Motivation Hypertension and type 2 diabetes mellitus are common in the black population of South Africa. The literature also shows that elevated blood glucose concentrations can lead to an increase in blood pressure and a blunted decline in nocturnal blood pressure. Therefore, the motivation for this study was to determine if blood glucose may play a role regarding the blunted nocturnal decline in blood pressure in African and Caucasian men. Aim The aim of this study was to investigate the relationship between a blunted nocturnal decline in blood pressure and blood glucose in African and Caucasian men. Methodology A comparative population study was preformed that consisted of 202 school teachers (101 African and 101 Caucasian) between the ages of 25–60 years from the North West Province, South Africa. Subjects were excluded if their body temperature was elevated, had a dependence or abuse of psychotropic substances, were regular blood donors and/or vaccinated in the previous three months. Ambulatory systolic (SBP) and diastolic blood pressure (DBP) were measured. Blood samples from the antebrachial vein were collected in sodium fluoride tubes to determine the serum glucose level and glycosylated hemoglobin A1c (HbA1c) percentage. Estimated average glucose (eAG) was determined from the percentage HbA1c by means of a regression formula. Means and proportions were compared by standard t–test and the chi–square test, respectively. Pearson correlations were used to determine unadjusted associations and multiple regression analysis to determine adjusted associations between variables. Results and Conclusion African men had an elevated HbA1c (p<0.001), eAG (p<0.001), nighttime SBP (p<0.001) and DBP (p<0.001). These results remained similar when non–dipping African and Caucasian men were compared. The Africans also smoked more (p=0.012), consumed more alcohol (p=0.049), had a higher percentage of non–dippers (p=0.054), HIV infected subjects (p<0.001) and a larger number of subjects that used anti–hypertensive medication (p=0.049). The unadjusted analysis showed positive correlations between all the blood pressure measurements and serum glucose, HbA1c and eAG in the African non–dipper men. While in the non–dipper Caucasian men, only daytime SBP and nighttime SBP (22:00–06:00) correlated positively with serum glucose, HbA1c and eAG. Furthermore, when viewing the relationship between carotid intima–media thickness (CIMT) and the blood pressure measurements in the African population, only nighttime (00:00– 04:00) SBP (r=0.581, p<0.001) and DBP (r=0.566, p<0.001) showed positive associations. After adjustments were made for age and body mass index the associations between the various blood pressure measurements and blood glucose disappeared in the non–dipper Caucasian men. However, in the non–dipper African men both nighttime (22:00–06:00) SBP and (00:00– 04:00) SBP showed positive correlations with serum glucose, HbA1c and eAG. After full adjustments (age, BMI, smoking, alcohol intake, physical activity, C–reactive protein and baroreceptor sensitivity) were made, nighttime (00:00–04:00) SBP was the only measure of blood pressure that correlated positively with HbA1c (p=0.069) and eAG (p<0.001) in the nondipper African men. No significant relationships were found for Caucasian men. Furthermore, to determine if the association between nighttime (00:00–04:00) SBP and eAG were independent of CIMT, we adjusted for CIMT. By doing so the positive association between SBP and eAG remained significant in the non–dipper African men (R2=0.617; =0.438; p=0.008) and nonsignificant in the non–dipper Caucasian men (R2=0.423; =0.169; p=0.33). However, the relationship between CIMT and eAG disappeared when we adjusted for SBP, suggesting that the SBP and eAG relationship drives CIMT. In conclusion, the association between the early morning SBP (00:00–04:00) and the blood glucose in non–dipping African men suggests that the blunted decline in nocturnal blood pressure during the early morning hours is associated with chronically elevated blood glucose. / Thesis (M.Sc. (Physiology))--North-West University, Potchefstroom Campus, 2011.

