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Lived Experiences of Subclinical Eating Disorder: Female Students' Perceptions
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Doret K. Kirsten --- North-West University, Wynand F. du Plessis --- North-West University,The aim of this study was to obtain an “insiders' perspective” on the lived experience of Subclinical Eating Disorder (SED) in female university students. Participants were 30 white, undergraduate females from the Potchefstroom campus of the North-West University in South... -
Psychological Contract in HIV Prevention Clinical Trials in Resource Poor Communities in Africa
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Calvin Gwandure --- University of the Witwatersrand, South Africa Thokozile Mayekiso --- Nelson Mandela Metropolitan University, South AfricaThe paper explored the application of psychological contract in HIV prevention clinical trials in resource poor communities in Africa. The psychological contract was discussed in relation to practices in New HIV Prevention Technologies in Africa. From this discussion, it would... -
Student Nurses' Experiences of The Clinical Psychiatric Learning Environment in an Education Institution
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Miriam Moagi --- University of Pretoria, Elsie Janse van Rensburg --- University of Pretoria, Jeanette Maritz --- University of South Africa,This study investigated lived experiences of student nurses working in a clinical psychiatric learning environment in South Africa. Participants were 29 fourth-year student nurses in the clinical psychiatric learning environment at a nursing education institution (females = 27; males =2)... -
Victimisation in the Lives of Lesbian-Identified Women in South Africa: Implications for Clinical Assessment and Treatment
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Anita Padmanabhanunni --- University of the Western Cape, South Africa David Edwards --- Rhodes University, South AfricaFew clinical studies have examined victimisation in the lives of lesbian women in South Africa and whether there are distinct implications for psychological treatment. This paper presents the assessment and treatment of a lesbian-identified South African survivor of childhood sexual... -
Perceived Stress of Dental Students
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Shuba B. Bhat --- University of Limpopo, Wilna J. Basson --- University of Limpopo,This study aimed to investigate the perceived stress of dental students at a South African medical facility. Data on stress levels in a dental school environment were collected from eighty eight students in their clinical years of study, using the... -
HIV disclosure and other factors that impact on adherence to antiretroviral therapy: the case of Soweto, South Africa
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: NokuthulaL Skhosana Helen Struthers GlendaE Gray JamesA McIntyreSome authors argue that there are no predictors of adherence to medication, while others proffer indicators of likely adherence. These contextual factors are wide-ranging and may be interdependent. There are few studies of adherence in resource-poor settings. Of these, many... -
Talking about sex in Botswana: social desirability bias and possible implications for HIV-prevention research
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Kata Chillag Greg Guest Arwen Bunce Laura Johnson PeterH Kilmarx DawnK SmithEvaluations of the safety, effectiveness, and feasibility of HIV prevention interventions rely on self-reported sexual behaviour data. The accuracy of such data has sometimes been questioned. The absence of a so-called objective measure of sexual behaviour complicates this. Social desirability... -
Socio-demographic and clinical features of HIV-positive outpatients at a clinic in south-west Nigeria
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: FrankI Ojini Adenike CokerDespite the increasing prevalence of HIV in Nigeria, there is scarce knowledge about the spectrum of HIV-related diseases in the country. This paper documents the profile of outpatients seen at the HIV clinic of the Lagos University Teaching Hospital (LUTH),... -
Neurological manifestations of HIV infection in Nigerians
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Ibrahim ImamNervous system complications commonly accompany HIV infection and are associated with significant morbidity and mortality. HIV incidence has been progressively increasing in Nigeria, yet the neurological manifestations of the disease have not been systematically studied in Nigerians. This study aimed... -
Nutrition education and counselling as strategic interventions to improvehealth outcomes in adult outpatients with HIV: a literature review
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: HannahL. Kaye --- , South Africa CarlosJ. Moreno-Leguizamon --- , South AfricaMalnutrition poses a significant risk for people living with HIV and accelerates disease progression. This is because adequate nutrition is essential for optimal immune function. This article discusses research on the role and use of nutrition education or counselling as... -
