter e aNIOZ Royal Netherlands Institute for Sea Research, PO Box 59, Den Burg, Texel, The Netherlands bDepartment of Oceanography, Mare Institute, University of Cape Town, Rondebosch, South...

  8. Town and Citadel of Quebec

    OpenAIRE

    Vallée Louis-Prudent, 1837-1905, photographer

    2003-01-01

    230 x 176 mm. A view looking across the St. Lawrence towards the town and Citadel of Quebec, with shipping at anchor in the river. A photograph taken from the Grand Trunk Railway Depot, Point Lewis, probably in 1870. In the foreground railway lines run down to wharves beside the terminal.

  9. Reimagining Education in Small Towns

    Science.gov (United States)

    Carr, Patrick J.; Kefalas, Maria J.

    2010-01-01

    Things are not going so well in small-town America. While the so-called "Great Recession" of the moment has focused considerable attention on the travails of Main Street and Middle America, the truth is that the troubles that plague such places have been a long time in the making. For the past 30 years, nonmetropolitan counties and the…

  10. The Buried Town of Beaver.

    Science.gov (United States)

    Jostad, Karen

    Local history as source material for environmental education is uniquely portrayed in this resource kit. Utilizing a Winona County Historical Society publication, "The Beaver Story" and accompanied by a teacher's guide, "The Buried Town of Beaver," and other teaching aids, a case study of the area can be developed. Based on the reminiscences of…

  11. Nerdfighters, "Paper Towns," and heterotopia

    Directory of Open Access Journals (Sweden)

    Lili Wilkinson

    2012-06-01

    Full Text Available Socially and politically controlled teenagers find emancipatory spaces in young adult (YA literature, spaces where institutions can be challenged and individuals can gain agency and empowerment. Drawing on Foucault's theory of heterotopia, I examine the literary spaces in John Green's YA novel Paper Towns and examine how Green's online social networking community Nerdfighters shares an ideological common ground with the novel.

  12. Marketing the Uniqueness of Small Towns. Revised.

    Science.gov (United States)

    Dunn, Douglas; Hogg, David H.

    The key to marketing a town is determining and promoting the town's "differential advantage" or uniqueness that would make people want to visit or live there. Exercises to help communities gain important insights into the town's competitive edge include a brainstorming session with knowledgeable community members, a visitor…

  13. Cape anchovy Engraulis capensis spawn mainly east of Cape Point ...

    African Journals Online (AJOL)

    spamer

    In the southern Benguela, successful recruitment of Cape anchovy Engraulis capensis is ... Based on the total area of 16–19°C water on the western Agulhas. Bank, Richardson et al. .... in the zone, φ the new value, and β is a relaxation pa-.

  14. Town engineers in South Africa before 1910, with reference to water supply

    Directory of Open Access Journals (Sweden)

    Harri Mäki

    2013-07-01

    Full Text Available This article looks at the town engineers in South Africa prior to Union in 1910. It briefly examines the growth in the number of municipalities and town engineers in the country in this period and investigates the background and training of these engineers; why municipalities decided to appoint an engineer; and what kind of appointment processes were followed. Finally the relations between engineers and town councils and the prevailing circumstances at the end of the engineers’ tenures is studied. The article also presents ten specific cases which have reference to the development of water supply. It emerges that most early town engineers received training via apprenticeship for the positions they held, and that there was added pressure from elected councillors in municipalities who were prone to monitor assiduously how officials were spending public money. It is also clear that engineers who did not have earlier municipal experience were bound to have problems in their interaction with town councillors. Keywords: Municipal history, civil engineering, water supply, sanitation, Cape Colony, Natal, Orange Free State, Transvaal Disciplines: History, Engineering, Public Management

  15. Morphological characteristics of Cape sugarbirds ( Promerops cafer ...

    African Journals Online (AJOL)

    Cape sugarbirds (Promerops cafer) are the largest nectarivores in the Western Cape and feed almost exclusively on protea nectar and associated arthropods. Helderberg Nature Reserve, Western Cape, South Africa, has a large diversity of Protea and supports breeding sugarbirds. As part of a larger study, we captured ...

  16. 33 CFR 165.530 - Safety Zone: Cape Fear and Northeast Cape Fear Rivers, NC.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety Zone: Cape Fear and Northeast Cape Fear Rivers, NC. 165.530 Section 165.530 Navigation and Navigable Waters COAST GUARD... § 165.530 Safety Zone: Cape Fear and Northeast Cape Fear Rivers, NC. (a) Location. The following area is...

  17. The Impact of Computer and Mathematics Software Usage on Performance of School Leavers in the Western Cape Province of South Africa: A Comparative Analysis

    Science.gov (United States)

    Smith, Garth Spencer; Hardman, Joanne

    2014-01-01

    In this study the impact of computer immersion on performance of school leavers Senior Certificate mathematics scores was investigated across 31 schools in the EMDC East education district of Cape Town, South Africa by comparing performance between two groups: a control and an experimental group. The experimental group (14 high schools) had access…

  18. The problems of Visaginas town

    International Nuclear Information System (INIS)

    Schiurov, V.

    1998-01-01

    The problems of Visaginas are specific and, first of all, connected with the operation of the Ignalina nuclear power plant and cultural development of Visaginas ethnic minorities, lack of skilled specialists employed in different spheres. Some difficulties we have with the learning of the official language. A strong well-reasoned opinion of the scientists corresponds to our practical directions: the problems of the town of Visaginas are not only the problems of its inhabitants but also a composite part of the problems of the Ignalina nuclear power plant region. (author)

  19. VT Designated New Town Center Boundary

    Data.gov (United States)

    Vermont Center for Geographic Information — Municipalities that lack a historic downtown may obtain New Town Center designation, meeting requirements for planning, capital expenditures, and regulatory tools...

  20. Opinions of medical students at the University of Cape Town on ...

    African Journals Online (AJOL)

    restrict enjoyment of leisure time. 14,6. 11. Fear that a majority rule will involve a loss of privileges. 14,0 considering emigration, 64% considered .... zllocation of travel allowances; and the provision of posts at academic institutions for those suitable persons who have. vVorked in rural areas." Should community service be ...

  1. Lived experiences of male intimate partners of female rape victims in Cape Town, South Africa.

    Science.gov (United States)

    van Wijk, Evalina; Duma, Sinegugu E; Mayers, Pat M

    2014-09-23

    Sexual violence in South Africa is a major public health and social problem. Sexual assault or rape is a traumatic event which disrupts not only the life of the female rape victim, but also that of her male intimate partner (MIP), irrespective of whether he witnessed or was informed of the incident. The study aimed to explore the lived experiences of MIPs of female rape victims and the meaning of these experiences in the six months following the partner's rape. We conducted a longitudinal hermeneutic phenomenological study. Nine purposively sampled adult MIPs were interviewed over a period of six months. The participants were in an intimate relationship with a female rape victim prior to and immediately after the rape; their partners had been treated at a specialised centre for victims of rape and sexual assault. Four interviews were conducted with each of the nine intimate partners of female rape victims: (1) within 14 days of, (2) a month after, (3) three months after, and (4) six months after the rape. Two major themes emerged: being-in-the-world as a secondary victim of rape, and living in multiple worlds, those of their female partners, family, friends, society, employers or colleagues, professionals and the justice system. The participant's familiar world became strange and even threatening, and his relationship with his partner became uncertain. Early supportive intervention for intimate partners of female rape victims is required to prevent on-going emotional trauma and alleviate the effects of chronic post-traumatic stress disorder and suffering at intra- and interpersonal levels.

  2. Lived experiences of male intimate partners of female rape victims in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Evalina van Wijk

    2014-09-01

    Objectives: The study aimed to explore the lived experiences of MIPs of female rape victims and the meaning of these experiences in the six months following the partner’s rape. Method: We conducted a longitudinal hermeneutic phenomenological study. Nine purposively sampled adult MIPs were interviewed over a period of six months. The participants were in an intimate relationship with a female rape victim prior to and immediately after the rape; their partners had been treated at a specialised centre for victims of rape and sexual assault. Four interviews were conducted with each of the nine intimate partners of female rape victims: (1 within 14 days of, (2 a month after, (3 three months after, and (4 six months after the rape. Results: Two major themes emerged: being-in-the-world as a secondary victim of rape, and living in multiple worlds, those of their female partners, family, friends, society, employers or colleagues, professionals and the justice system. The participant’s familiar world became strange and even threatening, and his relationship with his partner became uncertain. Conclusion: Early supportive intervention for intimate partners of female rape victims is required to prevent on-going emotional trauma and alleviate the effects of chronic post-traumatic stress disorder and suffering at intra- and interpersonal levels.

  3. Lived experiences of male intimate partners of female rape victims in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Evalina van Wijk

    2014-02-01

    Full Text Available Background: Sexual violence in South Africa is a major public health and social problem. Sexual assault or rape is a traumatic event which disrupts not only the life of the female rape victim, but also that of her male intimate partner (MIP, irrespective of whether he witnessed or was informed of the incident.Objectives: The study aimed to explore the lived experiences of MIPs of female rape victims and the meaning of these experiences in the six months following the partner’s rape.Method: We conducted a longitudinal hermeneutic phenomenological study. Nine purposively sampled adult MIPs were interviewed over a period of six months. The participants were in an intimate relationship with a female rape victim prior to and immediately after the rape; their partners had been treated at a specialised centre for victims of rape and sexual assault. Four interviews were conducted with each of the nine intimate partners of female rape victims: (1 within 14 days of, (2 a month after, (3 three months after, and (4 six months after the rape.Results: Two major themes emerged: being-in-the-world as a secondary victim of rape, and living in multiple worlds, those of their female partners, family, friends, society, employers or colleagues, professionals and the justice system. The participant’s familiar world became strange and even threatening, and his relationship with his partner became uncertain.Conclusion: Early supportive intervention for intimate partners of female rape victims is required to prevent on-going emotional trauma and alleviate the effects of chronic post-traumatic stress disorder and suffering at intra- and interpersonal levels.

  4. Challenging Pentecostal moralism: erotic geographies, religion and sexual practices among township youth in Cape Town.

    Science.gov (United States)

    Burchardt, Marian

    2011-06-01

    Research on constructions of sexuality in Pentecostalism often struggles with the fact that the research setting is defined ex ante in terms of church communities, which imposes upon ethnographic accounts the same limitations Pentecostal morality imposes upon church members' discourse. Taking young Pentecostals operating in a space that is not explicitly religious as the methodological entrance to the field, this paper explores negotiations over sexuality, intimate relationships and love among Xhosa-speaking township youth. It introduces the notion of erotic geographies to consider how possible influences of religious discourses on sexuality are refracted by alternative cultural orientations and material contexts. Findings suggest that premarital abstinence appears as a highly exceptional ideal for youth. Even among Pentecostal youth, notions of sexuality are largely severed from religiosity and faithfulness and romanticism are dominant ideals. Future research on Pentecostalism and sexuality should be less religious-centric and rooted more firmly in ethnographies of youth sexual cultures.

  5. An upwelling filament North-West of Cape Town, South Africa ...

    African Journals Online (AJOL)

    One is the sporadic advection of warm water from the Agulhas Bank onto the southern shelf. The cruise took place following such an event. The anticipated shelf-edge jet was greatly diminished and forced inshore. The possible effect of barotropic shelf waves on the configuration of the upwelling tongue and the formation of ...

  6. Evaluation of a Cape Town Safety Intervention as a Model for Good ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Tali Cassidy

    2015-05-05

    May 5, 2015 ... across the whole of society including 'role- players in the public health, criminal justice, educational and social ... nants of crime and violence, and that the root causes of crime need to be addressed by ..... six months and profile a single week of trauma injuries present in the study areas. A key aspect of the ...

  7. Managing invasive species in cities: A decision support framework applied to Cape Town

    Czech Academy of Sciences Publication Activity Database

    Gaertner, M.; Novoa, Ana; Fried, J.; Richardson, D. M.

    2017-01-01

    Roč. 19, č. 12 (2017), s. 3707-3723 ISSN 1387-3547 R&D Projects: GA ČR GB14-36079G Institutional support: RVO:67985939 Keywords : stakeholder engagement * South Africa * tree invasions * urban invasions * management Subject RIV: EH - Ecology, Behaviour OBOR OECD: Ecology Impact factor: 2.473, year: 2016

  8. The distribution of lung cancer mortality in Cape Town and related ...

    African Journals Online (AJOL)

    1991-04-20

    Apr 20, 1991 ... In the case of white people demographic as wel! as socio- economic .... correlation analysis,24 were used to identify the cancer-related variables. ..... papers presented at the 24th Annual Symposium of Fundamental Cancer.

  9. Over-the-counter and prescription medicine misuse in Cape Town ...

    African Journals Online (AJOL)

    Results. OTC and prescription medicine misuse places a burden on health and social services in South Africa. This is ... benzodiazepine misuse is psychological and physiological ... one of two categories: opioid analgesics (e.g. morphine and.

  10. Context sensitive multimodal road planning : a case study in Cape Town, South Africa

    NARCIS (Netherlands)

    Beukes, Edward; Vanderschuren, Marianne; Vanderschuren, M.J.W.A.; Zuidgeest, M.H.P.

    2011-01-01

    Road planning practice relies almost exclusively on parameters related to traffic factors, such as private vehicle speeds and volumes. In many developing countries the requirements for public transport and non-motorised transport are not explicitly integrated into the planning process, despite the

  11. Injury severity in relation to seatbelt use in Cape Town, South Africa ...

    African Journals Online (AJOL)

    implementation of road safety interventions specifically focused on high-risk groups. S Afr Med J 2014 ... EMS also provides various technical rescue services, including aquatic rescue, aviation ... Data collection and management. The METRO ..... come Data Evaluation System (CODES) database and found that admission ...

  12. Divergent and similar experiences of ‘gating’ in South Africa : Johannesburg, Durban and Cape Town

    CSIR Research Space (South Africa)

    Lemanski, C

    2008-06-01

    Full Text Available exclusionary spaces, increasing residential segregation, restricting freedom of movement and exacerbating social divides (e.g. Blakely and Snyder, 1997; Caldeira, 1999, 2000; Davis, 1992; Low, 2003; Marcuse, 1997). Indeed, only a minority of researchers... by fears that they effectively recreate the apartheid city and thwart post-apartheid goals of urban integration and inclusion. Indeed, by retreating from public spaces into private enclaves and allowing access only to those with the necessary socio...

