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Preparation, characterization, and in vitro evaluation of polymer-based wound dressings for the management of chronic wounds

  • Authors: Alven, Sibusiso
  • Date: 2022
  • Subjects: Toxicity testing -- In vitro , Wound healing , Chronic diseases
  • Language: English
  • Type: Doctoral theses , text
  • Identifier: http://hdl.handle.net/10353/27992 , vital:71414
  • Description: Microbial infections are responsible for the retarded recovery process of chronic wounds. Polymer-based scaffolds possess features suitable for the treatment of chronic injuries. However, these scaffolds are commonly encapsulated with therapeutic agents to enhance their biological activities, including antibacterial efficacy. In this research, two types of polymer-based scaffolds were formulated and evaluated as effective formulations for the treatment of chronic wounds: sponges and topical gels. Sponges were formulated from cross-linking of gelatin and PEG. Ag nanoparticles and metronidazole were incorporated into the sponges to improve their antibacterial activity. Topical gels were loaded with essential oils and Ag nanoparticles and prepared from CMC and poloxamer. The prepared sponges and topical gels were evaluated using various analysis and characterization techniques. SEM/EDX, FTIR, and TGA were employed to characterize gelatin/PEG hybrid sponges followed by porosity, in vitro biodegradability, cytotoxicity, and antibacterial studies. FTIR, SEM/EDX, and TGA confirmed their physicochemical properties and successful fabrication of sponges loaded with metronidazole and Ag nanoparticles. The sponges were biodegradable, indicating their capability to induce skin regeneration. The drug release studies showed a rapid release of metronidazole 28.32-71.97 percent from the sponges over the first hour, followed by a sustained drug release. The Ag nanoparticles were released in a sustained manner, suggesting that these sponges can rapidly destroy bacteria and inhibit persisting bacterial infections as well as protect the lesion bed from further bacteria infections. The in vitro antibacterial studies of sponges displayed superior antibacterial activity against most of the Gram-negative and Gram-positive bacteria strains commonly found in chronic wound infections with a MIC value of 15.625 μg/mL. In vitro cytotoxicity experiments revealed excellent biocompatibility with a percent cell viability of more than 70 percent. The in vitro wound scratch healing assay exhibited that the sponges encapsulated with only metronidazole promoted high cell migration than the dual drug-loaded sponges and untreated cells, suggesting its potential to quicken the wound healing process. CMC/Poloxamer topical gels were also characterized by FTIR, followed by pH, viscosity, spreadability, cytotoxicity, and antibacterial studies. FTIR showed successful preparation of CMC/Poloxamer topical gels loaded with essential oils and Ag nanoparticles. The topical gels exhibited pH in the range of 5.20-6.68, spreadability between 5.4 and 5.9 cm, and viscosity ranged from 216 to 1200 cP at 50 rpm and 210–858 cP at 100 rpm. The in vitro drug release studies demonstrated that Ag nanoparticles were released from the topical gels in a sustained manner. Most formulated topical gels demonstrated superior antimicrobial efficacy against Gram-positive and Gram-negative bacteria strains than the blank gel and controls. The cytotoxicity analysis displayed more than 90.83 percent cell viability for the topical gels, revealing excellent biocompatibility. The outcomes revealed that the topical gels enriched with essential oils lavender and tea tree and Ag nanoparticles and sponges incorporated with metronidazole and Ag nanoparticles are potential wound dressing scaffolds that can be employed for the treatment of chronic infected injuries. The in vitro wound healing experiments showed that the HaCaT cells cultured with gels co-enriched with lavender oil and Ag nanoparticles possessed a higher rate of closure in comparison to the untreated cells for 96 hours. , Thesis (PhD) -- Faculty of Science and Agriculture, 2022
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  • Date Issued: 2022

Inmate incarceration and rehabilitation : a cross sectional study of rehabilitation programmes and facilities in correctional centres in North Western Nigeria

  • Authors: Amali, Sadiq Ewaoda
  • Date: 2018
  • Subjects: Criminal -- Rehabilitation Prisoners -- Counseling of Prisoners -- Mental health services
  • Language: English
  • Type: Thesis , Doctoral , Social Sciences
  • Identifier: http://hdl.handle.net/10353/9984 , vital:35215
  • Description: The study was conducted in Kano Central and Goron-Dutse prisons, North Western, Nigeria to determine the effectiveness of these correctional centres with regards to inmate rehabilitation. Both quantitative and qualitative collection was conducted concurrently and incorporated in the explanation of the results. This was achieved as the study empirically examined the experiences of convicted inmates and correctional officials in both correctional centres with a sample that compromised of both convicted male and female inmates as well as male and female correctional officials. A total of 250 questionnaires were administered to convicted inmates in Kano central and Goron-Dutse prisons. A sample size of 250 was determined using the sample size calculator at a confidence level of 95 percent, confidence interval of +/-5.97 percent, and with a population of 3488. Data for this study was generated from 250 respondents. Out of 250 respondents, questionnaires were administered to 140 inmates in Kano Central Prison and 110 questionnaires were administered to inmates in Goron Dutse Prison. The number of respondents in Kano Central Prisons is higher than that of Goron-Dutse Prison due to disparity in population of inmates. Also, 207 questionnaires were administered to correctional officials in Kano Central and Goron-Dutse prisons. A sample size of 207 was determined using the sample size calculator at a confidence interval of +/-5, confidence level of 95 percent and population of 449 correctional officials. Out of the 207 respondents, 107 questionnaires were administered to correctional officials in Kano Central Prison and 100 to correctional officials in Goron-Dutse Prison. The number of respondents in Kano Central Prison is higher than that of Goron-Dutse prison due to disparity in population of correctional officials. The selections were done using purposive sampling procedures. Rank, involvement in rehabilitation programmes were also used as criteria for selection of correctional officials as respondents. Furthermore, 28 correctional officials were selected purposively across the two correctional centres were interviewed. Thus, 14 correctional officials each were selected in Kano Central and Goron Dutse prisons using purposive sampling method. Thus, a total of 28 in-depth interviews were conducted in the study area. This study empirically probed into the factors mitigating against the effective rehabilitation of inmates. Therefore, against this background, this study involved an appraisal of rehabilitation programmes and facilities which was followed by an evaluation of inmates’ opinion of the correctional centre social setting and overall practices. Thus, inmate’s perceptions of correctional officials’ attitudes towards them and also its implication for re-integration principle was thoroughly appraised. The findings of this study were analyzed with the assistance of computer applications such as SPSS and atlas.ti.6. Some findings from this study revealed that only 15.7 percent of inmates in Kano Central prisons were satisfied with rehabilitation programmes, 37.3 percent were satisfied in Goron-Dutse prison while the majority of the inmates (88 percent) in Goron-Dutse prison stated that the relationship with correctional officials was cordial compared to 53.5 percent of the inmates in Kano Central prison. Also, data revealed that 64.2 percent of the inmates in Goron-Dutse Prison stated that medical attention was good and very good. The results also reveals that (58.9 percent) correctional officials stated that their relationship with inmates was very cordial compared to those of Goron-Dutse Prison (41.1 percent).Pearson Chi-square statistics showed that there was no statistical difference in correctional officials’ perceptions of the relationship with inmates between the two correctional centres (p.value>0.05). This study recommends that it is imperative for the Nigerian government to make more efforts with the provision of adequate rehabilitation programmes and facilities in the two correctional centres and correctional centres across the country as an exploration of existing literature reveals that most correctional centres in Nigeria lacked basic facilities for inmate rehabilitation as inmates were idle during incarceration.
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  • Date Issued: 2018

