<p>Across the world, physical inactivity was found to be associated with cardiovascular and chronic diseases of lifestyle which often leads to an increased rate of various physical disabilities andpremature death. To combat these high incidences of chronic diseases of lifestyle, WHO strongly encourages people to become physically active on a daily basis to reduce the risk of&nbsp / premature death. Running has thus become the preferred choice of physical activity by thousands of people to help improve their overall health and wellbeing. Apart from the health benefits&nbsp / that running provides, it can also predispose the runner to potential injury especially when runners follow an inappropriate training programme and have inadequate knowledge about factors causing injury. Therefore, baseline data about the prevalence, incidence of injury and the identification of the aetiological factors associated with running injuries are needed to develop and&nbsp / implement preventative programmes to allow runners to optimally perform in training and races without injury. In South Africa, there is limited research available on the incidence of injury in runners yet there is an annual increase in participation in races such as Two Oceans and Comrades marathon which could lead to an increase in the number of running injuries.Thus, the purpose of this study was to determine the incidence of injuries and identify the various risk factors that are associated with injuries in road runners at a local athletic club. Methods: A prospective cohort study design over a 16 week period using quantitative research methods was used. A sample of 50 runners had consented to participate in the study. The participants had to complete a self-administered questionnaire and clinical measurements of BMI, Q-angle, leglength, muscle strength of lower leg and ROM of hip and knee were recorded. The participants had&nbsp / to complete an injury report form to record any new injuries sustained over the 16 week period of the study. Statistical Package for Social Sciences (SPSS) version 18 and software SAS v9 (SAS Institute Inc., Cary, NC, USA) was used for data capturing and analysis. Descriptive and inferential statistics were done to summarize the data and was expressed as frequencies, percentages, means and standard deviations. Injury prevalence and cumulative incidence was calculated as a proportion rate along with 95% confidence interval. The Poisson regression model was used to analyse the association between running injury and the independent variables of interest such as demographics, anthropometric measurements, training methods, running experience and&nbsp / previous injury. The alpha level was set as p&lt / 0.05. Results: The study found that the majority (92%) of the participants (n=46) sustained running injuries in the past prior to the study. A total of 16 participants sustained a number of 50 new injuries over the 16 week study period. Thus the prevalence rate of injuries was 32%. The incidence rate of injuries for this study was 0.67 per&nbsp / 1000km run at a 95% confidence interval of 0.41, 1.08. Furthermore, the most common location of new injuries reported were the calf (20%) and the second most common location was the&nbsp / knee (18%). PFPS was the most common type of knee injury diagnosed, followed by lumbar joint sprain. The results showed that none of the identified factors (running distance, stretching, age, Q-angle, BMI, running experience, leg-length discrepancy and previous running injuries) were directly associated with running injuries. However, a marginal significance was found for&nbsp / running distance (p = 0.08) and leg length discrepancy (p = 0.06). Conclusions: The study found a high prevalence and incidence rate of injury thus the need for preventative programmes have been highlighted. There was no statistical significance found between the identified factors and risk of injury however, there was clinical relevance found between factors identified. One major&nbsp / limitation was the small sample of participants and the short duration of study period. Thus, future research is needed to further determine possible factors associated with running injuries over a longer period and including a larger sample. The results of the study will be made available to all the stakeholders (runners, coaches and medical team) to implement in athletic club. </p>

