Browsing Faculty of Community & Health Sciences by Title
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Hughes, Gail; Puoane, Thandi; Bradley, Hazel A. (SEMDSA (Society for Endocrinology, Metabolism and Diabetes of SA), 2006)[more][less]
Abstract: BACKGROUND: Diabetes constitutes a significant health problem in South Africa. Early detection and good management can prevent or delay complications, with national guidelines for diabetes treatment now available to facilitate this. However, problems are being encountered with their implementation and there is evidence that preventive care is still inadequate in South Africa. Community health workers (CHWs) are lay personnel employed to serve as a link between professional health care staff and the community. They visit homes and can be a powerful force for diabetes prevention and adherence to treatment regimens, given appropriate knowledge. METHOD: We conducted a study to evaluate the knowledge, beliefs and attitudes of a group of CHWs serving a poor urban area, using focus groups and personal interviews. RESULTS: The CHWs did not have the requisite knowledge, attitudes and beliefs to make a positive impact on prevention and management of diabetes. For example, they cited eating sugar as a cause of diabetes. They advised folk remedies that purportedly diluted the blood sugar. Their patients took prescribed medication irregularly. Obesity was not considered an important risk factor. Poverty, however, was recognised as an obstacle to proper treatment. CONCLUSION: Training is clearly needed to empower the CHWs with skills to work within their communities to identify risk factors for diabetes and other non-communicable diseases, with emphasis on diet and physical activity. URI: http://hdl.handle.net/10566/278 Files in this item: 1
HughesDiabetes2006.pdf (242.4Kb) -
Steyl, Tania; Phillips, Julie (Faculty of Medicine, Makerere University, 2011)[more][less]
Abstract: Background: Substance use among youth is a worldwide epidemic that impacts negatively on the health sector as well as the family and society. Early student life is a time of tremendously high motivation to conform to the behaviours, values, and attitudes that are valued by the youth culture. They observe their peers’ behavior and alter their own behaviour with their peers’ norms and expectations. This compliance with perceived peer norms can however lead to increased smoking, alcohol and drug use. Objectives: To determine and analyze risky and health promoting behaviour of health science students at a university in the Western Cape, South Africa. In this paper the association between actual risk and perceived risk for substance is discussed. Methods: A self-administered questionnaire containing items from both the NCHRBS and the ACHA-NCHA were administered to 201 health science students at a South African university. Results: When perceptions of typical student behaviour were compared to actual reported behaviour, overestimated consumption patterns for the typical student was found for smoking, alcohol and drug use. Conclusion: The misperceptions of peer norms have important educational or prevention program implications. These findings clearly indicate that educational and awareness programs regarding alcohol and drug use should take perceptions of peer alcohol and drug use into consideration. URI: http://hdl.handle.net/10566/506 Files in this item: 1
SteylSubstanceUse2011.pdf (109.5Kb) -
Phillips, Julie (Faculty of Community and Health Sciences, University of the Western Cape, 2008)[more][less]
Abstract: Background: According to the World Health Organization global alcohol consumption has increased in recent decades, with most of this increase occurring in developing countries. Added to this is the concern of the increased social acceptability of alcohol use and the widespread experimentation with alcohol during adolescence. Objectives: The purpose of this study was to better understand health risk behaviours, specifically alcohol use, among black female high school learners in a designated research locale of a local community in the Western Cape, South Africa. Study design: The method of inquiry in this study was a mixed methods sequential explanatory strategy. Results: A lifetime prevalence of alcohol use was reported by 57.8% of the study sample. All the participants agreed that drinking has a negative influence on adolescent health. Conclusion: Alcohol use in South Africa is an ever-increasing health problem and the current study provides evidence that the prevalence of this behaviour remains a public health concern. URI: http://hdl.handle.net/10566/113 Files in this item: 1
PhillipsAlcohol2008.pdf (68.01Kb) -
Leon, Natalie; Schneider, Helen; Daviaud, Emmanuelle (BioMed Central, 2012)[more][less]
