755 research outputs found

    The relationship between the perception of own locus of control and aggression of adolescent boys

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    Aggression is increasingly seen in most parts of South African society. Aggressive behaviour of boys in secondary school often results from frustrations caused by perceived high expectations of others regarding the role, locus of control, and personality of boys. Locus of control plays an important role in a person’s perception concerning a situation and possible reactions to what is happening, or should be happening. A 56-item questionnaire, based on Rotter’s “Locus of control” questionnaire, and the DIAS Scale were used. The questionnaire was completed by 440 boys in Grades 9, 10, and 11. Various factor, item and differential statistical analyses were conducted. Three constructs were identified, i.e. physical, verbal, and indirect aggression. Results indicated that locus of control has a significant influence on verbal and indirect aggression. The differential analysis indicated that contextual variables (language of tuition, age, and grade) play a significant, but not substantial, role in aggression. Furthermore, boys with an internal locus of control are significantly and substantially less aggressive than boys with an external locus of control, with respect to physical, verbal and indirect aggression

    Linking climate change and progressive eutrophication to incidents of clustered animal mortalities in different geographical regions of South Africa

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    Cyanobacterial blooms have become an increasing problem in South African freshwater bodies. Since certain species of cyanobacteria are well-known for biosynthesis of potent hepatic and neurotoxins, such blooms can pose a significant threat to the health of animals and humans. The massiveproliferation of these organisms in rivers and lakes is largely due to progressive eutrophication. However, a warming trend in the Southern hemisphere, indicated by a threefold increase in the minimum temperature compared to maximum temperature between 1950 and 1990, is likely the cause of the increasing occurrence of toxic cyanobacterial bloom forming species, previously hampered by low water temperatures in different geographical regions of South Africa

    Advanced psychiatric nurse practitioners’ ideas and needs for supervision in private practice in South Africa

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    Background: Supervision forms an integral part of psychiatric nursing. The value of clinical supervision has been demonstrated widely in research. Despite efforts made toward advanced psychiatric nursing, supervision seems to be non-existent in this field. Objectives: The aim of this study was to explore and describe advanced psychiatric nurse practitioners’ ideas and needs with regard to supervision in private practice in order to contribute to the new efforts made in advanced psychiatric nursing in South Africa. Method: A qualitative, descriptive, exploratory, and contextual design using a phenomenological approach as research method was utilised in this study. A purposive sampling was used. Eight advanced psychiatric nurse practitioners in private practice described their ideas and needs for supervision during phenomenological interviews. Tesch’s method of open coding was utilised to analyse data. After data analysis the findings were recontextualised within literature. Results: The data analysis generated the following themes – that the supervisor should have or possess: (a) professional competencies, (b) personal competencies and (c) specific facilitative communication skills. The findings indicated that there was a need for supervision of advanced psychiatric nurse practitioners in private practice in South Africa. Conclusion: This study indicates that there is need for supervision and competent supervisors in private practice. Supervision can be beneficial with regard to developing a culture of support for advanced psychiatric practitioners in private practice and also psychiatric nurse practitioners

    The role of spirituality in specialist psychiatry: A review of the medical literature

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    A review of the international medical literature was undertaken on the role of spirituality in the discipline of psychiatry, within the context that a perceived change is taking place in the health care environment in South Africa. Revitalized interest in spirituality was evident from the literature partly because Western societies have, through the migration of people, become more heterogeneous in recent years. The literature concurred that spirituality must be incorporated into the current approach to the practice and training of psychiatry, but within the professional scope of the discipline, while all faith traditions and belief systems should be regarded equally. Beyond South Africa, it is envisaged that the review has implications for the practice of psychiatry in Africa.Keywords: Spirituality; Practice and training; Psychiatry; Medical literature; Qualitative inquir

    Developmental fitness curves: Assessing sprint acceleration relative to age and maturity status in elite junior tennis players

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    Background The influence of maturity-status on athletic performance is reasonably well-documented. Methodological and practical issues of assessment and lack of longitudinal data have impacted the success of various models. Aim To develop age- and sex-specific developmental curves for sprint acceleration in elite youth tennis players and to address variation in performance relative to chronological and biological age. Subjects and methods Measures of acceleration were available for 3120 elite youth tennis players aged 8–15 years attending National and Regional Talent Identification days. Variation in acceleration by chronological and estimated biological ages was evaluated in corresponding data for an independent sample of elite youth players 8.9 to 15.1 years of age. Results Acceleration varied as a function of chronological and biological age relative to developmental curves. Early maturing males and females had significantly poorer performances when acceleration was considered relative to biological age. Significant discrepancy in percentiles relative to biological versus chronological ages was also evident between early and late maturing players of each sex. Conclusion Evaluating performance relative to developmental curves and maturity status may be a practical means of monitoring long-term athlete development in tennis

