Factors influencing a customer-service culture in a higher education environment.

The higher education environment is experiencing significant changes, and the focus is moving to competitiveness and customer care. The role of organisational culture and job satisfaction in the delivery of quality customer service was investigated in this study. The indications are that a relationship should exist between organisational culture and learner satisfaction, but it transpired that the relationship between staff members’ job satisfaction and learner satisfaction was not significant. An evaluation of a proposed learner-satisfaction model revealed interesting dynamics influencing relationships between the core dimensions studied

A cultural historical activity theory (CHAT) analysis of prehospital emergency medical care clinical mentorship to enable learning

Background. Clinical mentorship in health sciences education is a nurtured venture where mentees are guided through practice by their more experienced mentors. However, recent research suggests that there are problems with clinical mentorship.Objective. To explore problems in work-integrated learning within the mentor/mentee relationship.Methods. The cultural historical activity theory (CHAT) was used to interpret data gathered from diaries and focus group interviews.Results. Difficulties identified were poor communication between the university and the mentors at clinical platform sites. The unclear roles and responsibilities of mentees and mentors led to a breakdown of trust.Conclusions. Better university training and development of mentors would aid in the holistic development of mentors and mentees

Comparative characterization of P91 and 10CrMo9-10 creep resistant steel welds

Abstract:Abstract: P91 and 10CrMo9-10 creep resistant steels are critical to the performance of boiler tubes and power generating plants in general. Components made from these materials are mainly joined by welding. This paper reports on the comparative study of the effect of TIG and SMAW welding on the mechanical performance of P91 and 10CrMo9-10. TIG was used for root welding while SMAW was used for weld filling of V-butt joints. Specimens of the two alloys prepared using recommended welding procedures are evaluated using optical microscopy and Vickers micro hardness assessment. Some specimens were post weld heat treated while others were not. Post weld heat treated (PWHT) specimens exhibited similar properties as the corresponding base materials for both steels. TIG welding resulted in significant grain size reduction in both steels. PWHT produced more consistent grain structure, which is favorable

Cost of breast preservation surgery for cancer

CITATION: Smit, B. J., Liebenberg, T. J. & Du Toit, D. F. 1992. Cost of breast preservation surgery for cancer. South African Medical Journal, 82:481.The original publication is available at http://www.samj.org.za[No abstract available]Publisher’s versio

Fatalities involving illicit drug use in Pretoria, South Africa, for the period 2003 - 2012

Background. Globally, illicit drugs are responsible for many fatalities annually, yet accurate data on the nature and extent of these deaths in South Africa (SA) are lacking.Objectives. To investigate the presence and profile of illicit drugs detected in deceased persons who were subjected to medicolegal autopsies and upon whom analyses were carried out in search of illicit drugs in their body fluids at the Pretoria Medico-Legal Laboratory (PMLL), SA, over a 10-year period.Methods. A retrospective descriptive case audit was conducted for the period 2003 - 2012.Results. Screening for illicit drugs was requested in 385 out of 22 566 medicolegal autopsies. Results were available for only 281 of these cases, with 154 cases showing the presence of one or more illicit drugs. The demographic profile of positive cases indicated the majority to be male (90.3%) and white (85.1%). Decedents who tested positive for illicit drugs were predominantly aged between 20 and 30 years (51.9%). The most frequently detected drug was heroin, the presence of which was confirmed in 35.2% of cases, followed by cocaine in 19.9%. Alcohol in combination with an illicit drug or drugs was detected in 56 cases (36.4%).Conclusions. Results from this study indicate that illicit drugs were implicated in a considerable number of fatalities in Pretoria. However, it is believed that the figures are a gross under-representation of the actual number of drug users who died during this period. It is therefore recommended that further research be conducted and that drug screening be requested routinely when unnatural deaths are investigated at medicolegal mortuaries, not only to ensure the administration of justice but also to obtain more accurate data for purposes of public health programmes and improve insight into the burden of illicit drug use in SA

Predictors of 1-year survival in South African transcatheter aortic valve implant candidates