A systematic review of published literature examining the link between maternal attachment and adolescent anxiety

  • Authors: Amos-Brown, Alexa https://orcid.org/0000-0002-8180-3176
  • Date: 2022-02
  • Subjects: Adolescent psychopathology , Teenagers -- Mental health
  • Language: English
  • Type: Master's theses , text
  • Identifier: http://hdl.handle.net/10353/23677 , vital:58295
  • Description: Aim: Over the last few years, there has been a significant increase in mental health challenges in adolescents, specifically anxiety and depression. There has thus been concern around what could be causing this increase. The present study therefore aimed to examine the link between maternal attachment and adolescent anxiety. Methodology: The research was conducted using a qualitative systematic review as the methodological approach. The sample included ten academic journal articles. These articles were searched using Google Scholar and The University of Fort Hare’s library database search engine. Final articles were selected based on the systematic review process of ensuring that the articles matched the inclusion criteria, centred on the main research question and sub-questions. Findings and Results: At the end of the systematic review process, the final literature articles were analysed using thematic analysis, which identified, analysed, and reported emerging themes. The study revealed that secure attachment and sensitive parenting buffer and protect against the risk and onset of anxiety and adolescent internalizing behaviours. The thematic analysis findings identified emerging themes based on the data analysis, which include: ‘Sensitive parenting as a buffer’, ‘Quality attachment protects’, ‘Safe haven’, ‘Insecure attachment precedes emotion regulation difficulties’, ‘Insecure attachment is associated with anxiety’, ‘Social problems,’ and ‘Negative parental-control undermines attachment security’. Conclusion and recommendations: The extracts provided by the literature were able to successfully give sufficient information to meet all of my study’s research objectives. The findings revealed that very few articles spoke about interventions that can be applied to assist in the development of healthy maternal attachment. Therefore, it is recommended that research be conducted on attachment-based interventions and building restorative adolescent attachment bonds. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2022
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  • Date Issued: 2022-02

A comparative evolutionary approach to gum-feeding in Galago Moholi and Microcebus Griseorufus

  • Authors: Andrews, Curswan Allan
  • Date: 2014
  • Language: English
  • Type: Thesis , Masters , MSc (Zoology)
  • Identifier: vital:11795 , http://hdl.handle.net/10353/d1019831
  • Description: Gums are soluble plant exudates rich in complex carbohydrates. In primates, the consumption of gum (gummivory) has been described as a primitive, fall-back diet exhibited when other food sources become scarce, particularly during dry periods. In apparent support for this interpretation, gummivory is often observed in nocturnal strepsirhines (tooth-combed primates) believed to have retained many primitive features. The complex carbohydrates in gums, however, are also known to be difficult to digest, and require particular alimentary adaptations. The hypothesis of a primitive diet predicts that gummivorous strepsirhines should use homologous digestive strategies, while the presence of different digestive adaptations in different lineages would suggest convergent evolution. I compared the digestive adaptations to gummivory in two small strepsirhine taxa, African lesser bushbabies (Galago moholi) and Malagasy reddish-grey mouse lemurs (Microcebus griseorufus). Both taxa digest gum primarily by fermentation, and have enlarged caeca for this process, but only G. moholi has an ansa coli in which digestion can be continued. In captive feeding experiments, the faeces of wild-caught G. moholi and M. griseorufus showed no significant difference in their digestive efficiency of gum compared with a control food (banana), and the banana and gum samples showed no significant difference in nutrient concentration and overall composition. To gain a broader understanding of the origins of gummivory in strepsirhines, I used a phylogenetic method to reconstruct their dietary evolution. My results indicate that gummivory evolved convergently in several primate lineages, apparently in response to environmental hypervariability. I conducted biochemical analyses of the secondary compounds found in gums that are regularly consumed, and preliminary results show that Commiphora spp. have a number of compounds, while Acacia spp. show no such traces. The absence of secondary compounds from M. griseorufus faeces suggests that the animals have physiological means for either converting them into digestible products or detoxifying and excreting them in their urine. Finally, I compared the distribution patterns of G. moholi and M. griseorufus with climatic parameters; both study taxa inhabit regions in which the dry season is characterised by little to no rainfall, a drought that may persist for months. Similar climatic regions are occupied by other gum-feeders, including the marsupial gliders (Petauridae) of Australia.
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  • Date Issued: 2014

