scholarly journals Emergency medicine in Paarl, South Africa: a cross-sectional descriptive study

2010 ◽  
Vol 3 (3) ◽  
pp. 143-150 ◽  
Author(s):  
Rens Hanewinckel ◽  
Henri P. Jongman ◽  
Lee A. Wallis ◽  
Terrence M. Mulligan
2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Gail D. Hughes ◽  
Oluwaseyi M. Aboyade ◽  
Roxanne Beauclair ◽  
Oluchi N. Mbamalu ◽  
Thandi R. Puoane

Economic challenges associated with noncommunicable diseases (NCDs) and the sociocultural outlook of many patients especially in Africa have increased dependence on traditional herbal medicines (THMs) for these diseases. A cross-sectional descriptive study designed to determine the prevalence of and reasons for THM use in the management of NCDs among South African adults was conducted in an urban, economically disadvantaged area of Cape Town, South Africa. In a cohort of 1030 participants recruited as part of the existing Prospective Urban and Rural Epidemiological (PURE) study, 456 individuals were identified. The overall prevalence of THM use was 27%, of which 61% was for NCDs. Participants used THM because of a family history (49%) and sociocultural beliefs (33%). Hypertensive medication was most commonly used concurrently with THM. Healthcare professionals need to be aware of the potential dualistic use of THM and conventional drugs by patients, as this could significantly influence health outcomes. Efforts should be made to educate patients on the potential for drug/herb interactions.


2018 ◽  
Vol 42 (3) ◽  
pp. 335-346 ◽  
Author(s):  
Nelene Koen ◽  
Edelweiss Wentzel-Viljoen ◽  
Daan Nel ◽  
Reneé Blaauw

2020 ◽  
Author(s):  
Dlulane Yola Zimasa ◽  
Apalata Teke ◽  
Dominic Targema Abaver

Abstract Background Living with HIV/AIDS is associated with negative emotional and bodily symptoms; however, there is paucity of data on the prevalence and associated factors depression among this population. This study investigate the prevalence and factors contributing to depression among HIV-positive adults on antiretroviral therapy (ART) in O.R. Tambo Eastern Cape, South Africa. Method This cross-sectional descriptive study involved 334 adults receiving ART in the two Community Health Centers in OR Tambo District, Eastern Cape, South Africa. The Beck’s Depression Inventory (BDI-II) was used to collect data, in addition to a semi-structured questionnaire on coping mechanism and challenges in seeking help with depressive symptoms. Multiple logistic regression analysis were used to assess the factors associated with depression among the HIV-positive adults. Results The prevalence of depression among the HIV-positive adults receiving ART was 44%, and the majority of the patient’s depression fall within the borderline and moderate threshold. The prevalence of depression was significantly higher among females (71.0%; p < 0.0003) and unemployed (73.0%; p < 0.0014) HIV-positive adults. Participants not benefiting from any form of social grant exhibited higher prevalence of depression (79%). Race (p=0.590), age (p=0.338) and married participants (p=0.511) show no statistical significant association between HIV-positive adults accessing ART and depression. Unadjusted logistic regression model show being female (OR = 1.99, 95% CI: 1.23-3.23; p < 0.003) and unemployed (OR =1.73, 95% CI: 1.08-2.77; p < 0.014) were significantly associated with a likelihood of depression. Majority of the participants who could express their feelings of HIV disease and challenges in accessing ART felt more depressed (85%) compared to those who could not express their feelings.Conclusion The rate of depression among HIV/AIDS patients receiving ART is high. Early detection of depression and the challenges associated with accessing treatment and treating would help in improving the compliance to treatment as well as quality of life.


2020 ◽  
Author(s):  
Dlulane Yola Zimasa ◽  
Apalata Teke ◽  
Dominic Targema Abaver

