South African Depression And Anxiety Group
To subscribe to SADAG's newsletter, click here Mental Health Matters Journal for Psychiatrists & GP's Click here for more info on articles & how to subscribe Literacy is a luxury that many of us take for granted. We depend on written communication for information, guidance, and access to heath care information That is why SADAG created SPEAKING BOOKS and revolutionized the way information is delivered to low literacy communities. It's exactly what it sounds like.a book that talks to the reader in his or her local language, delivering critical information in an interactive, and educational way. The customizable 16-page book, accompanied by local celebrity audio recordings, ensures that vital health and social messages can be seen, heard, read and understood.. We started with books on Teen Suicide prevention , HIV, AIDS and Depression, Understanding Mental Health and have developed over 30 titles, such as TB, Malaria, Polio, Vaccines for over 30 countries. Click here to see speaking books in action Click here for sample book on clinical trials You may not feel like eating at all or struggle to keep up with a good eating plan. Of course, this will affect your blood glucose levels." Despite enormous advances in the past 20 years, eliminated? depression often goes undiagnosed and untreated. Individuals with depression often do not realize that they are depressed. People with diabetes, their families and The following are some general suggestions for dealing with stress and mild to moderate anxiety. Examine your lifestyle for sources of stress.Are there stressors that can be Learn relaxation techniques.Yoga, meditation, prayer, and hypnosis may help. Make sure that you are getting enough sleep Exercise -The body's primitive stress response was designed to prepare the ,. , , Continue reading >>
Sa Journal Of Diabetes & Vascular Disease: Vol 5, Issue 1, March 2008
Full text: Click here to read online (Login Required) Abstract: Ever since the first report showing a disproportionately high frequency of diabetes in South African Indians five decades ago, there have been many studies highlighting high prevalence rates of the disease in several migrant South Asian communities living elsewhere, eg, Mauritius, United Kingdom and Fiji. A similar trend has been shown in urban Indians in India. In South Africa, Asian Indians have the highest prevalence of diabetes (13%) compared to the indigenous black group (5-8%) or other population groups. Title: Discontinuation of the intensive treatment of the diabetes part of the ACCORD study : editorial From: South African Journal of Diabetes and Vascular Disease, Vol 5, Issue 1, Mar Full text: Click here to read online (Login Required) Abstract: The contribution that this Journal, the South African Journal of Diabetes & Vascular Disease can make in improving communication and disseminating new information in the field of diabetes among South African health professionals is a modest one; nonetheless we will strive to support improved access and better care for patients in our region by encouring best practice among health professionals. At our recent strategic meeting held after four years of producing this quarterly journal, we defined the following key areas to improve our services to readers and authors. Title: New editorial board members : from the editor's desk From: South African Journal of Diabetes and Vascular Disease, Vol 5, Issue 1, Mar Full text: Click here to read online (Login Required) Abstract: On January 26th 2007 a symposium on the metabolic syndrome was held at the Royal Society of Medicine in London under the auspices of the Council on Lipids, Metabolism and Vascular Risk. A facu Continue reading >>
Indians Have Narrower Blood Vessels International Expert
Indians have narrower blood vessels international expert Dr Alexander T Cohen, honorary consultant vascular physician at Kings College Hospital in London. South African Indians (originally migrants from South Asia) have the highest rates of cardiovascular disease and diabetes in the country and a fascinating contributor may be that their blood vessels are narrower than those of other race groups. Coronary angiograms and postmortem studies reveal this little known fact, according to Dr Alexander T Cohen, honorary consultant vascular physician at Kings College Hospital in London, who cautioned that the high diabetes rates were primarily responsible for the cardiovascular elevation. This emerged in an interview