Magister Scientiae - MSc (Physiotherapy) / Across the world, physical inactivity was found to be associated with cardiovascular and chronic diseases of lifestyle which often leads to an increased rate of various physical disabilities and premature death. To combat these high incidences of chronic diseases of lifestyle, WHO strongly encourages people to become physically active on a daily basis to reduce the risk of premature death. Running has thus become the preferred choice of physical activity by thousands of people to help improve their overall health and wellbeing. Apart from the health benefits&nbsp; that running provides, it can also predispose the runner to potential injury especially when runners follow an inappropriate training programme and have inadequate knowledge about factors causing injury. Therefore, baseline data about the prevalence, incidence of injury and the identification of the aetiological factors associated with running injuries are needed to develop and implement preventative programmes to allow runners to optimally perform in training and races without injury. In South Africa, there is limited research available on the incidence of injury in runners yet there is an annual increase in participation in races such as Two Oceans and Comrades marathon which could lead to an increase in the number of running injuries.Thus, the purpose of this study was to determine the incidence of injuries and identify the various risk factors that are associated with injuries in road runners at a local athletic club. Methods: A prospective cohort study design over a 16 week period using quantitative research methods was used. A sample of 50 runners had consented to participate in the study. The participants had to complete a self-administered questionnaire and clinical measurements of BMI, Q-angle, leglength, muscle strength of lower leg and ROM of hip and knee were recorded. The participants had to complete an injury report form to record any new injuries sustained over the 16 week period of the study. Statistical Package for Social Sciences (SPSS) version 18 and software SAS v9 (SAS Institute Inc., Cary, NC, USA) was used for data capturing and analysis. Descriptive and inferential statistics were done to summarize the data and was expressed as frequencies, percentages, means and standard deviations. Injury prevalence and cumulative incidence was calculated as a proportion rate along with 95% confidence interval. The Poisson regression model was used to analyse the association between running injury and the independent variables of interest such as demographics, anthropometric measurements, training methods, running experience and previous injury. The alpha level was set as p< 0.05. Results: The study found that the majority (92%) of the participants (n=46) sustained running injuries in the past prior to the study. A total of 16 participants sustained a number of 50 new injuries over the 16 week study period. Thus the prevalence rate of injuries was 32%. The incidence rate of injuries for this study was 0.67 per 1000km run at a 95% confidence interval of 0.41, 1.08. Furthermore, the most common location of new injuries reported were the calf (20%) and the second most common location was the knee (18%). PFPS was the most common type of knee injury diagnosed, followed by lumbar joint sprain. The results showed that none of the identified factors (running distance, stretching, age, Q-angle, BMI, running experience, leg-length discrepancy and previous running injuries) were directly associated with running injuries. However, a marginal significance was found for running distance (p = 0.08) and leg length discrepancy (p = 0.06). Conclusions: The study found a high prevalence and incidence rate of injury thus the need for preventative programmes have been highlighted. There was no statistical significance found between the identified factors and risk of injury however, there was clinical relevance found between factors identified. One major limitation was the small sample of participants and the short duration of study period. Thus, future research is needed to further determine possible factors associated with running injuries over a longer period and including a larger sample. The results of the study will be made available to all the stakeholders (runners, coaches and medical team) to implement in athletic club. / South Africa

This study aimed at exploring the perceptions of teachers regarding HIV/AIDS in the Thohoyandou area. A survey design was employed to find out how teachers perceive HIV/AIDS. A group-administered questionnaire was used as a method of data collection. One Hundred and Fifty teachers were selected by using stratified random sampling technique. From each stratum the systematic random sampling method was used to select the sample. The respondents were selected from the population of teachers in the Thohoyandou, Thulamela area, in the Limpopo Province. HIV/AIDS in the workplace, with special emphasis on theoretical background, perceptions regarding HIV/AIDS and HIV/AIDS prevention strategies has been provided. Theoretical background covered what HIV/AIDS is, factors promoting the AIDS epidemic, HIV/AIDS in the workplace and psychosocial impact of HIV/AIDS on employees. Perceptions regarding HIV/AIDS covered voluntary counseling and testing and issues around working with someone who is HIV positive. HIV/AIDS prevention strategies focused on prevention and wellness programme, abstinence from sex, being faithful to one sexual partner, condom usage, managing STI and HIV/AIDS in the workplace. The research findings were presented graphically and discussed. It was found that teachers perceive HIV/AIDS as a reality and they also know the ways to prevent it, although most of them do not utilize those methods. Generally, teachers in Thohoyandou area are still at risk of contracting HIV/AIDS. The conclusion and recommendations derived from the study are provided lastly. / Dissertation (MSoc.Sci (EAP))--University of Pretoria, 2007. / Social Work and Criminology / unrestricted

Falls, with and without injury, in acute care hospitals are quite common but can be prevented if appropriate interventions are in place to address this issue. It is imperative that nurses assess fall risks of all patients admitted to the hospital and advocate for appropriate interventions to prevent falls in those who are found to be at risk. The purpose of this project was to recommend changes to the current fall prevention protocol in the project facility, an acute care hospital, based on best practices identified in a systematic review of the literature. At the time of the project, the hospital had a high rate of falls. The clinical practice question addressed by this project focused on the evidence-based fall prevention interventions that have resulted in a decreased fall rate among patients on medical-surgical units in an acute inpatient hospital setting. This doctoral project was informed by Kolcaba's theory of caring, and the major source of evidence was a systematic review of the literature focusing on fall prevention. Findings indicated that identification of fall risk factors and implementation of multifactorial fall prevention interventions, such as fall prevention teams, unit fall team champions and use of a fall risk scale, can reduce falls on medical surgical units in acute care hospitals. It was recommended that a multidisciplinary fall prevention team be developed in conjunction with unit fall team champions and that a fall risk scale be used to bridge the practice gap. If implemented, these changes may benefit patients, nurses, and the organization as a whole through decreased falls, lengths of stay, and health care costs.

