27,768 results match your criteria South African Medical Journal Suid-Afrikaanse tydskrif vir geneeskunde [Journal]


Fulminant hepatitis B virus (HBV) infection in an infant following mother-to-child transmission of an e-minus HBV mutant: Time to relook at HBV prophylaxis in South African infants.

Authors:
E Buchanan

S Afr Med J 2019 Feb 26;109(3):12551. Epub 2019 Feb 26.

Health and Medical Publishing Group, South Africa.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13957DOI Listing
February 2019
5 Reads

Mental illness in the Western Cape Province, South Africa: A review of the burden of disease and healthcare interventions.

Authors:
E Buchanan

S Afr Med J 2019 Feb 26;109(3):12550. Epub 2019 Feb 26.

Health and Medical Publishing Group, South Africa.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13956DOI Listing
February 2019

Assessment and management of venous thrombo-embolism risk during pregnancy and the puerperium (SAVE): The South African cohort.

S Afr Med J 2019 Feb 26;109(3):186-192. Epub 2019 Feb 26.

Sanofi South Africa.

Background: Venous thromboembolism (VTE) is associated with significant morbidity and mortality. Pregnancy and the puerperium are hypercoagulable states and increase the risk of VTE. There is a paucity of South African (SA) data related to use of thromboprophylaxis during pregnancy and the puerperium. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13487DOI Listing
February 2019
1 Read

Trauma electives in South Africa provide valuable training for international surgeons.

S Afr Med J 2019 Feb 26;109(3):182-185. Epub 2019 Feb 26.

Department of Surgery, Kurashiki Central Hospital, Okayama, Japan.

Background: Trauma electives in South Africa (SA) are common and many foreign-based surgeons have undertaken such electives over the past 3 decades. Despite this, little academic attention has been paid to these electives, which remain largely informal and unstructured. This project aims to redress this deficit. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13551DOI Listing
February 2019
2 Reads

Venous thromboembolism risk and prophylaxis prescription in surgical patients at a tertiary hospital in Eastern Cape Province, South Africa.

S Afr Med J 2019 Feb 26;109(3):178-181. Epub 2019 Feb 26.

Department of Surgery, Frere Hospital, East London Hospital Complex, South Africa.

Background: Venous thromboembolism (VTE) is a common complication during and after hospitalisation, and is regarded as the most common cause of preventable death in hospitalised patients worldwide. Despite its importance, there are few data on VTE risk and adherence to prophylaxis prescription guidelines in surgical patients from the South African (SA) public sector, especially from low-resource environments such as Eastern Cape Province.

Objectives: To evaluate the risk and prescription of VTE prophylaxis to surgical patients at a tertiary government hospital in the Eastern Cape. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13510DOI Listing
February 2019
1 Read

How accurately do routinely reported HIV viral load suppression proportions reflect progress towards the 90-90-90 target in the population on antiretroviral treatment in Khayelitsha, South Africa?

S Afr Med J 2019 Feb 26;109(3):174-177. Epub 2019 Feb 26.

Centre for Infectious Disease Epidemiology and Research, Department of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa.

Background: The Joint United Nations Programme on HIV/AIDS (UNAIDS) third 90-90-90 target requires 90% of patients on antiretroviral treatment (ART) to be virally suppressed (<1 000 copies/mL). In Khayelitsha, Cape Town, South Africa viral load (VL) suppression of <400 copies/mL was reported as 89% in 2016, but only 56% of patients had a result recorded in routine data. We conceived a VL 'cascade' to represent the steps required for an expected VL to be reported as complete in routine data and thus contribute to reported VL suppression: among those for whom a VL is 'expected', a sample must be collected and tested ('done'), a result must be 'filed' in the patient folder, 'noted' by a clinician and electronically 'captured'. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13456DOI Listing
February 2019
2 Reads

Chronic lung disease and a history of tuberculosis (post-tuberculosis lung disease): Clinical features and in-hospital outcomes in a resource-limited setting with a high HIV burden.