with Cohen who recently completed a lecture tour of South Africa updating doctors, pharmacists and nurses on a ground-breaking new oral therapy for venous thrombo-embolism (VTE). Cohen is also an epidemiologist involved in clinical work, designing, managing and analysing clinical trials from phase 1 to 1V, and both chairs and serves on several international steering committees for multicentre trials, and epidemiological and pharmaco-economic studies. The nugget about lower-calibre blood vessels in Indians emerged when he was asked his opinion on why the highest rates of heart and blood vessel disease in South Africa occur in this community (followed by the coloured community, with the white and black communities having the lowest and most similar rates). He also put the dramatically differing patterns between the white and black local populations (in spite of their having similar rates of disease) down to research skewed by healthcare inequities. Seemingly, the white population predominantly has a pattern of deaths due to heart attacks, while the black population p Continue reading >>
Classification Rule For 5-year Cardiovascular Diseases Risk Using Decision Tree In Primary Care Chinese Patients With Type 2 Diabetes Mellitus
Classification Rule for 5-year Cardiovascular Diseases Risk using decision tree in Primary Care Chinese Patients with Type 2 Diabetes Mellitus Scientific Reportsvolume7, Articlenumber:15238 (2017) | Download Citation Cardiovascular disease(CVD) is the leading cause of mortality among patients with type 2 diabetes mellitus(T2DM), and a risk classification model for CVD among primary care diabetic patients is pivotal for risk-based interventions and patient information. This study developed a simple tool for a 5-year CVD risk prediction for primary care Chinese patients with T2DM. A retrospective cohort study was conducted on 137,935 primary care Chinese T2DM patients aged 1879 years without history of CVD between 1 January 2010 and 31 December 2010. New events of CVD of the cohort over a median follow up of 5 years were extracted from the medical records. A classification rule of 5-year CVD risk was obtained from the derivation cohort and validated in the validation cohort. Significant risk factors included in decision tree were age, gender, smoking status, diagnosis duration, obesity, unsatisfactory control on haemoglobin A1c and cholesterol, albuminuria and stage of chronic kidney disease, which categorized patients into five 5-year CVD risk groups(<5%; 59%; 1014%; 1519% and 20%). Taking the group with the lowest CVD risk, the hazard ratios varied from 1.92(1.77,2.08) to 8.46(7.75,9.24). The present prediction model performed comparable discrimination and better calibration from the plot compared to other current existing models. Diabetes Mellitus (DM) is a leading cause of global burden affecting 415 million people in the world and expected to increase to 642 million by 2040 1 . The estimated health expending on diabetes continues to rise to US$673 billion, accountin Continue reading >>
Publications For Healthcare Professionals | For Healthcare Professionals | Centre For Diabetes And Endocrinology
Publications For Healthcare Professionals Publications for Healthcare Professionals Healthcare providers who are part of the CDE networks, can access a full library of licensed diabetes journals via the secure log-in facility. Many of the contributors to this prestigious journal are from within the CDE network. Click on journal issues below for detailed articles Articles relating to the CDE published in diabetes journals Unfortunately, these articles cannot be published here please contact the relevant journal to access these articles. Striving for the impossible dream: A community based multi-practice collaborative model of Diabetes Management Larry A Distiller, Michael Brown. Barry I Joffe and Brian D Kramer Source: Diabetic Medicine. 2010; 27: 197-202 Articles authored by CDE practitioners published in diabetes journals Unfortunately, these articles cannot be published here please contact the relevant journal to access these articles. The articles listed here are limited to articles published within the past 5 years. The case for mandatory aspirin therapy in all patients with type 2 diabetes The worried well, insulin resistances and metformin therapy Larry A Distiller, Stan Landau, Barry Joffe, Brian Kramer and Laura Blacking Source: (Letter) SA Medical Journal 2005;95:366. Of Adiposity, inflammation and new treatments for type 2 diabetes Source: SA Journal of Diabetes and Vascular Disease. 2005;2;3:06-108 The future is here new treatment modalities for type 2 diabetes Insulin Resistance Syndrome: Diagnosis and Management Source: (Review) MIMS Disease Review. 2006. 310-316 Microvascular disease and blood pressure control: implications of the 2006 South African Hypertension Guideline Source: (Editorial) SA Journal of Diabetes and Vascular Disease 2006;3:61-62 Carotid Continue reading >>
