Colleen Michelle Aldous

Learn More
INTRODUCTION The Pietermaritzburg Metropolitan Trauma Service formerly lacked a robust computerised trauma registry. This made surgical audit difficult for the purpose of quality of care improvement and development. We aimed to design, construct and implement a computerised trauma registry within our service. Twelve months following its implementation, we(More)
BACKGROUND Acute appendicitis in South Africa is associated with higher morbidity than in the developed world. Objective. To compare outcomes of urban and rural patients in KwaZulu-Natal and to determine whether there are disparities in outcome. METHODS We conducted a prospective study from September 2010 to September 2012 at Edendale Hospital in(More)
BACKGROUND The Department of Health in KwaZulu-Natal (KZN) has run a surgical outreach programme for over a decade.Objective. To quantify the impact of the outreach programme by analysing its effect on the operative capacity of a single rural health district. METHODS During 2012, investigators visited each district hospital in Sisonke Health District(More)
PURPOSE The problems of screening costs, as well as poor data, potentially lead to the underestimation of the incidence of hepatocellular carcinoma (HCC). In particular, this is problematic in developing countries with limited resources and poor data. The study develops a model to inform policy makers of the true incidence and potential extra cost of HCC in(More)
BACKGROUND . This study is a description of an Internal Medicine outreach appointment in western KwaZulu-Natal (KZN) from 2007 to mid-2014, facilitated by the transport services of the Red Cross Air Mercy Service (AMS) and funded by the KZN-Department of Health (KZN-DOH). The hospital visits represented 'multifaceted' as opposed to 'simple' outreach. (More)
BACKGROUND Road traffic crashes are responsible for a vast amount of death and disability in developing countries. This study uses a bottom up, micro-costing approach to determine the cost of road traffic related crashes in South Africa. METHODS Using the data from one hundred consecutive RTC related admissions to a regional hospital in South Africa we(More)
BACKGROUND Sustainable multifaceted outreach is crucial when equity between specialist services available to different sections of South Africa (SA)'s population is addressed. The healthcare disadvantage for rural compared with urban populations is exemplified in KwaZulu-Natal Province (KZN). Outreach to rural hospitals has reduced the need for patients to(More)
BACKGROUND Road traffic crashes (RTCs) account for a significant burden of disease in South Africa. This prospective study reviews basic demographic and outcome data of patients who sustained an RTC-related injury and analyses the common patterns of injury associated with specific mechanisms of injury. METHOD We reviewed all patients seen at a single(More)
Mitochondrion is a cellular organelle that is present in most of the cells and is responsible for producing energy for the cell. Mitochondria have their own double-stranded DNA genome which is distinct from nuclear genome. The replication, recombination and repair of mtDNA are achieved by DNA polymerase-gamma which is encoded by POLG gene. Mutation in the(More)