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Prof. Dr. J.H. Gunning, zijn ontwikkelingsgang en zijne beginselen ...Semmelink, Jan Herman. January 1926 (has links)
Proefschrift--Utrecht.
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Investigating phytoplankton fluctuations and drum filter effectiveness on an abalone farm in Hermanus, South Africa.Ponton, Timothy John January 2021 (has links)
Magister Scientiae (Biodiversity and Conservation Biology) - MSc (Biodiv and Cons Biol) / Aquaculture is a growing industry in South Africa, with the production of abalone, Haliotis midae, at
the forefront. The Western Cape Province hosts 12 of the 18 abalone farms in South Africa, with a
concentration of farms in the Walker Bay region of Hermanus and Gansbaai. Walker Bay is situated on
the western side of the Agulhas bank, which allows warm water from the Agulhas current, as well as
cold water from the Benguela current to mix. This area experiences seasonal upwelling pulses in
summer, which provide the environment with a high nutrient load. This encourages the prevalence of
harmful algal blooms (HAB) that can consist of toxin-producing dinoflagellate species. These species
have the ability to kill organisms in the nearshore. This poses a problem for aquaculture farms situated
in the area, where HAB events have caused the death of millions of abalone and has decreased
productivity of farms in previous years. Farms therefore need to implement stringent phytoplankton
monitoring schedules, as well as develop better filtering methods to reduce the density of phytoplankton
that may flow into the farm.
This study aimed to understand the phytoplankton community assemblages that may be pumped into
an abalone farm (Abagold Ltd) over a 16 month period. This was achieved by investigating how
phytoplankton community metrics such as abundance, species diversity, richness and evenness
fluctuated over a 16 month time period. The frequency of HABs were investigated, comparing the peaks
of blooms and how they differed between seasons and the subsequent impact on monitoring activities
by the farm until the bloom passes. Secondly, a study was done to determine the efficiency of drum
filters to reduce the density of phytoplankton cells from the water that is sourced from the ocean and
pumped through the farm.
Phytoplankton community assemblages were sampled and identified to genus level, and species level
when possible, once a day for 16 months, from September 2018 to December 2019. As the risk of
potential HAB formation rises, the number of sample collections increased to assist in the decision
making process of the operational manager of the abalone farm to mitigate negative impacts originating
from HAB events. The species richness, Shannon-Weiner diversity index and Pielou’s index of
evenness were calculated. The number of phytoplankton samples collected each day were tallied to
understand the change in monitoring frequency with regard to HAB abundance. Phytoplankton
community samples were collected before and after a 15 μm drum filter during bloom events, after
which the densities were then compared.
The peak mean monthly cell density occurred in late early autumn of 2019 (March: 721 179 ± 226 473
cells/l). During this time, the diversity (Shannon-Weiner Index) of species was lower than that of mid
spring and this trend is supported by literature, where a decrease in diversity occurs with an increase in
HAB density. The relative abundance of species was calculated to quantify the dominant species present
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Molecular analysis of genetic variation and relationships within the population of abalone (Haliotis midae) at the Sea Plant Products abalone hatchery, Hermanus, R.S.A.Slabbert, Ruhan 12 1900 (has links)
Thesis (MSc)--University of Stellenbosch, 2004. / ENGLISH ABSTRACT: The species Haliotis midae is the only commercially exploitable abalone
species of the six found in the South African coastal waters. This species is
under substantial pressure from both legal and illegal harvesters, to such an
extent that it could be commercially extinct within four years. Efforts to
alleviate the pressures on the natural populations of both illegal and legal
harvesting are being made. The genetic management systems for abalone
farming and ranching activities should be carefully evaluated. The loss of
genetic diversity and the risks of contaminating the gene pools of natural
populations in the vicinity of a farm should be minimized. Genetic evaluation
studies will be at great importance to acquire the necessary data needed for
genetic diversity and differentiation analysis.