Revisiting Coloniasm : An exploration of its legacy in four African texts

  • Authors: Andzongo, Marjorie Debande Eseme
  • Date: 2011-01
  • Subjects: Colonies -- History , Africa -- Colonisation , Africa -- Politics and government
  • Language: English
  • Type: Master's theses , text
  • Identifier: http://hdl.handle.net/10353/23282 , vital:57019
  • Description: The purpose of this study was to revisit the topic of colonialism once more, in order to ascertain whether it had both negative and positive impacts in Africa. This is so because colonialism is mostly renowned for its negative attributes, therefore, the study attempted to give a more balanced analysis of colonialism and its effects on the colonies and colonised subjects. To this effect, the study examined four African texts: Chinua Achebe’s Things Fall Apart(1967), Ngugi wa Thiong’o and Ngugi Wa Mirri’s I Will Marry When I Want (1982), Mongo Beti’s Mission to Kala (1957) and Sembene Ousmane’s The Last of The Empire (1983). The analysis showed that colonialism did have damaging and constructive impacts on the former colonies. However, these constructive impacts have their limitations where Africans are concerned. The study also came to the conclusion that despite the destructiveness of colonialism there are vital aspects of the Western civilisation that need to be and have been accommodated by Africans. Therefore, amalgamating the positives of various cultures rather than trying to separate them, is the way forward for people of any race as the world has undeniably become a global village. It is easy to see the wrongs and injustices of European Imperialism in Africa. African culture was damaged. The Europeans did not understand tribal differences and tribal customs. They did not even try to understand. The Europeans forced the Africans to learn new ways. They tried to make the Africans feel inferior. They forced the Africans to accept European government, religion, and languages. They drew up colonial boundaries without giving any thought to splitting up tribes. Some of the things the Europeans did in Africa helped the natives. But most of those things were done for the sake of the Europeans. Railway systems, roads, and schools were built and the continent of Africa was opened up to the rest of the world. , Thesis (MA) -- Faculty of Social Sciences and Humanities, 2011
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Evaluation of Raymond Mhlaba Local Municipality communication strategies in reducing the risk of water-borne diseases outbreak

  • Authors: Animawun, Oluwatosin Tolulope
  • Date: 2018
  • Subjects: Communication in public health Communicable diseases -- Prevention Waterborne infection -- Prevention
  • Language: English
  • Type: Thesis , Masters , MSoc
  • Identifier: http://hdl.handle.net/10353/10531 , vital:35595
  • Description: Health Communication plays an important role in health sustenance. It is cardinal to disease prevention, health promotion and quality of life. Water-borne diseases are known to pose a significant threat to global health and has claimed many lives. This study seeks to evaluate Raymond Mhlaba Local Municipality’s communication strategies employed in reducing the risk of water-borne diseases outbreak in the community. The research method used for this study is mixed method. In-depth interview and questionnaire was used to collect data. The two sampling procedures that were used in this study are purposive sampling for the qualitative aspect of this study and simple random sampling for the quantitative aspect of this study. The conclusion that was drawn from this study is that Raymond Mhlaba (formerly Nkonkobe) Local Municipality makes use of a communication strategy, which is awareness campaign, in educating its people about water-borne diseases and its prevention but the information is limited in its reach. This study recommends that the awareness campaign done by Raymond Mhlaba (formerly Nkonkobe) Local Municipality should be embarked on more frequently because the more the messages are reinforced for a long time, the more the people in the community are able to remember and the greater the likelihood that they will act upon the message. In addition, Raymond Mhlaba (formerly Nkonkobe) Local Municipality should carry out evaluations like this research at least quarterly in order to assess the impact of the awareness campaigns on the Community, which can also be used as a tool to educate the people of Raymond Mhlaba Local Municipality about Water-borne diseases. Finally, social media is a new trend that most people are now into, most especially the youths; Raymond Mhlaba (formerly Nkonkobe) Local Municipality should key into this and educate the public on platforms on social media as it can be seen as a form of reinforcing health information.
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  • Date Issued: 2018

Characterization of Staphylococcus aureus and Methicillin-resistant Staphylococcus aureus (MRSA) in selected recreational marine waters and beach sand in the Eastern Cape Province, South Africa

  • Authors: Ankabi, Olufemi Emmanuel
  • Date: 2017
  • Subjects: Marine microbiology -- South Africa -- Eastern Cape Staphylococcus aureus infections -- South Africa -- Eastern Cape Pathogenic microorganisms
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: http://hdl.handle.net/10353/4992 , vital:28915
  • Description: Staphylococcus aureus is a Gram-positive bacterium predominantly found on human skin and in nasal passages with 20 to 40 percent of the population carrying this organism. Although S. aureus is an unspectacular, non-motile coccoid bacterium, it is a perilous human pathogen associated with both nosocomial and community-acquired infections and it is increasingly becoming virulent and resistant to most antibiotics. It is responsible for several infections such as osteomyelitis, toxin-mediated diseases and bacteraemia, with severe infections arising from strains harbouring antibiotic resistance genes together with virulence genes. S. aureus has been largely confined to hospitals and long-term care facilities, but it is now emerging in the community in places such as recreational beach waters, and occurring in healthy individuals with no associated risk factors. This organism has been reported to be released by swimmers in beaches, suggesting that recreational waters are a potential source of community-acquired S. aureus infections. It is possibly the pathogen of greatest concern due to its intrinsic virulence, its capacity to cause various life-threatening infections, and its ability to adapt to varying environmental conditions. This study was aimed at characterizing S. aureus and methicillin-resistant S. aureus (MRSA) in Port Elizabeth, Port Alfred, Kenton-on-sea and East London beaches of the Eastern Cape Province of South Africa. This was done by investigating the occurrence, antibiotic susceptibilities, antibiotic-resistant genes and virulence genes profiles of S. aureus in the selected beaches. To achieve this aim, 249 beach sand and water samples were obtained from the beaches during the period of April 2015 to April 2016. Physico-chemical parameters of beach water was investigated on site using a multi-parameter ion specific meter during sample collection. Samples were filtered and inoculated on m-Endo agar, m-FC agar and bile aesculin azide agar for total and faecal coliform as well as Enterococci respectively. For isolation of S. aureus and MRSA, samples were cultured on Mannitol salt agar and Staph 24 agar. S. aureus was identified using morphological, Gram staining and molecular (PCR) methods. The isolates were further characterized by determining their antimicrobial resistance profiles, antibiotic resistant genes (mecA, rpoB, blaZ, ermB and tetK genes) and detection of virulent genes encoding intracellular adhesion (icaA), enterotoxin (seaA) and cytolytic toxins (PVL). The majority of study sites passed the directives of physico-chemical standards levels set by WHO during the study period. A total of 143 presumptive isolates were obtained of which 30 (30 percent) were confirmed as S. aureus with 22 (73.3 percent) of these confirmed isolates from marine water and 8 (26.7 percent) from marine sand. Upon culturing on MRSA 2 agar, 15 (50 percent) of isolates showed phonotypic resistance to methicillin. Based on Antimicrobial susceptibility tests, (22/30) 73.3 percent of the isolates showed phonotypic resistance to oxacillin. Out of the 30 isolates, 16 (53.3 percent) were mecA positive and were considered methicillin-resistant S. aureus. S. aureus showed high susceptibility to gentamycin, cefoxithin, levofloxacin, ciprofloxacin, imipenem, and chloramphenicol. A large proportion (36.67 percent to 96.7 percent) of the S. aureus isolates was resistant to penicillin G, ampicillin, oxacillin, tetracycline, clindamycin, rifampicin, vancomycin, sulfamethoxazole-Trimethoprim and erythromycin. Multiple antibiotic resistance (MAR) phenotypes were generated from 7 S. aureus isolates showing resistance to three or more antibiotics. The mecA, rpoB, blaZ, ermB and tetM genes coding for methicillin, rifampicin, βeta-lactam, erythromycin and tetracycline antibiotics resistance was detected in 5 (22.7 percent), 11 (45.8 percent), 16 (55.2 percent), 15 (71.4 percent) and 8 (72.7 percent) respectively. The PVL, icaA and seaA genes coding for virulent determinants were detected in 50, 20 and 13.3 percent of the confirmed isolates respectively. Physico-chemical and faecal indicator bacteria results obtained from this study can assist municipal authorities in developing appropriate management strategies for beaches in the study area. The findings of this study showed that the investigated beaches were contaminated with toxigenic and multi-drug resistant S. aureus strains. This emphasizes the need for the implementation of better control measures to reduce the occurrence of antibiotic resistant S. aureus and of virulent S. aureus strains in recreational waters. In our study it was established that the potential of recreational waters to be reservoirs of S. aureus should not be taken for granted, and it is important that beach goers be educated about this organism as well as other related pathogens that could affect human health, especially immuno-compromised individuals. The community should be educated on antibiotic stewardship and the detrimental effects of antibiotics abuse.
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  • Date Issued: 2017

