scholarly journals Beliefs and practices of diabetic patients in Vhembe district of Limpopo Province

Author(s):  
Hilda Shilubane ◽  
Lizzy Netshikweta ◽  
Tshinyadzo Ralineba

Background: Diabetes mellitus (DM) is a chronic condition affecting over 18 million people worldwide. It can lead to debilitating complications and premature death if not effectively controlled. South Africa, like any sub-Saharan countries and the world at large, is no exception. The prevalence of diabetes among South African adults has increased by 50% from 2009 to date, and an increase of some 11 million new diabetes diagnoses is expected by the year 2020.Purpose: The purpose of this study was to describe the beliefs and management practices of patients with DM in Vhembe district, Limpopo province.Setting: The study was conducted at Vhembe district clinics. Methods: A probability, purposive sampling was used to sample 100 diabetic patients. Data were collected using a pre-tested questionnaire. Data were analysed using the Statistical Package for Social Sciences version 19.0. Descriptive statistics, frequencies, and percentages were used to summarise the data from the study.Results: The majority of the respondents had poor management practice of feet care and annual eye examinations. Twenty four (24.0%) of the respondents believed that DM can be cured and 22 (22.0%) did not believe that diet helps in the management of DM.Conclusion: The belief that DM is curable can have a negative effect as patients can quit taking treatment once the disease is under control. This happens irrespective of the national guidelines for the management of DM. Therefore, some strategies should be sought that could enhance the implementation of the guidelines in order to combat the disease.

2019 ◽  
Vol 7 (2) ◽  
pp. 229-239
Author(s):  
Vina Kholisa Dinuka

The purpose of this study is to verify IFRS contribution by examining the presence of Accrual Earnings Management (AEM) and Real Earnings Management (REM) in the period pre- and post- IFRS implementation in manufacturing companies in Indonesia. AEM is measured by absolute value of discretionary accrual, while REM is proxied by three measurements of REM, they are abnormal cash flow operation, abnormal production and abnormal discretionary expenses. The sample is taken from Indonesia stock exchange in 2009-2011 and 2013-2015. 2012 is Indonesia adoption period and it is excluded from the sample, because it is considerated as transitory year. This study uses regression analysis and Paired t-test to compare the presence of AEM and REM preceding and following IFRS implementation. The findings reveal that IFRS adoption has significantly negative effect towards AEM and REM. It indicates that the following IFRS implementation, AEM and REM are decrease. Therefore, IFRS is able to reduce earnings management practices in manufacturing companies in Indonesia both for AEM and REM.


Author(s):  
Sam T. Ntuli ◽  
Gboyega A. Ogunbanjo

Background: In sub-Saharan Africa including South Africa, maternal mortality rates remain unacceptably high due to a shortage of registered nurses with advanced midwifery diplomas.Objective: To determine the profile of registered nurses (RNs) involved in maternity care in public referral hospitals of the Limpopo Province, South Africa.Method: A cross-sectional descriptive study was conducted in all maternity units of Limpopo’s public referral hospitals. The study population comprised of 210 registered nurses, who became the study sample. Data on their educational profile and work experience in midwifery was analysed using STATA version 9.0.Results: The mean age of the 210 registered nurses was 44.5 ± 9.1 years (range 21 to 62). The majority (152/210; 70%) were 40 years and older, 56% (117/210) had been working for more than 10 years, and 63/210 (30%) were due to retire within 10 years. Only 22% (46/210) had advanced midwifery diplomas, i.e. after their basic undergraduate training. Only six (2.9%) of the RNs providing maternity care in these referral hospitals were studying for advanced midwifery diplomas at the time of the study.Conclusion: This study demonstrated a shortage of registered nurses with advanced midwifery training/diplomas in referral hospitals of the Limpopo Province. This has a potentially negative effect in reducing the high maternal mortality rate in the province.


F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1825 ◽  
Author(s):  
Masato Oda ◽  
Huu Chiem Nguyen ◽  
Van Thao Huynh

Background: Generally, the yield of ratoon rice is at most 50% of the main crop. However, a cropping method “SALIBU” achieved more yield than the main crop and enables the perennial cropping. Although the SALIBU method is implementing 10 additional management practices to conventional method in Indonesia, the effect of each management practice is unclear. Methodology: We evaluated the effect size using an L 16 orthogonal array design pot experiment in triple-cropping rice in Vietnam. The robustness was checked by duplicating the experiment under standard and poor conditions. Results and Discussion: Positive large effects were shown in the poor conditions only.  Cutting twice most affected the number of ratoon tillers. Importantly, the effect was positive under poor conditions but negative under standard conditions. Late irrigation had a robust negative effect. No treatment is effective in the triple-cropping of standard conditions. The SALIBU includes practices with unstable, negative, or minimal effects. The unstable effects show the interaction with the condition. The practices that have negative effects should exclude. Using practice on small effect size should depend on a cost-benefit analysis. Conclusions: No additional practice is effective for changing the triple-cropping to perennial ratoon cropping except harvesting near the ground. However, further work will be conducted to clarify the interaction between cutting twice and the cultivation condition.


