Prevalence of chronic diseases in private healthcare sector of South Africa: A threat to public health

Purpose: To evaluate the prevalence of patients suffering from registered chronic disease list (CDL) conditions in a section of the South African private health sector from 2008 - 2012. Methods: This study was a retrospective analysis of the medicine claims database of a nationally (South African) representative Pharmacy Benefit Management (PBM) company data between 2008 and 2012. Statistical analysis was used to analyse the data. Descriptive analysis was performed to calculate the prevalence of CDL conditions for the entire population, and stratified by age and gender. However, MIXED linear modelling was used to determine changes in the average number of CDL conditions per patient, adjusted for age and gender from 2008 - 2012. Results: An increase of 0.20 in chronic diseases was observed from 2008 - 2012 in patients having any CDL condition, with an average of 1.57 (1.57 - 1.58, 95 % CI) co-morbid CDL conditions in 2008 and 1.77 (1.77 - 1.78, 95 % CI) in 2012. This increase in average number of CDL conditions per patient between 2008 and 2012 was statistically significant (p < 0.05), but with no large practical significance (d < 0.8). Conclusion: Prevalence of patients with CDL conditions along with risk of co-morbidity has been increasing with time in the private health sector of South Africa. Risk of increased co-morbidity with age and among different genders was prevalent.

Digging Deeper than Platinum: South Africa's Participation in an Emergent Fuel Cell Industry

Thesis (Master, Environmental Studies) -- Queen's University, 2016-09-09 11:52:31.446

Analyzing the Effect of Soiling on the Performance of a Photovoltaic System of Different Module Technologies in Kalkbult, South Africa

The fact that most of the large scale solar PV plants are built in arid and semi-arid areas where land availability and solar radiation is high, it is expected the performance of the PV plants in such locations will be affected significantly due to high cell temperature as well as due to soiling. Therefore, it is essential to study how the different PV module technologies will perform in such geographical locations to ensure a consistent and reliable power delivery over the lifetime of the PV power plants. As soiling is strongly dependent on the climatic conditions of a particular location a test station, consisted of about 24 PV modules and a well-equipped weather station, was built within the fences of Scatec’s 75 MW Kalkbult solar PV plant in South Africa. This study was performed to a better understand the effect of soiling by comparing the relative power generation by the cleaned modules to the un-cleaned modules. Such knowledge can enable more quantitative evaluations of the cleaning strategies that are going to be implemented in bigger solar PV power plants. The data collected and recorded from the test station has been analyzed at IFE, Norway using a MatLab script written for this thesis project. This thesis work has been done at IFE, Norway in collaboration with Stellenbosch University in South Africa and Scatec Solar a Norwegian independent power producer company. Generally for the polycrystalline modules it is found that the average temperature corrected efficiency during the period of the experiment has been 15.00±0.08 % and for the thin film-CdTe with ARC is 11.52% and for the thin film without ARC is about 11.13% with standard uncertainty of ±0.01 %. Besides, by comparing the initial relative average efficiency of the polycrystalline-Si modules when all the modules have been cleaned for the first time and the final relative efficiency; after the last cleaning schedule which is when all the reference modules E, F, G, and H have been cleaned for the last time it is found that poly3 performs 2 % and 3 % better than poly1 and poly16 respectively, poly13 performs 1 % better than poly15 as well as poly5 and poly12 performs 1 % and 2 % better than poly10 respectively. Besides, poly5 and poly12 performs a 9 % and 11 % better than poly7. Furthermore, there is no change in performance between poly6 and poly9 as well as poly4 and poly15. However, the increase in performance of poly3 to poly1, poly13 to poly15 as well as poly5 and poly12 to poly10 is insignificant. In addition, it is found that TF22 perform 7% better than the reference un-cleaned module TF24 and similarly; TF21 performs 7% higher than TF23. Furthermore, modules with ARC glass (TF17, TF18, TF19, and TF20) shows that cleaning the modules with only distilled water (TF19) or dry-cleaned after cleaned with distilled water(TF20) decreases the performance of the modules by 5 % and 4 % comparing to its respective reference uncleanedmodules TF17 and TF18 respectively.

An account of travels into the interior of southern Africa, in the years 1797 and 1798: : including cursory observations on the geology and geography of the southern part of that continent; the natural history of such objects as occurred in the animal, vegetable, and mineral kingdoms; and sketches on the physical and moral characters of the various tribes of inhabitants surrounding the settlement of the Cape of Good Hope. : To which is annexed, a description of the present state, population and produce of that extensive colony; with a map, constructed entirely from actual observations, made in the course of the travels. /

Publisher's advertisement, p. [387].

