In 1996, 738 BUMC clinicians, representing 8 disciplines and 24 specialties, were surveyed using the Clinician Survey and Institutional Needs Assessment. This survey was developed by the Education Development Center, Inc., and distributed to 50 participating health care institutions in 21 states as part of the Mayday Pain Management Project. The BUMC findings revealed a […]
Of the national burden of disease, neuropsychiatric disorders are third only to HIV/AIDS and infectious disease, according to revised DALY (disability-adjusted life-years) estimates for the year 2000. (1,2) Yet mental health services are grossly under-resourced and there are many barriers to health care for the mentally ill. (3,4) Barriers include lack of accessibility, acceptability and […]
Approximately 180 000 babies are born with or acquire permanent bilateral hearing loss (40 dB hearing level (HL)) within the first few weeks of life across sub-Saharan Africa every year. (1) In South Africa an estimated 17 babies are born with a significant permanent bilateral hearing loss every day. (2) These infants can only be […]
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.
Tuberculosis (TB) remains one of the most important opportunistic infections among HIV-infected patients. Diagnosing pulmonary TB (PTB) has become problematic because HIV-positive patients tend to be smear negative and smear microscopy is the first line of diagnosis in people suspected to have TB. (1) It is estimated that more than 50% of HIV-infected patients will […]
Background and objectives. Diabetes affects approximately 1 million South Africans. Hospital admissions, the largest single item of diabetes expenditure, are often precipitated by hyperglycaemic emergencies. A recent survey of a 200-bed hospital, serving approximately 1.3 million Cape Town residents, showed that hyperglycaemic emergencies comprised 25.6% of high-care unit admissions. A study was undertaken to determine […]
Laboratory-based investigations are subject to substantial variability arising from several sources, including differences between subjects (e.g., age, sex, and genetic variation), within-subject variation (e.g., circadian change and pathological change), variations in sample collection and handling, and laboratory measurement error . In interpreting an individual patient’s laboratory test results, the clinician usually compares the reported values […]