Department of Family and Emergency Medicine
Sub-communities within this community
Recent Submissions
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Acceptance of and adherence to full anti-retroviral therapy for prevention of mother to child transmission in HIV infected pregnant women with CD4 count above 350 at Nhlangano Health Centre, Swaziland.
(Stellenbosch : Stellenbosch University, 2018-03)ENGLISH SUMMARY : Epidemic of HIV infection is hitting Swaziland where the prevalence is among the highest in the world. Nhlangano Health Centre (NHC) in collaboration with Medecins Sans Frontiers Switzerland (MSF Switzerland) ...
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Reasons for first-line highly active antiretroviral therapy modification : a retrospective survey at the Infectious Disease Care Clinic Princess Marina Hospital, Gaborone, Botswana
(Stellenbosch : Stellenbosch University, 2018-03)ENGLISH SUMMARY : Background: Limited highly active antiretroviral therapy (HAART) in resource-constrained countries makes the optimisation of first-line HAART regimens critical in order to improve treatment efficacy and ...
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How to improve the quality of care for woman with postpartum haemorrhage at Onandjokwe Hospital, Namibia
(Stellenbosch : Stellenbosch University, 2018-03)ENGLISH SUMMARY : Background: Although no studies on the quality of emergency obstetric care including care for postpartum haemorrhage have been published from Namibia, the condition is a major cause of maternal morbidity ...
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Improving the quality of care for patients at increased risk for type 2 diabetes at Onandjokwe Intermediate Hospital, Oshikoto Region, Namibia
(Stellenbosch : Stellenbosch University, 2018-03)ENGLISH SUMMARY : Type 2 diabetes mellitus accounts for more than ninety per cent of patients with diabetes and its incidence is on the rise in low and middle-income countries. Obesity is the main risk factor for type 2 ...
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Comparison of mean on-scene times : road versus air transportation of critically ill patients in the Western Cape of South Africa
(BMJ Publishing Group, 2007-12)Background: The South African setting lends itself to the extensive use of air transport. There is a perception with healthcare providers that flight crews spend too much time with a patient before departure. The main ...
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Utilisation of emergency blood in a cohort of emergency centres in Cape Town, South Africa
(Stellenbosch : Stellenbosch University, 2007-03)ENGLISH SUMMARY : Background: The transfusion of blood and blood products forms an essential part of the resuscitation of patients with acute haemorrhage. Group O blood is stored for this purpose in many emergency facilities ...
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Investigation of first onset seizures in adults in Western Cape Emergency Centres
(Health & Medical Publishing Group, 2012-03)ENGLISH SUMMARY : Objectives: This study aimed to review which investigations were done on adults presenting with first onset seizures to six Emergency Centres in the Western Cape Province, South Africa. Methods: A ...
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An analysis of the clinical practice of emergency medicine in public district and regional hospitals in Tanzania
(Stellenbosch : Stellenbosch University, 2013-03)ENGLISH SUMMARY : Aim: The aim of the study was to document the burden of disease presenting to Tanzania mainland public district and regional hospitals’ acute intake areas, to describe the range of early diagnostic and ...
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A survey to determine self-reported confidence amongst emergency centre nurses in initiating bls across emergency centres in Cape Town
(Stellenbosch : Stellenbosch University, 2013-12)ENGLISH SUMMARY : Background: In any Emergency Centre (EC), the response to a cardiac arrest is regarded as the most time critical intervention. The first responders are usually EC nurses who need to initiate basic life ...
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Arterial blood gases in emergency medicine: how well do our registrars and consultants currently enrolled in the Western Cape Division of Emergency Medicine interpret them
(Stellenbosch : Stellenbosch University, 2014-12)ENGLISH SUMMARY : Intro: Arterial blood gas (ABG) analysis is a useful tool in point-of‐care testing for patients presenting to an emergency center (EC). Emergency Medicine (EM) doctors need to be equipped with sufficient ...
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The State of Point of Care Ultrasound Certification in South Africa. Why are so Few Providers Completing the Certification Process
(Stellenbosch : Stellenbosch University, 2014-12)ENGLISH SUMMARY : Introduction: Point of Care Ultrasound (POCUS) is widely used in clinical practice. Although relatively new to South Africa, the POCUS introductory course received wide interest with many clinicians ...
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Emergency care research priorities in South Africa
(Health & Medical Publishing Group, 2015)ENGLISH SUMMARY : Background. Emergency care research is rarely undertaken in low- and middle-income countries. A manageable ‘road map’ for research in South African (SA) emergency care is needed to address research ...
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Emergency care research in South Africa – a Delphi study
(Stellenbosch : Stellenbosch University, 2014-12)ENGLISH SUMMARY : Objective: To collate and prioritize research topics from identified knowledge gaps in emergency care in South Africa. Methods: A three phasemodified Delphi study was conducted. A 10-point Likert scale ...
