Background. Control of hypertension remains an elusive goal, but doctors’ non-compliance with guidelines, patient attitudes and adherence to treatment, and poor delivery of care at clinics are important contributing factors. Objectives. To determine the overall quality of hypertensive care, and compliance with current hypertension guidelines at community health centres (CHCs) in the Western Cape.
Diabetic hyperglycaemic crisis is a major reason for high-care unit admissions, (1) with mortality rates of up to 30%. (2-9) It is characteristically classified as ketoacidotic or hyperosmolar.10 Presentations with the combination of ketoacidosis and hyperosmolality are recognised, (6,7,11-16) and have variably been described as ketoacidosis with hyperosmolality or hyperosmolar state with ketoacidosis, depending on […]
Non-alcoholic fatty liver disease (NAFLD) is a complex disorder characterised by histological abnormalities identified on liver biopsy in patients who consume little or no alcohol but present with histological features similar to those seen in alcoholic liver disease. NAFLD is the most prevalent chronic liver disease in Western countries. In the USA the estimated prevalence […]
Procedural sedation and analgesia (PSA) is a skill commonly required when dealing with patients in the emergency department (ED). Typical procedures performed under PSA in the ED or minor theatre setting are reduction of fractures and common dislocations, incision and drainage of abscesses, laceration repair in children, foreign body removal, and evacuation of retained products […]
An unpublished opinion of the North Carolina Court of Appeals does not constitute controlling legal authority. Citation is disfavored, but may be permitted in accordance with the provisions of Rule 30(e)(3) of the North Carolina Rules of Appellate Procedure.
Human immunodeficiency virus (HIV) infection is associated with cytopenias of all major blood cell lines. Anaemia occurs in up to 70% of patients with HIV/AIDS, and thrombocytopenia, neutropenia or lymphopenia in 40 – 70%. (1) The incidence and severity of cytopenias correlate directly with the degree of immunosuppression, while isolated haematological abnormalities, particularly anaemia and […]
Eastern Cape Province, with a population of 6.4 million, incorporates the former homelands of Transkei and Ciskei. (1) Mthatha (previously Umtata), the former capital of the Transkei, is one of the most economically depressed parts of South Africa. (1) Before 1994, public-funded primary care consisted of rural community clinics and health centres, with basic facilities […]