Rumours about blood and reimbursements in a microbicide gel trial
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Jonathan Stadler --- , South Africa Eirik Saethre --- Department of Anthropology, United StatesA rumour that emerged during a microbicide gel trial tells the tale of clinic staff purchasing trial participants’ blood. This paper documents the rumour and explores its divergent interpretations and meanings in relation to the context of the trial and... -
The ethical and legal regulation of HIV-vaccine research in Africa: lessons from Cameroon, Malawi, Nigeria, Rwanda and Zambia
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Pamela Andanda --- , South Africa Paschal Awah --- , United States Paul Ndebele --- , Botswana Olanrewaju Onigbogi --- Department of Community Health and Primary Care, Nigeria Daniel Udatinya --- , Rwanda Malala Mwondela --- , ZambiaEthical and legal frameworks are important for ensuring that the goals of scientific research are realised while at the same time the rights and welfare of human participants are adequately protected. A balance in attaining these two goals can be... -
High prevalence of HIV and malaria co-infection in urban Douala, Cameroon
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Theresa Nkuo-Akenji Etienne Emgilbert Tevoufouet Frankline Nzang Nancy Ngufor Elisabeth FonA prospective cohort study was undertaken among 684 adult hospital attendees in Douala, Littoral Province, Cameroon. The objectives were to determine the prevalence of HIV/malaria co-infection and to determine and compare the prevalence of some parasitological, haematological and clinical parameters... -
Recommendations for communication to enhance informed consent and enrolment at multilingual research sites
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Claire Penn --- Health Communication Project, School of Human and Community Development, South Africa Melanie Evans --- Health Communication Project, School of Human and Community Development, South AfricaLanguage issues can affect HIV and AIDS research trial enrolment, but little is understood about variables in this process. Some evidence indicates barriers exist even when the trial enrollers are linguistically and culturally matched to the participants and when consent... -
The prevalence of subclinical hypothyroidism among patients with diabetes mellitus at the Kalafong Hospital Diabetes Clinic: a cross-sectional study
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: V Ueckermann --- Department of Internal Medicine, DG Van Zyl --- Department of Internal Medicine,Objective: The purpose of this study was to determine the prevalence of subclinical hypothyroidism among patients with diabetes mellitus at the Kalafong Diabetes Clinic in Pretoria. -
Can medical students calculate drug doses?
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: CS Harries --- Division of Pharmacology, Discipline of Pharmaceutical Sciences College of Health Sciences, JH Botha --- Division of Pharmacology, Discipline of Pharmaceutical Sciences College of Health Sciences,Objectives: A doctor's ability to calculate drug doses is a skill that is generally assumed. We assessed medical students' performance when given four types of dosing calculations typical of those required in an emergency setting. -
Ethical Issues in Family Practice: Informed Consent—Disclosure of Information in Clinical Practice
Item type: Journal Article • Journal: South African Family Practice • Authors: GA Ogunbanjo --- Dept. of Family Medicine & Primary Health Care, D Knapp van Bogaert --- Biomedical Ethics—Dept. of Family Medicine & Primary Health Care, -
Implementation Plan for a Midlevel Medical Worker for South Africa. A discussion paper
Item type: Journal Article • Journal: South African Family Practice • Authors: JFM Hugo --- Department of Family Medicine and Primary Health Care, -
Lumbar puncture for the generalist
Item type: Journal Article • Journal: South African Family Practice • Authors: JM Boon --- Department of Anatomy, Section of Clinical Anatomy, South Africa PH Abrahams --- Kigezi International School of Medicine, United Kingdom JH Meiring --- Department of Anatomy, Section of Clinical Anatomy, South Africa T Welch --- Kigezi International School of Medicine, United KingdomThe safe and successful performance of a lumbar puncture demands a working and yet specific knowledge as well as competency in performance. This review aims to aid understanding of the knowledge framework, the pitfalls and complications of lumbar puncture. It... -
Perceptions of the role of the clinical nurse practitioner in the Cape Metropolitan doctor-driven community health centres
Item type: Journal Article • Journal: South African Family Practice • Authors: R Kapp --- Department of Family Medicine and Primary Care, RJ Mash --- Department of Family Medicine and Primary Care,Background: The purpose of this study was to evaluate the role of the clinical nurse practitioner (CNP) in a doctor- driven primary health care setting. A descriptive study was undertaken, using both a quantitative and a qualitative methodology. The study... -