Abstract: Background: Mobile phone technology has demonstrated the potential to improve health service delivery, but there is little guidance to inform decisions about acquiring and implementing mHealth technology at scale in health systems. Using the case of community-based health services (CBS) in South Africa, we apply a framework to appraise the opportunities and challenges to effective implementation of mHealth at scale in health systems. Methods: A qualitative study reviewed the benefits and challenges of mHealth in community-based services in South Africa, through a combination of key informant interviews, site visits to local projects and document reviews. Using a framework adapted from three approaches to reviewing sustainable information and communication technology (ICT), the lessons from local experience and elsewhere formed the basis of a wider consideration of scale up challenges in South Africa. Results: Four key system dimensions were identified and assessed: government stewardship and the organisational, technological and financial systems. In South Africa, the opportunities for successful implementation of mHealth include the high prevalence of mobile phones, a supportive policy environment for eHealth, successful use of mHealth for CBS in a number of projects and a well-developed ICT industry. However there are weaknesses in other key health systems areas such as organisational culture and capacity for using health information for management, and the poor availability and use of ICT in primary health care. The technological challenges include the complexity of ensuring interoperability and integration of information systems and securing privacy of information. Finally, there are the challenges of sustainable financing required for large scale use of mobile phone technology in resource limited settings. Conclusion: Against a background of a health system with a weak ICT environment and limited implementation capacity, it remains uncertain that the potential benefits of mHealth for CBS would be retained with immediate large-scale implementation. Applying a health systems framework facilitated a systematic appraisal of potential challenges to scaling up mHealth for CBS in South Africa and may be useful for policy and practice decision-making in other low- and middle-income settings. URI: http://hdl.handle.net/10566/552 Files in this item: 1
LeonHealthSystem2012.pdf (230.9Kb) -
Scott, Vera; Zweigenthal, Virginia; Jennings, Karen (Wiley-Blackwell, 2011)[more][less]
Abstract: BACKGROUND: While much is written about the scale up of HIV counselling and testing (HCT) and antiretroviral therapy (ART), little research has been done on the expansion of routine preART HIV care. OBJECTIVE: To assess the quality of preART care in Cape Town and its continuity with HCT and ART. METHODS: The scale up of the HCT, preART and ART service platform and programmatic support in Cape Town is described. Data from the August 2010 routine annual HIV/TB/STI evaluation, from interviews with 133 facility managers and a folder review of 634 HCT s who tested positive and 1115 clients receiving preART HIV care are analysed. RESULTS: Historically the implementation and management of preART care has been relatively neglected compared with the scale-up of HCT and ART. The CD4 count was done on 77.5% positive HCT clients and 46.6% were clinically staged - crucial steps that determine the care path. There were: gaps in quality of care - 32.2% of women had a PAP smear; missed opportunities for integrated care - 67% were symptomatically screened for tuberculosis; and positive prevention - 48.3% had contraceptive needs assessed. Breaks in the continuity of care of preART clients occurred with only 47.2% of eligible clients referred appropriately to the ARV service. CONCLUSION: While a package of preART care has been clearly defined in Cape Town, it has not been fully implemented. There are weaknesses in the continuity and quality service delivered that undermine the programme objectives of provision of positive prevention and timeous access to ART. URI: http://hdl.handle.net/10566/261 Files in this item: 2
Scott_2011_HIV and VCT.pdf (156.2Kb)ScottPreART2011.pdf (5.794Mb) -
Rowe, Michael; Frantz, Jose; Bozalek, Vivienne (BioMed Central, 2013)[more][less]
