4. Electronic Theses and Dissertations (ETDs) - Faculties submissions

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    (Il)legitimacy of Freelance Artists: Exploring Current Government Legislation and Policies that Influence Economic Exclusion and Inclusion of South African Freelance Artists
    (University of the Witwatersrand, Johannesburg, 2024-03) Mmeti, Lehlohonolo Tebalelo Rudy Matome; Chatikobo, Munyaradzi
    The prevailing descriptors—such as "illegitimate," "non-compliant," "unprofessional," and "informal"—resonate globally, attributing a lack of structure to freelance artistry. This characterization places these artists in precarious legal and economic positions, hindering access to fundamental employment benefits, credit, loans, and housing. Therefore, it is imperative to answer the central questions, Which legislative measures and policies currently influence the economic integration, compliance and legitimacy of freelance profession within Cultural Creative Industry and Economy in South Africa? The scarcity of literature on the subject prompts an exploration into the legislative landscape, framed by the notion that policy acts as a guiding roadmap. The central argument is that existing policies failure to adequately address the unique challenges faced by South African freelance artists, leaving a critical void in understanding their economic participation. Focused on a qualitative methodology, the research examines documents and policies to unravel the impact on freelance artists' economic standing, employing lenses that navigate the intersections of formality and informality within the Cultural Creative Industries. The research underscores the imperative to bridge this knowledge gap, arguing for targeted interventions to rectify the economic disparities and (il)legitimacy associated with freelance artists in South Africa. It is through the aims and objectives of this research that I was be able to come with a concrete understating of the landscape so appropriate intervention measures can be suggested.
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    Compliance of medical practitioners with diabetic treatment guidelines at Dr Yusuf Dadoo Hospital, West Rand Health District Gauteng
    (2024) Ohanson, N.J.
    Background: Diabetes (DM) is a common chronic condition. The prevalence is increasing globally and has become a common health care problem associated with multiple complications. Guidelines have been formulated to standardise care among people living with DM, with aim of optimising patient care and thus minimising the complications. Aim: The aim of this study was to assess how well health care practitioners in Dr Yusuf Dadoo Hospital complied with the most recent diabetic treatment guideline, SEMDSA 2017. Setting: This study was conducted in the out-patient department of Dr Yusuf Dadoo hospital in the Westrand Health district of Gauteng. Methods: A retrospective cross-sectional review of patient record living with diabetes was done. Three hundred and twenty-three Record of patients seen from August 2019 to December 2019 were reviewed and some of the basic variables were assessed according to the most recent diabetic treatment guidelines SEMDSA 2017. Results: Files were audited in 4 main categories. Comorbidities, Examinations. Investigations, presence of complications. In terms of monitoring parameters, only 40(12.4%) had HbA1c assessed 6monthly, with annual creatinine assessed in 179(55.4%) and lipogram 154(47.7%) of patients. More than 70% of patients had uncontrolled glycaemia. More than 70% of patients had uncontrolled glycaemia. The most frequently documented target organ screening/examinations were foot related at 8.7% (28) and all of them had established complications. Only 2 people were screened for erectile dysfunction. Conclusion: Adherence to DM treatment guidelines was found to be poor. Monitoring and control parameters were infrequently done as per guideline recommendation. The resultant effect are poor glycaemic control and therefore numerous complications. The study site and thus the West rand needs targeted strategies to improve medical practitioner adherence to guidelines including adequate interpretation of results, timely intervention, when necessary, as a way to improve DM care and thus minimise the risk of complications amongst patients in the district