The clinical spectrum and cost implications of hospitalised HIV-infected children at Karl Bremer Hospital, Cape Town, South Africa
Item type: Journal Article • Journal: South African Family Practice • Authors: CS Schoeman --- Intercare Walmer, MK Pather --- Division of Family Medicine and Primary Care, Faculty of Health Sciences,Background: HIV infection has become a common risk factor for hospital admission and a major contributor to childhood morbidity in South Africa. There remains a paucity of data describing the cost of hospitalisation of HIV-infected children in South Africa. The... -
The need for ‘Good Clinical Practice’ in health care research
Item type: Journal Article • Journal: South African Family Practice • Authors: MHR Noorzurani --- Department of Primary Care Medicine, Faculty of Medicine, Malaysia N Aziz --- Department of Family Medicine, Malaysia AF Abdul Aziz --- Department of Family Medicine, Malaysia MZ Abd Hamid --- Department of Paediatrics, Malaysia M Mohamed --- Department of Primary Care Medicine, Faculty of Medicine, Malaysia S Othman --- Department of Primary Care Medicine, Faculty of Medicine, Malaysia N Hussein --- Department of Primary Care Medicine, Faculty of Medicine, MalaysiaRandomised controlled trials form the foundation for ‘evidence-based-medicine’, but the results of such research can be relied upon only if it was conducted according to principles and standards collectively referred to as ‘Good Clinical Practice’ (GCP). The GCP was established... -
Enhancing the educational interaction in family medicine registrar training in the clinical context
Item type: Journal Article • Journal: South African Family Practice • Authors: R Mash --- Division of Family Medicine and Primary Care, South Africa J Goedhuys --- Department of Psychology, Belgium F D'Argent --- Vlaamse Interuniversitaire Raad, BelgiumThe relationship between registrar and trainer functions best when the trainer consciously facilitates the registrar's learning and considers all their interactions as educational opportunities. The trainer's role is more that of an educational guide and less that of an authoritarian... -
A method of teaching clinical problem-solving skills to primary health care student nurses
Item type: Journal Article • Journal: South African Family Practice • Authors: A Truscott --- Division of Rural Health, Department of Family Medicine, South AfricaThe article provides a description of a method of teaching a clinical problem-solving process to primary health care nurses/clinical nurse practitioners (PHC nurses). The process was developed in the Soweto PHC Nurse Training Unit over the past 30 years as... -
The development, implementation and evaluation of a short course in objective structured clinical examination (OSCE) skills
Item type: Journal Article • Journal: South African Family Practice • Authors: A De Villiers --- Centre for Health Sciences Education, Faculty of Health Sciences, E Archer --- Centre for Health Sciences Education, Faculty of Health Sciences,Background: Objective structured clinical examination (OSCE) examiner training is widely employed to address some of the reliability and validity issues that accompany the use of this assessment tool. An OSCE skills course was developed and implemented at the Stellenbosch Faculty... -
The interpretation and management of thyroid disorders
Item type: Journal Article • Journal: South African Family Practice • Authors: M Dednam --- ,This short review is intended to simplify the interpretation of thyroid function tests (TFTs) in general practice. The relationship between thyroid hormones and the use of TFTs, as well as thyroid antibodies, is discussed. An overview of the management of... -
A qualitative exploratory study: Using medical students' experiences to review the role of a rural clinical attachment in KwaZulu-Natal
Item type: Journal Article • Journal: South African Family Practice • Authors: PD Mc Neill --- Facilitator at the Centre for Rural Health, LM Campbell --- School of Education, University of KwaZulu-Natal,Objectives: There are challenges when it is considered that a main role of a rural clinical attachment for medical students is to encourage students to return after graduation to practise in rural areas. This view may lead to the relative... -
Audit of antenatal care at a community health centre in Tshwane North subdistrict, Gauteng province
Item type: Journal Article • Journal: South African Family Practice • Authors: V Horner --- South African Medical Research Council, PGD Rautenbach --- Community Health Department, TJ Mashamba --- Obstetrics and Gynaecology Department, N Mbananga --- LINK Centre, S Olorunju --- Biostatistics Unit, T Ramahlo --- Midwife, H Kwinda --- Elim Hospital,Objective: Few studies document the level of compliance with antenatal care protocols in primary health care in South Africa. The aim of this study was to conduct an audit of antenatal care at a community health centre in Tshwane North... -
Does the knowledge of the human immunodeficiency virus serostatus influence the clinical diagnostic proficiency of Kaposi's sarcoma?
