The perceptions of professional nurses regarding the implementation of staff development programmes in a public hospital in Gauteng, South Africa

Article: This article addresses the topic of staff development programmes and how it is being implemented in a public hospital in Gauteng. This research is important because the National Department of Health in South Africa views staff development programmes as a national priority, it features in the National Core Standards for quality. Readers of an article of this nature will most probably be managers, and generally individuals who are interested in staff Development and improving the provision of patient care. The study from which this article originates was a qualitative, exploratory, descriptive and contextual research design. Data was collected by means of focus group interviews with a purposive sample of professional nurses who were identified from staff development attendance lists and who were willing to participate in the study. Data was analysed using Tesch’s method of qualitative data analysis. The findings of the larger study on which this article is based revealed two main themes namely that of ineffective management practices and negative staff attitudes towards the implementation of staff development programmes. Recommendations were made towards effective management practices to facilitate the implementation of staff development programmes. This will assist planners and managers of staff development programmes to encourage nurses, and to show them the value of staff development

Assessment and enhancement of MERRA land surface hydrology estimates

The Modern-Era Retrospective Analysis for Research and Applications (MERRA) is a state-of-the-art reanalysis that provides, in addition to atmospheric fields, global estimates of soil moisture, latent heat flux, snow, and runoff for 1979 present. This study introduces a supplemental and improved set of land surface hydrological fields ("MERRA-Land") generated by rerunning a revised version of the land component of the MERRA system. Specifically, the MERRA-Land estimates benefit from corrections to the precipitation forcing with the Global Precipitation Climatology Project pentad product (version 2.1) and from revised parameter values in the rainfall interception model, changes that effectively correct for known limitations in the MERRA surface meteorological forcings. The skill (defined as the correlation coefficient of the anomaly time series) in land surface hydrological fields from MERRA and MERRA-Land is assessed here against observations and compared to the skill of the state-of-the-art ECMWF Re-Analysis-Interim (ERA-I). MERRA-Land and ERA-I root zone soil moisture skills (against in situ observations at 85 U.S. stations) are comparable and significantly greater than that of MERRA. Throughout the Northern Hemisphere, MERRA and MERRA-Land agree reasonably well with in situ snow depth measurements (from 583 stations) and with snow water equivalent from an independent analysis. Runoff skill (against naturalized stream flow observations from 18 U.S. basins) of MERRA and MERRA-Land is typically higher than that of ERA-I. With a few exceptions, the MERRA-Land data appear more accurate than the original MERRA estimates and are thus recommended for those interested in using MERRA output for land surface hydrological studies

Exploring the Roles of Social Participation in Mobile Social Media Learning: A Social Network Analysis

Social media is increasingly becoming an essential platform for social connectivity in our daily lives. The availability of mobile technology has further fueled its importance – making it a ubiquitous tool for social interaction. However, limited studies have been conducted to investigate roles of social participation in this field. Thus, the study investigates roles of social participation in mobile social media learning using the “ladder of participation and mastering.” Participants were students taking an educational technology course in a local university. The study was conducted in a four-month period. Data was collected from discussions while learning among the students a social media platform, Facebook groups, on mobile devices. The data was analyzed using a social network analysis tool, NodeXL. Data was analyzed based on egocentric networks, betweeness centrality, and closeness centrality. The findings revealed that there are four roles of social participation in mobile social media, which are: (i) lurkers; (ii) gradually mastering members/passive members; (iii) recognized members; and (iv) coaches. The findings also indicated that over the course of four months, learners can inter-change roles of social participation – becoming more central or less central in learning discussions. As a result, a roles of social participation continuum for mobile social media learning is proposed. Future research could be conducted in other fields to investigate whether the continuum produced could be used to understand the relationship between mobile social media learning and social participation roles

Hepatitis B and C virus infections and liver function in AIDS patients at Chris Hani Baragwanath Hospital, Johannesburg

Background: Impaired liver function tests and co-infection with hepatitis viruses in AIDS patients are common in western countries.Objective: To assess liver function and prevalence of co-infection with hepatitis B and hepatitis C viruses in AIDS patients at Chris Hani Baragwanath Hospital.Design: A prospective study.Setting: Chris Hani Baragwanath Hospital, Johannesburg, South Africa.Patients: One hundred consecutive patients with AIDS admitted to Chris Hani Baragwanath Hospital.Results: There were 52 males and 48 females aged 16 to 54 years (mean + SD: 34.6 + 7.5 years). The results of laboratory test were as follows: LFTs: bilirubin 11.8 (+15.6) ìmol/ l; AST: 79.6 (±116.6) iu/L; alkaline phosphatase: 204.3 (±237.4) iì/L; albumin: 23.9 (±6.2) g/l; CD4+ Iymphocytes: 141.5 (±168.6) ìl; CD8+: 666.9 (±618.3) ìl; HBV - HbsAg: 6 (6%); HbsAg + eAg: 3 (3%); previous disease (Anti HBs and/or anti HBc): 35%, HCV: 1(1%).Conclusion: Liver function tests were impaired in the majority of patients with AIDS (93%) in our setting. Evidence of previous and present HBV infection was present in 41%. This is different from what is observed in western countries (90-95%). The results also suggest that patients here acquired HBV infection while still immuno competent. HCV infectionwas rare

