[ES] Cualquier mejora en el conocimiento de la nutrición y el manejo de los futuros conejos reproductores debe considerarse como prioritario en la producción cunícola. Sin embargo, los principales esfuerzos en investigación se han centrado en estos animales durante la fase de reproducción propiamente dicha. La hipótesis inicial de esta tesis fue que alcanzar un desarrollo temprano adecuado durante la gestación, lactancia, engorde y recría, con la ayuda de programas ajustados de alimentación en algunos de estos períodos, mejoraría el rendimiento reproductivo y la vida útil de los futuros conejos reproductores. Para evaluar esta hipótesis, se llevaron a cabo dos tipos de ensayos, tanto en conejos hembra de líneas maternas como en machos de líneas seleccionadas por velocidad de crecimiento y destinadas a la inseminación artificial. El primero de estos ensayos se centró en los diferentes patrones de crecimiento, desde el nacimiento hasta el final de la fase de recría, y su influencia en la carrera reproductiva y la vida útil del conejo. En el segundo tipo de pruebas, se evaluó el efecto del uso de diferentes dietas o programas de alimentación durante el período de recría en la productividad a corto y medio plazo. Los resultados muestran dos fases importantes en el desarrollo temprano, de acuerdo con sus efectos sobre el rendimiento reproductivo y la vida útil. Mostrar un mayor desarrollo corporal desde el nacimiento hasta los 63 días de vida parece tener una influencia positiva en el grado de madurez y la productividad al comienzo de su vida reproductiva, además de poder mejorar su supervivencia a corto plazo, pero con posibles efectos negativos en la esperanza de vida a largo plazo. Sin embargo, el desarrollo durante el período de recría (desde los 63 días de vida hasta el comienzo de la carrera reproductiva) parece tener un mayor impacto en la productividad y la esperanza de vida de nuestros futuros conejos reproductores. Las hembras más engrasadas en la primera inseminación tuvieron tamaños de camada más pequeños y un mayor riesgo de ser sacrificadas que las magras (P<0.05). Además, los machos que mostraron una mayor ganancia media diaria durante el período de recría tuvieron un número y porcentaje de eyaculados viables más bajos a lo largo de su vida productiva y mayor riesgo de muerte o sacrificio. Estos resultados podrían indicar que la clave para llevar a cabo un desarrollo adecuado durante el período de recría debería basarse tanto en conseguir que los conejos alcancen un grado de madurez apropiado, tanto fisiológica como reproductivamente, así como evitar un excesivo engrasamiento al inicio de su vida productiva. En los ensayos destinados a evaluar los programas de alimentación durante la recría, el uso de una restricción alimentaria en hembras, y especialmente el uso de dietas fibrosas (de 8.5 a 10 MJ ED/kg MS) permiten un desarrollo corporal gradual y adecuado a la edad de cubrición, con suficientes reservas corporales para afrontar el comienzo de la vida reproductiva y mejorando tanto su rendimiento reproductivo como su vida útil. El éxito de estos programas de alimentación de recría depende del momento y la duración de la aplicación de estos, mejorándose con la aplicación de un cambio a un pienso enriquecido energéticamente alrededor del primer apareamiento. En los machos, se observó que un programa de alimentación durante la recría adecuado debería adaptarse a la capacidad de ingesta de estos y a sus necesidades nutricionales en períodos concretos de la recría, consiguiendo así mejoras en algunos parámetros del semen al inicio de su vida reproductiva. En conclusión, tanto un desarrollo temprano adecuado desde la gestación hasta el comienzo de su vida reproductiva, como el uso de programas adecuados de alimentación durante la recría podrían mejorar significativamente el rendimiento reproductivo futuro, así como la esperanza de vida, tanto en conejos he / [CAT] Qualsevol millora en el coneixement tant de la nutrició com del maneig dels futurs conills de criança ha de considerar-se com a prioritari en la producció de conills. No obstant açò, els principals esforços en investigació s'han centrat en aquests animals durant la fase de reproducció pròpiament dita. La hipòtesi inicial d'aquesta tesi va ser que aconseguir un desenvolupament primerenc adequat durant la gestació, lactància, engreix i criança, amb l'ajuda de programes ajustats d'alimentació en alguns d'aquests períodes, milloraria el rendiment reproductiu i la vida útil dels futurs conills reproductors. Per a avaluar aquesta hipòtesi, es van dur a terme dos tipus d'assajos, tant en conills femella de línies maternes, com en mascles de línies seleccionades per a la velocitat de creixement i destinades a la inseminació artificial. El primer d'aquests assajos es va centrar en els diferents patrons de creixement, des del naixement fins al final de la fase de criança, i la seua influència en la carrera reproductiva i la vida útil del conill. En el segon tipus de proves, es va avaluar l'efecte de l'ús de diferents dietes o programes d'alimentació durant