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Drifting towards death: a South African patient safety incident through an HFE Systems lens

  • Authors: Agar, Sarah Leigh
  • Date: 2022-10-14
  • Subjects: Patients Safety measures , Medical errors Prevention , Human engineering , Medical care South Africa
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/362716 , vital:65356
  • Description: Patient Safety Incidents (PSI) are a frequent occurrence within the South African public healthcare system wherein a patient is unnecessarily maimed, harmed, killed, or put through significant trauma, emotional or physical. These incidents have a significant impact on the performance of the system and the well-being of individuals involved. Often PSI are the result of multiple system failings that provide the necessary preconditions for the PSI to occur. Thus, to provide appropriate patient safety recommendations to address and aid in the prevention of future PSI it is necessary to apply a systems approach to PSI analysis. A systems approach supports a ‘bigger picture’ view of an incident which includes looking beyond the immediate causes of a PSI and taking the different levels of the healthcare system into consideration during incident analysis. Human Factors and Ergonomics (HFE) is at its core a systems discipline and has been successfully applied to multiple fields including healthcare. HFE offers multiple incident analysis tools grounded in systems theory. The Life Esidimeni incident, a PSI that resulted in the death of 144 MHCU, is the biggest PSI in recent South African history and is therefore an important potential case study for the application of HFE systems tools within the South African healthcare context (an area that is lacking in existing literature). The objectives of this research were to (i) Systematically uncover the causal factors that led to the outcome of the of the Life Esidimeni incident; (ii) Identify critical faults, and gaps within the healthcare system that led to the Life Esidimeni PSI; and (iii) Provide proactive recommendations for future prevention of PSI. To fulfil these objectives a descriptive case study research method design was adopted using a qualitative systems-based tool, AcciMap. The application of AcciMap to Life Esidimeni enabled both the sharp end and blunt end causal factors that contributed to the outcome of the incident to be identified. Importantly this provided insight into the critical faults and gaps of the South African public healthcare system. The results of the AcciMap indicated that there were four main broad systemic faults in the system. These broad areas were categorized as key themes, which include: (i) competency, (ii) safeguards, (iii) time pressures, and (iv) vertical integration. From these key themes recommendations aimed at addressing the critical faults and gaps in the system and preventing future PSI were made. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2022
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  • Date Issued: 2022-10-14

Associations between contraceptive use, physical activity, depression, and quality of life among women of childbearing age in Akure South Local Government area of Ondo State, Nigeria

  • Authors: Alimi, Olabisi Ganiyat
  • Date: 2023-10-13
  • Subjects: Exercise for women Nigeria Ondo State , Depression in women Nigeria Ondo State , Well-being Nigeria Ondo State , Quality of life Nigeria Ondo State , Contraception Side effects
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/424210 , vital:72133
  • Description: Background: Population experts and policymakers are concerned about Nigeria's rapid annual population growth due to the country's high birth rate which was 5.3 births per woman in 2018. Fear of the side effects of modern contraceptives among Nigerian women contributes to the low rate of contraceptive use, which was reported to be 17% and 37% among married and sexually active unmarried women, respectively. Which is a significant cause of the high birth rate. Although the side effects of modern contraceptives on women's clinical and physiological variables are well known, studies examining the associations between contraceptive use and physical and psychosocial variables such as physical activity (PA), depression, and quality of life (QoL) in non-athletic Nigerian women of reproductive age are scarce. This study aimed to examine the associations between contraceptive use, PA, depression, and QoL among non-athletic women of childbearing age in Akure South Local Government, Ondo State, Nigeria. Methods: In a descriptive cross-sectional study, 646 women of childbearing age were recruited using the multistage sampling technique. The data of 496 current contraceptive users and 146 non-users were analysed, as 4 respondents did not respond regarding current contraceptive use status. The Global PA Questionnaire (GPAQ), Beck’s Depression Inventory (BDI) and World Health QoL Organization Quality of Life Brief (WHOQoL BREF) were used to assess respondents’ scores/levels of PA, depression and health-related quality of life (HRQoL). The GPAQ, BDI, and WHOQOL scores were compared between contraceptive users and non-users using non-parametric Quade Analysis of Covariance while age, married status, tribe, religion, and occupation were included covariates. PA, sedentary behaviour (SB), and BDI scores were categorized using guidelines. Contraceptive use/practice was the outcome variable. Pearson's chi-square test bivariate analysis and a multivariate logistic model were used to identify factors associated with contraceptive use (users and non-users). Crude and adjusted odds ratios and their confidence intervals were calculated to determine the significance of the association. The regression model was adjusted for age, marital status, religion, tribe, highest education level, occupation, awareness of contraceptives, current use, lifetime use, type, class, and duration of current contraception. “Statistical significance was set at p < 0.05. Results: The mean age of the respondents was 29.73±6.10 years. The contraceptive users and non-users were not significantly different regarding their ages (p = 0.135), marital status (p = 0.245), highest education (p = 0.444), occupation (p = 0.238), and tribe (p = 0.192). The respondents’ lifetime and point prevalence of contraceptive uptake was 93.6% and 77.3%, respectively, while 72 (12.8%) reported experiencing contraception-related side effects. Of the 496 respondents who currently practice contraception, 146 (29.4%) were hormonal contraceptive users. The majority of the respondents had moderate and mild levels of PA (48.5%) and depression (51.4%), respectively, and a significantly higher proportion of contraceptive users had minimal and moderate depression levels than the non-users (p = 0.018). The contraceptive users demonstrated significantly higher median scores of BDI (p = 0.02), Physical health QoL (p < 0.001), environment QoL (p = 0.033) and overall QoL (0.004) than the non-users. Hormonal contraceptive users had significantly higher median PA walking/bicycling scores than non-hormonal users (p = 0.014). Respondents with mild and moderate depression levels had higher odds of being contraceptive users than those with minimal depression (AOR = 3.12, 95% CI = 1.43 – 6.80, p = 0.04 and 4.67, 95% CI = 1.92 – 11.36, p = 0.001 respectively). Conclusion: Contraceptive use is negatively associated with depression but positively related to Physical health, environment and overall domains of HRQoL. Healthcare professionals should consider women's mental and emotional condition while advising on family planning for optimal HRQoL. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
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  • Date Issued: 2023-10-13

Changes in muscle recruitment, functional strength and ratings of perceived effort during an 8-over bowling spell: impact on performance