Productivity and morphology of Ankole cattle in three livestock production systems in Uganda

Phenotypic characterization is critical in breed improvement and conservation. To determine the performance and morphological features of Ankole cattle in three livestock production systems (LPS) of Uganda, 248 farms were studied. Height at withers (HW), heart girth (HG), body length (BL), ear length, horn length (HL), distance between horn tips (HS) and body weight (BW) were then measured on 120 bulls and 180 cows. Data were analysed using LPS (crop livestock, agropastoral, pastoral), county (Gomba, Kazo, Kiboga, Mawoggola, Nyabushozi) and sex (females, males) as main factors. In the results, age at sexual maturity was 23.6 ± 0.5 months for bulls and 22.7 ± 0.5 months for cows. Age at first calving was 33.2 ± 0.5 months, whereas calving interval was 12.9 ± 0.8 months. Lactation length differed between LPS (5.5 ± 0.4, 6.3 ± 0.3 and 7.4 ± 0.2 months in agropastoral, crop livestock and pastoral, respectively). Mean daily milk off take was 2.2 ± 0.1 kg/cow whereas preweaning calf survivability was 90.0 ± 6.5%. Sex and LPS significantly influenced HW, HL and HS. Positive correlations were observed between BW and HG, BL and HL. Correlation coefficients were much lower in females than in males, except for BW vs HG and BW vs HW. Results show wide variations both in performance and morphology suggesting that within breed selection scheme and/or management improvement may lead to productivity improvements

A Comprehensive Overview of In-patients Treated for Hepatocellular Carcinoma at a Tertiary Care Facility in Tanzania

Hepatocellular carcinoma (HCC) is one of the commonest causes of cancer-related morbidity and mortality worldwide. However, only a limited number of studies on HCC have been conducted in Tanzania. We therefore conducted a cross-sectional study among in-patients treated for HCC in a tertiary referral hospital located in Dar es Salaam, Tanzania, in order to provide a concise description of the clinical characteristics and treatment options offered in the study setting. We identified 36 in-patients treated for HCC over a 6-month data collection period. Seventy-seven percent (n = 28) of the participants were males and about two-thirds (61.2%) were aged between 40 and 60 years. Majority (44.4% [n = 16]) of the patients had Child-Pugh class B and an Eastern Cooperative Oncology Group (ECOG) performance status of 2 (33.3% [n = 12]). Patients with tumors >6.5 cm and multinodular tumors (>3 nodules) accounted for 69.4% (n = 25) and 55.6% (n = 20), respectively. Portal vascular invasion and extrahepatic metastasis were respectively present in 27.8% (n = 10) and 25% (n = 9) of the patients. Of the study participants, only two had early-stage disease as per the Barcelona Clinic Liver Cancer (BCLC) staging system, corresponding to the observed tumor resection rate of 5.6%. The most frequently reported inoperable factor among the study participants was an ECOG performance status > 0 (n = 30 [83.3%]). Findings thus reveal a high proportion of late-stage diseases among participants that could have resulted in the observed low tumor resection rate. Initiatives to facilitate identification of the disease at an early stage are therefore paramount in optimizing care

Cross-breeding cattle for milk production in the tropics: achievements, challenges and opportunities

This paper reviews experiences with cross-breeding for milk production in the tropics. Data were compiled from 23 different studies evaluating the performance of different grades of cross-bred animals as well as local breeds. Relative performance of indigenous breeds compared with different grades of cross-breeds was calculated for three climatic zones. Traits considered were milk yield per lactation, age at first calving, services per conception, lifetime milk yield and total number of lactations completed. At 50 percent Bos taurus blood, lactation milk yields were 2.6, 2.4 and 2.2 times higher than those of local cattle in the highland, tropical wet and dry, and semi-arid climatic zones, respectively; lactation lengths increased by 1.2, 1.2 and 1.9 months in the above-mentioned climatic zones, respectively; there was a reduction in calving interval by 0.8 times and in age at first calving by 0.9 times. Similarly, cross-breds with 50 percent B. taurus genes had 1.8 times higher lifetime milk yields and a 1.2 times higher number of total lactations. Although cross-breeding faces a number of challenges such as better infrastructure, higher demand for health care, there are many advantages of using it. These are higher production per animal, higher income for the families and provision of high-value food. It is therefore likely to continue to be an important livestock improvement tool in the tropics in the future, where farmers can provide sufficient management for maintaining animals with higher input requirements and access to the milk market can be secured

Capacity building for sustainable use of animal genetic resources in developing countries. ILRI-SLU Project progress report for the period 1999-2003