Abstract: Background: While there is evidence to suggest that teaching practices in clinical education should include activities that more accurately reflect the real world, many educators base their teaching on transmission models that encourage the rote learning of knowledge and technical skills. Technology-mediated instruction may facilitate the development of professional attributes that go beyond “having” knowledge and skills, but there is limited evidence for how to integrate technology into these innovative teaching approaches. Methods: This study used a modified Delphi method to help identify the professional attributes of capable practitioners, the approaches to teaching that may facilitate the development of these attributes, and finally, how technology could be integrated with those teaching strategies in order to develop capable practitioners. Open-ended questions were used to gather data from three different expert panels, and results were thematically analysed. Results: Clinical educators should not view knowledge, skills and attitudes as a set of products of learning, but rather as a set of attributes that are developed during a learning process. Participants highlighted the importance of continuing personal and professional development that emphasised the role of values and emotional response to the clinical context. To develop these attributes, clinical educators should use teaching activities that are learner-centred, interactive, integrated, reflective and that promote engagement. When technology-mediated teaching activities are considered, they should promote the discussion of clinical encounters, facilitate the sharing of resources and experiences, encourage reflection on the learning process and be used to access content outside the classroom. In addition, educational outcomes must drive the integration of technology into teaching practice, rather than the features of the technology. Conclusions: There is a need for a cultural change in clinical education, in which those involved with the professional training of healthcare professionals perceive teaching as more than the transmission of knowledge and technical skills. Process-oriented teaching practices that integrate technology as part of a carefully designed curriculum may have the potential to facilitate the development of capable healthcare graduates who are able to navigate the complexity of health systems and patient management in ways that go beyond the application of knowledge and skills. URI: http://hdl.handle.net/10566/595 Files in this item: 1
RoweTeachnology-MediatedTeaching2013.pdf (185.7Kb) -
Igumbor, Ehimario U.; Sanders, David; Puoane, Thandi; Tsolekile, Lungiswa; Schwarz, Cassandra; Purdy, Christopher; Swart, Rina; Durao, Solange; Hawkes, Corinna (Public Library of Science, 2012)[more][less]
Abstract: Summary Points: * In South Africa, as in other jurisdictions, ‘‘Big Food’’ (large commercial entities that dominate the food and beverage environment) is becoming more widespread and is implicated in unhealthy eating. * ‘‘Small food’’ remains significant in the food environment in South Africa, and it is both linked with, and threatened by, Big Food. * Big Food in South Africa involves South African companies, some of which have invested in other (mainly, but not only, African) nations, as well as companies headquartered in North America and Europe. * These companies have developed strategies to increase the availability, affordability, and acceptability of their foods in South Africa; they have also developed a range of ‘‘health and wellness’’ initiatives. Whether these initiatives have had a net positive or net negative impact is not clear. The South African government should act urgently to mitigate the adverse health effects in the food environment in South Africa through education about the health risks of unhealthy diets, regulation of Big Food, and support for healthy foods. URI: http://hdl.handle.net/10566/431 Files in this item: 1
IgumborFoodEnvironment2012.pdf (197.3Kb) -
Puoane, Thandi; Fourie, JM; Shapiro, M; Rosling, L; Tshaka, N C; Oelefse, A (South African Journal of Clinical Nutrition, 2005)[more][less]
Abstract: OBJECTIVES: To explore perceptions about factors associated with body weight and body image among black female community health workers (CHWs) living and working in Khayelitsha, Cape Town. DESIGN: A descriptive, cross-sectional study. Setting. Khayelitsha, a black township in Cape Town, South Africa. SUBJECTS: Forty-four black, female, Xhosa-speaking CHWs working in Khayelitsha. Outcome measures. Anthropometric measures (height, weight, and waist circumference) were taken. Body mass index (BMI) was computed as a measure to estimate total body fat. Waist circumference was used as a measure of abdominal obesity. Focus groups were employed to explore beliefs and attitudes about body size. Information from the focus group discussions was used to develop a semi-structured questionnaire for individual interviews, which were conducted to validate the data from the focus groups, and to assess knowledge on causes and risk factors associated with obesity. A body satisfaction question was also included in the questionnaire. Body image was measured using body shape drawings (pictograms). RESULTS: Of the 44 women measured, 2 had normal weight (BMI 18.5 - 24.9 kg/m2), 2 were overweight (BMI 25 - 30 kg/m2), 25 were obese (BMI 30 - 40 kg/m2) and 15 were extremely obese (BMI ≥ ( 40 kg/m2). A moderately overweight shape (BMI 27 kg/m2) was preferred; this was associated with dignity, respect, confidence, beauty, and wealth. Perceived causes of obesity were eating the wrong food, skipping breakfast and worries about debts, husbands/partners and teenage children. Negative aspects of obesity included body aches and tiredness. CONCLUSION: This study emphasises the prevalence of obesity among urban black women in South Africa, particularly among CHWs. Socio-cultural, behavioural and environmental factors seem to influence the development of obesity in this population. URI: http://hdl.handle.net/10566/256 Files in this item: 1