  • Authors: Barford, Gareth Charles
  • Date: 2013
  • Subjects: Cricket -- Bowling , Sports -- Physiological aspects , Muscles -- Wounds and injuries , Fatigue , Physical fitness , Cricket injuries
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: vital:5102 , http://hdl.handle.net/10962/d1003926 , Cricket -- Bowling , Sports -- Physiological aspects , Muscles -- Wounds and injuries , Fatigue , Physical fitness , Cricket injuries
  • Description: Background: The musculoskeletal demands placed on the lower limb musculature of fast bowlers over time have not received much attention. In particular, measures of muscle recruitment changes have, to the author’s knowledge, not been considered. Objective: The present study, therefore sought to establish any associations between an eight over, simulated fast bowling spell, and muscle activation patterns, power output, perceptual demands, and changes in performance. This will enable improvements in the development of training programmes. Methods: Players’ were required to attend two sessions in total. The purpose of the initial session was to collect specific demographic, anthropometric and physiological data and injury history information from each player. In addition, this first session allowed for habituation with the treadmill, the jump meter and all other equipment involved in experimentation. The second testing session involved electrode attachment sites being identified on player’s dominant leg. The areas were then shaved, wiped with an alcohol swab and left to dry, to ensure good connectivity. Pre- and post- measures of muscle activity and functional strength of the lower limbs were recorded in the Department of Human Kinetics and Ergonomics. The protocol took place at the Kingswood High Performance Centre, which is in close proximity to the initial testing site. The protocol involved players bowling eight overs (48 balls). During the protocol, accuracy, ball release speed and perceptual measures were recorded at the end of each over. After the protocol, players were driven back to the Human Kinetics and Ergonomics Department where post-testing measures were completed. The dependable variables of interest were muscle activation, functional strength of the lower limbs, ‘local’ ratings of perceived exertion (RPE), body discomfort, accuracy, and ball release speed. Results: For all muscles it was shown that, as the speed increased so did the muscle activity in players’ lower limbs. There were no significant changes in muscle activity preversus post-protocol. There was however, a general trend of decreasing muscle activity post protocol at higher testing speeds. There were significant (p<0.05) decreases in peak power following the simulated eight over bowling spell. ‘Local’ RPE displayed a significant (P<0.05) increase with each additional over and were observed to reach the ‘heavy’ category. The players’ highest discomfort area was in the lower back, with 13 players perceiving discomfort in this region following the eight over spell. The shoulder and chest were another two areas player’s indicated discomfort with eight players selecting the dominant shoulder. Seven players complained of the dominant side pectoral muscle, leading foot and dominant latissimus dorsi muscle being uncomfortable. Interestingly, the dominant pectoral showed the highest body discomfort ratings amongst players. There were no significant changes in accuracy between overs although there were large interindividual differences in accuracy points between players. The decrease in ball release speed observed during over seven was shown to be significantly (p<0.05) lower than overs one to four. Conclusion: The power output and perceived strain results of the players, appears to indicate the presence of fatigue in players. However, the results are not conclusive, as the fatigue was not shown in muscle recruitment patterns, as well as the body discomfort ratings. There was a non-significant trend observed in the lower limb muscle activation decreasing at higher speeds. Players were able to maintain accuracy. However, the significantly lower ball release speed observed during over seven showed players performance decreasing.
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  • Date Issued: 2013

Coaches perspective on the positional demands of school boy (u18/u19) rugby players during a 70-minute match

  • Authors: Barnard, Devon Vernon
  • Date: 2021-10
  • Subjects: Rugby football coaches South Africa , Rugby Union football players South Africa , Rugby football injuries South Africa , School sports South Africa , School sports Coaching South Africa , School sports Physiological aspects
  • Language: English
  • Type: Master's theses , text
  • Identifier: http://hdl.handle.net/10962/190089 , vital:44962
  • Description: INTRODUCTION: Rugby union has been one of the team sports that has grown over the last few years, and the margin between success and failure for teams has become narrower as the years have gone by. The game consists of players going through different movements such as sprints and/or collisions, that vary in intensity. The demands that face schoolboy rugby players are not well understood, and the lack of research in this area leads to a potential lack of understanding of the perceptions that coaches have about the demands that schoolboys are faced with during a match. OBJECTIVE: Therefore, the purpose of this study was to determine the perceptions that the schoolboy rugby coaches had surrounding the demands that their players are faced with during a 70-minute match. There were a few secondary purposes of the study, such as determining which school, government or private, had a better understanding or perception of the demands, as well as comparing strength and conditioning coaches’ perceptions to regular coaches’ perceptions. METHODS: This was a cross-sectional, descriptive study to determine the coach’s perceptions. These perceptions were collected through an online questionnaire, which consisted of ten sections and 74 questions. The questionnaire was piloted on a subject group with different types of experience. Coaches from the top 100 schools list were contacted through their school website. RESULTS: The questionnaire had a 72% response rate: 41 responses from 51 emails. The 41 responses consisted of 23 government schools and 18 private schools, which included 11 of the top 20 rugby schools in South Africa, with most responses coming from the Eastern Cape (41.5%). Results indicated that a government school’s coaches had significantly (p<0.05) more experience than private schools’ coaches, and that they had significantly (p<0.05) better academic qualifications than private schools. However, strength and conditioning coaches had significantly (p<0.01) better academic qualifications than coach, whereas coaches had significantly (p<0.01) better coaching qualifications than strength and conditioning coaches. CONCLUSION: “Experience has been shown to be a potential reason for what is described as a good coach”. This is also another potential reason why government schools are a dominant force in schoolboy rugby in South Africa. However, this is also coupled with better qualifications showing the dual importance of both experience and education. This study has shown that coaches, within a South African cohort, overall had good general perception of the demands of school level rugby matches. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2021
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  • Date Issued: 2021-10

An ergonomics intervention study into the physiological, perceptual and productivity effects of three citrus harvesting bag designs in the Eastern Cape of South Africa : a combined laboratory and field approach

  • Authors: Bassey-Duke, Elizabeth Misan
  • Date: 2015
  • Subjects: Citrus -- Harvesting -- South Africa -- Eastern Cape , Lifting and carrying -- South Africa -- Eastern Cape , Manual work -- South Africa -- Eastern Cape , Blue collar workers -- South Africa -- Eastern Cape , Work -- Physiological aspects , Human mechanics
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: vital:5176 , http://hdl.handle.net/10962/d1018908
  • Description: Background: Agriculture plays a vital role in the economy of any industrially developing country, including South Africa. In the Eastern Cape of South Africa citrus farming is a significant contributor to the local economy (Johnson et al., 2005). The harvesting phase of citrus farming is performed manually and exposes workers to physical risks, which can lead to the development of musculoskeletal disorders. In particular, the standard harvesting bag comprises of a single shoulder strap and promotes asymmetrical load carriage which results in shoulder and lower back pain complaints. The current study compared the physiological (EMG), perceptual (RPE), usability (PUEU) and productivity effects of two new harvesting bag designs (a hip belt and a backpack bag design) to the standard harvesting bag design. This was performed in a laboratory as well as a field setting. Methods (Laboratory phase): 36 participants (12 males and 24 females) were assigned to one worker group. The “tall ladder worker” group was comprised of only males and the “step ladder worker” and “ground worker” group of females. Each participant was required to simulate a citrus harvesting task while utilizing each of the bag designs on different days. On each day/test session, participants performed three harvesting cycles. Muscle activity was measured throughout the entire testing session and RPE were recorded at the end of each cycle. Results (Laboratory phase): The EMG and RPE results indicate that the backpack design was the most ideal design to reduce asymmetry, while the standard harvesting bag design was the worst. Although not significant, there was greater muscle asymmetry (p=0.109) and a significantly higher perceived exertion when using the standard bag (p=0.0004), in comparison to using the backpack. Methods (Field phase): 17 Xhosa-speaking citrus harvesters (6 females and 11 males) participated in this study. Each harvester worked with one of the three bag designs on a different day. Productivity of each worker was assessed every hour by recording the number of bags filled with fruit and at the end of the shift. A Perceived Usefulness & Ease of Use questionnaire was presented to each participant to obtain feedback on worker acceptance to the new bag designs. Results (Field phase): A general trend in support of the hip belt bag design over the other two bag designs were found, even within the different worker demographic groups (age, sex and worker experience). The workers perceived less exertion (7.98 ± 1.86) and were more productive (9.90 ± 2.11 bags/hour) when using the hip belt design; they also found this bag the most useful (1.02 ± 0.09) and easy to use (1.07 ± 0.25). In contrast, the backpack bag design had significantly poorer responses when compared to the other two bag designs and this was evident in all the dependent variables assessed (RPE, productivity and PUEU). Conclusion: The results from the laboratory phase supported the expectation that the backpack bag design reduces asymmetry and hence, is more suitable than the standard harvesting bag. However, results from the field show that the hip belt bag design was the most preferred and the backpack was the least preferred. Bao & Shahnavaz (1989) highlight the need for ergonomics researcher to convey laboratory findings into the field context. However, as shown by the current study, there are numerous challenges associated with field work, making it difficult for laboratory findings to be successfully conveyed to the field. Limitations and Recommendations: For the laboratory phase of the project, no biomechanical and cardiovascular responses were assessed. However, for a holistic approach, these variables should be considered in future studies. Due to high variability from one harvesting cycle to another, more than three harvesting cycles should also be performed to accurately replicate the harvesting process as done in the field over extended durations of time. For the field phase, data should be collected from more than one citrus farm and thus a larger sample size could be obtained. This would improve the validity of the study. In addition to this, data should be collected for a full working day, especially if environmental conditions are not a hindrance, as well as for a whole season, since workloads vary, depending on the time of the harvesting season. , Name on Graduation Programme: Bassey-Duke, Elizabeth Missan
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  • Date Issued: 2015

