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Background: South Africa is reporting higher rates of adolescent pregnancy as compared to other countries. There are different types of interventions that are in place to address teenage pregnancy. However, these interventions were developed using top-down strategy without the inclusion of different stakeholders and adolescents which makes it hard to implement those interventions particularly in countries like South Africa. Hence, this study aimed to develop strategies to enhance sexual health education for prevention of teenage pregnancy in Vhembe District, Limpopo Province of South Africa. Methods: The research design of this study will be Co-operative Inquiry.The study will take place in Vhembe District in Limpopo province of South Africa through collaborating with a Non-governmental Organisation (NGO). The study population will be the teenagers and all the different stakeholders caring for teenagers in their areas of specialization. Purposive sampling will be used to sample the targeted participants of the study. The data collection method will be done in phases and focus group discussions will be used to collect data. Content analysis will be used to analyse data. Discussion: This study will add to the body of knowledge regarding the strategies that maybe used to enhance sexual health education for prevention of teenage pregnancy. [ABSTRACT FROM AUTHOR]

Many South African municipalities suffer servicedelivery problems that can usually be ascribed to inadequate management, skills, and budgets. The reasons for these, in turn, invariably include weak economic base, unwise spending of available funds, and difficulty in recruiting and retaining skilled staff. The White Paper on Local Government of 1998, to which Valli Moosa, the then Minister for Provincial Affairs and Constitutional Development, referred as "almost [being] regarded as a 'mini- Constitution' for local government", together with the Municipal Demarcation Act of the same year, spelled out the framework in terms of which the local government system would be transformed. Municipalities, covering the entire country "wall-towall", were thereafter established and powers and functions were assigned to them. After more than two decades, there can no longer be any doubt that many municipalities are, to a significant extent, failing in their primary duty of delivering services. The author sought to investigate to what extent this failing is due to flaws in the 'mini-Constitution'. By examining aspects of the performance of municipalities, the article assesses key assumptions made by the drafters of the White Paper in respect of a number of key attributes for service delivery. These attributes include sufficient skills and funding, prudent budgeting and effective spending, good leadership, adequate systems and data, stability of the senior leadership, and the presence of trust and credibility. The article finds that many of the assumptions were flawed, with severe consequences for service delivery. [ABSTRACT FROM AUTHOR]

South Africa participated in the electronic version of the Progress in International Reading Literacy Study (ePIRLS) in 2016 but faced many challenges during implementation. Accurate databases on information and communication technologies (ICT) capacity of schools were not available for sampling in Gauteng, many schools had old and/or non-functional hardware and half of the schools had not used their computer laboratories in the last 3 years. Consequently, South Africa was excluded from the international report as the study requirements could not be met. In this paper we examine the implications of the problems experienced in the ePIRLS multiple case study, conducted in 9 schools (n = 277) in Gauteng. Multilevel models were built using data from the nationally representative Grade 4 Progress in International Reading Literacy Study (PIRLS) data from 2011 (n = 15,744) and 2016 (n = 12,810). In the 2016 national study, principals and teachers reported fewer computers and libraries being available for learners than were reported in 2011. Computers and paper-based libraries being available were not significant predictors of reading literacy. Instead, the medium of instruction in the Foundation Phase, school location, gender, and socioeconomic composition of the school predicted reading literacy achievement. The ePIRLS results show no significant difference between paper-based and online reading. While issues of poverty, gender inequality, and historical disadvantage persist, Grade 4 learners may lack adequate opportunities to acquire paper and digital reading skills. We conclude that the most disadvantaged learners have increasingly insufficient opportunities and resources available to attain basic reading skills and this will have negative long-term consequences for South Africa's educational sector and economy. [ABSTRACT FROM AUTHOR]

The purpose of this position paper by the South African Academy of Family Physicians (SAAFPs) is to inform decision making on human resources for health policy in South Africa and the placement of family physicians (FPs) in the district health system. National policies have been marred by misunderstanding of the roles and contribution of FPs; and there is unhelpful variability in how FPs are positioned in the health services between provinces. In the private sector, medical aid schemes have discriminated against FPs by failing to remunerate them as specialists and to recognise their scope of practice. [ABSTRACT FROM AUTHOR]

Background: Rapid reviews have emerged as an approach to provide contextualized evidence in a timely and efficient manner. Three rapid review centers were established in Ethiopia, Lebanon, and South Africa through the Alliance for Health Policy and Systems Research, World Health Organization, to stimulate demand, engage policymakers, and produce rapid reviews to support health policy and systems decision-making. This study aimed to assess the experiences of researchers and policymakers engaged in producing and using rapid reviews for health systems strengthening and decisions towards universal health coverage (UHC). Methods: Using a case study approach with qualitative research methods, experienced researchers conducted semi-structured interviews with respondents from each center (n = 16). The topics covered included the process and experience of establishing the centers, stimulating demand for rapid reviews, collaborating between researchers and policymakers, and disseminating and using rapid reviews for health policies and interventions and the potential for sustaining and institutionalizing the services. Data were analyzed using thematic analysis. Results: Major themes interacted and contributed to shape the experiences of stakeholders of the rapid review centers, including the following: organizational structural arrangements of the centers, management of their processes as input factors, and the rapid reviews as the immediate policy-relevant outputs. The engagement process and the rapid review products contributed to a final theme of impact of the rapid review centers in relation to the uptake of evidence for policy and systems decision-making. Conclusions: The experiences of policymakers and researchers of the rapid review centers determined the uptake of evidence. The findings of this study can inform policymakers, health system managers, and researchers on best practices for demanding, developing and using rapid reviews to support decision- and policymaking, and implementing the universal healthcare coverage agenda. [ABSTRACT FROM AUTHOR]