  13. Risk factors for HIV-AIDS among youth in Cape Town, South Africa.

    Science.gov (United States)

    Simbayi, Leickness C; Kalichman, Seth C; Jooste, Sean; Cherry, Charsey; Mfecane, Sakhumzi; Cain, Demetria

    2005-03-01

    South Africa is in the midst of a devastating HIV-AIDS epidemic and most new HIV infections occur among young adults and adolescents. The current study examined risk behaviors and HIV risk factors among young people living in a Black South African township. Using community-based outreach methods of street intercept and facility-based surveying, 113 men and 115 women age 25 and younger responded to an anonymous survey. Results showed that men (68%) and women (56%) reported HIV-related high risk sexual behaviors. Although knowledge about HIV transmission was generally high, there was evidence that misconceptions about AIDS persist, particularly myths related to HIV transmission. For young men, HIV risk factors were associated with fewer years of education, lower levels of AIDS-related knowledge, condom attitudes, and Dagga (marijuana) use. Among young women, HIV risk factors were associated with beliefs that condoms get in the way of sex and rates of unprotected vaginal intercourse. Despite adequate general AIDS knowledge and risk sensitization, South African youth demonstrated high rates of sexual practices that place them at risk for HIV infection. There is an urgent need for behavioral interventions targeted to young South Africans living in the most economically disadvantaged areas.

  14. A Second Chance: The University of Cape Town's Diploma in Education

    Directory of Open Access Journals (Sweden)

    June Saldanha

    2009-11-01

    Full Text Available This paper describes a curriculum that gives men and women from predominantly black working class communities a second chance to acquire a formal qualification at a higher education institution in South Africa. The curriculum provides the space for adult students to think critically about themselves and their practice and to develop a confident voice to express themselves. Through this process they develop both learner and educator identities and begin to see how the two intersect. The paper gives some of the historical background of the course, and shows how lecturers who have taught on the programme at different times have helped shape the curriculum. It goes on to discuss the changing nature of the student intake, the curriculum content and structure and ends with a discussion of the impact of the course, on students, staff and on the university as a whole. One very visible impact of the diploma is to be seen in the students who have gone on to acquire other postgraduate qualifications in adult education studies. On a university-wide level, through the involvement of adult education lecturers in other programmes and curricula, knowledge of and interest in adult learning is shared and encouraged.

  15. Treatment of childhood tuberculosis: caregivers' practices and perceptions in Cape Town, South Africa

    NARCIS (Netherlands)

    Bélard, Sabine; Isaacs, Washiefa; Black, Faye; Bateman, Lindy; Madolo, Lucia; Munro, Jacinta; Workman, Lesley; Grobusch, Martin P.; Zar, Heather J.

    2015-01-01

    A child's caregiver is key to the successful drug delivery and outcome of tuberculosis (TB) treatment. Understanding caregivers' practices and perceptions is important in the management of childhood TB. To investigate caregivers' practices and perceptions regarding TB treatment of children. A

  16. Maccsand (Pty) Ltd v City of Cape Town 2012 (4) SA 181 (CC ...

    African Journals Online (AJOL)

    ) 2012 ZACC 7 decided that the granting of mining rights or mining permits by the Minister of Mineral Resources in terms of the Mineral and Petroleum Resources Development Act 28 of 2002 does not obviate the obligation on an applicant to ...

  17. ASSESSING SPATIAL DATA QUALITY OF PARTICIPATORY GIS STUDIES: A CASE STUDY IN CAPE TOWN

    Directory of Open Access Journals (Sweden)

    K. Musungu

    2015-10-01

    Full Text Available Participatory GIS (PGIS has been prescribed by scholars who sought to find a means to enable more equitable access to GIS data, diversifying the types of knowledge captured by a GIS and re-engineering GIS software. The popularity of PGIS is evident in the various studies and contexts in which it has been utilised. These include studies in risk assessment, land administration, resource management, crime mapping and urban design to mention but a few. Despite the popularity of PGIS as a body of research, little has been done in the analysis of the quality of PGIS information. The study investigated the use of data quality criteria commonly used in traditional GIS systems and shows that it is possible to apply the criteria used in traditional GIS to PGIS. It provides a starting point for PGIS studies to assess the quality of the product. Notably, this a reflective exercise on one case study, but the methodologies used in this study have been replicated in many others undertaken by Community Based Organisations as well as Non-Governmental Organisations. Therefore the findings are relevant to such projects.

  18. Towards Multilingual Higher Education in South Africa: The University of Cape Town's Experience

    Science.gov (United States)

    Madiba, Mbulungeni

    2010-01-01

    South African universities are required by the Language Policy for Higher Education adopted by the government on 6 November 2002 to implement multilingualism in their learning and teaching programmes. Multilingualism is recommended in this policy as a means to ensure equity of access and success in higher education, in contrast to past colonial…

  19. Ensuring water supply for all towns and villages in the Eastern Cape ...

    African Journals Online (AJOL)

    In most instances water conservation and water-demand management and the development of local surface and groundwater resources are the most feasible options to meet any current or projected future water-supply shortfalls. Any intervention must be combined with a skills-development programme at the operational ...

  20. Firearm injuries to children in Cape Town, South Africa: Impact of the ...

    African Journals Online (AJOL)

    2013-08-03

    Aug 3, 2013 ... children throughout that period, highlighting an increasing problem. It concluded that reducing the availability of firearms could have a significant impact on the reduction of firearm injuries in children, and was to prove useful in supporting efforts to strengthen South. Africa's national gun laws. The purpose of ...

  1. Attention-training with children from socioeconomically disadvantaged backgrounds in Cape Town.

    Science.gov (United States)

    Schrieff-Elson, Leigh E; Ockhuizen, Ju-Reyn H; During, Genevieve; Thomas, Kevin G F

    2017-09-01

    Attention is a core process underlying competence in higher-order cognitive abilities. Previous research suggests that healthy children from low socioeconomic status (SES) backgrounds perform poorly, relative to those from higher SES backgrounds, on tasks assessing attentional abilities. In this pilot study, we investigated the effects of an attention-training intervention on task performance in low-SES children. We conducted a quasi-controlled trial with stratified randomisation, using a pre-test/ post-test design. Participants were low-SES children aged 7-13 years. Each was assigned to either an intervention group, a play control group, or a test-only control group (n = 5 per group). We implemented a ten-week manualised cognitive rehabilitation program, Pay Attention!, administering standardised tests of attention, working memory, and inhibition before and after the intervention. Between- and within-group analyses and Reliable Change Index statistics evaluated differences in scores from pre- to post-intervention. Analyses detected no notable between-group differences at either pre- or post-intervention testing. However, on tests of selective attention, attentional control, and inhibition, there were significant within-group and positive individual reliable changes exclusive to the intervention-group participants. Given the variability in our findings, more research needs be conducted with a larger sample to determine, with greater rigour, the efficacy of the intervention within samples of healthy children from low-SES backgrounds.

  2. Persons with physical disabilities’ experiences of rehabilitation services at Community Health Centres in Cape Town.

    Directory of Open Access Journals (Sweden)

    C.K. Kahonde

    2010-02-01

    Full Text Available Background: Rehabilitation is of fundamental importance for the persons with disability to achieve functional independence and have an improved quality of life. To enhance the effectiveness of rehabilitation, it  is  important  to  seek  clients’  perspectives  of  the  rehabilitation  services and  to  incorporate  these  perspectives  into  the  planning  and  delivery  of rehabilitation  services.  The  aim  of  this  study  was  to  explore  the  persons with  physical  disabilities’  experiences  of  the  rehabilitation  services  they received at Community Health Centres (CHCs. Methods: In-depth  qualitative  interviews  were  used  to  collect  data.  Ten  persons  with  physical  disabilities,  who  had  received  rehabilitation  services at CHCs participated in the in-depth interviews. The interviews were tape-recorded and transcribed verbatim.  Thematic analysis was used to analyse the data.  Results: The  clients  experienced  problems  with  accessing  transport  and  obtaining  information  from  the  service providers. Experiences regarding clients’ involvement in the rehabilitation were varied. All the clients reported positive experiences regarding their interaction with service providers and family involvement. Conclusion: The experiences of the participants who accessed CHCs for rehabilitation were positive and negative. The service providers should therefore address the aspects of rehabilitation that were negatively experienced.

  3. Injury severity in relation to seatbelt use in Cape Town, South Africa ...

    African Journals Online (AJOL)

    Background. Injuries and deaths from road traffic collisions present an enormous challenge to the South African (SA) healthcare system. The use of restraining devices is an important preventive measure. Objective. To determine the relationship between seatbelt use and injury severity in vehicle occupants involved in road ...

  4. Medium-term follow-up of Crohn's disease in Cape Town

    African Journals Online (AJOL)

    1989-08-09

    Aug 9, 1989 ... Normally distributed data, such as age, were tested in the different groups by ... extent of disease at diagnosis had been determined by small ..... Brahme F, Lindstrom C, Wenckert A. Crohn's disease in a defined popula- tion.

  5. The profile of disability grant applicants in Bishop Lavis, Cape Town

    African Journals Online (AJOL)

    5.5 million receive state assistance.11 The social security budget comprises two ..... were living in formal accommodation with good basic services but with minimal or no ..... Verbrugge LM, Arbor A. Female illness rates and illness behaviour: ...

  6. An evaluation of University of Cape Town medical students’ community placements in South Africa

    Directory of Open Access Journals (Sweden)

    Claudia S. Naidu

    2012-11-01

    Objectives: This study evaluated the placements as a learning experience from the perspectives of past students and community stakeholders. Methods: A total of 32 projects were randomly selected out of 232 projects undertaken during 2006, 2008 and 2009. Two students and a stakeholder involved with each project were sampled. A standardised survey was emailed to students and in-depth interviews were held with stakeholders. Results: Fifty two per cent of 64 students and 57% of 25 stakeholders responded. Most students felt that the placements enhanced their academic experience and confidence in research skills, and were an effective form of learning. Perceived challenges included time constraints and, for a minority, inadequately prepared settings and stakeholders. Stakeholders felt that the placements empowered the communities and prepared students for the realities of working as a medical professional. They viewed students as a valuable resource and believed that student projects addressed important community myths and health problems. Recommendations from students and stakeholders included more time for the Public Health block, followup interventions for greater continuity, and better alignment of projects with stakeholder programmes. Conclusion: The evaluation reveals both the importance and challenges of community placements and identifies areas of improvement. Despite the limited duration of the placements, they offered valuable community-based learning experiences for the students and worthwhile benefits for the communities.

  7. Peritonitis in children on peritoneal dialysis in Cape Town, South Africa: epidemiology and risks.

    NARCIS (Netherlands)

    Raaijmakers, R.; Gajjar, P.; Schroder, C.; Nourse, P.

    2010-01-01

    Peritonitis is a frequent complication of peritoneal dialysis (PD) in children as well in adults. Data on PD and peritonitis in pediatric patients are very scarce in developing countries. A retrospective cohort study was performed between 2000 and 2008 with the aim to evaluate PD treatment and

  8. Mortality trends in the City of Cape Town between 2001 and 2013 ...

    African Journals Online (AJOL)

    and evaluating the impact of health interventions, the CoCT health directorate has collected ... the time.[4] These included the long lag time for producing national cause-of-death ... automated ICD-10 (International Statistical Classification of Diseases and Related ..... nurses, pharmacists, clerks and doctors, necessary to ...

  9. Uber drivers in Cape Town: Working conditions and worker agency in the sharing economy

    OpenAIRE

    Geitung, Ine

    2017-01-01

    The effects of the sharing economy on labour have been intensely discussed in recent years. Some are praising the effective, and sustainability implications of the sharing economy. Others are critiquing the deregulation of labour and growth of non-standard labour relations that shift risk from employer to employee. While the discussions have largely taken place in a US or European context, the sharing economy is not limited to the global North. This study examines the working conditions of Ub...

  10. Pricing landfill externalities: emissions and disamenity costs in Cape Town, South Africa

    CSIR Research Space (South Africa)

    Nahman, Anton

    2011-10-01

    Full Text Available ; ranging from 7% to 32% of overall costs. This illustrates the importance of taking external costs into account in comparing waste management alternatives, in order to reduce the likelihood of inappropriate decisions being made....

  11. Prevalence and incidence rate of injuries in runners at a local athletic club in Cape Town

    Directory of Open Access Journals (Sweden)

    C. Hendricks

    2013-12-01

    Full Text Available People across the world are running on a daily basis to improvetheir health status. However, running can predispose an individual to injuryto the back and lower limb. Baseline data on prevalence, incidence rate ofinjury and aetiological factors associated with running injuries are neededby physiotherapists to develop and implement effective prevention programmesto allow optimal performance in runners. Thus, the purpose of this study wasto determine the prevalence and incidence of injuries in runners at a localathletic club.Methods: A prospective, non-experimental cohort study was conductedover a 16 week period. A sample of 50 runners completed a self-administeredquestionnaire and an injury report form recording injuries sustained during the 16 week study period. Injury prevalence andcumulative incidence was calculated as a proportion rate along with 95% confidence interval.Results: The prevalence rate of injuries was 32%. The incidence rate of injuries was 0.67 per 1000km run (95% CI: 0.41- 1.08.The most common anatomical sites for new injuries were the calf (20% and the knee (18%.Conclusions: The study found a moderate prevalence and incidence rate of injury in runners, thus the need for physiotherapyledinjury surveillance and prevention programmes have been highlighted.

  12. Cameroonian Migrant Women in Cape Town, South Africa and Cross-Border Family Life

    OpenAIRE

    Kong Atwo, Margaret

    2013-01-01

    El tema de la vida familiar transfronteriza en el contexto de Camerún ha sido ignorado en gran medida por el mundo académico; utilizando el método de la historia oral, me centro en la creación de significado en relación a las relaciones familiares por parte de las mujeres migrantes camerunesas. La mayor parte del trabajo alrededor de este tema ha tendido a reflejar la idea de que la migración de las mujeres lleva a la desintegración familiar y los niños y niñas abandonados sufren un déficit d...

  13. Assessing Spatial Data Quality of Participatory GIS Studies: a Case Study in Cape Town

    Science.gov (United States)

    Musungu, K.

    2015-10-01

    Participatory GIS (PGIS) has been prescribed by scholars who sought to find a means to enable more equitable access to GIS data, diversifying the types of knowledge captured by a GIS and re-engineering GIS software. The popularity of PGIS is evident in the various studies and contexts in which it has been utilised. These include studies in risk assessment, land administration, resource management, crime mapping and urban design to mention but a few. Despite the popularity of PGIS as a body of research, little has been done in the analysis of the quality of PGIS information. The study investigated the use of data quality criteria commonly used in traditional GIS systems and shows that it is possible to apply the criteria used in traditional GIS to PGIS. It provides a starting point for PGIS studies to assess the quality of the product. Notably, this a reflective exercise on one case study, but the methodologies used in this study have been replicated in many others undertaken by Community Based Organisations as well as Non-Governmental Organisations. Therefore the findings are relevant to such projects.