Trade and maritime transport between Africa and South America

Includes bibliography

Outcomes of the South African National Antiretroviral Treatment Programme for children: the IeDEA Southern Africa collaboration

OBJECTIVES: To assess paediatric antiretroviral treatment (ART) outcomes and their associations from a collaborative cohort representing 20% of the South African national treatment programme. DESIGN AND SETTING: Multi-cohort study of 7 public sector paediatric ART programmes in Gauteng, Western Cape and KwaZulu-Natal provinces. SUBJECTS: ART-naive children (< or = 16 years) who commenced treatment with > or = 3 antiretroviral drugs before March 2008. OUTCOME MEASURES: Time to death or loss to follow-up were assessed using the Kaplan-Meier method. Associations between baseline characteristics and mortality were assessed with Cox proportional hazards models stratified by site. Immune status, virological suppression and growth were described in relation to duration of ART. RESULTS: The median (interquartile range) age of 6 078 children with 9 368 child-years of follow-up was 43 (15 - 83) months, with 29% being < 18 months. Most were severely ill at ART initiation. More than 75% of children were appropriately monitored at 6-monthly intervals with viral load suppression (< 400 copies/ml) being 80% or above throughout 36 months of treatment. Mortality and retention in care at 3 years were 7.7% (95% confidence interval 7.0 - 8.6%) and 81.4% (80.1 - 82.6%), respectively. Together with young age, all markers of disease severity (low weight-for-age z-score, high viral load, severe immune suppression, stage 3/4 disease and anaemia) were independently associated with mortality. CONCLUSIONS: Dramatic clinical benefit for children accessing the national ART programme is demonstrated. Higher mortality in infants and those with advanced disease highlights the need for early diagnosis of HIV infection and commencement of ART.

Microscale mapping of alteration conditions and potential biosignatures in basaltic-ultramafic rocks on early Earth and beyond

Subseafloor environments preserved in Archean greenstone belts provide an analogue for investigating potential subsurface habitats on Mars. The c. 3.5-3.4 Ga pillow lava metabasalts of the mid-Archean Barberton greenstone belt, South Africa, have been argued to contain the earliest evidence for microbial subseafloor life. This includes candidate trace fossils in the form of titanite microtextures, and sulfur isotopic signatures of pyrite preserved in metabasaltic glass of the c. 3.472 Ga Hooggenoeg Formation. It has been contended that similar microtextures in altered martian basalts may represent potential extraterrestrial biosignatures of microbe-fluid-rock interaction. But despite numerous studies describing these putative early traces of life, a detailed metamorphic characterization of the microtextures and their host alteration conditions in the ancient pillow lava metabasites is lacking. Here, we present a new nondestructive technique with which to study the in situ metamorphic alteration conditions associated with potential biosignatures in mafic-ultramafic rocks of the Hooggenoeg Formation. Our approach combines quantitative microscale compositional mapping by electron microprobe with inverse thermodynamic modeling to derive low-temperature chlorite crystallization conditions. We found that the titanite microtextures formed under subgreenschist to greenschist facies conditions. Two chlorite temperature groups were identified in the maps surrounding the titanite microtextures and record peak metamorphic conditions at 315 ± 40°C (XFe3+(chlorite) = 25-34%) and lower-temperature chlorite veins/microdomains at T = 210 ± 40°C (lower XFe3+(chlorite) = 40-45%). These results provide the first metamorphic constraints in textural context on the Barberton titanite microtextures and thereby improve our understanding of the local preservation conditions of these potential biosignatures. We suggest that this approach may prove to be an important tool in future studies to assess the biogenicity of these earliest candidate traces of life on Earth. Furthermore, we propose that this mapping approach could also be used to investigate altered mafic-ultramafic extraterrestrial samples containing candidate biosignatures.

Central Africa showing expedition route of Verney Lovett Cameron, 1876 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Map of a portion of South Africa : illustrative of Lieut. Cameron's route from lake Tangayika to the west coast, by E. G. Ravenstein, F.R.G.S. It was published by Geogr. Mag. in 1876. Scale 1:5,000,000. Covers portions of Angola, Democratic Republic of Congo, Rwanda, Burundi, Tanzania, and Zambia. The image inside the map neatline is georeferenced to the surface of the earth and fit to a non-standard 'World Sinusoidal' projection with the central meridian at 20 degrees east. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as expedition routes, drainage, cities and other human settlements, territorial boundaries, and more. Relief is shown by shading. This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection and the Harvard University Library as part of the Open Collections Program at Harvard University project: Organizing Our World: Sponsored Exploration and Scientific Discovery in the Modern Age. Maps selected for the project correspond to various expeditions and represent a range of regions, originators, ground condition dates, scales, and purposes.