Background: Basic palliative care teaching should be included in training curricula for health care providers (HCPs) at all levels of the health service to ensure that the goal set by the South African (SA) National Policy Framework and Strategy for Palliative Care, to have an adequate number of appropriately trained HCPs in South Africa, is achieved. Furthermore, palliative learning objectives for nurses and doctors should be standardised. Many SA medical schools have integrated elements of Palliative Medicine (PM) teaching into undergraduate medical training programmes for doctors; however, the degree of integration varies widely, and consensus and standardisation of the content, structure and delivery of such PM training programmes are not yet a reality. Aim: This joint position paper aims to describe the current state of undergraduate medical PM teaching in South Africa and define the PM competencies required for an SA generalist doctor. Setting: Palliative Medicine programme leads and teachers from eight medical schools in South Africa. Methods: A survey exploring the structure, organisation and content of the respective medical undergraduate PM programmes was distributed to PM programme leads and teachers. Results: Responses were received from seven medical schools. Through a process of iterative review, competencies were defined and further grouped according to suitability for the preclinical and clinical components of the curriculum. Conclusion: Through mapping out these competencies in a spiralled medical curriculum, the authors hope to provide guidance to medical curriculum designers to effectively integrate PM teaching and learning into current curricula in line with the goals of the SA National Policy Framework and Strategy on Palliative Care (NPFSPC). [ABSTRACT FROM AUTHOR]

Ropalidia amabala sp. nov. is described and compared to the known African species of this genus. In addition, the nest and nesting habits are described. This species demonstrates the nesting pattern previously recorded only in Madagascar, which includes nesting directly on a tree trunk and using lichen as the nest-building source material to blend in with the surrounding lichen patches. In contrast to the Malagasy species, which clean the nesting area of lichen, this new South African species constructs the nest in a clear area of the trunk between patches of lichen. This provides excellent visual concealment of the nest and suggests that visually driven predators are the primary selective factor. The morphology for both sexes of this species disagrees with known Malagasy species, suggesting that they are separate evolutionary lineages and hence that this nesting behaviour evolved independently. [ABSTRACT FROM AUTHOR]

Several new classes of drugs have recently been developed for the management of Inflammatory Bowel Disease (IBD). In response, updated international guidelines have been published providing recommendations on how to incorporate these agents into existing treatment algorithms. Recent approval of these new therapies in South Africa has however raised many questions on how they should best be used in a local setting. Since no formal guidance is available, the South African Gastroenterology Society (SAGES) has put forward, in the present position paper, guidance on the best use of both existing and novel drug therapies in the management of IBD in the South African setting. [ABSTRACT FROM AUTHOR]

The use of highly cited papers (HCPs) to assess research excellence (RE) is widespread but the emergence of alternative metrics for assessing research impact has ignited debates on their role in measuring RE. This paper undertakes an altmetrics analysis of South Africa's highly cited papers with a view to assessing the extent of online attention to these papers; the correlation between citation and altmetrics data and nuances in research fields, using conventional and altmetrics data. The Web of Science's (WoS) Incites Essential Science Indicator (ESI) database was used to extract the metrics of HCPs while the online portal altmetric.com was used to obtain the altmetrics data for each HCP. The Pearson correlation analysis was used to determine the relationship between citation data and altmetrics of the HCPs. The results indicate that clinical medicine posted the highest number of HCPs but was behind Space Science and Molecular Biology & Genetics in terms of citations per paper. Only six fields recorded more than 100 HCPs. Overall, South Africa's HCPs have the highest altmetrics presence in Dimensions followed by Mendeley, Twitter, Facebook, News Outlets and Blogs. However, each research field exhibited different patterns as far as online attention of their papers is concerned. The implications of the plausibility of using altmetrics in assessing RE in South Africa are offered. [ABSTRACT FROM AUTHOR]

Interrogating the White Paper 3 of 1997 which upholds academic freedom, institutional autonomy and public accountability, I make the case for justice through higher education using public accountability. I argue that the higher education system in South Africa is capable of fulfilling such a role in the context of extreme injustices but not without a critical engagement of the extent and causes of these injustices and an understanding of their implications for academic curricula, practices and deeply embedded conceptions of knowledge. A redefinition of higher education institutions' public accountability in terms of responsibility to their 'institutional locale' or community (the populations whose needs they should be meeting) can be an effective 'proactive tool' with which higher education can redress social injustices. This requires an interrogation of the social, political and economic conditions of possibility that either inhibit or aid educational desire and attainment. An investigation of this nature entails a rigorous reappraisal of all three of the key principles within which higher education systems operate—academic freedom, institutional autonomy and public accountability—if they are to guard against the continued perpetuation of epistemic and social injustices. [ABSTRACT FROM AUTHOR]

Paper sludge samples collected from recycling mills exhibited high ash content in the range of 54.59%–65.50% and glucose concentrations between 21.97% and 31.11%. Washing the sludge reduced the total ash content to between 10.7% and 19.31% and increased the concentration of glucose, xylose and lignin. Samples were screened for ethanol production and fed-batch simultaneous saccharification and fermentation (SSF) was optimised for the washed samples that resulted in highest and lowest ethanol concentrations. Maximum ethanol concentrations of 57.31 g/L and 47.72 g/L (94.07% and 85.34% of the maximum theoretical yield, respectively) was predicted for high and low fermentative potential samples, respectively, and was experimentally achieved with 1% deviation. A generic set of process conditions were established for the conversion of high ash-containing paper sludge to ethanol. Techno-economic analysis based on three different revenue scenarios, together with Monte Carlo analysis revealed 95% probability of achieving IRR values in excess of 25% at a paper sludge feed rate of 15 t/d. Feed rates of 30 t/d and 50 t/d exhibited a cumulative probability of 100%. This study presents the technical feasibility and economic viability of paper mills expansion towards bioethanol production from paper sludge. [ABSTRACT FROM AUTHOR]

The primary objective of this research was to evaluate long-term user acceptability of menstrual cups in a student population in South Africa. A cohort of female students aged 18–24 years attending 10 further education institutions including 22 campus sites in KwaZulu-Natal, South Africa, were offered menstrual cups after receiving education and training in their use. The students were followed for up to 12 months to assess menstrual cup acceptability, user experiences and continuation. A total of 509 students were enrolled. Disposable pads were the primary menstrual hygiene product used in the 3 months prior to the baseline interview (95.5%, n = 486), and 8.1% (n = 41) of students reported that they had used toilet paper or newspapers. Of the 463 (91%) students interviewed at 1 month follow-up, 86% reported that they had tried to use the menstrual cup. There was mixed reporting on ease of insertion and removal on first use. Of those who attempted use, half (49.5%, n = 197) reported that inserting the menstrual cup on first use was very easy or quite easy. Of those who did not find it easy, 80% reported that two to three insertions were required to achieve comfort. A maximum of five insertions was mentioned to achieve comfort. The majority who had used the cup (>90%) reported they would continue to use it at each follow-up visit. The menstrual cup was well accepted among this student population and should be considered as a cost-effective and environmentally sustainable option in menstrual health management initiatives in South Africa. [ABSTRACT FROM AUTHOR]