The effects of different shift patterns on nurses’ sleep-wake behaviours in selected, private healthcare facilities

  • Authors: Bell, Emma Catherine
  • Date: 2023-10-13
  • Subjects: Fatigue , Fatigue in the workplace , Sleep deprivation , Sleep-wake cycle , Shift systems , Nurses , Health facilities, Proprietary
  • Language: English
  • Type: Academic theses , Master's theses , text
  • Identifier: http://hdl.handle.net/10962/424219 , vital:72134
  • Description: Nurses are required to work shifts to provide 24-hour care, in which they complete physically and mentally demanding tasks. The length and type of shifts, particularly night shifts interfere with the natural sleep-wake behaviours, leading to extended wakefulness and overall reduced sleep, and increase the likelihood of sleepiness during subsequent shifts. This can in turn affected various cognitive processes such attention, vigilance and alertness, which are necessary during the care process. Sleepiness as a result of working shifts has also been associated with an increased risk accidents and error during the delivery of care. Given the unique demands and ways in which workplaces are structured, each context arranges its shifts in unique ways and thus, in order to determine how to manage the effects of shift work, it is important to understand how it affects self-reported fatigue and sleep, of, in this case, nurses. While there has been extensive research on this in the global north, to date, there has been limited research aimed at examining the effects of shift work on nurses’ sleep-wake behaviours and fatigue in the South African context. Therefore, the aim of this study is to characterise shift arrangements in selected private facilities and explore its effects on private healthcare nurses. This study adopted a cross-sectional, survey design using an amended version of Standard Shiftwork Index. The questionnaire included demographic and shift details and explored the impact of the shift systems on nurse sleep-wake behaviours and disturbances and fatigue and workload. It was distributed among shift working nurses registered with the South African Nursing Council across three selected, private, healthcare facilities in the Eastern Cape, over a two-month period. The responses were analysed with descriptive and inferential statistics, with open-ended questions analysed using a thematic analysis. A total of 51 nurses completed the survey. Nurses worked 12-hour shifts which included night shifts and day shifts with fixed start and end times. Over time was commonly reported and generally, nurses reported having very little control over their shift arrangements. Overall, nurses slept less than what they reported they needed on duty days, with nurses working both day and night shifts reporting to sleep less than the globally recommended required sleep. This was compensated for by longer sleep durations during days off. The data collection revealed that three different shift arrangements were in use, including permanent day shifts, permanent night shifts and rotating shift work including nights, with permanent night nurses working significantly more consecutive shifts (seven) than the other two shift types and having significantly more days off (seven) as well. While there were no significant differences in self-reported sleep across the three shift types, permanent night nurses were found to have the shortest sleep. During days off, rotating nurse reported significantly longer sleep times compared to day shift workers which may point to the need to catch up from sleep debt. Rotating nurses experienced the greater total disturbances to their sleep than permanent day and permanent night shift nurses. While not statistically significant, it may point to the fact that rotating shift workers could not obtain regularly timed sleep (due to having to change their schedules) compared to permanent day and night nurses. Workload (physical, emotional, mental and time pressure) did not differ between the shifts (day or night) or the shift types, but did reflect a heavier workload, possibly due to the data collection occurring during the 5th wave of the COVID 19 pandemic. This study highlights that nurses in private healthcare facilities are working extended hours which were associated with reduced total sleep, irrespective of the nature of the shift, with rotating shift nurses experiencing some degree of greater disturbances to their sleep. The number, duration speed and direction of the shifts of rotating nurses needs to be explored further, whilst also exploring the influence of individual factors on sleep-wake behaviours of nurses. It may be beneficial for the healthcare facilities to implement fatigue management strategies to mitigate the negative impacts of shift work, given the impact that this may impact the delivery of care. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
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  • Date Issued: 2023-10-13

The effect of load and technique on biomechanical and psychophysical responses to level dynamic pushing and pulling

  • Authors: Bennett, Anthea Iona
  • Date: 2009
  • Subjects: Work -- Physiological aspects , Human engineering -- Case studies , Lifting and carrying -- Case studies , Biomechanics -- Case studies , Musculoskeletal system -- Wounds and injuries
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: vital:5110 , http://hdl.handle.net/10962/d1005188 , Work -- Physiological aspects , Human engineering -- Case studies , Lifting and carrying -- Case studies , Biomechanics -- Case studies , Musculoskeletal system -- Wounds and injuries
  • Description: Pushing and pulling research has yet to fully elucidate the demands placed on manual workers despite established epidemiological links to musculoskeletal disorders. The current study therefore aimed to quantify biomechanical and perceptual responses of male operators to dynamic pushing and pulling tasks. Three common push/pull techniques (pushing, one handed and two handed pulling) were performed at loads of 250kg and 500kg using an industrial pallet jack in a laboratory environment. Thirty six healthy male subjects (age: 21 ±2 years, stature: 1791 ±43 mm and body mass: 77 ±10 kg) were required to perform six loaded experimental and two unloaded control conditions. Hand force exertion, muscle activity and gait pattern responses were collected during 10m push/pull trials on a coefficient controlled walkway; body discomfort was assessed on completion of the condition. Horizontal hand force responses were significantly (p<0.05) affected by load, with a linear relationship existing between the two. This relationship is determined by specific environmental and trolley factors and is context specific, depending on factors such as trolley maintenance and type of flooring. Hand force exertion responses were tenuously affected by technique at higher loads in the initial and sustained phases, with pushing inducing the greatest hand forces. Comparison of the motion phases revealed significant differences between all three phases, with the initial phase evidencing the greatest hand forces. Muscle activity responses demonstrated that unloaded backward walking evoked significantly higher muscle activation than did unloaded forward walking whilst increased muscular activity during load movement compared to unloaded walking was observed. However increasing load from 250kg to 500kg did not significantly impact the majority of muscle activity responses. When considering technique effects on muscle activity, of the significant differences found, all indicated that pushing imposed the least demand on the musculoskeletal system. Gait pattern responses were not significantly affected by load/technique combinations and were similar to those elicited during normal, unloaded walking. Perceptually, increased load led to increased perception of discomfort while pushing resulted in the least discomfort at both loads. From these psychophysical responses, the calves, shoulders and biceps were identified as areas of potential musculoskeletal injury, particularly during one and two handed pulling. Pushing elicited the highest hand forces and the lowest muscle activity responses in the majority of the conditions whilst psychophysical responses identified this technique as most satisfactory. Current results advocate the use of pushing when moving a load using a wheeled device. Suitability of one and two handed pulling remains contradictory, however results suggest that one handed pulling be employed at lower loads and two handed pulling at higher loads.
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  • Date Issued: 2009

The workload of flight attendants during short-haul flight operations: a system analysis