Kundige bestuur is n hedendaagse begrip wat beskou word as die rede waarom sommige organisasies net funksioneer en ander uitstekend presteer. Die eise wat aan bestuurders van besighede en Nie–Winsgewende Organisasies (NWOs) se bestuursmilieu gestel word, is uiters hoog en vereis vaardigheid, kennis en ondervinding. Die bestuur van NWOs behoort goed ingelig te wees ten opsigte van die bestuursvaardighede waaroor hul eweknieë in die sakesektor beskik. Opleiding in maatskaplike werk in Suid–Afrika is goed ontwikkel en het in die afgelope 20 jaar in verskeie spesialisvelde binne die vakgebied ontvou. Maatskaplikewerk–dienslewering fasiliteer die groei en ontwikkeling van maatskaplike werkers, wat daartoe aanleiding gee dat hulle in so n mate vorder dat hulle hul kort voor lank in bestuursposisies bevind. n Wyer kennisbasis rakende bestuursdinamiek word vereis om die oorgang van maatskaplike werker na bestuurder te kan maak en sodoende doeltreffend as bestuurder te kan funksioneer. Bestuursopleiding deur maatskaplikewerk–opleidingsinstansies in Suid–Afrika bied nie tans spesifieke bestuursopleiding in die NWO–konteks aan nie. Ondersoek is deur hierdie studie ingestel om n model te ontwikkel om bogenoemde aan te spreek. Hoofstuk 1 fokus op die formulering van die navorsingsonderwerp en gee die sentrale strategiese agument en doel met doelwitte. Hoofstuk 2 beskryf die navorsingsmetodologie wat gebruik is in die studie. Hoofstuk 3 vervat n literatuurstudie wat handel oor die huidige funksionering van NWOs in Suid–Afrika. Daar word gefokus op die bestuursprosesse en rolspelers binne n NWO, die sosiale, politieke en ekonomiese faktore wat die funksionering van NWOs beïnvloed, bestuursmodelle en –teorieë, leierskap en die oorgang van maatskaplike werker na NWO–maatskaplikewerkbestuurder. Hierdie inligting bied die agtergrond waarteen die funksionering van NWO–bestuurders in Mpumalanga, Gauteng, Vrystaat en Noord–Kaap gekontekstualiseer kan word. In Hoofstuk 4 word die data wat vanuit die situasie analise met die NWO–bestuurders in Mpumalanga terugontvang is, verwerk en gerapporteer. n Profiel word verskaf ten opsigte van die NWOs in Mpumalanga asook die bestuursrolspelers en –prosesse wat geïmplementeer is. Daarna word die profiel van NWO–bestuurders in Mpumalanga voorgehou met spesifieke fokus op bestuurskennis en –vaardighede van NWO–bestuurders in Mpumalanga. Die opleidingsbehoeftes van NWO–bestuurders word opgesom en geprioritiseer. Die beskikbaarheid van bestuursopleidingsprogrammes in Suid–Afrikaanse maatskaplikewerk–opleidingsinstansies word daarna weergegee. Hoofstuk 5 gee n oorsig van die heersende situasie in Suid–Afrikaanse NWOs vanuit data wat verkry is uit fokusgroepbesprekings met maatskaplike werkers wat as NWO–bestuurders in Gauteng, Vrystaat en die Noord–Kaap werk. Klem word gelê op die fokusgroeplede se persoonlike ervarings van hul oorgang van maatskaplike werker na NWO–bestuurder binne die huidige funksionering van NWOs. Die spesifieke bestuursprosesse en rolspelers in NWOs betrokke by die fasilitering van die oorgang, soos deur NWO–bestuurders geïdentifiseer, word uitgelig. In hoofstuk 6 word n model vir die fasilitering van die oorgangsproses vir bestuurders voorgestel en met die geïdentifiseerde opleidingsbehoeftes geïntegreer. Hoofstuk 7 bestaan uit die gevolgtrekkings en samevattings wat gemaak is uit die studie. Ten slotte word aanbevelings rakende die fasilitering van die oorgangsproses van maatskaplike werkers na bestuurders van NWOs gemaak. / Thesis (Ph.D. (Social Work))--North-West University, Potchefstroom Campus, 2012.