  14. ASSESSING SPATIAL DATA QUALITY OF PARTICIPATORY GIS STUDIES: A CASE STUDY IN CAPE TOWN

    OpenAIRE

    K. Musungu

    2015-01-01

    Participatory GIS (PGIS) has been prescribed by scholars who sought to find a means to enable more equitable access to GIS data, diversifying the types of knowledge captured by a GIS and re-engineering GIS software. The popularity of PGIS is evident in the various studies and contexts in which it has been utilised. These include studies in risk assessment, land administration, resource management, crime mapping and urban design to mention but a few. Despite the popularity of PGIS as a body of...

  15. Estimation of exhaust emission from ocean-going vessels for the Port of Cape Town

    CSIR Research Space (South Africa)

    Moodley, FB

    2015-10-01

    Full Text Available well known emission inventory methodologies. Results for key greenhouse gas emissions, carbon dioxide (CO2) and methane (CH4), and air pollutants such as particulate matter, carbon monoxide (CO), oxides of nitrogen (NOx), and oxides of sulphur (SOx...

  16. The handling of fruit reefer containers in the Cape Town container terminal

    CSIR Research Space (South Africa)

    Goedhals-Gerber, LL

    2014-10-01

    Full Text Available South Africa is one of the world’s largest fresh fruit exporters, exporting a vast number of different fruit types and cultivars. The fresh fruit industry has seen significant growth in the past few years with the future looking promising. However...

  17. Knowledge and beliefs about tuberculosis among non-working women in Ravensmead, Cape Town.

    Science.gov (United States)

    Metcalf, C A; Bradshaw, D; Stindt, W W

    1990-04-21

    The results of a community-based survey on knowledge and beliefs about tuberculosis in non-working women are presented. The women in the sample showed a very good knowledge of the important aspects of tuberculosis: 90% were aware that it is a problem in their area; 97% knew that it affects the chest; 94% said that it could be fatal; 85% considered it to be infectious and 88% knew that the local clinic provided treatment. Their knowledge of symptoms was good overall but the study revealed misconceptions about the causes and transmission of tuberculosis; 16% indicated that they would not be keen to associate with people with tuberculosis owing to fear of infection. The design effect of cluster sampling was considered in the analysis. The highest design effects (i.e. the most clustering of responses) were found for responses to questions on the causes of tuberculosis and places where treatment could be obtained, possibly reflecting that these beliefs are influenced by neighbourhood contacts. Future tuberculosis education in this group needs to build on existing knowledge and awareness and should focus on changing attitudes such as misconceptions about transmission and the stigmatisation of the disease. Health workers face the challenge of changing behaviour in this community to ensure that people with symptoms present early for screening and that people diagnosed as having tuberculosis comply with treatment.

  18. AMPR BRIGHTNESS TEMPERATURE CAPE EXPERIMENT V2

    Data.gov (United States)

    National Aeronautics and Space Administration — The Advanced Microwave Precipitation Radiometer (AMPR) was deployed during the Convection and Precipitation/Electrification Experiment (CaPE). AMPR data...

  19. Gangsterism on the Cape Flats: A challenge to ‘engage the powers’

    Directory of Open Access Journals (Sweden)

    Nadine F. Bowers Du Toit

    2014-11-01

    Full Text Available One of the most pressing issues in the urban ghettos of the Cape Flats is that of gangsterism and the discourse of power and powerlessness that is its lifeblood. Media coverage over the past two years was littered with news on gangsterism as the City of Cape Town struggles to contain what some labelled a pandemic. It is a pandemic that is closely tied to a deprivation trap of poverty, marginalisation, isolation, unemployment and, ultimately, powerlessness. The latter concept of powerlessness and its interplay with these factors constituted the main thrust of this article as it explores the concept of power (and powerlessness as deeply relational with the economic, psycho-social and spiritual dimensions. It is proposed that Kingdom power challenges the status quo within such contexts and offers the church an alternative framework within which to engage prophetically.

  20. Towards the making of a town

    DEFF Research Database (Denmark)

    Dahlström, Hanna Sofia Strandmark

    , that is just to set the scene for town life. What happens in the many encounters and relations between people living in the town, or visiting the town, I believe is a central aspect of urban life and something which deserves more attention. These ideas are key components in my PhD-project, which is a part......What makes the town a town is partly the diversity of activities taking place there – and with that comes a diversity of social roles among the people in the town. Trade, craft, clerical institutions and fortifications may be important functional and iconic trademarks of towns, but in some ways...... of the Urban Encounters project. My project deals with exploring the early urban development of Copenhagen, c. 1050-1300, with the material from recent year’s excavation at Rådhuspladsen as the main focus. By analyzing the material traces of daily practices related to the people active in this area, I want...

  1. 46 CFR 7.55 - Cape Henry, VA to Cape Fear, NC.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Cape Henry, VA to Cape Fear, NC. 7.55 Section 7.55 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY PROCEDURES APPLICABLE TO THE PUBLIC BOUNDARY LINES Atlantic Coast § 7.55 Cape Henry, VA to Cape Fear, NC. (a) A line drawn from Rudee Inlet Jetty Light “2” to...

  2. 46 CFR 7.45 - Cape Henlopen, DE to Cape Charles, VA.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Cape Henlopen, DE to Cape Charles, VA. 7.45 Section 7.45... Atlantic Coast § 7.45 Cape Henlopen, DE to Cape Charles, VA. (a) A line drawn from the easternmost extremity of Indian River Inlet North Jetty to latitude 38°36.5′ N. longitude 75°02.8′ W. (Indian River...

  3. Account of the littoral diatoms from Langebaan, Saldanha bay, Cape province, South Africa

    CSIR Research Space (South Africa)

    Giffen, MH

    1975-01-01

    Full Text Available collec ted in a small bay near the holiday resort of Langebaan (long. 18,02 E, lat. 33,05 5) on the eastern shore of Saldanha Bay. Saldanha Bay is situated on the western coast of South Africa some 110 km north of Cape Town, and forms a long narrow... per annum about 79% during April to September (i.e. winter rainfall). The region can therefore be regarded as semi-desert. The salinity of the sea water at Langebaan was 35 0/00. The average temperature range of the air in summer is from 16.5? C...

  4. 33 CFR 80.505 - Cape Henlopen, DE to Cape Charles, VA.

    Science.gov (United States)

    2010-07-01

    ... to Cape Charles, VA. (a) A line drawn from the seaward extremity of Indian River Inlet North Jetty to Indian River Inlet South Jetty Light. (b) A line drawn from Ocean City Inlet Light 6, 225° true across... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Cape Henlopen, DE to Cape Charles...

  5. A low energy solar town

    Energy Technology Data Exchange (ETDEWEB)

    Svendsen, Svend; Balocco, Carla

    1998-12-31

    The use of solar energy at large scale is necessary to support the energy savings and a more efficient energy use, like besides the quality of the ambient and the quality of the available energy sources. The solar heating systems with seasonal storage can be combined with heat from refuse incineration plants and other renewable heat sources. These systems combined with district heating are an example of the sustainable energy planning and the reduction of the environmental stress. Strategies for sustainability in the settlements can be defined by and energy model to planning that individuates development and economic and financial supports to. The aim of the work concerns the development of a small sun city with no use of fossil fuels. The new low energy solar town is an idealised urban an energy system. The studied settlement regards one thousand new low-energy houses supplied by a district heating with a central solar heating system with seasonal heat storage. The heating and ventilation demand in the studied low energy buildings are less than 40 kWh/m{sup 2}/year, the electricity demand is less than 2000 kWh per house year. The result of the work is an useful tool to the energy planning of the urban areas and it is also a necessary support to the political and energetic decisions. (EG) 58 refs.

  6. A low energy solar town

    International Nuclear Information System (INIS)

    Svendsen, Svend; Balocco, Carla

    1998-01-01

    The use of solar energy at large scale is necessary to support the energy savings and a more efficient energy use, like besides the quality of the ambient and the quality of the available energy sources. The solar heating systems with seasonal storage can be combined with heat from refuse incineration plants and other renewable heat sources. These systems combined with district heating are an example of the sustainable energy planning and the reduction of the environmental stress. Strategies for sustainability in the settlements can be defined by and energy model to planning that individuates development and economic and financial supports to. The aim of the work concerns the development of a small sun city with no use of fossil fuels. The new low energy solar town is an idealised urban an energy system. The studied settlement regards one thousand new low-energy houses supplied by a district heating with a central solar heating system with seasonal heat storage. The heating and ventilation demand in the studied low energy buildings are less than 40 kWh/m 2 /year, the electricity demand is less than 2000 kWh per house year. The result of the work is an useful tool to the energy planning of the urban areas and it is also a necessary support to the political and energetic decisions. (EG) 58 refs

  7. NAS Decadal Review Town Hall

    Science.gov (United States)

    The National Academies of Sciences, Engineering and Medicine is seeking community input for a study on the future of materials research (MR). Frontiers of Materials Research: A Decadal Survey will look at defining the frontiers of materials research ranging from traditional materials science and engineering to condensed matter physics. Please join members of the study committee for a town hall to discuss future directions for materials research in the United States in the context of worldwide efforts. In particular, input on the following topics will be of great value: progress, achievements, and principal changes in the R&D landscape over the past decade; identification of key MR areas that have major scientific gaps or offer promising investment opportunities from 2020-2030; and the challenges that MR may face over the next decade and how those challenges might be addressed. This study was requested by the Department of Energy and the National Science Foundation. The National Academies will issue a report in 2018 that will offer guidance to federal agencies that support materials research, science policymakers, and researchers in materials research and other adjoining fields. Learn more about the study at http://nas.edu/materials.

  8. TOWN AND GOWN INTERFACE: ASSESSMENT OF NIGERIAN ...

    African Journals Online (AJOL)

    Prof

    TOWN AND GOWN INTERFACE: ASSESSMENT OF NIGERIAN FEDERAL. UNIVERSITIES AND .... Descriptive statistical tools were used in the analysis of the data collected. In terms of ... Response. Frequency. % ... This disparity in response.

  9. Revitalisation as a Method of Planning Sustainable Development of Old Town Complexes in Historic Towns

    Science.gov (United States)

    Zagroba, Marek; Gawryluk, Dorota

    2017-12-01

    Old towns in spatial structures of historic towns are the areas which - same as centuries before - serve as the town centres. This is almost invariably true about small towns especially, as the inner town district is more frequently the site where a town was originally located and is often the manifestation of its historic identity. However, functional and spatial problems of many small historic towns arise from the above trend, mostly because of the frequently high density of buildings in the oldest part of a town. The intricate nature of elements creating the structure of a town’s historic centre often calls for certain steps to be taken, which will ensure better exposure of an old town complex against the backdrop of the town’s other areas. Numerous problems need to be solved, not only spatial but also economic and social ones. A town is a living organism, inhabited by people. The key to tackling these issues successfully lies in the creation of such revitalisation programmes that will improve the quality of space and help achieve the sustainable development of inner-town areas in historic towns. The historic centres in the medieval towns of Warmia, a region rich in history and situated in north-eastern Poland, can serve as an example and has been investigated in the following study. All the towns in Warmia located in the Middle Ages, except the capital of the region Olsztyn, can be classified as small urban developments. This group of eleven towns is dominated by the ones whose territorial coverage has not changed considerably since the location and the population ranges from a few thousand to less than twenty thousand. To this day, the historic quarters of these towns have remained the central ones in each town, and their urban structures to a various extent reveal the features characteristic for the period when they were created. The differences are due to the war damage the towns suffered at the end of World War Two and because of the different ways in

  10. Development Track of Different County-Level Towns

    OpenAIRE

    ZHANG, Haijiao; ZHANG, Zhenghe

    2015-01-01

    County-level town is important space carrier of China’s urbanization and the emphasis and key of strategic distribution for urbanization. Backwardness of county-level towns limits nearby transfer of surplus labor. To promote development of county-level towns, on the basis of classifying county-level towns, this paper analyzed motive and resistance factors of evolution of different county-level towns using historical data collection and statistical method, comparative approach, typical case ...

  11. Food Policing in Early Modern Danish Towns

    Directory of Open Access Journals (Sweden)

    Jørgen Mührmann-Lund

    2016-08-01

    Full Text Available This article explores the efforts of early modern authorities to provide food security in three different Danish towns in order to understand the goals and methods of early modern food policing. As in other European countries, urban authorities were expected as part of the regulation called ‘the police’ to control the guilds and fix the prices on bread, meat, beer and other life necessities in order to avoid scarcity among the urban poor. In 1682–83 the Danish king established a police force in Copenhagen and the other market towns. The goal of the metropolitan police was to increase the population of the capital and thus increase the military-fiscal power of the absolutist state, by providing food security and even a comfortable life. In practice, the vigilant policing of bakers, butchers and brewers proved difficult. The positive economic effect of food policing was doubted early on and was reduced as a means to avoid food riots at the end the 18th century. In a major provincial market town like Aalborg, the food trade was policed in a similar manner by the town council and the police, but especially the intermediate trade proved difficult to stop. In a tiny, agrarian market town like Sæby, food policing was more a question of feeding the poor with the town’s own products.

  12. The Cape doctor 1807-1910: perspectives.

    Science.gov (United States)

    Phillips, Howard

    2004-01-01

    This chapter contrasts the Cape doctor in 1807 and in 1910, and finds that, in a whole variety of ways, the differences between the two were not of degree but of kind. Underlying this sea-change was the germ revolution of the late Victorian era, which transformed the Cape doctor out of all recognition, thereby laying important foundations for the development of the twentieth-century South African doctor.

  13. Archaeological Documentation of a Defunct Iraqi Town

    Science.gov (United States)

    Šedina, J.; Pavelka, K.; Housarová, E.

    2016-06-01

    The subject of this article is the possibilities of the documentation of a defunct town from the Pre-Islamic period to Early Islamic period. This town is located near the town Makhmur in Iraq. The Czech archaeological mission has worked at this dig site. This Cultural Heritage site is threatened by war because in the vicinity are positions of ISIS. For security reasons, the applicability of Pleiades satellite data has been tested. Moreover, this area is a no-fly zone. However, the DTM created from stereo-images was insufficient for the desired application in archeology. The subject of this paper is the testing of the usability of RPAS technology and terrestrial photogrammetry for documentation of the remains of buildings. RPAS is a very fast growing technology that combines the advantages of aerial photogrammetry and terrestrial photogrammetry. A probably defunct church is a sample object.

