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There is growing recognition that the challenge of corruption and state capture in South Africa is deep-rooted in the country's history. The early period of settler colonialism in South Africa is exemplary of state capture, given that Dutch rule was characterised by the use of state power to enable the Dutch East India Company to commercialise and draw significant profit from the then station. The Dutch East India Company was one of the world's first examples of a true multinational corporation. There are many alignments between South Africa's past and contemporary state capture. But using this history to score narrow points is not helpful. On all sides of the country's politics, there is a tendency to distract from a discussion of the malfeasance of one era by pointing to the other.
Consider the cases of F.W. de Klerk and Jacob Zuma. Both have wrought enormous suffering on many South Africans through their actions – the former as the last leader of apartheid South Africa and the latter as the fourth democratically elected president of the country, who is deeply implicated in the matter of state capture. Yet, when it suited De Klerk, he ignored the fact that the apartheid system was a crime against humanity, only conceding the point in 2020 (Kiewit 2020). At the same time, he, and the F.W. de Klerk Foundation, frequently passed judgement on the conduct of politicians like Jacob Zuma, while ignoring their complicity in serious crimes (Thale 2021).
Equally, when Zuma was facing arrest in late June 2021 for defying an order of the Zondo Commission, his supporters pointedly asked why Zuma was the target when De Klerk had never truly accounted for his role in the apartheid regime. As Jacob Zuma's brother Khanya is reported as stating, ‘I am saying both [P.W.] Botha and De Klerk were above the law. How do they say this to my brother? They must first go wake Botha and call De Klerk, and then we’ll see if my brother did really break the law. If they haven't brought these people up to answer, I, as a Zuma, say there is no such a law in South Africa’ (Singh 2021).
Duodenoscopy-associated infections and outbreaks are reported globally despite strict adherence to duodenoscope reprocessing protocols. Therefore, new developments in the reprocessing procedure are needed.
Design:
We evaluated a novel dynamic flow model for an additional cleaning step between precleaning and manual cleaning in the reprocessing procedure.
Methods:
A parallel plate flow chamber with a fluorinated ethylene propylene bottom plate was used to mimic the duodenoscope channels. The flow chamber was inoculated with a suspension containing Klebsiella pneumoniae to simulate bacterial contamination during a duodenoscopic procedure. After inoculation the flow chamber was flushed with a detergent mimicking precleaning. Subsequently the flow chamber was subjected to different interventions: flow with phosphate-buffered saline (PBS), flow with 2 commercial detergents, flow with sodium dodecyl sulfate with 3 different concentrations, and flow with microbubbles. Adhering bacteria were counted using phase-contrast microscopy throughout the experiment, and finally, bacterial viability was assessed.
Results:
During precleaning both PBS and 1% (v/v) Neodisher Mediclean Forte were able to desorb bacteria, but neither proved superior. After precleaning only sodium dodecyl sulfate could desorb bacteria.
Conclusions:
Flushing during precleaning is an essential step for reducing adhering luminal bacteria, and sodium dodecyl sulfate is a promising detergent for bacterial desorption from duodenoscope channels after precleaning.
An adequate and balanced intake of energy and nutrients is important for growth of children and prevention of diseases. The aim of this study was to get insight in the prevalence of low and high intakes of micronutrients and its association with overweight among Dutch children. This insight can contribute to the development of policy on healthy diet and specific nutritional information.
Materials and methods:
Food and supplement consumption data of children 1–18 years (n = 2.235) were collected in 2012–2016 with two independent 24-hr recalls. Body Mass Index (BMI) was based on measured body height and weight for 1–15 year-olds, and self-reported values for 16–18 year–olds. Using the Dutch food and supplement composition tables, the habitual nutrient and energy intake distribution were estimated and evaluated with the dietary reference values of the Dutch Health Council. Analyses were performed for the total group as well as for classes of BMI.
Results:
The intake of most micronutrients was sufficient for the children until the age of 13. No statement on this can be made for the intake of iron and vitamin D (girls). For the Dutch teenagers, low intakes of vitamin A (43%), iron (10% of the boys and 77% of the girls) and vitamin C (18%) were observed. For many other nutrients (calcium, potassium, magnesium, iron, zinc, vitamins B1, B2, B6, D, K1 and folate) the risk of low intakes among (subgroups of) teenagers were evaluated as ‘unknown’, as the median intakes were lower than the adequate intakes. In all age groups, the intakes of copper and vitamins B3 and B12 were sufficient.
At the same time, the majority of the children (72% of the boys and 50% of the girls) had a high intake of sodium and a small number of children had high intakes of zinc (7%), copper (3%) or vitamin A (4% of the boys).