S Afr Med J 2019 Feb 26;109(3):169-173. Epub 2019 Feb 26.

Division of Cardiology, Department of Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.

Background: Many patients with previous pulmonary tuberculosis (PTB) continue to experience respiratory symptoms long after completion of tuberculosis (TB) therapy, often resulting in numerous hospital visits and admissions.

Objectives: To describe the profile of patients with chronic lung disease (CLD) with or without a history of PTB, and their in-hospital outcomes.

Methods: We conducted a retrospective review of patients with CLD admitted with respiratory symptoms to Dora Nginza Hospital, Port Elizabeth, South Africa, from 1 April 2016 to 31 October 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13366DOI Listing
February 2019
1 Read

Evaluation of factors and patterns influencing the 30-day readmission rate at a tertiary-level hospital in a resource-constrained setting in Cape Town, South Africa.

S Afr Med J 2019 Feb 26;109(3):164-168. Epub 2019 Feb 26.

Department of Internal Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa.

Background: Factors contributing to and causes of hospital readmissions have been investigated worldwide, but very few studies have been performed in South Africa (SA) and none in the Western Cape Province.

Objectives: To investigate possible preventable and non-preventable factors contributing to readmissions to the Department of Internal Medicine at Tygerberg Hospital (TBH), Cape Town, within 30 days of hospital discharge. The researchers tested a risk-stratification tool (the LACE index) to evaluate the tool's performance in the TBH system. Read More

View Article

Download full-text PDF

Source
http://www.samj.org.za/index.php/samj/article/view/12563
Publisher Site
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13367DOI Listing
February 2019
3 Reads

Delay to diagnosis and breast cancer stage in an urban South African breast clinic.

S Afr Med J 2019 Feb 26;109(3):159-163. Epub 2019 Feb 26.

Department of Surgery, Helen Joseph Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Breast cancer is the most common cancer in women in many low- and middle-income countries, and often presents at an advanced stage that affects prognosis irrespective of the care available. Although patient-related delay is commonly cited, the reasons for delay and the relationship of delay to stage are still poorly documented, especially in Africa.

Objectives: To identify where patient-related socioeconomic delays occur and how these relate to stage at presentation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13283DOI Listing
February 2019
2 Reads

Perioperative comparison of the agreement between a portable fingertip pulse oximeter v. a conventional bedside pulse oximeter in adult patients (COMFORT trial).

Authors:
R N Smith R Hofmeyr

S Afr Med J 2019 Feb 26;109(3):154-158. Epub 2019 Feb 26.

Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South Africa.

Background: Low-cost, portable fingertip pulse oximeters are widely available to health professionals and the public. They are often not tested to International Organization for Standardization standards, or only undergo accuracy studies in healthy volunteers under ideal laboratory conditions.

Objectives: To pragmatically evaluate the agreement between one such device and a conventional bedside pulse oximeter in a clinical setting, in patients with varied comorbidities and skin pigmentations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13633DOI Listing
February 2019

Alternating hemiplegia of childhood: First South African case report and verapamil as a possible treatment option.

S Afr Med J 2019 Feb 26;109(3):152-153. Epub 2019 Feb 26.

Department of Paediatrics, Frere Hospital, East London, South Africa.

In this case report we describe a child with alternating hemiplegia of childhood, a rare neurodevelopmental disorder, and the effectiveness of an unconventional drug, verapamil, in treating this condition. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13757DOI Listing
February 2019

The apps are coming! But will they be legal in South Africa?

Authors:
A Barit

S Afr Med J 2019 Feb 26;109(3):150-151. Epub 2019 Feb 26.

Faculty of Law, University of Pretoria, South Africa.

Technology is all around us. It helps us to be more productive every day. One of the main ways it does this is by automating processes that would otherwise have taken up our time. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13812DOI Listing
February 2019

Reflections on undergraduate teaching.

Authors:
J Edge

S Afr Med J 2019 Feb 26;109(3):12548. Epub 2019 Feb 26.