South Africa is signatory to international protocols that secure migrant rights to healthcare. Its national health policy prohibits discrimination. Pregnant women and children under six years ostensibly enjoy access to free healthcare, irrespective of migration status. What is clear “on paper,” however, becomes considerably more opaque when experienced by those who do not “have papers.” We explore this in Giyani, South Africa, an important migrant destination. Despite a progressive healthcare policy and immigrant rights regime, migrant women’s lack of proper documentation precludes them in practice from accessing state-provided reproductive healthcare. The result is twofold. Women who are entitled to public healthcare prefer to make use of private healthcare, despite the costs, and they make recourse to a range of extra-state relations for healthcare. We focus on one unexpected consequence: that the same healthcare providers who have formally refused access to state institutions may be available to migrants through personal networks, such as in churches. Here, medical care is seen as taking place in a religious register. The difference between what is “on paper” and “what papers migrants have” is critical but may be mediated by access to other realms of the social. [ABSTRACT FROM AUTHOR]

This article focuses on South African teenage girls' engagement with pornography. Using a decolonial approach and drawing upon new feminist materialism, this study focuses on the ways in which bodies, gender and sexuality configure to produce and constrain girls' capacities for sexual expression. The paper makes three claims. First, the article turns away from a one-sided representation of girls as only possible to know through the lens of sexual suffering while challenging childhood sexual innocence. Second, the online pornographic field is situated in a gendered and racialised system of organisation whereby the perfect body is naturalised as an esteemed object of desire. Third, the desire for the perfect, slim, blemish-free, hairless body through self-surveillance constricts capacities in line with normative standards of female beauty. A decolonial porn assemblage is harnessed to illustrate the contradictions produced as girls both desire and object to idealised bodies that are naturalised through heterosexual and racialised hierarchies. The paper concludes by considering the implications of approaching girls' engagement with pornography in relation to the expansion and limitation of their capacities and the body as an intense site of power. [ABSTRACT FROM AUTHOR]

Aims: To identify the influence of teamwork, communication skills, and structural empowerment on providing patient‐centered care among nurses in Eswatini. Design: A quantitative, cross‐sectional survey was used. Methods: This survey conducted in Eswatini selected registered nurses working as full‐time nurses with more than 3 months of working experience using convenience sampling. Different measures were adopted and used to collect data among 130 eligible nurses from February to March 2022. Data were analyzed using Statistical Program for Social Sciences version 26.0. Results: A total of 123 nurses responded in the study and the mean age was 31.05 years with a standard deviation of 5.49. The overall response rate was 94.6% in this study. Hierarchical multiple regression analysis revealed that teamwork (β = 0.236, p < 0.05) and communication skills (β = 0.328, p < 0.05) were significant predictors of the provision of patient‐centered care among nurses. Conclusion: Team‐building exercises and management interventions to empower nurses should be established to improve the provision of patient‐centered care among nurses. Nurses should be empowered to provide patient‐centered care in health facilities by encouraging them to provide their input in management procedures and planning programs. Impact: Clinical practice requires nurses to use effective communication skills and work as a team. Nursing care established on teamwork, respect, empathy, and communication skills allows patients to express their concerns and views in health facilities as they feel involved in care. Patient or public contribution: No patient or public contribution in this paper. This study only involved registered nurses as health professionals. Summary Statement: What is already known? : Patient‐centered care gives patients the chance to participate actively in discussions and consultations.Patient‐centered care requires nurses to work as a team, use effective communication skills, and feel empowered during the execution of their work.Nurses who are empowered are less likely to make medical errors, and collaborative nurses provide better patient‐centered care. What does this paper add? : Highlights that teamwork and communication skills influence nurses' ability to provide patient‐centered care.Add to the growing evidence‐based support that there is a need for teamwork and communication education programs for registered nurses in the workplace.Empowering nurses to participate in management processes and program planning will enable them to deliver patient‐centered care in healthcare facilities. Implications for practice/policy : Education programs focusing on teamwork and communication skills should be provided to nurses working in the clinical setting to enhance the quality of patient care and improve collaboration.All hospitals should adopt a tailored intervention designed to enhance the delivery of patient‐centered care to raise the standard of care.It is imperative that nurses prioritize the development of their teamwork, respect, empathy, and communication skills. [ABSTRACT FROM AUTHOR]

Information from the fifth wave of the Quality-of-Life Survey conducted by the Gauteng City-Region Observatory was used in this paper to investigate the relationship between living in informal dwellings and fear of crime. This examination is based on existing theories, including victimization/vulnerability, neighborhood disorder, and diffuse anxiety theories. Given the prominence of informal dwellings in most urban areas in South Africa, including Gauteng Province, this study examines whether living in informal dwellings determines fear of crime or feelings of unsafety. Multilevel cumulative logistic models were therefore estimated to account for similarities between individuals in the same wards while at the same time modeling for differences between wards. The results indicate that an individual residing in an informal dwelling is less likely to feel safe than one who resides in a formal dwelling in Gauteng Province. By focusing on informal dwellings as the predictor of interest, the present paper attempts to extend the panoply of predictors that can be used in empirical research when testing the above-mentioned theories. [ABSTRACT FROM AUTHOR]

Hegemonic practices of memorialization rely on narratives of heroic, morally untainted resistance, which cast traitors as the aberrant "other." This paper draws on Simone de Beauvoir's The Ethics of Ambiguity and historical and sociological accounts of betrayal to trouble this binary and construct a framework for memorializing betrayal in its ambiguity—in relation to the everyday reality of tragic dilemmas that resisters face. I show how attentiveness to the ambiguity of betrayal can help rethink heroic resistance myths beyond the exclusionary logic pitting moral purity against the depravity of treason—and warn against the reproduction of systematic practices of othering in the new political order. The paper develops the political relevance of this theoretical exploration via the example of a South African novel, The Texture of Shadows, examining how its insights into the ambiguity of betrayal challenge the myths of heroic resistance in South Africa. [ABSTRACT FROM AUTHOR]