  • Authors: Bennett, Chloe Kayla
  • Date: 2020
  • Subjects: Flight attendants -- Health and hygiene , Employees -- South Africa -- Workload
  • Language: English
  • Type: text , Thesis , Masters , MSc
  • Identifier: http://hdl.handle.net/10962/123431 , vital:35437
  • Description: Background and aim: Flight attendants forms a significant part in 24-hour aviation industry. Flight attendant fatigue is a significant problem in the aviation industry as it continues to jeopardize the ability to fulfil important safety and security roles which is critical in performance duty of a flight attendant. However, little attention has been accomplished to the workload, working conditions and fatigue of flight attendants crew in transport aircraft. In addition, there is currently less research that have also embraced the problematic of smaller regional/commercial operation (short-haul flight operations) inducing fatigue among short-haul flight attendants as the nature of this operation are often characterised with high productivity expectations in a demanding environment with high time pressures resulting in high workloads and fatigue. Thus, flight attendant fatigue and workload is a worldwide challenge in this operational environment and less attention has been given to the determining factors. Therefore, the aim of the study was to determine the workload factors contributing to flight attendant fatigue during short-haul flight operations. Methods (System analysis): To achieve the research aim, the work system analysis, based on the Smith and Carayon-Sainfort model was chosen as the main research approach which was conducted in two ways; based on existing literature and secondly based on expert interviews. This method provided a systemic aspect to understand the whole work system of flight attendants work during short-haul operations in order to identify all the contributing factors to flight attendant fatigue and workload. Results: The literature analysis and the data from the expert interviews highlighted significant findings to flight attendant fatigue and workload. The reasons for flight attendant fatigue operating short-haul flights can be found at organizational, task, individual, environmental levels and tools and technologies and due to the interaction of the factors. The main factors of flight attendants’ fatigue are thought primarily as a function of scheduling due to irregular, mixed schedules with early starts and late finishes, extended duty days (long working hours), as well as high workload, due to the short turnaround flights, the number of sectors flown in a single duty period and duty length and high jobs demands. In addition, flight duty and rest regulations, confined work space in the cabin, vibrations, noise and lighting, sleeping in an unfamiliar environment, family responsibilities all add to additional stress placed on the body which can influence workload and sleep and consequently influencing fatigue. Conclusion: Overall the study determined that flight attendant fatigue is a significant problem in modern industry of short-haul operations. Using this systematic approach (work system analysis based on the framework of the work system model developed by Smith and Carayon-Sainfort (1989) allowed for an accurate representation of the complexity of flight attendant work environment in short-haul aviation industries, thus contributed to an increased understanding of fatigue and risk factors that span the entire work system and aid in identifying the patterns in combination of work system variables that are associated with increased risk to flight attendant fatigue. Overall flight attendant fatigue is a product of interactions with the short-haul environment. It can have a negative impact on safety, performance and well-being. Therefore, it needs to be managed and dealt with in the near future.
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  • Date Issued: 2020

System analysis of fatigue in pilots and co-pilots executing short-hall flight operations

  • Authors: Bennett, Cleo Taylor
  • Date: 2020
  • Subjects: Air pilots -- Health and hygiene , Fatigue , Work environment -- Psychological aspects , Work environment -- Physiological aspects
  • Language: English
  • Type: text , Thesis , Masters , MSc
  • Identifier: http://hdl.handle.net/10962/146622 , vital:38543
  • Description: Background: This study was conducted as part of Denel’s South African Regional Aircraft (SARA) development project. Regional aircraft have a maximum flight time of 60 minutes. Hence, the study focuses on matters pertaining to the short-haul flight context. Pilot fatigue has been recognised as a safety concern in the aviation industry. It impacts on pilot performance across the board, not least in the short-haul context. However, the specific factors that lead to pilot fatigue in short-haul operations have not been well researched. Research Aim: To identify and examine the factors which influence pilot/co-pilot fatigue in short-haul aviation contexts. Method: Fatigue is multifaceted, and has multiple definitions and descriptions. It is acknowledged as a complex phenomenon, the development of which is dynamically influenced by various factors. Thus, a systems approach based on the work system model by Smith and Carayon-Sainfort (1989) was adopted for this study. A systems analysis was conducted in two parts: 1) a literature analysis, and 2) expert interviews. Results: Both the literature analysis and the interviews indicated that pilot fatigue in short-haul flight operations represent composite system outcomes influenced by various factors. The factors identified were structured (systematised) into categories, namely organizational factors, task-related factors, environmental factors, factors linked to technology and tools, and non-work-related factors specific to the individual pilot. An example of a task-related factor would be the performance by pilots of multiple take-offs and landings; organizational factors include work time arrangements and duty scheduling (e.g. unpredictable schedule, early starts/late finishes, number of flight sectors in a shift, extended working hours, numerous consecutive work days, standby duties, flight, duty and rest limitations (regulations and guidelines); and short turnaround periods); environmental factors might include the small pressurised cockpit environment, movement restriction, very low humidity, low air pressure, vibrations, high noise levels, low light intensity light, and inclement weather); there are many examples of how tools and technology utilized by pilots might affect their fatigue levels; and finally, pilot-specific non-work-related factors would include things like the pilot’s age, health (lifestyle), family stress, work experience and sleep environment. All of these factors were identified during the literature analysis and have a significant bearing on how fatigue could present in short-haul pilots/co-pilots. Other important fatigue-related factors revealed during the expert interviews included, organizational culture, time management, health implications of fatigue, and management of fatigue. Conclusions: Pilot fatigue is a complex and multi-factorial physiological condition. There are many interacting components which contribute to pilot fatigue in short-haul operations. These should be viewed from an integrated perspective and holistic, systems-based approaches should be taken to manage these issues, particularly in the context of short-haul operations. This would optimize pilot performance and well-being and, most importantly, improve the safety of the work environment to enhance overall operation safety. Limitations: The study does not quantify the contributions made to pilot fatigue by the various factors explored. Therefore, care needs to be taken when designing and implementing interventions based on this research.
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  • Date Issued: 2020

The application of human factors and ergonomics (HFE) to community-sport organisations in resource scarce contexts: a case study of grassroots football in Makana, Eastern Cape

  • Authors: Bennett, Ryan
  • Date: 2021
  • Subjects: Makana Local Football Association (South Africa) , Human engineering , Soccer teams -- South Africa -- Makhanda -- Management , Soccer -- Management -- South Africa
  • Language: English
  • Type: text , Thesis , Doctoral , PhD
  • Identifier: http://hdl.handle.net/10962/172412 , vital:42198 , 10.21504/10962/172412
  • Description: Background: Modern Human Factors and Ergonomics (HFE) focuses on the optimisation of complex socio-technical systems and has been challenged to contribute to broader societal issues. An example is within grassroots football organisations in resource-scarce areas such as Makana, South Africa. Through embedded participatory approaches, the research problem was co-constructed: To investigate the socio-technical system of the Makana Local Football Association (LFA). Method: A useful complex system modelling tool is that of Cognitive Work Analysis (CWA), with its 5 phases used to identify constraints and affordances. Three perspectives were adopted for the application of an adapted (to suit participant characteristics) CWA to the Makana LFA: 1) how work is prescribed by the governing body SAFA, 2) how subject matter experts (SME) disclose its current functioning, and 3) how SMEs imagine it could function. Five SMEs attended 12 three-hour workshops to complete the latter two perspectives. Results: The composite work domain analysis between work as prescribed and work as disclosed identified significant mismatches between how policymakers envision the system and how SMEs report its functioning. Key differences in perspectives included the fundamental purpose of the Makana LFA, while only four of 22 functions operate within the Makana LFA. Participants also identified key affordances for the LFA such as reorientation as a community sports organisation. Discussion: Comparison between perspectives indicated four mismatches. 1) SAFA views the LFA as the foundation of the talent identification and development infrastructure of South African football. SMEs view it as a community centred organisation. 2) A lack of human capacity is evident at the community level of Makana football. 3) Funding and assets are absent at this grassroots level. 4) The LFA relies on other stakeholders, but these relationships are not formalised. Policymakers, therefore, have a lack of knowledge of the contextual challenges faced by LFA administrators. It is recommended that SAFA view the LFA as a community sport organisation, focusing on improving human capacity, increasing funding, and formalising stakeholder networks. Furthermore, conceptual models from CWA provide explicit socio-technical system redesign recommendations. Conclusion: Large mismatches between the organising body SAFA and the actual functioning of the LFA significantly hinder the effective management and running of football at a grassroots level in resource-scarce contexts in South Africa. The perspectives approach to CWA was useful in elucidating the constraints and affordances of the Makana LFA socio-technical system and informing redesign opportunities. Systems HFE methodology is therefore well placed to contribute to broader societal issues within resources scarce contexts such as football in Makana. Furthermore, the philosophical underpinnings of systems based HFE were successful in the development of sustainable participatory research within the South African grassroots football context.
  • Full Text:
  • Date Issued: 2021

