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Item Analysing the disciplinary power of proactive monitoring bodies(Emerald, 2025-07) Flowers, Kevin; van Zijl, Wayne; Ram, Jaywant; Warren MarounPurpose – The important role of regulatory monitoring bodies in enhancing financial statement quality is increasingly being studied. Prior research focuses on developed economies and often adopts a relatively unproblematic regulatory perspective to explain how these bodies foster compliance. This paper adopts a more critical approach by investigating the forces and processes at work by utilising a Foucauldian disciplinary power perspective on the proactive monitoring unit (PMU) regulating South African listed companies on the Johannesburg Stock Exchange. Design/methodology/approach – Seventeen semi-structured, open-ended interviews were conducted with expert financial statement preparers, auditors, regulators and academics. Open, axial and selective coding were used to analyse the interview data. Findings – The PMU isindicative of an enclosure mechanism that monitors and controlsthe financial reporting space of listed companies. Consequently, preparers and auditors resemble well-trained individuals who follow the PMU’s guidance without question. The PMU’s constant gaze, combined with the negative reputational impact of an adverse review for individual preparers and auditors, results in them presenting their financial statements in conformity with the PMU’sinterpretation. However, complete panoptic control is not achieved, as there is some resistance. Originality/value – This is one of the first studies to examine how an external monitoring body, the PMU, functions in a real-world setting. There is a limited understanding of what drives companies to comply with monitoring bodies that do not enjoy the direct force of law. This paper makes use of the novel Foucauldian framework to contribute towards understanding the disciplinary power that may be applied by the PMU.Item Testing the suitability of portable X-Ray Fluorescence (pXRF) analysis of dried herbarium specimens to detect Ni hyperaccumulators in South Africa(Elsevier, 2023-07) Balkwill, Kevin; Samojedny Jr. Thomas J.; Rajakaruna, Nishanta; Siebert, Stefan J.Metal hyperaccumulators accumulate particular metals or metalloids in their leaves to concentrations hundreds or thousands of times greater than is normal for most plants. Globally, Ni is the most often hyperaccumulated metal, with 532 hyperaccumulator species documented to date. Hyperaccumulators have attracted much attention as potential candidates for green technologies, including phytoremediation and agromining. In South Africa, six serpentinite-associated plants in the genera Berkheya and Senecio hyperaccumulate Ni (to > 0.1% of leaf tissue dry weight). It is surprising that only six of about 70 Berkheya and 290 Senecio species native to South Africa hyperaccumulate Ni, given about ∼10–20% of taxa from each genus occur on serpentinite. While it is costly and time consuming to field collect and chemically analyze leaves of all species in these genera, a novel method (portable X-Ray Fluorescence or pXRF analysis of herbarium specimens) allows for rapid (100 s of specimens/day) and non-destructive measurement of Ni in dry herbarium specimens. We tested the accuracy of this approach on known Ni hyperaccumulators vouchered at two South African herbaria (C.E. Moss Herbarium (J) of the University of the Witwatersrand and A.P. Goossens Herbarium (PUC) from North-West University). While the absolute concentrations of Ni determined by ICP-MS and pXRF were not always directly in agreement, we had 100% success in confirming those that were known to hyperaccumulate Ni with those that did not. We propose pXRF as a cheap, effective, and efficient approach to rapidly screen herbarium specimens across South Africa to discover additional metal hyperaccumulators for much-needed remediation purposes.Item Debating South Africa's approach to a lower inflation target(University of the Witwatersrand, Joahnnesburg, 2025) Willcox, OwenThis policy brief argues against lowering of the inflation target. A lower inflation target will worsen South Africa’s fiscal dynamics, leading to deeper and longer fiscal austerity, which will result in lower economic growth and employment. The arguments of the South African Reserve Bank (SARB) for a lower target are cogent but ignore the impact on government debt, and hence the negative impact on the macroeconomy at large.Item The