Division General Surgery, Department of Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i3.13865DOI Listing
February 2019

A retrospective review on benzodiazepine use: A case study from a chronic dispensary unit.

S Afr Med J 2019 Jan 31;109(2):127-132. Epub 2019 Jan 31.

Discipline of Pharmaceutical Sciences, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

Background: Benzodiazepines (BZDs) are highly effective hypnotic and anxiolytic agents and among the most frequently used drugs in the world, but there are significant disadvantages associated with their use. Identifying possible irrational BZD prescribing is important to ensure safe and effective use of these agents. No studies have been conducted in other African countries, and this is the only study in the Western Cape (WC) Province of South Africa (SA), highlighting the paucity of local research. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13347DOI Listing
January 2019
2 Reads

Four-year review of admissions to a South African regional hospital general surgery department.

S Afr Med J 2019 Jan 31;109(2):122-126. Epub 2019 Jan 31.

Department of Surgery, Worcester Hospital and Ukwanda Centre for Rural Health, Stellenbosch University, Cape Town, South Africa.

Background: There are limited published data describing surgical admissions at a regional hospital level in the South African (SA) context.

Objectives: To retrospectively review data from an electronic discharge summary  database at a regional SA hospital from 2012 to 2016 to describe the burden of surgical disease by analysing characteristics of the patients admitted.

Methods: All discharge summary records for the 4-year period were reviewed after extraction from a database created for the surgery department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13433DOI Listing
January 2019
3 Reads

Mortality among older patients admitted to the medical wards of Groote Schuur Hospital, Cape Town, South Africa, 2010 - 2013.

S Afr Med J 2019 Jan 31;109(2):116-121. Epub 2019 Jan 31.

Chief Tony Anenih Geriatric Centre, University College Hospital, Ibadan, Nigeria.

Background: Geriatric medicine is an evolving specialty in Africa, and little is known about mortality among older patients admitted to medical wards.

Objectives: To determine mortality rates and associated factors among older medical inpatients.

Methods: Electronic data on patients aged ≥60 years admitted to the medical wards of Groote Schuur Hospital, Cape Town, South Africa, between January 2010 and December 2013 were analysed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13275DOI Listing
January 2019
1 Read

Validation and effect on diabetes control of glycated haemoglobin (HbA1c) point-of-care testing.

S Afr Med J 2019 Jan 31;109(2):112-115. Epub 2019 Jan 31.

Department of Internal Medicine, Edendale Hospital, Pietermaritzburg, South Africa.

Background: Optimal control of diabetes mellitus (DM) remains daunting globally. Point-of-care testing (POCT) for glycated haemoglobin (HbA1c) enables the clinician to make immediate management decisions and thereby improve DM control and complications. Better control is increasingly being striven for in developing countries where availability of POCT devices is limited. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13447DOI Listing
January 2019

Factors related to hospital readmissions in people with spinal cord injury in South Africa.

S Afr Med J 2019 Jan 31;109(2):107-111. Epub 2019 Jan 31.

Department of Physiotherapy, School of Health Care Sciences, Faculty of Health Sciences, University of Pretoria, South Africa.

Background: People with spinal cord injury (PWSCI) face various challenges after being discharged from rehabilitation that can result in readmission to hospital. Little is known about readmission of PWSCI in South Africa (SA). Readmission is costly, interrupts community involvement and negatively affects quality of life. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13344DOI Listing
January 2019

The association between preterm labour, perinatal mortality and infant death (during the first year) in Bishop Lavis, Cape Town, South Africa.

S Afr Med J 2019 Jan 31;109(2):102-106. Epub 2019 Jan 31.

Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Background: We present further analyses from the Safe Passage Study, where the effect of alcohol exposure during pregnancy on sudden infant death syndrome and stillbirth was investigated.

Objectives: To describe pregnancy and neonatal outcome in a large prospective study where information on the outcome of pregnancy was known in >98.3% of participants and ultrasound was used to determine gestational age (GA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13438DOI Listing
January 2019
4 Reads

Midwife-led obstetric units working 'CLEVER': Improving perinatal outcome indicators in a South African health district.