Item type: Journal Article • Journal: South African Family Practice • Authors: LJ Van Bogaert --- National Health Laboratory Service,Objectives: Kaposi's sarcoma is an acquired immunodeficiency syndrome (AIDS)-defining illness. A spectrum of non- Kaposi's sarcoma clinical and histopathological mimickers contributes to the potential over- or underdiagnosis of Kaposi's sarcoma. The aim of this audit was to investigate the clinical... -
Sociodemographic and clinical profiles of suicidal patients requiring admission to hospitals south of Durban
Item type: Journal Article • Journal: South African Family Practice • Authors: SS Naidoo --- Department of Family Medicine, L Schlebusch --- Department of Behavioural Medicine,Background: Suicidal behaviour has become a major public health concern worldwide. Non-fatal suicidal attempts outnumber fatal episodes by wide-ranging figures across, and within, many countries. Approximately 6 500 suicides and 130 000 suicide attempts occur annually in South Africa, with... -
The self-reported learning needs of primary care doctors in South Africa: a descriptive survey
Item type: Journal Article • Journal: South African Family Practice • Authors: Z Malan --- Division of Family Medicine and Primary Care, South Africa R Cooke --- Centre for Rural Health, South Africa R Mash --- Division of Family Medicine and Primary Care, South AfricaBackground: Strengthening primary health care in South Africa is a prerequisite for the successful introduction of National Health Insurance. Primary care doctors from both the public and private sectors are an essential contributor to achieving this goal. In order to... -
The effect of an automated integrated management of childhood illness guideline on the training of professional nurses in the Western Cape, South Africa
Item type: Journal Article • Journal: South African Family Practice • Authors: Hilary Rhode --- Faculty of Medicine and Health Sciences, Department of Interdisciplinary Health Sciences, South Africa Bob Mash --- Faculty of Medicine and Health Sciences, Department of Interdisciplinary Health Sciences, South AfricaBackground: Reducing under-five mortality rates is a global priority. Although under-five mortality has decreased in South Africa, it is still unacceptably high. The implementation of the Integrated Management of Childhood Illness (IMCI) guideline is a key World Health Organization intervention... -
Diabetic patients served at a regional level hospital: what is their clinical picture?
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: S Pillay --- MBChB, FCP(SA), Specialist Physician, Edendale Hospital, Department of Internal Medicine, C Aldous --- PhD, Senior Lecturer, School of Clinical Medicine, F Mahomed --- MBChB, FCP(SA), FRCP(UK), CertEndocrinology, Specialist Physician/Endocrinologist, Department of Internal Medicine,Objectives: We describe the demographics, diabetic characteristics, diabetic control and complications in the diabetes service in Edendale Regional Hospital, Pietermaritzburg, in this study. Diabetes mellitus, together with its complications, is increasing at an alarming rate worldwide. Good glycaemic control translates... -
Remote clinical support by telephone for rural district hospital medical officers in the Eastern Cape
Item type: Journal Article • Journal: South African Family Practice • Authors: MO Nqala --- Department of Anaesthesia, South Africa CC Rout --- Department of Anaesthesia, South Africa CM Aldous --- Department of Anaesthesia, South AfricaBackground: Rural district hospitals are frequently understaffed and inexperienced medical officers must make clinical decisions with no supervision. Medical officers from rural district hospitals in the Eastern Cape attending a two-week ‘in-reach’ anaesthesia training course at the Port Elizabeth academic... -
South African roots towards global knowledge: music or molecules?
Item type: Journal Article • Journal: Anthropology Southern Africa • Authors: Julie Laplante --- Sociology and Anthropology, University of Ottawa Pavillon Desmarais, CanadaThis study highlights current global health biopolitics in conjunction with politics of indigeneity. The illustration is achieved by looking at the politics of knowledge at play in the pre-clinical trial of a traditional medicine in Cape Town, South Africa. The... -
Protocol and beyond: practices of care during a Tuberculosis vaccine clinical trial in South Africa
Item type: Journal Article • Journal: Anthropology Southern Africa • Authors: Justin Dixon --- Social Anthropology, University of Cape Town, South AfricaMuch of the current social science literature on the clinical trials industry focuses on the profit-seeking practices adopted by pharmaceutical companies and the contract research organisations they employ to enable the mass production and distribution of their products. However, what... -
Using reusable containers for hospital waste: is there an infection risk?