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Analysis of the resources for emergency care in district and regional public hospitals in Tanzania
(Stellenbosch : Stellenbosch University, 2013-03)ENGLISH SUMMARY : Introduction: As a new speciality in many African countries, Emergency Medicine in Tanzania was recognised in 2011. The aim of the study was to analyse the resources available for emergency care in public ...
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Injury severity in relation to seatbelt usage in Cape Town : a pilot study
(Stellenbosch : Stellenbosch University, 2015-12)ENGLISH SUMMARY : Introduction: Injuries and death from road traffic accidents present an enormous challenge to the South African health care system and creates a significant societal and economic burden in the country. ...
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A five year analysis of the rotor wing air mercy service in Richards Bay, South Africa
(Stellenbosch : Stellenbosch University, 2013-12)ENGLISH SUMMARY : Introduction: The study describes the first five years of operation of a HEMS service in rural South Africa. Methods: A chart review of all activated flights from 1 January 2006 to 31 December 2010 ...
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Evaluating the impact of family physicians within the district health system of South Africa
(Stellenbosch : Stellenbosch University, 2017-12)ENGLISH SUMMARY: The majority of the South African population are dependent on the public health sector in helping them deal with the quadruple burden of disease, consisting of HIV/AIDS and tuberculosis, maternal and child ...
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Determining the causes for the shortage of human resources for primary health care in Botswana and developing a pilot intervention to address the problem
(Stellenbosch : Stellenbosch University, 2017-12)ENGLISH SUMMARY : The global policy on universal health coverage is a commitment to ensuring that all people have access to comprehensive health services without suffering financial hardship. Furthermore, primary healthcare ...
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Evaluating the growth, associated co-morbidities and mortality in children under the age of five years, six months after treatment for Severe Acute Malnutrition (SAM) in the Oudtshoorn sub-district.
(Stellenbosch : Stellenbosch University, 2017-12)ENGLISH SUMMARY : Background: Malnutrition is an important cause of childhood mortality in South Africa. Severe acute malnutrition (SAM) is a major public health problem. The focus of treatment is awareness, early ...
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Decentralised training for medical students : a scoping review
(BioMed Central, 2017-11-09)Background: Increasingly, medical students are trained at sites away from the tertiary academic health centre. A growing body of literature identifies the benefits of decentralised clinical training for students, the ...
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A reflection on the practical implementation of the clinical governance framework in the Cape Winelands District of the Western Cape
(Taylor & Francis, 2016)ENGLISH SUMMARY : Primary 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 ...
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The case for behavioural change counselling for the prevention of NCDs and improvement of self-management of chronic conditions
(Taylor & Francis, 2016)Brief behaviour change counselling (BBCC) that is integrated into routine health care has been shown to be effective in helping patients modify risk behaviours for non-communicable disease (NCD), improve self-management ...
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Examining the effects of a mindfulnessbased distance learning professional training module on personal and professional functioning : a qualitative study
(BioMed Central, 2016)Background: Training people to deliver mindfulness-based interventions (MBI) is becoming an important activity as mindfulness has been shown to have clinical benefits across a variety of conditions. Training courses must ...
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Development of an e-learning platform to improve learning delivery in a low-resourced clinical ultrasound training setting
(Stellenbosch : Stellenbosch University, 2017-12)ENGLISH SUMMARY : Background/Objective: Some clinical ultrasound training programmes provide suboptimal training that result in credentialing failure. To address this failing in our low-resourced setting, an e-learning ...
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The contribution of family medicine to African health systems
(AOSIS Publishing, 2016)ENGLISH SUMMARY : No abstract available.
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Community oriented primary care
(AOSIS Publishing, 2016)ENGLISH SUMMARY : This review looks at two closely related books by the same author on community-oriented primary care (COPC). The review features two books by Tessa S. Marcus that are titled: "Community oriented primary ...
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Whole person medicine: psychosocial issues in primary care
(AOSIS Publishing, 2016)ENGLISH SUMMARY : No abstract available.
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Improving diabetic foot screening at a primary care clinic : a quality improvement project
(AOSIS Publishing, 2016)ENGLISH SUMMARY : Background: Foot screening is an important part of diabetic care as it prevents significant morbidity, loss of function and mortality from diabetic foot complications. However, foot screening is often ...
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How to change organisational culture : action research in a South African public sector primary care facility
(AOSIS Publishing, 2016)ENGLISH SUMMARY : Background: Organisational culture is a key factor in both patient and staff experience of the healthcare services. Patient satisfaction, staff engagement and performance are related to this experience. ...
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The University curriculum as engaging with external non-academic communities: a grounded theory inquiry approach
(AFRICAN SUN MeDIA, 2011)ENGLISH SUMMARY : INTRODUCTION: The university curriculum needs to be central to South African higher education debates. Curricular content is expected to be commensurate with the expectations of a wide array of stakeholders ...
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