el període de criança, en la productivitat a curt i mig termini. Els resultats obtinguts semblen indicar que podríem diferenciar dues fases en el desenvolupament primerenc, d'acord amb els seus efectes sobre el rendiment reproductiu i la vida útil. Mostrar un major desenvolupament corporal des del naixement fins als 63 dies de vida sembla tenir una influència positiva en el grau de maduresa i la productivitat al començament de la seua vida reproductiva, a més de poder millorar la seua supervivència a curt termini, però amb possibles efectes negatius en l'esperança de vida a llarg termini. No obstant açò, el desenvolupament durant el període de sembla tenir un major impacte en la productivitat i l'esperança de vida dels nostres futurs conills reproductors. Les femelles més greixades en la primera inseminació van tenir grandàries de ventrada més xicotets (tant nascuts com deslletats) i un major risc de ser sacrificades que les magres (P<0.05). A més, els mascles que van mostrar un major guany mitjà diari durant el període de criança van tenir un nombre i percentatge d'ejaculats viables més baixos al llarg de la seua vida productiva i major risc de mort o sacrifici. Aquests resultats podrien indicar que la clau per a dur a terme un desenvolupament adequat durant el període de criança hauria de basar-se tant a aconseguir que els conills aconseguisquen un grau de maduresa apropiat, per a afrontar els futurs desafiaments productius, com evitar un excessiu greixatge a l'inici de la seua vida productiva. En els assajos destinats a avaluar els programes d'alimentació durant la criança, l'ús d'una restricció alimentària en femelles, i especialment l'ús de dietes fibroses (de 8.5 a 10 MJ ED/kg MS) permeten un desenvolupament corporal gradual i adequat a l'edat de cobriment, amb suficients reserves corporals per a afrontar el començament de la vida reproductiva i millorant tant el seu rendiment reproductiu com la seua vida útil. L'èxit d'aquests programes d'alimentació de criança depèn del moment i la durada de l'aplicació d'aquests, millorant-se amb l'aplicació d'un canvi a un pinso enriquit energèticament al voltant del primer cobriment. En els mascles, es va observar que un programa d'alimentació durant la criança adequat hauria d'adaptar-se a la capacitat d'ingesta d'aquests i a les seues necessitats nutricionals en períodes concrets de la criança, aconseguint així millores en alguns paràmetres del semen a l'inici de la seua vida reproductiva. En conclusió, tant un desenvolupament primerenc adequat des de la gestació fins al començament de la seua vida reproductiva, com l'ús de programes adequats d'alimentació durant la criança podrien millorar significativament el rendiment reproductiu futur, així com l'esperança / [EN] Any improvement on the knowledge of both nutrition and management of the future rabbit breeders should be considered as crucial. However, main research efforts have been focused on animals during reproduction phase. The initial hypothesis of this thesis was that achieving an adequate early development during young rabbits' gestation, lactation, fattening and rearing, with the help of fitted feeding programmes in some of these periods, would be improved reproductive performance and lifespan of the future breeding rabbits. To evaluate this hypothesis, two types of trials, both in rabbit females from maternal lines selected for litter size at weaning and males from paternal lines selected for growth rate and intended on artificial insemination, were carried out. The first of these trials were mainly focused on the different growth patterns, from birth to the end of the rearing age, and their influence on rabbit's reproductive career and lifespan. In a second type of trials, the effect of the use of different diets or feeding programs during the rearing period in the performance in the short- medium-term was evaluated. The results obtained from the evaluation of the different growth patterns trials seem to indicate that, we could differentiate two parts on the early development according to their effects on reproductive performance and lifespan. To show a greater body development from birth to 63 days of life seems to have a positive influence on the maturity degree and productivity at the beginning of their reproductive life, as well as being able to improve their survival in the short-term, but it could be even negative for long-term lifespan. However, the development during the rearing period (from 63 days of life to the beginning of reproduction career) seems to have a higher impact on the productivity and lifespan of our rabbit breeders. Fatter rabbit females at first insemination had smaller litter sizes (born and weaned) and a higher risk of being culled (+13% per positive change in mm of perirenal fat) than lean ones (P<0.05). Also, rabbit males that showed a greater average daily gain during rearing period had a lower number and percentage of profitable ejaculates through it productive life (-10.1 and -4.9% per each 10 g of daily gain increase, respectively; P<0.05) and higher risk of death or culling (+16.2% per each increase in one standard deviation unit on live weight; P<0.05). These results could indicate that the key to carrying out an adequate development during the rearing period should allow the rabbits to reach an appropriate degree of physiological and reproductive maturity to face the future productive challenges, avoiding an excessive fatness at the beginning of their productive life. The use of a feeding restriction in rabbit females, and especially the use of fibrous diets (from 8.5 to 10 MJ DE/ kg DM) lead a gradual and adequate body development at mating, with enough body reserves to face the beginning of reproduction life and improving their whole reproductive performance and lifespan. The success of these rearing feeding programs depends in the moment and duration of application of them and improved with the application of a nutritional flushing around first mating. In rabbit males, it was observed that an adequate rearing feeding program should adapt it to the male's intake capacity and their nutritional requirements rearing period, especially to their high DP needs at the beginning of rearing period or when their requirements were close to maintenance, to improve some semen parameters at the beginning of their reproduction life. In conclusion, both the adequate early development of future rabbit breeders, from their own gestation to the beginning of their reproductive life, and the use of appropriate rearing feeding programs could significantly improve their future reproductive performance, as well as their life expectancy, both in rabbit females and males. / Martínez Paredes, EM. (2019). Rearing programmes for breeding rabbits. Effect of early development and feeding on future reproductive performance of rabbit females and males [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/124969 / TESIS

M.Tech. Business Administration. Business School. / The implementation of the Mineral and Petroleum Resources Development Act (MPRDA) of 2002, effective as from 1 April 2004, presented a huge challenge as its implementation gave rise to concerns expressed by various key stakeholders. It also fuelled perceptions that South Africa may have sacrificed its competitiveness. In an attempt to manage these challenges the Mining Industry Growth Development and Employment Task Team (MIGDETT) was instituted in December 2008 by the mining industry in South Africa. During the MIGDETT process stakeholders concluded unanimously that transformation and growth are mutually inclusive concepts. Against this background, the objective of this study was to assess the implementation of the MPRDA Act using well researched mineral investment and competitiveness guidelines including Michael Porter's framework.

Cotton plant growth and development, as well as monitoring nutrient use efficiency were evaluated using hydroponic approach. Two set of experiments were conducted to determine the influence of phosphorus (P), potassium (K) and PK and exogenous application of Indole-3-acetic acid (IAA), gibberellic acid (GA3), zeatin (Z) and their combinations on growth and development of cotton plants (Gossypium hirsutum) grown hydroponically. In the nutrient solution experiment, cotton vegetative growth was positively influenced by low P (half strength Hoagland standard solution), low K (one-sixth strength Hoagland standard solution) and high PK treatments (Hoagland standard solution). Phytohormone experiment negatively supported vegetative growth except root length at 43 days after transplanting (DAT). The nutrients levels applied significantly favoured NPK uptake by cotton plants while exogenous phytohormones application did not affect NPK uptake by cotton plants, except N uptake by stem. Low P and low K treatments estimated to have high nutrient use efficiency (NUE). For chlorophyll formation, low K and high PK significantly increased formation of chlorophyll a, b and total ab while the application of GA3, IAA, Z and IAA x GA3 x 2Z treatments significantly increased chlorophyll a, b and total ab at 80 DAT only. Low K and low P treatments stimulated endogenous phytohormone contents in the cotton plants. In the phytohormone experiment, cotton plants treated to IAA x GA3 x Z increased endogenous phytohormone contents in the cotton plants. Low P, low K, high PK treatments and phytohormones treatments significantly increased root area, root volume and root activity. Low P, low K and high PK treatments applied significantly influenced residual level of P and K in the hydroponics while phytohormone treatments did not affect residual level of P and K except at 43 DAT. Evapotranspiration rate was high at early and reproductive stages of plant growth. This report shows the response of mineral nutrients and phytohormones to support growth and development of cotton plants grown hydroponically. / Description as in abstract