  14. ARCHAEOLOGICAL DOCUMENTATION OF A DEFUNCT IRAQI TOWN

    Directory of Open Access Journals (Sweden)

    J. Šedina

    2016-06-01

    Full Text Available The subject of this article is the possibilities of the documentation of a defunct town from the Pre-Islamic period to Early Islamic period. This town is located near the town Makhmur in Iraq. The Czech archaeological mission has worked at this dig site. This Cultural Heritage site is threatened by war because in the vicinity are positions of ISIS. For security reasons, the applicability of Pleiades satellite data has been tested. Moreover, this area is a no-fly zone. However, the DTM created from stereo-images was insufficient for the desired application in archeology. The subject of this paper is the testing of the usability of RPAS technology and terrestrial photogrammetry for documentation of the remains of buildings. RPAS is a very fast growing technology that combines the advantages of aerial photogrammetry and terrestrial photogrammetry. A probably defunct church is a sample object.

  15. Supercritical water decontamination of town gas soil

    International Nuclear Information System (INIS)

    Kocher, B.S.; Azzam, F.O.; Lee, S.

    1994-01-01

    Town gas sites represent a large environmental problem that exists in more than 2,000 sites across North America alone. The major contaminants in town gas sods are polycyclic aromatic hydrocarbons (PAHs). These are stable compounds that migrate deep into the soil and are traditionally very difficult to remove by conventional remediation processes. Supercritical fluids offer enhanced solvating properties along with reduced mass transfer resistances that make them ideal for removing compounds that are difficult or impossible to remove by conventional processes. Supercritical water is ideal for removing PAHs and other hydrocarbons from soil due to its high solvating power towards most hydrocarbon species. Supercritical water was investigated for its ability to remediate two different town gas sods containing from 3--20 wt% contamination. The sod was remediated in a 300-cc semi-continuous system to a more environmentally acceptable level

  16. Demographic changes of the Visaginas town

    International Nuclear Information System (INIS)

    Kavaliauskas, A.

    1998-01-01

    The youngest Lithuanian town surrounded by pine forest is situated at the shore of a picturesque lake of Visaginas. The level of radiation of the town and its suburbs doesn't prevail the standards due to the data given by the Lithuanian Department of Environmental Protection. A relatively small, hilly, green, full of lakes areas have all facilities for tourism and recreation. The town's birth is directly linked with the construction of the nuclear power plant. Great number of nuclear energy specialists came here with their families from the East. The specific character of the town determined the ethnic composition of its population. In 1994-1995 there were Russians (59%), Lithuanians (14%), Byelorussian s (11%), Poles (6%), other nationalities (10%). The number of the residents in Visaginas is stable now with a slight tendency of increasing on the number of women. In 1990 the population of Visaginas was 33192, the women comprised 566 more in number than the men, in 1997 of its 33508 people were 1172 more women than the men. Recent Lithuanian social-economic changes greatly influenced the number of inhabitants of the town. In 1987, 3567 new inhabitants arrived to Visaginas and 1588 moved out. The inhabitants who had arrived to Visaginas in 1987 -1996 were 5,5 times less than in 1987, and moved out 5,4 times less also. One half of the inhabitants who moved from Visaginas went abroad. It shows that the mechanic and social mobility of the town's population decreased too. From 1989 to 1996 the main factor in changing the population number was not the natural increase of it but its migration. Then the natural increase lowered 4,8 times. The economic situation of the town is complex and becoming worse. The town was built as a satellite of the power plant. When the construction of the third block was stopped, the building of many objects was not completed. Other industries didn't develop in Visaginas. Most unemployed are the inhabitants at the age of 19-49 (87,9%). The

  17. Risks of a town-forming enterprise in the risk system of a company town

    Directory of Open Access Journals (Sweden)

    Antonyuk V.S.

    2017-01-01

    Full Text Available The article is devoted to review of risks of a town-forming enterprise in the risk system of the company town counterparties (infrastructure, population, small and medium business, local self-government authorities. It contains an algorithm of stepwise study of risks of a town-forming enterprise from the perspective of their interconnection with the risk system of the company town counterparties. Approbation of theoretical and methodical provisions by the example of town-forming enterprise Asha Metallurgical Plant OJSC, Asha, Chelyabinsk region, with the help of the graph theory allowed to analyze interconnections and dependence of risks of the town-forming enterprise and to make a conclusion on its negative role in creation of a crisis situation in the economy of the company town. The article is completed with a complex of lines for neutralization of risks of AMP OJSC: TFE’s infrastructural and technological risk management; personnel risk management policy; mitigation of consumer, product and supply risks; competitive struggle risk management and advertising risk management.

  18. Methods of Services Provision in Slovak Towns

    Directory of Open Access Journals (Sweden)

    Emília Sičáková-Beblavá

    2009-07-01

    Full Text Available This article deals with the methods of services provision in Slovak towns.  It addresses decision-making concerning selected services provision, based on a transaction cost economic model. The article looks at five types of services from that point of view. These are core services, i.e., services that are provided in most Slovak towns, thereby allowing outcomes of decision-making to be compared, and services which can be outsourced according to transaction cost theory. Findings partially confirm the hypothesis: Slovak towns do outsource, though “insourcing” moderately prevails. However, a comparison of several research studies in the area indicates a trend towards higher outsourcing of such local services provision.  The findings show that public bodies do not always select the most suitable methods of services provision, as suggested by the transaction costs theory (the Brown-Potoski model. This indicates that it is not only economic models that influence decision-making concerning the organization of services provision in the Slovak towns.

  19. Time-dependent Autler-Townes spectroscopy

    International Nuclear Information System (INIS)

    Qamar, Sajid; Zhu, S.-Y.; Zubairy, M Suhail

    2003-01-01

    Autler-Townes spontaneous emission spectroscopy is revisited for a time-dependent case. We report the results of spontaneous emission spectra for nonstationary scattered light signals using the definition of the time-dependent physical spectrum. This is a rare example of problems where time-dependent spectra can be calculated exactly

  20. (Boda boda) riders in Bungoma Town, Kenya

    African Journals Online (AJOL)

    Even stationary bikes can cause trauma to the blood supply to the penis, resulting in Erectile Dysfunction. Objective: To evaluate the effects of long term bicycle riding on erectile function among bicycle taxi (bodaboda) riders in Bungoma town. Design: A cross-sectional comparative study. Setting: Bungoma County, Kenya.

  1. Time-dependent Autler-Townes spectroscopy

    Energy Technology Data Exchange (ETDEWEB)

    Qamar, Sajid [Institute for Quantum Studies, Department of Physics, Texas A and M University, College Station, TX 77843-4242 (United States); Zhu, S.-Y. [Institute for Quantum Studies, Department of Physics, Texas A and M University, College Station, TX 77843-4242 (United States); Zubairy, M Suhail [Institute for Quantum Studies, Department of Physics, Texas A and M University, College Station, TX 77843-4242 (United States)

    2003-04-01

    Autler-Townes spontaneous emission spectroscopy is revisited for a time-dependent case. We report the results of spontaneous emission spectra for nonstationary scattered light signals using the definition of the time-dependent physical spectrum. This is a rare example of problems where time-dependent spectra can be calculated exactly.

  2. Urbanization and Effective Town Planning in Nigeria

    African Journals Online (AJOL)

    User

    2011-04-19

    Apr 19, 2011 ... Aluko, Ola E. - Dept. of Urban & Regional Planning, Faculty of ... studies and management is essentially for all town and country planning activities and ... In this case, most of the inhabitants are not in any way connected with the ... The impact of rapid population growth on urban development and conditions.

  3. George A. Towns Elementary School. Atlanta, Georgia

    Science.gov (United States)

    Burt, Ralph H.

    1976-01-01

    A project testing solar heating and cooling in an existing building, the George A. Towns Elementary School, is intended to provide information on system design and performance, allow the identification and correction of problems encountered in installing large units, and gauge community/user reaction to solar equipment. (Author/MLF)

  4. Town and Regional Planning - Vol 60 (2012)

    African Journals Online (AJOL)

    Mainstreaming informality and access to land through collaborative design and teaching of aspects of a responsive planning curriculum at the Cape Peninsula University of Technology · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. N Tapela, 10-18 ...

  5. Geologic history of Cape Cod, Massachusetts

    Science.gov (United States)

    ,

    1976-01-01

    Cape Cod, a sandy peninsula built mostly during the Ice Age, juts into the Atlantic Ocean like a crooked arm. Because of its exposed location, Cape Cod was visited by many early explorers. Although clear-cut evidence is lacking, the Vikings may have sighted this land about 1,000 years ago. It was visited by Samuel de Champlain in 1605, and his detailed descriptions and charts have helped present-day scientists to determine the rate of growth of Nauset Beach marsh and Nauset spit. Bartholomew Gosnold, a lesser known explorer, settled for a short time on the Elizabeth Islands to the southwest and gave Cape Cod its name in 1602. The Pilgrims first landed in America on the tip of Lower Cape Cod after they were turned back from their more southerly destination by shoals between Cape Cod and Nantucket Island. On Cape Cod they found potable water and food and had their first fight with the natives. The Pilgrims, however, decided that this land was too isolated, too exposed, and too sandy to support them, and they sailed across Cape Cod Bay to establish Plymouth. These features remain today. Small villages are separated by large areas of forest, dune, beach, and marsh. This unspoiled natural beauty makes Cape Cod one of the most favored vacation areas for the people living in the thickly settled Northeastern States. Cape Cod is of particular interest to geologists because it was formed by glaciers very recently in terms of geologic time. During the Great Ice Age, (the Pleistocene Epoch which began 2 to 3 million years ago), glaciers advanced from the north into the temperate regions of the Earth. Glacial ice covered the land at least four times. Each advance was accompanied by a worldwide lowering of sea level because the source of the ice was water from the seas. When the glaciers melted, the climate and sea level were probably much like they are today. In fact, some scientists believe that the Earth is presently between glacial episodes and that ice once again will

  6. Going to Town: Where Is the Nearest Steakhouse?

    Science.gov (United States)

    Robinson, Michael

    2013-01-01

    Growing up in Loretto, Tennessee, population 1,700, people called it "going to town" when they went to any city big enough to have a McDonald's, Walmart, or a movie theater. If someone is not from a small town, they may not know what type of economic activities a small town can support. Will the town have a police department? Will there…

  7. LOWER NORTH BATTERY - DEFENDED PORT OF SIMON'S TOWN

    African Journals Online (AJOL)

    LOWER NORTH BATTERY - DEFENDED. PORT OF SIMON'S TOWN. Lt-Cdr W. M. Bisset*. In 1975 Mr H. C. Willis suggested to the present writer that the SA Navy should mount a bronze plaque similar to those commissioned by the. Simon's Town Historical Society and displayed on certain historical buildings in the town at ...

  8. TINGKAT KEPUASAN PELANGGAN TERHADAP PELAYANAN DI KFC MAKASSAR TOWN SQUARE

    OpenAIRE

    RAMADHANI, IRMA

    2017-01-01

    2017 Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pelanggan terhadap pelayanan di KFC Makassar Town Square. Penelitian ini dilaksanakan terhadap pelanggan KFC Makassar Town Square yang telah bertransaksi lebih dari satu kali. Penelitian ini merupakan penelitian kuantitatif deskriptif dengan mendeskripsikan atau menggambarkan tentang tingkat kepuasan pelanggan terhadap pelayanan. Jumlah sampel penelitian 83 pelanggan KFC Makassar Town. Analisis data menggunak...

  9. Preliminary Study of Ancient Town Protection and Rural Tourism Development of Caoshi Town in Hengdong County, Hunan Province

    OpenAIRE

    Liu, Tian-zhao; Yang, Zai-tian; Liu Pei-lin

    2012-01-01

    The typical style and features of mountains and waters in Caoshi Ancient Town, have hitherto been well preserved. Caoshi Ancient Town boasts superior base of the natural eco-environment and deep-rooted background of regional culture, where mountains, waters, shoals, towns and other landscape elements are merged harmoniously, the transportation and geographical conditions have been fundamentally changed. Ancient towns, old temples, ancient forests, ancient wells and ancient piers are unique in...

  10. Study on the natural and humanistic environment of runcheng town

    Science.gov (United States)

    Huijun, Nie; Jinping, Wang

    2018-03-01

    Runcheng town is one of the first Chinese characteristic towns to be selected in Shanxi province. It is 38 kilometers from the Jin city and 7 kilometers from Yangcheng County. It’s also an important undertaking place for the project “Industrial Westward Move of Jincheng City” and an important tourist town of Qin Castle Valley. The Runcheng town has a history of thousands of years, with a deep cultural background and unique natural landscape. This paper studies the history and cultural resources and makes a preliminary study on the natural and humanistic environment of the Runcheng town.

  11. Western Cape Primary Care Assessment Tool (PCAT) study: Measuring primary care organisation and performance in the Western Cape Province, South Africa (2013)

    Science.gov (United States)

    Sayed, Abdul-Rauf; le Grange, Cynthia; Bhagwan, Susheela; Manga, Nayna; Hellenberg, Derek

    2016-01-01

    Background Major health sector reform and the need for baseline measures of performance to determine impact. Aim Baseline audit of primary healthcare (PHC) performance. Setting Cape Town and Cape Winelands (rural) PHC facilities (PCFs) in Western Cape Province, South Africa. Method The South African cross-culturally validated ZA PCAT to audit PHC performance on 11 subdomains associated with improved health and reduced costs. Adult PCF users systematically sampled. All full-time doctors and nurse practitioners in PCFs sampled and all PCF managers in sub-districts sampled invited into the study. Results Data from 1432 users, 100 clinicians and 64 managers from 13 PCFs in 10 sub-districts analysed (figures show stakeholder percentages scoring subdomain performance ‘acceptable to good’). 11.5% users scored access ‘acceptable to good’; community orientation and comprehensive services provided 20.8% and 39.9%, respectively. Total PHC score for users 50.2%; for managers and practitioners 82.8% and 88.0%, respectively. Among practitioners access was lowest (33.3%); PHC team (98.0%) and comprehensive services available (100.0%) highest. Among managers, access (13.5%) and family centredness (45.6%) are lowest; PHC team (85.9%) and comprehensive services available (90.6%) highest. Managers scored access, family centredness and cultural competence significantly lower than practitioners. Users scored comprehensive services available, comprehensive services provided and community orientation significantly lower than practitioners and managers. Conclusion Gaps between users’ experience and providers’ assessments of PHC performance are identified. Features that need strengthening and alignment with best practice, provincial and national, and health policies are highlighted with implications for practitioner and manager training, health policy, and research. PMID:27247157

  12. Health priorities in an Australian mining town

    DEFF Research Database (Denmark)

    Ellis, I. K.; Skinner, T. C.; Bhana, A.