The statistics of child sexual abuse is alarmingly high. Even though this is the case, further statistics prove that a great percentage of parents do not ever report the sexual abuse of their child. This study focuses on describing and exploring nonoffending parents' experiences regarding suspicions of or disclosure of their child’s sexual abuse to ultimately formulate a proposed protocol for the empowerment of non–offending parents to report the abuse. This proposed protocol can be used by health professionals to empower parents to report and will contribute to the intervention strategies in forensic investigations. As research methodology, the qualitative approach was utilized to investigate nonoffending parents' experiences regarding suspicions of or disclosure of their child’s sexual abuse and to explore and describe a protocol of guidelines to empower nonoffending parents to report child sexual abuse. The case study method was used as a research strategy to accomplish these aims. Ten interviews and a focus group were conducted during which an interview schedule focussing on the parents' reactions, perceived support, and experiences of reporting was employed. The schedule was presented based on the following themes: Theme 1: Finding out about the sexual abuse Theme 2: Reactions of the parents Theme 3: Support Theme 4: Reporting the child's sexual abuse Theme 5: Parents' experiences of the reporting process Theme 6: Suggestions to make the reporting process easier Subthemes, as elicited by these themes, were explored and described in order to contribute towards the formulation of an appropriate protocol that would empower parents to report child sexual abuse. It became clear that parents experience a vast array of emotions upon finding out or having suspicions of their child's sexual abuse. The parents who participated in this study indicated the need for support on different levels– it was proposed that more support might subsequently increase reporting rates. The parents involved in this study were in agreement that the reporting process is extremely taxing and, based on this, various aspects that could help make the reporting of child sexual abuse easier for parents were explored. Further recommendations to empower parents to report child sexual abuse were also made. The data from the interviews was analyzed and a protocol to empower non–offending parents to report child sexual abuse was formulated. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2012.

Background: Platinum refinery workers are exposed to various elements during the refining process, with soluble platinum salts posing a potential health risk. Platinum salts are extremely potent sensitisers that can result in the clinical syndrome of platinum salt sensitivity (PSS) that leads to skin and respiratory hypersensitivity in refinery workers. Several published research articles document refinery workers’ exposure levels to soluble platinum salts during production. However, the exposure levels to soluble platinum salts during non–routine stock take activities are unknown although cases of sensitisation have been diagnosed following these nonoperational periods. Stock take for the platinum refinery under study commenced on 18 January 2010 and ended 22 February 2010. Increased emphasis was placed on flushing plant equipment rather than dismantling it. The aim was to dismantle 10% of what previously was dismantled to reduce the risk of exposing employees to soluble platinum salts, to reduce the chance of damaging plant equipment and for cost and time saving purposes. Aim: The objectives of this study are to: (i) quantify work area and personal exposure levels; (ii) identify work areas and work practices with exposure levels exceeding the occupational exposure limit (OEL) (>2 ug/m3); (iii) determine whether exposure levels differ significantly between: a) personal sampling groups (engineering versus production), b) area sampling groups (open versus closed–face sampling), c) work areas, d) total area and total personal sampling groups and to (iv) evaluate the efficiency of the current control measures utilised. Design and Method: A total of 58 platinum samples were collected, consisting of 38 personal and 20 area samples. Personal sampling consisted of Institute of Occupational Medicine (IOM) samplers housing reusable 25 mm filter cassettes with mixed cellulose ester (MCE) membrane filters for the collection of inhalable airborne particles. Because both the cassette and the filter were pre and post–weighed as a single unit, all particles collected (even those against the walls of the cassette) were included in the analysis. Sampling was conducted in accordance with the stock take schedule and scope and included a roster for the systematic dismantling and cleaning of the refinery, following the process flow. A target population of maximum five fitters