The case of cholera preparedness, response and prevention in the SADC region: A need for proactive and multi-level communication and co-ordination

In this paper the authors seek to identify the most appropriate model for a regional co-ordination mechanism for cholera preparedness, response and prevention. The qualitative mixed-method data collection approach that was followed revealed the need for alternative solutions, including a socio-political understanding of cholera responses at different levels of scale and at different stages of an outbreak. Important areas that need to be understood include the multiplicity of actors and the complexity of their interaction, the importance of building local capacity, the need for varying responses at different levels of scale, the need for improved inter- and intra-country co-ordination and information exchange, the importance of cultural belief systems and the impact of the media on the response to cholera outbreaks. Ultimately, despite the proposed co-ordinating role that the Southern African Development Community (SADC) can play in a regional cholera response effort, the onus remains on states to build capacity at the local level and to capacitate local communities to drive response efforts semi-autonomously.Keywords: Cholera prevention, preparedness and response, socio-political understanding of cholera, socio-cultural understanding of cholera, transboundary disease, Southern African Development Community (SADC), choler

Municipal sludge as source of nitrogen and phosphorus in perennial pasture Eragrostis curvula production: Agronomic benefits and environmental impacts

Land application of sludge has been shown to improve soil properties and aid crop growth, but the possibility of constituent nutrients such as nitrogen and phosphorus reaching environmentally toxic levels has caused governing authorities to set limits to how much sludge can be applied to agronomic land. The high nitrogen utilisation potential of pasture grasses suggests that more sludge can be used in this cropping system without the risk of excess nitrates. This study investigates the effect of exceeding the South African sludge application limit on hay yield, soil nitrates and phosphorus. Field plots were arranged in a complete block design comprising 4 replications of 4 treatments planted to Eragrostis curvula. The treatments consisted of 0, 4, 8 and 16 Mg∙ha-1 anaerobically digested sludge. Soil samples were collected before treatment application and at the end of each growing season for N, P, NO3-, NH4+, and Bray-1P analyses. Plant samples were collected at flowering stage for hay yield and N and P uptake determination. Statistical analyses were conducted using analysis of variance (ANOVA) and general linear model (GLM) procedures of Windows SAS 9.0 to evaluate the effect of sludge application rates on hay yield. Results over 4 growing seasons indicate that exceeding the recommended limit increased hay yield by 4% in a dry season (11.7 vs. 12.36 Mg∙ha-1) and by 16% in a wet season (14.19 vs. 17.31 Mg∙ha-1) and also increased nitrogen uptake by 15%. Sludge applied at double the recommended limit did not cause the accumulation of nitrate and ammonium in the soil, however, both total and Bray-1P were doubled. The study shows that the potential long-term environmental risk of doubling the sludge application rate norm would be from labile P accumulation in the soil profile despite a sludge P:Fe molar ratio of less than unity.Keywords: sludge, Eragrostis curvula, nitrogen, phosphorus, leachin

Carcinoid heart disease: Two clinical cases and a review

We present two cases of metastatic carcinoid tumours, complicated by carcinoid syndrome and by cardiac valve involvement, a well-known, but infrequent, complication. Carcinoid tumours are generally more indolent than other cancers and may have a long asymptomatic phase. The symptoms of carcinoid syndrome generally manifest only once metastases to the liver have occurred. Cardiac involvement occurs in up to 50% of patients, and heralds a poor prognosis. However, a multidisciplinary team approach has improved the prognosis and quality of life for patients with carcinoid heart disease. Therapy includes somatostatin analogues and treatment for heart failure, removal of primary or metastatic tumour deposits, valve replacement in the presence of valvular involvement, and radioisotopes therapy

Female educators’ perceptions of employment opportunities in the United Arab Emirates

This article examines the way female educators experience barriers to employment opportunities in the education system of the United Arab Emirates. An exploratory qualitative research design using interviews and focus group sessions was used to collect data from national female educators at different stages of their careers. Manifestations of the category “employment barriers” included social barriers to women and work, education as career choice, “delays and waiting lists”, and opposition to employment in the private education sector. Manifestations of the category “barriers to career progression” included, conflict of roles, “waiting for them to promote me”, lack of networking opportunities, “big sister” mentoring, challenges to academic development and training and gender discrimination. Recommendations relating to strategies that could facilitate national female educator entry into and career progression in the education sector are provided.Educational Leadership and Managemen

Differential skewing of donor-unrestricted and γδ T cell repertoires in tuberculosis-infected human lungs