A Hidden Menace: Cardiovascular Disease In South Africa And The Costs Of An Inadequate Policy Response | Maredza | Sa Heart Journal
A hidden menace: Cardiovascular disease in South Africa and the costs of an inadequate policy response Mandy Maredza, Karen J. Hofman, Stephen M. Tollman The cardiovascular disease (CVD) burden in South Africa (SA) is increasing amongst all age groups and is predicted to become the prime contributor to overall morbidity and mortality in the over 50-year age group. Several factors contribute to this an epidemiological transition, which has seen a rise in chronic non-communicable disease, and a demographic transition with much reduced fertility and a growing proportion of the population above 60 years. In parallel with unfolding urbanisation, the population burden of vascular risk factors namely hypertension, hypercholesterolemia, diabetes and obesity has increased. The scale of CVD burden poses a threat to the health system and calls for timely intervention. This paper discusses the burden of CVD in SA and current initiatives to address it. Evidence is presented from studies that focus on prevention including salt reduction and trans-fatty acids legislation. The economic and clinical impact of an inadequate private and public sector response is summarised. The paper documents lessons from other countries and proposes health systems strengthening measures that could improve care of patients with CVD. Continue reading >>
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High Risk Of Metabolic Syndrome Among Black South African Women With Severe Mental Illness
Department of Psychiatry, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, South AfricaJonathan K. Burns Department of Psychiatry, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, South AfricaDepartment of Psychiatry, Institute of Health Research, University of Exeter, United KingdomAyesha A. Motala Department of Diabetes and Endocrinology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, South Africa Saloojee S, Burns JK, Motala AA. High risk of metabolic syndrome among black South African women with severe mental illness. S Afr J Psychiat. 2017;23(0), a1089. High risk of metabolic syndrome among black South African women with severe mental illness Shamima Saloojee, Jonathan K. Burns, Ayesha A. Motala Received: 25 Nov. 2016; Accepted: 03 Mar. 2017; Published: 10 Apr. 2017 Copyright: 2017. The Author(s). Licensee: AOSIS.This is an Open Access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution,and reproduction in any medium, provided the original work is properly cited. Background: There is an increased prevalence of metabolic syndrome (MetS) in individuals with severe mental illness (SMI) globally. The prevalence of MetS is higher in black women compared to black men from South Africa. Aim: To compare the prevalence of MetS between black South African men and women with SMI taking antipsychotic medication. Further, this prevalence was compared to the prevalence in a matched control group of black South African men and women without SMI. Setting: A general hospital psychiatric unit. Methods: A cross-sectional study was undertaken to compare the prevalence of MetS in a group of multi-ethnic participants with SMI treated with antipsychotic medicat Continue reading >>
Lys Van Suid-afrikaanse Vaktydskrifte
Acta classica. Verhandelinge van die Klassieke Vereniging van Suid-Afrika / Acta Classica. Proceedings of the Classical Association of South Africa. AFFRIKA Journal of Politics, Economics and Society Africa Education Review [opvolg van Educare] African Journal for Physical Health Education, Recreation and Dance African Journal of Business and Economic Research African Journal of Farm Child and Youth Development African Journal of Health Profession Education African Journal of Herpetology (voorheen The Journal of the Herpetological Association of Africa (19651995), voorheen Journal of the Herpetological Association of Rhodesia (19571965)) African Journal of Information and Communication