Las infecciones urinarias asociadas al catéter vesical son un problema de salud pública que con mayor frecuencia se presentan en los servicios de emergencia, amenaza la seguridad del paciente, origina daños en el estado de salud y aumenta las probabilidades morbilidad y mortalidad. Ante ello, los profesionales de enfermería deben capacitarse en el manejo adecuado del cateterismo vesical a través de las estrategias de prevención; logrando desarrollar la inserción, mantenimiento y retiro apropiado del catéter vesical, cumpliendo con la técnica aséptica. Por esta razón, la investigación consideró como objetivo: Describir y analizar las estrategias de prevención en el manejo del cateterismo vesical utilizadas por enfermeras de un hospital II-2 Chiclayo, 2023. El tipo de investigación empleó un abordaje descriptivo y la población estuvo conformada por enfermeras que trabajan o trabajaron en el servicio de emergencia del Hospital Las Mercedes Chiclayo. La muestra fue de 12 enfermeras, se estableció por saturación y redundancia, se abordó el muestreo no probabilístico por conveniencia. Los resultados demostraron que las estrategias preventivas se aplican antes, durante y después de la inserción del catéter vesical, evidenciándose en las siguientes categorías: Intervenciones de enfermería como estrategias efectivas previas al cateterismo vesical, Intervenciones de enfermería estratégicas para el mantenimiento y retiro del catéter vesical, Care bundle como estrategia para la seguridad del paciente. En conclusión, las estrategias de prevención de infecciones urinarias más relevantes fueron la higiene de manos, la higiene de la zona genital, la esterilidad del procedimiento y rotular la fecha de colocación y de cambio del catéter vesical. / Urinary infections associated with bladder catheters are a public health problem that most frequently occur in emergency services, threatening patient safety, causing damage to health status and increasing the likelihood of morbidity and mortality. Given this, nursing professionals must be trained in the proper management of bladder catheterization through prevention strategies; managing to develop the appropriate insertion, maintenance and removal of the bladder catheter, complying with aseptic technique. For this reason, the research considered the objective: To describe and analyze the prevention strategies in the management of bladder catheterization used by nurses at a hospital II-2 Chiclayo, 2023. The type of research used a descriptive approach and the population was made up of nurses who work or worked in the emergency service of the Hospital Las Mercedes Chiclayo. The sample consisted of 12 nurses, it was established by saturation and redundancy, non-probabilistic sampling was used for convenience. The results demonstrated that preventive strategies are applied before, during and after the insertion of the bladder catheter, evident in the following categories: Nursing interventions as effective strategies prior to bladder catheterization, Strategic nursing interventions for the maintenance and removal of the bladder catheter , Care bundle as a strategy for patient safety. In conclusion, the most relevant urinary infection prevention strategies were hand hygiene, hygiene of the genital area, sterility of the procedure and labeling the date of placement and change of the bladder catheter.

The prevalence of food allergies is a growing concern in the United States. Approximately 8% of the pediatric population has some form of food allergy. Many of these children are either in the preschool and primary school setting, which is where the majority of allergic reactions occur. If the symptoms of a food allergy reaction are not treated within minutes of exposure, the results can be damaging or fatal. Evidence continues to demonstrate that preschool and school personnel do not feel trained or prepared should a severe reaction arise. The purpose of this evidence-based project was to determine if the implementation and instruction of food allergy guidelines and an educational in-service program on the treatment of food allergies would increase the knowledge and ability of preschool personnel to respond should a reaction occur. The adult learning theory of Knowles and Bandura's theory of self-efficacy were the theoretical frameworks for this project. This project incorporated a 40-minute educational in-service along with the introduction of food allergy guidelines including an emergency action plan and epinephrine auto-injector training. A pretest and posttest were administered prior to and following the educational in-service, respectively. A paired sample t test revealed there was a dramatic increase in knowledge following the educational in-service about food allergy management, recognition, and treatment. Preschool personnel felt more empowered to react should a food allergy reaction occur. By teaching preschool-personnel about food allergies, they will have the necessary resources that will support the creation of a safer environment for children challenged with food allergies.