17% of the children had overweight or obesity and for 9% the weight was evaluated as underweight. The prevalence of low intakes of vitamins A, D and iron was associated with BMI.
Discussion:
This study suggests that the food consumption of Dutch children can be improved with a more balanced intake of energy and nutrients to prevent obesity and low and high intakes. However, not for all nutrients the health impact is clear. So, more research on the nutrient requirements among children and the related health impact is necessary.
Watching videotaped personal compulsions together with a therapist might enhance the effect of cognitive–behavioural therapy in obsessive–compulsive disorder (OCD) but little is known about how patients experience this.
Aims
To performed a qualitative study that describes how watching these videos influences motivation for treatment and whether patients report any adverse events.
Method
In this qualitative study, data were gathered in semi-structured interviews with 24 patients with OCD. The transcripts were coded by two researchers. They used a combination of open and thematic coding and discrepancies in coding were discussed.
Results
The experience of watching videos with personal compulsions helped patients to realise that these compulsions are aberrant and irrational. Patients report increased motivation to resist their OCD and to adhere to therapy. No adverse events were reported.
Conclusions
Videos with personal compulsions create more awareness in patients with OCD that compulsions are irrational, leading to enhanced motivation for treatment.
In the Netherlands, various FFQs have been administered in large cohort studies, which hampers comparison and pooling of dietary data. The present study aimed to describe the development of a standardized Dutch FFQ, FFQ-NL1.0, and assess its compatibility with existing Dutch FFQs.
Design
Dutch FFQTOOLTM was used to develop the FFQ-NL1.0 by selecting food items with the largest contributions to total intake and explained variance in intake of energy and thirty-nine nutrients in adults aged 25–69 years from the Dutch National Food Consumption Survey (DNFCS) 2007–2010. Compatibility with the Maastricht-FFQ, Wageningen-FFQ and EPICNL-FFQ was assessed by comparing the number of food items, the covered energy and nutrient intake, and the covered variance in intake.
Results
FFQ-NL1.0 comprised 160 food items, v. 253, 183 and 154 food items for the Maastricht-FFQ, Wageningen-FFQ and EPICNL-FFQ, respectively. FFQ-NL1.0 covered ≥85 % of energy and all nutrients reported in the DNFCS. Covered variance in intake ranged from 57 to 99 % for energy and macronutrients, and from 45 to 93 % for micronutrients. Differences between FFQ-NL1.0 and the other FFQs in covered nutrient intake and covered variance in intake were <5 % for energy and all macronutrients. For micronutrients, differences between FFQ-NL and other FFQs in covered level of intake were <15 %, but differences in covered variance were much larger, the maximum difference being 36 %.
Conclusions
The FFQ-NL1.0 was compatible with other FFQs regarding energy and macronutrient intake. However, compatibility for covered variance of intake was limited for some of the micronutrients. If implemented in existing cohorts, it is advised to administer the old and the new FFQ in combination to derive calibration factors.
The course of illness in obsessive–compulsive disorder (OCD) varies significantly between patients. Little is known about factors predicting a chronic course of illness. The aim of this study is to identify factors involved in inducing and in maintaining chronicity in OCD.
Methods
The present study is embedded within the Netherlands Obsessive Compulsive Disorder Association (NOCDA) study, an ongoing multicenter naturalistic cohort study designed to identify predictors of long-term course and outcome in OCD. For this study, 270 subjects with a current diagnosis of OCD were included. Chronicity status at 2-year follow-up was regressed on a selection of baseline predictors related to OCD, to comorbidity and to stress and support.
Results
Psychotrauma [odds ratio (OR) 1.98, confidence interval (CI) 1.22–3.22, p = 0.006], recent negative life events (OR 1.42, CI 1.01–2.01, p = 0.043), and presence of a partner (OR 0.28, CI 0.09–0.85, p = 0.025) influenced the risk of becoming chronic. Longer illness duration (OR 1.46, CI 1.08–1.96, p = 0.013) and higher illness severity (OR 1.09, CI 1.03–1.16, p = 0.003) increased the risk of remaining chronic.
Conclusions
External influences increase the risk of becoming chronic, whereas the factors involved in maintaining chronicity are illness-related. As the latter are potentially difficult to modify, treatment should be devoted to prevent chronicity from occurring in the first place. Therapeutic strategies aimed at alleviating stress and at boosting social support might aid in achieving this goal.