Item type: Journal Article • Journal: Southern African Journal of Epidemiology and Infection • Authors: T.R. Grimmond --- Director, Grimmond and Associates, Microbiology Consultancy, New ZealandReusable waste containers are used to transport healthcare risk waste (sharps and non-sharps) in many countries, and are becoming increasingly common in South Africa. Initially, there may be a perception of risk of pathogen or disease transmission with their introduction... -
Clinical profile of patients diagnosed with primary lung cancer at the Pulmonology Division, Universitas Academic Hospital, Bloemfontein, 2010-2011
Item type: Journal Article • Journal: Southern African Journal of Epidemiology and Infection • Authors: S.D. Maasdorp --- Department of Internal Medicine Francois, C.E. Snyman --- Department of Internal Medicine Francois, M. Prins --- Department of Internal Medicine Francois, F.C. van Rooyen --- Department of Biostatistics, M.C. Struwig --- Offce of the Dean Faculty of Health Sciences,Lung cancer is regarded by the World Health Organization as a leading cause of death globally. Limited data are available on lung cancer epidemiology in South Africa. This study aimed to determine the profle of patients with lung cancer who... -
Open Source as a viable technical resource for Nigeria's developing health system
Item type: Journal Article • Journal: African Journal of Science, Technology, Innovation and Development • Authors: Ogochukwu Eburuoh --- Department of Computer Science, USAThis article provides an in-depth analysis into the usefulness of Open Source Electronic Health Recording Systems for Nigeria's struggling health care system. It critiques the present quality of care received by patients, while advocating a revised education and management infrastructure... -
Early insulin therapy in patients with type 2 diabetes mellitus
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: MLI Mashitisho --- Department of Internal Medicine, South Africa BG Mashitisho --- Department of Internal Medicine, South AfricaType 2 diabetes mellitus (T2DM) is a progressive disease characterised by beta cell dysfunction and insulin resistance. Beta cell dysfunction progresses to beta cell failure. Many patients with T2DM are managed with oral agents until complications develop. ‘Clinical inertia’ in... -
South African–Cuban Medical Collaboration: students’ perceptions of training and perceived competence in clinical skills at a South African institution
Item type: Journal Article • Journal: South African Family Practice • Authors: M Motala --- School of Clinical Medicine, University of KwaZulu-Natal, South Africa J Van Wyk --- School of Clinical Medicine, University of KwaZulu-Natal, South AfricaBackground: The South African–Cuban Medical Collaboration programme aims to alleviate the critical shortage of practitioners in local South African rural settings. The students who return from Cuban-based facilities in their fourth year experience difficulty, especially in clinical settings, upon joining... -
Vicarious trauma: The psychological impact of working with survivors of trauma for South African psychologists
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Xin-Cheng Sui --- Department of Psychology, South Africa Anita Padmanabhanunni --- Department of Psychology, South AfricaTraumatic events are highly prevalent in South African society and psychologists who work with survivors of trauma have been identified as particularly at risk of being adversely affected by their work, and experiencing vicarious trauma. This study aimed to explore... -
Specialist physician-led public sector health services in rural KwaZulu-Natal: positive signs
Item type: Journal Article • Journal: South African Family Practice • Authors: Poobalan Naidoo --- Boehringer-Ingelheim, South Africa Diana Pillay --- Department of Internal Medicine, South Africa Selvarajah Saman --- Department of Internal Medicine, South AfricaMedical practice in public sector rural areas in South Africa has many challenges. This paper demonstrates the benefits of having specialist led medical services in rural medical facilities. -
Leadership and governance: learning outcomes and competencies required of the family physician in the district health system
Item type: Journal Article • Journal: South African Family Practice • Authors: R Mash* --- Division of Family Medicine and Primary Care, South Africa J Blitz --- Division of Family Medicine and Primary Care, South Africa Z Malan --- Division of Family Medicine and Primary Care, South Africa K Von Pressentin --- Division of Family Medicine and Primary Care, South AfricaThe South African National Development Plan expects the family physician to be a leader of clinical governance within the district health services. The family physician must also help to strengthen the services through leadership in all his/her other roles as... -
A reflection on the practical implementation of the clinical governance framework in the Cape Winelands District of the Western Cape
Item type: Journal Article • Journal: South African Family Practice • Authors: Colette Gunst --- , South Africa Robert J Mash --- Department of Family Medicine and Primary Care, South Africa Lizette Cathleen Phillips --- , South AfricaPrimary health care is seen as the ‘linchpin of effective health care delivery’ by the Western Cape Government Health services and improving the quality of primary care, through clinical governance, is a key aspect of realising this vision. This article... -
A new health care profession in rural district hospitals: a case study of the introduction of Clinical Associates in Shongwe hospital
Item type: Journal Article • Journal: South African Family Practice • Authors: M Bac --- Faculty of Health Sciences, Department of Family Medicine, School of Medicine, South Africa JMA Hamm --- Faculty of Health Sciences, Department of Family Medicine, School of Medicine, South Africa PC van Bodegraven --- Faculty of Health Sciences, Department of Family Medicine, School of Medicine, South Africa B Pater --- Faculty of Health Sciences, Department of Family Medicine, School of Medicine, South Africa JM Louw --- Faculty of Health Sciences, Department of Family Medicine, School of Medicine, South AfricaBackground: One of the reasons to develop training courses for medical mid-level workers in South Africa is a shortage of doctors. The introduction of this new profession has led to task sharing and redefining of professional boundaries. The primary aim... -
Compliance with standard treatment guidelines in the management of hypertension: a review of practice of healthcare workers in Potchefstroom, North West Province, South Africa
Item type: Journal Article • Journal: South African Family Practice • Authors: Peter Rapula Siko --- Family Medicine and Rural Health, South Africa Claire van Deventer --- Family Medicine and Rural Health, South AfricaIntroduction: Hypertension is a leading lifestyle disease and major cause of morbidity and mortality in South Africa, and globally. Standard Treatment Guidelines are issued in this country to assist healthcare workers in the diagnosis and management thereof. Considering the debilitating... -
Does mid upper arm circumference identify all acute malnourished 6–59 month old children, in field and clinical settings in Nigeria?