The aim at this study was to develop species-specific microsatellite DNA
markers to assess the genetic diversity and differentiation within and between
the brood stock and commercial stock of the Sea Plant Products abalone farm
(Hermanus, Republic of South Africa) and natural populations related to the
brood stock. The species-specific DNA markers were also used for parentage
assignments within the tarm population (first for abalone) and preliminary OTL
(quantitative trait loci)-discovery analysis studying growth rate segregation.
Samples were taken of the farm's brood stock and commercial stock (Rows 2,
3, 4) as well as from two natural populations (Saldanha Bay and Black Rock)
related to the brood stock. Various statistical parameters and software
packages were used to assess genetic diversity and differentiation, to infer
parentage and to look for OTL's.
Eight species-specific microsatellite DNA markers were designed and used
for data analysis. Data analysis showed a loss at genetic diversity from the
brood stock to the commercial stock caused by the subdivision of the original
brood stock into rows and the differential contributions of parents to the
offspring. No genetic differentiation (Fst) was detected between the farm and natural populations, except for the offspring of Row2. levels of inbreeding
(ns) were high for all loci within the populations. Thirty-eight percent of all
studied offspring were confidently assigned to a couple. The preliminary QTldiscovery
suggested the segregation of a number of alleles and genotypes
with growth rate.
The study concluded that the commercial abalone population of the Sea Plant
Products abalone farm holds no threat to the disruption of the genetic diversity
of the natural populations. It is proposed that the farm implement a rotational
breeding program to increase the genetic diversity of the commercial
population. Any newly acquired brood stock must be profiled before their
introduction into the breeding program to assess the influence of the animals
on the current levels of genetic diversity within the farm. The accuracy and
reliability of parentage assignments and QTl-discovery need to be optimised
by adding more loci and sampling more animals or even by trying and
developing new methods. / AFRIKAANSE OPSOMMING: Van die ses perlemoen spesies wat langs die Suid-Afrikaanse kus gevind
word, is die spesie Haliotis midae die enigste een wat van kommersiële
belang is. Wettige, sowel as onwettige versameling, plaas hierdie spesie
onder sulke geweldige druk dat dit dalk binne vier jaar verlore kan wees vir
die kommersiële bedryf. Verskeie strategieë word tans geïmplimenteer om
hierdie druk te verlig. Die genetiese bestuurstrategieë binne perlemoen plase
moet deeglik ondersoek word. Die verlies aan genetiese diversiteit en die
moontlikheid vir die kontaminering van die natuurlike populasies in die
omgewing van die plaas se geenpoel, moet uitgeskakel word. Genetiese
evaluasies sal van groot belang wees om die nodige data vir genetiese
diversiteit- en differensiasie-analises te verkry.
Die doel van die studie was om spesies-spesifieke mikrosatelliet DNA
merkers te ontwikkel wat gebruik sou word om die genetiese diversiteit en
differensiasie binne en tussen die broei diere en die kommersiële diere van
Sea Plant Products se perlemoen plaas (Hermanus, Republiek van Suid-
Afrika) en die natuurlike populasies wat verwant is aan die broei diere, te
bepaal. Die spesies-spesifieke DNA merkers is ook vir ouerskap-bepalings
binne die plaas se populasie gebruik, asook vir voorlopige OTL (quantitative
trait locI) - ontdekking met betrekking tot groeitempo segregasie.
Monsters van die plaas se broei diere en kommersiële diere (Ry 2, 3, 4)
asook van twee natuurlike populasies (Saldanha Baai en Black Rock) wat
verwant is aan die broei diere, is geneem. 'n Verskeidenheid van statistiese
parameters en sagteware pakette is vir die genetiese diversiteit- en
differensiasie-analises, vir ouerskap-bepalings en vir die opspoor van OTL's
gebruik.