Außerhalb ihrer ursprünglichen Heimat in Südamerika steigt die Anzahl der Alpakas stetig an. Die Tiere erfreuen sich auch in Deutschland einer großen Beliebtheit. Aktuellen Schätzungen zufolge leben in Deutschland circa 10.000 Alpakas. Siewerden zur Wollgewinnung, sowie als Begleit- und Therapietiere in kleinen Hobbyhaltungen oder in Beständen mit einer Herdengröße von bis zu 150 Tieren gehalten. Damit verbunden werden auch zunehmende Ansprüche an die Qualität der tierärztlichen Betreuung dieser Neuweltkameliden gestellt. Die Beurteilung des Wachstums und der Entwicklung junger Alpakas bildet dabei, genauso wie im Rahmen der Zucht, eine wichtige Grundlage. Derzeit existieren nur unzureichende Informationen über den Wachstumsverlauf beim Alpaka. Bisher dienten proportional angepasste Daten vom Lama zur Orientierung. Das Ziel dieser Arbeit ist die auf morphometrischen Daten basierende Beschreibung der physiologischen Entwicklung des Skelettes und des Körpergewichtes beim Alpaka in den ersten 36 Lebensmonaten. Weiterhin soll untersucht werden, welche Faktoren Einfluss auf das Wachstum junger Alpakas haben. Die Bestimmung einer Gleichung zur Berechnung des Körpergewichtes stellt einen weiteren Schwerpunkt der Arbeit dar. Über einen Zeitraum von 12 Monaten wurden 162 Alpakas im Alter von wenigen Tagen bis zu 36 Monaten vermessen. In einem zweiwöchentlichen Rhythmus wurden 9 verschiedene Parameter bei jedem Tier erfasst: Gewicht, Widerristhöhe, Hüfthöhe, Rückenlänge, Rumpflänge, Tuberculum majus-Olecranon-Distanz (TOD), Basis patellae-Tuber ischiadicum-Distanz (BTD), Thoraxumfang und Body Condition Score. Mit Hilfe von speziell angefertigten Messschiebern, einer digitalen Waage und einem flexiblen Maßband erfolgte die Datenerhebung am stehenden Tier. Das Wachstum beeinflussende Faktoren wurden mittels Allgemeiner Untersuchung der Tiere, stichprobenartigen Kotprobenuntersuchungen, Futtermittelanalysen und vom Halter ausgefüllten Fragebögen erfasst. Die erhobenen Messwerte wurden unter Verwendung der nichtparametrischen Regression LOESS (locally weighted scatterplot smoothing) zur Erstellung von Wachstumskurven genutzt, die den durchschnittlichen Wachstumsverlauf des Körpergewichtes, sowie verschiedener Körpermaße von bis zu 36 Monate alten Alpakas darstellen. Sie ermöglichen die Beurteilung der körperlichen Entwicklung eines Alpakas. Unter Anwendung der LMS-Methode (Schiefe der Verteilung der Messwerte λ [L], Mittelwert M, Standardabweichung S) wurden Perzentilkurven von vier Parametern erstellt, die als Referenzkurven und Richtlinien zur Beurteilung der tierartspezifischen Größe und des Gewichtes genutzt werden können. Wachstumsprognosen und Rückschlüsse auf das Alter eines Alpakas sind mit Hilfe der Perzentilkurven möglich. Sowohl die Wachstumskurven als auch die Perzentilkurven lassen erkennen, dass Alpakas mit 36 Monaten noch nicht ausgewachsen sind. Die Kurven wurden anhand von Messwerten von Alpakas erarbeitet, die unter Bedingungen gehalten wurden, die keinen beziehungsweise einen minimalen Einfluss auf das Wachstum haben. Dies ist anhand der Ergebnisse der parasitologischen Untersuchungen und der Futtermittelanalysen erkennbar. Weitere Auswertungen der Messdaten zeigen, dass keine signifikanten Entwicklungsunterschiede zwischen Hengsten und Stuten beziehungsweise zwischen der Rasse Huacaya und der Rasse Suri bestehen. Ähnlich wie bei anderen Tierarten auch, eignet sich der Thoraxumfang zur zuverlässigen Berechnung des Körpergewichtes besonders gut. Eine große Korrelation besteht auch zwischen der Rumpf- beziehungsweise der Rückenlänge und dem Körpergewicht. Praktische Bedeutung haben die Erkenntnisse dieser Arbeit vor allem für Alpakazüchter und –halter, sowie für Veterinärmediziner. Die Ergebnisse bilden eine wichtige Grundlage für das Fütterungs- und Reproduktionsmanagement beim Alpaka. / The number of alpacas bred outside their natural habitat in South America increases continuously. Alpacas become more and more popular in Germany. According to recent estimates about 10.000 alpacas live in Germany. They are used for wool production, as companion animal and for therapeutic treatments. The alpacas are kept as pets in smaller groups or as livestock in herds of up to 150 animals. Due to the rising number of these camelids in Germany and more intense use, higher demands on the quality of veterinary care of alpacas occur. Knowledge and data on growth and development in young alpacas are essential for an objective health evaluation as well as for breeding management. Currently very limited information is available on growth of alpacas and the data published have been adapted by calculation using measurements performed on llamas. The primary objective of this study was to determine the physiological development of the skeleton and the body weight of alpacas from birth until 36 months of age based on morphometric data. An additional aim was to analyze factors that influence the growth of young alpacas. A third focus of this study was to generate a mathematical formula to calculate the body weight. The measurements were performed on 162 alpacas with an age ranging from the first day of life up to 36 months. For each alpaca nine different parameters were determined every two weeks: body weight, height at withers, height in the