and five operators per area were identified, responsible for dismantling and cleaning plant equipment respectively. The sampling strategy was based on the identification and sampling of employees presumed to have the highest exposure risk. The Occupational Exposure Sampling Strategy Manual (OESSM) refers to this as the “maximum risk employees” (Liedel et al., 1977). The selection of the maximum risk employees was done with reasonable certainty since the employees sampled were working closest to the source of exposure. Sampling was conducted for the total duration of the task consisting of single sample measurements. Area sampling was conducted by means of BUCKAir high volume samplers fitted with preweighed 47 mm MCE filter cassettes to show the spread of the contaminant in the work area. The high volume samplers were calibrated to operate at a sampling volume of 20 L/min. The sampling heads were positioned 1.5 m from the ground surface and as near as possible to the work location or failing this as near as is possible to major sources of exposure. Samples were collected and analysed according to the method for the determination of hazardous substances 46/2 (MDHS 46/2). This is an advanced sampling and analysis standard which enables detection of low levels of soluble platinum (0.01 ug/m3). Results: Thirty eight personal platinum samples were collected, consisting of a sampled engineering (n=15) and production (n=23) subgroup. Out of the thirty eight personal samples taken in total, 21% of the samples’ concentrations exceeded the OEL of 2 ug/m3 and ranged between 0.004–20.479 ug/m3. Twenty area platinum samples were collected, consisting of open (n=10) and closed face (n=10) sampling. Out of the twenty area samples taken in total, 10% of the samples’ concentrations exceeded the OEL of 2 ug/m3 and ranged between 0.0004–5.752 ug/m3. The mean personal exposure levels for the production subgroup (2.739 ug/m3) were significantly higher compared to the engineering subgroup’s mean personal exposure levels (0.393 ug/m3). This significant difference (p=0.033) was expected since the production subgroup was more exposed and involved in the digging out of residues and the cleaning of plant equipment compared to the engineering subgroup with limited exposure and involved in the opening of plant equipment. Although the mean exposure levels for open face sampling (0.725 ug/m3) were higher compared to the mean exposure levels for closed face sampling (0.441 ug/m3) no significant difference (p=0.579) were noted. The mean area exposure levels (0.583 ug/m3) were significantly lower (p=0.004) compared to the mean personal exposure levels (1.813 ug/m3) for similar areas and tasks performed and, therefore, not an effective indicator of personal exposure levels. Higher personal exposure levels were expected since the workers were closer to the source of exposure and since the platinum salts could have diluted in the workplace’s air resulting in lower area exposure levels. Conclusion: The research study addressed the problem statement, met the objectives set out in Chapter 1, hypotheses were accepted and rejected and future studies were recommended. It was hypothesised that: a) refinery workers are exposed to airborne soluble platinum during non–operational periods; b) exposure levels do not differ significantly between the personal sampling groups (engineering vs production); c) exposure levels do not differ significantly between the area sampling groups (open versus closed–face sampling); d) exposure levels do not differ significantly between work areas; e) exposure levels differ significantly between total personal and total area sampling groups. The results confirmed that refinery workers are exposed to airborne soluble platinum during non–operational periods and hypothesis a was accepted. The personal exposure levels of the engineering versus production sampling groups differed statistically (p=0.033) and hypothesis b was rejected. The exposure levels of the open and closed face sampling groups did not differ significantly (p=0.579) and hypothesis c was accepted. In addition no statistical difference (p>0.05) was indicated between the work areas and hypothesis d was accepted. Total personal versus total area exposure levels (p=0.004) differed statistically and hypothesis e was accepted. / Thesis (M.Sc. (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2011.

