An explorative study of serial rape and victimisation risk in South Africa.

Serial rape attracts much media attention and has become a topic of increased interest and concern. However, both locally and internationally, there is a paucity of empirically based research. The limited research which exists often does not focus on the victim as a “subject” which could contribute to solving existing cases or in curtailing the serial rapist. In this article, socio-demographic characteristics of 75 victims of serial rape, and how they were selected by the rapist were used to construct a general profile of the people who are the targets of the serial rapist. Factors or contexts which put women at risk are also identified and investigated. Comparisons are made between the characteristics of the victims of serial rapists in other countries, while comparisons are also made between the victims of single-victim rapists and those of the serial rapist. Of great concern is, amongst others, that the results indicate that in South Africa a large number of victims of the serial rapist are girl children. Limitations of the research are indicated, while a suggestion for future research concludes the article

A descriptive study of the modus operandi of serial rapists in South Africa.

This article reflects research of which the aim is to increase our collective knowledge of the modus operandi of serial rapists in South Africa in an attempt to contribute to the prevention and prosecution of perpetrators. The sample consists of 22 convicted cases of serial rapists and reflects 204 victims. The authors note that a mere understanding of the modus operandi of serial rapists is not sufficient to fully understand the behavior of these perpetrators. However, they draw attention to the argument that understanding the perpetrator’s modus operandi has been recognized by both criminal investigators and academics as making a valuable contribution to understanding crimes, including that of serial rapists. A behavioural checklist was developed to provide assistance with accounting for the chronological pattern of the crime from the time of victim acquisition to the actual attack. The rational choice perspective and routine activity theory were then used as an organizing framework within which to analyse the strategies of the perpetrator. The results indicated that the modus operandi exhibited by a group of serial rapists in South Africa differs from offenders in other countries. Aspects of the routine activity theory is contextualized and utilized to interpret the current findings. The authors highlight shortcomings of the current research and suggest how the current findings should form the basis of further research

Evaluating a smartphone digits-in-noise test as part of the audiometric test battery

BACKGROUND : Speech-in-noise tests have become a valuable part of the audiometric test battery providing an indication of a listener’s ability to function in background noise. A simple digitsin- noise (DIN) test could be valuable to support diagnostic hearing assessments, hearing aid fittings and counselling for both paediatric and adult populations. OBJECTIVE : The objective of this study was to evaluate the South African English smartphone DIN test’s performance as part of the audiometric test battery. DESIGN : This descriptive study evaluated 109 adult subjects (43 male and 66 female subjects) with and without sensorineural hearing loss by comparing pure-tone air conduction thresholds, speech recognition monaural performance scores (SRS dB) and the DIN speech reception threshold (SRT). An additional nine adult hearing aid users (four male and five female subjects) were included in a subset to determine aided and unaided DIN SRTs. RESULTS : The DIN SRT is strongly associated with the best ear 4 frequency pure-tone average (4FPTA) (rs = 0.81) and maximum SRS dB (r = 0.72). The DIN test had high sensitivity and specificity to identify abnormal pure-tone (0.88 and 0.88, respectively) and SRS dB (0.76 and 0.88, respectively) results. There was a mean signal-to-noise ratio (SNR) improvement in the aided condition that demonstrated an overall benefit of 0.84 SNR dB. CONCLUSION : The DIN SRT was significantly correlated with the best ear 4FPTA and maximum SRS dB. The DIN SRT provides a useful measure of speech recognition in noise that can evaluate hearing aid fittings, manage counselling and hearing expectations.The National Research Foundation under grant number 88803.https://sajcd.org.za/index.php/sajcdam2019Speech-Language Pathology and Audiolog

Development and validation of a smartphone-based digits-in-noise hearing test in South African English

OBJECTIVE : The objective of this study was to develop and validate a smartphone-based digits-in-noise hearing test for South African English. DESIGN : Single digits (0-9) were recorded and spoken by a first language English female speaker. Level corrections were applied to create a set of homogeneous digits with steep speech recognition functions. A smartphone application was created to utilize 120 digit-triplets in noise as test material. An adaptive test procedure determined the speech reception threshold (SRT). Experiments were performed to determine headphones effects on the SRT and to establish normative data. STUDY SAMPLE : Participants consisted of 40 normal-hearing subjects with thresholds ≤15 dB across the frequency spectrum (250-8000 Hz) and 186 subjects with normal-hearing in both ears, or normal-hearing in the better ear. RESULTS : The results show steep speech recognition functions with a slope of 20%/dB for digit-triplets presented in noise using the smartphone application. The results of five headphone types indicate that the smartphone-based hearing test is reliable and can be conducted using standard Android smartphone headphones or clinical headphones. CONCLUSION : A digits-in-noise hearing test was developed and validated for South Africa. The mean SRT and speech recognition functions correspond to previous developed telephone-based digits-in-noise tests.http://www.tandfonline.com/loi/iija202017-07-31hb2016Speech-Language Pathology and AudiologyElectrical, Electronic and Computer Engineerin

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Household, community, sub-national and country-level predictors of primary cooking fuel switching in nine countries from the PURE study

Introduction. Switchingfrom polluting (e.g. wood, crop waste, coal)to clean (e.g. gas, electricity) cooking fuels can reduce household air pollution exposures and climate-forcing emissions.While studies have evaluated specific interventions and assessed fuel-switching in repeated cross-sectional surveys, the role of different multilevel factors in household fuel switching, outside of interventions and across diverse community settings, is not well understood. Methods.We examined longitudinal survey data from 24 172 households in 177 rural communities across nine countries within the Prospective Urban and Rural Epidemiology study.We assessed household-level primary cooking fuel switching during a median of 10 years offollow up (∼2005–2015).We used hierarchical logistic regression models to examine the relative importance of household, community, sub-national and national-level factors contributing to primary fuel switching. Results. One-half of study households(12 369)reported changing their primary cookingfuels between baseline andfollow up surveys. Of these, 61% (7582) switchedfrom polluting (wood, dung, agricultural waste, charcoal, coal, kerosene)to clean (gas, electricity)fuels, 26% (3109)switched between different polluting fuels, 10% (1164)switched from clean to polluting fuels and 3% (522)switched between different clean fuels

Die assessering van die impak van virtuele opvoedkundige koppelvlak-agente op volwassenes met beperkte of geen rekenaarvaardighede.

<div style="font-size: 12px; font-family: serif; left: 226.682px; top: 342.352px; transform: scale(1.10401, 1); transform-origin: 0% 0% 0px;" dir="ltr">Die sleutel-aspek van enige rekenaartoepassing is bruikbaarheid. ’n Manier om bruikbaarheid te verbeter is om van koppelvlak-agente gebruik te maak.</div