Wits journal of clinical medicine最新文献_第5页

An observational study of cannabis exposures reported to the Poison Information Helpline of the Western Cape 向西开普省毒物信息热线报告的大麻暴露观察性研究

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n2a3

Jacobus Venter, Sashen Murugan, A. Bentley

{"title":"An observational study of cannabis exposures reported to the Poison Information Helpline of the Western Cape","authors":"Jacobus Venter, Sashen Murugan, A. Bentley","doi":"10.18772/26180197.2022.v4n2a3","DOIUrl":"https://doi.org/10.18772/26180197.2022.v4n2a3","url":null,"abstract":"Background: Cannabis has been decriminalised for private use in South Africa in September 2018. This act may potentially lead to an increase of undesirable effects from cannabis exposures. Objectives: To describe the demographics and characteristics of reported cannabis exposure cases from June 2015 to June 2019. Methods: This was a retrospective, observational, cross-sectional study of reported cannabis exposures reported to the Poisons Information Helpline of the Western Cape (PIHWC). Data included: demographics; circumstances of exposure; route of exposure; symptom profile and changes in the number of reports made to the PIHWC from June 2015 to June 2019. Results: A total of 106 database entries were identified. The most common age groups were 20–59 years old (52.8%) followed by under 12 years old (27.3%). There was a threefold increase in cases reported during the period 06/2018 – 06/2019, compared the period 06/2015 – 06/2016. Accidental overuse (40.6%), substance abuse (26.4%) and intentional self-harm (19.8%) were the most reported circumstances of exposure. The most common route of exposure was oral (66.0%) followed by inhalation (26.4%). Central nervous system (75.5%) and gastrointestinal (20.8%) symptoms were commonly reported. Central nervous system symptoms were more commonly reported in children 12 years and younger (p=0.001) compared to those over 12 years. Conclusion: During the study period undesired effects of cannabis were commonly reported after accidental exposures and oral ingestions. Children 12 years and younger are more likely to report neurological symptoms.","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86974145","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

Strengthening Health Systems for mitigating Climate Change: Responding to Climate Change as Public Health Professionals 加强卫生系统以减缓气候变化:作为公共卫生专业人员应对气候变化

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n3a9

G. Maimela

引用次数: 0

Vitamin B12 deficiency and hyperhomocysteinemia: A description of two cases with thrombosis 维生素B12缺乏和高同型半胱氨酸血症:两例血栓形成的描述

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n2a6

Ruchikas Mehta, Amina Daude, E. Variava

引用次数: 0

Climate Change and Cardiovascular Disease in Africa 非洲的气候变化和心血管疾病

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n3a2

K. McCutcheon, A. Vachiat, P. Manga

引用次数: 0

An Analysis of Trauma Team Activations at a South African Level One Trauma Centre 南非一级创伤中心创伤小组活动分析

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n2a1

Lara Nicole Goldsteini, Peter Beskyd, M. Wells

{"title":"An Analysis of Trauma Team Activations at a South African Level One Trauma Centre","authors":"Lara Nicole Goldsteini, Peter Beskyd, M. Wells","doi":"10.18772/26180197.2022.v4n2a1","DOIUrl":"https://doi.org/10.18772/26180197.2022.v4n2a1","url":null,"abstract":"Introduction: South Africa has a high prevalence of trauma causing a significant healthcare and financial burden. Various scoring systems have been developed to guide trauma team activation (TTA). To date, however, there are no standardised criteria for TTA. The aim of this preliminary study was to analyse the practice of clinical judgement TTA when compared to the American College of Surgeons Committee on Trauma (ACS-COT) TTA guideline and the Loma Linda Rule for TTA. Methods: This was a retrospective analysis of trauma registry data over a one-year period from a Level 1 trauma centre in South Africa. Results: There were 9207 trauma patients that presented to the Emergency Department during the 1-year study period. The prevalence of trauma team activation by clinical judgement was 9.4%. Only 407 patients (48%) of the clinical judgement TTAs fulfilled the ACS-COT guidelines for TTA. Using the Loma Linda Rule, 456 patients (53.8%) of the clinical judgement TTAs fulfilled TTA criteria. Despite the over-triage by the clinical judgement TTA, almost two-thirds of the TTA patients were admitted to the intensive care or high care units. Conclusions: This preliminary study showed that TTA using healthcare provider clinical judgement resulted in trauma team over-activation when compared to the ACS-COT guideline and the Loma Linda Rule. Over-activation of the trauma team consumes valuable resources and potentially endangers those patients who actually need TTA and cannot receive it. Implementation of a standardised TTA tool could potentially aid in the optimisation of patient care and appropriate resource utilisation.","PeriodicalId":75326,"journal":{"name":"Wits journal of clinical medicine","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88986185","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

Tipping points of climate change in Africa 非洲气候变化的临界点

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n3a14

引用次数: 0

Opening Pandora's box: Climate change, COVID-19 and the rise of a new pandemic 打开潘多拉的盒子:气候变化、COVID-19和新流行病的兴起

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n3a6

Farzahna Mohamed, D. Mokgoko, J. Zamparini, V. Naidoo, Lyle Murray, N. Diana, I. Kalla

引用次数: 1

Department of Paediatrics and Child Health Research Day 儿科和儿童健康研究日

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n2a11

Thandeka Ngcana, J. Geel

引用次数: 1

Smoking Cessation 戒烟

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n2a9

Kate Dudgeon

引用次数: 0

Climate Change and Mental Health implications in South Africa 气候变化和南非心理健康的影响

Wits journal of clinical medicine Pub Date : 2022-01-01 DOI: 10.18772/26180197.2022.v4n3a4

U. Subramaney, Samantha Iyaloo, Tejil Morar, Tanesha Nayager, I. Chetty

引用次数: 0