Motivation Hypertension and type 2 diabetes mellitus are common in the black population of South Africa. The literature also shows that elevated blood glucose concentrations can lead to an increase in blood pressure and a blunted decline in nocturnal blood pressure. Therefore, the motivation for this study was to determine if blood glucose may play a role regarding the blunted nocturnal decline in blood pressure in African and Caucasian men. Aim The aim of this study was to investigate the relationship between a blunted nocturnal decline in blood pressure and blood glucose in African and Caucasian men. Methodology A comparative population study was preformed that consisted of 202 school teachers (101 African and 101 Caucasian) between the ages of 25–60 years from the North West Province, South Africa. Subjects were excluded if their body temperature was elevated, had a dependence or abuse of psychotropic substances, were regular blood donors and/or vaccinated in the previous three months. Ambulatory systolic (SBP) and diastolic blood pressure (DBP) were measured. Blood samples from the antebrachial vein were collected in sodium fluoride tubes to determine the serum glucose level and glycosylated hemoglobin A1c (HbA1c) percentage. Estimated average glucose (eAG) was determined from the percentage HbA1c by means of a regression formula. Means and proportions were compared by standard t–test and the chi–square test, respectively. Pearson correlations were used to determine unadjusted associations and multiple regression analysis to determine adjusted associations between variables. Results and Conclusion African men had an elevated HbA1c (p<0.001), eAG (p<0.001), nighttime SBP (p<0.001) and DBP (p<0.001). These results remained similar when non–dipping African and Caucasian men were compared. The Africans also smoked more (p=0.012), consumed more alcohol (p=0.049), had a higher percentage of non–dippers (p=0.054), HIV infected subjects (p<0.001) and a larger number of subjects that used anti–hypertensive medication (p=0.049). The unadjusted analysis showed positive correlations between all the blood pressure measurements and serum glucose, HbA1c and eAG in the African non–dipper men. While in the non–dipper Caucasian men, only daytime SBP and nighttime SBP (22:00–06:00) correlated positively with serum glucose, HbA1c and eAG. Furthermore, when viewing the relationship between carotid intima–media thickness (CIMT) and the blood pressure measurements in the African population, only nighttime (00:00– 04:00) SBP (r=0.581, p<0.001) and DBP (r=0.566, p<0.001) showed positive associations. After adjustments were made for age and body mass index the associations between the various blood pressure measurements and blood glucose disappeared in the non–dipper Caucasian men. However, in the non–dipper African men both nighttime (22:00–06:00) SBP and (00:00– 04:00) SBP showed positive correlations with serum glucose, HbA1c and eAG. After full adjustments (age, BMI, smoking, alcohol intake, physical activity, C–reactive protein and baroreceptor sensitivity) were made, nighttime (00:00–04:00) SBP was the only measure of blood pressure that correlated positively with HbA1c (p=0.069) and eAG (p<0.001) in the nondipper African men. No significant relationships were found for Caucasian men. Furthermore, to determine if the association between nighttime (00:00–04:00) SBP and eAG were independent of CIMT, we adjusted for CIMT. By doing so the positive association between SBP and eAG remained significant in the non–dipper African men (R2=0.617; =0.438; p=0.008) and nonsignificant in the non–dipper Caucasian men (R2=0.423; =0.169; p=0.33). However, the relationship between CIMT and eAG disappeared when we adjusted for SBP, suggesting that the SBP and eAG relationship drives CIMT. In conclusion, the association between the early morning SBP (00:00–04:00) and the blood glucose in non–dipping African men suggests that the blunted decline in nocturnal blood pressure during the early morning hours is associated with chronically elevated blood glucose. / Thesis (M.Sc. (Physiology))--North-West University, Potchefstroom Campus, 2011.

Kundige bestuur is n hedendaagse begrip wat beskou word as die rede waarom sommige organisasies net funksioneer en ander uitstekend presteer. Die eise wat aan bestuurders van besighede en Nie–Winsgewende Organisasies (NWOs) se bestuursmilieu gestel word, is uiters hoog en vereis vaardigheid, kennis en ondervinding. Die bestuur van NWOs behoort goed ingelig te wees ten opsigte van die bestuursvaardighede waaroor hul eweknieë in die sakesektor beskik. Opleiding in maatskaplike werk in Suid–Afrika is goed ontwikkel en het in die afgelope 20 jaar in verskeie spesialisvelde binne die vakgebied ontvou. Maatskaplikewerk–dienslewering fasiliteer die groei en ontwikkeling van maatskaplike werkers, wat daartoe aanleiding gee dat hulle in so n mate vorder dat hulle hul kort voor lank in bestuursposisies bevind. n Wyer kennisbasis rakende bestuursdinamiek word vereis om die oorgang van maatskaplike werker na bestuurder te kan maak en sodoende doeltreffend as bestuurder te kan funksioneer. Bestuursopleiding deur maatskaplikewerk–opleidingsinstansies in Suid–Afrika bied nie tans spesifieke bestuursopleiding in die NWO–konteks aan nie. Ondersoek is deur hierdie studie ingestel om n model te ontwikkel om