The major objectives of this study were to investigate the antioxidant properties of flaxseed lignans secoisolariciresinol (SECO 2) and secoisolariciresinol diglycoside (SDG 1) and their major oxidative compounds using 2,2'-azobis(2-amidinopropane) dihydrochloride (AAPH 47) in an in vitro model of lipid peroxidation. This investigation was facilitated by the structural elucidation of the major oxidative compounds and the ability of flaxseed lignans to delay the onset of oxidation in two model systems. <p>This study showed that SECO 2 oxidation occurs at the aromatic (4-OH) and aliphatic (9-OH) hydroxyl groups. Conversely for SDG 1, only compounds derived from the oxidation of aromatic hydroxyl groups were obtained because the 9-OH position is glucosylated. <p>SECO 2 oxidation with AAPH 47 showed that the intermediate 2a is most likely involved in the generation of early-forming (48 and 52) and 2c for the formation of late-forming (49, 50 and 51) oxidation compounds. Compound 48 is formed from dimerization of 2a that is converted to 52 and then to 51. Compound 50 was formed by the addition of a carbon-centre free radical of AAPH (AP radical) to 2c. Compounds 50 and 51 trap carbon-centered AP radicals supporting SECO 2 as a chain-breaking antioxidant and AAPH 47 as a proper model for study of SECO 2 oxidation in vitro. <p>SDG 1 oxidation with AAPH 47 indicated that intermediates 1b and 1c are most likely involved for the formation of early forming compounds (55 and 58) and 1a leads to the late forming compounds (56 and 57). Compound 55 is a result of dimerization. Compound 56 may be directly formed via intermediate radical 1a by adding AP free radicals. Compound 56 was a stable non-radical compound that could trap AP free radicals, thereby supporting SDG 1 as a chain-breaking antioxidant. Hydrogen abstraction from 4-hydroxyl yielded the radical 1a and hydroxyl radical addition to 1a yielded 57. Compound 58 formed from the addition of OH or H2O to 1c. <p>This study demonstrated that AAPH 47 produces carbon-centred AP radicals upon thermal decomposition and mimics the formation of lipid peroxyl radicals. Interaction of carbon-centred AP radicals with SECO 2 and SDG 1 provides a good model to study the antioxidant reactions of SECO 2 in vitro. p*The relative antioxidant capacity of the flaxseed lignans versus BHT 17, in two model systems, was determined. The stoichiometric ratio for SECO 2 and SDG 1 were 1.5 and 1.1-1.2, respectively, compared to BHT 17 (2.0). The induction time by Rancimat analyzer measured inhibition of autoxidation mediated by flaxseed lignans SECO, SDG and SDG polymer in comparison with BHT 17. The induction time data demonstrated that SECO 2 protected canola oil better than either SDG 1 or SDG polymer 3. <p>These results are important for better understanding about the chemistry behind flaxseed lignan antioxidant activities. This study provided useful evidence that flaxseed lignans can be used as natural antioxidants.