Agt spesies-spesifieke mikrosatelliet DNA merkers is ontwerp en toe gebruik
vir die data analises. 'n Verlies aan genetiese diversiteit vanaf die broei diere
na die kommersiële diere is deur die data analises uitgewys. Dit is veroorsaak deur die verdeling van die oorspronklike broei diere in rye en die
differensiële bydraes deur die ouers na die nageslag. Geen genetiese
differensiasie (Fst) is tussen die plaas se populasie en die natuurlike
populasies gevind nie, maar die nageslag van Ry 2 het wel differensiasie
getoon. Die vlakke van inteling (Fis) was hoog oor alle lokusse binne alle
populasies. Agt-en-dertig persent van die nageslag wat bestudeer is, was
suksesvol met 'n ouerpaartjie geassosieer. Die voorlopige OTL-ontdekking
studie toon die potesiële segregasie van 'n aantal allele en genotipes saam
met groeitempo.
Die bevindinge van die studie is dat die kommersiële populasie op die Sea
Plant Products perlemoen plaas, geen bedreiging vir die versteuring van die
natuurlike populasies se genetiese diversiteit inhou nie. Daar is voorgestel
dat die plaas 'n rotasie-basis broeiprogram moet implimenteer om sodoende
die genetiese diversiteit van die kommersiële populasie te verhoog. Enige
nuwe broei diere se genetiese profiel moet ook voor die tyd ondersoek word
om te sien wat se effek hierdie diere op die huidige genetiese diversiteit van
die kommersiële populasie sal hê. Die akkuraatheid en betroubaarheid van
die ouerskap-bepalings en OTL-ontdekking moet optimiseer word deur of
meer lokusse te bestudeer, of meer diere in analises te gebruik of selfs om
nuwe tegnieke te probeer of te ontwikkel.
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An investigation into the evaluation of the Hermanus Whale Festival as part of the GHACT economic impact studyBohn, Helga 03 1900 (has links)
Thesis (MBA)--Stellenbosch University, 2003. / ENGLISH ABSTRACT: This study forms part of the GHACT economic impact study by the University of
Stellenbosch. It is an investigation into the evaluation of the Hermanus Whale
Festival, which forms an integral part of the Greater Hermanus tourism industry.
The study highlights that the tourism industry of Greater Hermanus is faced with
important challenges in managing its events as part of the tourism industry to benefit
all. The ultimate success of events depends on leadership, co-ordination and team
spirit between organisers, the host community and the sponsors.
Upon the investigation into event evaluation and after consultation with the
stakeholders it is recommended that the festival organisers must take the lead in
future evaluations and co-ordinate the evaluation process. The festival organisers will
have to involve all stakeholders as they offer a useful resource for event evaluation.
The study includes the visitor survey, completed during the festival, which explored
visitor characteristics, expenditure and perceptions.
Based on all findings that the study has highlighted, it is recommended that the
festival organisers must develop a festival strategy in co-ordination with all
stakeholders. Further more, it is imperative that the festival management has insight
into its target market and therefore uses market research to build market intelligence.
This will be a useful input in developing the strategic direction as well as the
marketing function to support the achievement of the festival's goals and objectives.
The document concludes with argumentation for the implementation of market
research and strategy and outlines the process for developing such a strategy. / AFRIKAANSE OPSOMMING: Hierdie studie vorm deel van die GHACT ekonomiese impak studie van die
Universiteit van Stellenbosch. Dit ondersoek die moontlike evaluering van die
Hermanus Walvisfees, wat 'n belangrike onderdeel is van die "Greater Hermanus"
toerisme bedryf.
Die studie beklemtoon dat die bestuur van feeste, as deel van die toerisme bedryf, 'n
belangrike uitdaging is vir die "Greater Hermanus" toerisme bedryf. Die sukses van
die feeste is afhanklik van leierskap, koordinering en spangees tussen die
organiseerders, die gasheergemeenskap en die borge.
Na ondersoek van die fees evaluering en na konsultasie met verskeie rolspelers, is
voorgestel dat die fees organiseerders die leidende rol moet neem in toekomstige
evalueringsprosesse en dit ook moet koördineer. Die feesorganiseerders moet al die
rolspelers in die proses betrek om van hulle waardevolle hulpbronne gebruik te
maak.
