South African Family Practice最新文献_第8页

Characteristics of paediatric burn injuries seen in the tertiary emergency centre, South Africa. 南非三级急救中心收治的烧伤儿童的特征。

IF 1.2

South African Family Practice Pub Date : 2025-01-08 DOI: 10.4102/safp.v67i1.6009

Ntsovelo Mugwena, Rule Human, Maria M Geyser

{"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":"Background: 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.Methods: 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.Results: 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).Conclusion: 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.","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}

引用次数: 0

Domestic violence: Screening and management in South Africa. 家庭暴力：南非的筛查和管理。

IF 1.2

South African Family Practice Pub Date : 2025-01-06 DOI: 10.4102/safp.v67i1.6000

Deidré Pretorius, Aviva Ruch

引用次数: 0

The growing problem of obesity in South Africa. 南非日益严重的肥胖问题。

IF 1.4

South African Family Practice Pub Date : 2025-01-01 DOI: 10.4102/safp.v67i1.6001

Indiran Govender, Alethea Sunnasy

引用次数: 0

Recent South African court rulings on failing to disclose HIV status to sexual partners. 最近南非法院对未向性伴侣披露艾滋病毒状况的判决。

IF 1.2

South African Family Practice Pub Date : 2024-12-17 DOI: 10.4102/safp.v66i1.6014

Jillian B Gardner, Siraaj Khan

引用次数: 0

Prevalence and risk factors of osteoarthritis in patients at a public hospital in Limpopo province. 林波波省某公立医院骨关节炎患者患病率及危险因素分析

IF 1.2

South African Family Practice Pub Date : 2024-11-25 DOI: 10.4102/safp.v66i1.5966

Tsundzuka Masangu, Boikhutso Tlou, Thembelihle Dlungwane

{"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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Nurses' knowledge to identify, prevent and manage hypertensive disorder of pregnancy. 护士对妊娠期高血压疾病的识别、预防和管理知识。

IF 1.2

South African Family Practice Pub Date : 2024-11-08 DOI: 10.4102/safp.v66i1.5995

Princess Z Mkhize, Vinogrin Dorsamy, Olive P Khaliq, Jagidesa Moodley

{"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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Acknowledgement to reviewers. 鸣谢审稿人。

IF 1.2

South African Family Practice Pub Date : 2024-11-06 DOI: 10.4102/safp.v66i1.6066

Editorial Office

引用次数: 0

Acknowledgement to reviewers. 感谢审稿人。

IF 1.2

South African Family Practice Pub Date : 2024-11-06 DOI: 10.4102/safp.v66i1.6066

Editorial Office

引用次数: 0

The lifestyle factors of medical doctors in academic hospitals, Bloemfontein, Free State. 自由州布隆方丹市学术医院医生的生活方式因素。

IF 1.2

South African Family Practice Pub Date : 2024-10-30 DOI: 10.4102/safp.v66i1.5979

Deepa C Alexander, Leané Lessing, Huibré Botes, Fredré Conradie, Lu-Zahn Jansen van Rensburg, Karien Nel, Emmarentia Pienaar, Maryke Prinsloo, Lialma Sinclair, Cornel Van Rooyen

{"title":"The lifestyle factors of medical doctors in academic hospitals, Bloemfontein, Free State.","authors":"Deepa C Alexander, Leané Lessing, Huibré Botes, Fredré Conradie, Lu-Zahn Jansen van Rensburg, Karien Nel, Emmarentia Pienaar, Maryke Prinsloo, Lialma Sinclair, Cornel Van Rooyen","doi":"10.4102/safp.v66i1.5979","DOIUrl":"10.4102/safp.v66i1.5979","url":null,"abstract":"Background: Lifestyle factors of medical doctors are essential to their health and well-being. Previous studies omitted factors that constituted a healthy lifestyle and did not differentiate between various medical specialties or level of seniority which may expose doctors to different stress levels, workload and responsibility. The study assessed the lifestyle factors of medical doctors and compared them between departments, levels of seniority, years of experience and gender according to globally recognised health standards.Methods: This descriptive cross-sectional study collected data using a questionnaire created by the researchers based on healthy lifestyle factors and was administered online. Access was given to all doctors from four large departments, employed at two academic hospitals in Bloemfontein, Free State who agreed to participate in the study.Results: Consultants from paediatrics, with 6+ years in medical practice, had the healthiest lifestyles. Registrars and interns from surgical disciplines such as obstetrics and gynaecology and surgery, with 1-5 years of medical practice, showed unhealthy lifestyles with inadequate sleep and exercise.Conclusion: The challenge remains how medical doctors can live a healthy lifestyle while managing a demanding schedule. This may impact on the management of their patients and the doctors' overall health and well-being. We recommend improving the working conditions by providing healthy meals on-site at hospitals with adequate breaks, reducing the heavy workload and providing exercise facilities.Contribution: The findings from this article may help improve the lifestyles of the identified groups of at-risk doctors and assist them in seeking ways to improve upon this.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e8"},"PeriodicalIF":1.2,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569532","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}

引用次数: 0

Hypertension guideline implementation and blood pressure control in Matlosana, South Africa. 南非马特洛萨纳的高血压指南实施与血压控制。

IF 1.2

South African Family Practice Pub Date : 2024-10-30 DOI: 10.4102/safp.v66i1.5964

Keolebile I Ditlhabolo, Carien Lion-Cachet, Ebrahim Variava

{"title":"Hypertension guideline implementation and blood pressure control in Matlosana, South Africa.","authors":"Keolebile I Ditlhabolo, Carien Lion-Cachet, Ebrahim Variava","doi":"10.4102/safp.v66i1.5964","DOIUrl":"10.4102/safp.v66i1.5964","url":null,"abstract":"Background: High systolic blood pressure remains a leading modifiable risk factor for cardiovascular diseases worldwide and in South Africa (SA). Information about the extent of guideline implementation and blood pressure (BP) control is lacking in Matlosana Sub-district, North West province, SA. The study aimed to assess the implementation of the South African Hypertension Practice Guideline (SAHPG) and BP control in adults attending primary care facilities in Matlosana.Methods: Cross-sectional study was conducted, using 523 randomly sampled medical records. Data collected included demographic information, recorded BP readings, anthropometry, screening for target organ damage (TOD), hypertension complications, comorbidities, lifestyle advice and drug therapy.Results: According to the reviewed records the mean age of the participants was 56.77 years with a standard deviation of 12.4 years and 376 (71.9%) records belonged to females. Blood pressure control was documented in 229 (43.8%) of the medical records, with better control recorded in a group with comorbid human immunodeficiency virus (HIV) than in groups with other comorbidities.Conclusion: The study found poor documentation of the SAHPG recommendations among patients with hypertension. According to the patient records BP control was suboptimal, the most common documented comorbid illness was HIV, and screening for TOD was generally poorly documented.Contribution: Programmes that audit and improve the quality of hypertension guideline implementation and BP control in primary care require ongoing support and research.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"66 1","pages":"e1-e10"},"PeriodicalIF":1.2,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569525","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}

引用次数: 0