A5101506068- Cardiac, Anesthesia and Surgical Outcomes
- Global Health and Surgery
- Hip and Femur Fractures
- Cleft Lip and Palate Research
- Acute Kidney Injury Research
- Global Health Workforce Issues
- Health Systems, Economic Evaluations, Quality of Life
- Enhanced Recovery After Surgery
- Global Maternal and Child Health
- Delphi Technique in Research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Craniofacial Disorders and Treatments
- Blood Pressure and Hypertension Studies
- Radiation Dose and Imaging
- Maternal and fetal healthcare
- Breast Implant and Reconstruction
- Nursing education and management
- Diabetes Treatment and Management
- Breast Lesions and Carcinomas
- Head and Neck Anomalies
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Medical Malpractice and Liability Issues
- Abdominal Surgery and Complications
- Pneumocystis jirovecii pneumonia detection and treatment
- Law, logistics, and international trade
European Patent Organisation
2020-2023
Western Cape Department of Health
2023
Johannesburg Hospital
2023
University of Cape Town
2023
Midlands Provincial Hospital
2018-2022
University of Bristol
2020
University of Birmingham
2020
University of KwaZulu-Natal
2018
Kingston Hospital NHS Trust
2013
Psoriasis Association
2003
Summary Hypertension is not consistently associated with postoperative cardiovascular morbidity and therefore considered a major peri‐operative risk factor. However, hypertension may predispose to haemodynamic changes known be mortality, such as intra‐operative hypotension tachycardia. The objective of this study was determine whether pre‐operative independently adverse outcomes. We performed five‐day multicentre, prospective, observational cohort which included all adult inpatients...
Objective: To present preliminary efforts to establish an internationally agreed set of minimum core practice and best guidelines, along with overarching principles promote safe comprehensive cleft care globally. Design: Representatives from 6 national international organizations collaborated form a World Cleft Coalition. met monthly/bimonthly compile standards for safe, comprehensive, sustainable care. Outcomes were circulated within each organization small subset external constituents...
The equivalence of breast-conserving surgery followed by postoperative radiotherapy against mastectomy is now firmly established in patients with early breast cancer. results large-breasted women can be poor, radiation-induced fibrosis, chronic pain and poor cosmesis contributing to long-term psychological physical morbidity. Therapeutic mammoplasty offers an alternative management strategy both enhance the role provide better outcomes.A retrospective note review was undertaken all...
A structured approach to perioperative patient management based on an enhanced recovery pathway protocol facilitates early and reduces morbidity in high income countries. However, low- middle-income countries (LMICs), the feasibility of implementing pathways its influence outcomes is scarcely investigated. To inform similar practice LMICs for total hip knee arthroplasty, it necessary identify potential factors inclusion such a programme, appropriate LMICs. Applying Delphi method, 33...
Hypertension is common, affecting over one billion people worldwide. In sub-Saharan Africa, hypertensive disease not only affects the older population but becoming increasingly prevalent in younger individuals. South Africa (SA), >30% of adult has hypertension, making it single most common cardiovascular risk factor and predominant contributor to mortality. Elevated blood pressure perioperative comorbidity encountered non-cardiac surgical patients, with an overall prevalence 20 - 25%,...
Abstract Background Encouraged by the widespread adoption of enhanced recovery protocols (ERPs) for elective total hip and knee arthroplasty (THA/TKA) in high-income countries, our nationwide multidisciplinary research group first performed a Delphi study to establish framework unified ERP THA/TKA South Africa. The objectives this second phase changing practice were document quality patient recovery, record characteristics audit standard perioperative practice. Methods From May December...
Background: It is anticipated that in due course the burden of emergency care to COVID-19 infected patients will reduce sufficiently permit elective surgical procedures recommence. Prioritizing cleft/craniofacial surgery already overloaded medical system then become an issue. The European Cleft Palate Craniofacial Association, together with and Initiative for Equality Care, performed a brief survey capture current snapshot during rapidly evolving pandemic. Methods: A questionnaire was sent...
Background. Diabetes mellitus (DM) is a common condition. The high burden of undiagnosed DM and lack large population studies make accurate prevalence estimations difficult, especially in the surgical environment. Furthermore, poorly controlled associated with an increased risk perioperative complications mortality. Objectives. primary objective was to establish elective adult non-cardiac, non-obstetric patients hospitals Western Cape Province, South Africa. secondary objectives were assess...
High rates of drug-resistant tuberculosis in Ukraine suggest screening is necessary to mitigate public health hazards for host populations. A pathway was implemented Wales and data prospectively collected Between 8 April 21 December 2022. Of 5425 Ukrainian arrivals, notifications were received by TB teams on 2395 (44%) whom 1955 (82%) screened. The refugees young (median age 30, IQR 14–41), predominantly female (66.1%). Interferon- gamma release assay (IGRA) tests positive 112 (6.5%). One...
Background. Preoperative anaemia has been shown to be an independent risk factor for postoperative morbidity and mortality. Iron deficiency is the leading cause of globally. There are limited data describing burden perioperative relative contribution iron in South Africa (SA). Objectives. To determine prevalence severity preoperative adults presenting elective surgery Western Cape Province, SA, investigate as a anaemia. For this purpose, investigative protocol from recent consensus statement...
Describe the first hybrid global simulation-based comprehensive cleft care workshop, evaluate impact on participants, and compare experiences based in-person versus virtual attendance.Cross-sectional survey-based evaluation.International workshop.Total of 489 participants.Three-day workshop.Participant demographic data, perceived barriers interventions needed for delivery, participant workshop satisfaction, short-term practice stratified by attendance.The included participants from 5...
International guidelines recommend risk stratification to identify high-risk non-cardiac surgical patients. It is also recommended that all patients aged ≥45 years with significant cardiovascular disease should have preoperative natriuretic peptide (NP) testing. Abnormal B-type NPs a strong association postoperative cardiac complications. In South African hospitals, it not known how many scheduled for intermediate- surgery will raised NPs.
i) To fulfil the need for sonographers of appropriate information on prenatal diagnosis facial clefting, ii) to evaluate usefulness in clinical practice resulting booklet. A joint project between a national charity, Department Health and department was established 2001. booklet designed piloted using editorial board Cleft Lip Palate Association multi-disciplinary range health care professionals. It evaluated seven question postal questionnaire. The 18 page distributed 275 ultrasound...