Coal mining and coal utilization in Mpumalanga have increased over the years due to national reliance on coal as a source of power generation. In general, this has caused significant deterioration of water quality wherever streams are impacted by acid mine drainage (AMD). The aim of this research was to assess the use of in vitro bioassays as a complement to, or potential future replacement of, waste effluent testing in whole animals from AMD impacted watersheds subjected to passive and active treatment, correlating observed changes with water chemistry analysis. To accomplish this goal, water samples were collected and in vitro bioassays carried out to investigate generation of reactive oxygen species by the water samples and cytotoxicity against Vero kidney cells, C3A liver cells and trout RTgill-W1 cells. Primary fish gill cultures were established and used as sensitive in vitro models for assessing possible contaminants in water, measuring the induction of cytochrome P450 (CYP) 1A and resultant increase in 7-ethoxyresorufin-o-deethylase activity as a potential biomarker in fish gill cells exposed to polycyclic aromatic hydrocarbons. The genotoxic potential of AMD water on commercially available cell lines was also determined. / The study site was an impacted stream located downstream of a coal mine discharge point whose effluent flowed away from the mine. Water chemistry results suggested high AMD impact evidenced by acidity, elevated sulphates, increased conductivity and presence of heavy metals. Al, Fe, Zn, Mn and Si were the major metals of potential concern in the AMD impacted stream; sulphates and major ions like Ca, K, Na and Mg were present at levels above target water quality range (TWQR) for effluents in receiving stream. The AMD impacted stream caused increased generation of reactive oxygen species (ROS) detectable in vitro in selected cell lines (Vero, C3A and RTgill-W1 cell lines), an indication of oxidative stress. In-stream, active treatment with caustic soda was efficient at reducing metal burden, with subsequent reduction in ROS generation in fish gill cell lines. For in vitro cytotoxicity tests, passive and active treated AMD water was cytotoxic to cell lines (Vero and RTgill-W1), with the fish RTgill-W1 cells exhibiting greater sensitivity compared to the mammalian Vero cells. Mitochondria played a larger role in observed loss in cellular viability (increased vacuolization, mitochondrial membrane swelling and damage), which was detected using mitochondrial specific stains, and by transmission electron microscopy (TEM). Increased dose- dependent cytotoxicity was observed in the fish gill and mammalian cell lines. Cells exposed to water samples (AMD and reference sites) revealed significant differences (p < vi 0.05) between the AMD impacted watershed and a relatively pristine site (reference site) where exposure to the same cells maintained approximately 100% viability at all concentrations for up to 72h exposure. The observed differences in effect in this study demonstrate that the effluent from the coal mine negatively impacted surface water quality, resulting in toxicity to cell lines, therefore creating an environment that would not be conducive for the survival of biological aquatic communities and potentially of concern for downstream human end users. / The induction of cytochrome P450 (CYP) 1A and resultant increase in 7- ethoxyresorufin-o-deethylase activity in primary fish gill cultures exposed to polycyclic aromatic hydrocarbons B[a]P, a known AhR agonist contaminant associated with coal mining, showed that there was as increase in EROD activity which was not observed using the RTgill-W1 cell lines. Gill epithelial cells isolated from the gills of Tilapia fish (Oreochromis mossambicus) bear close similarities to fish gills in vivo and their capacity to respond to the presence of AhR indicates that they may serve as a simple, cost-effect screening tool for assessing PAHs and dioxin-like compounds in fresh water. / For genotoxicity evaluation, the Ames test performed without metabolic activation using bacterium Salmonella typhimurium TA98 and TA100 strains revealed no indication of genotoxic activity in any of the water samples. Genotoxicity assessment of all water samples using the comet assay however exposed DNA damage to Vero and RTgill-W1 cell lines. A significant reduction in DNA damage was observed following active treatment. The results suggest that neither treatment technologies employed were efficient at removing all potential genotoxicants so further improvements are required. The comet assay proved sensitive enough to detect genotoxicity in reference water samples despite no known untoward effluent inputs at the site, suggesting potential for this assay to be integrated into an environmental monitoring framework. / The results obtained support the use of in vitro bioassays for evaluating toxicity of industrial effluent through biological responses in test systems elicited following exposure, improving ability to detect AMD polluted water. This could be beneficial when assessing the degree and extent of impact of AMD in natural water sources, and the possible environmental impact resulting from hazardous elements present in effluent water. In conclusion, these results suggest that in vitro techniques involving cell lines and primary cultures from fish may serve vii as simple, rapid and cost-effective tools for assessing risk and potential toxic effects of contaminants in AMD waters. / Thesis (PhD)--University of Pretoria, 2016. / The National Research Foundation / Department of Paraclinical Sciences (University of Pretoria) / Schlumberger Stichting Fund, Netherlands / Paraclinical Sciences / PhD / Unrestricted