'n Opname van besoekers tydens die fees wat ingestel is om definitiewe kenmerke,
uitgawes en indrukke te bepaal, vorm 'n belangrike onderdeel van die navorsing.
Gebaseer op al die bevindinge van die studie word aanbeveel dat die feesorganiseerders
'n strategie vir die fees moet ontwikkel in koordinering met die
belanghebbende rolspelers. Verder is dit noodsaaklik om die mark te analiseer deur
gebruik te maak van marknavorsing, met die einddoel om sodoende markintelligensie
te ontwikkel.
Dit sal 'n waardevolle inset wees vir die ontwikkeling van 'n strategiese rigting, sowel
as vir die bemarkingsfunksie en om so die fees se doelwitte te bereik en te
ondersteun. Die studie skets die proses vir strategie ontwikkeling en sluit af met die
argument vir die implimentering van marknavorsing en strategie onwikkeling.
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Quality, service and ambience: measuring excellence and guest satisfaction within restaurants of HermanusBungeroth, Richard S. 12 1900 (has links)
Thesis (MBA)--Stellenbosch University, 2003. / ENGLISH ABSTRACT: Quality, service and ambience are concepts synonymous with the restaurant
industry. Whilst the importance of these, and the integral function they perform in
ensuring guest satisfaction and ultimately the success of a restaurant can hardly be
denied, how effectively these inextricable concepts have been integrated within
restaurants of Hermanus is of particular interest to various stakeholders.
In a recent article submitted to an impact study conducted by GHACT (Greater
Hermanus Association for Commerce and Tourism) titled: "Restaurateurs and Other
Catering Outlets - February 2002", the Chairman of the Restaurateurs Association of
Hermanus stated: "Restaurateurs usually are very impulsive individual personalities,
working long hours - they do not comply with regulations; do their own thing and do
not plan their strategies for the future - seat of the pants. We urgently need to start
managing and policing our industry similar to accommodation establishments (e.g....
cleanliness, quality control and star ratings.)"
The aim of this study project, originally commissioned by GHACT, is to contribute to
GHACT's aim of stimulating commerce and tourism to Hermanus as part of their
functions of core marketing, project development (impact studies), environment
maintenance, and complaint resolution. A review of related literature as well as
information gathered from 273 interviews, concerning 43 out of approximately 51
restaurants, forms the backdrop to this document. Definitions of key terms,
investigation into previous empirical research, and identification of various excellence
and guest satisfaction techniques, are the major focal points of this literature review.
Four quality, service and ambience related assessments form part of the research,
namely: 1) industry consistency in dealing with seasonality; 2) competitiveness
between six specific restaurants; 3) tourist versus resident perceptions of restaurant
excellence; and 4) individual restaurant excellence development areas. It was
concluded that, although consistency throughout 2002 does not appear to be a
concern for the Hermanus restaurant industry, the actual levels of quality, service
and ambience offered by certain restaurants are below an acceptable standard. The
Quality Matrix intervention presented in Chapter 5 integrates the tangible and
intangible product and service standards essential for service excellence and guest
satisfaction within all restaurants of Hermanus. / AFRIKAANSE OPSOMMING: Kwaliteit, diens en atmosfeer is konsepte wat sinoniem is met die restaurantbedryf.
Alhoewel die belangrikheid van hierdie konsepte sentraal is om tevredenheid by
gebruikers te verseker en uiteindelik om sukses te bepaal, is dit ook belangrik vir
belanghebbendes om te sien hoe effektief hierdie konsepte in die restaurantbedryf
van Hermanus ingeburger is. In 'n onlangse artikel deur GHACT (Greater Hermanus
Association for Commerce and Tourism), getiteld: "Restauranteurs and Other
Catering Outlets - February 2002", sê die voorsitter van die Restauranteurs
Assosiasie van Hermanus dat "Restaurateurs usually are very impulsive individual
personalities, working long hours - they do not comply with regulations; do their own
thing and do not plan their strategies for the future - seat of the pants. We urgently
need to start managing and policing our industry similar to accommodation
establishments (e.g.... cleanliness, quality control and star ratings.)"
