Meaningful assessment in health technology

Published ArticleThe implementation of the outcomes-based education and training (OBET) and learner-centred approaches specifically in the health technology programmes at the Central University of Technology, Free State (CUT) exposed facilitators to new challenges in teaching and assessment. The current assessment environment in these programmes was established, using two questionnaires aimed at facilitators and students. The results of the study showed a trend towards innovation in assessment and the establishment of an assessment culture when compared with specific characteristics in literature on meaningful and scholarly assessment practices

Retention of engineering students

Abstract: Retention of engineering students is an international concern. Most countries report a shortage of engineers. By increasing the number of retained engineering students it is potentially possible to increase the number of engineering graduates. The purpose of this article is to identify and analyse what retention research has been done in the past to avoid unnecessary duplication. Although duplication may bring valuable new information, progress in this field has been slow. Therefore, the focus is on facilitating progress rather than seeking more accurate results. The three main themes identified in literature are: the individual’s internal and external characteristics that affect retention, the models that describe retention, conceptual and predictive, and the interventions attempted to improve retention. Further research into methods for improving student retention is certainly justified since in spite of existing research most institutions still struggle to retain engineering students

An investigation into the applicability of the Lattice Boltzmann method to modelling of the flow in a hydrocyclone

The lattice Boltzmann method has gained popularity as a method for simulating fluid flow, particularly multiphase flow. Thus, it has potential in simulating fluid flow in hydrocyclones. While research on the method and its’ application to multiphase flow is mature, there is sparse research on its’ application to hydrocyclones. An overview of the literature on the use of the lattice Boltzmann method for simulating fluid flow in hydrocyclones is presented. A lattice Boltzmann model of single phase flow in a hydrocyclone is presented, which is compared to predictions from a Navier-Stokes based model. The lattice Boltzmann model predicts lower velocities than the Navier-Stokes model in certain areas of the hydrocyclone and higher velocities in other areas. In some areas both models are in close agreement. The lattice Boltzmann model predicts the low pressure region at the underflow and overflow. However, it does not display the low pressure region in the core of the hydrocyclone. It is proposed that these differences are related to the use of the single relaxation time implementation of the lattice Boltzmann method. The possible solution is to use the multiple relaxation time model which is more suitable to high-Reynolds number flows

High dose-rate brachytherapy in the radical treatment of cervical cancer. An analysis of dose effectiveness and incidence of late radiation complications

Published ArticleWorldwide, uterine cervical cancer is one of the most frequently occurring cancers in women, with more than 80% of these cases occurring in developing countries. The South African screening policy and screening program, implemented in 2001, attempt to reduce this incidence of cervical cancer in South Africa. It is essential to treat these women with the best modalities available. This retrospective study focused specifically on the curative potential of radiotherapy administered to patients at the Oncology Department, Bloemfontein, since a new modality of high dose-rate intracavitary brachytherapy was implemented in 1994. Late radiation complications were also investigated

Prevalence and clinical characteristics of obsessive-compulsive disorder and obsessive compulsive symptoms in Afrikaner schizophrenia and schizoaffective disorder patients

Objective: There is evidence of variation in the prevalence of co-morbid obsessive-compulsive disorder in schizophrenia amongst ethnic groups. This study evaluated the lifetime prevalence and clinical characteristics of obsessive-compulsive disorder (OCD)/ obsessive-compulsive symptoms (OCS) in Afrikaner schizophrenic and schizoaffective disorder patients. Method: An ongoing genetic study of schizophrenia is currently being conducted on the Afrikaner founder population. In this cohort of 400 subjects from the original genetic study, we identified 53 subjects with schizophrenia or schizoaffective disorder and co-morbid OCD/OCS (study group). They were matched for gender and age of onset of illness with 59 subjects who do not have OCD/OCS (control group). The diagnostic instrument used in this cohort is the Diagnostic Interview for Genetic Studies (DIGS) version 2, which has been translated into Afrikaans. In addition to the DIGS, information for the relevant clinical characteristics reported in this study was also drawn from a detailed narrative chronological summary report and clinical files. A checklist was completed. Results: The prevalence of co-morbid OCD/OCS amongst 400 subjects with schizophrenia or schizoaffective disorder was 13.2% [n=53] of which 40 were male and 13 female patients. The prevalence of OCD was 10.7% and OCS was 2.5%. Contamination obsessions [n=17] were the most common type of obsession reported, followed by religious obsessions [n=8]. The most prevalent compulsions were repetitive rituals [n=32] followed by checking behaviour [n=22]. Onset of psychotic symptoms was found to be insidious in 86.8% of the study group compared to 24.6% of the control group (

Smoking and drinking habits of women in subsequent pregnancies after specific advice about the dangers of these exposures during pregnancy