Southern, Central, & Eastern Africa, 1655 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Basse Aethiopie, qui comprend les Royaume de Congo, coste, et pays des Cafres, empires du Monomatapa, Monoemugi : la coste deça le Cap Negre est tirée en partie de Samuel Blommaert ; en dela, avecq l'Isle de Madagascar, de Sanuto ; le dedans du pays, d'autres, par N. Sanson. I. Somer Pruthenus Sculp. It was published by Chez Pierre Mariette in 1655. Scale [ca. 1:11,250,000]. Covers portions of Southern, Central, and Eastern Africa. Map in French.The image inside the map neatline is georeferenced to the surface of the earth and fit to the Africa Sinusoidal projected coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, territorial boundaries, shoreline features, and more. Relief shown pictorially.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

Southern, Central, & Eastern Africa, ca. 1730 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Carte de l'Afrique meridionale : ou pays entre la ligne & le cap de Bonne Esperance et l'isle de Madagascar, par la veuve de Nicolas Visscher avec privilege. It was published by Chez Henry de Leth, Marchand de l'Estampes près de la Boursse ca. 1730. Scale [ca. 1:12,250,000]. Covers portions of Southern, Central, and Eastern Africa. Map in French and Dutch.The image inside the map neatline is georeferenced to the surface of the earth and fit to the Africa Sinusoidal projected coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, territorial boundaries, shoreline features, and more. Relief shown pictorially. Includes notes and insets: [Cabo de Bon Esperanca], Elevation du port et Mont Table au Cap de Bonne Esperance and Plan du port et Mont Table au Cap de Bonne Esperance.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

East & Southern Africa, 1862 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Zambezia e Sofálla : mappa coordenado sobre numerosos documentos antigos e modernos portuguezes e estrangeiros, pelo Vde. de Sá da Bandeira, 1861 ; dressé à la moitié de l'original sous la direction de M. V.A Malte-Brun ; gravé chez Erhard. It was published by Société de Géographie in 1862. Scale [ca. 1:7,250,000]. Covers Zimbabwe and portions of Mozambique, Malawi, Zambia, Botswana, and South Africa. Map in Portuguese.The image inside the map neatline is georeferenced to the surface of the earth and fit to the Africa Lambert Conformal Conic projected coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, roads, administrative and territorial boundaries, shoreline features, and more. Relief shown by hachures. Includes inset of Africa showing Portuguese possessions.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

Southern Africa, 1897 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Juta's map of South Africa from the Cape to the Zambesi, compiled from the best available Colonial and Imperial information including the official Cape Colony map by the Surveyor General, Cape Town, Dr. T. Hahn's Damaraland, and F.C. Selous' journals and sketches ; published by J.C. Juta & Co. It was published by J.C. Juta : Edward Stanford. in 1897. Scale [ca. 1:2,534,400]. Covers Southern Africa. The image inside the map neatline is georeferenced to the surface of the earth and fit to the Africa Lambert Conformal Conic projected coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, territorial and administrative boundaries, shoreline features, roads, railroads, mines, and more. Relief shown by hachures. Includes also notes about land cover.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

West Coast of Africa, 1745 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: A draught of the coast of Africa from the streights-mouth to Cape Bona-Esprance. It was published by E. Say in 1745. Scale [ca. 1:19,000,000]. The image inside the map neatline is georeferenced to the surface of the earth and fit to the Africa Lambert Conformal Conic projected coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, territorial boundaries, shoreline features (ports, shoals), and more. Shows trading posts by national claim.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

Southern, Central, & Eastern Africa, ca. 1720-1729 (Raster Image)

This layer is a georeferenced raster image of the historic paper map entitled: Carte Du Congo et du Pays Des Cafres, par G. de L'Isle, de l'Academie Royale des Sciences. It was published by Chez Jean Cóvens et Corneille Mortier, Géographes between 1720 and 1729. Scale [ca. 1:9,100,000]. Covers Central and Southern Africa from N 2 degrees southward, including Madagascar, Reunion, Mauritius and the Seychelles. Map in French.The image inside the map neatline is georeferenced to the surface of the earth and fit to the Africa Sinusoidal projected coordinate system. All map collar and inset information is also available as part of the raster image, including any inset maps, profiles, statistical tables, directories, text, illustrations, index maps, legends, or other information associated with the principal map. This map shows features such as drainage, cities and other human settlements, roads, territorial boundaries, shoreline features, and more. Includes notes.This layer is part of a selection of digitally scanned and georeferenced historic maps from the Harvard Map Collection. These maps typically portray both natural and manmade features. The selection represents a range of originators, ground condition dates, scales, and map purposes.

Multivariate statistical analysis on the kaolinite/chlorite ratios from 20 South Atlantic sediment cores

Multivariate statistical analysis on the kaolinite/chlorite ratios from 20 South Atlantic sediment cores allowed for the extraction of two processes controlling the fluctuations of the kaolinite/chlorite ratio during the last 130,000 yrs, (1) the relative strength of North Atlantic Deep Water (NADW) inflow into the South Atlantic Ocean and (2) the influx of aeolian sediments from the south African continent. The NADW fluctuation can be traced in the entire deep South Atlantic while the dust signal is restricted to the vicinity of South Africa. Our data indicate that NADW formation underwent significant changes in response to glacial/interglacial climate changes with enhanced export to the Southern Hemisphere during interglacials. The most pronounced phases with Enhanced South African Dust Export (ESADE) occurred during cold Marine Isotope Stage (MIS) 5d and across the Late Glacial/Holocene transition from 16 ka to 4 ka (MIS 2 to 1). This particular pattern is attributed to the interaction of Antarctic Sea Ice extent, the position of the westerlies and the South African monsoon system.