PuoaneBig2005.pdf (302.9Kb) -
Puoane, Thandi; Tsolekile, Lungiswa (Kamla-Raj Enterprises, 2008)[more][less]
Abstract: This paper was conducted to describe some of the circumstances that increases the risk factors for non-communicable diseases amongst the previously disadvantaged South African population. The work presented here is based on an action research in an urban black township of Cape Town. The goal was to develop a Non- Communicable Disease model, which can be used to benefit an urban township community. Using a participatory process data was collected during each stage of the development and implenting interventions. Interviews, observations and situational assessment of resources available for promoting healthy lifestyle in the township were used to collect data. Although urbanisation seems to be a driving force in nutrition transition, there are underlying factors that influence lifestyle changes. These includes the environment in which people find themselves. The city provides variety of cheap unhealthy food at a lower price. Due to poverty and lack of knowledge, healthy foods become of less important. People tend to indulge in food rich in fat and sugars due to the belief that they have missed opportunities of enjoying these foods due to deprivation. This has lead to the increase in the prevalence of NCDs among poor South Africans. In conclusion, this work provided important information regarding the challenges faced by the urbanised poor population in South Africa. Although Khayelitsha was used to illustrate these challenges, the situation is similar to other urban townships of in South Africa. URI: http://hdl.handle.net/10566/242 Files in this item: 1
PuoaneChallenges2008.pdf (28.29Kb) -
Frantz, Jose M. (Nova Southeastern University, 2007)[more][less]
Abstract: Health care is changing and the demands put on health professionals are increasing. Physiotherapy education should reflect the health and social priorities of the nation. The World Confederation of Physical Therapy (WCPT) is committed to assisting physiotherapy associations in developing educational standards. Physiotherapy education in Africa however, seems to have a real need for assistance from the WCPT. The aim of this paper is to highlight the challenges facing physiotherapy education in Africa. The Delphi methodology was used to obtain information from key informants involved in the area of physiotherapy education from a variety of African countries. The majority of the participants were people who have experienced physiotherapy education in Africa either as graduates or current teachers. Data were analyzed into themes and sent back to respondents for confirmation. The most important challenges highlighted were: lack of undergraduate training opportunities, limited number of therapists, upgrading of physiotherapy educators, research as a major component of physiotherapy education, and recognition of physiotherapy as an essential service. It is concluded that assistance is needed for physiotherapists from Africa to take their rightful place in the health team and higher education institutions should look at improving diploma qualifications of physiotherapists in African countries. URI: http://hdl.handle.net/10566/189 Files in this item: 1
FrantzChallenges2007.pdf (221.5Kb) -
Meyers, Tammy; Dramowski, Angela; Schneider, Helen; Gardiner, Nicolene; Kuhn, Louise; Moore, David (Lippincott Williams & Wilkins, 2012)[more][less]