hip, thoracic circumference, length of the back, length of the trunk, Greater tubercle-Olecranon-distance (TOD), Base of the patella-Ischial tuber-distance (BTD) and body condition score. All measurements were carried out on standing animals. Three custom designed caliper gauges, a digital balance and a flexible measuring tape were used to obtain the nine parameters. Factors that influence growth were captured by clinical examination, randomized fecal samples, analysis of forage and a questionnaire completed by the breeder. Based on the data collected growth curves were developed using the nonparametric regression LOESS (locally weighted scatterplot smoothing). These curves represent the average growth pattern of body weight and various body measurements of up to 36 months old alpacas. Using theses curves the physical development of this species can be assessed. By applying the LMS-Method (skewness of the measurement distribution λ [L], mean M, coefficient of variation S) percentile curves of four different parameters have been generated. They can serve as reference curves and as guidelines for objective evaluation of species specific size and weight. Using the percentile curves a reliable prediction of growth or conclusions regarding the age of an alpaca are possible. The growth curves as well as the percentile curves show that alpacas are not mature at the age of 36 months. The curves are based upon data from alpacas who were raised under environmental conditions which have no or minimized influence on growth. This is evident in the results of the parasitological examinations and the feed analysis. Further analyses indicate that no significant differences in growth exist between males and females respectively between the two breeds Huacaya and Suri. Like in other species the thoracic circumference is particularly suitable for estimating the body weight. A strong correlation exists between body weight and the length of the trunk as well as the length of the back. The results of this study are of practical significance for alpaca owners, breeders and veterinarians. They provide a sound basis for recommendations in feeding and management of reproduction.

La letteratura economica e politologica evidenzia un ampio consenso sull’esistenza di un effetto positivo sulla crescita di lungo periodo da parte di diritti di proprietà, stato di diritto e, in generale, istituzioni economiche. Contestualmente, il rapporto tra democrazia e crescita rimane teoricamente poco chiaro mentre l'evidenza empirica è in gran parte inconcludente. Questo studio cerca di riconciliare i fatti stilizzati su crescita e democrazia qui evidenziati, che dimostrano l'esistenza di un "successo sinergico" negli ultimi trent'anni, con la teoria esistente e l’evidenza empirica. Dopo aver dettagliatamente scandagliato la letteratura esistente, questo studio suggerisce che l’effetto della democrazia sulla crescita di lungo periodo sia indiretto, mediato dalle istituzioni. Per testare questa ipotesi si propone un modello di analisi originale, applicato ad un panel di 194 paesi osservati nel periodo 1961-2010, utilizzando lo stimatore System-GMM e una vasta gamma di controlli. I risultati dell’analisi suggeriscono che la democrazia è positivamente correlata a istituzioni “più favorevoli” alla crescita economica, in particolare diritti di proprietà e stato di diritto. Inoltre, l’evidenza empirica supporta la tesi di un effetto indiretto complessivamente positivo della democrazia sulla crescita. Infine, si propone uno sviluppo ulteriore dell’analisi, concentrato sulle determinanti della democrazia, ricercando possibili concause nell’interazione con i processi economici. / Economic and political science literature show a wide consensus about the positive effect of property rights, contract enforcing arrangements and, more generally, economic institutions to long-run growth. Conversely, the linkage between democracy and growth remains unclear and not conclusively supported by empirical research. This work is an attempt to reconcile the stylized facts about democracy and growth –evidencing a long-run “synergic success” between the two terms – with theoretical and empirical literature. After thoroughly surveying the relevant literature on the topic, this study claims that the effect of democracy on long-run growth is indirect, channeled by the means of institutions. To test this hypothesis, the thesis provides an original analytical framework which is applied to a panel of 194 countries over the period 1961-2010, adopting a System-GMM estimation technique and a wide range of robustness controls. The results suggest that democracy is positively related to “better” (namely more growth-enhancing) institutions, especially with respect to economic institutions and rule of law. Hence, the findings suggest that the overall effect on growth is positive, indirect and channeled by institutions. However, since the results are not completely conclusive, a further investigation is suggested, on further determinants of democracy, potentially affecting its pro-growth effect.

