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Referral pattern for maternity patients in the Nkhensani district hospital in Giyani sub-districtMboweni, Agrey Ernest January 2012 (has links)
A RESEARCH REPORT SUBMITTED TO THE FACULTY OF HEALTH
SCIENCES, UNIVERSITY OF THE WITWATERSRAND, IN PARTIAL
FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF
PUBLIC HEALTH
JANUARY 2012 / Background:
Nkhensani Hospital is a level 1 district hospital which provides comprehensive and
integrated health care for the Giyani sub–district population, which is estimated to be
270 000. The major services provided are casualty, medicine, paediatrics, maternity
and surgery. The hospital is experiencing challenges in the maternity ward which is
admitting more patients than the 47 allocated beds. Monthly, an average of 400
women are admitted for delivery from clinics. The causes are suspected to be due to
a number of different factors like shortage of staff at the clinics, poor referral system,
poor services at clinics and health centres, poor facilities, and pregnant woman not
attending antenatal care and bypassing lower levels of care.
Aim:
To describe the pattern and appropriateness of referrals in patients attending the
maternity ward at the Nkhensani Hospital.
Methodology:
A retrospective study was used to review and asses the patient records for the study
(January to December 2009). Information was obtained from the Hospital Information
System and secondary data from patients records will be used to assess the referral
pattern in Nkhensani Hospital’s maternity ward.
Results:
The data showed that the patients admitted had a mean age of 26 years, with a
range from 15 to 45 years. Patients were admitted for various reasons, which when
categorised were found to have 57% of inappropriate referrals. Similarly 68% of
referrals were found to have low risk pregnancies. About 85% of the deliveries were
normal vaginal deliveries. Of the patients who attended the facility, 57% were
referred from clinics, 19% from community health centres, 1% from general
practitioners and 23% as self referrals. The source of referral was not found to be
v
associated with appropriate reasons for delivery, risk category, length of stay or
mode of delivery.
Conclusion:
The research showed that the referral pattern in the maternity ward from clinics and
health centres as well as self referrals indicated that policies were not being adhered
to, which led to an over utilisation of the maternity ward in Nkhensani Hospital under
Giyani sub-district
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"Do not take them from myself and my children for ever" : Aboriginal water rights in Treaty 7 territories and the duty to consultBeisel, Vivienne G. 02 May 2008
Treaty 7 First Nations, who have occupied the South Saskatchewan River Basin since time immemorial, have water rights protected by s.35 of the Constitution, Treaty 7, and the Natural Resources Transfer Agreement, 1930. This thesis suggests that Alberta has devised a legal regime that circumvents the treaty relationship between the Crown and Treaty 7 First Nations. Section 52 of the Constitution and the principles of constitutionalism and the rule of law require that Crown legislation and action must be consistent with the Constitution. Because Aboriginal and treaty rights are protected under s.35(1) of the Constitution, Albertas consultation guidelines must address the protection of existing Aboriginal and treaty rights. This thesis examines whether the treaty or any subsequent Crown legislation or Crown action has extinguished the Aboriginal and treaty rights of Treaty 7 First Nations and draws the conclusion that the Aboriginal rights of Treaty 7 First Nations not only continue to exist, but are afforded additional protection by Treaty 7 and the Natural Resources Transfer Agreement. This leads to the conclusion that Albertas consultation policy fails to recognize and affirm Aboriginal and treaty rights in their entirety as they currently exist. To the extent that Albertas Aboriginal consultation policies and regulations are inconsistent with s.35(1) they are null and void.
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"Do not take them from myself and my children for ever" : Aboriginal water rights in Treaty 7 territories and the duty to consultBeisel, Vivienne G. 02 May 2008 (has links)
Treaty 7 First Nations, who have occupied the South Saskatchewan River Basin since time immemorial, have water rights protected by s.35 of the Constitution, Treaty 7, and the Natural Resources Transfer Agreement, 1930. This thesis suggests that Alberta has devised a legal regime that circumvents the treaty relationship between the Crown and Treaty 7 First Nations. Section 52 of the Constitution and the principles of constitutionalism and the rule of law require that Crown legislation and action must be consistent with the Constitution. Because Aboriginal and treaty rights are protected under s.35(1) of the Constitution, Albertas consultation guidelines must address the protection of existing Aboriginal and treaty rights. This thesis examines whether the treaty or any subsequent Crown legislation or Crown action has extinguished the Aboriginal and treaty rights of Treaty 7 First Nations and draws the conclusion that the Aboriginal rights of Treaty 7 First Nations not only continue to exist, but are afforded additional protection by Treaty 7 and the Natural Resources Transfer Agreement. This leads to the conclusion that Albertas consultation policy fails to recognize and affirm Aboriginal and treaty rights in their entirety as they currently exist. To the extent that Albertas Aboriginal consultation policies and regulations are inconsistent with s.35(1) they are null and void.