The effect of total standing duration during sit-stand regimes on cognitive performance, rating of perceived exertion and heart rate frequency

  • Authors: Berndt, Ethan
  • Date: 2017
  • Subjects: Standing position , Sedentary behavior , Work environment , Employee health promotion , Office furniture -- Design , Industrial hygiene , Employees -- Health risk assessment , Human engineering
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: http://hdl.handle.net/10962/7433 , vital:21260
  • Description: Although there may be numerous health benefits of sit-stand workstations, the effects of sedentary or non-sedentary work configurations on cognitive performance and executive function remain unclear (Bantoft et al., 2016). It is essential to determine any performance effects of these different work configurations; as improvements in the workplace, working posture and discomfort need to be justified in terms of improvements (or no deterioration) in work performance (Liao and Drury, 2000). The aim of the current research was to investigate the effect of two sit-stand regimes differing in total standing duration, on cognitive task performance, physiological responses and subjective ratings of perceived exertion. This laboratory based investigation incorporated a repeated measures design, where a test battery was utilized. Three experimental conditions were tested during three separate testing sessions by 30 participants. Condition 2 (15 minutes standing, followed by 45 minutes seated) and Condition 3 (15 minutes seated, followed by 15 minutes standing, followed by 15 minutes seated, followed by 15 minutes standing) were compared to each other and Condition 1 (60 minutes seated). The findings of this study show that even though the two different sit-stand regimes did not result in a significant impact on cognitive task performance, an immediate postural effect for psychomotor response time and a delayed postural effect for working memory were found. The participants perceived Condition 3 as the most physically exerting condition. Heart rate frequency was not significantly different between the conditions, but the immediate seated posture had a significantly lower heart rate frequency compared to the standing posture; indicating that being seated elicited lower energy expenditure compared to standing. Heart rate frequency while standing had a greater degree of variation compared to being seated. Taking the findings of this study into account, it is recommended that: one should be seated while performing this type of working memory task; that one should be standing while performing this type of psychomotor task; that the recommendation that implementing standing at work can be used as a blanket strategy to increase energy expenditure in all individuals needs to be explored further and that individual differences may impact energy expenditure.
  • Full Text:
  • Date Issued: 2017

The effects of age on the worker capacity and mechanisation on the task demands in a South African manufacturing industry

  • Authors: Bezuidenhout, Samantha Catherine
  • Date: 2014
  • Subjects: Age and employment -- South Africa , Labor -- Social aspects -- South Africa , Brickmaking -- South Africa -- Automation , Brickmaking -- Social aspects -- South Africa , Brick trade -- South Africa , Aging -- Social aspects -- South Africa , Aging -- Research
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: vital:5151 , http://hdl.handle.net/10962/d1013167
  • Description: The focus of the study was two-fold, firstly to determine the effect of age on the capacity of manual materials handling workers and secondly to determine the effect of increasing task mechanisation on the workers’ responses to task demands. The first component of this study, namely Part I, 101 male and 12 female ‘unskilled’ manual workers – of various ages – from a brick manufacturing industry were assessed. Anthropometric, health and strength factors were measured to improve the understanding of the South African manual worker capacity and more specifically, the effect of age on this capacity. Data collection was done between 7.30am and 9.30am in a laboratory-type setting on-site. Anthropometric characteristics (including body mass index, waist to hip ratio, waist circumference and body fat percentage) provided information on the state of obesity and the impact of age in the South African context. Linked to this, the health factors (including blood pressure, resting heart rate and a self-reported questionnaire) provide an extra snapshot of the disease profile in South Africa, and could potentially influence other capacity factors. Isometric strength capacities (of eight different areas, namely: back, leg, bicep, shoulder, pinch, pinch and pull) demonstrated whether South African manual workers show the same decline in strength with aging as seen in industrially advanced countries. The second component of the study, Part II, was performed in situ and measured the workers’ responses to task demands of three brick palletising tasks, one manual (n=21) and two with increasing mechanisation (n=12 each). Spinal kinematics, joint forces and working heart rate were assessed on normal work days during a 30-lift duration and body discomfort measures were taken at the start, middle and end of the work-shift. Spinal kinematics were measured dynamically using a lumbar motion monitor, whereas the spinal forces were estimated using the three dimensional static strength prediction program. The worker capacity results showed that waist to hip ratio, waist circumference and body fat percentage increased significantly with aging, whereas body mass index was not affected by age. All body morphology values were within ‘normal’ ranges. Although diastolic blood pressure increased significantly with age, systolic was not affected significantly by age. Both groups, however, showed an increasing prevalence of hypertension with aging. There were no significant changes in resting heart rate with aging, with a range of 66 bt.min⁻¹ to 74.86 bt.min⁻¹, therefore within normal ranges. Of the strength factors, age only affected shoulder and push strength significantly: Showing a decrease in shoulder strength from 49.89 kgF to 39.91 kgF in the men aged 20-29 to the 50-59 respectively and an increase in push strength from men aged 30-39 and 40-49 to those aged 50-59. Part II results revealed highly frequent lift rates and large degrees of sagittal flexion and lateral bending in all three tasks. These postures adopted for long durations are likely to lead to the development of musculoskeletal disorders. Heart rates of workers from the three tasks were significantly different and heart rates for two tasks were above the recommended 110 bt.min⁻¹. Similarly the body discomfort ratings of the three tasks differed, although a common trend was seen in that lower back pain was the most commonly reported area of discomfort in all tasks. South African manual materials handling males did not show the same responses to aging as men from industrially advanced countries, calling for further research into these differences. Due to the high risks of the three tasks assessed, future research and interventions are required to reduce the risk of injury in the assessed tasks.
  • Full Text:
  • Date Issued: 2014

A comparative study of acute responses to running in elite black and white marathon athletes

