Nasopharyngeal temperature probes: is South Africa’s current decontamination process adequate?

Background: The standard practice in many institutions incorporates nasopharyngeal probes for temperature monitoring in patients undergoing general anaesthesia. Current disinfection guidelines for these devices are not clear and they are poorly adhered to. In South Africa, these temperature probes are reused and subjected to unstandardized decontamination processes. This study sought to investigate nasopharyngeal temperature probes as possible source for cross-contamination, and assess the efficacy of current disinfection practices for these probes. Methodology: This was an analytical double-blind randomized study of 4 different disinfection protocols for 48 nasopharyngeal temperature probes. The probes were randomized to disinfection protocols that included water wash, dry wipe, hibitane® and cidex® wash. After decontamination by the respective protocol, the probes were aseptically placed in nutrient broths, manually agitated and removed, and the broths were then inoculated onto blood agar plates. After 48 hours of aerobic culture incubation at 37oC, plates were examined for growth and bacteria identified using automated bioMérieux Vitek-2 microbial identification system. Chi square and logistic regression analyses were used to assess bacterial contamination rates of the disinfected probes, in order to infer the efficacy of the decontamination processes. Results: Of the 48 nasopharyngeal temperature probes disinfected by the different protocols, 22 (45.8%) had bacterial contamination, with frequency of isolation for coagulase negative staphylococci (44%), Bacillus cereus (20%), Staphylococcus aureus (10%), Enterobacter cloaca (7%), Pseudomonas aeruginosa (4%), Pseudomonas fluorescens (3%), Acinetobacter baumannii (3%), amongst other bacterial species. Dry wipe, and water and soap methods, had statistically significant higher contamination rates of 83.3% and 66.7% than hibitane® and cidex®, with 25.0% and 8.3% respectively (X2=17.69, p<0.0001). The odds of contamination when water-wipe was used as a cleaning method was 6 times (OR=6.000; 95% CI=1.018-35.374, p=0.048) that of hibitane® method while the odds for dry-wipe was 15 times (OR=15.000, 95% CI=2.024-111.174, p=0.008). No statistically significant difference was observed in the contamination rates between cidex® and hibitane® disinfection methods(OR=0.273, 95% CI=0.024-3.093, p=0.294). Conclusion: These data shows that nasopharyngeal temperature probes are possible source of crosscontamination and pathogen transmission due to inadequacy of the decontamination processes for these temperature probes

The prediction of job involvement for pharmacists and accountants.

The job involvement of the individual seems to be potentially fundamental to the satisfaction of certain salient psychological needs that could lead to positive organizational implications. This study investigates the predictiveness of job involvement of 375 professionals in the pharmacy (n = 200) and accountancy (n = 175) occupations by means of Multiple Regression Analysis through personality characteristics and job satisfaction. A number of significant but weak relationships are reported varying between 1.29% and 9.85% common variance. Job involvement is predicted reasonably well for the total sample (19.35%) and the sub-samples of professionals (11.01% and 24.71% respectively)

Online counselling services for Youth@risk

Youth today suffer from many socio-economic problems and struggle to operate in the current economic environment. Wellbeing service provision to youth@risk is inadequate to deal with the complexities of societal challenges which are amplified by the fast technology advances in a continuously changing environment. This paper aims to consider the provision of online counselling to enhance current face-to-face services from the provider’s perspective. The case of a volunteer-based online counselling service that has been in operation since 2010 is considered to establish the aspects that influence this type pf service. Related literature was reviewed to determine the issues reported from current studies and a taxonomy of digital services was used to analyse the service objectives of the service provider. Data collected from sessions with the facilitators and observations of a chat session was analysed to establish their experience of online counselling. The findings were interpreted to answer the research question. The contribution of this paper is in response to the many appeals for more empirical research on real cases. It can be concluded that an online counselling service is a viable extension of face-to-face counselling but more research is needed to understand its benefit to the clients and the ability to ensure a sustained service, especially in developing contexts

Urban socioeconomic inequality and biodiversity often converge, but not always: A global meta-analysis

It is through urban biodiversity that the majority of humans experience nature on a daily basis. As cities expand globally, it is increasingly important to understand how biodiversity is shaped by human decisions, institutions, and environments. In some cities, research has documented convergence between high socioeconomic status (SES) and high species diversity. Yet, other studies show that residents with low SES live amid high biodiversity or that SES and biodiversity appear unrelated. This study examines the conditions linked to varying types of relationships between SES and biodiversity. We identified and coded 84 case studies from 34 cities in which researchers assessed SES-biodiversity relationships. We used fuzzy-set Qualitative Comparative Analysis (fsQCA) to evaluate combinations of study design and city-level conditions that explain why SES-biodiversity relationships vary city to city and between plants and animals. While the majority of cases demonstrated increased biodiversity in higher SES neighborhoods, we identified circumstances in which inequality in biodiversity distribution was ameliorated or negated by disturbance, urban form, social policy, or collective human preference. Overall, our meta-analysis highlights the contributions of residential and municipal decisions in differentially promoting biodiversity along socioeconomic lines, situated within each city’s environmental and political context. Through identifying conditions under which access to biodiversity is more or less unequal, we call attention to outstanding research questions and raise prospects for better promoting equitable access to biodiversity

