The effect of cognitive training on impulse control among Methamphetamine addicts in the Western Cape

Magister Psychologiae - MPsychSubstance use addiction is a debilitating and destructive human disorder that affects millions of people worldwide. Of all the provinces in South Africa, the Western Cape has the highest rate of MA use. This highly addictive stimulant, locally known as 'tik', has multiple physiological, psychological, and social effects on the user. The effects are associated with neurocognitive deficits that include deficiencies in working memory and high rates of delay discounting. Current neuropsychopharmacology literature seems to suggest that changes in neurotransmitter functioning and particular brain areas occur that contribute to some of the addictive behaviours associated with chronic MA use. New evidence is emerging that working memory training can help to improve rates of impulsivity in those addicted to MA by strengthening cognitive control. The aim of this project was to establish whether differences in impulse control existed in a sample of 33 male patients at a Western Cape drug rehabilitation centre who received either working memory training with standard drug rehabilitation and or standard drug rehabilitation only. Data was collected with a self-report impulsivity scale (BIS – 11) and analysed using inferential statistics. The results suggest that working memory training, when paired with a standard rehabilitation program, has superior effects in decreasing self-reported rates of impulsivity when compared to standard rehabilitation only. These findings suggest that working memory training may serve as a useful addition to improving impulsivity rates in MA rehabilitation treatment. Further research on a larger scale is required to investigate the findings of this project

Investigating the bottom free surface nappe (ogee profile) across a sharp-crested weir caused by the flow in an asymmetrical approach channel

The shape of an ogee spillway is based on the shape of the lower nappe of water flowing over an aerated sharp-crested weir. At the design discharge, this shape minimises the possibility of sub-atmospheric pressure occurring on the spillway and maximises the discharge across the spillway. The formulae that are currently in use to approximate the ogee profile consider only two-dimensional flow parameters, being the depth of flow over the spillway crest, the inclination of the upstream wall face, and the pool depth upstream of the spillway. The current formulae for the ogee shape, does not consider the influence of three-dimensional flow. The most significant three-dimensional flow parameters that could affect the shape of the lower nappe are the flow velocity distribution upstream of the spillway, the orientation or angle of the water approaching the spillway, the asymmetrical cross-section of the approach channel, and the curvature of the dam wall. This paper reflects the influence of asymmetrical flow in the approach channel. The investigation was based on a physical model constructed at the Department of Water and Sanitation (DWS). The inclination of the model’s sidewalls of the upstream approach channel was varied to cause a change in the symmetricity, while the lower nappe profile was routinely measured. It was found that the flow in the asymmetrical approach channel caused a variation from the theoretical estimated ogee profile. A comparison between the measured nappe profile and the currently used formulae was investigated. It can be concluded that the symmetricity of the approach channel influences the shape of the bottom nappe, which differs from the shape as proposed by the current ogee formulae. It is recommended that three-dimensional flow should be examined when designing an ogee spillway.http://www.journals.co.za/ej/ejour_civileng.htmlam201

The prevalence of Culicoides spp.in 3 geographic areas of South Africa

The seasonal abundance of Culicoides midges, the vector of Bluetongue and African horse sickness viruses (BTV/AHSV) and the presence of viruses in midges were determined in 3 geographic areas in South Africa. In the Onderstepoort area, more than 500,000 Culicoides midges belonging to 27 species were collected. Eighteen midge species were collected throughout Winter and the presence of AHSV and BTV RNA in midges was detected using real time reverse transcription quantitative polymerase chain reaction. The nucleic acid of AHSV was found in 12 pools out of total pools of 35 Culicoides. Twenty‑five Culicoides species were detected in the Mnisi area. The RNA of BTV was detected in 75.9% of the midge pools collected during Winter and 51.2% of those collected during Autumn. Antibodies for BTV were detected in 95% of cattle sampled using a competitive enzyme‑linked immunosorbent assay (cELISA). The dominant species in these 2 areas was Culicoides imicola. Eight Culicoides species were collected in Namaqualand. Culicoides imicola represented the 0.9% and Culicoides bolitinos the 1.5% of total catches, respectively. Antibodies for AHSV were detected in 4.4% of 874 equines tested using an indirect ELISA. Results showed that transmission of AHSV and BTV can carry on throughout Winter and the outbreak may begin as soon as Culicoides populations reach a certain critical level. [Abstract] I Culicoides sono noti vettori del virus della Bluetongue (BTV) e del virus della Peste equina africana (AHSV). Il lavoro riporta i risultati sull'abbondanza stagionale di Culicoides e sulla presenza di BTV e AHSV in diversi vettori, in tre aree geografiche del Sudafrica. Nell'area di Onderstepoort sono stati individuati più di 500.000 esemplari di Culicoides appartenenti a 27 specie diverse. Durante la stagione invernale sono state individuate 18 specie. Frammenti di RNA di AHSV e BTV sono stati rilevati mediante specifiche RT-qPCR. L'RNA del virus AHSV è stato individuato in 12 pool di Culicoides su 35 esaminati. Nell'area di Mnisi sono state identificate 25 specie di Culicoides. L'RNA di BTV è stato rilevato nel 75,9% dei pool di Culicoides catturati durante la stagione invernale e nel 51,2% di quelli catturati durante la stagione autunnale. Anticorpi contro BTV sono stati osservati nel 95% dei sieri prelevati da bovini dell'area di Mnisi ed esaminati con il metodo c‑ELISA. La specie dominante in queste due aree è risultata Culicoides imicola. Nella regione di Namaqualand sono state individuate otto specie, C. imicola ha rappresentato lo 0,9% delle specie catturate e Culicoides bolitinos l'1,5%. Anticorpi contro il virus AHSV sono stati individuati mediante ELISA nel 4,4% degli 874 equini esaminati. I risultati ottenuti hanno dimostrato che in Sudafrica la trasmissione di BTV e AHSV può continuare durante la stagione invernale mentre, con ogni probabilità, si ha la comparsa dei primi focolai quando le diverse popolazioni di Culicoides raggiungono un livello riproduttivo critico

