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BACKGROUND The prevalence of peripheral arterial disease (PAD) worldwide has been estimated at between 4.5% and 29%. PAD has been associated with male gender, advanced age, diabetes, hypertension, hypercholesterolaemia and smoking. Clinical experience with amputations at Mthatha General Hospital, a district hospital in the Eastern Cape, suggests that PAD is(More)
BACKGROUND AND AIMS In South Africa diabetes makes a significant contribution to the burden of disease. Diabetic retinopathy is a leading cause of adult blindness, and screening can reduce the incidence. This project aimed to implement and evaluate a new service for retinal screening that uses a non-mydriatic mobile fundal camera in primary care. This is(More)
Responding to intimate partner violence and sexual violence against women WHO clinical and policy guidelines WHO Library Cataloguing-in-Publication Data: Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. 1.Spouse abuse – prevention and control. 2.Violence – prevention and control. 3.Battered(More)
BACKGROUND Recent studies have described the burden of disease in South Africa. However these studies do not tell us which of these conditions commonly present to primary care providers, how these conditions may present and how providers make sense of them in terms of their diagnoses. Clinical nurse practitioners are the main primary care providers and need(More)
BACKGROUND In South Africa the submission of a portfolio of learning has become a national requirement for assessment of family medicine training. A national portfolio has been developed, validated and implemented. The aim of this study was to explore registrars' and supervisors' experience regarding the portfolio's educational impact, acceptability, and(More)
BACKGROUND Asthma is the eighth leading contributor to the burden of disease in South Africa, but has received less attention than other chronic diseases. The Asthma Guidelines Implementation Project (AGIP) was established to improve the impact of the South African guidelines for chronic asthma in adults and adolescents in the Western Cape. One strategy was(More)
To the Editor: Little is known in South Africa about patients’ coping strategies when they hear that they are HIV-positive. Some are devastated, others seem hardly to react, and health workers also frequently report that their clients are in denial. Insight into how patients cope with such drastic news may help health workers to appreciate the different(More)