Browsing by Author "Coetzee, Gerrit"

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    Emergence and spread of extensively and totally drug-resistant tuberculosis, South Africa
    (Centers for Disease Control and Prevention, 2013-03) Klopper, Marisa; Warren, Robin Mark; Hayes, Cindy; Gey van Pittius, Nicolaas Claudius; Streicher, Elizabeth M.; Muller, Borna; Sirgel, Frederick Adriaan; Chabula-Nxiweni, Mamisa; Hoosain, Ebrahim; Coetzee, Gerrit; Van Helden, Paul David; Victor, Thomas Calldo; Trollip, Andre Phillip
    ENGLISH ABSTRACT: Factors driving the increase in drug-resistant tuberculosis (TB) in the Eastern Cape Province, South Africa, are not understood. A convenience sample of 309 drug-susceptible and 342 multidrug-resistant (MDR) TB isolates, collected July 2008–July 2009, were characterized by spoligotyping, DNA fingerprinting, insertion site mapping, and targeted DNA sequencing. Analysis of molecular-based data showed diverse genetic backgrounds among drug-sensitive and MDR TB sensu stricto isolates in contrast to restricted genetic backgrounds among pre–extensively drug-resistant (pre-XDR) TB and XDR TB isolates. Second-line drug resistance was significantly associated with the atypical Beijing genotype. DNA fingerprinting and sequencing demonstrated that the pre-XDR and XDR atypical Beijing isolates evolved from a common progenitor; 85% and 92%, respectively, were clustered, indicating transmission. Ninety-three percent of atypical XDR Beijing isolates had mutations that confer resistance to 10 anti-TB drugs, and some isolates also were resistant to para-aminosalicylic acid. These findings suggest the emergence of totally drug-resistant TB.
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    Formal retail as a strategy to enhance the quality of life in marginalized communities
    (Stellenbosch : Stellenbosch University, 2002-12) Coetzee, Gerrit; Claassen, P.; Stellenbosch University. Faculty of Economic & Management Sciences. Dept. of Town and Regional Planning.
    ENGLISH ABSTRACT: Of all the strategies available to help eradicate poverty and enhance the quality of life of people living in marginalized communities, the provision of a formal retail centre would not stand out as a number one strategy. Nevertheless, the Nomzamo Business Centre was built as part of a local economic development initiative to help local businesses to develop. The primary goal of this study was to establish whether the residents of Nomzamo perceived the development of the centre as a contributing factor towards improving the quality of their lives. Although the retail sector is well represented in these marginalized communities, in the form of spazas and other informal businesses, these businesses desperately lack the bearings of formality. The Nomzamo Business Centre provides a formal business premises at affordable rates, for local business people and gives them the opportunity to develop skills through business training courses and the provision of information. As the study concludes, the residents of Nomzamo perceived the centre as an enhancement towards their quality of live, even though many of them still do not make use of the centre. Established shopping habits are hard to brake especially if the centre does not provide any real magnetism. The centre failed to attract an anchor tenant and although Eskom's presence at the centre does provide some form of attraction, the benefits have not yet spilled over to the other shops. At this stage the Nomzamo Business Centre cannot be deemed a success. The centre fails to compete with local informal businesses. What is needed in most of these communities however is a change in the local economic structure. Local economies in most cases are retail based, with no or little representation in sectors like manufacturing. Although the Nomzamo Business Centre will not contribute much towards a more balanced local economy, it does provide the foundation for future changes to take place.
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    The mechanical and volumetric behaviour of sisal fibre reinforced concrete blocks
    (Stellenbosch : Stellenbosch University, 2013-03) Coetzee, Gerrit; Boshoff, William Peter; Stellenbosch University. Faculty of Engineering. Dept. of Civil Engineering.