This article contributes to the growing literature on technological upgrading along global value chains, by focusing on the adoption of automation and digital technologies at different functional stages of the automotive value chain. It explores the constant tension that firms in emerging economies face between linking up to international trade and ensuring the upgrading of indigenous firms, which depends on the relationship between lead international firms' operations and capabilities at the local level. Drawing on extensive qualitative research in South Africa, including 39 interviews and observations at the shopfloor level, this paper examines the determinants for automation and digital technologies adoption. The finding extends existing knowledge of technological upgrading along global value chains, by examining both final assemblers and lower-tier suppliers. Four production specific drivers are identified: volume, quality, material-led adoption, and ergonomics. This paper suggests policymakers should consider sector heterogeneity and specific sector-technology combinations when designing policies to sustain digitalization and production upgrade. [ABSTRACT FROM AUTHOR]

The Health Professions Council of South Africa (HPCSA) introduced the continuing professional development (CPD) system for all practitioners in 2007. The HPCSA did however identify shortcomings to the current CPD system and has proposed a maintenance of licensure (MOL) model. This article unpacks what the MOL entails in terms of clinical competence, reflection, reflective practice, and self-assessment. The MOL proposal intends to verify that each HPCSA registered practitioner maintains and improves professional knowledge, skills and performance for improved patient outcomes and health systems. Evaluation of competencies and performance through self-assessment would be required. A reflective practitioner is actively involved in their own personal development, and uses ongoing reflection-in-action and identifies development needs through self-assessment. Reference is made to other studies to analyse the implementation of reflective practice, reflection and self-assessment linked to CPD activities. In view of reflection, reflective practice and self-assessment described in the literature to self-report on CPD, it is apparent that it may or may not be the panacea to address the criteria of being 'sufficiently experienced', 'clinically competent' and a 'reflective practitioner'. Ethically, practitioners should not have to depend on any CPD model to best serve the needs of the patient and provide optimal patient-centred care. [ABSTRACT FROM AUTHOR]

South Africa is rapidly obliterating its cultural resources and indigenous values. Particularly, this is the case in rural South Africa where manifestations of socio-economic declensions are evident. However, a number of the policies that are meant to enhance rural development lack a cohesive strategy that is based on culture-based theoretical frameworks. The paper argues that the conspicuous disregard to address rural development and its concomitant socio-economic challenges in the Revised White Paper on Arts, Culture, and Heritage, 2017, by the Department of Arts and Culture (DAC), now (DSAC); poses a great threat to sustainable rural development [ABSTRACT FROM AUTHOR]

Modern day societies and economies are becoming increasingly vulnerable to the continued erosion of the stocks and flows of essential ecosystem services. Thus, the management of complex socio-economic systems to effectively provide these essential services has become a global priority policy and academic research area. Understanding how underlying processes and functions contribute towards the provision of final ecosystem services can facilitate improved dissemination of credible, legitimate and salient information to decision-makers. This paper presents an ecosystem service value chain analysis framework that applies basic system dynamics modelling in the form of causal loop diagrams to facilitate an alternative analysis of ecosystem service value chains. A scoping application of the framework is applied to a case study for flood attenuation services in the Baviaanskloof catchment in South Africa. The framework enables the identification of forward linkages and ripple effects in individual value chains of final ecosystem services as well as the identification and assessment of challenges and opportunities within individual causal pathways. Ultimately, providing the potential to advance strategies for improving the efficiency and effectiveness of final ecosystem service provision. [ABSTRACT FROM AUTHOR]

Introduction: Administering patient-reported outcome measures (PROMs) by text message may improve response rate in hard-to-reach populations. This study explored cultural acceptability of PROMs and compared measurement equivalence of the EQ-5D-3L administered on paper and by text message in a rural South African setting.Materials and Methods: Participants with upper or lower limb orthopaedic pathology were recruited. The EQ-5D was administered first on paper and then by text message after 24 h and 7 days. Differences in mean scores for paper and text message versions of the EQ-5D were evaluated. Test-retest reliability between text message versions was evaluated using Intraclass Correlation Coefficients (ICCs).Results: 147 participants completed a paper EQ-5D. Response rates were 67% at 24 h and 58% at 7 days. There were no differences in means between paper and text message responses for the EQ-5D Index (p = 0.95) or EQ-5D VAS (p = 0.26). There was acceptable agreement between the paper and 24-h text message EQ-5D Index (0.84; 95% Confidence Interval (CI) 0.78-0.89) and EQ-5D VAS (0.73; 95% CI 0.64-0.82) and acceptable agreement between the 24-h and 7-day text message EQ-Index (0.72; CI 0.62-0.82) and EQ-VAS (0.72; CI 0.62-0.82). Non-responder traits were increasing age, Xhosa as first language and lower educational levels.Conclusions: Text messaging is equivalent to paper-based measurement of EQ-5D in this setting and is thus a viable tool for responders. Non-responders had similar socioeconomic characteristics and attrition rates to traditional modes of administration. The EQ-5D by text message offers potential clinical and research uses in hard-to-reach populations. [ABSTRACT FROM AUTHOR]

In South Africa, a major initiative to encourage load shifting and reduce strain on the electricity grid prompted one paper mill to investigate the pumping processes at its water supply plant. In this detailed two-part case study, Graeme Harding takes us through the investigative process leading to the final solution, which has yielded a 25% energy saving since implementation. [ABSTRACT FROM AUTHOR]

Thirty years after democracy in South Africa, the legacy of apartheid continues to affect Black and Brown1 bodies by excluding them from the ocean and other spaces through the legacies of racist laws which continue to bleed into the present. In this paper, I argue that strandlooping as a method of enquiry is key to understanding care for our hydrocommons. This methodology can also be considered to be a generative way of re-imagining and practicing higher education research and gender studies differently. Strandlooping as a lone, Brown woman along certain stretches of the coastline is unsafe, and this influences the way I work and whom I choose to walk with. I make use of African feminism, Indigenous knowledge and research-creation frameworks in the paper to enact theory-practice-praxis in creative and relational ways. The paper concludes with three suggested watermarks or propositions for strandlooping to encourage knowledge-making with humans and more-than-human entities. [ABSTRACT FROM AUTHOR]

Drawing on research on multilingualism in South Africa and India, this paper attempts to integrate world Englishes studies and variationist sociolinguistics; in other words, to fill in a missing dialogue between Braj Kachru and William Labov. The classic studies of variationism have been undertaken in large western centres in which the hegemony of one language is largely accepted. In the postcolonial world elsewhere, language functions and statuses are apportioned differently. This paper therefore probes the extent to which mainstream variationism is applicable outside the western milieu that it has so powerfully illuminated. This paper will outline how P languages (carrying overt prestige and power) interact with S languages (for solidarity and community interaction) within multilingual repertoires in post‐colonial contexts. The paper also explores the extent to which S and P codes interact under contact and switching in ‘third space’ moments that best capture the post‐colonial habitus among educated bilingual speakers. [ABSTRACT FROM AUTHOR]