Unconventional T cells that recognize mycobacterial antigens are of great interest as potential vaccine targets against tuberculosis (TB). This includes donor-unrestricted T cells (DURTs), such as mucosa-associated invariant T cells (MAITs), CD1-restricted T cells, and γδ T cells. We exploited the distinctive nature of DURTs and γδ T cell receptors (TCRs) to investigate the involvement of these T cells during TB in the human lung by global TCR sequencing. Making use of surgical lung resections, we investigated the distribution, frequency, and characteristics of TCRs in lung tissue and matched blood from individuals infected with TB. Despite depletion of MAITs and certain CD1-restricted T cells from the blood, we found that the DURT repertoire was well preserved in the lungs, irrespective of disease status or HIV coinfection. The TCRδ repertoire, in contrast, was highly skewed in the lungs, where it was dominated by Vδ1 and distinguished by highly localized clonal expansions, consistent with the nonrecirculating lung-resident γδ T cell population. These data show that repertoire sequencing is a powerful tool for tracking T cell subsets during disease

A preliminary investigation of the water use efficiency of sweet sorghum for biofuel in South Africa

Sweet sorghum (Sorghum bicolor (L.) Moench) has been recognized globally as a potential biofuel crop for ethanol production. Sweet sorghum is a drought-tolerant crop that is widely adapted to different environmental growing conditions. The aim of this study was to determine the water use efficiency (utilisable yield per unit amount of water used) of drip-irrigated sweet sorghum (variety Sugargraze) under two different climatic conditions in South Africa. The sweet sorghum trials were conducted at Ukulinga research farm (University of KwaZulu-Natal, Pietermaritzburg) and Hatfield experimental farm (University of Pretoria, Pretoria), South Africa. Field trials were conducted in two successive seasons, viz., 2010/11 and 2011/12. Seasonal water use was estimated using eddy covariance and surface renewal methods. Fresh and dry aboveground biomass yield, stalk yield and stalk Brix % were measured at final harvest. Theoretical ethanol yield was calculated from fresh stalk yield and Brix %. Water use for the two growing seasons was 415 mm at Ukulinga and 398 mm at Hatfield. The ethanol water use efficiency (WUE) values for the sweet sorghum at Ukulinga were 0.27 and 0.60 L∙m-3 for 2010/11 and 2011/12 growing seasons, respectively. The ethanol WUE estimate of the sweet sorghum at Hatfield was 0.53 L∙m-3 for the 2010/11 season and 0.70 L∙m-3 for the 2011/12 growing season. WUE estimates of the sweet sorghum crop were higher for Hatfield compared to Ukulinga research farm. The results from this study showed that the WUE of sweet sorghum was sensitive to plant density. The WUE values confirm that sweet sorghum has high WUE under different climatic conditions.Keywords: water use efficiency; ethanol yield; biofuel crop; plant density, sweet sorghum, South Afric

Telematics-based technology and the development of road condition trends from cloud-sourced data

Road related telematics encompasses a combination of road transportation, in-vehicle electronics and telecommunications. It is continuously evolving in terms of complexity and diversity, and contains high volumes of sensor data. Telematics-based technology is mainly used for the recovery of hijacked/stolen vehicles, insurance purposes and vehicle fleet monitoring and management. In this paper, it is demonstrated that telematics-based technology may offer capabilities in terms of predicting road condition. This is based on a project where some simple statistical analysis techniques were used to interpret existing data originating from standard vehicle telematics units. The paper mainly evaluates the z-direction (up / down) acceleration for a few different vehicle types and x-direction (lateral), y-direction (longitudinal) and z-direction acceleration for the identification of road anomalies/defects. Roads are currently monitored using Class 1 profilometers, which provides a detailed but relatively costly indication of road condition. The use of vehicle telematics may provide a more cost-effective solution to monitor a wider road network and on a continuous basis, albeit on a Class 3 profilometer level. Telematics units are currently installed in numerous vehicle types throughout South Africa, and this paper focuses on achieving a reliable Class 3, real-time response-type measurement which can be used as a screening device and which is able to accurately produce an indication of road roughness, as well as major road distresses. This may assist in ensuring that agencies without direct access to funding for Class 1 road condition data may be able to obtain an indication of their road network conditions. It also contributes towards the safety and comfort of road users.Paper presented at the 34th Annual Southern African Transport Conference 6-9 July 2015 "Working Together to Deliver - Sakha Sonke", CSIR International Convention Centre, Pretoria, South Africa.The Minister of Transport, South AfricaTransportation Research Board of the US