Hierdie projek is deur GHAT aangepak in 'n poging om toerisme en koophandel in
Hermanus te stimuleer deur impak studies, bemarking, omgewingsbeheer en klagte
oplossing. 'n Oorsig van soortgelyke literatuur sowel as informasie wat versamel is
van 273 onderhoude met betrekking tot 43 restaurante vorm die agtergrond van
hierdie dokument. Die fokuspunt van hierdie literatuuroorsig was om die kern
begrippe te definiëer, die bevindings van ander empiriese navorsing te analiseer, en
tegnieke wat uitstaande diens en tevredenheid by gebruikers te verseker, te
ondersoek. Vier kwaliteit, diens en atmosfeer verwante evalueringsareas vorm deel
van die ondersoek, naamlik: 1) die eenvormigheid van die industrie in die hantering
van seisoensverandering; 2) mededinging tussen ses spesifieke restaurante; 3)
toeriste se persepsie teenoor die plaaslike inwoners se persepsie van restaurant
kwaliteit en 4) individuele restaurant ontwikkelings areas. Alle gevolgtrekkings wat
gemaak is in hierdie dokument is gebaseer op die bevindings van bogenoemde
toetse. Daar is tot die gevolgtrekking gekom dat alhoewel betroubaarheid nie 'n
probleem blyk te wees vir die Hermanus restaurantbedryf nie, werklike kwaliteit,
diensvlakke en atmosfeer deur sekere restaurante aangebied, wel onder
aanvaarbare standaarde was. Die kwaliteitsmatriks voorgestel in Hoofstuk 5
integreer die tasbare en ontasbare produk en noodsaaklike standaarde vir kwaliteit
diens en tevredenheid by gebruikers by al die restaurante in Hermanus.
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The new fishing quota system for the small scale, traditional fishers at Hawston: problems and prospectsMatthee, Jossette January 2001 (has links)
Masters in Public Administration - MPA / Hawston, a small fishing town situated in Greater Hermanus is famous for its lucrative abalone resource. Since the drastic reduction of the abalone quota, which was implemented from 1994-2001, black commercial abalone divers have been on the receiving end of the new fishing legislation. The decimation of abalone by illegal harvesters, and the annual allocation of one and a half ton of abalone to all black
commercial divers at present, are serious factors that influence the future of the commercial abalone divers and their counterparts. An abalone quota plays a pivotal role regarding the existence of various groups of people namely the Southern boat assistants, Overberg commercial abalone divers, Hawston fishing community etc. This study attempts to examine the effects of the drastic reduction of the abalone quota on the commercial divers (from 22-ton to one and a half ton), the boat assistants and the Hawston fishing community. The mentioned groups are also engaged in harvesting their allocated crayfish quotas, the research project mainly focuses on the effect of the new quota system on the allocation of abalone and crayfish quotas in Hawston. In essence, this research project seeks to examine the validity or invalidity of the White Paper regarding policies of the new Living Resources Act on commercial abalone divers, the boat assistants and the Hawston fishing community. The researcher has noted the various shortcomings in the White Paper on Marine Resources and the associated indiscrepancies being practiced by the Department of Environmental Affairs. In the study, a qualitative method is used to assess the impact of the implementation of new fishing quotas on various social groups in Hawston (existing and new groups). This was done by means of in-depth interviews. Some of the policy makers at the Department of Environmental Affairs were also interviewed. An evaluation of data gathered through the use of interviews and review of primary and secondary literature, revealed that equitable fishing quota allocation systems are not addressing the needs of the small-scale fishers in Hawston. By means of reports, it was concluded that various factors are infringing on the rights of those excluded from receiving allocation systems and also has the effect of fuelling uncertainty for the future of commercial abalone divers and small scale fishers in Hawston. The primary objective of this study is to investigate if the White Paper Policy on Marine Resources is benefiting the disadvantaged small-scale fishers in Hawston. Most important for the commercial abalone diver in Hawston, is the effect of the decimation of abalone and how legislation in the new quota system will influence their lives.