Renewable energy has emerged as a promising solution to address the challenges of climate change, energy security, and socio-economic development. South Africa, with its abundant renewable energy resources, has made significant strides in the utilization of renewable energy over the past decade. This paper provides a comprehensive review of the progress of renewable energy advancement in South Africa, examining the policies, initiatives, and achievements in various renewable energy sectors. This study explores the country's transition from a heavily coal-dependent energy system to a diversified and sustainable energy mix. It analyses the growth of renewable energy technologies, such as wind power and solar photovoltaic (PV), highlighting the key milestones, challenges, and opportunities. Furthermore, this paper discusses the role of government support, regulatory frameworks, and private sector investments in driving renewable energy deployment in South Africa. Finally, it identifies the prospects and potential areas for further advancement in the renewable energy sector. This review aims to contribute to the understanding of South Africa's renewable energy journey and provides valuable insights for policy-makers, researchers, and stakeholders involved in the sustainable energy transition. [ABSTRACT FROM AUTHOR]

This paper examines the influence of compensation spending reviews on government policy by analysing the case of South Africa, focusing on an extended review of the drivers of payroll costs. It addresses the decision by the government to renege on a wage agreement with public sector unions and the subsequent backlash from labour unions, and explains how spending reviews contributed to this. The paper outlines the methodology used for the analysis and summarises the key findings of the compensation spending reviews conducted between 2017 and 2020. It also discusses the implications of the decision and subsequent developments for compensation spending in South Africa. [ABSTRACT FROM AUTHOR]

Introduction: Antiretroviral therapy (ART) initiation in infants living with HIV before 12 weeks of age can reduce the risk of mortality by 75%. Point‐of‐care (POC) diagnostic testing is critical for prompt ART initiation; however, despite its availability, rates of ART initiation are still relatively low before 12 weeks of age. This systematic review describes the barriers to ART initiation in infants before 12 weeks of age, despite the availability of POC. Methods: This systematic review used a narrative synthesis methodology. We searched PubMed and Scopus using search strategies that combined terms of multiple variants of the keywords "early infant initiation on antiretroviral therapy," "barriers" and "sub‐Saharan Africa" (initial search 18th January 2023; final search 1st August 2023). We included qualitative, observational and mixed methods studies that reported the influences of early infant initiation on ART. We excluded studies that reported influences on other components of the Prevention of Mother to Child Transmission cascade. Using a deductive approach guided by the updated Consolidated Framework of Implementation Research, we developed descriptive codes and themes around barriers to early infant initiation on ART. We then developed recommendations for interventions for the identified barriers using the action, actor, target and time framework from the codes. Results: Of the 266 abstracts reviewed, 52 full‐text papers were examined, of which 12 papers were included. South Africa had most papers from a single country (n = 3) and the most reported study design was retrospective (n = 6). Delays in ART initiation beyond 12 weeks in infants 0–12 months were primarily associated with health facility and maternal factors. The most prominent barriers identified were inadequate resources for POC testing (including human resources, laboratory facilities and patient follow‐up). Maternal‐related factors, such as limited male involvement and maternal perceptions of treatment and care, were also influential. Discussion: We identified structural barriers to ART initiation at the health system, social and cultural levels. Improvements in the timely allocation of resources for POC testing operations, coupled with interventions addressing social and behavioural barriers among both mothers and healthcare providers, hold a promise for enhancing timely ART initiation in infants. Conclusions: This paper identifies barriers and proposes strategies for timely ART initiation in infants. [ABSTRACT FROM AUTHOR]

The proliferation of mobile phones across the world has contributed to the rise of mHealth interventions as a complementary means for improving health outcomes in areas where health facilities are limited. However, community members who do not own or have access to mobile devices feel excluded from such interventions. In this paper, we seek to understand and explore engagement strategies that support the inclusion of non-mobile phone owners in mHealth interventions. We conducted a review of mHealth and community engagement literature to gauge the strategies different studies have employed to engage non-mobile phone owners and users. We further reflected on two Southern African case studies from health and citizen engagement sectors to gain insights on ways non-mobile phone owners may feel included in mHealth interventions. Through a process of thematic analysis, we have identified three areas that mHealth implementers could draw from when designing more inclusive mHealth interventions. These strategies include the need for sensitising communities, using multi-stakeholder and multi-sectoral collaboration, and embracing a braided approach to communication technologies. We hope that this paper will inform mHealth project implementers on different strategies they can use to include community members, regardless of whether they own mobile phones or not. [ABSTRACT FROM AUTHOR]

There has been increasing attention to legal and political contention concerning refugees and asylum seekers in cities. However, there are further opportunities to analyze the relationship between civil society litigation and state institutions in Global South cities. In this paper, I analyze civil society litigation to re-open Refugee Reception Offices (RROs) in South Africa. Primarily based on legal research, I argue that civil society litigation to re-open RROs in specific cities represents an advocacy strategy to contextualize national rights and policies within urban spaces. The paper contributes to broader discussions on civil society advocacy and rights and governance in cities. [ABSTRACT FROM AUTHOR]

While literature extensively examines waste management issues in urban areas, limited attention has been given to rural developing waste contexts. This paper aims to understand the policy/implementation nexus between national and local government within the rural waste management context in two rural municipalities in KwaZulu-Natal, South Africa. The research utilizes a directed deductive content analysis applying a framework proposed by Pollans. Originally designed for urban contexts, this framework has proven valuable for comprehending solid waste management policy implementation challenges in rural settings. This paper proposes an adjustment to this framework, differentiating the disposal mode of governing into government-based and self-reliant-based approaches. The authors found a significant implementation gap in both municipalities, characterized by a predominant, incremental disposal-oriented governing mode. This contrasts with the visionary and aspirational modes of governing promoted by the national government, focusing on diversion and eco-efficient waste strategies. These divergent modes of governing influence current waste management practices, especially in rural municipalities. We recommend strategies towards narrowing the implementation gap by formulating policies tailored to local development needs. Finally, the research sheds light on the challenges and disparities in rural waste management policy implementation and provides insights into how rural areas can transition towards sustainable waste management practices. [ABSTRACT FROM AUTHOR]

