South African Family Practice最新文献

{"title":"Mastering your fellowship: Part 1, 2025.","authors":"Klaus B Von Pressentin, John M Musonda, Mergan Naidoo, Michéle Torlutter, Gert Marincowitz, Selvandran Rangiah, Zakariya Badat","doi":"10.4102/safp.v67i1.6024","DOIUrl":"10.4102/safp.v67i1.6024","url":null,"abstract":"<p><p>The series 'Mastering your Fellowship' provides examples of the question formats encountered in the written and clinical examinations, Part A of the Fellowship of the College of Family Physicians of South Africa (FCFP [SA]) examination. The series aims to help family medicine registrars (and supervisors) prepare for this examination.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation: South African Gestational Diabetes Mellitus Knowledge Questionnaire.","authors":"Lorisha Manas, Tawanda Chivese, Ankia Coetzee, Magda Conradie, Linzette D Morris","doi":"10.4102/safp.v67i1.5826","DOIUrl":"10.4102/safp.v67i1.5826","url":null,"abstract":"<p><strong>Background: </strong> Many serious adverse events associated with gestational diabetes mellitus (GDM) can be mitigated by timely glucose control during pregnancy, achieved through education and lifestyle choices. The aim of this study was to translate and cross-culturally adapt and test the preliminary internal consistency and test-retest reliability of the South African English, Afrikaans and isiXhosa versions of the GDM Knowledge Questionnaire (GDMKQ).</p><p><strong>Methods: </strong> A prospective, observational study was conducted at a high-risk antenatal clinic in South Africa. Pregnant women ≥ 18 years with GDM were consecutively sampled. Semantic equivalence between the original and adapted versions was assessed. Face and content validity, internal consistency and test-retest reliability were evaluated.</p><p><strong>Results: </strong> The three SA-GDMKQ versions demonstrated good face and content validity. For internal consistency, Cronbach's alpha values were 0.534 for the Afrikaans version, 0.434 for the English version and 0.621 for the isiXhosa version. Test-retest reliability found kappa (standard error [s.e.]) values ranged between -0.03 (0.18) and 0.89 (0.13) for the English version, between -0.07 (0.18) and 0.53 (0.13) for the Afrikaans version and between 0.28 (0.18) and 0.87 (0.17) for the isiXhosa version. All versions of the SA-GDMKQ had a statistically significant (p  0.001) positive linear correlation between the total scores.</p><p><strong>Conclusion: </strong> The English, Afrikaans and isiXhosa SA-GDMKQ versions were found to be feasible and easy to comprehend, although lower internal consistency and test-retest reliability were displayed. Further validation of the psychometric properties of the English, Afrikaans and isiXhosa versions of the SA-GDMKQ among larger sample groups is however warranted.Contribution: This study adds to the knowledge around developing and using culturally appropriate questionnaires and outcome measures in research and clinical practice.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Gender affirming healthcare' is not what the family physician needs to know.","authors":"Janet Giddy, Allan Donkin, Reitze Rodseth","doi":"10.4102/safp.v67i1.6061","DOIUrl":"10.4102/safp.v67i1.6061","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa.","authors":"Ntsovelo Mugwena, Rule Human, Maria M Geyser","doi":"10.4102/safp.v67i1.6009","DOIUrl":"10.4102/safp.v67i1.6009","url":null,"abstract":"<p><strong>Background: </strong> Burn injuries cause significant morbidity and mortality, with prevalence in developing countries such as South Africa. This study aimed to determine the characteristics and referral patterns of burn injuries.</p><p><strong>Methods: </strong> A retrospective observational study was conducted in a single emergency centre, Kalafong Provincial Tertiary Hospital, from 01 January 2021 to 31 December 2021. The study included patients 13 years with burn injuries.</p><p><strong>Results: </strong> A total of 266 patients were identified. Males (n = 144, 54.1%) had a higher prevalence of incurring burn injuries. The majority of injuries were secondary to scald burns (n = 237, 89.1%). A total of 208 (78.2%) patients had a percentage of total body surface area (%TBSA) of 10%, and 257 (96.6%) had superficial partial-thickness burns. Only 77 (28.9%) cases were from referral centres and there was no relationship between referral pattern and %TBSA. Majority (n = 248, 93.2%) received no pre-hospital wound care. Only 108 (40.6%) patients were admitted and the median length of hospital stay (interquartile range [IQR]) was 7 days (2 to 9). There was a significant relationship between the length of hospital stay and %TBSA burns (p  0.001).</p><p><strong>Conclusion: </strong> The pattern of burn injuries in patients is similar to previous studies carried out predominantly in townships in South Africa. Most referrals were found to be appropriate and complied with institutional burn injury admission protocol, although pre-hospital wound care was inadequate.Contribution: Primary burn injury care is vital to reduce morbidity and mortality, and development of programmes for public awareness of burn injuries remains crucial.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Domestic violence: Screening and management in South Africa.","authors":"Deidré Pretorius, Aviva Ruch","doi":"10.4102/safp.v67i1.6000","DOIUrl":"https://doi.org/10.4102/safp.v67i1.6000","url":null,"abstract":"<p><p>Violence manifests in various ways in healthcare, including trauma from an undifferentiated patient, psychosomatic illness, substance abuse or dependency and mental health challenges. Different forms of violence exist, such as intimate partner violence, gender-based violence, domestic violence, child abuse, neglect, elder abuse, sexual violence, self-directed violence and collective violence. These may be included in domestic violence or exist as standalone forms. Health practitioners play a pivotal role in managing incidents of domestic violence. This article highlights the definitions in the Amended Domestic Violence Act of 2021 and suggests screening options for domestic violence. The authors also suggest screening tools, a management flow diagram and contact numbers for resources. Domestic violence can be a generational curse that compromises biopsychosocial wellbeing. To break the perceived culture of violence, healthcare workers play a pivotal role in screening and management, as well as the mandatory reporting of domestic violence when children and the elderly are sharing such a household.