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14 December 2022 | Story André Damons | Photo André Damons
Dr Michael Pienaar, Senior Lecturer and specialist in the UFS Department of Paediatrics and Child Health being presented to the acting Chancellor by his supervisor Prof Stephen Brown.

A lecturer from the University of the Free State (UFS) says the need to improve the care of seriously ill children is a vital part of reducing preventable deaths and diseases, and this led him to investigate the use of artificial neural networks to develop models for the prediction of patient outcomes in children with severe illness. The study was done for his PhD thesis. 

This forms the basis for the PhD thesis of Dr Michael Pienaar, Senior Lecturer and specialist in the UFS Department of Paediatrics and Child Health, called, The Development and Validation of Predictive Models for Paediatric Critical Illness in Children in Central South Africa using Artificial Neural Networks. His thesis reports the development and testing of several machine learning models designed to help healthcare workers identify seriously ill children early in a range of resource-limited settings. Combining a systematic literature search and Delphi technique with clinical data from 1 032 participants, this research led to significant progress towards implementable models for community health workers in clinical practice.

Care for critically ill children is a mission and calling 

Dr Pienaar graduated with a PhD specialising in Paediatrics on Monday (12 December) during the Faculty of Health Sciences’ December graduation ceremony. It took him three years to complete this degree. His supervisor was Prof Stephen Brown, Principal Specialist and Head of the Division of Paediatric Cardiology in the Department of Paediatrics and Child Health in the Faculty of Health Sciences at the UFS. Prof Nicolaas Luwes and Dr EC George were his co-supervisors. 

“I have been working in paediatric critical care since 2019 and see the care of critically ill children as my mission and calling in life. At the outset of the project, I was interested in approaches to complex phenomena and wanted to investigate new methods for tackling these in healthcare. 

“I have been interested in technology since childhood and in collaborating with other disciplines since I joined the university in 2019. Machine learning seemed like a great fit that could incorporate these interests and yield meaningful clinical results,” explains Dr Pienaar the reason why he chose this topic for his thesis.

He hopes that, in time, this work will lead to the implementation of integrated machine learning models to improve care and clinical outcomes for children in South Africa. From a scholarship perspective, he continues, his hope is that this work draws interest to this field in clinical research and encourages a move towards incorporating these new methods, as well as skills in areas such as coding and design in the armamentarium of a new generation of clinicians.

Medicine chooses you

According to Dr Pienaar, he always had broad interests, of which medicine is one. “I am very grateful to have found my way in medicine and am humbled and privileged to be allowed to walk with children and their families on a difficult and important journey. I believe this profession will choose you and put you where you are needed if you give it time and are prepared to listen.”

He describes graduating as a complicated ending to this period of his life and the beginning of a next chapter. He was humbled by the graduation ceremony. 

“It was wonderful to graduate with undergraduates and postgraduates in my profession – I felt great pride and solidarity joining these new colleagues and specialists in taking the oath. I am certainly relieved, proud, excited, and happy. I am also very grateful to the university, my promotors, colleagues, friends, and family for supporting me through this process. I must confess, it is also slightly bittersweet, I loved working on this and do miss it, but look forward to the next exciting project. 

“I would like to thank my Head of Department, Dr (Nomakhuwa) Tabane, my supervisors, my family and friends once again. I would also like to acknowledge and thank the National Research Foundation (NRF) as well as the University of the Free State for their assistance with funding this research.”

News Archive

Science and goodwill meet drought-stricken communities
2016-03-02

Description: Disinfecting tankered water  Tags: Disinfecting water

“Everyone should contribute to the delivery of clean water to every individual,” says UFS researcher.

The drought in South Africa has impacted the country in many ways. Apart from its economic and environmental implications, the drought also has social implications, leaving some communities without water.

Since 21 January 2016, the Department of Water and Sanitation (DWS) is working together with the Department of Microbial, Biochemical, and Food Biotechnology at the University of the Free State. Dr Mariana Erasmus, post-doctoral fellow in the department, was appointed to lead a project for disinfecting tankered water supplied by the DWS to communities without water in the Qwaqwa area - which falls under the Maluti-a-Phufung Local Municipality.

She is working on the project with Robbie Erasmus from BioSense Solutions and Martin Bambo from DWS. A total of 53 trucks, 91 tanks, and 420 500 litres of water was disinfected so far, using sodium hypochlorite. “This is standard practice around the world,” Dr Erasmus said.

The work done by the UFS and DWS, who is monitoring the water quality as well as the process of water delivery, is very important. Disinfecting the trucks used to deliver water to drought-stricken communities decreases the formation of biofilm inside the tanks. “The biofilm could contain harmful bacteria such as E-coli. It is important to note that this is mostly the result of secondary pollution, since the water quality from the source where it was taken from, proved to be good. Drinking water with this harmful bacteria that has not been properly managed, can lead to health issues in humans when consumed,” Dr Erasmus said.

The Department of Microbial, Biochemical, and Food Biotechnology, interacting with the DWS on several water-related issues, volunteered to get involved in the project. They strongly believe that everyone should contribute to the delivery of clean water to every individual.

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