bogenoemde aan te spreek. Hoofstuk 1 fokus op die formulering van die navorsingsonderwerp en gee die sentrale strategiese agument en doel met doelwitte. Hoofstuk 2 beskryf die navorsingsmetodologie wat gebruik is in die studie. Hoofstuk 3 vervat n literatuurstudie wat handel oor die huidige funksionering van NWOs in Suid–Afrika. Daar word gefokus op die bestuursprosesse en rolspelers binne n NWO, die sosiale, politieke en ekonomiese faktore wat die funksionering van NWOs beïnvloed, bestuursmodelle en –teorieë, leierskap en die oorgang van maatskaplike werker na NWO–maatskaplikewerkbestuurder. Hierdie inligting bied die agtergrond waarteen die funksionering van NWO–bestuurders in Mpumalanga, Gauteng, Vrystaat en Noord–Kaap gekontekstualiseer kan word. In Hoofstuk 4 word die data wat vanuit die situasie analise met die NWO–bestuurders in Mpumalanga terugontvang is, verwerk en gerapporteer. n Profiel word verskaf ten opsigte van die NWOs in Mpumalanga asook die bestuursrolspelers en –prosesse wat geïmplementeer is. Daarna word die profiel van NWO–bestuurders in Mpumalanga voorgehou met spesifieke fokus op bestuurskennis en –vaardighede van NWO–bestuurders in Mpumalanga. Die opleidingsbehoeftes van NWO–bestuurders word opgesom en geprioritiseer. Die beskikbaarheid van bestuursopleidingsprogrammes in Suid–Afrikaanse maatskaplikewerk–opleidingsinstansies word daarna weergegee. Hoofstuk 5 gee n oorsig van die heersende situasie in Suid–Afrikaanse NWOs vanuit data wat verkry is uit fokusgroepbesprekings met maatskaplike werkers wat as NWO–bestuurders in Gauteng, Vrystaat en die Noord–Kaap werk. Klem word gelê op die fokusgroeplede se persoonlike ervarings van hul oorgang van maatskaplike werker na NWO–bestuurder binne die huidige funksionering van NWOs. Die spesifieke bestuursprosesse en rolspelers in NWOs betrokke by die fasilitering van die oorgang, soos deur NWO–bestuurders geïdentifiseer, word uitgelig. In hoofstuk 6 word n model vir die fasilitering van die oorgangsproses vir bestuurders voorgestel en met die geïdentifiseerde opleidingsbehoeftes geïntegreer. Hoofstuk 7 bestaan uit die gevolgtrekkings en samevattings wat gemaak is uit die studie. Ten slotte word aanbevelings rakende die fasilitering van die oorgangsproses van maatskaplike werkers na bestuurders van NWOs gemaak. / Thesis (Ph.D. (Social Work))--North-West University, Potchefstroom Campus, 2012.

The statistics of child sexual abuse is alarmingly high. Even though this is the case, further statistics prove that a great percentage of parents do not ever report the sexual abuse of their child. This study focuses on describing and exploring nonoffending parents' experiences regarding suspicions of or disclosure of their child’s sexual abuse to ultimately formulate a proposed protocol for the empowerment of non–offending parents to report the abuse. This proposed protocol can be used by health professionals to empower parents to report and will contribute to the intervention strategies in forensic investigations. As research methodology, the qualitative approach was utilized to investigate nonoffending parents' experiences regarding suspicions of or disclosure of their child’s sexual abuse and to explore and describe a protocol of guidelines to empower nonoffending parents to report child sexual abuse. The case study method was used as a research strategy to accomplish these aims. Ten interviews and a focus group were conducted during which an interview schedule focussing on the parents' reactions, perceived support, and experiences of reporting was employed. The schedule was presented based on the following themes: Theme 1: Finding out about the sexual abuse Theme 2: Reactions of the parents Theme 3: Support Theme 4: Reporting the child's sexual abuse Theme 5: Parents' experiences of the reporting process Theme 6: Suggestions to make the reporting process easier Subthemes, as elicited by these themes, were explored and described in order to contribute towards the formulation of an appropriate protocol that would empower parents to report child sexual abuse. It became clear that parents experience a vast array of emotions upon finding out or having suspicions of their child's sexual abuse. The parents who participated in this study indicated the need for support on different levels– it was proposed that more support might subsequently increase reporting rates. The parents involved in this study were in agreement that the reporting process is extremely taxing and, based on this, various aspects that could help make the reporting of child sexual abuse easier for parents were explored. Further recommendations to empower parents to report child sexual abuse were also made. The data from the interviews was analyzed and a protocol to empower non–offending parents to report child sexual abuse was formulated. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2012.