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A foundation to the development of an economic impact study of the tourism industry for GHACTBrink, Zonia 12 1900 (has links)
Thesis (MBA)--Stellenbosch University, 2002. / ENGLISH ABSTRACT: This document contains a Situation Analysis of tourism in the Greater Hermanus
region, which is part of the Overberg region in the Western Cape Province, South
Africa. It forms an essential component of the process to develop a Tourism Policy
and Strategy for the local tourism bureau.
As such it is important to note that the objectives of the document are threefold.
Firstly, it provides overall background information and an analysis of the current
tourism situation of Hermanus, the various role-players and the different festivals.
Secondly, it provides a broad framework of the positive and negative impacts tourism
and festivals could have on the economic, social and environmental fields of a tourist
destination like Hermanus. Lastly, the document offers guidelines for future study
areas under which the tourist, various role-players and festivals/events can be
evaluated in order to calculate their impacts in the Hermanus tourism industry. These
goals were to be established in subsequent interactive workshops, discussions,
interviews and other inputs from the various community representatives and other
tourism role-players in Greater Hermanus.
The scope of this report is limited to an overall framework and broad guidelines to put
festival and role-player evaluation, and impact management for the Greater
Hermanus region on a firm platform and continuous footing.
At this phase of the project specific recommendations and proposals for development
of the tourism industry in the region are excluded, as this will form part of the further
phases of the project of developing the Tourism Policy and Strategy. Based on the
findings it is recommended that the local tourism bureau must focus on developing a
sustainable tourism strategy, identify a single spokesperson that is recognised as the
leading force for unifying the industry towards one goal, and lastly to develop and
maintain a knowledge base system to ensure proper planning and support decisionmaking.
The document concludes by summarising the recommendations along with a
list of the key issues and strategic challenges that needs to be addressed. / AFRIKAANSE OPSOMMING: Hierdie dokument bevat 'n situasie analise van die toerismebedryf in die Groter
Hermanus, 'n gebied wat deel is van die Overberg in die provinsie Wes-
Kaap, Suid-Afrika. Dit is 'n onmisbare komponent van die proses om in Toerisme
Beleid en Stategie vir die plaaslike toerismeburo te ontwikkel.
Die einddoel van die dokument is drievoudig. Eerstens word oorsigtelike agtergrond
inligting en 'n analise van die huidige stand van die toerismebedryf in Hermanus, die
verskillende rolspelers en die feeste daarin vervat. Tweedens verskaf dit 'n breë
raamwerk oor die positiewe en negatiewe impak wat toerisme en feeste kan hê op
ekonomiese-, sosiale- en ontwikkelingsgebied op 'n toeriste-attraksie soos
Hermanus. Laastens bevat die dokument riglyne aan die hand waarvan verdere
studies onderneem kan word, soos dié waarin toeriste, die verskillende rolspelers en
feeste geevalueer word. Hierdie doelwitte is daargestel tydens werksessies,
besprekings, onderhoude en ander insette deur verskeie verteenwoordigers van die
plaaslike gemeenskap en ander rolspelers in die toerismebedryf van Hermanus.
Die omvang van hierdie studie is egter beperk tot 'n oorsigtelike raamwerk en breë
riglyne om die assesering van die feeste en die rolspelers sowel as die impakbestuur
van die Groter Hermanus op 'n stewige voetstuk te plaas.
Op hierdie tydstip van die projek word spesifieke aanbevelings en voorstelle vir die
ontwikkeling van die toerisme-industrie in die gebied uitgesluit. Dit sal gevolglik
ingesluit word in die verdere fases van die projek wanneer die ontwikkeling van 'n
toerisme beleid en strategie in diepte bestudeer word. Aanbevelings wat spruit uit die
bevindings van hierdie studie is dat die plaaslike toerismeburo 'n volhoubare
toerisme strategie moet ontwikkel. Verder moet daar ook 'n persoon aangewys word
om die industrie aan te voer tot 'n gesamentlike einddoel. Laastens moet die
toerismeburo 'n kennis basis sisteem ontwikkel en onderhou wat voldoende
beplanning sal verseker en besluitneming kan ondersteun.