Abstract: Background: With widespread availability of pediatric antiretro- viral therapy and improved access to prevention of mother-to-child transmission (PMTCT), it is important to monitor the impact on pediatric HIV-related hospital admissions and in-hospital mortality in South Africa. Methods: Over a 15-year period, 4 independent surveillance studies were conducted in the pediatric wards at Chris Hani Baragwanath Hospital in Soweto, South Africa (1996, 2005, 2007, and late 2010 to early 2011). Trends in HIV prevalence and HIV-related mortality were evaluated. Results: HIV prevalence was similar during the first 3 periods: 26.2% (1996), 31.7% (2005), and 29.5% (2007) P > 0.10, but was lower in 2010-2011 (19.3%; P = 0.0005). Median age of the children admitted with HIV increased in the latter periods from 9.13 (interquartile range 3.6-28.8) months to 10.0 (3.0-44.5) months (P > 0.10) and 18.0 (6.2-69.8) months (P = 0.048). Median admis¬sion weight-for-age z-scores were similar (< -3 SD) for the latter 3 periods. Admission CD4 percentage increased from 0.0% (0.0-9.4) in 2005 to 15.0% (8.2-22.8) in 2007 (P < 0.0001) and was 18.7% (9.6-24.7) in 2010-2011 (P > 0.10). Mortality among all vs. HIV- infected admissions was 63 of 565 (11.2%) and 43 of 179 (24.0%) in 2005, 91 of 1510 (6.0%) and 53 of 440 (12.0%) in 2007, and 18 of 429 (4.2%) and 9 of 73 (12.3%) in 2010-2011. Conclusions: HIV prevalence and mortality among pediatric admissions is decreasing. This is likely a result of improved PMTCT and wider antiretroviral therapy coverage. Continued effort to improve PMTCT coverage and identify and treat younger and older HIV-infected children is required to further reduce HIV-related morbidity and mortality. URI: http://hdl.handle.net/10566/507 Files in this item: 1
MeyersPediatricHIV2012.pdf (1.017Mb) -
September, Rose; Savahl, Shazly (University of Johannesburg, 2009)[more][less]
Abstract: The United Nations Convention on the Rights of the Child (CRC) through its reporting framework for nation states has prompted increasing interest on the measuring and monitoring of child well-being. The domains and indicators included in the repertoire of country measures of child well-being have mostly been constructed and monitored by adults, usually social scientists and government officials. This study explored children’s own understandings of children’s well-being. Sixteen focus groups were conducted with 200 children between the ages of 9 and 16 years. The study identified protection and safety, basic needs, community resources and psychosocial issues as the key domains of well-being. The study further highlighted the importance of perceiving well-being as an integrated whole consisting of closely interacting components rather than as a discrete multidimensional phenomenon. URI: http://hdl.handle.net/10566/211 Files in this item: 1
SeptemberChildWellBeing2009.pdf (212.1Kb) -
Puoane, Thandi; Tsolekile, Lungiswa; Sanders, David; Parker, Whadiah (Health Systems Trust, 2008)[more][less]
Abstract: This chapter will examine the current actions, including lifestyle measures, for the prevention and management of non-communicable diseases within a South African context. It will also focus on the biological, behavioural and social determinants of health. Interventions and initiatives directed at primary, secondary and tertiary prevention of chronic non-communicable diseases are also discussed. This chapter ends with recommended lifestyle changes, which can be taken to influence the adoption of healthy lifestyles, and therefore reduce the risks for chronic non-communicable diseases. URI: http://hdl.handle.net/10566/255 Files in this item: 1
PuoaneChronic2008.pdf (621.8Kb) -
Igumbor, Ehimario U.; Puoane, Thandi; Gansky, Stuart A.; Plesh, Octavia (Medpharm Publications, 2011)[more][less]
Abstract: Background: Comprehensive information is needed on the epidemiology and burden of chronic pain in the population for the development of appropriate health interventions. This study aimed to determine the prevalence, severity, risk indicators and responses of chronic pain among adults in Ngangelizwe, Mthatha, South Africa. Method: A cross-sectional survey utilising structured interviews of a sample of adult residents was used. Interviews elicited information on socio-demographic characteristics, general health status, and the prevalence, duration, frequency, severity, activity limitation and impact of chronic pain. Results: More than 95% (n = 473) of the sampled adults participated in the study. Of these, 182 [38.5%, 95% confidence interval (CI): 36.3-42.5%] reported chronic pain in at least one anatomical site. The most common pain sites were the back and head. The median pain score was 5 on a scale of 0 to 10 [interquartile range (IQR) = 4-7] and the median number of sites of pain was 1 (IQR = 1-2). Female gender [odds ratio (OR) = 2.6, 95% CI: 1.7-3.9] and being older than 50 years of age (OR = 3.5, 95% CI: 2.6-4.1) were identified as risk indicators for chronic pain in the sample. Over 65% of respondents reported that they self-treated; 92.1% had consulted with a doctor or nurse, 13.6% consulted a traditional healer, and 34.5% consulted a pharmacist because of their pain. Despite this, over 50% reported that relief of their pain was transient. Conclusion: Chronic pain is a common general complaint in this community, but there is a need for focused attention on women and the elderly. URI: http://hdl.handle.net/10566/432 Files in this item: 1
IgumborChronicPainMthatha2011.pdf (228.2Kb) -