2019 ◽  
Vol 45 ◽  
Author(s):  
Masefako A. Gumani

Orientation: Studies on the influence of organisational stressors on the well-being and performance of operational members of the South African Police Service in the visible policing and detective service programmes in rural areas, like the Vhembe district, Limpopo province, South Africa, have not been conducted yet.Research purpose: The aim of this study was to explore and interpret operational members’ experiences of organisational stressors, which influence their well-being and performance when attending to critical incidents of rape, domestic violence, murder and road accidents, in the Vhembe district, Limpopo province.Motivation for the study: The study proposes ways of dealing with organisational stressors that influence the well-being and performance of operational members when performing their tasks.Research approach/design and method: An interpretative phenomenological research design was used and 17 South African Police Service participants were selected through purposive sampling. Unstructured face-to-face interviews, diary entries and telephonic interviews were conducted and field notes were used to collect the data, which were analysed using interpretative phenomenological analysis guidelines.Main findings: The results highlight internal, external, task-related and individual organisational stressors among operational members of the South African Police Service that led to psychological distress, including negative perceptions of self and work, job dissatisfaction, considerations of resignation, increased training needs and strained working relationships.Practical/managerial implications: A need for a systems perspective on problem-solving, with top-bottom and bottom-up approaches, is proposed to manage organisational stressors among operational members of the South African Police Service in the Vhembe district.Contribution/value-add: The study contributes towards the contextual understanding and management of organisational stressors in rural operational policing.


2021 ◽  
Vol 16 (3) ◽  
pp. 23-35
Author(s):  
Rian Adi Pamungkas ◽  
Kanittha Chamroonsawasdi ◽  
Andi Mayasari Usman

Family members play a vital role in both helping and undermining diabetes mellitus self-management practices. This qualitative study aimed to explore the potentially unmet needs of family function to support diabetes self-management (DSM) practices. In-depth interviews and focus group discussions (FGDs) were conducted among different key informants, including uncontrolled T2DM patients, caretakers and healthcare providers (HCPs) at community health centres. An open-ended approach was applied to elicit responses from the key informants. A total of 22 participants were involved in this study. All interview and FGD processes were audio-recorded and transcribed verbatim. The results found that all key informants addressed six core themes, with sub-themes to describe the unmet needs of family function to support DSM practice. The critical unmet needs of family function include: 1) Lack of problem-solving skills to deal with poor diabetes management; 2) Ineffective communication and refusal to share the burden of diabetes management; 3) Lack of affective responsiveness to encourage patients’ compliance; 4) Lack of affective involvement in DSM; 5) Insufficient family roles in supporting patients; 6) Poor behaviour control of T2DM. Our findings provide insights into how family function may influence the adoption and maintenance of healthy behaviours among diabetic patients. Since health providers seek new approaches to improve DSM practices, this valuable finding was essential to understand how family function can improve and empower patients in DSM practice.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1825
Author(s):  
Masato Oda ◽  
Huu Chiem Nguyen ◽  
Van Thao Huynh

Background: Generally, the yield of ratoon rice is at most 50% of the main crop. However, a cropping method “SALIBU” achieved more yield than the main crop and enables the perennial cropping. Although the SALIBU method is implementing 10 additional management practices to conventional method in Indonesia, the effect of each management practice is unclear. Methodology: We evaluated the effect size using an L 16 orthogonal array design pot experiment in triple-cropping rice in Vietnam. The robustness was checked by duplicating the experiment under standard and poor conditions. Results: Positive large effects were shown in the poor conditions only.  Cutting twice most affected the number of ratoon tillers. Importantly, the effect was positive under poor conditions but negative under standard conditions. Late irrigation had a robust negative effect. Discussion: No treatment is effective in the triple-cropping of standard conditions. The SALIBU includes practices with unstable, negative, or minimal effects. The unstable effects show the interaction with the condition. The practices that have negative effects should exclude. Using practice on small effect size should depend on a cost-benefit analysis. Conclusions: No additional practice is effective for changing the triple-cropping to perennial ratoon cropping except harvesting near the ground. However, further work will be conducted to clarify the interaction between cutting twice and the cultivation condition.


Forests ◽  
2019 ◽  
Vol 10 (6) ◽  
pp. 515 ◽  
Author(s):  
Jan Kadavý ◽  
Zdeněk Adamec ◽  
Barbora Uherková ◽  
Michal Kneifl ◽  
Robert Knott ◽  
...  