This paper reports on research undertaken to understand the contribution of formal Technical Vocational Education and Training (hereafter TVET) to company-level growth and transformation in the automotive sector in South Africa. The findings of this article are part of a larger research project conducted in South Africa and five other developing countries, namely, Bangladesh, Cambodia, Ethiopia, Laos, and Vietnam, to explore the contribution of TVET programs to inclusive industrial transformation and growth in the manufacturing sectors. It argues that formal TVET training does not drive workplace changes in technology, work organisation, and product change in the automotive sector. This paper challenges the current formal TVET provision policy in South Africa to recognise other forms of training provision, such as non-formal, and informal on-the-job training, in addition to company-level factors critical in shaping the skills system if we are to understand the extent to which skills enhance growth and transformation. [ABSTRACT FROM AUTHOR]

This paper presents an innovative experience involving students and professors from diverse backgrounds and regions that was designed to integrate corporate sustainability (CS) knowledge into undergraduate programs. An action research approach was adopted, with the course running over one semester. The course involved 146 students with diverse academic backgrounds from universities across Brazil along with eight professors from Brazil, Chile, and South Africa. The proposed approach provides actionable insights into the integration of sustainability concepts in the higher educational setting, thereby contributing to the development of a more environmentally and socially conscious generation of professionals. The learning outcomes are discussed in the light of the Sustainable Development Goal (SDG) Agenda, particularly SDG 7 (affordable and clean energy), SDG 9 (industry, innovation, and infrastructure), and SDG 13 (climate action). In addition, it is important to highlight that the dissemination of the course's key features can be useful for universities, professors, and researchers engaged in training future professionals capable of addressing real-world problems of innovation and sustainability. By employing an action research methodology and fostering collaboration among students and professors with diverse academic backgrounds and from different countries, including Brazil, Chile, and South Africa, this paper presents a multiregional and interdisciplinary perspective that sets it apart from conventional practices. The emphasis on providing actionable insights and its potential applicability for universities, professors, and researchers involved in training future professionals further underscore its distinctive contribution to education for sustainable development. [ABSTRACT FROM AUTHOR]

Twenty-four years ago, the National Heritage Resources Act, No. 25 of 1999 (NHRA) was enacted in South Africa. This was a moment of change, when the heritage of those marginalised during the colonial and Apartheid eras would finally be given its rightful place on the national heritage list. There was a sense of optimism amongst politicians that the African past was finally to be recognised in an inclusive and representative future. This was echoed in archaeology, given its central role in uncovering and telling the story of precolonial South Africa. The discipline slowly opened its doors to academics of all ethnic groups and new perspectives were identified. But an examination of the practical consequences and impact of this progressive legislation for transforming officially declared heritage in the past 24 years shows surprisingly little change in the overall body of recognized, listed heritage. Recent studies of transformation in South African archaeology have focussed on institutional transformation; possible transformation of the types and frequency of sites declared as national and provincial heritage sites has not yet been examined. It is this issue which our paper addresses. The paper presents analysis that relies on the South African Heritage Resources Information System (SAHRIS) database covering the period 1936 to mid-2022. Whilst sites associated with European colonialism still predominate, there has been a change in the frequency of types of heritage declared since 1999, with an increase in sites associated with the Black liberation struggle. Yet the list remains very unbalanced, with only a single heritage site connected to the precolonial past of Black South Africans having been declared as a national heritage site since 1999. We discuss and classify the types of heritage declared since 1999 and suggest reasons for the distortion. [ABSTRACT FROM AUTHOR]

In this paper, we aim to explore public reactions to non-normative expressions of masculinity within South African society. We argue that although society has become more accepting of such expressions, there still exists public criticism and heteronormative labelling of sexuality and gender. The case study of a local entertainment celebrity, Sivuyile Ngesi, is used to interrogate the illusion of the "real man" and the construction of heteronormative masculinities in the South African context. Ngesi's personal portrayal of his masculine identity is unconventional and provides an example of an atypical expression of a Black African heterosexual identity. In the paper we draw on a range of local media sources, as well as an in-depth interview with Ngesi himself, to discuss an idiosyncratic vision of an alternative Black African masculine identity and the realities and implications around it. [ABSTRACT FROM AUTHOR]

This paper investigates the effect of foreign ownership on firm performance in the South African informal sector. Using the data of 1097 informal businesses sourced from the World Bank Enterprises Survey conducted in four Township provinces in South Africa (Gauteng, KwaZulu-Natal, Eastern Cape and Western Cape) in 2020, the paper aims to address two issues: what is the effect of foreign ownership on performance in the South African informal sector and what factors drive foreign-ownership gap in the South African informal sector if it exists? The empirical analysis uses the multivariable decomposition technique and finds a performance gap between locally and foreign-owned businesses in the South African informal sector. A decomposition of factors shows that differences in endowments can explain the bulk of the gap. Discriminatory/unexplained factors, likely capturing the business culture, also play a significant role. Caution is given when seeking to curb foreign business participation in the informalsector. [ABSTRACT FROM AUTHOR]

This paper explores the scourge of infrastructure vandalism in South Africa and Zimbabwe, with a particular focus on electricity and rail transport companies within the two countries. The paper sought to document the manifestation of infrastructure vandalism; identify the socio-economic impacts of infrastructure vandalism; and explore the challenges of curbing vandalism. The paper reveals that vandalism mainly manifests through copper cable theft; vandalism of transformers, pylons and rail infrastructure; theft of transformers; and tampering with railway points machines. Vandalism of infrastructure comes with direct and costs to the utility companies, as well as negatively impacting the economy, essential services, and the overall community safety. Involvement of employees in the criminal activities, corruption, incessant power cuts, well organised crime syndicates and a weak legal framework were identified as the current challenges to anti-vandalism efforts. The paper also proffers mitigatory measures to deal with the scourge. [ABSTRACT FROM AUTHOR]