Background: Platinum refinery workers are exposed to various elements during the refining process, with soluble platinum salts posing a potential health risk. Platinum salts are extremely potent sensitisers that can result in the clinical syndrome of platinum salt sensitivity (PSS) that leads to skin and respiratory hypersensitivity in refinery workers. Several published research articles document refinery workers’ exposure levels to soluble platinum salts during production. However, the exposure levels to soluble platinum salts during non–routine stock take activities are unknown although cases of sensitisation have been diagnosed following these nonoperational periods. Stock take for the platinum refinery under study commenced on 18 January 2010 and ended 22 February 2010. Increased emphasis was placed on flushing plant equipment rather than dismantling it. The aim was to dismantle 10% of what previously was dismantled to reduce the risk of exposing employees to soluble platinum salts, to reduce the chance of damaging plant equipment and for cost and time saving purposes. Aim: The objectives of this study are to: (i) quantify work area and personal exposure levels; (ii) identify work areas and work practices with exposure levels exceeding the occupational exposure limit (OEL) (>2 ug/m3); (iii) determine whether exposure levels differ significantly between: a) personal sampling groups (engineering versus production), b) area sampling groups (open versus closed–face sampling), c) work areas, d) total area and total personal sampling groups and to (iv) evaluate the efficiency of the current control measures utilised. Design and Method: A total of 58 platinum samples were collected, consisting of 38 personal and 20 area samples. Personal sampling consisted of Institute of Occupational Medicine (IOM) samplers housing reusable 25 mm filter cassettes with mixed cellulose ester (MCE) membrane filters for the collection of inhalable airborne particles. Because both the cassette and the filter were pre and post–weighed as a single unit, all particles collected (even those against the walls of the cassette) were included in the analysis. Sampling was conducted in accordance with the stock take schedule and scope and included a roster for the systematic dismantling and cleaning of the refinery, following the process flow. A target population of maximum five fitters and five operators per area were identified, responsible for dismantling and cleaning plant equipment respectively. The sampling strategy was based on the identification and sampling of employees presumed to have the highest exposure risk. The Occupational Exposure Sampling Strategy Manual (OESSM) refers to this as the “maximum risk employees” (Liedel et al., 1977). The selection of the maximum risk employees was done with reasonable certainty since the employees sampled were working closest to the source of exposure. Sampling was conducted for the total duration of the task consisting of single sample measurements. Area sampling was conducted by means of BUCKAir high volume samplers fitted with preweighed 47 mm MCE filter cassettes to show the spread of the contaminant in the work area. The high volume samplers were calibrated to operate at a sampling volume of 20 L/min. The sampling heads were positioned 1.5 m from the ground surface and as near as possible to the work location or failing this as near as is possible to major sources of exposure. Samples were collected and analysed according to the method for the determination of hazardous substances 46/2 (MDHS 46/2). This is an advanced sampling and analysis standard which enables detection of low levels of soluble platinum (0.01 ug/m3). Results: Thirty eight personal platinum samples were collected, consisting of a sampled engineering (n=15) and production (n=23) subgroup. Out of the thirty eight personal samples taken in total, 21% of the samples’ concentrations exceeded the OEL of 2 ug/m3 and ranged between 0.004–20.479 ug/m3. Twenty area platinum samples were collected, consisting of open (n=10) and closed face (n=10) sampling. Out of the twenty area samples taken in total, 10% of the samples’ concentrations exceeded the OEL of 2 ug/m3 and ranged between 0.0004–5.752 ug/m3. The mean personal exposure levels for the production subgroup (2.739 ug/m3) were significantly higher compared to the engineering subgroup’s mean personal exposure levels (0.393 ug/m3). This significant difference (p=0.033) was expected since the production subgroup was more exposed and involved in the digging out of residues and the cleaning of plant equipment compared to the engineering subgroup with limited exposure and involved in the opening of plant equipment. Although the mean exposure levels for open face sampling (0.725 ug/m3) were higher compared to the mean exposure levels for closed face sampling (0.441 ug/m3) no significant difference (p=0.579) were noted. The mean area exposure levels (0.583 ug/m3) were significantly lower (p=0.004) compared to the mean personal exposure levels (1.813 ug/m3) for similar areas and tasks performed and, therefore, not an effective indicator of personal exposure levels. Higher personal exposure levels were expected since the workers were closer to the source of exposure and since the platinum salts could have diluted in the workplace’s air resulting in lower area exposure levels. Conclusion: The research study addressed the problem statement, met the objectives set out in Chapter 1, hypotheses were accepted and rejected and future studies were recommended. It was hypothesised that: a) refinery workers are exposed to airborne soluble platinum during non–operational periods; b) exposure levels do not differ significantly between the personal sampling groups (engineering vs production); c) exposure levels do not differ significantly between the area sampling groups (open versus closed–face sampling); d) exposure levels do not differ significantly between work areas; e) exposure levels differ significantly between total personal and total area sampling groups. The results confirmed that refinery workers are exposed to airborne soluble platinum during non–operational periods and hypothesis a was accepted. The personal exposure levels of the engineering versus production sampling groups differed statistically (p=0.033) and hypothesis b was rejected. The exposure levels of the open and closed face sampling groups did not differ significantly (p=0.579) and hypothesis c was accepted. In addition no statistical difference (p>0.05) was indicated between the work areas and hypothesis d was accepted. Total personal versus total area exposure levels (p=0.004) differed statistically and hypothesis e was accepted. / Thesis (M.Sc. (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2011.