valorisation of platinum group metals from flotation tailings: A review of challenges and opportunities(Elsevier, 2023-06) Gibson, Borbor A.K.K.; Nwaila, Glen; Manzi, Musa; Ndlovu, Sehliselo; Ghorbani, Yousef; Petersen, JochenFlotation tailings from South Africa’s platinum group minerals (PGM) represent complex polymetallic orebodies comprising a low-grade platinum group elements (PGE) content and complex mineralogical composition. Nevertheless, given the valuable mineral potential in the tailings, it is understandable that the substantial historic tailings deposits and sizeable annual production volume from primary processes represent a potential secondary resource. For several decades, valorising the PGM tailing materials received very little interest due to limitations associated with extractive metallurgical technology to achieve economically viable PGE extraction. The early 21st century saw the coming online of technologies, including but not limited to ultrafine grinding, suitable to meet challenges in primary metallurgical treatment processes to recover valuable minerals from ultrafine particle fractions, which could not otherwise be recovered. More so, such processes were critical in improving the liberation of partially liberated particles without compromising additional ultrafine generation. These technologies led to the development of re-treatment pilot tests and subsequent industrial re-treatment recovery processes. The current industrial re-treatment approach – via tertiary scavenging flotation circuits – renders profit in small increments up to 1 ~ 2% additional recovery relative to the primary plant head grade. These small increments relate to about ~12–30% PGE recovery of the feed grade to the re-treatment circuit, thereby enhancing the primary plant’s overall economics as well as aiding the supply of critical metals to meet global demands. With a focus on South Africa, this review provides an overview of (a) the current and future drivers of the precious metals global demand; (b) proffers discussion on the PGM characteristic mineralogy and the metallurgical value chain; (c) relates the parent orebodies (“reefs”) mineral characteristics to the inherent processed tailings; (d) estimates the economic potential these massive processed waste materials contain, (e) provides an overview of existing technologies that are industrially used in tailing re-treatment plants; and (f) outlines a comprehensive understanding of the nature of value minerals rejection to tailings.Item The impact of diferences in plasma glucose between glucose oxidase and hexokinase methods on estimated gestational diabetes mellitus prevalence(Nature Research, 2019-05) Dickson, Lynnsay M.; Buchmann, Eckhart J.; Janse Van Rensburg, Charl; Norris, Shane A.We evaluated the extent of measurement discordance between glucose oxidase and hexokinase laboratory methods and the efect of this on estimated gestational diabetes mellitus (GDM) prevalence in a routine clinical setting. 592 consecutive urban African women were screened for GDM. Paired venous specimens were submitted to two independent calibrated laboratories that used either method to measure plasma glucose concentrations. World Health Organisation diagnostic criteria were applied. GDM prevalence determined by the glucose oxidase and hexokinase methods was 6.9% and 5.1% respectively. The overall GDM prevalence was 9%. Only 34% of GDM positive diagnoses were common to both laboratory methods. Bland Altman plots identifed a bias of 0.2mmol/l between laboratory methods. Plasma glucose concentrations measured by the glucose oxidase method were more platykurtic in distribution. Low diagnostic agreement between laboratory methods was further indicated by a Cohen’s kappa of 0.48 (p<0.001). Reports of GDM prevalence using either the glucose oxidase or hexokinase laboratory methods may not be truly interchangeable or directly comparable.Item The burden of cancers associated with HIV in the South African public health sector, 2004–2014: a record linkage study(2019-05) Dhokotera, Tafadzwa; Bohlius, Julia; Spoerr, Adrian; Egger, Matthias; Ncayiyana, Jabulani; Olago, Victor; Singh, Elvira; Sengayi, MazvitaIntroduction: The impact of South Africa’s high human immunodeficiency virus (HIV) burden on cancer risk is not fully understood, particularly in the context of antiretroviral treatment (ART) availability. We examined national cancer trends and excess cancer risk in people living with HIV (PLHIV) compared to those who are HIV-negative. Methods: We used probabilistic record linkage to match cancer records provided by the National Cancer Registry to HIV data provided by the National Health Laboratory Service (NHLS). We also used text search of specific HIV terms from the clinical section of pathology reports to determine HIV status of cancer patients. We used logistic and Joinpoint regression models to evaluate the risk and trends in cancers in PLHIV compared to HIV-negative patients from 2004 to 2014. In sensitivity analysis, we used inverse probability weighting (IPW) to correct for possible selection bias. Results: A total of 329,208 cancer cases from public sector laboratories were reported to the NCR from 2004 to 2014 with the HIV status known for 95,279 (28.9%) cancer cases. About 50% of all the female cancer cases (n = 30,486) with a known status were HIV-positive. PLHIV were at higher risk of AIDS-defining cancers (Kaposi sarcoma [adjusted OR:134, 95% CI:111–162], non-Hodgkin lymphoma [adjusted OR:2.73, 95% CI:2.56–2.91] and, cervix [adjusted OR:1.70, 95% CI:1.63–1.77], conjunctival cancer [adjusted OR:21.5, 95% CI:16.3–28.4] and human papilloma virus (HPV) related cancers (including; penis [adjusted OR:2.35, 95% CI:1.85–2.99], and vulva [adjusted OR:1.94, 95% CI:1.67–2.25]) compared to HIV-negative patients. Analysis using the IPW population yielded comparable results. Conclusion: There is need for improved awareness and screening of conjunctival cancer and HPV-associated cancers at HIV care centres. Further research and discussion is warranted on inclusive HPV vaccination in PLHIV.Item The prevalence of malnutrition and growth percentiles for urban South African children(BMC Public Health, 2019-05) Nyati, Lukhanyo H.; Pettifor, John M.; Norris, Shane A.Background: Low- and middle-income countries (LMIC) are experiencing a double-burden of malnutrition characterised by high prevalence of both under- and over-nutrition. We set out using data from the mixedlongitudinal Birth-to-Twenty Plus (Bt20+) birth cohort, to evaluate the patterns of malnutrition and growth in a large South African (SA) city by; (i) assessing the prevalence of undernutrition from birth to 5 years of age and overweight and obesity from ages 2 to 21 years in black and white, male and female children, and (ii) determining percentiles for height, weight, BMI, waist and hip circumferences and comparing the centiles to American and Dutch references. Methods: Height, weight, waist and hip circumferences were measured on urban black and white SA children from the Bt20+. A total of 3273 children born between April and June 1990 in the Greater Johannesburg Metropolitan area were included in the cohort. Z-scores were derived using the WHO 2006 child growth standards (0–5 years), for defining stunting, underweight and wasting. The International Obesity Task Force (IOTF) references were used to define overweight and obesity. Percentiles were developed using the lambda mu sigma (LMS) method and compared to American and Dutch references. Results: Black children were consistently shorter and black males lighter than white children and American references. The prevalence of stunting peaked at 2 years and was significantly higher in males than females and in black than white children. Black females had a greater prevalence of overweight and obesity than black males from 10 to 17 years. The percentiles for black females for weight and BMI were similar to those of South African white and American references but both black and white South African females had lower waist circumferences than American references. Conclusion: The growth percentiles show that young South African urban black females are experiencing general but not central obesity due to a secular change which is faster in weight than height. High levels of undernutrition persist alongside high levels of over-nutrition with adolescence being a critical period for the upsurge in obesity in females. Early intervention is needed to combat the rise in obesity.Item Performance of the Biomark HD real-time qPCR System (Fluidigm) for the detection of nasopharyngeal bacterial pathogens and Streptococcus pneumoniae typing(Nature Research, 2019-04) Olwagen, Courtney P.; Adrian, Peter V.; Madhi, Shabir A.Traditional qPCR assays for pneumococcal detection and serotype characterization require large sample volume, is expensive and labor intensive. We aimed to develop a quantitative nanofuidic Fluidigm assay to overcome some of these shortcomings. A quantitative Fluidigm assay was