The management of greywater and sanitation in South Africa's urban informal settlements is a pressing concern. This review critically examines the legal framework that governs greywater management in South Africa's informal settlements, aiming to shed light on the existing regulations, gaps, and opportunities for sustainable greywater reuse. By scrutinizing the legal framework, the review identifies gaps and challenges in the regulatory environment, including inconsistencies, lack of clarity, and limited enforcement mechanisms. It explores the potential for international best practices to inform possible amendments to the existing legal framework. This was a quantitative research design utilizing a cross sectional survey model. Questionnaires were administered electronically to a sample of 17 municipal leaders from the City of Tshwane, City of Johannesburg and Buffalo City municipalities whose responsibilities were on water management. Descriptive statistics were employed in analysis of the data. Outcomes were reviewed against the alignment or the lack thereof with the SANS 1732:201x standards. This paper underscores the critical need for a coherent and robust legal framework to support responsible greywater management in South Africa's informal settlements. The paper's insights contribute to the ongoing discourse on water governance, shedding light on the pathways toward a more equitable water future. [ABSTRACT FROM AUTHOR]

A key global change challenge is to significantly reduce the risks of alien taxa causing harmful impacts without compromising the rights of citizens. As part of efforts to address this challenge, South Africa promulgated comprehensive regulations and lists of alien taxa in 2014. In this paper, we review how the lists developed, changed over time, and how they have been implemented. As of March 2021, 560 taxa were listed under four broad regulatory categories, and between 2014 and 2020, almost 3000 permits were issued to regulate the continued use of listed taxa. The full lists of regulated taxa, permits issued, and corresponding regulations are available in the Supplementary material. A proposed standardised, transparent, and science-informed process to revise the regulatory lists is also presented – as of 30 April 2024, risk analyses have been developed for 140 taxa using the Risk Analysis for Alien Taxa (RAAT) framework and reviewed by an independent scientific body [the Alien Species Risk Analysis Review Panel (ASRARP)] with input from taxon-specific experts. These recommendations are being considered by an interdepartmental governmental decision-making body established in March 2023 [the Risk Analysis Review Committee (RARC)]. Finally, key issues with the listing of alien taxa in South Africa that remain to be resolved are presented. As South Africa’s regulatory framework continues to develop, the process of listing and regulating alien taxa will, we believe, become more transparent, consistent, and acceptable to stakeholders, and ultimately facilitate efforts to reduce the harmful impacts of alien taxa. Significance: The regulation of alien species is a major part of how South Africa addresses biological invasions. For this process to be effective, relevant stakeholders need to be engaged and involved. This paper outlines how species have been regulated in the past, provides regulatory lists in accessible formats, and analyses how the lists have changed over time. A transparent, science-informed process to update the regulatory lists is presented and progress to date reviewed. This process aims to engage interested and affected parties in efforts to preserve the benefits of alien species while reducing the harmful impacts of invasions. [ABSTRACT FROM AUTHOR]

This paper critically explores the use of satire and humour by fast-foods outlets in South Africa and Zimbabwe to advertise and market their menu through digital media platforms, Facebook and Twitter. Using Nando's South Africa and Mambo's Chicken, in Zimbabwe, as case studies, we examine how satire and humour are used as advertising strategies, and as a reflection of these countries' economic and political environments. Consumers are overwhelmed with information coming from different sources such as Television, radio, newspapers and Internet. The paper's theoretical approach is gleaned from advertising and satire. We argue that through their encounter with food, consumers tend to understand the reason behind their 'empty stomach', and mediate on prevailing socio-political and economic issues. [ABSTRACT FROM AUTHOR]

Impact assessment (IA) follow-up is necessary to determine the environmental effects of a project or plan to inform ongoing management. No previous research confirms if visitor surveys may be used to this extent for developments within a protected. This paper explores if and how visitor surveys may be used as a tool for supporting EIA follow-up within protected areas. Relevant EIA documentation was appraised to determine EIA performance expectations for management of the Nombolo Mdhluli Conference Centre development in the Kruger National Park. Forty-four expectations were identified, translated into questions, and included in a survey scale. Eighty-nine conference delegates completed the survey whereafter an Importance Performance Analysis (IPA) method was used to map the responses in four IPA map quadrants: 1. Possible overkill, 2. Low priority, 3. Q3 Keep up the good work, and 4. Concentrate here. The IPA map displays 29 items of statistical significance in the four IPA map quadrants with 12 items in the 'Concentrate here' quadrant. The IPA results mapped the need for management to concentrate on responsible building, waste, water, energy, compliance, awareness, cumulative impact management. The paper shows that visitor surveys may be used as a simple but effective tool for supporting EIA follow-up monitoring. [ABSTRACT FROM AUTHOR]

In the early twentieth century M.K. Gandhi articulated Satyagraha as a decentering quest for truth through everyday politics. Satyagraha privileged the "minor" or the marginalized over the dominant and everydayness and dwelling over history. In light of the contemporary criticisms of Gandhi, this paper examines Gandhian Satyagraha as a minor force that may hold him accountable for his entrenchment within dominant race and caste relations. The paper is divided into three sections devoted to "minor" matters of dwelling and ordinariness. I begin with an examination of Gandhi's politics through race and labor in South Africa, between 1896 and 1905. To understand Gandhi's racism in South Africa it is necessary to pay attention to his marginalization of social and legal narratives related to labor, agriculture, rent and places of habitation such as the hut. I then foreground Gandhi's marginalization of architecture in his discourses around Akash (the sky) and his body in 1932 and in 1942 during his incarcerations in Pune. Finally, I focus on the architecture of the huts built for him in Wardha in 1936–37 and the conflict that emerges between his conception of the social reproduction of labor as a minor voice within the self and his embrace of caste through varnashramadharma. [ABSTRACT FROM AUTHOR]

South African Department of Home Affairs (DHA) officials 'seem to get angry with honest people', shared a Congolese immigrant from the Kivu region who now resides in Cape Town. Some DHA officials get money through illicit transactions for 'papers' and they become visibly frustrated with immigrants who try to obtain documents by lawful means. While there has been much focus on xenophobia associated with immigration in South Africa, there has been little attention paid to the illicit market in immigrant papers such as asylum seeker permits (Section 22 permits), refugee status permits (Section 24 permits), and work permits. These immigrant documents assist individuals--namely those who otherwise lack status, or 'papers', or both--to obtain abilities to work, travel safely, register themselves or their children for school, access non-emergency healthcare, and gain banking privileges. In providing an account of the market in immigrant papers, the article focuses on how these documents relate to status and survival. By purchasing papers in Cape Town, immigrants (referring to asylum seekers, refugees, and cross border migrants) aim to secure their legal status and gain productive agency in their lives. This paper is based on an ethnographic research methodology and participant observation, and shows how immigration challenges South Africa's post-apartheid, constitutionally-mandated socio-economic rights and democratic aims and has fostered an illicit market in immigrant documents. This work furthers debates on immigration governance in the global south, corruption in state institutions, and the vulnerability of immigrants. [ABSTRACT FROM AUTHOR]