S Afr Med J 2019 Jan 31;109(2):95-101. Epub 2019 Jan 31.

Tshwane District Health and Department of Family Medicine, School of Medicine, Faculty of Health Sciences, University of Pretoria, South Africa.

Background: South Africa did not meet its Millennium Development Goals with regard to the reduction in maternal and under-5 mortality. Furthermore, many birthing women do not receive intrapartum care with empathy and endure disrespect-ful and abusive care.

Objectives: To implement a multicomponent, context-specific intervention package to change the complex interplay between preventable maternal and perinatal mortality and morbidity and poor clinical governance and supervision in midwife-led labour units. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13429DOI Listing
January 2019

Atypical presentation of Crimean-Congo haemorrhagic fever: Lessons learned.

S Afr Med J 2019 Jan 31;109(2):91-94. Epub 2019 Jan 31.

Department of Emergency Medicine, Robert Mangaliso Sobukwe Hospital, Kimberley, South Africa.

An atypical case of Crimean-Congo haemorrhagic fever is presented. The diagnosis of the case in the presence of several comorbidities was complicated and illustrates the importance of maintaining a high index of suspicion for viral haemorrhagic fever in cases presenting with multisystem disease and an epidemiological history that could present opportunities for exposure to a haemorrhagic fever virus. Read More

View Article

Download full-text PDF

Source
http://www.samj.org.za/index.php/samj/article/view/12539
Publisher Site
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13477DOI Listing
January 2019
10 Reads

Life-threatening hyperkalaemia due to trimethoprim in a patient treated for Pneumocystis jirovecii pneumonia.

Authors:
N Du Plooy B Rayner

S Afr Med J 2019 Jan 31;109(2):89-90. Epub 2019 Jan 31.

Department of Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.

Hyperkalaemia is a potentially life-threatening condition frequently encountered in hospitalised patients. Among the many causes of hyperkalaemia, drugs have often been implicated. In the South African context, with the high burden of HIV, there is an increased incidence of opportunistic infections such as Pneumocystis jirovecii pneumonia (PJP), and consequently many patients receive high doses of trimethoprim-sulfamethoxazole. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13660DOI Listing
January 2019
1 Read

Reimagining liver transplantation in South Africa: A model for justice, equity and capacity building - the Wits Donald Gordon Medical Centre experience.

S Afr Med J 2019 Jan 31;109(2):84-88. Epub 2019 Jan 31.

Wits Donald Gordon Medical Centre, Johannesburg, South Africa.

The challenge of providing effective and integrated liver transplant services across South Africa's two socioeconomically disparate healthcare sectors has been faced by Wits Donald Gordon Medical Centre (WDGMC) since 2004. WDGMC is a private academic hospital in Johannesburg and serves to supplement the specialist and subspecialist medical training provided by the University of the Witwatersrand. Over the past 14 years, our liver transplant programme has evolved from a sometimes fractured service into the largest-volume liver centre in sub-Saharan Africa. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13835DOI Listing
January 2019

Success brings new challenges in circumcision campaign.

S Afr Med J 2019 01 31;109(2):12543. Epub 2019 Jan 31.

University of New England, Portland, Maine, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13821DOI Listing
January 2019

Latest results show urgent need to address child restraint use.

S Afr Med J 2019 01 31;109(2):12544. Epub 2019 Jan 31.

Childsafe South Africa, Red Cross War Memorial Children's Hospital and Department of Paediatric Surgery, Faculty of Health Sciences, University of Cape Town, South Africa.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13831DOI Listing
January 2019
2 Reads

Manuscripts not suitable for general readership of the South African Medical Journal.

S Afr Med J 2019 01 31;109(2):12541. Epub 2019 Jan 31.

Department of Biostatistics, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2019.v109i2.13772DOI Listing
January 2019

South African dyslipidaemia guideline consensus statement: 2018 update A joint statement from the South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA).