Post-conflict reconstruction and development in South Sudan

  • Authors: Annan, David https://orcid.org/0000-0001-9199-102X
  • Date: 2019-08
  • Subjects: Peace-building , Conflict management , South Sudan -- Politics and government -- 2011-
  • Language: English
  • Type: Doctoral theses , text
  • Identifier: http://hdl.handle.net/10353/19925 , vital:44486
  • Description: The primary goal of this study was to identify possibilities for a common ground for reconciliation and restoring law and order through internally driven post-conflict reconstruction and development (PCRD) in South Sudan to prevent the recurrence of violent conflict and to attain peace, socio-economic and sustainable development. The existing literature about PCRD is mainly written by authors, policymakers and scholars who mostly support externally driven interventions and operations of ready-made ‘solutions’ to complex problems in war-torn countries without exploring internally driven approval to solve these conflicts. It is because of the failure of these externally driven approaches and the absence of a common goal for reconciliation that this study has been conceived to explore alternative approaches for reconciliation and post-conflict settlement to restore responsible law and order, build resilient good governance and to build legitimate state institutions in South Sudan. To better understand in-conflict and post-conflict societies and their needs, the study uses a qualitative methodology approach through explorative and interpretative mechanisms to purposely put together face-to-face interviews of people’s opinions on the current civil conflict in South Sudan. The findings indicate that for peace to be restored there is a need for an internally national dialogue and reconciliation and external actors must support locally driven initiation to enable lasting peace to prevail in South Sudan. The research uses cosmopolitan conflict transformation resolution (CCTR) to demonstrate perspective and knowledge of the South Sudanese on peace-building to provide an alternative contribution to efficient intervention in the South Sudan conflict. Without peace there cannot be effective lasting development and without development, it is almost impossible to establish lasting peace. Hence, the study views PCRD more as a sustainable development intervention through an internally driven approach than a market-biased political process to prevent relapse of violent conflict in South Sudan. , Thesis (PhD) -- Faculty of Management and Commerce, 2019
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  • Date Issued: 2019-08

Gasification characteristics of sugarcane bagasse

  • Authors: Anukam, Anthony Ike
  • Date: 2013
  • Subjects: Bagasse -- Bagasse industry , Sugarcane -- Biotechnology , Computer simulation
  • Language: English
  • Type: Thesis , Masters , MSc (Chemistry)
  • Identifier: vital:11343 , http://hdl.handle.net/10353/d1016170 , Bagasse -- Bagasse industry , Sugarcane -- Biotechnology , Computer simulation
  • Description: Sugarcane is a major crop in many countries. It is the most abundant lignocellulosic material in tropical countries such as South Africa. It is one of the plants with the highest bioconversion efficiency. The sugarcane crop is able to efficiently fix solar energy, yielding some 55 tons of dry matter per hectare of land annually. After harvest, the crop produces sugar juice and bagasse. Sugarcane bagasse is a residue that results from the crushing of sugarcane in the sugar industry. It is a renewable feedstock that can be used for power generation and manufacturing cellulosic ethanol. As biomass, sugarcane bagasse holds promise as a fuel source since it can produce more than enough electricity and heat energy to supply the needs of a common sugar factory. However, in the sugarcane industry the bagasse is currently burnt inefficiently in boilers that provide the heating for the industry. This project seeks to investigate the possibility of gasifying sugarcane bagasse as an efficient conversion technology. The investigation is necessary because fuel properties govern the gasifier design and ultimately, the gasification efficiency. Proximate and ultimate analysis of sugarcane bagasse was conducted after which the results were used to conduct a computer simulation of the mass and energy balance during gasification. The kinetic investigation undertaken through the TGA and DTG analyses revealed the activation energy and pre – exponential factor which were obtained by the model – free Kissinger method of kinetic analysis and were found to be 181.51 kJ/mol and 3.1 × 103/min respectively. The heating value of sugarcane bagasse was also measured and found to be 17.8 MJ/kg, which was used in the calculation of the conversion efficiency of the gasification process. Fuel properties, including moisture content and gasifier operating parameters were varied in order to determine optimum gasifier operating conditions that results in maximum conversion efficiency. The highest conversion efficiency was achieved at low moisture content after computer simulation of the gasification process. Moisture content also affected the volume of CO and H2 as the former decreases with increasing moisture content while the latter increases with increasing moisture content, accelerating the water – gas reaction. Scanning electron microscope fitted to an Energy dispersive X – ray spectroscopy was also used in order to view the shape and size distribution as well as determine the elemental composition of sugarcane bagasse. The results obtained established that the fuel properties and gasification conditions affect the conversion efficiency. During computer simulation, it was established that smaller particle size resulted in higher conversion efficiency. The smaller throat diameter also resulted in higher conversion efficiency. The throat angle of 25° also resulted in higher conversion efficiency. The temperature of input air was also found to be one of the major determining factors in terms of conversion efficiency. The dissertation presents the proximate and ultimate analysis results as well as the kinetic analysis results. The SEM/EDX analysis as well as the computer simulation results of the gasification process is also presented. The major contribution of this project was on the investigation of the gasification characteristics of sugarcane bagasse and the utilization of these in the design of a laboratory scale sugarcane bagasse gasifier with enhanced conversion efficiency through computer simulation.
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  • Date Issued: 2013