    2014-01-01

    Introduction: In developed countries men's health is poorer than women's for a range of key indicators, and being an Indigenous man in Australia widens the gap substantially. Establishing the rates of mortality and health inequality between the sexes is useful for identifying that men's health...... with the aim of targeting health promotion activities more effectively. Methods: An intercept survey was conducted of residents of the Pilbara region towns Port Hedland and South Hedland in 2010. Settings included the main shopping centres and precincts in the towns and at community event venues. Interviewers...... recorded gender, age, Aboriginal or Torres Strait Islander self-identification status, whether people worked in the mining industry or not and in what capacity and occupation. Participants were asked a series of questions about health issues of concern from a list of 13 issues which included national...

  13. Being young in a boom town

    Energy Technology Data Exchange (ETDEWEB)

    O' Connor, Christopher

    2011-08-15

    Fort McMurray is a booming town, having grown from small town to big city in a short time. A study was conducted to determine how this change affected young people. Results show they felt the changing environment required them to adapt all the time, which was a challenge but also a source of opportunities. Fort McMurray, with a labour shortage, afforded young people a lot of well-paid, flexible part time jobs during high school. These jobs were important to fund their post-secondary education. Although most of the young people saw themselves living elsewhere in 10 years, they could possibly stay if local challenges in the city were addressed.

  14. Language and intercourse in Visaginas town

    International Nuclear Information System (INIS)

    Kazlauskiene, V.

    1998-01-01

    The article deals with the attitude towards the key integration problems of the non Lithuanian population in town Visaginas (its building began in 1975 as Ignalina nuclear power plant - NPP - worker's settlement, first residents settled in 1977, up to 1992 it was named Sniechkus, in 1995 Visaginas received town status). The town was built on Visaginas' lake bank, Ignalina NPP - on Drukshiai lake bank. Ignalina is name of district, one of 44 in Lithuania. Ignalina town is in 14 kilometres from NPP. The situation of language and intercourse was investigated by three stages, three inquests. The first was expert inquest in 1993, the second - workers of Ignalina NPP inquest in 1995, third - inhabitants and institutions of administration of Visaginas and 4 districts around NPP in 1996. Investigation in 1996 displayed the 38% of non-indigenous residents of Visaginas absolutely had no command of Lithuanian (a desire their children to learn the language practically has been expressed by everybody). Inhabitants of Visaginas up to now can't to read any Lithuanian book or newspaper, to listen Lithuanian radio, to see Lithuanian television. The intercourse with indigenous residents mostly are going on Russian because 82% inhabitants of the region around Ignalina NPP can speak in Russian. In Visaginas no one have a good command of English, German or French in time as 2-5% habitants of districts around Visaginas have a good command of the languages. The 14% of non indigenous residents of Visaginas said they had a good command of Lithuanian. Problems of intercourse had 24% inhabitants in Visaginas,.26% - in Ignalina district, 12-13% - in Zarasai, Utena, Shvenchionys (districts around Ignalina NPP). Inhabitants of Visaginas interest for their living land, they have a big tolerance for mixed marriage (indigenous habitants - considerably less). Inhabitants of Visaginas may catch integration in Lithuanian culture in manner from Lithuanian language, and catch wealth which accumulated

  15. Innovative sewerage solutions for small rural towns.

    Science.gov (United States)

    Diaper, C; Sharma, A

    2007-01-01

    The development and implementation of alternative wastewater servicing approaches in rural communities in Australia appears more feasible than in larger urban developments as many rural centres rely on septic tanks and surface discharge of greywater. This method of disposal creates many environmental, social and economic issues and is seen to limit potential for growth in many towns. This paper describes a generic methodology for the selection of innovative sewerage options for six regional towns in Victoria, Australia. The method includes consultation with stakeholders, multi-criteria assessment and concept design of the most favourable option. Despite the broad range of initial wastewater servicing options presented which included cluster-scale systems, upgrade of existing systems, greywater reuse and alternative collection, the outcome for five of the six towns was a modified centralised collection system as the preferred option. Lack of robust and reliable data on the human health risks and environmental impacts of alternative systems were identified as the primary data gaps in the sustainability assessment. In addition, biases in the assessment method due to stakeholder perceptions were found to be an additional issue.

  16. The Cape Times's portrayal of school violence

    Directory of Open Access Journals (Sweden)

    Corene de Wet

    2016-05-01

    Full Text Available This study explores the Cape Times's portrayal of school violence in the Western Cape (WC, South Africa, reporting on findings from a qualitative content analysis of 41 news articles retrieved from the SA Media database. The findings shed light on the victims and their victimisation, the perpetrators, as well as the context of the violence, identifying gangsterism, as well as school administrative and community factors as the reasons for violence in WC schools. It is argued that school violence and gangsterism are inextricably linked to the Cape Flats in particular, and that the interaction of forms of inequality and oppression such as racism, class privilege and gender oppression are structural root causes for school violence in this area of the WC. The study highlights the negative consequences of school violence on teaching and learning and on the economy. It is concluded that even if the Cape Times paints an exaggerated and atypical picture of violence in the gang-riddled parts of the WC, the detrimental effects thereof on the regions cannot be denied. The study therefore recommends a holistic approach to addressing the structural root causes of school violence where it takes place in the WC.

  17. 76 FR 22719 - Cape Wind Energy Project

    Science.gov (United States)

    2011-04-22

    ... Energy Project AGENCY: Bureau of Ocean Energy Management, Regulation and Enforcement (BOEMRE), Interior..., or disapprove a Construction and Operations Plan (COP) for the Cape Wind Energy Project located on..., easements, or rights-of-way for renewable energy projects on the OCS. The Secretary delegated that authority...

  18. Hepatitis e virus: Western Cape, South Africa

    NARCIS (Netherlands)

    R.G. Madden (Richie); Wallace, S. (Sebastian); M. Sonderup; Korsman, S. (Stephen); Chivese, T. (Tawanda); Gavine, B. (Bronwyn); Edem, A. (Aniefiok); Govender, R. (Roxy); English, N. (Nathan); Kaiyamo, C. (Christy); Lutchman, O. (Odelia); A.A. Eijck (Annemiek); S.D. Pas (Suzan); Webb, G.W. (Glynn W); Palmer, J. (Joanne); Goddard, E. (Elizabeth); Wasserman, S. (Sean); H.R. Dalton (Harry); C.W. Spearman

    2016-01-01

    textabstractAIM To conduct a prospective assessment of anti-hepatitis E virus (HEV) IgG seroprevalence in the Western Cape Province of South Africa in conjunction with evaluating risk factors for exposure. METHODS Consenting participants attending clinics and wards of Groote Schuur, Red Cross

  19. Some Lexical Aspects of Cape Muslim Afrikaans

    African Journals Online (AJOL)

    It looks at the role of the literary tradition of Arabic-. Afrikaans and the Islamic .... That these words continued to be used in Cape Muslim Afrikaans, in both sec- ular and religiOUS ...... In tenns of the Arabie dictionary. (Hans Wehr 1980: 68), ...

  20. April 1992 Cape Mendocino, USA Images

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — On April 25, 1992 at 11:06 am local time (April 25 at 18:06 GMT), a magnitude 7.1 earthquake occurred in the Cape Mendocino area. Two additional earthquakes,...

  1. Town mouse or country mouse: identifying a town dislocation effect in Chinese urbanization.

    Directory of Open Access Journals (Sweden)

    Fei Wang

    Full Text Available Understanding urbanization and evaluating its impact are vital for formulating global sustainable development. The results obtained from evaluating the impact of urbanization, however, depend on the kind of measurement used. With the goal of increasing our understanding of the impact of urbanization, we developed direct and indirect subjective indicators to measure how people assess their living situation. The survey revealed that the projected endorsements and perceived social ambiance of people toward living in different types of settlements did not improve along with the urbanization level in China. The assessment scores from the city dwellers were not significantly different from those from the country areas and, more surprisingly, both were significantly higher than the assessment scores of the town dwellers, which we had expected to fall between the assessment scores of the country and city dwellers. Instead their scores were the lowest. We dubbed this V-shaped relationship the "town dislocation effect." When searching for a potential explanation for this effect, we found additional town dislocation effects in social support, loss aversion, and receptivity toward genetically modified food. Further analysis showed that only social support mediated the relationship between the three tiers of settlements (cities, country areas, and towns and the subjective indicator. The projected endorsements yielded significant subjective assessments that could enhance our understanding of Chinese urbanization. Towns posed specific problems that require special attention.

  2. Stock-environment recruitment analysis for Namibian Cape hake ...

    African Journals Online (AJOL)

    Stock-environment recruitment analysis for Namibian Cape hake Merluccius capensis. ... The factors modulating recruitment success of Cape hake Merluccius capensis in Namibian waters are still unresolved. ... AJOL African Journals Online.

  3. Promoting Physics Among Female Learners in the Western Cape Through Active Engagement (abstract)

    Science.gov (United States)

    Arendse, Gillian J.

    2009-04-01

    In 2006 the author organized a one-day intervention aimed at promoting physics among female learners at the University of Stellenbosch. The activities included an interactive lecture demonstration promoting active engagement, a hands-on session, and short presentations by female physicists addressing issues such as balancing family and career, breaking the stereotypes, and launching a successful career in physics. Each learner was expected to evaluate the program. In 2007 the author joined forces with Hip2B2 (Shuttleworth Foundation) to host a competition among grade-10 learners with the theme, ``promoting creativity through interactivity.'' The author was tasked by the Hip2B2-team to assist with a program for female learners planned for August 2008, coinciding with our national celebration of Women's Day. The event targeted 160 learners and took place in Durban, East London, Cape Town, and Johannesburg. The author shares some of the learners' experiences and personal triumphs.

  4. 33 CFR 117.823 - Cape Fear River.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Cape Fear River. 117.823 Section... DRAWBRIDGE OPERATION REGULATIONS Specific Requirements North Carolina § 117.823 Cape Fear River. The draw of the Cape Fear Memorial Bridge, mile 26.8, at Wilmington need not open for the passage of vessel from 8...

  5. 33 CFR 117.829 - Northeast Cape Fear River.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Northeast Cape Fear River. 117... BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements North Carolina § 117.829 Northeast Cape... the Seaboard System Railroad Bridge across the Northeast Cape Fear River, mile 27.0, at Castle Hayne...

  6. Multibeam collection for MV1203: Multibeam data collected aboard Melville from 2012-02-11 to 2012-03-30, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  7. Multibeam collection for NBP0405: Multibeam data collected aboard Nathaniel B. Palmer from 2004-07-22 to 2004-07-26, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  8. Multibeam collection for MV1202: Multibeam data collected aboard Melville from 2012-01-23 to 2012-02-08, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  9. Multibeam collection for VANC06MV: Multibeam data collected aboard Melville from 2003-01-02 to 2003-01-16, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  10. Multibeam collection for KN197-06: Multibeam data collected aboard Knorr from 2010-04-04 to 2010-04-23, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  11. Multibeam collection for VANC08MV: Multibeam data collected aboard Melville from 2003-02-14 to 2003-03-17, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  12. Multibeam collection for RC2710: Multibeam data collected aboard Robert D. Conrad from 1986-11-14 to 1986-11-30, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  13. Multibeam collection for KN210-02: Multibeam data collected aboard Knorr from 2013-02-13 to 2013-03-03, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  14. Multibeam collection for KN162L07: Multibeam data collected aboard Knorr from 2000-12-09 to 2001-01-05, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  15. Multibeam collection for EW9308: Multibeam data collected aboard Maurice Ewing from 1993-10-24 to 1993-11-11, Cape Town, South Africa to Cape Town, South Africa

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set is part of a larger set of data called the Multibeam Bathymetry Database (MBBDB) where other similar data can be found at...

  16. Alcohol and Other Drug Use during Pregnancy among Women Attending Midwife Obstetric Units in the Cape Metropole, South Africa

    Directory of Open Access Journals (Sweden)

    Petal Petersen Williams

    2014-01-01

    Full Text Available Little is known about the nature and extent of alcohol and other drug (AOD use among pregnant women in Cape Town, South Africa, despite the very high levels of AOD use in this part of the country. A cross-sectional survey was conducted among pregnant women attending 11 Midwife Obstetric Units (MOUs in greater Cape Town. A two-stage cluster survey design was used. In total, 5231 pregnant women were screened to assess self-reported prevalence estimates. Of these, 684 (13.1% were intentionally subsampled and completed an interviewer-administered questionnaire and provided a urine sample for biological screening. Urinalyses showed that 8.8% (95% CI: 6.7–10.9 of the subsample tested positive for at least one illicit drug. This is higher than the self-reported prevalence (3.6%. In addition, 19.6% (95% CI: 16.3–22.8 of the sub-sample tested positive for alcohol which is lower than the self-reported prevalence (36.9%. There are high levels of substance use among pregnant women attending public sector antenatal clinics. There is a need for routine screening for AOD use and appropriate responses depending on the women’s level of risk.

  17. THE INFLUENCE OF JURIDICAL REGULATIONS UPON TOURIST TOWN-PLANNING

    OpenAIRE

    Carmen IORDACHE; Iuliana CEBUC

    2009-01-01

    Urban tourism, if correctly planned, developed and managed, may create advantages and benefits both to urban communities and overall society. By systematically implementing planning based on intelligent management and town-planning regulations complying with the organizing and long-lasting growth requirements of towns, local and national communities, benefits can be maximized, whereas troubles minimized. Town planning should pursue the juridical requirements of the legislation in force, based...

  18. Proportionality in enterprise development of South African towns

    Directory of Open Access Journals (Sweden)

    Maitland T. Seaman

    2012-05-01

    Full Text Available We investigated proportionalities in the enterprise structures of 125 South African towns through examining four hypotheses, (1 the magnitude of enterprise development in a town is a function of the population size of the town; (2 the size of an enterprise assemblage of a town is a function of the town’s age; (3 there are statistically significant relationships, and hence proportionalities, between the total number of enterprises in towns and some, if not all, of the enterprise numbers of different business sectors in towns; and (4 the implications of proportionalities have far-reaching implications for rural development and job creation. All hypotheses were accepted on the basis of statistically significant (p < 0.05 correlations, except for the second hypothesis – the age of a town does not determine the size of its enterprise assemblage. Analysis for the fourth hypothesis suggested that there are two broad entrepreneurial types in South African towns: ‘run-of-the-mill’ entrepreneurs and ‘special’ entrepreneurs, which give rise to different enterprise development dynamics. ‘Run-of-the-mill’ enterprises are dependent on, and limited by, local demand and if there is only a small demand, the entrepreneurial space is small. By comparison, ‘special’ enterprises have much larger markets because their products and/or services are exportable. We propose that the fostering of ‘special’ entrepreneurs is an imperative for local economic development in South African towns.