Item type: Journal Article • Journal: South African Journal of Clinical Nutrition • Authors: C John --- Department of Paediatrics, Nigeria IE Ocheke --- Department of Paediatrics, Nigeria U Diala --- Department of Paediatrics, Nigeria RO Adah --- Department of Paediatrics, Nigeria EA Envuladu --- Department of Community Health, NigeriaObjectives: To determine the utility of mid-upper arm circumference (MUAC) in identifying acutely malnourished children compared with weight-for-height (WHZ), body mass index (BMI) for age (BAZ) and MUAC z-score (MUACZ) in clinical and field practice. -
Invasive cervical cancer and human immunodeficiency virus (HIV) infection at Tygerberg Academic Hospital in the period 2003–2007: demographics and characteristics
Item type: Journal Article • Journal: Southern African Journal of Gynaecological Oncology • Authors: Abdiyah Diarra --- Department of Obstetrics & Gynecology, South Africa Hennie Botha --- Department of Obstetrics & Gynecology, Gynecological Oncology Unit, South AfricaBackground: Despite the prevalence of HIV infection in women with pre-invasive and invasive cervical diseases managed at the Gynaecologic Oncology unit of Tygerberg Hospital, there is a lack of local data on the effect HIV/AIDS has on invasive cervical cancer... -
Poor control and management of type 2 diabetes mellitus at an under-resourced South African Hospital: is it a case of clinical inertia?
Item type: Journal Article • Journal: South African Family Practice • Authors: Romona Devi Govender --- Department of Family Medicine, South Africa Prem Gathiram --- Department of Family Medicine, South Africa Miljenko Panajatovic --- Department of Family Medicine, South AfricaEvidence shows that even with the implementation of evidence-based medicine, the attainment of optimal glycaemic control is difficult and challenging for both patients and healthcare providers. This study was a one-year retrospective chart review with data collected during the period... -
Predictors of survival among HIV-positive children on ART in Swaziland
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Patrick Shabangu --- Institute for Health Measurement, Swaziland Andy Beke --- School of Health Systems and Public Health, Faculty of Health Sciences, South Africa Samuel Manda --- South African Medical Research Council, Biostatics Unit, South Africa Nobuhle Mthethwa --- National Pediatric HIV Care & Treatment Office for Swaziland National AIDS Programme,The objective of the study was to determine predictors of survival among HIV-positive children (<15 years) in Swaziland. A retrospective cohort analysis of medical records for 4 167 children living with HIV who were initiated on antiretroviral therapy (ART) between... -
Medico-legal documentation of rape or sexual assault: are community-service doctors equipped for the task?