A comparative analysis of the rights of the child with particular reference to child soldiers

  • Authors: Anwo, Joel Olasunkanmi
  • Date: 2008
  • Subjects: Children's rights -- Child welfare -- Demobilization of children , Disarmament -- Reintegration
  • Language: English
  • Type: Thesis , Doctoral , LLD
  • Identifier: vital:11108 , http://hdl.handle.net/10353/102 , Children's rights -- Child welfare -- Demobilization of children , Disarmament -- Reintegration
  • Description: The recruitment, enlistment and forceful conscription of children as soldiers is a cause for grave concern all over the world and most especially in Africa, where years of factional fighting, civil wars and cross border conflicts have raged, children and youth have been pulled into violence not only as victims, but also as perpetrators. The involvement of children in war posses a severe challenge to prevailing moral and legal norms of the conduct of modern warfare. A major problem and most controversial issue, among others, is on the age at which children should be eligible to become combatants. Children, who may be viewed as a valuable resource due to their often inherent malleability, wish to avenge family member(s) killed in war, sense of immunity to danger, and or feeling of power in participating in the violence. Can the use of children as soldiers be effectively regulated in Africa? All efforts to assist child soldiers in recovering from the devastating effects of wars often unwillingly helped promote the growing number of child soldiers. This is in part because wars are now more fought internally among rebel armies and factions vying for power with the government and thus enlist children into their various armies. The study comes to a conclusion that drastic steps need to be taken to ameliorate this unfortunate situation. This formed the basis of the recommendations offered in the thesis to assist the African continent.
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  • Date Issued: 2008

The experiences of secondary traumatic stress among social workers who deal with traumatised populations : a case study of Buffalo City Municipality, Eastern Cape, South Africa

  • Authors: Anyi, Marynet Ema Tangwe
  • Date: 2018
  • Subjects: Secondary traumatic stress Social workers -- Mental health Social service -- Psychological aspects
  • Language: English
  • Type: Thesis , Masters , Social Work
  • Identifier: http://hdl.handle.net/10353/9951 , vital:35207
  • Description: The aim of the research study was to investigate the experiences of secondary traumatic stress among social workers who deal with traumatised populations in the Buffalo City Municipality in the province of the Eastern Cape in South Africa. Qualitative research methods were employed to collect data from thirty participants; twenty were interviewed and 10 participated in a focus group discussion. The most significant finding of this study was that there is a high rate of secondary traumatic stress among social workers, particularly among those who practice in nongovernmental organisations (NGOs), especially those social workers who work with children. The intensity of secondary traumatic stress among social workers appears to be growing steadily, owing to either inadequate or a complete lack of supervision and support on the part of the agencies concerned. The study concludes that social workers are highly at risk of experiencing secondary traumatic stress. The study therefore recommends that policies that are there to protect social workers should be implemented and institutions of higher learning which educate and train social workers need to implement courses in their syllabuses which prepare students for the stresses which they will inevitably encounter while working in the field of social work, particularly secondary traumatic stress.
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  • Date Issued: 2018

Comparative performance of 3-kWp ranges Solar Photovoltaic Systems under varying meteorological conditions in Alice, Eastern Cape Province, South Africa

  • Authors: Apeh, Oliver Okechukwu https://orcid.org/0000-0003-4076-0613
  • Date: 2021-08
  • Subjects: Photovoltaic power systems , Solar energy
  • Language: English
  • Type: Doctoral theses , text
  • Identifier: http://hdl.handle.net/10353/21567 , vital:48888
  • Description: PVsystem has recently emerged in South Africa as a way to curb the country’s persistent shortage of electricity. A wide effort for the past few decades have targeted at study, testing and demonstration of PV power systems which was established all over the country as an appropriate measure to tackle transportation, agriculture, industry, commercial as well as domestic activities. In view of these drives, both off-grid and grid-connected PV systems are being applied. However, operating a building with an off-grid system is one of the means to providing the possibility of energy access to places far away from the national grid. As an off-grid choice, 50 W SHS is being distributed to customers in distant rustic parts of the country where grid option is difficult to access. But the SHS of the stated capacity can barely generate 0.3 to 0.4 kWh of electric energy per day, even at the optimal solar radiations. In view of this, more efforts are directed at expanding the off-grid systems to accommodate large rural households in South Africa. This thesis is dedicated to a study on the various configurations and components of PV power plant as a way to enhance electricity generations in South Africa. To this effect, different power plants were considered at SolarWatt park, University of Fort Hare with the aim to conduct a comparative analysis of the charge controllers with respect to the charge and discharge rates of their respective batteries. The grid-connected PV power generation was classified into hybrid PV and grid-assisted PV, while off-grid is a BIPV. These power plants generations were installed for the purpose of research level with a total capacity of 11.4 kW. The off-grid system is made up of HIT modules, FlexMax80 charge controller, Victron energy inverter and M-Molar battery bank. The hybrid and grid-assisted systems each consist of 15 polycrystalline modules and Microcare charge controllers. In addition, hybrid comprises SMA Sunny Island inverter and Trojan battery bank whereas grid-assisted consist of Microcare inverter and Hoppercke battery bank. The first part of the experimental work was monitored, and the meteorological parameters which are ambient temperature, solar radiation, relative humidity and wind speed, were measured and evaluated while electrical parameters includes PV current and voltage, MPPT current and voltage, battery current and voltage and inverter current and voltage were also measured and evaluated in the second part of the experiment. This lasted for a period of four years, starting from 1st January 2017 to 31st December 2020. Similarly, the second aspect was to monitor the electrical performance of the three systems and was performed for a period of six months, starting from January to June 2019. During the second experiment, hybrid and grid-assisted systems were reconfigured to function as off-grid systems. Moreover, a detailed data acquisition system designed to measure and record both meteorological and electrical parameters affecting the performance of the systems. The electrical parameters include PV current and voltage, MPPT current, battery current and voltage and inverter current and voltage. Other parameters in the measurements are; inverter efficiency, active and apparent power, while meteorological parameters include; solar irradiance, ambient temperature, relative humidity, wind speed and direction. The meteorological results show that the maximum and minimum mean amount of global solar radiation was 7.34 kWh/m2/day in December and 3.03 kWh/m2/day in June, respectively, while the average radiation and temperature for the typical year were 4.98 kWh/m2/day and 16.88 oC respectively. The solar radiations obtained are within the range in major places in South Africa. Similarly, an average wind speed of 2.5 m/s is experienced in Alice in a year and average solar radiation of 606.06 W/m2 in summer and 346.17 W/m2 in winter. The three lead-acid battery systems monitored under the electrical aspect are M-Molar, Trojan and Hoppecke battery systems. It was established that the charging current decreases gradually from 27.7 to 18.5 A for the M-Molar while Hoppecke and Trojan deceased respectively from 15 to 10 A and 23 to 13 A at the end of each phase by charging it at the maximum power point of the PV array. It was equally found that the M-Molar battery current has the highest rate of charging and quickest rate of discharging in comparison to the other two batteries. Finally, from the results gotten from this research, we may propose that the solar PV system contributes significantly to the satisfaction of the needed electricity in South Africa. , Thesis (PhD) -- Faculty of Science and Agriculture, 2021
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  • Date Issued: 2021-08

