Research Outputs (Clinical Medicine)
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Item A long walk to freedom: the epidemiology of penetrating trauma in South Africa- analysis of 4 697 patients over a six year period at Chris Hani Baragwanath Academic HospitalBhana, Malini; Fru, Pascaline; Plani, FrancoBackground: Despite the city of Johannesburg having one of the highest rates of crime in the world, no national databank for trauma exists. This study profiles the victims of penetrating trauma and identifies geographical areas in which it occurs, while describing the outcomes and patterns of injury. Methods: A retrospective study including penetrating trauma patients triaged as Priority 1, presenting at the Chris Hani Baragwanath Academic Hospital's (CHBAH) trauma department over a six-year period (2011-2016). Results: A total of 4 697 patients were included. The majority of victims were Black African males (92.1%) between the ages of 29-40 years, and stabbings were the most common mechanism of injury (71.8%), followed by gunshots. The commonest body area affected was the thorax, with a consequent haemothorax the most likely result. Weekends accounted for over 48% of all presentations - the last weekend of the month being the busiest. Region D was the area in Johannesburg with the highest trauma incidence (51.9%), with the oldest townships in Soweto found to be "hot spots". Conclusion: Penetrating trauma is inherently linked to alcohol abuse and interpersonal violence in South Africa,1 primarily affecting its young economic, working-class citizens. The data provided some insight into the burden, structure and challenges of our trauma system. These should be regarded as opportunities to implement change and improve our surveillance and prevention, beginning with a national trauma databankItem Laboratory parameters associated with prolonged hospital length of stay in COVID19 patients in Johannesburg South AfricaJayandiran Pillai; Pooja Mistry; Dirk Le Roux; K S C Motaung; M Mokgatle; Petra Gaylard; Nezerith Cengiz; D BasuItem Treatment guideline concordance initiation and abandonment in patients with nonmetastatic breast cancer from the African Breast CancerDisparities in Outcomes ABCDO cohort in subSaharan Africa a prospective cohort studyM Foerster; V McCormack; B O Anderson; P Boucheron; Herbert Cubasch; Maureen Joffe; E et alItem Primary hyperoxaluria The Baragwanath experienceChih-Luo Chang; Karen Petersen; Antoinette Cilliers; Udai KalaItem Syndemics and clinical scienceEmily Mendenhall; Brandon A. Kohrt; Carmen H. Logie; Alexander C. 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Hughes; Robert Salata; Catherine Godfrey; Sharlaa Badal-Faesen; Lerato Mohapi; E et alItem TB morbidity estimates overlook the contribution of postTB disability evidence from urban MalawiE Tomeny; Rebecca Nightingale; Beatrice Chinoko; Georgios F Nikolaidis; Denise Evans; E et alItem Making data mapworthyenhancing routine malaria data to support surveillance and mapping of Plasmodium falciparum antimalarial resistance in a preelimination subSaharan African setting a molecular and spatiotemporal epidemiology studyFrank M. Kagoro; Elizabeth Allen; Aaron Mabuza; Lesley Workman; E et al; Jaishree RamanItem Neurodevelopmental and growth outcomes after invasive Group B Streptococcus in early infancy A multicountry matched cohort study in South Africa Mozambique India Kenya and ArgentinaP Paul; J Chandna; S R Procter; Ziyaad Dangor; Shannon Leahy; S Santhanam; E et alItem Hepatitis B infection is causally associated with extrahepatic cancers A Mendelian randomization studyAbram Kamiza; Segum Fatumo; Mwiza Singini; Ching-Ching Yeh; Tinashe ChikoworeItem Clients experiences utilizng a safer conception service for HIV affected individuals implications for differentiated care service delivery modelsSheree Schwartz; Natasha Davies; Nicolette Naidoo; Diantha Pillay; Nokuthula Makhoba; Saiqa MullickItem Understanding the Reasons for Deferring ART Among Patients Diagnosed Under the SameDayART Policy in Johannesburg South AfricaDorina Onoya; Tembeka Sineke; Idah Mokhele; Jacob Bor; Matthew Fox; Jacqueline MiotItem Impact of longacting therapies on the global HIV epidemicNomathemba Chandiwana; Celicia M Serenata; Andrew Owen; Steve Rannard; Carmen Perez Casas; A Et AlItem The effects of exposure to HIV in neonates at a referral hospital in South AfricaHelena Mellqvist; Robin Saggers; Anders Eflvin; Elisabet Hentz; Daynia BallotItem The cost and intermediary costeffectiveness of oral HIV selftest kit distribution across 11 distribution models in South AfricaKatleho Matsimela; Linda Alinafe Sande; Cyprian Mostert; Mohammed Majam; Jane Phiri; Vincent Zishiri; Celeste Madondo; Stephen Khama; Thato Chidarikire; et al et al; Gesine Meyer-RathItem Virologic response of adolescents living with perinatally acquired HIV receiving antiretroviral therapy in the period of early adolescence 1014 years in South AfricaP Nyakato; M Schomaker; Nosisa Sipambo; Karl-Gunter Technau; G Fatti; H Rabie; et.al et.al