  • Authors: Bosch, Andrew Norman
  • Date: 1985
  • Subjects: Athletics , Sports -- Physiological aspects , Running races , Marathon running , Marathon running -- Physiological aspects
  • Language: English
  • Type: Thesis , Masters , MA
  • Identifier: vital:5099 , http://hdl.handle.net/10962/d1001839 , Athletics , Sports -- Physiological aspects , Running races , Marathon running , Marathon running -- Physiological aspects
  • Description: Experienced male marathon runners, 9 black and 10 white, with marathon times of 2 hours 45 minutes or faster, acted as subjects for the study, the purpose of which was to determine whether black runners are better suited to marathon running than whites. Body composition was determined by anthropometry. Maximal oxygen uptake (VO₂ max) and other physiological variables were measured during a continuous, speed-incremented treadmill protocol using a computer-aided data acquisition system. Subjects also ran a simulated marathon at 92.5% of the running speed at which the ventilatory threshold (VT) occurred. Physiological, gait and RPE variables were measured at 10 minute intervals during the marathon. Major findings are detailed below:- The VO₂, max averaged 60.4 ∓ 6.5 and 63.2 ∓ 2.9 mI. kg⁻¹.min⁻¹ in the black and white runners respectively and was highly correlated with best marathon race time (r = 0.86 and 0.85 respectively) and VT (r = 0.84 and 0.60 respectively) (p < 0.05). No significant differences existed between the groups in submaximal oxygen uptake (VO₂,) or % VO₂ max utilised at 16 km.hr⁻¹, but the estimated % VO₂ max utilised during a marathon race was higher in the black (89.0 ∓ 5.5%) than the white runners (81. 5 ∓ 3.1%) {p .( 0.05). The % VO₂ max utilised at 16 km.hr⁻¹ (84.8 ∓ 9.1 and 78.6 ∓ 5.8% in the black and white runners respectively) was significantly correlated with the % VO₂, max utilised while racing in the white (81.5 ∓ 3.1%) (r = 0.70) (p < 0.05), but not the black runners (89.0 ∓ 5.5%). The VT occurred at 82.7 ∓ 7.7 and 75.6 :∓ 6.2% VO₂; max in the black and white groups respectively (p < 0.05). Post-marathon blood lactic acid levels were lower in the black (1.30 ∓ 0.26 mmo1.l⁻¹) than the white runners (1.59 ∓ 0.20 mmol.l⁻¹). The respiratory exchange ratio (R) was higher in the blacks than whites when running at 16 km.hr ⁻¹ (1.03 ∓ 0.07 and 0.98 ∓ 0.03 respectively) and during the marathon (p < 0.05). There was no significant difference in pulmonary minute ventilation (Vı) between the groups, but breathing frequency (f) was higher in the black (59 ∓ 12 breaths.min⁻¹) than the white runners (45 ∓ 8 breaths. min⁻¹ ) and tidal volume (V⊤) lower in the black ( 1.33 ∓ 0.16 l.breath⁻¹) than the white runners (1.75 ∓ 0.36 I.breath⁻¹) during submaximal running at 16 km. hr⁻¹ (p < 0.05). The same trend was observed during the marathon run. During the time-course of the marathon f increased and V⊤ decreased In both groups (p < 0.05). Stroke volume decreased and heart rate increased In both groups during the time-course of the marathon (p< 0.05). Cardiac output was therefore maintained. Thermal responses were similar in the two groups. A significant increase in rectal temperature coincided with a decrease in skin temperature and may have been related to an increase in f (r = 0.86 and 0.67 in the blacks and whites respectively), H/R (r = 0.70 and 0.67 respectively) and "local" (leg) RPE (r = 0.84 and 0.82 respectively). It was concluded that black runners were able to run marathon races at a higher % VO₂ more than whites due to the blacks having lower blood lactic acid levels when running at a similar % VO₂ max. Given similar maximal oxygen uptakes, this would enable blacks to run faster. Cardiopulmonary adjustments occur during the time-course of a marathon which maintains Q and Vı
  • Full Text:
  • Date Issued: 1985

Effect of repeated eccentric demands placed on the lower limb musculature during simulated Rugby Union play

  • Authors: Brown, Lisa Gill
  • Date: 2010
  • Subjects: Sports injuries , Muscles -- Wounds and injuries , Tendons -- Wounds and injuries , Muscles -- Examination , Rugby football injuries , Rugby Union football players
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: vital:5114 , http://hdl.handle.net/10962/d1005192 , Sports injuries , Muscles -- Wounds and injuries , Tendons -- Wounds and injuries , Muscles -- Examination , Rugby football injuries , Rugby Union football players
  • Description: Epidemiological studies consistently report that muscular strains are a primary injury type in rugby union with the majority of the strains occurring to the quadricep and hamstring musculature. Recently it has been suggested that poor eccentric muscular strength is a precursor to hamstring and quadriceps strains during intermittent sports that require rapid acceleration and deceleration. Despite the high incidence of these muscle injuries in Rugby Union there has been little research into the possible mechanisms involved. Thus, the purpose of this study was to measure the physiological and perceptual responses during a simulated Rugby Union laboratory protocol and further, to identify changes in muscle recruitment patterns and muscle strength over time by comparing this protocol to a continuous, constant load protocol covering the same distance. The experimental condition (EXP) required university level players to perform 80 minutes of simulated rugby union play in a laboratory setting (on a walkway of 22m) which was compared to that of a control condition (CON) which involved subjects covering the same distance, at a constant speed of 4.2km.h-1 on a treadmill. Physiological, biophysical and perceptual responses were measured pre-, at half-time and post-protocol. Heart rate was significantly (p<0.01) greater as a result of EXP in comparison to the CON. Electromyography (EMG) of the vastus medialis was significantly (p<0.01) greater during the CON protocol. The EXP condition elicited higher iEMG activity in the hamstring musculature at all time intervals. In addition the iEMG of the semitendinosus decreased significantly (p<0.01) as a result of the EXP protocol. Peak eccentric knee extensors (EXT) (-13.19%) and flexors (FLEX) (-12.81%) torque decreased significantly during the experimental protocol. After passive half-time (236.67 + 56.27Nm (EXT) and 173.89 + 33.3NM (FLEX)) and at the end of the protocol (220.39 + 55.16Nm and 162.89 + 30.66Nm) reduced relative to pre protocol (253.89 + 54.54Nm and 186.83 + 33.3Nm). Peak eccentric knee extensors did not change during the control protocol. „Central‟ and ‟Local” Rating of Perceived Exertion values were significantly (P<0.01) greater during the EXP protocol with an increased incidence of hamstring discomfort and perceived pain (5 out of 10). The EXP protocol resulted in significantly (p<0.01) increased incidence of delayed onset muscle soreness (DOMS). In conclusion, a stop-start laboratory protocol elicited increased heart rate, negatively impacted on muscle activity of the hamstrings, decreased eccentric strength in the lower limb musculature, resulted in increased ratings of „Central‟ and „Local‟ exertion and increased pain perception and increased incidence of DOMS. Thus, a stop-start rugby specific laboratory protocol has a negative impact on performance. Due to the specificity of the protocol being designed to match the demands of competitive match play it is expected that these changes in heart rate, muscle activity and strength, particularly eccentric strength, will impact negativity on performance during rugby match play and increase the likelihood of injury
  • Full Text:
  • Date Issued: 2010

The analysis of the strain level and the predicted human error probability for critical hospital tasks