Abstract Background Living with HIV/AIDS is associated with negative emotional and bodily symptoms; however, there is paucity of data on the prevalence and associated factors depression among this population. This study investigate the prevalence and factors contributing to depression among HIV patients on anti-retroviral therapy (ART) in O.R. Tambo Eastern Cape, South Africa. Method This cross-sectional descriptive study involve 334 adults receiving ART in the two Community Health Centers in OR Tambo District, Eastern Cape, South Africa. The Beck’s Depression Inventory (BDI-II) was used to collect data, in addition to a semi-structured questionnaire on coping mechanism and challenges in seeking help with depressive symptoms. Multiple logistic regression analysis were used to assess the factors associated with depression among the HIV patients. Results The prevalence of depression among the HIV patients receiving ART was 44%, and the majority of the patient’s depression fall within the borderline and moderate threshold. The prevalence of depression was significantly highest among females (71.0%; p < 0.0003) and unemployed (73.0%; p < 0.0014) HIV patients. Participants not benefiting from any form of social grant exhibited higher prevalence of depression (79%). Race (p=0.590), age (p=0.338) and married participants (p=0.511) show no statistical significant association between HIV and depression. Unadjusted logistic regression model show being female (OR = 1.99, 95% CI: 1.23-3.23; p < 0.003) and unemployed (OR =1.73, 95% CI: 1.08-2.77; p < 0.014) were significantly associated with a likelihood of depression. Majority of the participants who could express their feelings of HIV disease and challenges in accessing ART felt more depressed (85%) compared to those who could not express their feelings. Conclusion The rate of depression among HIV/AIDS patients receiving ART is high. Early detection of depression and the challenges associated with accessing treatment and treating would help in improving the compliance to treatment as well as quality of life.


2018 ◽  
Vol 60 (6) ◽  
pp. 40
Author(s):  
Andrew Ross ◽  
S. S. Naidoo ◽  
Siyabonga Dlamini

Background: In 2005, the Health Professions Council of South Africa (HPCSA) extended the duration of the internship programme to ensure that all young medical graduates are adequately prepared to work at a district hospital during their year of community service. King Edward VIII hospital (KEH) is an HPCSA accredited training hospital, which has been training interns for many years. The aim of this study was to assess intern perceptions of their training at the hospital.Methods: This cross-sectional, descriptive study was conducted at KEH in November 2016. A questionnaire was used to collect data, which were analysed descriptively.Results: Only 53% of interns completed the questionnaire. Although teaching and supervision were provided in all domains, perceptions of the quality ranged from excellent to poor. The majority of interns worked the 64–80 hours per month commuted overtime as required by the HPCSA. However, less than 10% expressed positive views regarding the condition of the facilities and infrastructure.Discussion and conclusions: The findings of this study were generally positive with regard to teaching, supervision and hours worked, mostly in accordance with the requirements of the HPCSA. However, a response rate of 53% as well as the single location of the study may limit generalisability and a larger study involving interns across the country is recommended.


2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Sam Thembelihle Ntuli ◽  
Mashego TAB ◽  
Nesengani DS ◽  
Wyatt G

<p><strong>Abstract</strong></p><p> </p><p><strong>Objective</strong>: To determine the coping strategies used by nurses providing maternal and perinatal care in the hospitals of the Limpopo Province, South Africa. <strong>Methods</strong>: A cross-sectional descriptive study was conducted in public hospitals (1tertiary, 2regional and 3district hospitals).A sample ofnurses andunit managers on duty at the time of visit was asked to complete the Ways of Coping Scale (WCS) questionnaireanonymously.Principal ComponentAnalysis was used to test factor structure from the original 32-items WCS questionnaire.<strong>Results</strong>: A total of 83 nurses participated in the study, of which 98% were females and (59%) married. The most frequent coping strategies used were acceptance/adaptation, substance use and emotional eating, denial/avoidance, spiritual and seeking social help. <strong>Conclusion</strong>: Therefore, it is recommended that psychological support programs should be implemented to deal with stressful situations at workplace.</p>


Author(s):  
Zamir A. Gilani ◽  
Kantharuben Naidoo ◽  
Andrew Ross

Background: Epilepsy is a common disorder in South Africa and the literature indicates that many patients do not access treatment. The reasons are complex and include a poor knowledge about causes, symptoms, diagnosis and treatment (medical knowledge). This study aimed to assess the medical knowledge of isiZulu-speaking people with epilepsy (PWE) who attend a combination regional and district hospital in the eThekwini district in KwaZulu-Natal Province.Method: This was a prospective, cross-sectional, descriptive study. Data were collected using a validated data collection tool for assessing the medical knowledge of PWE and analysed descriptively.Results: The questionnaires were completed by 199 PWE, with the general level of schooling being low and half being unemployed. Knowledge around causes, symptoms, diagnosis and treatments was good, but there were significant gaps in knowledge that may affect morbidity and mortality.Discussion: The findings will serve as a useful guide to develop both preventive and educational interventions to enhance knowledge around the causes and treatment of epilepsy in this population. It is important that such interventions also consider family and healthcare providers.Conclusion: There were considerable gaps in the medical knowledge of isiZulu-speaking PWE’s, indicating the need for an educational intervention to improve their understanding of epilepsy. Further research is needed-using a range of tools to ensure that the data is reliable and valid–if the results are to be generalisable to the rest of the province and South Africa.


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