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Samj South African Medical Journal最新文献

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Time for healthcare bodies to show they are no longer apartheid-era relics and say 'never again' to genocide. 现在是时候了，医疗机构应该表明自己不再是种族隔离时代的遗物，并对种族灭绝说 "永不再犯"。
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-10-03 DOI: 10.7196/SAMJ.2024.v114i10.2561
M S Moolla, L Shapiro, S El-Boraei, H Mahomed
{"title":"Time for healthcare bodies to show they are no longer apartheid-era relics and say 'never again' to genocide.","authors":"M S Moolla, L Shapiro, S El-Boraei, H Mahomed","doi":"10.7196/SAMJ.2024.v114i10.2561","DOIUrl":"https://doi.org/10.7196/SAMJ.2024.v114i10.2561","url":null,"abstract":"","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 10","pages":"e2561"},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CPD. CPD.
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-10-03 DOI: 10.7196/
A Dhai
{"title":"CPD.","authors":"A Dhai","doi":"10.7196/","DOIUrl":"https://doi.org/10.7196/","url":null,"abstract":"","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 10","pages":"e2677"},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A decade-long overview of adverse events in a tertiary surgical service in South Africa. 南非三级医院外科十年不良事件概览。
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-10-03 DOI: 10.7196/
H Wain, D L Clarke, S Wall
{"title":"A decade-long overview of adverse events in a tertiary surgical service in South Africa.","authors":"H Wain, D L Clarke, S Wall","doi":"10.7196/","DOIUrl":"10.7196/","url":null,"abstract":"<p><strong>Background: </strong>Adverse events are common, and impact patients and healthcare systems negatively. Large international systems investigate adverse events at length, but South African data are lacking.</p><p><strong>Objectives: </strong>To classify all adverse events that have occurred in our department over the last decade.</p><p><strong>Methods: </strong>Ten years of data from a prospectively collated electronic medical record system were analysed for adverse events. All admitted patients were included. Duplicate entries and those that did not describe adverse events were excluded.</p><p><strong>Results: </strong>The study period was from December 2012 to January 2023. There were 52 835 distinct admissions covering 321 385 inpatient days. After categorisation, a total of 14 537 adverse events were captured, giving an adverse event rate of 22%. Adverse events were categorised into four groups. Of the total, 8 027 events were clinical care related, 3 106 were pathology related, 2 662 were system related and 442 miscellaneous. A total of 300 were excluded. Clinical care-related adverse events comprised 57.3% of the total number. Of those, adverse events related to indwelling devices (32.4%), iatrogenic injuries (12.5%) and intravenous therapy administration (12.5%) contributed most. Pathology-related adverse events contributed 21.4% of the total, of which wound sepsis (29.5%), anastomotic leak (15.1%) and nosocomial pneumonia (14.4%) were the most common. There was a general downward trend in reported adverse events from 2016 to 2022.</p><p><strong>Conclusion: </strong>Adverse events are common, and their aetiology is multifactorial. A sustained and multi-faceted approach is needed to address the challenge they pose.</p>","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 10","pages":"e2035"},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper. 南非抗生素耐药性和使用情况的变化：获得新抗生素的必要性：立场文件。
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-10-03 DOI: 10.7196/SAMJ.2024.v114i10.2348
H Finlayson, V Chibabhai, P Jeena, S Kolman, W Lowman, T C Manzini, T Nana, J Nuttall, A Parker, P Skosana, V Ueckermann, A Wise
{"title":"The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper.","authors":"H Finlayson, V Chibabhai, P Jeena, S Kolman, W Lowman, T C Manzini, T Nana, J Nuttall, A Parker, P Skosana, V Ueckermann, A Wise","doi":"10.7196/SAMJ.2024.v114i10.2348","DOIUrl":"10.7196/SAMJ.2024.v114i10.2348","url":null,"abstract":"<p><p>Antibiotic resistance is a global threat, with a disproportionate burden of mortality in low- and middle-income countries. It is increasing in both the public and private healthcare sectors within South Africa, especially in Gram-negative organisms, and is associated with increased use of World Health Organization watch and reserve antibiotics. There is a need for improved access to new antibiotics to treat infections caused by drug-resistant organisms in order to limit side-effects and improve patient outcomes of currently available antibiotics. We propose the responsible introduction of these new antibiotics with both administrative and clinical oversight in order to preserve the longevity of these precious antibiotics.</p>","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 10","pages":"e2348"},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tuberculosis transmission in South Africa: A need for a new paradigm? 南非的结核病传播：是否需要一种新的模式？
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-10-03 DOI: 10.7196/SAMJ.2024.v114i10.2404
L-G Bekker, R Wood