S Afr Med J 2018 Oct 26;108(11b):973-1000. Epub 2018 Oct 26.

Netcare Sunninghill and Sunward Park Hospitals, Division of Cardiology, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.

South Africa (SA) is home to a heterogeneous population with a wide range of cardiovascular risk factors. Cholesterol reduction in combination with aggressive management of modifiable risk factors, including nutrition, physical activity, blood pressure and smoking, can help to reduce and prevent morbidity and mortality in individuals who are at increased risk of cardiovascular events. This updated consensus guide to management of dyslipidaemia in SA is based on the updated European Society of Cardiology and European Atherosclerosis Society dyslipidaemia guidelines published in 2016. Read More

View Article

Download full-text PDF

Source
October 2018
1 Read

South African dyslipidaemia guideline consensus statement: 2018 update A joint statement from the South African Heart Association (SA Heart) and the Lipid and Atherosclerosis Society of Southern Africa (LASSA).

S Afr Med J 2018 Oct 26;108(11b):973-1000. Epub 2018 Oct 26.

Netcare Sunninghill and Sunward Park Hospitals, Division of Cardiology, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.

South Africa (SA) is home to a heterogeneous population with a wide range of cardiovascular risk factors. Cholesterol reduction in combination with aggressive management of modifiable risk factors, including nutrition, physical activity, blood pressure and smoking, can help to reduce and prevent morbidity and mortality in individuals who are at increased risk of cardiovascular events. This updated consensus guide to management of dyslipidaemia in SA is based on the updated European Society of Cardiology and European Atherosclerosis Society dyslipidaemia guidelines published in 2016. Read More

View Article

Download full-text PDF

Source
October 2018
7 Reads

Outcomes of self-induced late pregnancy termination in women presenting to a tertiary hospital in the Eastern Cape Province, South Africa.

S Afr Med J 2018 Oct 26;108(11):965-971. Epub 2018 Oct 26.

Walter Sisulu University and Eastern Cape Department of Health, East London, South Africa.

Background: Little is known about the outcomes of self-induced pregnancy termination after 24 weeks' gestation, as previous studies have concentrated on outcomes before 24 weeks.

Objectives: To investigate the gestational age, misoprostol dosage, source of information on misoprostol, reasons for termination and outcomes of self-induced pregnancy termination after 24 weeks' gestation.

Methods: A quantitative, retrospective case series observational research design was utilised. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.12979DOI Listing
October 2018
5 Reads

Intimate partner violence among HIV-serodiscordant couples in Durban, South Africa.

S Afr Med J 2018 Oct 26;108(11):960-964. Epub 2018 Oct 26.

Department of Psychiatry, School of Clinical Medicine, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

Background: South Africa (SA) has a high prevalence rate of intimate partner violence (IPV) and HIV, both of which can be exacerbated further by HIV serodiscordancy in the couple dyad. Further exploration of the discordancy sidedness in known mediating factors, such as alcohol abuse risk and post-traumatic stress (PTS), is required.

Objectives: To investigate the extent of and gender differences in IPV, alcohol abuse risk and PTS symptoms among HIV-serodiscordant couples in Durban, SA, and to analyse these further with regard to female HIV serostatus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378687PMC
October 2018
1 Read

Twenty-four-hour oesophageal pH studies in rural Eastern Cape Province, South Africa.

S Afr Med J 2018 Oct 26;108(11):957-959. Epub 2018 Oct 26.

Department of Human Biology, Faculty of Health Sciences, Walter Sisulu University, Mthatha, South Africa.

Background: Recent studies in rural Eastern Cape Province, South Africa, have shown an increased number of non-acid gastro-oesophageal reflux events, an increase in baseline gastric pH compared with other published series, and evidence suggestive of duodenogastric reflux. There are no published data on oesophageal pH in this community or in Africa.

