Wits journal of clinical medicine最新文献

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MRI findings of children with suspected hypoxic ischaemic injury at a Tertiary Academic Hospital in Johannesburg, South Africa 南非约翰内斯堡某高等专科医院疑似缺氧性缺血性损伤患儿的MRI表现
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n1a5
Liam Lorentz, N. Mahomed, T. Pillay
{"title":"MRI findings of children with suspected hypoxic ischaemic injury at a Tertiary Academic Hospital in Johannesburg, South Africa","authors":"Liam Lorentz, N. Mahomed, T. Pillay","doi":"10.18772/26180197.2023.v5n1a5","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n1a5","url":null,"abstract":"","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79255708","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}
引用次数: 0
Wits Department of Surgery BERT MYBURGH RESEARCH FORUM Wits外科部门BERT MYBURGH研究论坛
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n1a11
{"title":"Wits Department of Surgery BERT MYBURGH RESEARCH FORUM","authors":"","doi":"10.18772/26180197.2023.v5n1a11","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n1a11","url":null,"abstract":"","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75464482","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}
引用次数: 0
Rubber Band Syndrome: A Rare Orthopaedic Condition in South Africa 橡皮筋综合征:南非一种罕见的骨科疾病
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n3a10
Mattushek Stephen, Joseph Troye, Twala Makhaya, Reddy Kuvashan
{"title":"Rubber Band Syndrome: A Rare Orthopaedic Condition in South Africa","authors":"Mattushek Stephen, Joseph Troye, Twala Makhaya, Reddy Kuvashan","doi":"10.18772/26180197.2023.v5n3a10","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n3a10","url":null,"abstract":"Abstract Religious or traditional bands are often placed around limbs of children. This practice may lead to the Rubber Band Syndrome, a rare paediatric condition mainly described in Asia. This study presents the first case of Rubber Band Syndrome reported in South Africa. The patient aged 18 months presented with a swollen right hand, a circumferential scar on the wrist and a discharging sinus. Under general anaesthesia, debridement revealed a yellow rubber band deep to the wrist flexors and neurovascular bundles. This was removed without repair of these structures. At 3-month follow up, function of the right hand was completely restored.","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887732","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}
引用次数: 0
The Management of Acute Ischaemic Stroke – A Review and South African Perspective 急性缺血性脑卒中的管理-回顾和南非的观点
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n3a6
Eitzaz Sadiq, Louis Kroon, Naeem Brey, Andre Mochan
{"title":"The Management of Acute Ischaemic Stroke – A Review and South African Perspective","authors":"Eitzaz Sadiq, Louis Kroon, Naeem Brey, Andre Mochan","doi":"10.18772/26180197.2023.v5n3a6","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n3a6","url":null,"abstract":"Abstract Reperfusion therapy in acute ischaemic stroke, namely intravenous thrombolysis and mechanical thrombectomy, have traditionally had strict time-based eligibility criteria. Recent advances in diagnostic and imaging modalities have resulted in a more dynamic view of eligibility for these therapies. The time clock concept may soon be superseded by the “tissue clock” concept, where accurate identification of the extent of the salvageable penumbra has been shown to result in favourable outcomes well beyond the traditional time limits in carefully selected patients. However in a low-middle income country like South Africa, the social, economic and geographic barriers to an effective acute stroke management service are often overwhelming. In this review we provide an update on the current evidence guiding management of acute ischaemic stroke, with a particular emphasis on the challenges faced in resource-constrained regions.","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887733","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}
引用次数: 0
Management of a Jehovah's Witness patient with ANCA-Associated Vasculitis Following Pfizer-BioNTech COVID-19 Vaccine 1例耶和华见证会患者接种辉瑞- biontech COVID-19疫苗后anca相关性血管炎的治疗
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n2a7
Wilhelm Herbst, G. Paget
{"title":"Management of a Jehovah's Witness patient with ANCA-Associated Vasculitis Following Pfizer-BioNTech COVID-19 Vaccine","authors":"Wilhelm Herbst, G. Paget","doi":"10.18772/26180197.2023.v5n2a7","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n2a7","url":null,"abstract":"Anti-neutrophil cytoplasmic antibody (ANCA) vasculitis is defined as a systemic autoimmune disease limited to small calibre vasculature, associated with the presence of myeloperoxidase or proteinase 3. After receiving Pfizer BioNTech COVID-19 vaccine a 77-year-old woman of Jehovah's Witness faith presented with renal limited anti-MPO-AAV with underlying iron deficiency anaemia. Treatment was initiated with corticosteroids, iron repletion, Epoetin-beta, renal replacement therapy, plasma exchange with albumin, and cyclophosphamide with successful clearance of ANCA vasculitis. Although Jehovah's Witnesses may refuse transfusion of cellular blood products, they accept and expect alternative effective medical care.","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75733938","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}
引用次数: 0
5 Birds with 1 stone – multiple aneurysms treated with a single craniotomy 5只鸟伴1石-多动脉瘤单次开颅治疗
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n1a9
Denver Naicker, Edmund Richard Kibuuka, Molebogeng Makamed, C. Mgone, Victor Magumbeze, J. Ouma
{"title":"5 Birds with 1 stone – multiple aneurysms treated with a single craniotomy","authors":"Denver Naicker, Edmund Richard Kibuuka, Molebogeng Makamed, C. Mgone, Victor Magumbeze, J. Ouma","doi":"10.18772/26180197.2023.v5n1a9","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n1a9","url":null,"abstract":"","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87062190","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}
引用次数: 0
Delleman syndrome: what does this mean for my anaesthetic? Delleman综合征:这对我的麻醉剂意味着什么?