{"title":"Tuberculosis transmission in South Africa: A need for a new paradigm?","authors":"L-G Bekker, R Wood","doi":"10.7196/SAMJ.2024.v114i10.2404","DOIUrl":"https://doi.org/10.7196/SAMJ.2024.v114i10.2404","url":null,"abstract":"","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 10","pages":"e2404"},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction to the South African Rheumatism and Arthritis Association 2024 guidelines. 南非风湿病与关节炎协会 2024 年指导方针简介。
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-09-02 DOI: 10.7196/SAMJ.2024.v114i9.1429
B Hodkinson, E Van Vuuren, A Maharaj, F Paruk, K Makan
{"title":"Introduction to the South African Rheumatism and Arthritis Association 2024 guidelines.","authors":"B Hodkinson, E Van Vuuren, A Maharaj, F Paruk, K Makan","doi":"10.7196/SAMJ.2024.v114i9.1429","DOIUrl":"10.7196/SAMJ.2024.v114i9.1429","url":null,"abstract":"<p><p>The guidelines in this series provide evidence-based practical guidance for the diagnosis, treatment and follow-up of persons with inflammatory joint diseases. The purpose of these guidelines is to aid in shared decision-making between patient and physician, aiming to support high-quality clinical care. These guidelines have been prepared using the AGREE II instrument and based on adoption and, where appropriate, adaptation of international guidelines.</p>","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 9","pages":"e1429"},"PeriodicalIF":1.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis. 南非风湿病与关节炎协会 2024 年类风湿性关节炎管理更新指南。
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-09-02 DOI: 10.7196/SAMJ.2024.v114i10.2598
G Tarr, N Govind, M Seboka, E Gardiner, B Hodkinson
{"title":"South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis.","authors":"G Tarr, N Govind, M Seboka, E Gardiner, B Hodkinson","doi":"10.7196/SAMJ.2024.v114i10.2598","DOIUrl":"10.7196/SAMJ.2024.v114i10.2598","url":null,"abstract":"<p><p>The management of rheumatoid arthritis (RA) requires early diagnosis and prompt initiation of therapy, together with lifestyle interventions, particularly smoking cessation. These guidelines recommend a treat-to-target strategy using a composite disease activity score at each visit, with frequent follow-up and escalation or switching of disease-modifying antirheumatic drug (DMARD) therapy until the goal of low disease activity is achieved. A stepwise algorithm for DMARD therapy is provided. Screening for comorbidities and vaccination is advised.</p>","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 9","pages":"e2598"},"PeriodicalIF":1.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mpox: Africa's PHECS and WHO's PHEIC. Mpox：非洲 PHECS 和世卫组织 PHEIC。
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-09-02 DOI: 10.7196/
A Dhai
{"title":"Mpox: Africa's PHECS and WHO's PHEIC.","authors":"A Dhai","doi":"10.7196/","DOIUrl":"https://doi.org/10.7196/","url":null,"abstract":"","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 9","pages":"e2601"},"PeriodicalIF":1.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strengthening primary care mental health services - lessons from the South African HIV programme. 加强初级保健心理健康服务--南非艾滋病计划的经验教训。
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-09-02 DOI: 10.7196/SAMJ.2024.v114i9.2330
J Dunlop, E Zibengwa, A E Manyuchi, C Chinyandura, T Mutsago, K S Magongoa, G Khoele, M Mabitsi, K Rees
{"title":"Strengthening primary care mental health services - lessons from the South African HIV programme.","authors":"J Dunlop, E Zibengwa, A E Manyuchi, C Chinyandura, T Mutsago, K S Magongoa, G Khoele, M Mabitsi, K Rees","doi":"10.7196/SAMJ.2024.v114i9.2330","DOIUrl":"https://doi.org/10.7196/SAMJ.2024.v114i9.2330","url":null,"abstract":"","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 9","pages":"e2330"},"PeriodicalIF":1.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of COVID-19 on patients affected by rare diseases and congenital disorders in South Africa: A scoping review. COVID-19 对南非罕见病和先天性疾病患者的影响：范围审查。
IF 1.5 4区 医学
Samj South African Medical Journal Pub Date : 2024-09-02 DOI: 10.7196/SAMJ.2024.v114i9.1795
M C M Gomes, H L Malherbe
{"title":"The impact of COVID-19 on patients affected by rare diseases and congenital disorders in South Africa: A scoping review.","authors":"M C M Gomes, H L Malherbe","doi":"10.7196/SAMJ.2024.v114i9.1795","DOIUrl":"10.7196/SAMJ.2024.v114i9.1795","url":null,"abstract":"<p><p>Rare diseases (RDs) are individually rare but collectively common, affecting an estimated 1 in 15 individuals in South Africa (SA). Patients with an RD often face a long diagnostic odyssey (>5 years on average) and many obstacles in accessing healthcare. A scoping review was conducted to assess the impact of the COVID-19 pandemic on the SA RD community. Fourteen studies met the inclusion criteria and were explored using thematic analysis, which showed that RD patients were further marginalised during the pandemic, particularly in access to healthcare. Increased inclusivity in policy creation and integrated community-based healthcare are recommended to ensure that RD patients are not an afterthought in future crises.</p>","PeriodicalId":49576,"journal":{"name":"Samj South African Medical Journal","volume":"114 9","pages":"e1795"},"PeriodicalIF":1.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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