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10 October 2018 | Story UFS
UFS School of Nursing gets funding for mental health project
Ronelle Jansen received research funding to provide adolescents with improved access to mental health services and care.

Ronelle Jansen from the School of Nursing at the University of the Free State (UFS) received research funding as part of a multistakeholder capacity-building project to provide adolescents with improved access to mental health services and care in PHC (primary healthcare) settings. 

The research aims to develop and implement a mobile mental health (mHealth) application screening tool for primary healthcare workers (PHCW) to identify adolescent mental health problems and provide mental healthcare training. 

Under pressure 

Jansen (UFS team leader) says mental health screening is sometimes lacking at the clinic level, because the clinics are so busy. “PHCW are under huge pressure due to the number of people they have to see every day, and due to severe staff shortages.

“There is, amongst others, a huge amount of paperwork that needs to be completed for each patient. The nurses only get about 10 minutes to see each patient and mental health screening is seen as time consuming.”

Early identification 

Jansen says the mHealth tool will focus on adolescents and they hope that the mobile application will help nurses with early identification of mental health problems. The clinic staff will then be able to treat and refer the patient correctly. 

She says they hope an accessible and user-friendly mobile tool will also help to motivate PHCW to more regularly screen for mental health problems.

This research is a three-year project co-funded by the Erasmus + programme of the European Union. Nine universities will collaborate on the project. Other partner institutions include the Turku University of Applied Science in Finland (project coordinator); Hamburg University of Applied Sciences in Germany; Riga Technical University in Latvia; the universities of Stellenbosch; Cape Town; Pretoria; the University of Zambia and the Lusaka Apex Medical University.

Jansen says the benefit of the research may be that PHCW will be better empowered to screen for mental health problems, with the aim to improve adolescent mental healthcare and train competent PHCW.

News Archive

Research eradicates bacteria from avocado facility
2017-01-17

 Description: Listeria monocytogenes Tags: Listeria monocytogenes

Listeria monocytogenes as seen under an electron
microscope. The photo was taken with a transmission
electron microscope at the microscopy unit of the UFS.
Bacteriophages (lollipop-like structures) can be seen
next to the bacterial cells.
Photo: Supplied

“The aim of my project was to identify and characterise the contamination problem in an avocado-processing facility and then to find a solution,” said Dr Amy Strydom, postdoctoral fellow in the Department of Microbial Biochemical and Food Biotechnology at the University of the Free State (UFS).

Her PhD, “Control of Listeria monocytogenes in an Avocado-processing Facility”, aimed to identify and characterise the contamination problem in a facility where avocados were processed into guacamole. Dr Strydom completed her MSc in food science in 2009 at Stellenbosch University and this was the catalyst for her starting her PhD in microbiology in 2012 at the UFS. The research was conducted over a period of four years and she graduated in 2016. The research project was funded by the National Research Foundation.

The opportunity to work closely with the food industry further motivated Dr Strydom to conduct her research. The research has made a significant contribution to a food producer (avocado facility) that will sell products that are not contaminated with any pathogens. The public will then buy food that is safe for human consumption.


What is Listeria monocytogenes?

Listeria monocytogenes is a food-borne pathogenic bacterium. When a food product is contaminated with L. monocytogenes, it will not be altered in ways that are obvious to the consumer, such as taste and smell. When ingested, however, it can cause a wide range of illnesses in people with impaired immune systems. “Risk groups include newborn babies, the elderly, and people suffering from diseases that weaken their immune systems,” Dr Strydom said. The processing adjustments based on her findings resulted in decreased numbers of Listeria in the facility.

The bacteria can also survive and grow at refrigeration temperatures, making them dangerous food pathogens, organisms which can cause illnesses [in humans]. Dr Strydom worked closely with the facility and developed an in-house monitoring system by means of which the facility could test their products and the processing environment. She also evaluated bacteriophages as a biological control agent in the processing facility. Bacteriophages are viruses that can only infect specific strains of bacteria. Despite bacteriophage products specifically intended for the use of controlling L. monocytogenes being commercially available in the food industry, Dr Strydom found that only 26% of the L. monocytogenes population in the facility was destroyed by the ListexP100TM product. “I concluded that the genetic diversity of the bacteria in the facility was too high and that the bacteriophages could not be used as a control measure. However, there is much we do not understand about bacteriophages, and with a few adjustments, we might be able to use them in the food industry.”

Microbiological and molecular characterisation of L. monocytogenes

The bacteria were isolated and purified using basic microbiological culturing. Characterisation was done based on specific genes present in the bacterial genome. “I amplified these genes with polymerase chain reaction (PCR), using various primers targeting these specific genes,” Dr Strydom said. Some amplification results were analysed with a subsequent restriction digestion where the genes were cut in specific areas with enzymes to create fragments. The lengths of these fragments can be used to differentiate between strains. “I also compared the whole genomes of some of the bacterial strains.” The bacteriophages were then isolated from waste water samples at the facility using the isolated bacterial strains. “However, I was not able to isolate a bacteriophage that could infect the bacteria in the facility.

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