  • Authors: Burford, Eva-Maria
  • Date: 2012
  • Subjects: Nursing errors -- South Africa -- Prevention , Nursing -- South Africa -- Psychological aspects , Hospitals -- Employees -- Health and hygiene -- South Africa , Nursing -- Job stress -- South Africa
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: vital:5104 , http://hdl.handle.net/10962/d1005182 , Nursing errors -- South Africa -- Prevention , Nursing -- South Africa -- Psychological aspects , Hospitals -- Employees -- Health and hygiene -- South Africa , Nursing -- Job stress -- South Africa
  • Description: South African hospitals, as a result of numerous factors, have the problem of an increasing workload for nursing staff, which in turn may affect patient treatment quality. This project aimed at addressing patient treatment quality specifically from the perspective of worker capabilities by investigating the strain level and predicted human error probability associated with specific patient-centered tasks in the South African health care sector. This was achieved through two independent yet interlinked studies which focused on seven patient-centred tasks. The tasks analysed were the tasks of setting up and changing intravenous medication, administering injection and pill medication, measuring blood glucose, temperature and heart rate and blood pressure. In the first study, work environment and task characteristics, task structure and execution were analysed. In addition to the task execution, the resulting strain levels, in the form of heart rate measures and subjective ratings of workload, were studied. The second study determined the error protocols and predictive error probability within the healthcare environment for the seven pre-defined tasks. The results for the first study established that different organizational and environment factors could affect task complexity and workload. The individual task components and information processing requirements for each task was also established. For the strain analysis, significant results for the tasks were determined for heart rate frequency and the heart rate variability measures, but some of these were contradictory. For the second study, specific error protocols and error reporting data were determined for the hospital where this research was conducted. Additionally the predictive error probability for the pre-defined tasks was determined. This combined approach and collective results indicate that strain and predictive error probability as a result of task workload can be determined in the field as well as being able to identify which factors have an effect on task strain and error probability. The value of this research lies in the foundation that the gathered information provides and the numerous potential applications of this data. These applications include providing recommendations aimed at improving nursing work environment with regards to workload, improving patient treatment as a result of a reduction in errors and the potential foundation these results provide for future research
  • Full Text:
  • Date Issued: 2012

Adolescents and coaches/trainers perspectives of ergogenic sports supplement use within South African private high schools

  • Authors: Butler, Nicholas John
  • Date: 2022-04-06
  • Subjects: Dietary supplements , Energy metabolism , Teenagers South Africa , Teenagers Physiology South Africa , Teenagers Substance use South Africa , Coaches (Athletics) South Africa , Athletic trainers South Africa , Private schools South Africa , Ergogenic aids‎
  • Language: English
  • Type: Master's thesis , text
  • Identifier: http://hdl.handle.net/10962/232443 , vital:49992
  • Description: Sports supplements, also referred to as ergogenic aids, are used because of the assertion that they can enhance physical or athletic performance and/or physical appearance. Commonly used sports supplements include creatines, proteins, amino acids, stimulants, and in some cases pro-hormones. There is a relatively high and increasing prevalence of sports supplement use by the general population globally and in South Africa, particularly among adolescents and young adults due to various factors. While some research has explored supplement use among adolescents in a school setting, no study has explored this across the private school system in South Africa. Additionally, given the important role that coaches/trainers play in adolescent development, it is critical to also understand the role that they play regarding adolescent supplement use, given that there has been limited research around this topic in South Africa. Therefore, there were two aims of this study; Firstly, this study explored the prevalence and perceptions (knowledge; attitudes; beliefs) of sports supplements among South African private high school adolescents. Secondly, this study explored the perceptions (knowledge; attitudes; application of knowledge) towards sports supplements among adolescent coaches/trainers in South African private high schools. Considering the dual aim of this study, this thesis was structured as a two-part research study. Both parts took the form of a cross-sectional design, using an online questionnaire to collect qualitative and quantitative data. In total, a cohort of n=50 adolescents and n=49 coaches/trainers participated. Adolescent participants reported a high prevalence of sports supplement use (62%) with their main reasons for using them being recovery and performance. Adolescents were primarily influenced/advised by friends and coaches/trainers to start using sports supplements. Coaches/trainers primarily relied on other coaches/trainers and internet advertising/sites as a main source of information. Less than half of the participants from both groups reported having any formal education or training related to sports nutrition or sports supplements. Both groups thought that these products are being misused by adolescents, which may account for why a portion of the adolescent participants reported experiencing adverse side-effects from using sports supplements, and a few coach/trainer participants reported witnessing this in their practice. This may be a result of the professionalisation of school sport which places pressure on athletes and their coaches/trainers to perform and may in turn be the reason why some adolescents reported that they would use, and some coaches/trainers reported they would recommend the use of sports supplements even if they were aware of risk/dangers involved. Thus, there is a need for education/training among South African high school adolescents and their coaches/trainers with respect to the use of sports supplements, so that they can make informed decisions from reliable sources of information or advice in order to use these products safely and effectively. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2022
  • Full Text:
  • Date Issued: 2022-04-06

An explorative study of Makana local football association coaches characteristics, experiences and needs

  • Authors: Callow, Gavin
  • Date: 2020
  • Subjects: Makana Local Football Association (South Africa) , Football -- Coaching -- South Africa , Football coaches -- South Africa
  • Language: English
  • Type: text , Thesis , Masters , MSc
  • Identifier: http://hdl.handle.net/10962/138785 , vital:37672
  • Description: Introduction: Sports participation has been associated with a number of benefits to young athletes, outside of purely physical health. One of the key components of a successful sports talent identification and development program is effective coaching. A foundation of effective coaching is the coach’s knowledge which can be developed through formal, non-formal and informal means of education. The majority of coach education literature has however focused on coaches from developed countries. Limited studies have looked at the educational experiences and needs of South African coaches, particularly football coaches. The purpose of the current investigation is to establish Local Football Association (LFA) coaches’ perceptions of their educational backgrounds and what knowledge they deem important to be effective coaches. Method: A mixed methods approach was used in which (n=25) Makana LFA coaches answered a questionnaire with the aim of identifying their educational histories and what their current educational needs were. A semi-structured interview was also implemented in which some of the respondents (n=4) were asked more in-depth questions around the same topics, to create a more complete coaching profile. Results: The questionnaire responses highlighted that only 8% of the coaches possess a formal coaching qualification and all of the coaches work on a volunteer basis. Previous experience as a player is the chief source of knowledge for Makana LFA coaches. Not having enough available time is the main perceived barrier for 56% of participants to seeking out further educational opportunities. Fundamentals of coaching was selected by 56% of the coaches as a key subject they want to learn more about. Findings from the interview demonstrate that participants coach multiple teams and often have to rely on senior players to take up assistant coach positions, as well as managing their time effectively to work with all their teams. Informal education is the main source of information for the coaches which includes asking for advice, reading coaching manuals or having a mentor. The coaches value all 3 forms of education, however non-formal workshops are favoured. This is due to all of the coaches already having some form of informal learning experience and formal learning opportunities being too costly to pursue. A combination of lectures, practical sessions and group discussions is desired as a delivery method of coaching knowledge. Discussion: The level of coaching qualifications in the LFA is low, this may have significant implications for talent identification and development in the Sarah Baartman region. All the coaches are volunteer coaches, who primarily rely on informal means of coaching education. ‘Time’ was indicated to be a major barrier, to coaches seeking out educational opportunities. Coaches indicated that they would benefit from a coaching program if it took into consideration their needs, such as wanting to learn more about interpersonal and intrapersonal awareness. Conclusion: If local coaching programs are to be effective, they must reflect the educational needs of their community.
  • Full Text:
  • Date Issued: 2020

The physical activity levels and preferences of South African breast cancer survivors : a pilot study