A dedicated hyperthermia (HT) system was designed for tumors in intact breast extending beyond the heating depth of our superficial 434 MHz antennas, consisting of a treatment bed fitted with a 50 cm × 40 cm × 16 cm temperature controlled open water bolus. The patient lies in prone position with the breast immersed in the water positioned in front of a 34 cm × 20 cm 70 MHz waveguide operating in the TE10 mode. E-field patterns were measured in a tissue-mimicking phantom. HT was applied once a week with the 70 MHz applicator for six patients treated with thermoradiotherapy for deep lesions of recurrent breast cancer or melanoma. Two 14-sensor thermocouple thermometry probes were placed in catheters to monitor the invasive temperature. Results: Phantom measurements showed sufficient penetration depth up to 10 cm depth. The combination of 300–900 W antenna power and a water temperature of 42°C was well tolerated for the entire session of 1 h and resulted in good tumor temperatures with T90 = 39.8°C, T50 = 41.1°C, and T10 = 42.2°C. No toxicity or complaints were associated with the heating. A water mattress and other measures were needed to assure a comfortable position throughout the treatment. Conclusion: the 70 MHz breast applicator system performed well and tumor temperatures were good.
A standardised, national, 160-item FFQ, the FFQ-NL 1.0, was recently developed for Dutch epidemiological studies. The objective was to validate the FFQ-NL 1.0 against multiple 24-h recalls (24hR) and recovery and concentration biomarkers. The FFQ-NL 1.0 was filled out by 383 participants (25–69 years) from the Nutrition Questionnaires plus study. For each participant, one to two urinary and blood samples and one to five (mean 2·7) telephone-based 24hR were available. Group-level bias, correlation coefficients, attenuation factors, de-attenuated correlation coefficients and ranking agreement were assessed. Compared with the 24hR, the FFQ-NL 1.0 estimated the intake of energy and macronutrients well. However, it underestimated intakes of SFA and trans-fatty acids and alcohol and overestimated intakes of most vitamins by >5 %. The median correlation coefficient was 0·39 for energy and macronutrients, 0·30 for micronutrients and 0·30 for food groups. The FFQ underestimated protein intake by an average of 16 % and K by 5 %, relative to their urinary recovery biomarkers. Attenuation factors were 0·44 and 0·46 for protein and K, respectively. Correlation coefficients were 0·43–0·47 between (fatty) fish intake and plasma EPA and DHA and 0·24–0·43 between fruit and vegetable intakes and plasma carotenoids. In conclusion, the overall validity of the newly developed FFQ-NL 1.0 was acceptable to good. The FFQ-NL 1.0 is well suited for future use within Dutch cohort studies among adults.
Perspectives from 22 countries on aspects of the legal environment for selection are presented in this article. Issues addressed include (a) whether there are racial/ethnic/religious subgroups viewed as “disadvantaged,” (b) whether research documents mean differences between groups on individual difference measures relevant to job performance, (c) whether there are laws prohibiting discrimination against specific groups, (d) the evidence required to make and refute a claim of discrimination, (e) the consequences of violation of the laws, (f) whether particular selection methods are limited or banned, (g) whether preferential treatment of members of disadvantaged groups is permitted, and (h) whether the practice of industrial and organizational psychology has been affected by the legal environment.
In this article, we present novel sample preparation methods using a helium ion microscope (HIM). We report the possibility of reshaping, at room temperature, thin metal lines on an electron-transparent membrane: A set of platinum bridges with standard geometry (300 × 200 × 15 nm) was modified at room temperature into different shapes using focused helium (He)-ion beam. Also the applicability of the HIM as a tool for precise modification of silicon (Si) and strontium titanate (SrTiO3) lamellae is shown and discussed. We demonstrated that in situ heating (e.g., at 600 °C) of the samples during He-beam illumination by use of a specially developed heating stage enables production of thin Si and SrTiO3 samples without significant artifacts. The quality of such cuts was inspected by transmission electron microscopy with high-resolution imaging, and the diffraction patterns were analyzed.
In this paper we propose a few helium ion microscope (HIM)-based methods for sample preparation and modification. In particular we report the use of the HIM to make thin wedge SrTiO3 samples without significant artifacts, the possibility to reshape thin metal lines on an electron transparent membrane and the new method of HIM sample preparation by in situ heating of the samples during He-beam illumination.