Background. Although women are informed about the dangers of drinking and smoking during pregnancy when they book for antenatal care, it is uncertain whether this advice is accepted, or whether attempts are made to apply it in subsequent pregnancies.Objectives. To assess how pregnant women respond to the advice to refrain from smoking and drinking during pregnancy in subsequent pregnancies.Methods. Research staff were trained to obtain accurate prospective information on smoking and drinking during pregnancy in a prospective study, using well-standardised methods. Care was taken to inform participants about the dangers of smoking and drinking during pregnancy. They were also given pamphlets on these dangers in their own language and a list of telephone numbers where they could find help to quit should they need it. This information was repeated at subsequent study visits (ranging from 1 to 3, depending on the gestational age at which they enrolled). Gestational age was determined by early ultrasound. Z-scores of birthweight for gestational age were determined according to the INTERGROWTH-21st study. Pregnancy outcomes of women who enrolled twice (n=888) or three times (n=77) in the Safe Passage Study were compared with those of women in the first enrolment (n=889).Results. The proportion of drinkers did not change significantly (p=0.058) from the first to the second and third enrolments (63.8%, 59.0% and 54.6%, respectively). A similar trend was found for smokers (73.3%, 72.2% and 68.4%, respectively). Cannabis use was reported by 15.1%, 9.7% and 12.0% (p<0.005) of women, respectively, and use of methamphetamine by 10.1%, 6.6% and 12.7% (p<0.005). There was an increase in the rate of preterm births from 15.5% to 17.5% and 24.7%, respectively, but the increase was not significant. Although mean birthweight was lower in the third enrolment compared with the second, the difference was not significant. The z-score of birthweight for gestational age was significantly lower in the second enrolment compared with the first.Conclusions. Detailed information on the adverse effects of smoking and drinking during pregnancy was not effective in the population studied. Other methods to reduce or stop these toxic exposures should therefore be investigated. A short inter-pregnancy interval, as demonstrated by three enrolments in 7.5 years, is associated with preterm labour and fetal growth restriction, and is probably indicative of the role played by confounders such as poor socioeconomic conditions and drug exposure during pregnancy

Capacity building efforts for rabies diagnosis in resource-limited countries in Sub-Saharan Africa: a case report of the central veterinary laboratory in Benin (Parakou)

Rabies has been listed as a priority zoonotic disease in many African countries and the countdown to reach the goal of eliminating dog-mediated human rabies deaths by 2030 means that disease control measures need to be applied fast. In this context, an essential pillar of any national plan to control rabies is the implementation of reliable diagnostic techniques to ensure the success of field surveillance systems. Although many African countries have received international support for the control of rabies-some countries, like Benin, have not received a similar level of support. Indeed, until 2018, Benin was not able to diagnose rabies and rabies diagnosis in animals as well as humans relied solely on observed clinical symptoms. Although the Central Veterinary Laboratory (CVL) of Parakou had the equipment to implement two recommended tests, the lack of specific reagents and skills prevented the implementation of a rabies diagnostic service. Here we present the joint efforts of the national authorities in Benin, intergovernmental agencies, and non-governmental organizations to assess the strengths and weaknesses of the government's rabies control efforts. We have applied the Stepwise Approach toward Rabies Elimination (SARE) analysis, implemented rabies diagnostic capacities at the CVL of Parakou, characterized strains of rabies virus circulating in Benin, and finally integrated an inter-laboratory comparison program

Baseline adjustment methodology in a shared water savings contract under serious drought conditions

CITATION: Jacobs, H. E. et al. 2020. Baseline adjustment methodology in a shared water savings contract under serious drought conditions. Water SA, 46(1):22-29, doi:10.17159/wsa/2020.v46.i1.7874.The original publication is available at: http://www.scielo.org.zaENGLISH ABSTRACT: Baselines are often employed in shared water saving contracts for estimating water savings after some type of intervention by the water service company. An adjustment to the baseline may become necessary under certain conditions. Earlier work has described a number of relatively complex methods for baseline determination and adjustment, but application in regions faced with relatively limited data becomes problematic. If the adjustment were determined before finalising the contractual matters, it would be possible to gather the required data in order to determine the adjustment. However, in cases where no adjustment was fixed prior to the contract, a method is required to determine an adjustment mid-contract based on whatever data are available at the time. This paper presents a methodology for baseline adjustment in an existing shared water savings contract and explains how adjustment could be determined mid-contract, under conditions of limited data. The adjustment compensates for expected reduced water consumption due to external influences induced by serious water restrictions, typically introduced during periods of drought. The fundamental principle underpinning the baseline adjustment methodology presented in this paper involved segregating real water losses from the actual consumption of end-users, preferably by analysing the minimum night flow. In the absence of recorded night flows, an alternative procedure involving the minimum monthly consumption pre- and post-baseline was employed. The baseline adjustment method was subsequently applied in a South African case study, reported on separately. This technique is helpful because adjustments could be determined without adding unnecessary complexity or cost, and provides a means to resolve disputes in cases where unexpected savings occur mid-contract.Publisher's versio