Corrective wedge ostectomy for an atypical femoral procurvatum deformity stabilised with a supracondylar bone plate

Physeal fractures of the distal femur are among the most commonly encountered fractures in skeletally immature dogs. These fractures respond poorly to conservative management and thus early surgical reduction and stabilisation are recommended. A 7-month-old intact male Border collie presented with a history of chronic lameness. Clinical examination revealed a predominantly non-weight-bearing lameness of the right hindlimb and concurrent muscle atrophy. A pronounced, but atypical, procurvatum deformity of the right distal femur was diagnosed on survey radiographs. Malunion of a Salter–Harris Type III physeal fracture was suspected as there was an associated history of trauma. A cranially based closing wedge ostectomy was performed to address the femoral deformity and subsequently stabilised using a supracondylar bone plate. The dog recovered well and was moderately weight-bearing lame on the right hindlimb 6 weeks post-operatively. Ten months following the operation the range of motion had improved in the right stifle and no signs of lameness were evident at a walk. We advocate surgical correction of sagittal plane deformities of the distal femur using the CORA method. Overall, a good functional outcome was achieved, which is consistent with previously reported cases with similar deformities

Biomechanical comparison between pins - polymethylmethacrylate to the “String of Pearls” interlocking plate system (SOP) to stabilize canine lumbosacral fracture-luxation

Biomechanical comparison of two internal spinal fixation techniques, applied to a surgically simulated complete spinal injury at L7-S1 was conducted. The study objective was to compare the stability provided by the two fixation techniques to the fracture-luxation.Poster presented at the University of Pretoria, Faculty of Veterinary Science Faculty Day, August 20, 2015, Pretoria, South Africa.Created in CoralDRAW X5. PDF size: 5.83 MB.ab201

Gastrojejunostomy without partial gastrectomy to manage duodenal stenosis in a dog

A nine-year-old female Rottweiler with a history of repeated gastrointestinal ulcerations and three previous surgical interventions related to gastrointestinal ulceration presented with symptoms of anorexia and intermittent vomiting. Benign gastric outflow obstruction was diagnosed in the proximal duodenal area. The initial surgical plan was to perform a pylorectomy with gastroduodenostomy (Billroth I procedure), but owing to substantial scar tissue and adhesions in the area a palliative gastrojejunostomy was performed. This procedure provided a bypass for the gastric contents into the proximal jejunum via the new stoma, yet still allowed bile and pancreatic secretions to flow normally via the patent duodenum. The gastrojejunostomy technique was successful in the surgical management of this case, which involved proximal duodenal stricture in the absence of neoplasia. Regular telephonic followup over the next 12 months confirmed that the patient was doing well.http://www.jsava.co.zaam201

Gastrojejunostomy without partial gastrectomy to manage duodenal stenosis in a dog

A nine-year-old female Rottweiler with a history of repeated gastrointestinal ulcerations and three previous surgical interventions related to gastrointestinal ulceration presented with symptoms of anorexia and intermittent vomiting. Benign gastric outflow obstruction was diagnosed in the proximal duodenal area. The initial surgical plan was to perform a pylorectomy with gastroduodenostomy (Billroth I procedure), but owing to substantial scar tissue and adhesions in the area a palliative gastrojejunostomy was performed. This procedure provided a bypass for the gastric contents into the proximal jejunum via the new stoma, yet still allowed bile and pancreatic secretions to flow normally via the patent duodenum. The gastrojejunostomy technique was successful in the surgical management of this case, which involved proximal duodenal stricture in the absence of neoplasia. Regular telephonic followup over the next 12 months confirmed that the patient was doing well.http://www.jsava.co.zaam201

Development of a procedure and tool for retrofit hydropower evaluation at South African dams