  • Authors: Campbell, Belinda Claire
  • Date: 2021-04
  • Subjects: Breast -- Cancer , Cancer -- Patients -- South Africa , Cancer -- Patients -- Rehabilitation , Exercise -- Health aspects , Godin leisure-time activity questionnaire (GLTPAQ) , International Physical Activity Questionnaire (IPAQ)
  • Language: English
  • Type: thesis , text , Masters , MSc
  • Identifier: http://hdl.handle.net/10962/177748 , vital:42855
  • Description: Introduction: Breast cancer is currently the most commonly diagnosed cancer in South African women. Physical activity has proven to have preventative, treatment and management benefits for breast cancer and other cancers and exercise has been found as both viable and safe during cancer treatment and recovery. However, there is limited research on breast cancer and the levels and preferences of physical activity and sedentary behaviour in a South African context. Therefore, the purpose of this study was to identify levels of physical activity and sedentary behaviour of South African breast cancer survivors and to investigate the physical activity advice and participation preferences of these participants. Methods: A cross-sectional research design was implemented to identify the physical activity, sedentary behaviour levels and exercise preferences of 48 South African breast cancer survivors (age range 45 years). An online survey comprising demographic and anthropometric questions, the Godin leisure-time activity questionnaire (GLTPAQ), the International Physical Activity Questionnaire (IPAQ) and an exercise preference questionnaire was presented to participating breast cancer survivors in order to i) identify the levels of physical activity and sedentary behaviour engaged in, ii) obtain demographic and anthropometric information and iii) identify exercise preferences. A linear mixed model regression was used to examine potential associations between demographic and anthropometric variables and physical activity levels. Chi-squared and Pearson’s Product-Moment correlation tests were used to identify relationships between categorical and numerical variables. A correlation matrix was generated to further explore any correlations. Statistical significance for all measures was set at p<0.05. Results: The mean age of the group was 49 ± 9.87 years. The most common time since diagnosis was <5 years ago and the most common stage of breast cancer was stage I. The mean BMI was 27.87 ± 5.53kg/m2. The most common treatment combination was surgery with either chemotherapy or radiation. According to the leisure score index (LSI) the majority of the group (56%) was active and according to IPAQ data 60% were meeting physical activity guidelines. The highest physical activity levels were seen in the average weekly minutes of moderate-intensity activity, and there was a strong, non-significant positive correlation (p>0.05, R2 = 0.95) between moderate-intensity physical activity and total physical activity levels. High levels of weekly sedentary behaviour and sitting time (302.60 ± 169.96 minutes) were reported. A weak, non-significant, positive correlation was found between total sedentary time and BMI (p>0.05, R2 = 0.1). A weak, non-significant, negative correlation was found between age and sedentary time (p>0.05, R2 = 0.002). More participants below 50 years were insufficiently active compared to above the age of 50 years. 1.7 to 2.6 years since diagnosis saw the greatest number of insufficiently active survivors and the category over 2.6 years since diagnosis saw the most active survivors. Most breast cancer survivors (71.10% & 82.05%) indicated being interested in and feeling capable of participating in an exercise programme (p>0.05, R2 = 0.72). The favoured preference for receiving physical activity advice was face-to-face with an exercise specialist at a cancer centre before treatment. Participation preferences included starting a programme immediately after treatment, in a home-based setting with one or two other people, where walking and a moderate exercise intensity were the preferred exercise type and level of intensity. Data collection occurred both immediately prior to (42% of participants) and during (56% of participants) the South African Covid-19 lockdown, so the results should be seen in light of this context. Conclusion: The current study is one of the first to explore physical activity rates and preferences of South African breast cancer survivors. As a group and individually these survivors were meeting public physical activity guidelines and engaging in the recommended weekly minutes. The high sitting time coupled with the high overweight and obesity levels highlight the need for positive behavioural changes including improved levels of physical activity and reduced sedentary behaviour. These changes need involvement from the numerous levels of society that affect health. Broad physical activity guidelines need to be developed not only to improve physical activity levels in breast cancer survivors but to work as a preventative measure by facilitating physical activity promotion in the general population. The findings of this study demonstrate that this group of South African breast cancer survivors is open to physical activity advice, to programmes and to improving physical activity levels. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2021
  • Full Text:
  • Date Issued: 2021-04

The effects of relative speed on selected physiological, kinematic and psychological responses at walk-to-run and run-to-walk interfaces.

  • Authors: Candler, Paul David
  • Date: 1987
  • Subjects: Walking -- Physiological aspects , Running -- Physiological aspects
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: vital:5164 , http://hdl.handle.net/10962/d1016081
  • Description: [Conclusions] l) The two forms of human locomotion, walking and running, are distinctly different and in evaluating these gait patterns consideration must be given to this fact. 2) The impression created by the energy cost curves, that there is a single locomotor interface for both walking and running is a false one . There are two distinctly different locomotor interfaces, the walk-to-run interface and the run-to-walk interface. The former appears to correspond with the "metabolic intersection point" and therefore has some metabolic significance. The latter appears to be merely an "overshoot" of the walk-to-run interface and presently has no apparent metabolic significance. 3) Because the walk-to-run interface speed corresponds with the intersection point of the energy cost curves, physiological responses to walking and running at this speed do not differ significantly. However, cadence and stride length patterns for these two locomotor patterns are distinctly different at this point. 4) The identification of single physiological or kinematic factors during perceptions of exertion in any given situation is an extremely difficult if not impossible task. Perceived exertion should therefore be considered a multi-factorial concept and should be evaluated as such. 5) The use of relative speed as a technique for reducing inter-subject variability in physiological and kinematic factors is worthless unless diverse ranges in morphological linearity are a characteristic of one's subject pool
  • Full Text:
  • Date Issued: 1987

The impact of clothing and protective gear on biophysical, physiological, perceptual and performance responses of rugby players during a simulated rugby protocol

  • Authors: Cannon, Michael-John
  • Date: 2012
  • Subjects: Protective clothing -- Rugby football -- Health aspects -- Research , Rugby football injuries -- Prevention -- Research , Sports injuries -- Prevention -- Research
  • Language: English
  • Type: Thesis , Masters , MSc
  • Identifier: vital:5124 , http://hdl.handle.net/10962/d1005202 , Protective clothing -- Rugby football -- Health aspects -- Research , Rugby football injuries -- Prevention -- Research , Sports injuries -- Prevention -- Research
  • Description: Background: Clothing and protective gear worn during intermittent exercise has shown to increase physiological and perceptual responses, and negatively impact performance capacities, due to increased heat strain, suggested to hasten the onset of fatigue. However, the mechanisms of fatigue experienced in rugby remain unclear. Objectives: The aim of this study was establish whether clothing and protective gear worn during a simulated rugby protocol impacts players‘ biophysical, physiological, perceptual and performance responses. Methods: 15 registered university and school first XV rugby players with a mean (± SD) age of 20.9 years (± 1.9) volunteered to participate in the study. Testing was performed in a controlled laboratory setting, with temperatures having to be within the range of 16º C-22º C. The mean (± SD) ambient temperature was 17.6º C (± 1.6) for the control condition and 17.3º C (1.5) for the experimental condition. The mean (± SD) relative humidity was 65.2 % (± 9.5) for the control condition and 66.3 % (± 10.0) for the experimental condition. Player‘s performed two protocols of 80-minutes; a control condition (minimal clothing and protective gear) and an experimental condition (full clothing and protective gear). Physiological, perceptual and performance responses were measured at set intervals during the protocol, while biophysical responses were measured pre-, at half-time and post-protocol during a 3-minute EMG treadmill protocol. Results: Muscle activity significantly (p< 0.05) increased with increasing running speeds. There were no significant (p> 0.05) differences for muscle activity between conditions, except for the semitendinosus muscle, which was significantly (p< 0.05) higher during the control condition while running at high speeds. Players‘ heart rates, core temperatures and perceptual responses were significantly (p< 0.05) higher during the experimental condition, compared to the control condition. Performance responses were significantly (p< 0.05) lower during the experimental condition. Conclusion: The main driver of physiological and perceptual responses was the exercise itself. However, the additional clothing and protective gear exacerbated the responses, particularly towards the end stages of the protocol. This negatively impacted players‘ performance. Muscle activity appeared to be unaffected by increased body temperatures. However, core temperatures never reached critically high levels during either condition.
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  • Date Issued: 2012
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