För att ett samhälle ska utvecklas på ett modernt och framgångsrikt sätt är elektricitet en grundläggande faktor. Tillgång till elektricitet förhöjer levnadsstandarden för befolkningen genom att generera positiva synergieffekter såsom att fler utbildar sig, ekonomisk tillväxt och stabilitet, förbättrad välfärd och internationella samarbeten. När den globala populationstillväxten och användningen av elektricitet ökar blir det av ännu större betydelse att andelen förnyelsebara bränslen i energimixen blir större för att inte påskynda den negativa klimatförändringen. Rwanda är ett litet, kustlöst land i Östafrika med ambitiösa planer om att förse sin befolkning, om 11.9 miljoner, med elektricitet år 2024 och att bli en ekonomi med låga koldioxidutsläpp. Idag har endast 41% av befolkningen tillgång till elektricitet, där 30% är uppkopplade till det nationella elnätet och 11% förses med elektricitet från fristående ellösningar eller mikronät. Rwanda arbetar med nationella policys såsom Vision 2020, Energy Sector Strategic Plan and National Energy policy för att uppnå sina nationella mål. Dessa strategier inkluderar också Förenta Nationernas globala mål och andra internationella åtaganden. Rwanda är också medlem i det gränsöverskridande samarbetet Eastern African Power Pool, vilket kommer förbättra deras framtida möjligheter för handel med elektricitet med sina grannländer. Denna studie syftar till att analysera den nationella elsektorn i Rwanda, både det nuvarande läget och framtida prognoser, för att bidra till landets arbete mot det Globala Målet 7 - Hållbar energi för alla. Ett övergripande mål med studien är att finna en fördelaktig energimix för Rwandas samhälle, miljö och ekonomi. Målsättningen är att samla in data om elsystemet och nationella policys genom en fältstudie i Kigali. Insamlad data sammanställs sedan och sju scenario modelleras genom att använda verktyget OSeMOSYS via gränssnittet MoManI. Scenarierna speglar Rwandas arbete med nationella policys, potentiell export samt hur energimixen påverkas när priset på fotovoltaik reduceras. Resultatet påvisar vattenkraftens betydande roll i Rwandas elsystem och hur den i majoriteten av scenarierna utgör den största andelen av energimixen. De exportscenarios som är kombinerade med nationella policys genererar en högre total systemkostnad medan de med enbart export antingen genererar motsvarande utfall som i grundscenariot eller aningen lägre total systemkostnad. I fyra av sju scenarier får befolkningen tillgång till elektricitet år 2024 och mål 7 uppnås. Baserat på denna studie behöver Rwanda begränsa sina koldioxidutsläpp, investera mer i förnyelsebara energikällor och expandera sitt nationella elnät samt förse befolkningen på landsbygden med fristående ellösningar eller mikronät för att nå mål 7. / For a society to function in a modern and prosperous way, electricity is a fundamental necessity. Access to electricity enhances the living standard of the population by generating positive synergies such as more people proceeding in education, economic growth and stability, improved welfare and collaborations with other nations. As the global population grows and the use of electricity increases, it is of great importance to increase the share of renewable energy resources in the energy mix to decelerate the climate change altered by greenhouse gas emissions. Rwanda is a small, landlocked country in East Africa with ambitious plans to electrify its full population of about 11.9 million by 2024 and to become a low-carbon economy. Today merely 41% of the population has access to basic electricity, where 30% are connected to the national grid and 11% are electrified by off-grid solutions. Rwanda is working with national strategies such as Vision 2020, Energy Sector Strategic Plan and National Energy policy to achieve their goals. These policies comprise, among others, United Nations’ Sustainable Development Goals and their Intended Nationally Determined Contributions. Rwanda is also a member of the Eastern African Power Pool, which enhances their future possibilities of expanded collaboration with neighbouring countries in terms of electricity trading. This study aims to analyse the national electricity sector of Rwanda, both the current state and future outlooks, to contribute to their achievement of the Sustainable Development Goal 7 - Affordable and Clean Energy for All (SDG 7). The overall aim of the study is to find an energy mix which benefit Rwanda’s society, environment and economy. The objective of the thesis is to collect data about Rwanda’s electricity system and national policies through a field study in Kigali. The collected data is then compiled, and seven scenarios are modelled by using the tool OSeMOSYS through MoManI. The scenarios portray Rwanda’s work with national policies, potential exports and how the energy mix is affected when the price for photovoltaic decreases. The results show the importance of hydropower in Rwanda’s electrification system and how it in the majority of the scenarios constitutes for the largest share in the energy mix. The exports scenarios combined with national policies have a higher total system cost while scenarios with merely exports have either the same total system cost as the business as usual scenario or a bit lower. In four out of seven scenarios electricity access for all inhabitants is ensured by 2024 and SDG 7 is achieved. Based on this study, Rwanda needs to limit their national emissions, invest in more renewables and expand the national grid as well as providing rural areas with off-grid solutions to achieve SDG 7.

Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used in the treatment of inflammation and pain (Escribano et al., 2003:203). Diclofenac, a classical NSAID, is considerably more effective as an analgesic, antipyretic and anti-inflammatory drug than other traditional NSAIDs, like indomethacin and naproxen (Grosser et al., 2011:986). However, the use of diclofenac is known for its many side effects, such as gastric disorders, while fluid and sodium retention are also commonly observed (Rossiter, 2012:391). Since topical diclofenac offers a more favourable safety profile, it is a valuable substitute for oral NSAID therapy in the treatment of osteoarthritis (Roth & Fuller, 2011:166). The benefits of topically applied NSAIDs, compared to oral administration and systemic delivery, include the easy cessation of treatment, should effects become troublesome (Brown et al., 2006:177), the avoidance of extensive, first-pass metabolism (Cleary, 1993:19; Kornick, 2003:953; Prausnitz & Langer, 2008:1261; Lionberger & Brennan, 2010:225), reduced systemic side effects (Colin Long, 2002:41), convenience of application and improved patient compliance (Cleary, 1993:19; Prausnitz & Langer, 2008:1261). An approach that is often applied in optimising the solubility and dissolution rate of poorly water soluble, weak electrolytes is to prepare a salt of the active pharmaceutical ingredient (API) (Minghetti et al., 2007:815; O’Connor & Corrigan, 2001:281-282). Diclofenac is frequently administered as a salt, due to the high partition coefficient and very low water solubility of this molecule (Fini et al., 1999:164). Formulating for efficacy (FFETM) is a software programme designed by JW Solutions to facilitate the formulation of cosmetic ingredients or solvents into a product that would optimally deliver active ingredients into the skin. The notion is built upon solubility, i.e. solubility of the active ingredient in the formulation and solubility of the formulation in the skin. This programme could also be employed to optimise amounts of predetermined ingredients, to propose formulations that would ensure optimal drug delivery, to calculate the skin delivery gap (SDG) and to demonstrate transdermal permeation of active ingredients and excipients (JW Solutions Software, 2013a). When the SDG is known, it mathematically indicates the optimal active ingredient and topical delivery vehicle to use (JW Solutions, 2013b). In this study, diclofenac sodium (DNa), diclofenac diethylamine (DDEA) and diclofenac N-(2- hydroxyethyl) pyrrolidine (DHEP) were each formulated in the following emulgels: * An emulgel optimised towards the stratum corneum (SC) (enhancing drug delivery into this layer and deeper tissues) (oily phase ~30%), * A more hydrophilic emulgel (oily phase ~15%), and * A more lipophilic emulgel (oily phase ~45%). Components of the oily phase and its respective amounts, as well as the SDG of formulations were determined by utilising the FFETM software of JW Solutions (2013a). The aqueous solubilities of DNa, DDEA and DHEP were determined and their respective values were 11.4 mg/ml, 8.0 mg/ml and 11.9 mg/ml, all indicative of effortless percutaneous delivery (Naik et al., 2000:319). Log D (octanol-buffer distribution coefficient) (pH 7.4) determinations for DNa, DDEA and DHEP were performed and their values established at 1.270 (DNa), 1.291 (DDEA) and 1.285 (DHEP). According to these values, diclofenac, when topically applied as a salt in a suitable vehicle, should permeate transdermally without the aid of radical intervention (Naik et al., 2000:319; Walters, 2007:1312). Membrane release studies were also carried out in order to determine the rate of API release from these new formulations. Results confirmed that diclofenac was indeed released from all nine of the formulated emulgels. The more hydrophilic DNa formulation released the highest average percentage of diclofenac (8.38%) after 6 hours. Subsequent transdermal diffusion studies were performed to