    Community mental health nurses’ experience of decentralised and integrated psychiatric-mental health care services in the Southern mental health region of Botswana (part 1)

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    Since the inception of the decentralisation and integration of psychiatric mental health care services into the general health care delivery system in Botswana, there has never been a study to investigate what community mental health nurses are experiencing due to the policy. Many of these nurses have been leaving the scantily staffed mental health care services in increasing numbers to join other sectors of health or elsewhere since the beginning of the implementation of the policy. During the research study, phenomenological in-depth interviews were conducted with three groups of 12 community mental health nurses altogether. An open central question was posed to each group followed by probing questions to explore and describe these nurses’ experience of the decentralisation and integration of psychiatric-mental health care services. After the data was analysed, related literature was incorporated and guidelines for advanced psychiatric nurses were formulated and described to assist these nurses to cope with the decentralisation and integration of psychiatric-mental health care services. The guidelines were set up for the management of the community mental health nurses who are experiencing obstacles in the quest for mental health which also interfere with their capabilities as mental health care providers

    Comparison of Outcomes in Level I vs Level II Trauma Centers in Patients Undergoing Craniotomy or Craniectomy for Severe Traumatic Brain Injury.

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    BACKGROUND: Traumatic brain injury (TBI) carries a devastatingly high rate of morbidity and mortality. OBJECTIVE: To assess whether patients undergoing craniotomy/craniectomy for severe TBI fare better at level I than level II trauma centers in a mature trauma system. METHODS: The data were extracted from the Pennsylvania Trauma Outcome Study database. Inclusion criteria were patients \u3e 18 yr with severe TBI (Glasgow Coma Scale [GCS] score less than 9) undergoing craniotomy or craniectomy in the state of Pennsylvania from January 1, 2002 through September 30, 2017. RESULTS: Of 3980 patients, 2568 (64.5%) were treated at level I trauma centers and 1412 (35.5%) at level II centers. Baseline characteristics were similar between the 2 groups except for significantly worse GCS scores at admission in level I centers (P = .002). The rate of in-hospital mortality was 37.6% in level I centers vs 40.4% in level II centers (P = .08). Mean Functional Independence Measure (FIM) scores at discharge were significantly higher in level I (10.9 ± 5.5) than level II centers (9.8 ± 5.3; P \u3c .005). In multivariate analysis, treatment at level II trauma centers was significantly associated with in-hospital mortality (odds ratio, 1.2; 95% confidence interval, 1.03-1.37; P = .01) and worse FIM scores (odds ratio, 1.4; 95% confidence interval, 1.1-1.7; P = .001). Mean hospital and ICU length of stay were significantly longer in level I centers (P \u3c .005). CONCLUSION: This study showed superior functional outcomes and lower mortality rates in patients undergoing a neurosurgical procedure for severe TBI in level I trauma centers

    Age estimation from the acetabulum in South African black males

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    Anthropologists are constantly seeking to improve methods for age estimation in the human skeleton. A new method was introduced about a decade ago that assesses the morphological changes that take place in the acetabulum as an individual ages. The pelvis is usually well preserved in forensic cases, which makes this method potentially valuable as an adult age indicator. This method employs seven variables, each with its own set of phases. To test the accuracy and reliability of this method, 100 black South African male acetabula from the Pretoria Bone Collection were assessed based on the criteria described in the original study. Box plots and transition curves were constructed to establish whether progression with age was visible and how it could possibly be modelled. Inter-observer reliability was also assessed by making use of Fleiss’s Kappa statistic. Five specimens were used as out-of-sample examples for which maximum likelihood (point) estimates were calculated. The results demonstrated that middle and older individuals’ age estimates were vastly underestimated. Inter-observer repeatability was poor, which suggested that the classification system most likely needs to be modified. A discussion and recommendation is given for improvement of reliability and repeatability of this method.The National Research Foundation (NRF) of South Africahttp://link.springer.com/journal/4142017-05-30hb201
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