Objectives: To ascertain whether oesophageal pH in this rural community is within normal limits. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13227DOI Listing
October 2018
1 Read

An evaluation of the quality of discharge summaries from the general paediatric wards at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.

S Afr Med J 2018 Oct 26;108(11):953-956. Epub 2018 Oct 26.

Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Hospital discharge summaries are deemed to be an essential part of the medical record in South Africa, but formal assessment of their quality is rarely undertaken. At Chris Hani Baragwanath Academic Hospital (CHBAH) in Johannesburg, medical admission notes (bedletters) are difficult to retrieve from the hospital archives and the discharge summary is often the only readily available medical record that documents details of the hospital admission.

Objectives: To determine the proportion of discharge summaries that were appropriately completed for children admitted to the general paediatric wards at CHBAH. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.12966DOI Listing
October 2018
2 Reads

Anorectal malformations and the impact of HIV on surgical outcome.

S Afr Med J 2018 Oct 26;108(11):947-952. Epub 2018 Oct 26.

Division of Paediatric Surgery, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Anorectal malformations (ARMs) represent a significant surgical load in South African (SA) paediatric surgical centres. Surgical treatment of ARMs may be associated with postoperative complications owing to the nature of surgical procedures necessary in the neonatal and infant period. HIV and its effect on the immune response compound postoperative surgical complications. Read More

View Article

Download full-text PDF

Source
http://www.samj.org.za/index.php/samj/article/view/12458
Publisher Site
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13168DOI Listing
October 2018
7 Reads

Hearing outcomes in children with meningitis at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: A silent crisis.

S Afr Med J 2018 Oct 26;108(11):944-946. Epub 2018 Oct 26.

Department of Audiology, Red Cross War Memorial Children's Hospital and Faculty of Health Sciences, University of Cape Town, South Africa.

Background: Bacterial meningitis is one of the most common causes of hearing loss. Hearing loss develops within the first few days following the onset of meningitis, highlighting the importance of early audiology referrals. Post-meningitis hearing loss may lead to cochlear ossification, making traditional cochlear implantation impossible. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13067DOI Listing
October 2018
3 Reads

A retrospective review of Listeria monocytogenes infection at Tygerberg Children's Hospital, Cape Town, South Africa, from 2006 to 2016: Is empirical ampicillin still indicated after the first month of life?

S Afr Med J 2018 Oct 26;108(11):937-943. Epub 2018 Oct 26.

Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Background: Ampicillin to treat Listeria monocytogenes (LM) infection is empirically added to the treatment of infants (<3 months) with suspected sepsis or meningitis.

Objectives: In view of limited LM cases, the paucity of South African (SA) data and an ampicillin shortage, our objective was to describe the occurrence of LM infections at Tygerberg Hospital (TBH), Cape Town, with the aim of rationalising the paediatric antibiotic policy.

Methods: An 11-year (2006 - 2016) retrospective descriptive study of children (<13 years) from TBH and referral hospitals with a positive blood or cerebrospinal fluid (CSF) culture for LM was conducted. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13212DOI Listing
October 2018
4 Reads

Adult liver transplantation in Johannesburg, South Africa (2004 - 2016): Balancing good outcomes, constrained resources and limited donors.

S Afr Med J 2018 Oct 26;108(11):929-936. Epub 2018 Oct 26.

Wits Donald Gordon Medical Centre, University of the Witwatersrand, Johannesburg, South Africa; Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Liver transplantation is the standard of care for the treatment of liver failure worldwide, yet millions of people living in sub-Saharan Africa remain without access to these services. South Africa (SA) has two liver transplant centres, one in Cape Town and the other in Johannesburg, where Wits Donald Gordon Medical Centre (WDGMC) started an adult liver transplant programme in 2004.

Objectives:  To describe the outcomes of the adult liver transplant programme at WDGMC. Read More

View Article

Download full-text PDF

Source
http://www.samj.org.za/index.php/samj/article/view/12463
Publisher Site
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13286DOI Listing
October 2018
11 Reads

A two-step quality-improvement intervention to address Pap smear quality at public health facilities in South Africa.