determine the diclofenac concentration that permeated the skin. The more hydrophilic DNa emulgel showed the highest average percentage skin diffusion (0.09%) after 12 hours, as well as the highest average flux (1.42 ± 0.20 μg/cm2.h). The concentrations of diclofenac in the SC-epidermis (SCE) and epidermis-dermis (ED) were determined through tape stripping experiments. The more lipophilic DNa emulgel demonstrated the highest average concentration (0.27 μg/ml) in the ED, while the DNa emulgel that had been optimised towards the SC, had the highest concentration in the SCE (0.77 μg/ml). / MSc (Pharmaceutics), North-West University, Potchefstroom Campus, 2014

Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used in the treatment of inflammation and pain (Escribano et al., 2003:203). Diclofenac, a classical NSAID, is considerably more effective as an analgesic, antipyretic and anti-inflammatory drug than other traditional NSAIDs, like indomethacin and naproxen (Grosser et al., 2011:986). However, the use of diclofenac is known for its many side effects, such as gastric disorders, while fluid and sodium retention are also commonly observed (Rossiter, 2012:391). Since topical diclofenac offers a more favourable safety profile, it is a valuable substitute for oral NSAID therapy in the treatment of osteoarthritis (Roth & Fuller, 2011:166). The benefits of topically applied NSAIDs, compared to oral administration and systemic delivery, include the easy cessation of treatment, should effects become troublesome (Brown et al., 2006:177), the avoidance of extensive, first-pass metabolism (Cleary, 1993:19; Kornick, 2003:953; Prausnitz & Langer, 2008:1261; Lionberger & Brennan, 2010:225), reduced systemic side effects (Colin Long, 2002:41), convenience of application and improved patient compliance (Cleary, 1993:19; Prausnitz & Langer, 2008:1261). An approach that is often applied in optimising the solubility and dissolution rate of poorly water soluble, weak electrolytes is to prepare a salt of the active pharmaceutical ingredient (API) (Minghetti et al., 2007:815; O’Connor & Corrigan, 2001:281-282). Diclofenac is frequently administered as a salt, due to the high partition coefficient and very low water solubility of this molecule (Fini et al., 1999:164). Formulating for efficacy (FFETM) is a software programme designed by JW Solutions to facilitate the formulation of cosmetic ingredients or solvents into a product that would optimally deliver active ingredients into the skin. The notion is built upon solubility, i.e. solubility of the active ingredient in the formulation and solubility of the formulation in the skin. This programme could also be employed to optimise amounts of predetermined ingredients, to propose formulations that would ensure optimal drug delivery, to calculate the skin delivery gap (SDG) and to demonstrate transdermal permeation of active ingredients and excipients (JW Solutions Software, 2013a). When the SDG is known, it mathematically indicates the optimal active ingredient and topical delivery vehicle to use (JW Solutions, 2013b). In this study, diclofenac sodium (DNa), diclofenac diethylamine (DDEA) and diclofenac N-(2- hydroxyethyl) pyrrolidine (DHEP) were each formulated in the following emulgels: * An emulgel optimised towards the stratum corneum (SC) (enhancing drug delivery into this layer and deeper tissues) (oily phase ~30%), * A more hydrophilic emulgel (oily phase ~15%), and * A more lipophilic emulgel (oily phase ~45%). Components of the oily phase and its respective amounts, as well as the SDG of formulations were determined by utilising the FFETM software of JW Solutions (2013a). The aqueous solubilities of DNa, DDEA and DHEP were determined and their respective values were 11.4 mg/ml, 8.0 mg/ml and 11.9 mg/ml, all indicative of effortless percutaneous delivery (Naik et al., 2000:319). Log D (octanol-buffer distribution coefficient) (pH 7.4) determinations for DNa, DDEA and DHEP were performed and their values