    ENGLISH ABSTRACT: Natural fibre reinforced concrete (NFRC) is a type of concrete that has become of particular interest in recent years, due to its potential for being used as a sustainable and economically viable building material. Natural fibres are often cheap and widely available in developing nations. Sisal is one such fibre predominantly grown in Brazil and has been identified as having the potential to be commercially cultivated in Southern Africa. The durability of sisal fibres in a cementitious environment tends to be adversely affected due to the high alkalinity of pore water and the presence of calcium hydroxide. This research dealt with the use of sisal fibre reinforced concrete (SFRC) blocks. It focused on the mechanical and volumetric properties of blocks with varying fibre and condensed silica fume content (CSF). Two different SFRC blocks were produced (solid and hollow) using an average fibre length of 10 mm. Two matrix types were used: one using a 70:30 cement:fly-ash ratio and another using a 60:30:10 cement:fly-ash:CSF ratio by weight. Samples of each matrix type were prepared with 0, 0.5 and 1% fibre content by volume. Hollow blocks were tested for compressive strength and capillary water absorption, while solid blocks were tested for compressive strength, flexural strength, capillary water absorption, dimensional stability, drying shrinkage, density, total water absorption and void content. All tests were performed on samples with an age of 28 days. Solid block compressive tests were also performed on samples with an age of 7 days. The hollow blocks had significantly lower average compression strength than the solids, but an increase in fibre content caused a slight increase in strength. For solid blocks, it was found that the addition of natural fibres decreases the strength, although a partial substitution of cement with CSF, in conjunction with fibres, did increase the strength relative to blocks without CSF. The flexure strength was also lowered somewhat by the addition of fibres, but an increase in ductility was noted, although not quantified. The addition of CSF to fibre-containing blocks led to an increase in capillary water absorption, but a decrease in absorption through immersion. This shows that the addition of CSF does significantly alter the pore system of a cementitious matrix reinforced with natural fibres. Also, the dimensional stability increased with the addition of CSF and fibres. The same can be said for drying shrinkage. Even though an increase in fibre and CSF caused samples to shrink more under drying, they were more stable under cycles of wetting and drying. It was concluded that the addition of fibres to a matrix had a detrimental effect on strength, although ductility did increase. The volumetric properties of concrete were also adversely affected by the addition of fibres, although dimensional stability was improved. The partial substitution of cement with CSF did improve many of the mechanical and volumetric properties of samples containing sisal fibre.
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    Programmatically selected multidrug-resistant strains drive the emergence of extensively drug-resistant tuberculosis in South Africa
    (Public Library of Science, 2013-08-23) Muller, Borna; Chihota, Violet N.; Pillay, Manormoney; Klopper, Marisa; Streicher, Elizabeth M.; Coetzee, Gerrit; Trollip, Andre; Hayes, Cindy; Bosman, Marlein E.; Gey van Pittius, Nicolaas C.; Victor, Thomas C.; Gagneux, Sebastien; Van Helden, Paul D.; Warren, Robin M.
    Background: South Africa shows one of the highest global burdens of multidrug-resistant (MDR) and extensively drug-resistant (XDR) tuberculosis (TB). Since 2002, MDR-TB in South Africa has been treated by a standardized combination therapy, which until 2010 included ofloxacin, kanamycin, ethionamide, ethambutol and pyrazinamide. Since 2010, ethambutol has been replaced by cycloserine or terizidone. The effect of standardized treatment on the acquisition of XDR-TB is not currently known. Methods: We genetically characterized a random sample of 4,667 patient isolates of drug-sensitive, MDR and XDR-TB cases collected from three South African provinces, namely, the Western Cape, Eastern Cape and KwaZulu-Natal. Drug resistance patterns of a subset of isolates were analyzed for the presence of commonly observed resistance mutations. Results: Our analyses revealed a strong association between distinct strain genotypes and the emergence of XDR-TB in three neighbouring provinces of South Africa. Strains predominant in XDR-TB increased in proportion by more than 20-fold from drug-sensitive to XDR-TB and accounted for up to 95% of the XDR-TB cases. A high degree of clustering for drug resistance mutation patterns was detected. For example, the largest cluster of XDR-TB associated strains in the Eastern Cape, affecting more than 40% of all MDR patients in this province, harboured identical mutations concurrently conferring resistance to isoniazid, rifampicin, pyrazinamide, ethambutol, streptomycin, ethionamide, kanamycin, amikacin and capreomycin. Conclusions: XDR-TB associated genotypes in South Africa probably were programmatically selected as a result of the standard treatment regimen being ineffective in preventing their transmission. Our findings call for an immediate adaptation of standard treatment regimens for M/XDR-TB in South Africa.