  19. The historical town core and traffic in Novo mesto

    Directory of Open Access Journals (Sweden)

    Lilijana Jankovič

    2001-01-01

    Full Text Available The historical town core of Novo mesto is subject to intolerable traffic conditions. Individual car use is suffocating the town core, but simultaneously good access is essential for shopkeepers and other inhabitants since buses don’t go there. The project proposes changes to the traffic regime, its basic goals are to redesign the town square into a pedestrian place and to eliminate transitory traffic by rerouting vehicles to less burdened side roads. It introduces short-term parking, smaller parking garages in the core and larger parking spaces on the edge and routes the buses through the town core.

  20. Basic needs in rural areas: a report on a seminar held in Cape Town on 19 February 1985

    CSIR Research Space (South Africa)

    Foundation for Research Development, (Ecosystems section)

    1985-01-01

    Full Text Available to unemployment; health as a basic need; rural blacks' perceptions of basic need fulfilment; and difficulties and constraints in formulating policy and implementing programmes to answer basic needs questions....

  1. Characterisation of STEC and other diarrheic E. coli isolated on CHROMagar™STEC at a tertiary referral hospital, Cape Town.

    Science.gov (United States)

    Kalule, John Bosco; Keddy, Karen H; Nicol, Mark P

    2018-06-08

    Shiga toxin producing E. coli (STEC) is an emerging zoonotic pathogen that can cause acute renal failure, especially in children. Clinical microbiology laboratories may fail to detect STEC and other diarrhoeic E. coli unless purposive rigorous screening procedures are followed using appropriate diagnostic technology; CHROMagar™STEC has rarely been used for isolation of African diarrhoeic E. coli hence characteristics of isolates on this medium are not yet fully understood. This study aimed to determine the prevalence and characteristics of STEC and other diarrhoeic E. coli isolated on CHROMagar™STEC from stool samples submitted to the microbiology laboratory of a South African public sector tertiary care hospital. In total, 733 stool samples were tested. Of these, 4.5% (33/733) possessed diarrhoeic E. coli. Of the diarrheic E. coli, 5/33 (15.2%) were STEC, 15/33 (45.5%) EAggEC, 6/33 (18.2%) atypical EPEC, 5/33 (15.2%) typical EPEC, and 1/33 (3%) DAEC. None of the STEC isolates had been identified by routine testing (based on using sorbitol media to test for E. coli O157: H7 strains and not the other STEC) in the laboratory. Of the 33 strains, 55% (95% CI = 40.8-72.7) showed resistance to ampicillin. CHROMagar™STEC enabled detection of tellurite - resistant diarrhoeic E. coli that would be missed using routine methods. Further studies are needed to determine the proportion and characteristics of those which might have been missed using this approach.

  2. Adherence barriers and facilitators for cervical screening amongst currently disadvantaged women in the greater Cape Town region of South Africa

    Directory of Open Access Journals (Sweden)

    Chantelle De Abreu

    2013-07-01

    Full Text Available Background: In South Africa cervical cancer is the second most commonly occurring cancer amongst women, and black African women have the highest risk of developing this disease. Unfortunately, the majority of South African women do not adhere to recommended regular cervical screening. Objectives: The purpose of this research was to explore the perceptions, experiences and knowledge regarding cervical screening of disadvantaged women in two informal settlements in South African urban areas. Method: The Health Belief Model (HBM provided a theoretical framework for this study. Four focus groups (n = 21 were conducted, using questions derived from the HBM, and thematic analysis was used to analyse the data. The ages of the women who participated ranged from 21 to 53 years. Results: The analysis revealed lack of knowledge about screening as a key structural barrier to treatment. Other structural barriers were: time, age at which free screening is available, and health education. The psychosocial barriers that were identified included: fear of the screening procedure and of the stigmatisation in attending screening. The presence of physical symptoms, the perception that screening provides symptom relief, HIV status, and the desire to know one’s physical health status were identified as facilitators of cervical screening adherence. Conclusion: This knowledge has the potential to inform healthcare policy and services in South Africa. As globalisation persists and individuals continue to immigrate or seek refugee status in foreign countries, increased understanding and knowledge is required for successful acculturation and integration. Developed countries may therefore also benefit from research findings in developing countries.

  3. Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa.

    Science.gov (United States)

    Daire, Judith; Gilson, Lucy

    2014-09-01

    In South Africa, as elsewhere, Primary Health Care (PHC) facilities are managed by professional nurses. Little is known about the dimensions and challenges of their job, or what influences their managerial practice. Drawing on leadership and organizational theory, this study explored what the job of being a PHC manager entails, and what factors influence their managerial practice. We specifically considered whether the appointment of professional nurses as facility managers leads to an identity transition, from nurse to manager. The overall intention was to generate ideas about how to support leadership development among PHC facility managers. Adopting case study methodology, the primary researcher facilitated in-depth discussions (about their personal history and managerial experiences) with eight participating facility managers from one geographical area. Other data were collected through in-depth interviews with key informants, document review and researcher field notes/journaling. Analysis involved data triangulation, respondent and peer review and cross-case analysis. The experiences show that the PHC facility manager's job is dominated by a range of tasks and procedures focused on clinical service management, but is expected to encompass action to address the population and public health needs of the surrounding community. Managing with and through others, and in a complex system, requiring self-management, are critical aspects of the job. A range of personal, professional and contextual factors influence managerial practice, including professional identity. The current largely facility-focused management practice reflects the strong nursing identity of managers and broader organizational influences. However, three of the eight managers appear to self-identify an emerging leadership identity and demonstrate related managerial practices. Nonetheless, there is currently limited support for an identity transition towards leadership in this context. Better support for leadership development could include talent-spotting and nurturing, induction and peer-mentoring for newly appointed facility managers, ongoing peer-support once in post and continuous reflective practice. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  4. A mixed-method analysis of free-time involvement and motivation among adolescents in Cape Town, South Africa

    Science.gov (United States)

    Palen, Lori-Ann; Caldwell, Linda L.; Smith, Edward A.; Gleeson, Sarah L.; Patrick, Megan E.

    2012-01-01

    Using focus group (N = 114) and survey (N = 946) data, this study employed Self-Determination Theory (SDT) as an organizing framework to examine free-time use and motivation among predominantly mixed-race adolescents from one area in South Africa. Adolescents reported participating in a broad range of activities, with socializing, media use, sports, risk behaviour, and performing arts being most frequently mentioned. All of the motivation types proposed by SDT were spontaneously mentioned by focus group participants. Free time was most strongly characterized by intrinsic motivations, such as competence, relatedness, and positive affect. Activities were also seen as a way to achieve outside goals. With few exceptions, multiple motivations were identified for the same activities, and specific motivations were reported across multiple activity types. The findings suggest that positive motivational experiences were not limited to a specific subset of activities. However, future longitudinal research on participation, motivation, and outcomes is needed to determine the developmental implications of different forms of free-time motivation. PMID:23055820

  5. Adherence barriers and facilitators for cervical screening amongst currently disadvantaged women in the greater Cape Town region of South Africa

    Science.gov (United States)

    De Abreu, Chantelle; Horsfall, Hannah

    2013-01-01

    Abstract Background In South Africa cervical cancer is the second most commonly occurring cancer amongst women, and black African women have the highest risk of developing this disease. Unfortunately, the majority of South African women do not adhere to recommended regular cervical screening. Objectives The purpose of this research was to explore the perceptions, experiences and knowledge regarding cervical screening of disadvantaged women in two informal settlements in South African urban areas. Method The Health Belief Model (HBM) provided a theoretical framework for this study. Four focus groups (n = 21) were conducted, using questions derived from the HBM, and thematic analysis was used to analyse the data. The ages of the women who participated ranged from 21 to 53 years. Results The analysis revealed lack of knowledge about screening as a key structural barrier to treatment. Other structural barriers were: time, age at which free screening is available, and health education. The psychosocial barriers that were identified included: fear of the screening procedure and of the stigmatisation in attending screening. The presence of physical symptoms, the perception that screening provides symptom relief, HIV status, and the desire to know one's physical health status were identified as facilitators of cervical screening adherence. Conclusion This knowledge has the potential to inform healthcare policy and services in South Africa. As globalisation persists and individuals continue to immigrate or seek refugee status in foreign countries, increased understanding and knowledge is required for successful acculturation and integration. Developed countries may therefore also benefit from research findings in developing countries.

  6. Gender attitudes, sexual violence, and HIV/AIDS risks among men and women in Cape Town, South Africa.

    Science.gov (United States)

    Kalichman, Seth C; Simbayi, Leickness C; Kaufman, Michelle; Cain, Demetria; Cherry, Chauncey; Jooste, Sean; Mathiti, Vuyisile

    2005-11-01

    This study examined gender attitudes and sexual violence-supportive beliefs (rape myths) in a sample of South African men and women at risk for HIV transmission. Over 40% of women and 16% of men had been sexually assaulted, and more than one in five men openly admitted to having perpetrated sexual assault. Traditional attitudes toward women's social and gender roles, as well as rape myths, were endorsed by a significant minority of both men and women. Multivariate analyses showed that for men, sexual assault history and rape myth acceptance, along with alcohol and other drug use history, were significantly related to cumulative risks for HIV infection. In contrast, although we found that women were at substantial risk for sexually transmitted infection (STI), including HIV, women's risks were only related to lower levels of education and alcohol use history. We speculate that women's risks for STI/HIV are the product of partner characteristics and male-dominated relationships, suggesting the critical importance of intervening with men to reduce women's risks for sexual assault and STI/HIV.

  7. Neurodevelopmental outcome of HIV-exposed but uninfected infants in the Mother and Infants Health Study, Cape Town, South Africa.

    Science.gov (United States)

    Springer, Priscilla E; Slogrove, Amy L; Laughton, Barbara; Bettinger, Julie A; Saunders, Henriëtte H; Molteno, Christopher D; Kruger, Mariana

    2018-01-01

    To compare neurodevelopmental outcomes of HIV-exposed uninfected (HEU) and HIV-unexposed uninfected (HUU) infants in a peri-urban South African population. HEU infants living in Africa face unique biological and environmental risks, but uncertainty remains regarding their neurodevelopmental outcome. This is partly due to lack of well-matched HUU comparison groups needed to adjust for confounding factors. This was a prospective cohort study of infants enrolled at birth from a low-risk midwife obstetric facility. At 12 months of age, HEU and HUU infant growth and neurodevelopmental outcomes were compared. Growth was evaluated as WHO weight-for-age, length-for-age, weight-for-length and head-circumference-for-age Z-scores. Neurodevelopmental outcomes were evaluated using the Bayley scales of Infant Development III (BSID) and Alarm Distress Baby Scale (ADBB). Fifty-eight HEU and 38 HUU infants were evaluated at 11-14 months of age. Performance on the BSID did not differ in any of the domains between HEU and HUU infants. The cognitive, language and motor scores were within the average range (US standardised norms). Seven (12%) HEU and 1 (2.6%) HUU infant showed social withdrawal on the ADBB (P = 0.10), while 15 (26%) HEU and 4 (11%) HUU infants showed decreased vocalisation (P = 0.06). There were no growth differences. Three HEU and one HUU infant had minor neurological signs, while eight HEU and two HUU infants had macrocephaly. Although findings on the early neurodevelopmental outcome of HEU infants are reassuring, minor differences in vocalisation and on neurological examination indicate a need for reassessment at a later age. © 2017 John Wiley & Sons Ltd.

  8. Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa

    Science.gov (United States)

    Daire, Judith; Gilson, Lucy

    2014-01-01

    In South Africa, as elsewhere, Primary Health Care (PHC) facilities are managed by professional nurses. Little is known about the dimensions and challenges of their job, or what influences their managerial practice. Drawing on leadership and organizational theory, this study explored what the job of being a PHC manager entails, and what factors influence their managerial practice. We specifically considered whether the appointment of professional nurses as facility managers leads to an identity transition, from nurse to manager. The overall intention was to generate ideas about how to support leadership development among PHC facility managers. Adopting case study methodology, the primary researcher facilitated in-depth discussions (about their personal history and managerial experiences) with eight participating facility managers from one geographical area. Other data were collected through in-depth interviews with key informants, document review and researcher field notes/journaling. Analysis involved data triangulation, respondent and peer review and cross-case analysis. The experiences show that the PHC facility manager’s job is dominated by a range of tasks and procedures focused on clinical service management, but is expected to encompass action to address the population and public health needs of the surrounding community. Managing with and through others, and in a complex system, requiring self-management, are critical aspects of the job. A range of personal, professional and contextual factors influence managerial practice, including professional identity. The current largely facility-focused management practice reflects the strong nursing identity of managers and broader organizational influences. However, three of the eight managers appear to self-identify an emerging leadership identity and demonstrate related managerial practices. Nonetheless, there is currently limited support for an identity transition towards leadership in this context. Better support for leadership development could include talent-spotting and nurturing, induction and peer-mentoring for newly appointed facility managers, ongoing peer-support once in post and continuous reflective practice. PMID:25274644

  9. Assessing post apartheid settlement growth patterns using remote sensing and GIWS: A case study of Cape Town metropolitan area

    CSIR Research Space (South Africa)

    Pillay, DL

    2008-11-01

    Full Text Available The significant land-use change in South African metropolitan areas, due to urbanization, created challenges of spatial development planning, infrastructure and service provision. This paper outlines the change detection analysis method applied...

  10. Job Satisfaction among Pharmaceutical Sales force in South Africa – A Case with Special Reference to Cape Town

    Directory of Open Access Journals (Sweden)

    Vinod Kumar SINGH

    2010-09-01

    Full Text Available Job satisfaction is an attitude that employees have about their work and is based on numerous factors, both intrinsic and extrinsic to the individual. Job satisfaction is important from the perspective of maintaining and retaining the appropriate employees within the organization, it is about fitting the right person to the right job in the right culture and keeping them satisfied. Job satisfaction at salesforce level has become a topic of growing concern since significant proportion of marketing budgets, especially in harmaceutical industry of South Africa, is spent on them to achieve the assigned targets in the circular market. Although a large number of studies have been conducted to investigate job satisfaction in diverse range of the cultures, subjects and occupations yet none has attempted to explore the impact of job content and context factors on the job satisfaction among pharmaceutical salespersons in South Africa. Thus, the current study intends to determine the variance in salespersons’ overall job satisfaction through job content and context factors as a whole. This study also extends the total repercussion on the sales persons and their satisfaction level that cement the good will of the company and personal upliftment.