established to detect 11 bacterial pathogens, 55 pneumococcal serotypes and 6 serotypes of H. infuenzae. The Fluidigm assay results were compared to conventional qPCR and culture. All reactions in the Fluidigm assay efectively amplifed their respective targets with high sensitivity and specifcity compared to qPCR. There was excellent concordance between qPCR and Fluidigm for detection of carriage prevalence (kappa>0.75) and density (Rho>0.95). Fluidigm identifed an additional 7 (4.2%) serotypes over those detected by qPCR. There was a modest concordance between culture and Fluidigm for the majority of reactions detecting S. pneumoniae serotypes/serogroups (kappa>0.6), with Fluidigm identifying an additional 113 (39.1%) serotypes. Discordant results between the three methods were associated with a low carriage density. The Fluidigm assay was able to detect common pneumococcal serotypes, H. infuenzae serotypes, and other common nasopharyngeal bacterial organisms simultaneously. Deployment of this assay in epidemiological studies could provide better insight into the efect of PCV immunization on the nasopharyngeal microbiota in the communityItem Religiosity and sexual abstinence among Nigerian youths: does parent religion matter?(BioMed Central, 2019-04) Somefun, Oluwaseyi DolapoBackground: Religion plays an important role in youth behaviours, making it a significant factor in the discourse on youth sexuality in sub-Saharan Africa. Several studies have found that religion and religiosity play an important role in the sexual behaviours of young people. However, little research in Nigeria has examined the mechanisms through which religiosity influences youth sexual behaviour and if parents’ religion moderates this relationship. Guided by the social control theory, this paper contributes to the existing literature by examining the relationship between religiosity and youth sexual behaviour. Methods: Data for the study came from 2399 male and female youth aged 16–24 years in four states purposively selected from four regions in Nigeria. Abstinence was the sexual behaviour of interest. Logistic regression was used to examine this relationship. Results: Results showed that 68% of the youth had never had sex. Religiosity was a protective factor for youth sexual behaviour and this positive association was still evident even after controlling for other covariates. Youth who were highly religious (OR – 1.81, CI- 1.13-2.88) had significantly higher odds of abstaining compared to their counterparts who were not religious. Conclusion: Religiosity is a protective factor for sexual abstinence among youth in Nigeria. Policy makers can work around using religious institutions for behavioural change among youth in Nigeria.Item Does education offset the effect of maternal disadvantage on childhood anaemia in Tanzania? Evidence from a nationally representative cross-sectional study(BioMed Central, 2019-04) Ojoniyi, Olaide O.; Odimegwu, Clifford O.; Olamijuwon, Emmanuel O.; Akinyemi, Joshua O.Background: Despite being preventable, anaemia is a major public health problem that affects a sizable number of children under-five years globally and in Tanzania. This study examined the maternal factors associated with the risk of anaemia among under-five children in Tanzania. We also assessed whether higher maternal education could reduce the risks of anaemia among children of women with poor socio-economic status. Methods: Data was drawn from the 2015–16 Tanzania demographic and health survey and malaria indicator survey for 7916 children under five years. Adjusted odds ratios were estimated by fitting a proportional odds model to examine the maternal risk factors of anaemia. Stratified analysis was done to examine how the relationship differed across maternal educational levels. Results: The findings revealed that maternal disadvantage evident in young motherhood [AOR:1.43, 95%CI:1.16–1.75], no formal education [AOR:1.53, 95%CI:1.25–1.89], unemployment [AOR:1.31, 95%CI:1.15–1.49], poorest household wealth [AOR:1.50, 95%CI:1.17–1.91], and non-access to health insurance [AOR:1.26, 95%CI: 1.03–1.53] were risk factors of anaemia among children in the sample. Sub-group analysis by maternal education showed that the risks were not evident when the mother has secondary or higher education. However, having an unmarried mother was associated with about four-times higher risk of anaemia if the mother is uneducated [AOR:4.04, 95%CI:1.98–8.24] compared with if the mother is currently in union.