Item type: Journal Article • Journal: South African Family Practice • Authors: L Fouché --- Division of Health Sciences Education, Office of the Dean, South Africa J Bezuidenhout --- Division of Health Sciences Education, Office of the Dean, South Africa C Liebenberg --- Department of Forensic Medicine, South Africa AO Adefuye --- Division of Health Sciences Education, Office of the Dean, South AfricaBackground: Following upon two-year internship, community-service doctors make mistakes when they deal with evidence of medico-legal examinations in various settings. These mistakes result in alleged perpetrators being released by courts. This study investigated undergraduate clinical forensic medicine training, based on... -
Practice of community-service doctors in the assessment and medico-legal documentation of common physical assault cases
Item type: Journal Article • Journal: South African Family Practice • Authors: L Fouché --- Division of Health Sciences Education, Faculty of Health Sciences, South Africa J Bezuidenhout --- Division of Health Sciences Education, Faculty of Health Sciences, South Africa C Liebenberg --- Department of Forensic Medicine, School of Medicine, Faculty of Health Sciences, South Africa AO Adefuye --- Division of Health Sciences Education, Faculty of Health Sciences, South AfricaBackground: In South Africa, allegations of physical assault are managed primarily at the primary healthcare level, where they are attended to by medical officers or community service doctors (CSDs). However, reports that the knowledge and skills provided at undergraduate level... -
Medico-legal aspects regarding drunk driving: experience and competency in practice of community service doctors
Item type: Journal Article • Journal: South African Family Practice • Authors: L Fouché --- Division Health Sciences Education, Office of the Dean, South Africa J Bezuidenhout --- Division Health Sciences Education, Office of the Dean, South Africa C Liebenberg --- Department of Forensic Medicine, School of Medicine, South Africa AO Adefuye --- Division Health Sciences Education, Office of the Dean, South AfricaBackground: Drunk driving has been reported to increase the risk of road traffic accidents associated with death and severe injury. In South Africa, an increase in blood alcohol concentration of as little as 0.01 g per 100 ml above the legal limit... -
Errors and clinical supervision of intubation attempts by the inexperienced
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: VM Satyapal --- Department of Anaesthetics, Nelson R Mandela School of Clinical Medicine, South Africa CC Rout --- Department of Anaesthetics, Nelson R Mandela School of Clinical Medicine, South Africa TE Sommerville --- Department of Anaesthetics, Nelson R Mandela School of Clinical Medicine, South AfricaBackground: Tracheal intubation is an essential skill for anaesthetists and other disciplines that require emergency establishment of a secure airway. Early attempts in patients often meet with failure. Existing publications focus mainly on trainees in emergency settings and highlight the... -
Sample-size determination and adherence in randomised controlled trials published in anaesthetic journals
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: M Nontshe --- Metropolitan Department of Anaesthetics, Critical Care and Pain Management, South Africa S Khan --- Metropolitan Department of Anaesthetics, Critical Care and Pain Management, South Africa T Mandebvu --- Metropolitan Department of Anaesthetics, Critical Care and Pain Management, South Africa B Merrifield --- Metropolitan Department of Anaesthetics, Critical Care and Pain Management, South Africa RN Rodseth --- Metropolitan Department of Anaesthetics, Critical Care and Pain Management, South AfricaBackground: Sample-size calculations are critical to ensure that randomised control trials return robust and reliable results. The estimated treatment effects used in these calculations is often significantly different from the actual treatment effect and can dramatically impact trial validity. -
Typhoid ileal perforation in a semi-urban tertiary health institution in north-eastern Nigeria
Item type: Journal Article • Journal: South African Family Practice • Authors: BA Grema --- Family Medicine Department, Aminu Kano Teaching Hospital Kano, Nigeria I Aliyu --- Paediatric Department, Aminu Kano Teaching Hospital, Nigeria GC Michael --- Family Medicine Department, Aminu Kano Teaching Hospital Kano, Nigeria A Musa --- Surgery Department, Federal Medical Center Nguru, Nigeria AG Fikin --- Family Medicine Department, Federal Medical Center Nguru, Nigeria BM Abubakar --- Surgery Department, Federal Medical Center Nguru, Nigeria S Olusegun --- Surgery Department, Federal Medical Center Nguru, NigeriaIntroduction: Typhoid ileal perforation is a very serious complication of typhoid fever and remains a significant surgical problem in developing countries like Nigeria, where it is associated with higher mortality and morbidity, due to lack of adequate clean drinking water,... -
Effect of counselling on the family function of intimate partner violence victims attending antenatal clinic in a tertiary hospital in North Central Nigeria
Item type: Journal Article • Journal: South African Family Practice • Authors: BO Akor --- Department of Family Medicine, Nigeria LA Moses --- Department of Family Medicine, Nigeria ND Baamlong --- Department of Family Medicine, Nigeria LL Shedul --- Department of Family Medicine, Nigeria AS Haruna --- Department of Family Medicine, Nigeria JM Abu --- Department of Family Medicine, Nigeria OU Chira --- Department of Family Medicine, Nigeria NR Ripiye --- Department of Family Medicine, Nigeria RA Abdulkareem --- Department of Family Medicine, NigeriaBackground and aim: Intimate partner violence (IPV) is a global problem. Family dysfunction is an integral characteristic of IPV homes. However, not much has been done regarding restoration of these families. The aim of this study was to explore the... -