The impact of the farmer field school approach on small-scale vegetable farmers' knowledge, agency and production in Alice, Eastern Cape

  • Authors: Apleni, Asanda
  • Date: 2017
  • Subjects: Agricultural extension work -- South Africa -- Eastern Cape
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: http://hdl.handle.net/10353/8187 , vital:31873
  • Description: This study investigates the impact of the Farmer Field School approach on the knowledge, agency and production of small-scale farmers. Farmer Field Schools were devised in the 1980s by the Food and Agriculture Organization as a form of adult education in agriculture. It is a group-based approach in which a facilitator meets with farmers on a regular basis and sets in motion a process by which farmers ‘learn how to learn’, both from themselves and from one another. However, it remains an open question whether the Farmer Field School approach could be a solution to South Africa’s abiding problem of weak agricultural extension. Early in 2015, the University of Fort Hare and the Nkonkobe Farmers’ Association initiated a number of study groups in the Alice area, based largely on Farmer Field School principles. The main objective of the study was to assess the impact of the Farmer Field School approach on small-scale farmers’ knowledge, agency and production, focusing on home gardeners. The study was conducted in the Raymond Mhlaba Local Municipality in Alice of the Eastern Cape Province of South Africa. The research consisted of a survey of all the study group participants involved with home gardens, including some who joined the groups in 2015 but left in 2016. Both cross-sectional and longitudinal designs were used. Findings from this study have shown how participation in the study groups modelled on the FFS approach can improve the knowledge and skills of home gardeners, while also enabling them to produce significantly larger quantities of vegetables, and even a marketable surplus, albeit from a small base. In order to make more people to join, more incentives should be made available. Such incentives should be made available only to “kick start” the FFS study groups and take heed in prevention of dependence.
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  • Date Issued: 2017

The classification of fuzzy subgroups of some finite non-cyclic abelian p- groups of rank 3, with emphasis on the number of distinct fuzzy subgroups

  • Authors: Appiah, Isaac Kwadwo
  • Date: 2021-03
  • Subjects: Fuzzy sets , Commutative algebra
  • Language: English
  • Type: Doctoral theses , text
  • Identifier: http://hdl.handle.net/10353/20783 , vital:46563
  • Description: In [6] and [7] we classi_ed fuzzy subgroups of some rank-3 abelian groups of the form G = Zpn + Zp + Zp for any _xed prime integer p and any positive integer n, using the natural equivalence relation de_ned in [40]. In this thesis, we extend our classi_cation of fuzzy subgroups in [6] to the group G = Zpn + Zpm + Zp for any _xed prime integer p; m = 2 and any positive integer n using the same natural equivalence relation studied in [40]. We present and prove explicit polynomial formulae for the number of (i) subgroups, (ii) maximal chains of subgroups of G for any n;m _ 2 and (iii) distinct fuzzy subgroups for m = 2 and n _ 2. We have also developed user-friendly polynomial formulae for the number of (iv) subgroups, (v) maximal chains for the group G = Zpn + Zpm for any n;m _ 2; any _xed prime positive integer p and (vi) distinct fuzzy subgroups of Zpn + Zpm for m equal to 2 and 3, and n _ 2 and provided their proofs. , Thesis (PhD) -- Faculty of Science and Agriculture, 2021
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  • Date Issued: 2021-03

The classsification of fuzzy subgroups of some finite Abelian p-groups of rank 3

  • Authors: Appiah, Isaac Kwadwo
  • Date: 2016
  • Subjects: Fuzzy sets Abelian groups Finite groups
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: http://hdl.handle.net/10353/2468 , vital:27845
  • Description: An important trend in fuzzy group theory in recent years has been the notion of classification of fuzzy subgroups using a suitable equivalence relation. In this dissertation, we have successfully used the natural equivalence relation defined by Murali and Makamba in [81] and a natural fuzzy isomorphism to classify fuzzy subgroups of some finite abelian p-groups of rank three of the form Zpn + Zp + Zp for any fixed prime integer p and any positive integer n. This was achieved through the usage of a suitable technique of enumerating distinct fuzzy subgroups and non-isomorphic fuzzy subgroups of G. We commence by giving a brief discussion on the theory of fuzzy sets and fuzzy subgroups from the perspective of group theory through to the theory of sets, leading us to establish a linkage among these theories. We have also shown in this dissertation that the converse of theorem 3.1 proposed by Das in [24] is incorrect by giving a counter example and restate the theorem. We have then reviewed and enriched the study conducted by Ngcibi in [94] by characterising the non-isomorphic fuzzy subgroups in that study. We have also developed a formula to compute the crisp subgroups of the under-studied group and provide its proof. Furthermore, we have compared the equivalence relation under which the classification problem is based with various versions of equivalence studied in the literature. We managed to use this counting technique to obtain explicit formulae for the number of maximal chains, distinct fuzzy subgroups, non-isomorphic maximal chains and non-isomorphic fuzzy subgroups of these groups and their proofs are provided.
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  • Date Issued: 2016

Evaluation of antidiarrhoeal and toxicological properties of Hermannia Incana cav.: a South African medicinal plant

