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Journal of the Colleges of Medicine of South Africa
ISSN 2960-110X · AOSIS · 101 articles in the index
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Journal Article
Pandemic preparedness: The case for sentinel surveillance of doctors’ burnout
Doctors’ wellbeing is an essential, yet often overlooked component of resilient health systems. Burnout, often described as the ‘canary in the coalmine’, offers a measurable, validated indicator of workforce strain that has direct implications for patient safety, quality of care and crisis…
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Journal Article
The impact of COVID-19 on South African public-sector interventional radiology services – A single-centre study
Background: Little is known about the impact of coronavirus disease 2019 (COVID-19) on South African interventional radiology (IR) services. This study aimed to assess the influence of COVID-19 on IR procedures at a tertiary-level public sector South African (SA) hospital. Methods: A retrospective…
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Journal Article
Outcomes of hysterectomy for puerperal sepsis at an Academic Hospital: A retrospective study
Background: Pregnancy-related sepsis contributes significantly to maternal mortality. While there is substantial information on postpartum hysterectomy, information on outcomes of hysterectomy as source control for puerperal sepsis is limited. Knowledge of the common causative organisms and their…
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Journal Article
Mapping the gap: Misalignment between emergency care research and consensus priorities in the Western Cape
Background: The Western Cape (WC) province of South Africa is one of the highest emergency care (EC) research-producing regions in Africa. In 2021, a consensus exercise with key stakeholders established 26 EC research priorities. This study aimed to confirm evidence gaps in relation to the…
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Journal Article
Proficiency of South African intern doctors in recognising ischaemia on an electrocardiogram
Background: Interpreting an electrocardiogram (ECG) is challenging for junior doctors, and proficiency gaps exist commonly worldwide. This study assessed interpretation accuracy and self-confidence of South African intern doctors in identifying acute myocardial ischaemia on an ECG and analysed the…
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Journal Article
A ‘modified’ keystone flap in a single–surgeon case series: A new design in 32 patients
Introduction: The keystone island flap was described in 2003 by Dr Felix Behan. The design is a curvilinear, trapezoidal random perforator island flap with 4 classic subtypes (I–IV). It was named ‘keystone’ as it is identical in shape to the central pillar (keystone) used in architecture. It has…
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Journal Article
Sevoflurane usage and fresh gas flows in Maquet anaesthetic machines at an academic hospital
Background: Low-flow anaesthesia (LFA) is crucial in combating rising healthcare costs and the global threat of climate change. This study analysed the conduct of inhalational anaesthesia at a Johannesburg Academic Hospital to determine fresh gas flows (FGF) and liquid agent consumption (LAC) at…
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Journal Article
What’s in a number: Falling on the sword of cut-off points and reference limits?
The marked increase in laboratory test volumes and costs internationally emphasises the need for demand management. One way that this can be implemented is by reducing unnecessary repeat testing with the provision of appropriate decision cut-off points (clinical decision limits [CDLs]) or reference…
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Journal Article
Single treatment selective laser trabeculoplasty in a Southern African resource-constrained context
Background: In a resource-constrained environment, selective laser trabeculoplasty (SLT) is an attractive option. This study’s primary objective is to report real-world outcomes in terms of reduction in intraocular pressure, reduction in topical treatment and further surgery required. Methods: A…
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Journal Article
Exploring options for family medicine subspecialisation in South Africa: A proposed way forward following a national workshop
Family medicine (FM) is a clinical discipline that provides comprehensive, continuous, contextualised, first contact and person-centred health care. The practice of FM is not limited by the patient’s age, gender or diagnosis, thus encompassing the broad scope of general medical practice. Given the…
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Journal Article
#MissingInAction: A review of the social media footprint of South African interventional radiology practitioners
Background: Interventional radiology (IR) is a rapidly developing branch of medicine; however, the general awareness of the subspeciality among patients and medical colleagues is limited. Social media (SM) has become an integral part of information transfer globally, and its utility as an effective…
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Journal Article
The impact of the framing effect on performance in a simulated emergency anaesthetic scenario in medical officers: A prospective, randomised, double-blinded study
Background: Cognitive errors in anaesthesia may contribute significantly to medical error in the perioperative environment, but few studies have been conducted in this area. The framing effect is a cognitive bias that occurs when a problem is presented in different ways, potentially leading to…
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Journal Article
Audit of a retinopathy of prematurity screening programme in the Limpopo province, South Africa
Background: Retinopathy of prematurity (ROP) is a potentially blinding disorder. South Africa (SA) has national ROP screening guidelines to aid the timely diagnosis of infants requiring treatment. Several tertiary units in SA have published data on the prevalence of ROP; however, data from some…
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Journal Article
Financial literacy among anaesthetists in an academic department in Johannesburg
Background: Financial literacy is an important skill required to navigate the complex financial landscape. Wealth, income, race, age, geographical location and level of education affect financial literacy levels in South Africa. The aim of this study was to assess financial literacy among…
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Journal Article
The role of high-resolution manometry in a resource challenged service
Background: Oesophageal high-resolution manometry (HRM) is commonly used in the evaluation of patients presenting with upper gastrointestinal tract symptoms where primary oesophageal motility disorders are suspected. At our hospital, one doctor can perform and interpret HRM, with the hospital…
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Journal Article
Simultaneous two-team transorbital neuroendoscopic approach for sphenoid wing meningioma
Background: Surgery for skull base lesions is often time-consuming. In this research, we aimed to improve the efficiency of transorbital neuroendoscopic surgery (TONES) for skull base lesions, specifically sphenoid wing meningiomas, by reducing operative time without compromising patient safety or…
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Journal Article
Factors associated with depression and anxiety among mental healthcare practitioners
Background: Anxiety and depression constitute a significant global mental health burden. The extant literature indicates elevated rates of anxiety and depression among mental healthcare practitioners; however, this phenomenon remains understudied within this particular population. Methods: A…
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Journal Article
Profile of self-harming patients admitted in a South African hospital
Background: Self-harm, as intentionally hurting oneself, has grown to be a major public health issue in recent years. Such act can be carried out without the deliberate intent to kill oneself. This study aimed to profile self-harming patients admitted to a South African hospital. Methods: A…
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Journal Article
Knowledge and perceptions of mental health care users on decriminalisation of cannabis at Weskoppies, a tertiary psychiatric hospital in Gauteng, South Africa
Background: The decriminalisation of cannabis is gaining support in many countries, including South Africa. Decriminalisation does not make cannabis entirely legal but reduces the severity of punishment for possession and use. This study aimed to explore perceptions and knowledge of cannabis…
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Journal Article
Emergency specialists’ perceptions of climate-related health and education in South Africa
Background: Climate change exacerbates existing social inequalities, placing a disproportionate burden on already vulnerable populations. As emergency care often functions as the initial point of contact for affected patients, it is crucial that these specialists understand the impacts and are…