Background. Transcatheter aortic valve implantation (TAVI) has undergone rapid expansion internationally over the past 15 years. In view of resource constraints in developing countries, a major challenge in applying this technology lies in identifying patients most likely to benefit. The development of a risk prediction model for TAVI has proved elusive, with a reported area under the curve (AUC) of 0.6 - 0.65. The available models were developed in a First-World setting and may not be applicable to South Africa (SA).Objectives. To evaluate novel indicators and to develop a TAVI risk prediction model unique to the SA context. The current work represents the important initial steps of derivation cohort risk model development and internal validation.Methods. Seven-year experience with 244 successive TAVI implants in three centres in Western Cape Province, SA, was used to derive risk parameters. All outcomes are reported in accordance with the Valve Academic Research Consortium definitions. Multiple preprocedural variables were assessed for their impact on 1-year survival using univariate and multivariate models.Results. Factors found not to correlate with 1-year survival included age, renal function and aortic valve gradients. The commonly used surgical risk prediction models (Society of Thoracic Surgeons score and EuroSCORE) showed no correlation with outcomes. Factors found to correlate best with 1-year survival on multivariate analysis were preprocedural body mass index (BMI) (favouring higher BMI), preprocedural left ventricular end-diastolic dimension (LVED) and ejection fraction (EF) (favouring smaller LVED and higher EF), absence of atrial fibrillation, and three novel parameters: independent living, ability to drive a car, and independent food acquisition/cooking. Discriminant analysis of these factors yielded an AUC of 0.8 (95% confidence interval 0.7 - 0.9) to predict 1-year survival, with resubstitution sensitivities and specificities of 72% and 71%, respectively.Conclusions. Apart from existing predictors, we identified three novel risk predictors (independent living, ability to drive a car, and independent food acquisition/cooking) for 1-year survival in TAVI candidates. These novel parameters performed well in this early evaluation, with an AUC for predicting 1-year survival higher than the AUCs for many of the internationally derived parameters. The parameters are inexpensive and easy to obtain at the initial patient visit. If validated prospectively in external cohorts, they may be applicable to other resource-constrained environments.

PROBLEMS IN THE OPERATION OF LARGE CRYOGENIC SYSTEMS

Two liquid-hydrogen test facilities were operated for fourteen months. These cells have the capability for transfer of liquid hydrogen at flow rates up to 100 lbs/sec and have a total storage capacity for liquid hydrogen of 156,000 gallons. A number of design and operational problems were met, for example, stresses in 8-in. diameter transfer lines, times and quantities of liquid hydrogen required for cooldown of transfer lines, dewar instrumentation, gas requirements for pressurization of liquid hydrogen filled dewars, and techniques for warmup of large cryogenic dewars. Solutions to many of these problems are described and outstanding problems discussed on the basis of current observations. In addition, some techniques are described that are employed for safe operation of the liquid hydrogen facility, including helium block systems for leaky valves, room inerting to prevent fire or explosion in the event of a hydrogen leak, and the purity control of dewar pressurizing gases and the purity control of purges of gas and liquld hydrogen transfer lines. A summary is included of major modifications that are planned or underway for these test facilities. (auth

Additive opportunistic capture explains group hunting benefits in African wild dogs

African wild dogs (Lycaon pictus) are described as highly collaborative endurance pursuit hunters based on observations derived primarily from the grass plains of East Africa. However, the remaining population of this endangered species mainly occupies mixed woodland savannah where hunting strategies appear to differ from those previously described. We used high-resolution GPS and inertial technology to record fine-scale movement of all members of a single pack of six adult African wild dogs in northern Botswana. The dogs used multiple short-distance hunting attempts with a low individual kill rate (15.5%), but high group feeding rate due to the sharing of prey. Use of high-level cooperative chase strategies (coordination and collaboration) was not recorded. In the mixed woodland habitats typical of their current range, simultaneous, opportunistic, short-distance chasing by dogs pursuing multiple prey (rather than long collaborative pursuits of single prey by multiple individuals) could be the key to their relative success in these habitats

Positional running capacities and in-game demands of South African university level rugby players

Abstract: Rugby is a complex contact sport consisting of varying intensities of locomotion, interspersed with stationary and contact periods. An increasing professionalisation of the sport even at university and school level has engendered a growing need to collect objective data regarding the physical attributes of rugby players. The aim of the study was to assess the positional running capacities and demands of university rugby players. Twenty-nine male rugby players (age: 22.5 ± 1.2 years; body mass: 96.1 ± 13.26 kg; stature: 182.6 ± 7.5 cm) completed a battery of tests, which included: 10 m + 40 m sprint, yo-yo intermittent recovery (Yo-Yo IRT), repeated sprint ability test (RSA), and had their in-game running demands evaluated. Positional differences between forwards and backs were reported (p<0.05) for Yo-Yo IRT: 19.2 ± 2 vs 21.1 ± 2; 10 m sprint: 1.7 ± 0.1s vs 1.6 ± 0.0s; 40 m sprint test: 5.4 ± 0.3s vs 5.1 ± 0.1s; 5 m RST: 738.9 ± 31.1m vs 767.3 ± 20.9m. Additionally, a significant difference in-game distances between forwards and the backs (absolute: 5564.1 ± 842.5m vs 6955.9 ± 780.9m; relative: 54.7 ± 9.0 m.min-1 vs 60.6 ± 8.7m.min-1) were obtained. The assessment of university-level rugby players showed that backline players tend to record higher aerobic capacity, acceleration and sprint values than forwards. Evidence has shown that during matches, backs tend to cover more distance and spend more time in each speed band than forwards. The findings were discussed in the light of their implications for competitive rugby performance