S Afr Med J 2018 Oct 26;108(11):926-928. Epub 2018 Oct 26.

Right to Care, Helen Joseph Hospital, Johannesburg, South Africa.

Background: The endocervical component of a Pap smear is an important indicator of sample quality - or 'adequacy'. However, only 6 of 52 districts in South Africa (SA) meet the Department of Health (DoH) performance benchmark: a 70% adequacy rate. We implemented a quality-improvement (QI) intervention to address suboptimal Pap smear quality in Tshwane District, Gauteng Province, SA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335964PMC
October 2018
1 Read

When the Office of Health Standards Compliance inspector knocks: What do I do?

Authors:
H J Van As

S Afr Med J 2018 Oct 26;108(11):922-925. Epub 2018 Oct 26.

Department of Public Law, Faculty of Law, Nelson Mandela University, Port Elizabeth, South Africa.

Inspectors and health officers attached to the Office of Health Standards Compliance (OHSC) may inspect or investigate premises where health services are provided, and may then perform a number of actions, including questioning people, taking samples, requesting documents, and conducting inspections and investigations. The outcomes of these activities may result in a number of sanctions, some of which may seriously impact health establishments and practitioners. This article aims to review the rights that health establishments, healthcare providers and health workers have when subjected to inspections or investigations by the OHSC. Read More

View Article

Download full-text PDF

Source
http://www.samj.org.za/index.php/samj/article/view/12459
Publisher Site
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13205DOI Listing
October 2018
9 Reads

Lost to follow-up: Challenges to conducting orthopaedic research in South Africa.

S Afr Med J 2018 Oct 26;108(11):917-921. Epub 2018 Oct 26.

Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.

Loss to follow-up poses a major problem for clinicians and researchers, and several factors that may increase its risk have been postulated. The objective of this study was to describe potential factors that contribute to loss to follow-up as seen in orthopaedic patients participating in a research study and attending the sole public orthopaedic service provider in the Northern Cape Province of South Africa (SA). All patients who underwent ankle fracture surgery at Kimberley Provincial Hospital between January 2012 and July 2013 were included, and the number of follow-up visits attended by each participant was recorded prospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13252DOI Listing
October 2018
3 Reads

Avoiding paternalism but not moral perplexity.

Authors:
D R Hall

S Afr Med J 2018 Oct 26;108(11):915-916. Epub 2018 Oct 26.

Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.

Maternal autonomy has replaced medical paternalism, but conflicts between beneficence and autonomy persist. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13328DOI Listing
October 2018
1 Read

Systems thinking: A turning point for improving respectful obstetric care in South African health districts.

S Afr Med J 2018 Oct 26;108(11):910-914. Epub 2018 Oct 26.

Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, South Africa.

Poorly functioning health systems and local health systems barriers affect many women giving birth in low- and middle-income countries. The district clinical specialist teams in South Africa are uniquely positioned to provide facilitation and mentoring during interventions for improving the weak primary healthcare system. To ensure success, four key principles should be considered during scale-up of interventions: systems thinking and awareness of contexts and barriers; a focus on sustainability; harnessing factors known to enhance scalability; and respect for human rights and equity. Read More

View Article

Download full-text PDF

Source
http://www.samj.org.za/index.php/samj/article/view/12464
Publisher Site
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13312DOI Listing
October 2018
12 Reads

Resource allocation in paediatric burn care: Preliminary results of empowering parents with smartphone assistance.

Authors:
R Martinez H Rode

S Afr Med J 2018 10 26;108(11):889-890. Epub 2018 Oct 26.

Department of Paediatric Surgery, Faculty of Health Sciences, Red Cross War Memorial Children's Hospital and University of Cape Town, South Africa.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13587DOI Listing
October 2018
2 Reads

Extensively hydrolysed infant formulas: Need for aligned definition of peptide size characteristics and standardisation of analytical methods.

S Afr Med J 2018 10 26;108(11):887-888. Epub 2018 Oct 26.