Ter afsluiting word daar volstaan deur die aanbevelings op te som en die
sleutelfaktore en strategiese uitdagings wat aandag moet geniet, kortliks aan te spreek.
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Investigation into the extended capabilities of the new DPS-4D ionosondeSsessanga, Nicholas January 2011 (has links)
The DPS-4D is the latest version of digital ionosonde developed by the UMLCAR (University of Massachusetts in Lowell Center for Atmospheric Research) in 2008. This new ionosonde has advances in both the hardware and software which allows for the promised advanced capabilities. The aim of this thesis was to present results from an experiment undertaken using the Hermanus DPS-4D (34.4°S 19.2°E, South Africa), the first of this version to be installed globally, to answer a science question outside of the normally expected capabilities of an ionosonde. The science question posed focused on the ability of the DPS-4D to provide information on day-time Pc3 pulsations evident in the ionosphere. Day-time Pc3 ULF waves propagating down through the ionosphere cause oscillations in the Doppler shift of High Frequency (HF) radio transmissions that are correlated with the magnetic pulsations recorded on the ground. Evidence is presented which shows that no correlation exists between the ground magnetic pulsation data and DPS-4D ionospheric data. The conclusion was reached that although the DPS-4D is more advanced in its eld of technology than its predecessors it may not be used to observe Pc3 pulsations.
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The impact of the introduction of a colposcopy service in a rural sub-district on the uptake of colposcopyBlanckenberg, Natasha 12 1900 (has links)
Thesis (MMed) -- Stellenbosch University, 2010. / Bibliography / Objectives: To describe the establishment of a colposcopy service in a district hospital in a rural sub-district and to assess its impact on the uptake of colposcopy.
Design: A retrospective double group cohort study using a laboratory database of cervical cytology results, clinical records and colposcopy clinic registers.
Setting: The Overstrand sub-district in the Western Cape: 80 000 people served by 7 clinics and a district hospital in Hermanus, 120 km from its referral hospitals in Cape Town and Worcester. A colposcopy service was established at Hermanus Hospital in 2008.
Subjects: All women in the Overstrand sub-district who required colposcopy on the basis of cervical smears done in 2007 and 2009.
Outcome measures: The number of women booked for colposcopy at distant referral hospitals in 2007 and at the district hospital is 2009, the proportion of those women who attended colposcopy, the time from cervical smear to colposcopy, comparison between the two years.
Results: The uptake of colposcopy booked for distant referral hospitals was 67% in 2007. The uptake improved by 18% to 79% for the local district hospital colposcopy service in 2009 (p=0.06). When analysed excluding patients from an area with no transport to the district hospital, the improvement was more marked at 22% (p=0.02). The delay from cervical smear to colposcopy improved significantly from 170 to 141 days (p=0.02).
Conclusion: The establishment of a colposcopy service in a rural sub-district increased the uptake of colposcopy and decreased the delay from cervical smear to colposcopy. This district hospital colposcopy service removed 202 booked patients in one year from the colposcopy load of its referral hospitals.
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A comparative study into the effectiveness of communication tools used in the medical male circumcision programme in a rural settingKarsten, Malinda 03 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: Based on the significant evidence from the three African randomized controlled trials,
the WHO and UNAIDS recommended in 2007 that medical male circumcision should
be a priority HIV prevention intervention. The three randomized trials in Africa
demonstrated that adult male circumcision decreases the human immunodeficiency
virus (HIV) acquisition in men between 51% to 60%, with long-term protective
efficacy.
This study intends to document and analyze the effectiveness of three
communication interventions used in transferring knowledge about medical male
circumcision as an HIV preventative strategy. Furthermore it also aims to determine
which communication intervention will have the greatest effect in improving
knowledge and understanding about medical male circumcision as an HIV
preventative measure for implementation in future health promotion programmes.