The effect of cadmium toxicity on Oreochromis niloticus and human health
Item type: Journal Article • Journal: African Journal of Aquatic Science • Authors: K Abougabal --- , Egypt WA Moselhy --- , Egypt FMM Korni --- , EgyptCadmium levels below permissible limits can be toxic, affecting the health of exposed aquatic organisms and ultimately human health. Although cause and effect links between aquatic organisms and human health have not been elicidated, this study evaluated the effect of... -
Life after training: Professional experiences of early career clinical and counselling psychologists in South Africa
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Phillipa Haine --- , South Africa Duane D Booysen --- , South AfricaWe aimed to gain an in-depth understanding of the lived professional experiences of early career clinical and counselling psychologists in South Africa. Our informants were four early career psychologists (females = 2, males = 2; clinical = 2, counselling =... -
Intercolony health evaluation of wild African penguins Spheniscus demersus, in relation to parasites, along the southwest coast of South Africa
Item type: Journal Article • Journal: African Journal of Marine Science • Authors: MPA Espinaze --- , South Africa C Hui --- , South Africa L Waller --- , South Africa S Matthee --- , South AfricaClinical parameters of African penguins Spheniscus demersus have been recorded mostly from birds admitted to rehabilitation centres and are typically presented as mean values across a region. It is uncertain whether these values are representative of wild penguins and whether... -
Relationship between hypothyroidism and gestational diabetes mellitus: a retrospective cohort study
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: Mahmood Moosazadeh --- Mazandaran University of Medical Sciences, Iran Adeleh Bahar --- Mazandaran University of Medical Sciences, Iran Ramin Yeganeh Sarhangi --- Mazandaran University of Medical Sciences, Iran Mohsen Aarabi --- Mazandaran University of Medical Sciences, Iran Mohammad Khademloo --- Mazandaran University of Medical Sciences, Iran -
Ethical and practical challenges in implementing informed consent in HIV/AIDS clinical trials in developing or resource-limited countries
Item type: Journal Article • Journal: SAHARA-J: Journal of Social Aspects of HIV/AIDS • Authors: Kyriaki Mystakidou --- Department of Radiology, Areteion Hospital, University of Athens, Irene Panagiotou --- Athens Medical School, Stelios Katsaragakis --- Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital, School of Medicine, University of Athens, Eleni Tsilika --- Department of Radiology, University of Athens at Areteion Hospital in the Pain Relief and Palliative Care Unit, Efi Parpa --- Department of Radiology, University of Athens at Areteion Hospital in the Pain Relief and Palliative Care Unit,Background/rationale: Ethical issues regarding HIV/AIDS human research in the developing world remain under continuous evaluation; a critical area of concern includes informed consent. This paper reviews several of the most important ethical and practical aspects of informed consent in HIV... -
Suboptimal control and failure to intensify therapy for South Africans with type 2 diabetes: an audit of diabetes management at primary health care facilities
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: Patrick Ngassa Piotie --- University of Pretoria, South Africa Elizabeth M Webb --- University of Pretoria, South Africa Paul Rheeder --- University of Pretoria, South Africa -
Health provider administration functions, patient satisfaction, and loyalty: Their mediation by patient healthcare service quality perceptions
Item type: Journal Article • Journal: Journal of Psychology in Africa • Authors: Geoffrey Bentum-Micah --- Zhejiang Normal University, China Lianyu Cai --- Zhejiang Normal University, China Sampson Agyapong Atuahene --- Zhejiang Normal University, China Moses Agyemang Ameyaw --- Zhejiang Normal University, China Victor Bondzie-Micah --- Hong Kong Baptist University, Hong Kong Stephen Sarfo Adu-Yeboah --- Hefei University of Technology, ChinaThe study tested a health service quality mediation model on patient satisfaction and loyalty outcomes with provider administration functions. Participants were 7 108 outpatients from eleven public hospitals in Hubei province, China (female = 58.5%; infections and chronic diseases =... -
Assessing the pertinence and usefulness of HIV and AIDS indicators for evaluating clinical care quality: Perspectives of health care professionals
Item type: Journal Article • Journal: African Journal of AIDS Research • Authors: Tambwe Willy Muzumbukilwa --- University of KwaZulu-Natal, South Africa Manimani Riziki Ghislain --- University of KwaZulu-Natal, South Africa Aganze Glory-Aime Mushebenge --- University of KwaZulu-Natal, South Africa Rajesh Vikram Vagiri --- University of KwaZulu-Natal, South Africa Manimbulu Nlooto --- University of KwaZulu-Natal, South AfricaFollowing a systematic review of quality indicators employed in the evaluation of clinical care for individuals with HIV and AIDS, we performed “an exploratory study” that aims to assess the clinical significance and practical applicability of these indicators from the...