Nestlé Health Science, Vevey, Switzerland.

Letter by Nutten et al. on article by Levin et al. (Levin ME, Blackhurst DM, Kirstein F, Kok D, van der Watt GF, Marais AD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13616DOI Listing
October 2018
1 Read

The National Education, Health and Allied Workers' Union (NEHAWU) strikes.

S Afr Med J 2018 10 26;108(11):12474. Epub 2018 Oct 26.

Previously Deputy Director-General and Head Clinical Services, North West Province Department of Health, South Africa; currently Deputy Dean, Faculty of Health Sciences, North-West University, South Africa.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13687DOI Listing
October 2018
1 Read

How good are our guidelines? Four years of experience with the SAMJ's AGREE II review of submitted clinical practice guidelines.

S Afr Med J 2018 10 26;108(11):883-885. Epub 2018 Oct 26.

Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa; Division of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v108i11.13646DOI Listing
October 2018
1 Read

Major depressive disorder in patients with diabetes mellitus in Pietermaritzburg, South Africa.

S Afr Med J 2018 Dec 13;109(1):58-61. Epub 2018 Dec 13.

Postgraduate Programme (Master of Medical Science), School of Clinical Medicine, University of KwaZulu-Natal, Durban; and Pietermaritzburg Hospital Complex, KwaZulu-Natal, South Africa.

Background: Diabetes mellitus (DM) and major depressive disorder (MDD) constitute a major burden of disease. A study found that type 2 DM (DM2) is associated with a two-fold increase in risk of developing MDD worldwide - except in Africa. The present study challenges this statement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v109i1.13356DOI Listing
December 2018
1 Read

Histopathological diagnoses on pleural biopsy specimens over a 15-year period at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa: A retrospective review.

S Afr Med J 2018 Dec 13;109(1):53-57. Epub 2018 Dec 13.

Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Pleural effusions are a common reason for presentation to healthcare facilities. Blind closed pleural biopsy can be a useful tool to diagnose their cause, especially in resource-limited settings.

Objectives: To determine the aetiology, frequency and change in profile of histopathological diagnoses made at Chris Hani Baragwanath Academic Hospital (CHBAH), Johannesburg, South Africa, over the period 1 January 2001 - 31 December 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v109i1.13400DOI Listing
December 2018
3 Reads

South African women's perspectives on self-sampling for cervical cancer screening: A mixed-methods study.

S Afr Med J 2018 Dec 13;109(1):47-52. Epub 2018 Dec 13.

Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Cape Town, South Africa; SAMRC Gynaecological Cancer Research Centre, Faculty of Health Sciences, University of Cape Town, South Africa; Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Health Sciences, University of Ilorin, Nigeria.

Background: Self-sampling as a method of screening for cervical cancer and its precursors is an attractive option for low-resource settings. However, to allow successful integration of self-sampling into national screening programmes, it is necessary to understand women's perceptions and beliefs surrounding this method of sampling the cervix.

Objectives: To explore women's attitudes to self-collection of samples for cervical screening in a low-resource setting in South Africa (SA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v109i1.13278DOI Listing
December 2018
3 Reads

Transitions between lifetime alcohol use, regular use and remission: Results from the 2004 South African Stress and Health Survey.

S Afr Med J 2018 Dec 13;109(1):40-46. Epub 2018 Dec 13.

Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa; School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa.

Background: Hazardous alcohol consumption presents a serious threat to the health and wellbeing of all people and is linked to chronic and acute health problems.

Objectives: To: (i) estimate the prevalence of alcohol use disorders and remission from alcohol abuse and dependence in the South African (SA) population; and (ii) determine whether age of onset, education, sex and level of cohort alcohol use are associated with commencement of use, regularity of use, and transitions to and remission from more harmful levels of use.

Methods: The study was a nationally representative sample of 4 315 individuals aged ≥18 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7196/SAMJ.2018.v109i1.13061DOI Listing
December 2018
1 Read