During the development of multicellular organisms, organs grow to well-defined shapes and sizes. The proper size and patterning of tissues are ensured by signaling molecules as e.g. morphogens. Secreted from a restricted source, morphogens spread into the adjacent target tissue where they form a graded concentration profile. Upon binding of the morphogens to receptors on the cell surfaces, the morphogenetic signal is transduced inside the cell via the phosphorylation of transcription factors, which subsequently regulate the expression of different target genes. Thus, cell fates are determined by the local concentration of such morphogens. In this work, we investigate three key aspects of morphogenetic signaling processes in growing tissues. First, we study the mechanics of tissue growth via cell division and cell death. We examine the rearrangements of cells on large scales and times by developing a continuum theory which describes the growing tissue as an active complex fluid. In our description we include anisotropic stresses generated by oriented cell division, and we show that average cellular trajectories exhibit anisotropic scaling behaviors. Our description is used to study experimentally measured shape changes of the developing wing disk of the fruit fly Drosophila melanogaster. Second, we focus on the spreading of morphogens in growing tissues. We show that the flow field of cell movements due to oriented cell division and cell death causes a drift term in the morphogen transport equation, which captures the stretching and dilution of the concentration profile. Comparing our theoretical results to recent experiments in the Drosophila wing disk, we find that the transport of the morphogen Dpp is mainly intracellular. We moreover show that the decay length of the Dpp gradient increases during development as a result of changing degradation rate and diffusion coefficient, whereas the drift of molecules due to growth is negligible. Thus growth does not affect the decay length of the gradient, but the decay length of the gradient might affect the tissue growth rate as discussed in this work. Finally, we develop a microscopic theoretical description of the intracellular transduction machinery of morphogenetic signals within an individual cell. Our description captures the kinetics of the trafficking of proteins between different cellular compartments in response to receptor-bound signaling molecules. Analyzing experimental data at the Drosophila neuromuscular junction, we show that the morphogenetic signaling is modulated by synaptic signaling via neuronal action potentials.

A qualitative, descriptive, exploratory and contextual study was undertaken to explore and describe how clinic nurses practice their role regarding growth development monitoring and anthropometric measurement of children and interpretation of their values. An accessible population of twelve clinic nurses of all categories were purposively recruited to participate in the study. In depth individual interviews were conducted to generate data. Interviews were audio-taped and transcribed by the researcher verbatim. The direct quotes of participants were coded and arranged into meaning units for analysis. Tech’s (1990:142-145) eight steps of analysis to analyse the textual qualitative data as cited by Creswell (2009:186) was used until themes, categories and subcategories were identified and developed. Data analysis was triangulated by using Atlas.ti computer software version 7.0 to organise text, audio data files coding, memos and findings into project files. An independent coder analysed data for validation using content analysis. Data analysis revealed that nurses had challenges in ways of doing practice evidenced by inconsistencies and discrepancies in GDM, APM of children and incorrect interpretation of their values. Non-compliance to protocols from both nurses and parents was a significant finding. Shortage of resources was reported as a major hindrance. Guidelines were formulated to guide clinic nurses. Recommendations were proposed that the matter be taken up by nurse managers, educators and leadership from the Department of Health / Health Studies / D. Litt. et Phil. (Health Studies)

No abstract provided / Thesis / Bachelor of Arts (BA)