The current study focuses on how the police work to efficiently and effectively prevent juvenile delinquency and how they experience their work with criminal youth. As well as how the police experiences the work effectiveness. The study has been carried out using four semistructured interviews with law enforcers in Sweden working with different tasks. The results showed that some things could be done differently in the practical work against juvenile delinquency, however cooperation between different authorities; the police, social workers and schools, is of great importance. An effort should be made by the police to build relationships between them and the youths in order to prevent forming a negative image of the police. To put in early prevention strategies can have both positive and negatives on the youths. / Den aktuella studien syftar till att ta reda på hur polisen arbetar proaktivt mot ungdomskriminalitet och hur de upplever sitt arbete med kriminella ungdomar. Studien har utförts med hjälp av fyra stycken semistrukturerade intervjuer med poliser som arbetar med olika arbetsuppgifter. Resultatet visade att det kan skilja sig något i det praktiska arbetet mot ungdomskriminalitet, men samverkan mellan olika verksamheter är av stor vikt. Det krävs en ansträngning från polisens sida att bygga relationer med ungdomarna för att motverka att en negativ bild av polisen skapas. Tidiga insatser kan få både negativa och positiva effekter.

Magister Psychologiae - MPsych / Alcohol remains the most commonly abused substance in South Africa and several studies have shown associations between alcohol use and risky sexual behaviours, which pose a risk of HIV infection. Research indicates that the age group of 15-24 years is a high risk group for HIV infection. This study aimed at examining the perceptions of alcohol as a risk factor to HIV infection amoungst a sample of university students.Specifically, this study tested the hypotheses that most students perceive that those who consume alcohol were more likely to engage in unprotected sex, sex with multiple partners, casual sex and transactional sex. The Information Motivation Behavioural(IMB) skills model provided the theoretical framework for the study. Using a quantitative research design, a survey questionnaire was used to collect the data. The sample consisted of 240 first year psychology students (192 females, 48 males). Data analyses indicated support for the hypotheses that alcohol consumption was perceived as high risk for unprotected sex, casual sex and sex with multiple partners. However, the data showed no support for the hypothesis of alcohol increasing the risk of transactional sex. The data also indicated that non-drinkers were more likely to perceive alcohol as a risk factor than drinkers. The recognition by students of alcohol as a risk factor for HIV infection provides an opportunity for raising awareness about safer sex practices at institutions of higher learning in South Africa.

L’aflatoxine B1 (AFB1) est une mycotoxine contaminant de nombreux substrats agricoles, notamment les céréales, arachides, pistaches, graines de coton et autres fruits secs. Elle est génotoxique, agit comme un initiateur de la cancérogenèse et elle est classée par le CIRC (Centre International de Recherche sur le Cancer) dans le groupe I des molécules carcinogènes pour les hommes et les animaux. Cette toxine est produite par des espèces fongiques appartenant essentiellement au genre Aspergillus et à la section Flavi ; A. flavus étant l’espèce la plus préoccupante. Cette espèce peut se développer à la fois au champ ou lors du stockage des matières premières après récolte. Plusieurs études montrent qu’un grand nombre de denrées alimentaires destinées à l’alimentation humaine et animale sont contaminées par les aflatoxines mettant en évidence la faible efficacité ou l’insuffisance des stratégies actuelles utilisées pour la maîtrise de cette contamination. L’objectif principal de cette étude est le développement d’une stratégie alternative basée sur l’utilisation de produits naturels et visant à réduire la production de la toxine par les moisissures aflatoxinogènes. Grâce à l’élaboration d’un outil moléculaire regroupant un ensemble de gènes impliqués directement ou indirectement dans la biosynthèse de l’AFB1, ce travail permet de mieux comprendre le mécanisme d’action moléculaire de composés anti-aflatoxinogènes. Des extraits aqueux de plantes méditerranéennes ont été testés pour leur efficacité à inhiber l’aflatoxinogénèse. Ainsi, l’extrait aqueux d’hysope, Micomeria graeca, présente des propriétés anti-aflatoxinogènes importantes sans modification de la croissance fongique. Son effet inhibiteur sur plusieurs souches productrices d’aflatoxines ainsi que son mécanisme d’action ont été caractérisés. Ce dernier semble impliquer des gènes pivots dans la régulation des métabolismes fongiques primaire et secondaire ainsi que des voies impliquées dans la réponse cellulaire au stress oxydatif. Ces travaux permettent de valider l’utilisation d’extraits naturels comme stratégie alternative de lutte contre la contamination des aliments par les aflatoxines. / Aflatoxin B1 (AFB1) is a mycotoxin contaminating numerous agricultural commodities such as cereals, peanuts, pistachios, cottonseed and other dried fruits. It is a genotoxic initiating carcinogenesis and is classified by the IARC (International Agency for Research on Cancer) in the group I of molecules that are carcinogenic for humans and animals. This toxin is produced by fungal species mainly belonging to the Flavi section of the Aspergillus genus, A. flavus being the most preoccupying species. This species can develop both in the field and during storage of commodities following harvest. Several studies show that a significant number of food and feedstuffs are contaminated by aflatoxins, highlighting the feeble efficiency or the shortfall of the strategies currently used to prevent such contamination. The main objective of this study is the development of an alternative strategy based on the use of natural products and aiming the reduction of toxin production by aflatoxinogenic fungi. Through the elaboration of a molecular tool grouping a number of genes directly or indirectly linked to AFB1’s biosynthesis, this work allows a better understanding of the molecular mechanism of action of anti-aflatoxinogenic compounds. Aqueous extracts of Mediterranean plants were tested for their ability to inhibit aflatoxinogenesis. Thus, hyssop’s aqueous extract - Micomeria graeca – is shown to present significant anti-aflatoxinogenic properties without reducing fungal growth. Its inhibiting effect in other AFB1-producing species and its mechanism of action were both characterized. The latter seems to involve pivotal genes in fungal primary and secondary metabolisms as well as genes implicated in the fungal cellular response to oxidative stress. These works allocate the use of natural extracts as an alternative strategy to counteract aflatoxin contamination of food and feed.