The research in this comparative study was conducted on a farm in the Overstrand
sub-district of the Western Cape Province in South Africa, Haygrove Haven. A total
of 30 male employees aged 18 to 45 was randomly selected to participate in the
study.
The data was collected using a self-administered pre-test questionnaire. In order to
compare the pre- and post-test answers, the questions were repeated to determine
the knowledge transfer after the respective information and training sessions.
Analysis of the data was a simple process and limited to the necessary information
to graph the required conclusions by using the computer programme Microsoft Excel
2010.
The study looked at the statistical indicators of knowledge, perception and
awareness of participants with regards to medical male circumcision as an HIV and
AIDS prevention strategy. The findings exhibited that most people knew about MMC
but very few had knowledge of the protective effect of the procedure against HIV
acquisition and transmission. The study concluded that providing accurate information with fitting communication
material at the right literacy levels, peoples’ knowledge of the benefits of medical
male circumcision does increase. This will contribute to change the perception and
therefore increase the acceptability of the procedure.
This conforms to the subject of the WHO and UNAIDS 2007 study and can improve
their findings. / AFRIKAANSE OPSOMMING: In 2007 het die WGO en UNAIDS aanbeveel dat mediese manlike besnydenis ‘n
prioriteit MIV-voorkomings program moet raak, wat gebaseer is op die beduidende
bewyse van drie Afrika gerandomiseerde gekontroleerde proewe. Die drie
gerandomiseerde proewe in Afrika toon dat volwasse manlike besnydenis verminder
die menslike immuniteitsgebreksvirus (MIV) in mans met 51% tot 60%, met 'n langtermyn
beskermende doeltreffendheid.
Hierdie studie is van voorneme om die doeltreffendheid van drie kommunikasieintervensies
wat gebruik word in die oordrag van kennis oor mediese manlike
besnydenis as 'n MIV-voorkomende strategie, te dokumenteer en te analiseer.
Verder stel dit ook ten doel om te bepaal watter kommunikasie-intervensie die
grootste invloed in die verbetering van kennis en begrip oor mediese manlike
besnydenis as 'n MIV-voorkomende maatreël, vir implementering in toekomstige
gesondheidsbevorderingsprogramme.
Die navorsing in hierdie vergelykende studie is uitgevoer op 'n plaas in die
Overstrand-sub-distrik van die Wes-Kaap in Suid-Afrika, Haygrove Haven. 'n Totaal
van 30 manlike werknemers tussen die ouderdomme 18 tot 45 is lukraak gekies om
deel te neem aan die studie.
Die data is ingesamel met behulp van 'n self-geadministreerde vraelys waar die pretoets
vrae in die post-toets herhaal word, om die antwoorde met mekaar te vergelyk,
om sodoende te bepaal watter opleidingsessie die grootste kennis oordrag laat
plaasvind. Ontleding van die data is beperk en so eenvoudig as moontlik om die
gevolgtrekkings te maak en grafies deur te gee deur gebruik te maak van die
rekenaarprogram Microsoft Excel 2010.
Die studie kyk na die statistiese aanwysers van kennis, persepsie en bewustheid van
die deelnemers met betrekking tot mediese manlike besnydenis as 'n MIV-en VIGSvoorkoming
strategie. Die bevindinge van die studie is dat die meeste mense bewus
is van mediese manlike besnydenis, maar baie min kennis gehad het van die beskermende effek van die prosedure teen MIV verkryging en oordrag.
Die studie het bevind dat die verskaffing van akkurate inligting met gepaste
kommunikasie materiaal op die regte geletterdheidsvlakke, mense se kennis van die
voordele van mediese manlike besnydenis kan laat toeneem. Dit is bydraend om ‘n
individu se persepsie te verander en dus die aanvaarbaarheid van die prosedure te
verhoog.
Dit voldoen aan die onderwerp van die WHO en UNAIDS 2007 studie en kan
sodoende hul bevindings verbeter.
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