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Proposition d'une consultation de médecine générale avant un départ en trek à propos d'une revue de littérature /Fleury, Claire Goronflot, Lionel. January 2008 (has links)
Reproduction de : Thèse d'exercice : Médecine. Médecine générale : Nantes : 2008. / Bibliogr.
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Evaluation de la prise en charge médicale de la gonarthrose en médecine de ville à partir d'une étude rétrospective de 284 patients opérés d'une prothèse totale de genou /Schmitt, Xavier Dauty, Marc. January 2009 (has links)
Reproduction de : Thèse d'exercice : Médecine. Médecine générale : Nantes : 2009. / Bibliogr.
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Procedures and problems in referring school children to mental health clinicsAnderson, Richard John. Hubbard, Ben C. January 1968 (has links)
Thesis (Ed. D.)--Illinois State University, 1968. / Title from title page screen, viewed Aug. 16, 2004. Dissertation Committee: Ben C. Hubbard (chair), Walter Friedhoff, Harold Phelps. Includes bibliographical references (leaves 191-195). Also available in print.
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Teacher perceptions of consutlation effectiveness evaluating the impact of gender, directiveness, and level of consultee experience /Gentry, Joseph A. Koepke, Karla J. January 2006 (has links)
Thesis (Ph. D.)--Illinois State University, 2006. / Title from title page screen, viewed on May 3, 2007. Dissertation Committee: Karla Doepke (chair), Kathy Hoff, Adena Meyers, Dawn McBride, Jeffery Bakken. Includes bibliographical references (leaves 72-79) and abstract. Also available in print.
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L'effet des connaissances antérieures et de la linéarité d'un didacticiel hypermédia sur la consultation, les attitudes, l'acquisition et le transfert des connaissancesOuellette, Claudette January 1992 (has links)
Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.
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A landowner's ability to negotiate compensation with the holder to rights to minerals / Richard William DraperDraper, Richard William January 2014 (has links)
In 2002 the Mineral and Petroleum Resources Development Act 28 of
2002 (MPRDA) was promulgated to regulate the exploitation of minerals
and petroleum in South Africa. With the promulgation of the MPRDA
landowners’ rights regarding the minerals embedded in their land have
been annihilated. South Africa’s mineral and petroleum resources were
statutorily bequeathed to all the people of South Africa and the state was
statutorily appointed as the custodian thereof for the benefit for all South
Africans. All the rights to minerals have been severed from the
ownership of land and the MPRDA does not recognise the existence of
common law mineral rights as they existed directly before the MPRDA
took effect. As a result thereof, landowners are not entitled to
compensation for the loss of the minerals that are mined from the soil of
their land. In addition, landowners ostensibly no longer possess the right
to enforce negotiations regarding compensation for losses suffered or
damages caused during the course of mining operations.
It is against this background that this study seeks to determine to what
extent the MPRDA or common law provide for the protection of
landowners’ rights regarding compensation claims against the holder of
statutory prospecting or mining rights for the infringement of their
ownership brought about by mining activities on their land. / LLM (Estate Law), North-West University, Potchefstroom Campus, 2015
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A landowner's ability to negotiate compensation with the holder to rights to minerals / Richard William DraperDraper, Richard William January 2014 (has links)
In 2002 the Mineral and Petroleum Resources Development Act 28 of
2002 (MPRDA) was promulgated to regulate the exploitation of minerals
and petroleum in South Africa. With the promulgation of the MPRDA
landowners’ rights regarding the minerals embedded in their land have
been annihilated. South Africa’s mineral and petroleum resources were
statutorily bequeathed to all the people of South Africa and the state was
statutorily appointed as the custodian thereof for the benefit for all South
Africans. All the rights to minerals have been severed from the
ownership of land and the MPRDA does not recognise the existence of
common law mineral rights as they existed directly before the MPRDA
took effect. As a result thereof, landowners are not entitled to
compensation for the loss of the minerals that are mined from the soil of
their land. In addition, landowners ostensibly no longer possess the right
to enforce negotiations regarding compensation for losses suffered or
damages caused during the course of mining operations.
It is against this background that this study seeks to determine to what
extent the MPRDA or common law provide for the protection of
landowners’ rights regarding compensation claims against the holder of
statutory prospecting or mining rights for the infringement of their
ownership brought about by mining activities on their land. / LLM (Estate Law), North-West University, Potchefstroom Campus, 2015
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