  • Authors: Appidi, Jaipal Reddy
  • Date: 2010
  • Subjects: Sterculiaceae , Medicinal plants -- South Africa -- Eastern Cape , Diarrhea , Botany, Medical
  • Language: English
  • Type: Thesis , Doctoral , PhD
  • Identifier: vital:11304 , http://hdl.handle.net/10353/259 , Sterculiaceae , Medicinal plants -- South Africa -- Eastern Cape , Diarrhea , Botany, Medical
  • Description: Hermannia incana Cav. (Sterculiaceae), known as sweet yellow bells, is a medicinal plant used by the people of the Eastern Cape for the treatment of stomach-ache and diarrhoea. It has purgative and diaphoretic effects. It is a prostrate herb with yellow flowers and sparsely hairy and slightly glandular leaves, occurring in grassland and marshes in the Eastern Cape Province of South Africa. Based on the ethnomedical uses of this plant, the research project was designed to evaluate its antidiarrhoeal and toxicological properties. An ethnobotanical study of plants used for the treatment of diarrhoea in the Eastern Cape Province was carried out, using a questionnaire which was administered to herbalists, traditional healers and rural dwellers. This survey indicated a total of 17 plant species from 14 families. Elephantorrhiza elephantine (Burch.) Skeels, Hermannia incana Cav., Pelargonium reniforme Curt., Alepidea amatymbica Eckl. & Zeyh. and Bulbine latifolia (L.f.) Roem. et Schult. were the most frequently mentioned and highly recommended plants for the treatment of diarrhoea by both the traditional healers and rural dwellers. The root, bark and leaves are the common parts of plants used, while decoctions and infusions are the main methods of preparation. The agar dilution method was used to study the antimicrobial activity. The methanol extracts of the plant showed appreciable activity against Gram-positive and Gram-negative bacteria at concentrations ranging from 0.5 to 7.0 mg/ml. The acetone and water extracts of both the leaves and the roots showed moderate activity against Gram positive bacteria and less activity against Gram negative bacteria. All the extracts inhibited the growth of the fungi Aspergillus flavus, Aspergillus niger, and Mucor hiemalis with growth inhibition ranging from 54.31 percent to 96.67 percent at 0.1-10 mg/ml. None of the extracts suppressed the growth of Candida albicans at the maximum concentration (10 mg/ml) tested. iii In the in vivo antidiarrhoeal evaluation using Wistar rats, the aqueous extract at all the doses tested, significantly prolonged the time of induction of diarrhoea and also reduced the frequency of diarrhoeal episodes and fecal parameters (total number, number of wet, fresh and dry weight and water content of the faeces). The percentage inhibition of defecation and intestinal content (enteropooling) were increased in dose dependent manner. The doses also reduced the intestinal transit time of charcoal, masses and volumes of intestinal fluid (gastrointestinal motility). These results are indications of antidiarrhoeal property of H. incana leaf extract with the 600 mg/kg body weight of the extract being the most effective. In the toxicological evaluation using Wistar rats, the oral administration of the extract did not produce any significant effect on the liver and kidney body weight ratios, RBC, HB, PCV, MCV MCH, MCHC, RCDW, WBC, neutrophils, monocytes and basophils cholesterol, triacylglycerol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol and atherogenic index. The extract also did not affect the levels of sodium, potassium, chloride, inorganic phosphorus, urea, creatinine, total protein, globulin, albumin, total and conjugated bilirubin. The activities of alkaline phosphatase, gamma glutamyl transferase and alanine aminotransaminase in the serum were increased by the extract whereas aspartate aminotransaminase was decreased. The levels of LUC, platelets, lymphocytes and eosinophils were significantly affected at 600 mg/kg body weight. The available evidence in this study suggests that the extract of H. incana leaf is mild, parameter and dose specific. The structure and distribution of foliar appendages on the leaves of this plant were investigated with the JEOL (JSM-6390LV) scanning electron microscope (SEM). Both glandular and non-glandular trichomes were observed. Long stalked glandular trichomes were present on both the abaxial and adaxial surfaces while short stalked glandular trichomes were present only on the adaxial surface. Glandular trichomes were capitate while nonglandular trichomes were stellate with many arms. Energy dispersive X-ray spectroscopyiv SEM showed that Al, Ca, K, Na, Ti and Si were the major constituents of the crystals analyzed from the leaf surfaces. The phytochemical screening of H. incana revealed the presence of bioactive antidiarrhoeal agents such as alkaloids, tannins, saponins, phenolics, triterpenes, cardiac glycosides, flavonoids, cardenolides and dienolides. Two flavonoids, epicatechin and 3, 5, 7, 2’ tetra-hydroxy flavone-3- O--D-glucopyranoside were isolated from the leaves of the plant through bio-active guided fractionation. Both these compounds were screened against diarrhoea causative organisms (Echerichia coli, Shigella flexneri, Bacillus cereus and Staphylococcus aureus) and exhibiting minimum inhibitory concentrations ranging from 12.5 to 100 μg/ml. The findings from this research have generally justified the traditional use of this plant for the treatment of diarrhoea in this province.
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  • Date Issued: 2010

Sub-Saharan Africa to c.1870: HIS 122/122E

  • Authors: April, T , Manson, A , Andreas, C , Yekela, D S , Minkley, G , Maliza, N T
  • Date: 2011-01
  • Language: English
  • Type: Examination paper
  • Identifier: vital:18373 , http://hdl.handle.net/10353/d1011530
  • Description: Sub-Saharan Africa to c.1870: HIS 122/122E, supplementary examination January/February 2011.
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  • Date Issued: 2011-01

Women, land rights and HIV/AIDS in Zimbabwe: the case of Zvimba communal area in Mashonaland West Province