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e5"},"PeriodicalIF":1.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The growing problem of obesity in South Africa.","authors":"Indiran Govender, Alethea Sunnasy","doi":"10.4102/safp.v67i1.6001","DOIUrl":"10.4102/safp.v67i1.6001","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent South African court rulings on failing to disclose HIV status to sexual partners.","authors":"Jillian B Gardner, Siraaj Khan","doi":"10.4102/safp.v66i1.6014","DOIUrl":"10.4102/safp.v66i1.6014","url":null,"abstract":"<p><p>In South Africa, the sexual transmission of human immunodeficiency virus (HIV) between partners is criminalised under general criminal law offences such as attempted murder, assault and rape, despite the absence of specific HIV-related legislation. Recent court cases have opened the door to securing convictions.Contribution: These cases highlight the serious legal consequences of non-disclosure and the importance of consent to sexual intercourse. Health professionals in South Africa have a legal and ethical duty to counsel patients on HIV and may be obligated to inform patients who refuse to disclose their status to their partners about the potential legal implications under South African criminal law.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e4"},"PeriodicalIF":1.2,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and risk factors of osteoarthritis in patients at a public hospital in Limpopo province.","authors":"Tsundzuka Masangu, Boikhutso Tlou, Thembelihle Dlungwane","doi":"10.4102/safp.v66i1.5966","DOIUrl":"10.4102/safp.v66i1.5966","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis (OA) is a public health concern affecting millions globally. Osteoarthritis has been ranked as the 12th leading cause of disability among the ageing population globally. In addition, OA can lead to disability, which can affect the quality of life and physical and emotional well-being.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted. An interviewer-administered questionnaire was utilised. Logistic regression was used to identify OA-related factors in the univariable and multivariable models. A p-value less than 0.05 was deemed statistically significant.</p><p><strong>Results: </strong>A total of 210 participants responded to the questionnaire. The overall prevalence of OA at the public hospital was 55.7% in adults over 18 years willing to participate. Among the study participants, females, individuals over the age of 50 years, and obese patients reported a high prevalence of OA. Family history and knee and hip pain were significantly associated with OA (p  0.05). Participants with a family history of OA were 6.9 times more likely to have OA, those with knee pain were 22.8 times more likely and those with hip pain were 5.5 times more likely after adjusting for the other variables.</p><p><strong>Conclusion: </strong>A high proportion of patients reported to have OA. Family history, knee pain and hip pain were strongly associated with OA. Understanding the prevalence and risk factors associated with OA is crucial for developing targeted interventions for prevention and management.Contribution: Targeted health promotion and education interventions are needed for prevention and early management.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e6"},"PeriodicalIF":1.2,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' knowledge to identify, prevent and manage hypertensive disorder of pregnancy.","authors":"Princess Z Mkhize, Vinogrin Dorsamy, Olive P Khaliq, Jagidesa Moodley","doi":"10.4102/safp.v66i1.5995","DOIUrl":"10.4102/safp.v66i1.5995","url":null,"abstract":"<p><strong>Background: </strong>Hypertensive disorders of pregnancy are major contributors to maternal mortality in South Africa. Preventative strategies in low- and middle-income countries emphasise frequent antenatal visits, symptom identification, patient education and the prophylactic use of calcium and low-dose aspirin to prevent HDP for nurses because they are the frontline workers at antenatal clinics countrywide.</p><p><strong>Methods: </strong>This was a cross-sectional study where a self-administered questionnaire was conducted among nurses (midwives and professional nurses) employed at hospitals and clinics in Durban, South Africa, to assess their understanding and practices regarding identification and initial management of HDP, particularly for eclampsia and PE with severe features. The questionnaires were distributed in person by the researcher.</p><p><strong>Results: </strong>Of the 106 respondents, most (88.7%) worked in the public sector, with over 5 years of experience (64.9%). There was a varied understanding of HDP categories: 72.6% identified gestational hypertension correctly; 49.1%, chronic hypertension; 93.4% PE and 83.0% eclampsia. Knowledge of the recommended treatments for severe PE (55.7%) and eclampsia (66.0%) was moderate with respect to the recommended anticonvulsant and rapid-acting antihypertensive agents, with only 10% recognising the role of aspirin for the prevention of HDP.</p><p><strong>Conclusion: </strong>Substantial knowledge deficiencies existed among nurses in managing HDP.Contribution: Their crucial role in both emergency and preventative care in South African healthcare settings, enhancing educational training on clinical management by providing continuous training and regular updates are imperative to reduce maternal and perinatal complications associated with HDP.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e7"},"PeriodicalIF":1.2,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acknowledgement to reviewers.","authors":"Editorial Office","doi":"10.4102/safp.v66i1.6066","DOIUrl":"https://doi.org/10.4102/safp.v66i1.6066","url":null,"abstract":"","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e2"},"PeriodicalIF":1.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}