  11. Towards an empowerment approach in tuberculosis treatment in Cape Town, South Africa: a qualitative analysis of programmatic change

    Directory of Open Access Journals (Sweden)

    Salla Atkins

    2012-08-01

    Full Text Available Background: Tuberculosis rates in the world remain high, especially in low- and middle-income countries. International tuberculosis (TB policy generally recommends the use of directly observed therapy (DOT to ensure treatment adherence. Objective: This article examines a change in TB treatment support that occurred in 2005 in South Africa, from DOT to the enhanced TB adherence programme (ETA. Design: Seven key individuals representing academics, policy makers and service providers involved in the development of the ETA programme or knowledgeable about the issue were purposively sampled and interviewed, and participant observation was conducted at ETA programme steering group meetings. Qualitative content analysis was used to analyse the data, drawing on the Kingdon model of agenda setting. This model suggests that three independent streams – problem, policy and politics – come together at a certain point, often facilitated by policy entrepreneurs, to provide an opportunity for an issue to enter the policy agenda. Results: The results suggest the empowerment-oriented programme emerged through the presence of policy entrepreneurs with access to resources. Policy entrepreneurs were influenced by a number of simultaneously occurring challenges including problems within the existing programme; a perceived mismatch between patient needs and the existing TB treatment model; and the TB-HIV co-epidemic. Policy entrepreneurs saw the ART approach as a possible solution to these challenges. Conclusions: The Kingdon model contributed to describing the process of policy change. Research evidence seemed to influence this change diffusely, through the interaction of policy entrepreneurs and academics.

  12. An exploratory study of what happens to women who are denied abortions in Cape Town, South Africa.

    Science.gov (United States)

    Harries, Jane; Gerdts, Caitlin; Momberg, Mariette; Greene Foster, Diana

    2015-03-21

    Despite the change in legal status of abortion in South Africa in 1996, barriers to access remain. Stigma associated with abortion provision and care, privacy concerns, and negative provider attitudes often discourage women from seeking legal abortion services and sometimes force women outside of the legal system. What happens when women present for abortion at a designated abortion facility and are denied abortions due to gestational limits or other factors-is unknown. Whether women seek care at referral facilities, seek illegal abortion, or carry pregnancies to term has never been documented. This study, part of a multi-country Global Turnaway Study, explored the experiences of women after denial of legal abortion services. Qualitative research methods were used to collect data at two non-governmental organization health care facilities providing abortion services. In depth interviews were held with women 2 to 3 months after they were denied an abortion. Data were analyzed using a thematic analysis approach. The most common reason for being turned away was due to gestational age over 12 weeks with some women denied abortions that day because they did not have enough money to pay for the procedure. Almost all women were extremely upset at being denied an abortion on the day that they visited the health care facility. Some women were so distressed that they openly discussed the option of seeking an illegal provider or exploring the possibility of securing another health care professional who would assist them. Despite South Africa's liberal abortion law and the relatively widespread availability of abortion services in urban settings, women in South Africa are denied abortion services largely due to being beyond the legal limits to obtain an abortion. A high proportion of women who were initially denied an abortion at legal facilities went on to seek options for pregnancy termination outside of the legal system through internet searches--some of which could have led to unsafe abortion practices. Further efforts should be directed towards informing women in all communities about the availability of free services in the public sector and educating them about the dangers of unsafe methods of pregnancy termination.

  13. The mining, agricultural and construction equipment protocol to the Cape Town Convention project: The current status/ Charles W. Mooney Jr.

    Index Scriptorium Estoniae

    Mooney Jr., Charles

    2016-01-01

    Liikurseadmetega seotud rahvusvaheliste tagatiste konventsioon (Kaplinna konventsioon, 2001) ja protokoll õhusõidukite seadmetele eriomastest küsimustest ja mõjust põllumajandusele ning ehitusele. UNIDROIT = International Institute for the Unification of Private Law

  14. Acceptability and challenges of rapid ART initiation among pregnant women in a pilot programme, Cape Town, South Africa.

    Science.gov (United States)

    Black, Samantha; Zulliger, Rose; Marcus, Rebecca; Mark, Daniella; Myer, Landon; Bekker, Linda-Gail

    2014-01-01

    Maternal antiretroviral therapy (ART) is a critical intervention in the prevention-of-mother-to child transmission (PMTCT) of HIV. In South Africa, many HIV-infected pregnant women commence ART late in pregnancy, and as a result, the duration of ART prior to delivery is often insufficient to prevent vertical transmission. To address this, we designed an intervention for the rapid initiation of ART in pregnancy (RAP), where patient's ART preparation occurred during rather than before treatment commencement. Here we report on the acceptability and the challenges of the RAP programme. We conducted 7 key informant and 27 semi-structured interviews with RAP participants. Participants were purposefully selected based on ART-eligibility and stage in the pregnancy to post-partum continuum. Interviews were conducted in participants' home language by trained fieldworkers, with key informant interviews conducted by the study investigators. The data were analysed using a framework analysis approach. Rapid initiation in pregnancy was acceptable to the majority of programme participants and protection of the woman's unborn child was the primary motivation for starting treatment. The key barrier was the limited time to accept the dual challenges of being diagnosed HIV-positive and eligible for life-long ART. Truncated time also limited the opportunity for disclosure to others. Despite these and other barriers, most women found the benefits of rapid ART commencement outweighed the challenges, with 91% of women initiated onto ART starting the same day treatment eligibility was determined. Many participants and key informants identified the importance of counseling and the need to make an informed, independent choice on the timing of ART initiation, based on individual circumstances. Acceptance of ART-eligibility improved with time on the programme, however, as women's principal reason for initiating ART was protection of the unborn child, monitoring and supporting adherence during the post-partum period will be critical.

  15. Job Satisfaction among Pharmaceutical Sales force in South Africa – A Case with Special Reference to Cape Town

    OpenAIRE

    Vinod Kumar SINGH

    2010-01-01

    Job satisfaction is an attitude that employees have about their work and is based on numerous factors, both intrinsic and extrinsic to the individual. Job satisfaction is important from the perspective of maintaining and retaining the appropriate employees within the organization, it is about fitting the right person to the right job in the right culture and keeping them satisfied. Job satisfaction at salesforce level has become a topic of growing concern since significant proportion of marke...

  16. Natural resources, environment and municipal service provision: Results of a participatory systems dynamics scoping model in Cape Town

    CSIR Research Space (South Africa)

    De Wit, MP

    2008-08-11

    Full Text Available Cities in developing countries often have to face a multiplicity of external shocks that impact on their operations. These changes include increased rates of migration from the rural poor, natural resource shocks such as droughts, decreased space...

  17. A union that flowed from water: "Water shortages, sanitation needs -- The unifier of Cape Town a century ago (1913)"

    CSIR Research Space (South Africa)

    Wall, K

    2012-05-01

    Full Text Available individually had the resources to embark on any of these schemes. In 1913 (next year, 100 years ago), all the municipalities of the then metropolitan area (with the exception of Wynberg) united, and additional areas were also incorporated. Thus the unified City...

  18. Estrogenic activity, chemical levels and health risk assessment of municipal distribution point water from Pretoria and Cape Town, South Africa

    CSIR Research Space (South Africa)

    Van Zijl, MC

    2017-11-01

    Full Text Available Endocrine disrupting chemicals (EDCs) are ubiquitous in the environment and have been detected in drinking water from various countries. Although various water treatment processes can remove EDCs, chemicals can also migrate from pipes that transport...

  19. Respectability, Chivalry and ‘Fixing’ Women: Men’s Narratives of Intimate Partner Violence in Cape Town

    Directory of Open Access Journals (Sweden)

    Taryn Jill van Niekerk

    2015-12-01

    Full Text Available In this paper we argue that social representations are a key mechanism through which knowledge about intimate partner violence is shared and understood. We draw on in-depth interviews with 11 men who had perpetrated violence against an intimate woman partner and analyse the social representations of masculinities, femininities and violence that emerge from men’s narratives about their lives and relationships. We analyse men’s social representations of violence primarily through the lens of respectability involving both masculine and feminine forms of respectability, which contribute to the maintenance of patriarchy. We show how the narrative of respectability is held together by representations of masculine heroism and feminine masochism and the findings cast light on how acts of violence are shaped by a range of intersections and structural oppressions. Social representations of gender and intimate partner violence also show how individual men’s narratives about violence are largely influenced by their peers, kin and wider community norms that make violence against women acceptable. Este artículo defiende que las representaciones sociales son un mecanismo clave a través del que se comparte y entiende el conocimiento sobre la violencia dentro de la pareja. Basándose en entrevistas en profundidad con 11 hombres que habían cometido actos de violencia contra su compañera íntima, se analizan las representaciones sociales de la masculinidad, la feminidad y la violencia que emergen de los relatos de hombres sobre sus vidas y relaciones. Se analizan las representaciones sociales de la violencia que realizan los hombres, principalmente a través de la lente de la respetabilidad, involucrando tanto formas de respetabilidad masculinas como femeninas, lo que contribuye al mantenimiento del patriarcado. Se muestra cómo la narración de la respetabilidad se integra por representaciones de heroísmo masculino y masoquismo femenino, y los hallazgos arrojan luz sobre cómo una serie de intersecciones y opresiones estructurales dan forma a actos violentos. Las representaciones sociales de género y violencia dentro de la pareja también muestran cómo los relatos de hombres individuales sobre la violencia están muy influenciados por sus compañeros, familiares y normas comunitarias más amplias que convierten en aceptable la violencia contra las mujeres.DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=2700202

  20. Selected environmental impacts of energy use by the automobile sector: Findings from a project focussed on Johannesburg and Cape Town

    CSIR Research Space (South Africa)

    Mapako, M

    2009-06-01

    Full Text Available associated with the upcoming controlled emitter status of vehicles will apply only to new vehicles. This leaves out old vehicles and there seemed to be no coordinated approach to deal with these. There are issues around car sharing that need to simplified..., for example the provisions of the Road Traffic Act for occupants of shared cars, and tax implications around various car sharing arrangements. Regarding the possibility of very low cost vehicles coming to South Africa from India for example, it would...

  1. Ambient air quality in Lower Town Quebec

    International Nuclear Information System (INIS)

    Sebez, S.

    2007-01-01

    A municipal waste incinerator near Lower Town Quebec has been identified as a major source of air pollution, notably emissions of dioxins, furans, nitrogen oxides (NOx), volatile organic matter (VOC) and polycyclic aromatic hydrocarbons (PAH). Combustion fumes contain gases such as carbon monoxide (CO), carbon dioxide (CO 2 ) and sulphur dioxide (SO 2 ), as well as dusts, fly ash and particulate matter that is easily airborne. The risks associated with poor air quality have been evaluated along with the effects of pollutants on young children, pregnant women, senior citizens and those with cardiac problems. Some studies have reported that exposure to NOx may cause lung cancer and certain VOCs can irritate the respiratory tract system. Air quality tests have also revealed the presence of mercury. In combination, all these pollutants create smog. The concrete actions that have been taken to address smog issues were discussed. The distance between the incinerator and different residential areas within Lower Town Quebec have been measured along with air quality. Health risks were found to be higher in areas closer to the incinerator. Major modifications have been recommended in order to reduce pollution emissions from the incinerator. These include modernizing the equipment, installing proper scrubbers, and to ultimately the close the incinerator if it continues to underperform. refs., tabs., figs

  2. Astroparticle Physics European Consortium Town Meeting Conference

    CERN Document Server

    2016-01-01

    The Astroparticle Physics European Consortium (APPEC) invites you to a town meeting at the Grand Amphithéatre de Sorbonne in Paris on the 6th and 7th April 2016 to discuss an update of the 2011 APPEC Astroparticle Physics roadmap, to be published in September 2016. In 2014 APPEC decided to launch an update of the 2011 Roadmap, transforming it to a “resource aware” roadmap. The intention was to gauge the financial impact of the beginnings of operation of the large global scale observatories put forward in the previous roadmap and to examine the possibilities of international coordination of future global initiatives. The APPEC Scientific Advisory Committee examined the field and prepared a set of recommendations. Based on these recommendations, the APPEC General Assembly drafted a set of “considerations” to be published by end of February 2016 and be debated in an open dialogue with the community, through the web page but primarily at the town meeting of 6-7 April. Based on this debate the final re...

  3. Radon Mapping of the Osijek Town

    International Nuclear Information System (INIS)

    Radolic, V.; Faj, Z.; Smit, G.; Culo, D.; Planinic, J.

    1998-01-01

    After ten years investigation of radon seasonal variations at three very different locations, as well as radon concentration measurements in kindergartens and schools, systematical indoor radon measurements were undertaken in dwellings of Osijek. Indoor radon was measured by means of the LR-115 nuclear track detector at 48 town locations that gave the arithmetic mean of 71.6 Bq m -3 , standard deviation of 44.0 Bq m -3 and geometric mean of 60.1 Bq m -3 , for the radon concentration range from 23 to 186 Bq m -3 . The empirical frequency distribution of radon concentrations, with the class width of 20 Bq m -3 , was in accordance with the theoretical log-normal distribution which was shown with χ 2 - test. The radon map pointed out a region of higher radon concentrations (central part of the town) that was ascribed to the geological soil structure. Thus supposition was confirmed by radon measurement in the soil gas using radon emanators with the LR-115 film that showed the positive correlation between radon concentrations in the soil and indoors. Radon measurements in Osijeks primary schools pointed out a school that had the highest radon concentration (300 Bq m -3 ) considering all the former indoor radon measurements. The radon distribution in the school building was investigated afterwards radon mitigation procedures were undertaken. (author)

  4. Intraplate seismicity across the Cape Verde swell

    Science.gov (United States)

    Vales, Dina; Matias, Luís.; Haberland, Christian; Silveira, Graça.; Weber, Michael; Carrilho, Fernando; Dias, Nuno

    2010-05-01

    The Cape Verde Archipelago ((15-17°N, 23-26°W) is located within the African plate, about 500km west of Senegal, in the African coast. The islands are located astride the Cape Verde mid-plate topographic swell, one of the largest features of its type in the world's ocean basins. The origin of this Cape Verde swell is still in debate. Previous determinations of the elastic thickness (Te) reveal a normal Te and a modest heat flow anomaly which suggest that the swell cannot be fully explained by uplift due to thermal reheating of the lithosphere by an underlying ‘‘hot spot'' and that other, deep-seated, mantle processes must be involved. The CV-PLUME (An investigation on the geometry and deep signature of the Cape Verde mantle plume) project intends to shape the geometry and deep origin of the Cape Verde mantle plume, via a combined study of seismic, magnetic, gravimetric and geochemical observations. Through this study we intend to characterize the structure beneath the archipelago from the surface down to the deep mantle. The core of this 3-year project was a temporary deployment of 39 Very Broad Band seismometers, across all the inhabited islands, to recorder local and teleseismic earthquakes. These instruments were operational from November 2007 to September 2008. In this work we report on the preliminary results obtained from the CV-PLUME network on the characterization of the local and regional seismicity. To detect the small magnitude seismic events the continuous data stream was screened using spectrograms. This proved to be a very robust technique in the face of the high short-period noise recorded by many of the stations, particularly during day time. The 10 month observation time showed that the background seismic activity in the Archipelago and surrounding area is low, with only a very few events recorded by the complete network. However, two clusters of earthquakes were detected close to the Brava Island, one to the NW and a second one, more active

  5. Meteorological and oceanographic aspects of a winter storm over the south-western Cape Province, South Africa

    International Nuclear Information System (INIS)

    Jury, M.R.; Shillington, F.A.; Prestidge, G.; Maxwell, C.D.