  • Authors: Arisunta, Caroline
  • Date: 2010
  • Subjects: Land tenure -- Zimbabwe , AIDS (Disease) in women -- Zimbabwe , Agricultural productivity -- Zimbabwe , Women farmers -- Zimbabwe , Women in agriculture -- Zimbabwe , Widowhood -- Zimbabwe , Inheritance and succession -- Zimbabwe , HIV-positive persons -- Zimbabwe
  • Language: English
  • Type: Thesis , Masters , M Soc Sc (Rural Development)
  • Identifier: vital:11939 , http://hdl.handle.net/10353/233 , Land tenure -- Zimbabwe , AIDS (Disease) in women -- Zimbabwe , Agricultural productivity -- Zimbabwe , Women farmers -- Zimbabwe , Women in agriculture -- Zimbabwe , Widowhood -- Zimbabwe , Inheritance and succession -- Zimbabwe , HIV-positive persons -- Zimbabwe
  • Description: This study explores women’s access to land under the customary tenure system. It examines how the changes in land tenure, access and rights to land as a consequence of HIV/AIDS are affecting agricultural productivity, food security and poverty, with a specific focus on women who have lost their husbands to HIV/AIDS in Zvimba. Zvimba is a village community located in Zvimba District in the Mashonaland West Province of Zimbabwe. The study also discusses policy responses designed to cushion the impact of HIV/AIDS on local communities especially women living with HIV/AIDS. The study highlights the vulnerability of widows to land rights violations, mainly inflicted by relatives but sometimes by the wider community. The main form of abuse encountered included the use of abusive language, threats of evictions and at times, beatings. The legal route for seeking redress was rarely used. Fear of witchcraft, low educational levels and fear of causing conflict between children and their paternal relatives also led widows to abandon the fight for their rights. The study further reveals that widows are heavily exposed to dispossession of their land rights. HIV/AIDS has increased the vulnerability of widows and other women to threats and dispossession of their land and other property rights. Dispossession of arable fields was observed in the four wards. The dispossessions and threats to livelihoods were directly related to the HIV positive status of the widows. The findings from this study illustrate the predominant role that male members of the household or family have over land. Thus, culture and traditional practices still affect women in other cases, disadvantaging them in favour of men, as in inheritance of land and property in the household.
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  • Date Issued: 2010

Accessing learner support services in a distance education context at UNISA Adult Basic Education Department

  • Authors: Arko-Achemfuor, Akwasi
  • Date: 2013
  • Subjects: Distance education -- South Africa , Universities and colleges -- South Africa , Adult education -- South Africa , Educational innovations -- South Africa , Educational technology -- South Africa , Education, Higher -- South Africa
  • Language: English
  • Type: Thesis , Masters , M Ed
  • Identifier: vital:16199 , http://hdl.handle.net/10353/d1013382 , Distance education -- South Africa , Universities and colleges -- South Africa , Adult education -- South Africa , Educational innovations -- South Africa , Educational technology -- South Africa , Education, Higher -- South Africa
  • Description: This study investigated the access to learner support services by Unisa‟s ABET students in the Department of Adult Education in one of the rural provinces in South Africa. Specifically, a survey using questionnaire and focus group interview was carried out to determine the access gaps in to the learner support services by Unisa‟s adult students. A literature study preceded the empirical study to fully comprehend the theoretical and conceptual underpinnings of the role of learner support in bridging the transactional distance between students on the one hand and the institution on the other hand. In the empirical study phase, a questionnaire was administered to 150 ABET Students in one province in South Africa through the stratified sampling technique and one focus group interview comprising 10 students who access support services at one of the regional offices to assess the importance they attach to the support services that are offered at the regional centres and the extent to which they are able to access them. The focus group interview comprised questions on the students‟ understanding of learner support services and their experiences in accessing them. Moore‟s theory of transactional distance was used as the theoretical base for the study. Out of a total of the 150 questionnaires that were distributed, 117 were the usable representing 78.0% response rate. One of the conclusions drawn from this study is that, although Unisa has most of the learner support services in place but for various reasons, a lot of the students are not able to access the support services as expected as the needs gap for almost all the support services were high. The chi-square tests found significant differences (p is less than 0.05) between the students on the extent to which they are able to access the support services. An integrated learner support framework was suggested for Unisa and other distance providing institutions to address the access gaps adult students‟ encounter in their studies.
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  • Date Issued: 2013

Factors influencing attendance by diabetic patients for their yearly ophthalmic reviews at a private ophthalmic practice in East London, South Africa

  • Authors: Arnolds, Nadine Chrystal
  • Date: 2016
  • Language: English
  • Type: Thesis , Masters , MSc (Nursing Science)
  • Identifier: vital:11928 , http://hdl.handle.net/10353/d1021321
  • Description: Diabetic retinopathies is a complication of diabetes mellitus causing blindness globally, and as patients live longer, cases of diabetic retinopathy increases. Despite efforts to educate patients at their eye visits, yearly follow up visits is still a major challenge. Key words: Diabetes, Diabetic retinopathy, health systems, non-attendance, knowledge, attitude, behaviour, gender, fear and anxiety Objectives: The objectives of the study were to investigate the reasons for non-compliance by determining the relationship among the selected factors (knowledge/ confidence/ fear and anxiety) and adherence to yearly reviews. Methods: Data were collected from adult diabetic patients who attended the private practice for an eye review by the ophthalmologist. The instrument used was a semi- structured questionnaire with sections covering demographics, statements regarding diabetes and diabetic eye care and one section with an open ended question to determine the reasons for non- attendance. Data analysis: Measures of central tendency were checked and expressed in terms of percentages and tables. The inferential statistics was also conducted to determine the relationship amongst variables. Chi square tests were used to determine the relationship amongst the categorical variables and eye reviews. Spearman’s correlation analysis was carried out to determine the association amongst variables, (behaviour, control, stigma and satisfaction). The open ended question was used to analyse the reason for non-compliance. Results: A total of 300 diabetic patients were randomly selected for the study. The participants were sampled in a stratified way such that each level of compliance is equally represented. The dataset was acceptably complete with very few missing values. The distribution of the participants across the different biographical variables was cross tabulated by compliance with annual reviews. Of the 300 participants, 151 (50.3%) were compliant. The results show that there were more females than males 166 (56.3%), more Africans than any other ethnic group 168 (57.1%), more married people than any other marital status group 183 (61.0%), more Christians than any other religion 227 (92.3%), and more living with their families than any other living arrangement 223 (74.8%). Of these variables 5 (1.7%) missing values were recorded for gender, 6 (2%) for ethnicity, and 2 (0.7%) for living arrangements, while marital status and religion were complete. The majority of the participants had a secondary school education 130 (43.3%), and most felt that they were in good health 148 (49.3%). As for payment of medical expenses, 255 (87%) had a medical aid, and yet 147 (51.6%) last visited a doctor more than a year from the date of data collection. Conclusion: Compliance with doctor’s visits was found to be associated with positive behaviour and more knowledge and control. Knowledgeable patients were more satisfied with the medical services. Fear of stigma associated with diabetes mellitus was found to be associated with demographic variables such as gender, race, marital status, employment status and educational level. The main reasons for non-compliance were lack of information, negligence, busy work schedules and lack of finance. These results suggested there is a need to raise awareness of eye health and access to affordable medical services.
  • Full Text:
  • Date Issued: 2016
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