Puoane, Thandi; Bradley, Hazel A. (MedPharm Publications, 2006)[more][less]
Abstract: BACKGROUND: Community health workers (CHWs) are lay people trained to assist with health care in their communities. This study took place at two sites in Khayelitsha, a township in the Cape Peninsula, from 2000 to 2002. OBJECTIVES: To describe the process of developing an intervention programme for primary prevention of noncommunicable diseases (NCDs) in general and cardiovascular disease in particular, targeting CHWs. METHOD: Forty-four CHWs were assigned to either an intervention or a control group. The intervention group, living in Site C, received training on lifestyle modification with emphasis on healthy eating and physical activity, while the control group, living in Site B, did not receive any training until a year later. The process was undertaken in four stages. Stage 1 involved assessment of the CHWs’ risk factors by obtaining anthropometric measurements. CHWs were interviewed and focus group discussions were held on the socio-cultural factors associated with body weight and body image, and barriers to physical activity. Stage 2 involved developing and implementing a training programme for primary prevention of NCDs among CHWs. Stage 3, conducted at Site C, involved a situational assessment of available resources in the community for promoting healthy lifestyles. The fourth and final stage involved the implementation of community interventions by the CHWs. RESULTS: A large percentage of CHWs were overweight and obese, and therefore at risk for NCDs. They had misconceptions about causes and treatment of these diseases, and also lacked knowledge on nutrition and the risk of high fat intake. Easy access to cheap unhealthy food, rather than fresh fruit and vegetables, limited their ability to make healthy food choices. The findings from stage 1 led to a community participatory intervention. CONCLUSIONS: Developing community-targeted interventions for NCDs can be achieved by involving CHWs at the initial stage and utilising a multifaceted approach. Education of community members and CHWs does not guarantee behaviour modification. Unless the environment encourages healthy living, NCDs will continue to be a burden in the poor populations of South Africa. URI: http://hdl.handle.net/10566/236 Files in this item: 1
PuoaneCommunityIntervention2006.pdf (301.1Kb) -
Puoane, Thandi (MedPharm Publications, 2008)[more][less]
Abstract: OBJECTIVE: To estimate the prevalence of overweight and obesity, and identify factors associated with Body Mass Index (BMI) and waist circumference (WC) among adults residing in an urban township in South Africa. DESIGN: Cross-sectional study. SETTING: Khayelitsha, a large black township located in Cape Town. SUBJECTS: 107 males and 530 females, aged ≥ 18 years. METHODS: The prevalence of overweight/obesity (BMI ³ 25 kg/m2) and abdominal obesity (WC ≥ 94 cm for men and ≥ 80 cm for women), and their relationship with factors previously found to increase the risk of obesity, such as age, gender, marital status, educational level, employment status, immigrant status from rural to urban, and physical activity level, were assessed using logistic regression analyses. RESULTS: The prevalence of obesity (BMI ³ 30 kg/m2) was 53.4% and 18.7%, and that of abdominal obesity was 71.5% and 23.4%, among women and men respectively. However, more women (21.3%) than men (11.2%) reported walking more than 45 minutes per day. Female gender and being married were associated with a high BMI and large WC. Recent migration was associated with a smaller WC. The level of physical activity was not associated with BMI or WC. CONCLUSIONS: These findings suggest that physical activity may play less of a role in obesity control, or that more than 45 minutes of physical activity per day is required to reduce the risk of obesity, especially in women. At least among South African women, obesity control focused on nutritional interventions may be more beneficial than increasing the intensity or duration of physical activity. URI: http://hdl.handle.net/10566/233 Files in this item: 1
MalhotraPuoaneSAJCN2008.pdf (303.1Kb) -
Frantz, Jose; Rowe, Michael (Health and Medical Publications Group, 2013)[more][less]