    1986-01-01

    In May the southern hemisphere circumpolar jet stream accelerates in response to a growing temperature gradient between the pole and equator. Initially, the jet stream may 'spin up' in pulses, causing the upper air current to become unstable and to meander equatorwards out of the higher latitudes (40-50 degrees S). Winter storms induced by the jet stream and which move, from west to east, to the south of the African continent are then guided by the upper air currents further north. Between 15 and 17 May 1984, such a sequence of synoptic weather events developed and the south-western Cape came under the influence of the 'roaring 40's'. In this article a chronology of the storm and its meteorological effects are described using data collected at the Koeberg nuclear power station, the Cape Town Airport Weather Office and across the south-western Cape. The destructive effects of the storm, particularly felt along the coast as a result of large swells and a significant storm surge, are discussed

  6. Why Devil's town has Devil's water

    Science.gov (United States)

    Jovic, Sladjana; Mitriceski, Bojana

    2015-04-01

    Why Devil's town has Devil's water In the south of Serbia, lies a first-class natural landmark "Devil's Town" at an altitude of 660-700 m. Earthen figures or "towers" as the locals call them, are located in the watershed between two gullies, whose sources joined together create a unique erosive formation, tremendously demolished by the erosive processes. The gullies also have strange names: "Devil's Gully" and "Hell's Gully". There are two rare natural phenomena at the same spot: 202 earthen figures of different shape and dimension, from 2 m to 15 m in height, and from 0.5 m to 3 m in width, with stone caps on the top. They are an outcome of a specific erosive process that lasts for centuries. When figures are formed, they grow, change, shorten, gradually (very slowly) disappear and reappear. The loose soil is dissolved and washed away by the rain. However, the material under the stone caps is protected from the "bombardment" of the rain drops and washout, and remains in place in the form of the rising earthen pillars - figures. Another natural rarity in "Devil's Town" are two springs of extraordinary properties "Devil's Water", which is located in vicinity of these earthen figures, is a cold and extremely acid spring (pH 1.5) of high mineral concentration (15 g/l of water), springing out in "Devil's Gully". In comparison to drinking water, it is 10 to 1000 times richer in minerals (aluminium, iron, potassium, copper, nickel, sulphur, and alaun). "Red Well" is another spring located downstream, in the alluvial plain, 400 m away from the first spring. Its water (pH 3.5) is less acid and has a lower general mineral concentration (4.372 mg/l of water). Due to the oxidation of iron, which is contained in water in large amounts, an attractive red terrace in the form of a fan is created. The main assessment for students is to take some examples of water from Devils Gully and the others from Red Well . Second part is to find out content of minerals in water examples and

  7. Your Town Television Show: SMART Program (Part 1) [video

    OpenAIRE

    Naval Postgraduate School, (U.S.); Sanders, John; Millsaps, Knox; Shifflett, Deborah

    2010-01-01

    From "Your Town" television show. SMART Scholarship Program featured on Your Town television program in Monterey, California. Host John Sanders, Special Collections Manager of the Naval Postgraduate School's Dudley Knox Library, interviews Dr. Knox Millsaps, Executive Agent for the SMART Program, and Deborah Shifflett, SMART Program Manager.

  8. Your Town Television Show: SMART Program (Part 3) [video

    OpenAIRE

    Naval Postgraduate School, (U.S.); Sanders, John; Millsaps, Knox; Shifflett, Deborah

    2010-01-01

    From "Your Town" television show. SMART Scholarship Program featured on Your Town television program in Monterey, California. Host John Sanders, Special Collections Manager of the Naval Postgraduate School's Dudley Knox Library, interviews Dr. Knox Millsaps, Executive Agent for the SMART Program, and Deborah Shifflett, SMART Program Manager.

  9. Comparative Noise Pollution Study Of Some Major Towns In Delta ...

    African Journals Online (AJOL)

    Comparative noise pollution studies have been carried out in some major towns in Delta State, Nigeria using a PIONneer 65 noise dosimeter. The noise measurements were taken at ten points within each of the towns at an interval of 30 minutes during the peak period of the day and at the cool of the night. The results ...

  10. Cyber Town at the Woodrow Wilson Center

    Directory of Open Access Journals (Sweden)

    Lisa M. Dennis

    2007-06-01

    Full Text Available Cyber Town is a technology based after-school program that concentrates on reading and technology literacy. The program provides at-risk minority youth a safe environment where they learn skills that will make them competitive in the digital age. Qualitative and quantitative data are collected on all after-school program participants enabling program staff with the ability to individualize technology aided instruction. Youth are instructed at appropriate instructional levels these levels are determined through reading level assessment software programs, teacher recommendations, and reading scores. The program provides a model others can utilize in operating similar computer based programs. It illustrates that when working with youth, educators may discover deeper problems than originally anticipated and adaptations must be made to meet the needs of those young people.

  11. Promoting small towns for rural development: a view from Nepal.

    Science.gov (United States)

    Bajracharya, B N

    1995-06-01

    Two small villages in Nepal are the subjects of case studies that illustrate the role of small towns in provision of services, employment, and market operations. Some general findings are that small towns act as service centers for distribution of basic essential goods such as food grains, salt, kerosene, and fabric for hill and mountain areas. The role of small towns as market centers and in the provision of employment is limited. In resource-poor areas small towns are less diversified. Towns with agricultural surpluses are more developed. Small hill towns satisfy consumption rather than production needs. The growth of rural areas and towns in rural areas in Nepal is dependent on arable land and levels of production in hill areas. Limited land and low levels of production have an adverse impact. Movement of people, goods, and services is limited by difficult terrain and lack of access to good roads. Variability in access to off-farm jobs and services available in small towns varies with ethnicity and place of residence. The best development strategy for small towns in Nepal is market-oriented territorial development, which retains surpluses in the local area and integrates markets in the larger economy. The strategy would decentralize planning into small territorial units that include both small towns and groups of villages, provide institutional support for the rural poor, expand off-farm employment, and include investment in region-serving functions. Subsistence agriculture needs to include diversification of high value cash crops based on local comparative advantage suitable for hill climate and terrain. Small farmers must produce both cash and subsistence crops. Government should provide market space and paved areas, weighing facilities, and overnight storage facilities. Products would be processed at the village level. Subdistricts must be established according to spatial and social linkages between villages and the service center and coordinated at the

  12. Leading Communities: Community-led Development in England’s Small Towns: the Market Towns Initiative

    Directory of Open Access Journals (Sweden)

    Gordon Morris

    2012-12-01

    Full Text Available The Market Towns Initiative (MTI, a UK community-led development programme, operated throughout rural England from 2000 until 2005/6. It was designed to help local people, with professional support, identify – and then capitalize on – the economic, environmental and social strengths and weaknesses of small country towns. This paper explains the origins and ways of working of the MTI. Examples of the topics explored and participants’ views are given, and conclusions drawn. The opportunity is also taken to explain how interest in the roles of England’s small country towns grew in the years following the Second World War, and how this led to the development of the MTI. Evidence suggests that the programme worked well. It demonstrated that local people have the enthusiasm, skills and knowledge to take a lead in the development of the places in which they live; something which, until local government reforms changed roles and structures, was largely taken for granted.

  13. Micro Climate Simulation in new Town 'Hashtgerd'

    Science.gov (United States)

    Sodoudi, S.; Langer, I.; Cubasch, U.

    2012-04-01

    One of the objectives of climatological part of project Young Cities 'Developing Energy-Efficient Urban Fabric in the Tehran-Karaj Region' is to simulate the micro climate (with 1m resolution) in 35ha of new town Hashtgerd, which is located 65 km far from mega city Tehran. The Project aims are developing, implementing and evaluating building and planning schemes and technologies which allow to plan and build sustainable, energy-efficient and climate sensible form mass housing settlements in arid and semi-arid regions ("energy-efficient fabric"). Climate sensitive form also means designing and planning for climate change and its related effects for Hashtgerd New Town. By configuration of buildings and open spaces according to solar radiation, wind and vegetation, climate sensitive urban form can create outdoor thermal comfort. To simulate the climate on small spatial scales, the micro climate model Envi-met has been used to simulate the micro climate in 35 ha. The Eulerian model ENVI-met is a micro-scale climate model which gives information about the influence of architecture and buildings as well as vegetation and green area on the micro climate up to 1 m resolution. Envi-met has been run with information from topography, downscaled climate data with neuro-fuzzy method, meteorological measurements, building height and different vegetation variants (low and high number of trees) Through the optimal Urban Design and Planning for the 35ha area the microclimate results shows, that with vegetation the microclimate in streets will be change: • 2 m temperature is decreased by about 2 K • relative humidity increase by about 10 % • soil temperature is decreased by about 3 K • wind speed is decreased by about 60% The style of buildings allows free movement of air, which is of high importance for fresh air supply. The increase of inbuilt areas in 35 ha reduces the heat island effect through cooling caused by vegetation and increase of air humidity which caused by

  14. Patterns of plant speciation in the Cape floristic region.

    Science.gov (United States)

    van der Niet, Timotheüs; Johnson, Steven D

    2009-04-01

    Plant species have accumulated in the Cape region of southern Africa to a much greater degree than in areas of equivalent size in the rest of the subcontinent. Although this could be a consequence simply of lower extinction rates in the Cape, most researchers have invoked high rates of ecological speciation, driven by unique aspects of the Cape environment, as the primary explanation for this richness. To assess these ideas, we analyzed the frequencies of ecological shifts among 188 sister species pairs obtained from molecular phylogenies of eight Cape clades. Ecological shifts were evident in 80% of sister species pairs, with general habitat, pollinator, and fire-survival strategy shifts being especially frequent. Contrary to an established idea that shifts in soil type are frequently associated with speciation of Cape taxa, these shifts were relatively rare, occurring in just 17% of species pairs. More cases of sister species divergence are accompanied solely by floral than by vegetative diversification, suggesting an important role for pollinator-driven speciation. In an analysis of two large orchid genera that have radiated in both the Cape and the rest of southern Africa, the frequency of ecological shifts (general habitat, soil type, altitude and flowering time), did not differ between sister species pairs in the Cape region and those outside it. Despite suggestions that Cape plants tend to have small range sizes and show fine-scale patterns of speciation, range size did not differ significantly between species in the Cape and those outside it. We conclude that ecological speciation is likely to have been important for radiation of the Cape flora, but there is no evidence as yet for special "Cape" patterns of ecological speciation.

  15. Photovoltaics in buildings: town planning considerations

    Energy Technology Data Exchange (ETDEWEB)

    Cradick, K.

    1999-07-01

    This report explores the significance of PV specifically from a town and country planning perspective. PV will become of interest to planners for a number of reasons. Installation of PV systems on the walls, roofs and windows of buildings will have implications for the design and appearance of buildings and the wider townscape. For this reason, it would be beneficial for the planning profession to have a general awareness of the rapidly expanding range of PV building products now available. A widespread use of the technology will raise a number of other practical planning considerations, such as the need to ensure that PV-equipped buildings are not overshadowed by subsequent development or maturing trees.The use of PV could bring planning benefits. For example, use of the technology could sometimes obviate the need to route overhead power supplies through sensitive landscapes to outlying rural settlement. As a renewable source of energy, the use of PV will be in harmony with Local Agenda 21 objectives and sustainability policies in development plans. This report is written for practising planners in local government, private practice and the voluntary sector, and has regard to the regulatory context within which planners operate. It does not seek to encourage members of the profession to exceed their powers by insisting upon the use of PV in new development. Instead, the report aims to provide an introduction to the technology so that planners may be conversant with the technology and understand both its potential and its limitations. (author)

  16. Ekman estimates of upwelling at cape columbine based on ...

    African Journals Online (AJOL)

    Ekman estimates of upwelling at cape columbine based on measurements of longshore wind from a 35-year time-series. AS Johnson, G Nelson. Abstract. Cape Columbine is a prominent headland on the south-west coast of Africa at approximately 32°50´S, where there is a substantial upwelling tongue, enhancing the ...

  17. Knowledge and attitudes in the rural Western Cape towards ...

    African Journals Online (AJOL)

    The study found that farm residents in the Western Cape are potentially exposed to pesticides through various environmental routes including water. This emphasises the need to monitor water for pesticides in the Western Cape, but in order to do this, human and laboratory resources and capacities to conduct routine ...

  18. Comparison of age determination techniques for known-age Cape ...

    African Journals Online (AJOL)

    Known-age teeth were used to validate age determination techniques for the Cape fur seal (Arctocephalus ... The reliability with which age can be estimated for the Cape fur seal has also been improved. ... The acid solution, with a volume at least 10 times that of ... old female [0 show (he absence of GLGs in the cemenlUnl.

  19. The Cape commercial linefishery consists of about 2 500 vessels ...

    African Journals Online (AJOL)

    spamer

    assessing the ecosystem effects of fishing and evaluating the benefits of ... Such information would assist in the ... Traditional Cape linefish may be broadly divided into ... gressively farther offshore (and into deeper. Griffiths: ... (Griffiths 1997c); this process controls avail- ... of shallow-water Cape hake Merluccius capensis,.

  20. Tourism Policies and the Space Economy of the Eastern Cape ...

    African Journals Online (AJOL)

    The key objective of this paper is to x-ray the situation in the tourism development process of the post-1994 tourism sector of the Eastern Cape Province. This paper uses empirical data to examine the extent to which actors in the Eastern Cape tourism sector interpreted the national tourism policies. The White Paper on ...