Systematic knowledge about factors affecting the willingness of societies to conserve biodiversity is still scarce. This study investigates the role of body size in national decisions on wild animal species by analysing the average body sizes of the animal species subject to species-specific legislation in the Netherlands over the period 1857–1995. Three legal objectives were distinguished, namely ‘control’, ‘use’ and ‘protection’. For most taxa, average body sizes of species were found to differ significantly between legal objectives within a substantial number of subperiods analysed. Throughout the entire period examined, protected bird, mammal, fish and mollusc species were of smaller average body size than those subject to use legislation and protected bird, mammal and mollusc species were also smaller than those subject to control legislation most of the time. Protected insects were generally larger than those subject to control or use. For vertebrate taxa, average sizes of protected species increased over the time period selected for examination, suggesting that legislation initially excluded larger vertebrates from protection, possibly partly owing to demands to maintain use of these species. The results emphasize that conservation context is important, as other studies suggest that conservation policy generally favours larger species.
Folate is required for 1-carbon metabolism and deficiency in folate leads to megaloblastic anemia. Low levels of folate have been associated with increased risk of vascular disease. To investigate whether RDA of folate are met, habitual folate intake needs to be assessed reliably. We developed a FFQ to specifically measure folate intake over the previous 3 months in elderly people in the Netherlands. Major sources of folate intake, i.e. foods contributing to at least 80 % of the average folate intake, were identified through an analysis of the second Dutch Food Consumption Survey for the sub-population of men and women aged 50–70. In 2000 and 2001, folate intake was estimated with this questionnaire in 1286 individuals aged 50–75 years. Concentrations of serum and erythrocyte folate served as biomarkers with which relative validity of the questionnaire was assessed. The same FFQ was repeated after 3 years in 803 subjects in order to assess long-term reproducibility. Mean folate intake was estimated to be 196 (sd 69) μg/d. Spearman correlation coefficients between folate intake and serum and erythrocyte concentrations were 0·14 (P < 0·01) and 0·05 (P = 0·06) respectively. Spearman correlations between folate intakes measured at baseline and after 3 years were 0·58 (P < 0·01). 47 % of the participants were classified in the same quartiles on the two occasions. Our FFQ showed a weak correlation between folate intake and blood folate concentrations and reproducibility was acceptable. This FFQ is able to rank subjects according to their folate intake.
The effects of viscosity and heat conduction on the propagation of internal gravity waves are examined. These waves propagate in a stably stratified, parallel shear flow with one critical level. The Boussinesq approximation is adopted. For large Reynolds number the governing sixth-order differential equation is solved by analytical methods. In the limit of large Reynolds number it is found that the reflection and transmission coefficients for a wave incident in a viscous fluid are the same as in the inviscid case. Hence over-reflection can also occur in a viscous fluid. For the perturbed velocity components at the critical level, asymptotic expressions are derived. The results we obtain are valid for smooth, but otherwise arbitrary, shear-flow and density profiles.
The properties of reflection and transmission of internal gravity waves incident upon a shear layer containing a critical level are investigated. The shear layer is modelled by a hyperbolic tangent profile. In the Boussinesq approximation, the differential equation governing the propagation of these waves can then be transformed into Heun's equation. For large Richardson numbers this equation can be approximated by an equation that has solutions in terms of hypergeometric functions. For these values of the Richardson number the reflection coefficient proves to be strongly dependent on the place of the critical level in the shear flow. If the Doppler-shifted frequency is an odd function of the height difference with respect to the critical level, the reflection and transmission coefficients can be evaluated in closed form.
Over-reflection is possible for sufficiently small wavenumbers and Richardson numbers. It is pointed out that over-reflection and over-transmission cannot occur in a stable flow and that resonant over-reflection is not possible in our model.
Democracy and the adoption of a Bill of Rights for South Africa not only brought about political change, but it also created expectations of a better life for all. The Constitution guarantees equality before the law, access to a fair hearing and the right to legal representation in criminal matters, and the Legal Aid Board is one of the institutions tasked with giving effect to these pledges. In order to achieve its objectives and to fulfil its obligations, government embarked upon a process of transformation of existing structures and institutions and the creation of new ones. Although legal aid, and statutory provision therefore, are not new concepts in South Africa, constitutionalization resulted in the restructuring of the Legal Aid Board and changes in the method of delivery of its services. The focus is on rendering legal representation in criminal matters to the neglect of civil and non-legal problems that the poor often face, resulting in the impression that government is merely paying lip service to the promise of access to justice. This lends credence to the perception that the legal system exists in order to protect the interests of criminals. Being a developing country, it is comprehensible that priorities have to be set, but it is also true that optimum use should be made of existing structures and resources in order to deal with the needs for legal aid services as expressed by the recipients of those services. Involving students and local government are two methods that can be employed to address the multi-farious problems experienced by the less fortunate members of society.