Current management of solid waste from pulp and paper activities represents an environmental and economic burden worldwide due to pollution emissions. This study investigates the potential of hydrothermal carbonisation (HTC) treatment as a sustainable alternative for producing cleaner and energy-dense solid fuel from paper mill sludge. The effect of process parameters (temperature, reaction time and solid load) on hydrochar fuel formation from paper sludge was evaluated and, for the first time, the paper sludge-derived hydrochar was optimised to maximise the mass yield and calorific value using response surface methodology (RSM). The physicochemical characteristics, thermal fuel behaviour, energy recycling efficiency and electricity generation potential were assessed by proximate and ultimate analysis, thermogravimetry, bomb calorimeter, scanning electron microscopy and process energy assessment. Results showed that hydrochar fuel formation and properties were mainly influenced by the process temperature and residence time, and governed by dehydration and decarboxylation reactions which reduced the atomic H/C and O/C ratios by 35.5% and 64%, respectively. The produced hydrochars presented low sulphur, nitrogen and ash content with a maximum calorific value (HHV) of 22.9 MJ/kg, equivalent to the HHV of coal for commercial utility in South Africa. The HHV of the hydrochar corresponded to a 49.80% increase over the HHV of the initial feedstock. The optimum operating conditions were 231 ± 1 °C and 1.99 h for a hydrochar yield of 74.4% and calorific value of 18.5 MJ/kg. The energy assessment showed that up to 58.34% of the energy produced by hydrochar fuel combustion may be recycled as heat or power, while the remaining 41.66% of the combustion energy could be utilised to sustain the HTC treatment of paper sludge. The substantial water demand was concluded to be a drawback. Thus, water recirculation and the potential to catalyse the HTC reactions to increase overall process efficiency will constitute a future study to make the process more environmentally friendly for industrial-scale application. [Display omitted] • Dehydration and decarboxylation were predominant. • Optimum energy yield of 18.5 MJ/kg and 74.4% hydrochar was achieved under 231 ± 1 °C and 1.99 h. • Higher HTC reaction severity enhanced the physicochemical properties of the hydrochar. • Hydrochars produced have low nitrogen and sulphur (<1%) content. [ABSTRACT FROM AUTHOR]

This paper describes the experience of a group of South African clinicians who have met monthly since 2011 to engage with race as it pertains to our clinical contexts, our identities as clinicians and, inevitably, our private selves. Written from a relational psychoanalytic perspective, the paper is contextualised within the prevailing sociopolitical climate and the local profession of psychoanalytic practice. With the aim of crafting a collaborative paper, individual group members were asked to reflect on their experience of the group in order to distil dominant themes and processes. What became evident through the collation of these reflections was a shared experience of various manifestations of a third position which, it is suggested, have facilitated reflective functioning, allowing the group to traverse multiple iterations of rupture and repair. The paper suggests that it is the repeated processes of misrecognition and rupture and subsequent repair and mutual recognition, that largely account for the group's longevity, continuity and challenging generativity. The paper highlights the potency of thirdness in facilitating thinking about race through dialogue. However, the limitations and fragility of the group and its process in the context of the restless and fractured socio-political landscape of contemporary South Africa are also acknowledged. [ABSTRACT FROM AUTHOR]

• The Zulus engage in complementary and alternative medicine through a traditional healing system known as izangoma. • The first review of the antidiabetic medicinal plants commonly used by the Zulus of Kwazulu-Natal province of South Africa. • The list includes local and botanical names, the parts commonly used, isolated bioactive principles and their reported mechanisms of action. • 38 plants covering 20 families were identified with Asteraceae accounting for 34.2% and the leaves was the most used plant part (50 %). • 29 have been scientifically validated while nine lack scientific verification. Diabetes mellitus is a chronic metabolic disorder that affects millions of people worldwide. Its conventional management involves diet modification, exercise, and majorly the use of synthetic drugs, which may be ineffective, have adverse effects, and of relatively expensive costs. To mitigate the downsides of the available treatments, alternative therapies from medicinal plants are commonly sought by different ethnic groups including the Zulus. This paper appraised the antidiabetic plants used by the Zulus, their local and botanical names, the parts commonly used, isolated bioactive principles and their reported mechanisms of action. 38 plants covering 20 families were identified with Asteraceae accounting for 31.57 % and the leaves was the most used plant part (50 %). Out of the 38 plants identified, 28 have been scientifically validated using in vitro/in vivo models but identifying the plant with the most potent hypoglycemic activity remains challenging due to variations in biological activities. Important antidiabetic agents such as quercetin, squalene, kaempferol, isomukaadial acetate, phytol, sitosterol, apigenin, catechin and their derivates have been isolated and characterized from the verified plants though, more scientific exploration is required to develop these principles into valuable antidiabetic medications with establish mechanism of action. Scientists therefore needs to beam their searchlight and dedicate resources to the rich botanicals of the Zulu land with the view to providing indigenous solutions that can be incorporated into modern medicine for diabetes management. [ABSTRACT FROM AUTHOR]

This paper proposes that the dissemination of marginal archival resources can be informed by forms of socioeconomic precarity experienced by their creators and primary subjects. To account for these modes of circulation, the author proposes the notion of a precarious archive. The concept is developed with reference to the Kewpie Collection, an official though marginal archival resource containing photographs as well as recordings and transcripts of interviews with the photographs' collector, Kewpie. The Collection depicts a group of self-described gays and girls living in District Six, a multicultural, inner-city area of apartheid Cape Town, before and during the District's physical destruction by the Nationalist government. By the early 1980s, the girls were among the sixty thousand residents forcibly removed from the District because they were legally classified 'Coloured'. The circulation of materials constituting the Kewpie Collection is characterised as precarious in two senses. First, the materials have been available to diverse uses incorporating a range of identificatory claims, often in terms in which Kewpie does not describe herself. Second, Kewpie's account of the girls' experiences of precarity has been de-emphasised and her photographs celebrated as evidence of the ability of gay lives to flourish in the lost District. The author instead reads these photographs as one example of the girls' efforts to imagine new forms of social existence in the absence of sustaining infrastructure and thereby enable liveability. [ABSTRACT FROM AUTHOR]