Thesis (MSc (Mathematics))--University of Stellenbosch, 2008. / Let T be a non-empty set, A a u-algebra of subsets of T and u : .A -+ Rn a bounded, countably additive measure. A set E E A is called an atom with respect to u if u(E)=/F 0 and, if F E A, FeE, then u(F) = u(E) or u(F) = 0; the measure u is atomic if there exists at least one atom (with respect to u) in A. If no such atom (with respect to u) exists in A, then u is called non-atomic. In 1940 the Russian mathematician A. A. Lyapunov published the Convexity Theorem. According to this theorem the range 'R.{u) of a bounded, finite-dimensional measure u is compact and, in the non-atomic case, convex. Since 1940 much has been published on different aspects of the range of a vector-measure. These aspects range from new and shorter proofs of the Convexity Theorem and the usefulness of it in diverse fields, to research about the geometrical characteristics of the range by using other familiar theorems, like Krein-Milman and Radon-Nikodym. In the survey at hand the Convexity Theorem in itself is studied. Applications in different fields will be looked at as well as pieces about the history of the people and the ideas involved in the development of the theorem.

Providing mental health care to involuntary mental health care users (MHCUs) is challenging and an ethical adversity nurses often have to deal with. The literature, in general, indicates that nurses might possess coping and resiliency in the work environment where they are often faced with adversities. However there is a paucity of information regarding the resilience of nurses providing mental health care (MHC) to involuntary MHCUs. Therefore the research objectives explored the resilience of nurses using the Connor-Davidson scale (CD-RISC), to explore and describe how nurses cope and strengthen their resilience in providing MHC to involuntary MHCUs and to formulate guidelines to strengthen the resilience of these nurses to provide quality nursing care in the work environment where MHCUs are often involuntarily admitted. To achieve these objectives, the research followed both a qualitative and quantitative approach and an exploratory and descriptive design which was contextual in nature. A convenience sampling method was used to achieve a sample size of 28 participants, who were handed questionnaires to complete, containing demographical information, the CD-RISC and a narrative. A response rate of 85.7% was reached. Quantitative data was analysed by using the SPSS programme while data from narratives, for the qualitative data, were grouped and themed. The results in the first phase indicated that resiliency was high amongst participants, as the mean score of the CD-RISC was 79.9 out of a total score of 100; whilst only one participant scored below 50. The mean for the highest scores was on item 25 (pride in your achievements) (3.8) and item 10 (best effort no matter what) (3.6) and two critical aspects which scored low were item 18 (make unpopular or difficult decisions) and item 19 (can handle unpopular feelings) (2.3) amongst participants. Interestingly, the majority of participants (66.7%) do not have training in psychiatric nursing. In the second phase, two themes were identified from the questions. The first theme “Coping mechanisms” identified four methods to cope with involuntary MHCUs. These subthemes are “support system”, “knowledge, skills and experience”, “nurse-patient relationship” and “spirituality and selfcare”. The second theme “Resilience strategies” brought forth five subthemes as follows: “support”, “trained staff”, “security measures and safety”, “teamwork” and “in-service training and education”. Conclusions suggest that nurses are resilient to provide MHC for involuntary MHCUs. Furthermore, they take pride in their achievements and have passion for their work. On the contrary, they find it difficult to make unpopular decisions which affect others and to handle unpleasant feelings. This is indicative of internal conflict and difficulty in being assertive. Nurses take pride in their achievements and want to give nursing care that’s in the best interest of the MHCUs whilst they feel that they might not always be able to do so due to the involuntary nature of the MHCUs admission and treatment. Recommendations for nursing practice, namely guidelines to strengthen the resilience of nurses providing mental health care to involuntary MHCUs could be developed from the research findings. Facilitating assertiveness and a supportive environment might strengthen resilience and should be addressed by management and supervisors. Recommendations for nursing education and further research were also formulated. / MCur, North-West University, Potchefstroom Campus, 2015