African Journal of Primary Health Care and Family Medicine African Journal of Psychiatry [as opvolg van South African Psychiatry Review; self 'n opvolg van Journal of Depression and Anxiety] African Journal of Research in Mathematics,Science and Technology Education [as opvolg van Journal of the Southern African Association for Research in Mathematics, Science and Technology Education] AJSTID: African Journal of Science, Technology, Innovation and Development Akroterion: Kwartaalblad vir die Klassieke in Suid-Afrika / Akroterion Quarterly for the classics in South Africa Annals of the Ditsong National Museum of Natural History [as opvolg van Annals of the Transvaal Museum] Annals of the Transvaal Museum [opgevolg deur Annals of the Ditsong National Museum of Natural History] Arms Control: Africa [as opvolg van Focus on Arms in Africa] Article 19 (vanaf Jaargang. 1, 1ste Uitgawe , 2005 Jaargang 5, 2de Uitgawe, 2009) BER: Architects and Quantity Surveyors' Survey BER: Building and Construction: Full Survey BER: Economic Prospects: An Executive Summary BER: Intermediate Goods Industries Sur Continue reading >>
Sa Journal Of Diabetes & Vascular Disease: Vol 5, Issue 4, November 2008
Full text: Click here to read online (Login Required) Abstract: In 2008, stroke remains a leading cause of death and adult disability. Estimates from the Global Burden of Disease study indicate that 80% of stroke deaths occur in low- and middle-income regions of the world. All-stroke fatality from available hospital-based prospective studies in sub-Saharan Africa is about 30% at one month post stroke, which is much higher than the 20% found in considerably older populations in the rest of the world. Title: Management of hyperglycaemia in acute stroke : review From: South African Journal of Diabetes and Vascular Disease, Vol 5, Issue 4, Nov Full text: Click here to read online (Login Required) Abstract: Stroke or 'brain attack' is a catastrophic illness, defined as an acute disturbance of cerebral function caused by occlusion or rupture of a blood vessel supplying a specific region of the brain, and causing a neurological deficit lasting more than 24 hours or death within 24 hours. Stroke is a major global public health problem associated with a tremendous cost burden to society. It is the third leading cause of death and the leading cause of disability in the United States. In South Africa, stroke is the third most frequent cause of all deaths reported, and in 1990 accounted for 9.6% of all reported deaths. Similarly, of all deaths reported in the age group 25 to 64 years (the workforce), 7.45% were due to stroke. The majority of strokes are ischaemic but about 15% of strokes are caused by intracerebral or subarachnoid haemorrhage. Atherothrombosis is a progressive disease involving low-density lipoprotein (LDL) cholesterol deposition, endothelial dysfunction and inflammation, affecting both cerebral and coronary circulation. Title: Mending hearts and brains : the clin Continue reading >>
Effectiveness Of A Screening Programme In Identifying Individuals With Increased Risk Of Cardiovascular Disease In South Africa
To determine the proportion of participants identified with previously undiagnosed diabetes and untreated hypertension in the Heart and Stroke Foundation South Africa's screening programme. This cross-sectional study was conducted nationally in 2013 among 18-year-old adults self-selected for screening. Data collection included medical history and behaviours related to diet, physical activity, smoking and alcohol use. Clinical measurements comprised blood pressure, anthropometry and point-of-care random blood glucose and cholesterol assessments. Among the 7711 participants, 2488 men and 5223 women, mean ages were 47.6 years and 48.6 years, respectively. Prevalence of diabetes was 13.8% in men and 12.8% in women but only 1.8% (45) and 0.9% (47), respectively, were newly diagnosed. Another 14.5% (men) and 12.4% (women) had impaired glycaemia. Only 32.9% and 36.3% with known diabetes were controlled. Hypertension was prevalent in 51.8% of men and 48.9% of women, 52.0% and 63.1% of whom were using anti-hypertensive medication; 43.2% of men and 45.5% of women on anti-hypertensive medication were controlled. Very few individuals with newly diagnosed diabetes were identified, which underscores the need for cost-effective targeted screening of high-risk individuals to optimize diagnosis. Furthermore, the suboptimal levels of diabetes and hypertension control highlights the need for improved care. cardiovascular disease risk factors , cholesterol , diabetes , hypertension , obesity , screening The rates of major cardiovascular disease (CVD) risk factors such as hypertension, diabetes and dyslipidaemia are high and on the rise in South Africa 1 3 an uppermiddle income country with a population of 53 million in 2013. 4 In 2012, stroke, ischaemic heart disease, diabetes and hyperte Continue reading >>