established at 1.270 (DNa), 1.291 (DDEA) and 1.285 (DHEP). According to these values, diclofenac, when topically applied as a salt in a suitable vehicle, should permeate transdermally without the aid of radical intervention (Naik et al., 2000:319; Walters, 2007:1312). Membrane release studies were also carried out in order to determine the rate of API release from these new formulations. Results confirmed that diclofenac was indeed released from all nine of the formulated emulgels. The more hydrophilic DNa formulation released the highest average percentage of diclofenac (8.38%) after 6 hours. Subsequent transdermal diffusion studies were performed to determine the diclofenac concentration that permeated the skin. The more hydrophilic DNa emulgel showed the highest average percentage skin diffusion (0.09%) after 12 hours, as well as the highest average flux (1.42 ± 0.20 μg/cm2.h). The concentrations of diclofenac in the SC-epidermis (SCE) and epidermis-dermis (ED) were determined through tape stripping experiments. The more lipophilic DNa emulgel demonstrated the highest average concentration (0.27 μg/ml) in the ED, while the DNa emulgel that had been optimised towards the SC, had the highest concentration in the SCE (0.77 μg/ml). / MSc (Pharmaceutics), North-West University, Potchefstroom Campus, 2014

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

No description available.

Background: Hypertension is the biggest contributor to the global burden of disease, and has a big impact on low-to middle-income countries. Nurses are important actors in disease prevention and health promotion which is typically used to prevent hypertension. Vietnam is a middle-income country with elaborate hypertension problems. Aim: The aim of this study is to explore nurses´ experiences of working with hypertension (HT) prevention in Vietnam.  Method: This is a qualitative study using semi-structured interviews and content analysis. Result: Challenges, methods and perceptions from the experiences of working as a nurse with HT prevention were identified. Lack of equipment, methods and funds, and to help the patient change bad habits were the main challenges. Conclusion: Nurses in Vietnam experience many challenges in their work to prevent HT. The challenges include lack of education, resources and difficulties to help people change behaviour. Few opportunities were perceived by the nurses. Further research is needed to explore the situation of nurses working with HT prevention, and what needs to be done on different levels to facilitate their work.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

Despite the adoption of Sustainable Development Goals (SDGs) and their targets, people with disabilities continue to experience marginalisation, and they have limited opportunities in society. In Tanzania, Children With Albinism (CWA) do not enjoy full citizenship rights because they are constantly subjected to stigmatisation, discrimination and persecution within their communities. This has forced the government of Tanzania to establish temporary holding shelters to protect these children. While the government appears sensitive to the challenges children with albinism face, the idea of temporary holding shelters blurs the lines of what it means to cultivate social inclusion.  A rights-based conceptual framework for the social inclusion of children helped to identify challenges faced by children with albinism in Tanzania, as well as to advance a new understanding of the voices and knowledge emerging from the Global South. An exploratory research design together with qualitative and abductive approaches were employed, and qualitative content analysis was used in analysing the empirical findings before coding the textual material. Thereafter, an expanded rights based conceptual framework for the social inclusion of children was developed. In the expanded framework, child specific factors namely family, community, social acceptance and social protection were added.