South Africa is in a critical power situation and is in dire need of additional generation capacity. Thus, renewable energy sources such as wind, solar and hydropower should be evaluated to identify highpotential and cost-effective sites. Rivers in South Africa, as a water-scarce country, are already heavily impounded, meaning that there are limited sites available for conventional hydropower generation. Instead, novel solutions such as retrofitting hydropower installations to existing infrastructure, like existing dams, are required. To estimate the retrofit hydropower potential at dams, a set of five tools was developed using Python 3, known as the University of Pretoria Retrofit Hydropower Evaluation Software (UP-RHES). The UP-RHES screens potential sites where historic flow records are available, then downloads the required flow records from the national database and performs a first-order hydraulic assessment of the site, as well as a first-order life cycle cost analysis. By applying the UP-RHES to 118 dams operated by the Department of Water and Sanitation (DWS), it was found that a total estimated hydropower potential of 128 MW with an annual energy output of between 385 and 469 GWh exists at South African dams. The Vaal, Pongolapoort, Goedertrouw and Blyderivierpoort Dams were found to be feasible sites with a combined capacity of 77 GWh/annum.https://www.watersa.netCivil Engineerin

A field investigation of an African horse sickness outbreak in the controlled area of South Africa in 2016

An outbreak of African horse sickness (AHS) caused by AHS virus type 1 occurred within the South African AHS surveillance zone during April and May 2016. The index case was detected by a private veterinarian through passive surveillance. There were 21 cases in total, which is relatively low compared to case totals during prior AHS outbreaks in the same region (and of the same AHS virus type) in 2004, 2011 and 2014. The affected proportion of horses on affected properties was 0.07 (95% CI 0.04, 0.11). Weather conditions were conducive to high midge activity immediately prior to the outbreak but midge numbers decreased rapidly with the advent of winter. The outbreak was localized, with 18 of the 21 cases occurring within 8 km of the index property and the three remaining cases on two properties within 21 km of the index property, with direction of spread consistent with wind‐borne dispersion of infected midges. Control measures included implementation of a containment zone with movement restrictions on equids. The outbreak was attributed to a reversion to virulence of a live attenuated vaccine used extensively in South Africa. Outbreaks in the AHS control zones have a major detrimental impact on the direct export of horses from South Africa, notably to the European Union.The Equine Health Fund–Wits Health Consortium (Pty) Ltd and the Equine Research Centre (University of Pretoria).http://wileyonlinelibrary.com/journal/tbed2020-03-01hj2020Equine Research CentreProduction Animal Studie

Atrasentan and renal events in patients with type 2 diabetes and chronic kidney disease (SONAR): a double-blind, randomised, placebo-controlled trial

Background: Short-term treatment for people with type 2 diabetes using a low dose of the selective endothelin A receptor antagonist atrasentan reduces albuminuria without causing significant sodium retention. We report the long-term effects of treatment with atrasentan on major renal outcomes. Methods: We did this double-blind, randomised, placebo-controlled trial at 689 sites in 41 countries. We enrolled adults aged 18–85 years with type 2 diabetes, estimated glomerular filtration rate (eGFR)25–75 mL/min per 1·73 m 2 of body surface area, and a urine albumin-to-creatinine ratio (UACR)of 300–5000 mg/g who had received maximum labelled or tolerated renin–angiotensin system inhibition for at least 4 weeks. Participants were given atrasentan 0·75 mg orally daily during an enrichment period before random group assignment. Those with a UACR decrease of at least 30% with no substantial fluid retention during the enrichment period (responders)were included in the double-blind treatment period. Responders were randomly assigned to receive either atrasentan 0·75 mg orally daily or placebo. All patients and investigators were masked to treatment assignment. The primary endpoint was a composite of doubling of serum creatinine (sustained for ≥30 days)or end-stage kidney disease (eGFR <15 mL/min per 1·73 m 2 sustained for ≥90 days, chronic dialysis for ≥90 days, kidney transplantation, or death from kidney failure)in the intention-to-treat population of all responders. Safety was assessed in all patients who received at least one dose of their assigned study treatment. The study is registered with ClinicalTrials.gov, number NCT01858532. Findings: Between May 17, 2013, and July 13, 2017, 11 087 patients were screened; 5117 entered the enrichment period, and 4711 completed the enrichment period. Of these, 2648 patients were responders and were randomly assigned to the atrasentan group (n=1325)or placebo group (n=1323). Median follow-up was 2·2 years (IQR 1·4–2·9). 79 (6·0%)of 1325 patients in the atrasentan group and 105 (7·9%)of 1323 in the placebo group had a primary composite renal endpoint event (hazard ratio [HR]0·65 [95% CI 0·49–0·88]; p=0·0047). Fluid retention and anaemia adverse events, which have been previously attributed to endothelin receptor antagonists, were more frequent in the atrasentan group than in the placebo group. Hospital admission for heart failure occurred in 47 (3·5%)of 1325 patients in the atrasentan group and 34 (2·6%)of 1323 patients in the placebo group (HR 1·33 [95% CI 0·85–2·07]; p=0·208). 58 (4·4%)patients in the atrasentan group and 52 (3·9%)in the placebo group died (HR 1·09 [95% CI 0·75–1·59]; p=0·65). Interpretation: Atrasentan reduced the risk of renal events in patients with diabetes and chronic kidney disease who were selected to optimise efficacy and safety. These data support a potential role for selective endothelin receptor antagonists in protecting renal function in patients with type 2 diabetes at high risk of developing end-stage kidney disease. Funding: AbbVie