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n1a8
Lebohang Nkadimeng, D. Nel, H. Moutlana
{"title":"Delleman syndrome: what does this mean for my anaesthetic?","authors":"Lebohang Nkadimeng, D. Nel, H. Moutlana","doi":"10.18772/26180197.2023.v5n1a8","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n1a8","url":null,"abstract":"","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80002888","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}
引用次数: 0
Histological patterns of kidney disease at Helen Joseph Hospital: a 5-year retrospective review of biopsy diagnoses Helen Joseph医院肾脏疾病的组织学模式:活检诊断的5年回顾性回顾
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n1a2
Ahmed S. Randeree, M. Davies, C. Dayal, A. Ajayi, Z. Cassimjee
{"title":"Histological patterns of kidney disease at Helen Joseph Hospital: a 5-year retrospective review of biopsy diagnoses","authors":"Ahmed S. Randeree, M. Davies, C. Dayal, A. Ajayi, Z. Cassimjee","doi":"10.18772/26180197.2023.v5n1a2","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n1a2","url":null,"abstract":"","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74560174","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}
引用次数: 2
Technical Success and Safety of Transradial Uterine Artery Embolisation for Symptomatic Fibroids at a Single Centre in South Africa 经子宫动脉栓塞治疗症状性肌瘤在南非单一中心的技术成功和安全性
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n3a4
Lumart Wiechers, Gary Sudwarts, Maja Wojno, Victor Mngomezulu
{"title":"Technical Success and Safety of Transradial Uterine Artery Embolisation for Symptomatic Fibroids at a Single Centre in South Africa","authors":"Lumart Wiechers, Gary Sudwarts, Maja Wojno, Victor Mngomezulu","doi":"10.18772/26180197.2023.v5n3a4","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n3a4","url":null,"abstract":"Abstract Background The femoral artery has remained the primary means of vascular access for uterine artery embolisation in the treatment of uterine fibroids. Transradial access for coronary artery catheterization is gaining wider acceptance, with studies in the cardiac literature demonstrating key advantages. The primary objective of this study was to compare the technical success and safety of the transradial approach for uterine artery embolization performed at a single centre in South Africa. Methods Data was obtained from consecutive patients undergoing uterine artery embolisation for the treatment of symptomatic fibroids over a 30-month period. Specifically technical success and patient safety were analysed. Results A total of 496 patients were included in the study. Of these 27 patients had primary contraindications to radial access. The remaining 469 patients who underwent radial artery access, technical success was achieved in 459 cases (97.9%). The primary cause of technical failure was radial artery spasm (9.9%). Mean procedure times were 53.5 minutes ± 15.2 minutes with total screening times of 9.6 ± 9.1 minutes. The mean radiation dose area product was 6321.7 ± 3449.8 cGy.cm 2 . Complications were recorded in 40 (8.5%) patients, of which 7 (1.5%) were major complications. Conclusions This study corroborates evidence that this approach is a safe and effective alternative to the traditional transfemoral route for the treatment of uterine fibroids.","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134889742","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}
引用次数: 0
Tertiary Hospital ED Turnover: The Key Drivers 三级医院急诊科人员流动:主要驱动因素
Wits journal of clinical medicine Pub Date : 2023-01-01 DOI: 10.18772/26180197.2023.v5n2a4
Yvonne Jonker, F. Motara, M. Moolla
{"title":"Tertiary Hospital ED Turnover: The Key Drivers","authors":"Yvonne Jonker, F. Motara, M. Moolla","doi":"10.18772/26180197.2023.v5n2a4","DOIUrl":"https://doi.org/10.18772/26180197.2023.v5n2a4","url":null,"abstract":"INTRODUCTION Worldwide, emergency department (ED) patient and disease burden is expected to increase over time, escalating the growing demand for healthcare workers (HCWs). In South Africa these challenges are compounded by a lack of resources and lower staff-to-patient ratios compared to developed countries.(1) The increased workload, overcrowding, staff shortages and resource constraints in the ED, can lead to workrelated stress, dissatisfaction and a higher staff turnover. (2–4) This creates additional costs for recruitment, training and employing temporary staff, thus negatively impacting patient outcome and satisfaction.(4) The South African research priorities for 2021–2024 include the need for research on HCW dissatisfaction, burnout, and the retention of staff.(5) The aim of this research was to determine the levels of burnout, job satisfaction, and the intention to leave among ED HCWs and to explore the reasons for employee resignation.","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"28 4-5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75107320","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}
引用次数: 0
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