Abstract: Background. Evidence-based practice (EBP) is the process by which a clinician evaluates the quality of evidence before applying it in the management of a patient. Many practitioners struggle to integrate this research-based evidence into their professional practice. Blogs have been identified as useful pedagogical tools that can facilitate the sharing of ideas and clinical experiences among peers to reflect on diverse learning experiences. Objectives. A qualitative research design was used to examine the use of reflective blogging to teach the process of EBP in physiotherapy. Methods. A conveniently selected group of postgraduate students who were registered for an EBP module participated in the study. Blogging was used to teach the process of EBP in physiotherapy using Kolb's cycle as a guiding and an evaluative framework. Students reflected on and shared their learning experiences in ways that exposed the limits of their understanding around certain concepts. Results. The results reflect how students moved from assisted to independent performance by identifying gaps in their own understanding and finding the answers themselves. Conclusion. Reflective blogging was found to be a valuable tool for promoting meaningful learning activities among participants and assisted students in making sense of their shared experiences. It was also an effective tool to be used in teaching the process of EBP. URI: http://hdl.handle.net/10566/615 Files in this item: 1
FrantzBloggingPhysiotheraphy2013.pdf (1.131Mb) -
Florence, Maria; Koch, Elize (Psychological Society of South Africa, 2011)[more][less]
Abstract: This research aimed to explore the differences between adolescents from a low socio-economic Cape Town community who use addictive substances and those who do not, with regard to subjective wellbeing. The Kidscreen52 was used to measure subjective wellbeing in a sample of 179 Grade 10 and 11 learners; 41.3% of the sample was male. Thirty-five percent of the adolescents reported to be substance users, with significantly more males reporting substance use than females in both grades. Scores on four of the sub-scales were significantly different for the substance users and non-users (namely Feelings, General mood, Family and home life, School and learning). A post hoc analysis indicated that males and females differed significantly on General mood, but that this difference did not interact with substance use. URI: http://hdl.handle.net/10566/403 Files in this item: 1
FlorenceAddictiveSubstances2011.pdf (278.0Kb) -
Pillay, Tanushree; Frantz, Jose M. (Faculty of Community and Health Sciences, University of the Western Cape, 2009)[more][less]
Abstract: Introduction: The increase in physical inactivity is thought to be one of the main risk factors for the development of diseases of lifestyle. This has highlighted the need for prevention and intervention programmes that are thought to assist in influencing the modifiable risk factors. Physical activity programmes have been proven to positively influence risk factors such us blood pressure and body mass index (BMI). Interventions by health professionals can assist in combating the problem. This study aimed to determine the effects of a short term physical activity programme on the BMI, body fat and blood pressure of high school learners in a local community in the Western Cape. Methods: The total number of learners who volunteered to participate in the study was 106. The study used a pre-test post-test design. The intervention programme was a 6 week programme run for 3 days per week for a period of 40 – 60 minutes per session. The intervention consisted of moderate to vigorous activities. Data was analysed by comparing learners who participated in the intervention and those who did not. Descriptive and inferential statistics were used in this study. Results: Prior to the intervention it was found that 18% were found to be obese and at least 10% were hypertensive. Following the intervention it was reported that blood pressure as well as BMI and percentage body fat was influenced in positive way. Conclusion: One can conclude that, a short term physical activity intervention programme conducted three times a week with moderate activities can affect the BMI and blood pressure levels of adolescents. URI: http://hdl.handle.net/10566/119 Files in this item: 1
PillayEffects2009.pdf (71.62Kb) -
Igbinosa, Isoken H.; Igumbor, Ehimario U.; Aghdasi, Farhad; Tom, Mvuyo; Okoh, Anthony I (Hindawi Publishers Corporation, 2012)[more][less]
Abstract: Aeromonas species are ubiquitous bacteria in terrestrial and aquatic milieus. They are becoming renowned as enteric pathogens of serious public health concern as they acquire a number of virulence determinants that are linked with human diseases, such as gastroenteritis, soft-tissue, muscle infections, septicemia, and skin diseases. Proper sanitary procedures are essential in the prevention of the spread of Aeromonas infections. Oral fluid electrolyte substitution is employed in the prevention of dehydration, and broad-spectrum antibiotics are used in severe Aeromonas outbreaks. This review presents an overview of emerging Aeromonas infections and proposes the need for actions necessary for establishing adequate prevention measures against the infections. URI: http://hdl.handle.net/10566/434 Files in this item: 1
IgbinosaAeromonas2012.pdf (571.7Kb)
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