3. Electronic Theses and Dissertations (ETDs) - All submissions

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    An analysis of fifth year Paediatric teaching
    (1987) Skapinker, Renee
    Much teaching in paediatrics is done at the patient's bedside. The clinical ward round should integrate all the pertinent features of the case. A prospective study was undertaken at the Johannesburg Hospital to evaluate such teaching. Twenty-two fifth year medical students and ten paediatric consultants were studied during the students1 first exposure to clinical paediatrics. Analysis of the teaching showed that there were significant differences between ideal objectives set by the Department, what was actually taught during the clinical ward round and what students perceived as having been taught. Futhermore, consultants defined more objectives for the teaching session when this was done prior to the tutorial than after the tutorial. The correlation between objectives considered taught by consultants and those perceived by students as having been taught, was poorer when consultants defined their teaching objectives before the tutorials compared with when consultants defined their objectives after the tutorials. These findings indicate unrealistic expectations in terms of what tutors are able to cover in a ward round when the objectives are pre-defined. Further analysis of the data revealed a bias towards objectives which were inappropriate for students with limited clinical experience.
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    Assessing the rational use of cefotaxime at Queen Elizabeth ll Hospital
    (2004) Maphasa, Teboho
    The purpose of the study was to evaluate the use of cefotaxime with the idea of improving its use within the hospital. Improving the use of cefotaxime could result in a change in the proportion spent from the pharmacy budget. More importantly a change in prescribing patterns of this drug could also result in a reduction in resistant patterns of cefotaxime.
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    Second trimester termination of pregnancy at Chris Hani Baragwanath academic hospital
    (2015-04-07) Baloyi, Stephen
    Objectives: The main objective of this study was to characterise women who presented at Chris Hani Baragwanath Academic Hospital (CHBAH) between 12 and 20 weeks for termination of pregnancy (TOP). Secondary objectives were to determine time to abortion, compare sonar gestational age to gestational age by dates and reasons for late presentation. Method: This was a prospective cohort study of women over the age of 18 who were referred to CHBAH for second trimester TOP between August 2012 and May 2013. The exclusion criteria were pregnancies more advanced than 20 weeks gestation. Data was collected from the medical file and by interview. Demographics and reasons to terminate were extracted from the files. Outcome variables included bleeding, pain, and time to abortion. Results: One hundred and ninety one women (91.39%) aborted. The median age of women was 25.00 (IQR=21.00-31.00), range (18-43). Women older than 25 years were 33% less likely to abort than women less than 25 years of age. Ninety nine women (47.14%) bled severely. One woman had a uterine perforation following evacuation of the uterus. The median gestational age by sonar was14.71 (IQR=13.86-16.14), range (13.00-20.00). The median gestational age by dates was13.57 (IQR=12.29-15.00), range (4.14-26.28). One hundred and thirty five women (63.98%) had an MVA for RPOC using analgesia following medical induction. Two women (0.95%) needed hysterotomy following failed TOP. The median time to abortion was 11.50(IQR=8.67-17.92), range (3.50-69.33) and incidence rate of 0.5 per hour or 1 per 2hours. Conclusion: The majority of women (91%) aborted within 72 hours following medical induction with less complication rate and short induction to abortion time. This affirm misoprostol efficacy as the suitable drug for conducting second trimester medical TOP.
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    Financial management controls in the South African public hospital sector
    (2011-12-12) Jones, Andrew
    Cannot copy abstract
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