South Africa has witnessed radical policy reforms since the advent of the new democratic dispensation in 1994. As provincial, district and local practitioners developed responses to those new national education policies, implementation issues were revealed in all their complexity. Policy implementation became one of the most difficult challenges South Africa had to contend with. It necessitated the development of the capacity of the state and its people to implement policy. The complexities of the people development environment in South Africa create a range of challenges for development. The lack of multi-level empirical data on training effects continues to exacerbate this state of affairs. This context requires that comprehensive assessment mechanisms be put in place for training programmes aimed at the realisation of policy goals. The broad purpose of this inquiry, therefore, is to determine the impact of an education management development training intervention as it passes through different levels of the education system in South Africa - national, provincial, district and local. The following key questions guided this investigation. Firstly, how do stakeholder understandings of “education management development” transfer from one level to another in a cascade model of training? And secondly, what is the operational impact of an education management development-training programme at the different levels (i.e., province, district and school) of the education system? Questionnaires, free attitude interviews and observations were used as key data collection instruments. Data was analysed using a combination of quantitative and qualitative strategies for making sense of the training information. Data was interpreted against the backdrop of the literature on the “transfer of training”, and these findings are represented in the last three chapters of this thesis. This research generated four major findings, with a variety of subsidiary findings, which deepen our insights into policy implementation as it relates to education management development in South Africa. Some of the major findings of this study are that: a) The organisers did not in the first place conduct the baseline study on training needs and secondly, they did not take into consideration the organisational requirements of the anticipated training. This anomaly could ultimately compromise the outcomes of this intervention. b) The policy deployment processes of the North West Department of Education (of ensuring that the governmental policies for quality, cost and service delivery are understood from the highest to the lowest level of the organisation) are fraught with problems that undermined basic understandings of the Education Management Development training programme which was conducted between 1998 – 2000. c) Successful policy implementation depends crucially on resource allocation and, in the case of the Education Management Development Training Programme, the nature and magnitude of allocated resources e.g., transport provision could not guarantee positive training results; and d) The overly rationalistic view adopted by the trainers of the Education Management development-training programme did not take into account the complex contexts within which change unfolds. Resultantly, the changing of the roles of facilitators could not be planned-for in advance. The significance of this study is that it identifies the barriers to learning in training events, and sheds new light on the transfer of training problem that continues to undermine organisational change and human resource development. Some of the unique findings of the study can be found in the fact that the Expert Trainers could only recall a few intentions of the EMD modular training. The District Facilitators displayed limited knowledge of the disciplinary procedures in their areas of operation and there was limited conceptualisation of the EMD by the principals of schools. / Thesis (PhD (Education Policy Studies))--University of Pretoria, 2005. / Education Management and Policy Studies / unrestricted