To promote a sustainable and improved use of animal genetic resources in developing countries, ILRI in collaboration with the Swedish University of Agricultural Sciences (SLU), and supported by Sida (Sweden), launched a project training the trainers, for national agricultural research systems (NABS) scientists (national university teachers and researchers) in developing countries. The main objectives of the project were to strengthen subject knowledge and skills, and teaching and communication skills of scientists teaching and supervising students in animal breeding and genetics at least up to MSc level. Other objectives were to catalyse curriculum development, stimulate contacts and networking, and to develop computer-based training resources relevant for use by NARS scientists in teaching and research. This capacity building project was an integrated component of the ILRI research agenda on Animal Genetic Resources. It was also an endeavour by ILRI to collaborate with and strengthen NARS institutions and scientists. The project was initially planned to include regions in sub-Saharan Africa, SouthEast Asia and South Asia, resources allowing, Latin America. The activities in each region or sub-region included: planning activities (questionnaire, country visits, planning workshop), training course for university teachers and researchers (three weeks, combining training in animal genetics/breeding and teaching methodologies), development of an Animal Genetics Training Resource' (on CD-ROM, and later also on the Web), follow-up activities, including impact assessment (questionnaires and follow-up workshops). During the period 1999 to 2003 a full round of activities was completed for sub Saharan Africa. The training course was conducted for Eastern/Southern Africa (20 scientists from 10 countries) and for Western/Central Africa (18 scientists from 10 countries). The planning and follow-up workshops were performed jointly for the region. In addition, the planning activities and training course (18 scientists from 9 countries) were completed for South-East Asia. Version 1 of the computer-based training resource (CD) was released in late 2003. The resource contains modules, i.e. core texts on issues related with farm animal genetic resources, quantitative methods and teaching methods, and Resources containing case studies, breed information, maps, examples, exercises, video clips, a glossary and a virtual library. It also contains references to web links, books and other CDs. The participants found the training courses very useful; average score for Overall Impression was 8.2 (scale 1-9). They also indicated that the computer-based training resource would be a valuable tool both in teaching and in research, but had not yet had a chance to explore and use it fully. Impact assessments for Africa (questionnaire and follow-up workshop) showed that the training course has already had a substantial impact in many of the participants. Impact assessments for Africa (questionnaire and follow-up workshop) showed that the training course has already had a substantial impact in many of the participants' home institutions, both on teaching methods and on course content. Students have shown more interest and understanding of animal breeding and genetics. The impact on participants' research has been just as large; more focus on research involving indigenous animal genetic resources, improved research proposal writing, research methodologies and science communication skills, and also more efficient supervision of students' research. Many of the participants have actively disseminated materials and experiences from the course to colleagues in their home institutions. Other important outcomes have been increased contacts and an open e-mail network `Afrib' formed by the African course participants. The project also strengthened Swedish knowledge and expanded PhD activities on animal genetic resources in developing countries; these were valuable `spin-off effects' of the project. The 'training the trainers' approach adopted in the ILRI-SLU project seems to be a good model for effective capacity building to promote a sustainable use of animal genetic resources in developing countries. The approach was innovative and has functioned well; the model could be extended to other disciplines. Furthermore, linking universities from the North to those of the South, with a CGIAR institute playing both a facilitating and catalytic role was beneficial. The project will now proceed to South Asia and version 2 of the computer-based training resource will be developed. More impact analyses will also be performed

Assimilation of MODIS Snow Cover Fraction Observations into the NASA Catchment Land Surface Model

The NASA Catchment land surface model (CLSM) is the land model component used for the Modern-Era Retrospective Analysis for Research and Applications (MERRA). Here, the CLSM versions of MERRA and MERRA-Land are evaluated using snow cover fraction (SCF) observations from the Moderate Resolution Imaging Spectroradiometer (MODIS). Moreover, a computationally-efficient empirical scheme is designed to improve CLSM estimates of SCF, snow depth, and snow water equivalent (SWE) through the assimilation of MODIS SCF observations. Results show that data assimilation (DA) improved SCF estimates compared to the open-loop model without assimilation (OL), especially in areas with ephemeral snow cover and mountainous regions. A comparison of the SCF estimates from DA against snow cover estimates from the NOAA Interactive Multisensor Snow and Ice Mapping System showed an improvement in the probability of detection of up to 28% and a reduction in false alarms by up to 6% (relative to OL). A comparison of the model snow depth estimates against Canadian Meteorological Centre analyses showed that DA successfully improved the model seasonal bias from 0.017 m for OL to 0.007 m for DA, although there was no significant change in root-mean-square differences (RMSD) (0.095 m for OL, 0.093 m for DA). The time-average of the spatial correlation coefficient also improved from 0.61 for OL to 0.63 for DA. A comparison against in situ SWE measurements also showed improvements from assimilation. The correlation increased from 0.44 for OL to 0.49 for DA, the bias improved from 0.111 m for OL to 0.100 m for DA, and the RMSD decreased from 0.186 m for OL to 0.180 m for DA