Research Highlights: The influence of litter raking and livestock grazing on the development of juvenile sessile oak and European hornbeam sprouts as well as on sessile oak standards were studied. Such experiments are very rare, especially in central Europe where these activities have been prohibited for several decades. Little is known on how these ancient management activities affect tree growth. Background and Objectives: Traditional management practices in coppice forests such as grazing and litter raking have been abandoned, but have recently been studied as to whether these practices can substantially contribute to an increase in the species diversity of coppices. The important question is, however, how these practices influence the growth of coppice-with-standards. Therefore, this study focused on the effect of grazing, litter raking, and their combination on both sprouts and adult trees in a coppice-with-standards system one year after harvest. Materials and Methods: The experiment was carried out in the area of the Training Forest Enterprise Masaryk Forest Křtiny, Czech Republic, in a forest stand dominated by sessile oak and European hornbeam. We analyzed 132 oak polycormons, 132 hornbeam polycormons, and 163 oak standards. Results: The number of sprouts per stump was affected by the stump size and management practice: (A) coppice-with-standards, litter raking, and sheep grazing; (B) coppice-with-standards and sheep grazing; (C) coppice-with-standards and litter raking; and (D) coppice-with-standards), but not by tree species. The number of the sprouts as well as their height increased with the stump size. In contrast, grazing resulted in a smaller height of the sprouts while thinner sprouts were found under a combination of grazing and raking. When comparing the species, the oak sprouts were higher and thicker when compared to the hornbeam sprouts. The increment of standards increased after stand harvest. This, however, was not the result of grazing or raking, but the response to the reduction of tree number and thus of competition between neighboring trees. Conclusions: The results showed that there were rather negative impacts from the implemented traditional management practices on the growth of sprouts. This may lead to the question of whether ecological diversity resulting from the traditional practices may prevail their negative effect on the growth of the coppices.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1825
Author(s):  
Masato Oda ◽  
Huu Chiem Nguyen ◽  
Van Thao Huynh

Background: Generally, the yield of ratoon rice is at most 50% of the main crop. However, a cropping method “SALIBU” achieved more yield than the main crop and could be used for the cultivation of perennial cropping. Although the SALIBU method is implementing 10 additional management practices to conventional method, the effect of each management practice is unclear. Therefore, we aimed to evaluate the effect size and the robustness of each management practice. Methodology: We evaluated the effect size using an L16 orthogonal array design pot experiment. For the robustness, we duplicated the experiment under both standard and checked whether the practice shows the same effect size. The bad conditions were low plant density, no fertilization, continuous flooding water management, and late harvesting. Results: The ratoon rice yield was proportional to the number of ratoon tillers used as in conventionally produced ratoon rice. Late cutting was most affected to the number of ratoon tillers. Importantly, this effect was reversed; the effect was positive under bad conditions, but was negative under standard conditions. Furthermore, late irrigation, a recommended management practice, had a robust negative effect on ratoon tillers and yield under both the conditions. Positive large effects were shown in the bad condition only. Discussion: Our results show that the SALIBU cropping method includes practices with unstable, negative, or minimal effects. The practices have unstable effects should be clarifying the interaction with the condition. The practices that have negative effects should exclude. Using practice on small effect size should depend on a cost-benefit analysis. Conclusions: SALIBU will be acceptable to the Mekong Delta triple cropping rice cultivation without the additional practice of original SALIBU cropping method. However, further work is needed to clarify the interaction between late cutting and the cultivation condition, and on the negative effect of late irrigation.


Author(s):  
Mashudu Richard Ramulumo

Teenage pregnancy in South African schools poses a serious management and leadership challenge. This chapter is based on the findings of a study that was conducted in South Africa, Limpopo Province. The aim of the study was to examine causes and factors responsible for teenage pregnancy in secondary schools in the Vhembe district of Limpopo Province, South Africa. This chapter explores the consequences of teenage pregnancy. Findings reveal that poverty, lack of parental guidance, and peer pressure could be some of the causes of teenage pregnancy. The study also suggests that pregnant learners are victims of expulsion or school dropout. The study further recommends that intervention programs be developed that include training of school management teams, school governing bodies, and educators to effectively educate and manage learners who are pregnant.


Genes ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 274
Author(s):  
Rosemary Ida Kabahuma ◽  
Wolf-Dieter Schubert ◽  
Christiaan Labuschagne ◽  
Denise Yan ◽  
Susan Halloran Blanton ◽  
...  

MYO7A gene encodes unconventional myosin VIIA, which, when mutated, causes a phenotypic spectrum ranging from recessive hearing loss DFNB2 to deaf-blindness, Usher Type 1B (USH1B). MYO7A mutations are reported in nine DFNB2 families to date, none from sub-Saharan Africa.In DNA, from a cohort of 94 individuals representing 92 families from the Limpopo province of South Africa, eight MYO7A variations were detected among 10 individuals. Family studies identified homozygous and compound heterozygous mutations in 17 individuals out of 32 available family members. Four mutations were novel, p.Gly329Asp, p.Arg373His, p.Tyr1780Ser, and p.Pro2126Leufs*5. Two variations, p.Ser617Pro and p.Thr381Met, previously listed as of uncertain significance (ClinVar), were confirmed to be pathogenic. The identified mutations are predicted to interfere with the conformational properties of myosin VIIA through interruption or abrogation of multiple interactions between the mutant and neighbouring residues. Specifically, p.Pro2126Leufs*5, is predicted to abolish the critical site for the interactions between the tail and the motor domain essential for the autoregulation, leaving a non-functional, unregulated protein that causes hearing loss. We have identified MYO7A as a possible key deafness gene among indigenous sub-Saharan Africans. The spectrum of MYO7A mutations in this South African population points to DFNB2 as a specific entity that may occur in a homozygous or in a compound heterozygous state.


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