Estimating ionospheric currents by inversion from ground-based geomagnetic data and calculating geoelectric fields for studies of geomagnetically induced currents

This research focuses on the inversion of geomagnetic variation field measurements to obtain the source currents in the ionosphere and magnetosphere, and to determine the geoelectric fields at the Earth’s surface. During geomagnetic storms, the geoelectric fields create geomagnetically induced currents (GIC) in power networks. These GIC may disturb the operation of power systems, cause damage to power transformers, and even result in power blackouts. In this model, line currents running east–west along given latitudes are postulated to exist at a certain height above the Earth’s surface. This physical arrangement results in the fields on the ground being composed of a zero magnetic east component and a nonzero electric east component. The line current parameters are estimated by inverting Fourier integrals (over wavenumber) of elementary geomagnetic fields using the Levenberg–Marquardt technique. The output parameters of the model are the ionospheric current strength and the geoelectric east component at the Earth’s surface. A conductivity profile of the Earth is adapted from a shallow layered-Earth model for one observatory, together with a deep-layer model derived from satellite observations. This profile is used to obtain the ground surface impedance and therefore the reflection coefficient in the integrals. The inputs for the model are a spectrum of the geomagnetic data for 31 May 2013. The output parameters of the model are spectrums of the ionospheric current strength and of the surface geoelectric field. The inverse Fourier transforms of these spectra provide the time variations on the same day. The geoelectric field data can be used as a proxy for GIC in the prediction of GIC for power utilities. The current strength data can assist in the interpretation of upstream solar wind behaviour

The use of ultraviolet radiation as a non-thermal treatment for the inactivation of alicyclobacillus acidoterrestris spores in water, wash water from a fruit processing plant and grape juice concentrate

Alicyclobacillus acidoterrestris is a non-pathogenic, spore-forming bacterium that can survive the commercial pasteurisation processes commonly used during fruit juice production. Surviving bacterial endospores germinate, grow and cause spoilage of high acid food products. Fruit juices can be treated using ultraviolet light (UV-C) with a wavelength of 254 nm, which has a germicidal effect against micro-organisms. In this study, A. acidoterrestris was inoculated into water, used wash water from a fruit processing plant and grape juice concentrate. Ultraviolet dosage levels (J L−1) of 0, 61, 122, 183, 244, 305 and 367 J L−1 were applied using a novel UV-C turbulent flow system. The UV treatment method was shown to reliably achieve in excess of a 4 log10 reduction (99.99%) per 0.5 kJ L-1 of UV-C dosage in all the liquids inoculated with A. acidoterrestris. The applied novel UV technology could serve as an alternative to thermal treatments of fruit juices for the inactivation of Alicyclobacillus spores as well as in the treatment of contaminated wash water used in fruit processing.Department of HE and Training approved lis

Generation Alpha: Understanding the Next Cohort of University Students

Technology is changing at a blistering pace and is impacting on the way we consider knowledge as a free commodity, along with the ability to apply skills, concepts and understandings. Technology is aiding the way the world is evolving, and its contributions to education are not an exemption. While technology advances will play a crucial part in future teaching-learning approaches, educators will also be challenged by the next higher-education generation, the Alpha Generation. This entrepreneurial generation will embrace the innovation, progressiveness, and advancement with the expectation that one in two Generation Alphas will obtain a university degree. In anticipating the educational challenges and opportunities of the future higher education environment, this research reflected on Generation Alpha as the next cohort of university students, considering their preferred learning styles, perceptions and expectations relating to education. The research employed a theoretical analysis based on the characteristics and traits that distinguishes Generation Alpha, spearheaded by technology advances. The empirical investigation considered three independent studies that were previous conducted by authors from Slovakia, Hungary, Australia, and Turkey to understand the challenges and opportunities pertaining to Generation Alpha. The research identified the influence of social media, social connections, high levels of perceptions and the Generation Alpha’s ability to interpret information as strengths to consider in future teaching-learning approaches in the higher education environment. This research concluded with recommendations on how universities could be transformed to ensure a better learning experience for Generation Alpha students, aligned with their characteristics, perceptions and expectations

Guidelines for Paediatric Echocardiography in South Africa

No abstract available

EIA decision-making and administrative justice:An empirical analysis

Environmental impact assessment (EIA) is implemented in most countries as an administrative procedure. In this context, it is subject to the principles of administrative justice. However, to date, no empirical research has been conducted to determine the extent to which EIA decisions comply with the principles of administrative justice. In this paper, empirical data from 42 EIA cases in South Africa are used to establish EIA compliance with the administrative justice principles of lawfulness, procedural fairness and reasonableness. This is achieved by measuring EIA decisions against specially developed key performance indicators (KPIs). Overall, decisions were found to mostly comply with the principles of administrative justice. However, questions arise with regards to the quality and substance of the information feeding into the decision-making process and on which decisions are ultimately based