Sabinet - Portico
Download this publisher's e-journal holdings (xlsx) Portico provides a free holdings comparison service to compare a librarys journal or book holdings to the Portico archive. Acta Classica : Proceedings of the Classical Association of South Africa Acta Criminologica: Southern African Journal of Criminology Acta Germanica : German Studies in Africa Acta Structilia : Journal for the Physical and Development Sciences AFFRIKA Journal of Politics, Economics and Society African Journal for Physical Activity and Health Sciences (AJPHES) African Journal for Physical Health Education, Recreation and Dance African Journal of Business and Economic Research African Journal of Democracy and Governance African Journal of Farm Child and Youth Development African Journal of Governance and Development African Journal of Health Professions Education The African Journal of Information and Communication African Journal of Science, Technology, Innovation and Development African Yearbook on International Humanitarian Law Agricultural Journal of the Cape of Good Hope Agricultural Journal of the Union of South Africa Annals of the Ditsong National Museum of Natural History Annual Proceedings of the South African Statistical Association Conference Boleswa Journal of Theology, Religion and Philosophy Boleswa Occasional Papers in Theology and Religion Botswana Institute of Administration & Commerce Journal Clean Air Journal = Tydskrif vir Skoon Lug Communicare : Journal for Communication Sciences in Southern Africa Comparative and International Law Journal of Southern Africa Conspectus : The Journal of the South African Theological Seminary Critical Studies in Teaching and Learning (CriSTaL) Dairy Mail Africa : Publication for the Dairy Industry in Africa Dutch Reformed Theological Journal = Ned Continue reading >>
The Diabetic Foot Risks Profile In Selebi Phikwe Government Hospital, Botswana | Tshitenge | African Journal Of Primary Health Care & Family Medicine
2014. The Authors. Licensee: AOSIS OpenJournals. This is an Open Access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution,and reproduction in any medium, provided the original work is properly cited. The diabetic foot risks profile in Selebi Phikwe Government Hospital, Botswana Aim: The present study aimed: (1) to evaluate the proportion of each diabetic foot (DF) risk category, according to the International Working Group on the Diabetic Foot (IWGDF) consensus, in patients attending the diabetic clinic in Selebi Phikwe Government Hospital (SPGH) and (2) to examine some of the factors that may be associated with the progression to higher risk categories such as anthropometric measurements, blood pressure, glycosylated haemoglobin (HbA1c) and lipid profile. Methods: A retrospective, cross sectional chart review of patients who had attended the diabetic clinic in SPGH from January 2013 to December 2013was performed. Patients were included if they had undergonea foot examination. Patients with amputation due to accident were excluded. The DF risk category was assessed by determining the proportion of patients in each of four risk categories,as describedby the IWGDF consensus. Results: The study encompassed 144 records from patients reviewed for foot examination from January to December 2013. Patients ages were between 16 and 85 years, 46 (40%) were male and 98 (60%) were female. The majority (122, [85%]) of patients were in DF risk category 0, whilst a limited number of patients were classified in risk category 1 (10, [6.9%]), risk category 2 (7, [4.9%]) and risk category 3 (5, [3.5%]). Most of the patients had the type 2 diabetes mellitus (139, [97%; 95% CI 92% 99%]). Patients ages were associat Continue reading >>
- Diabetes, Foot Care and Foot Ulcers
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Welcome To The Sa Journal Of Diabetes And Vascular Disease :: Welcome :: Primary Diabetic Care, Diabetes Management, Diabetes Resource, Diabetes Research
Article Processing/Publishing Fee: South African and International Authors: ZAR 1000. Paid on Article Acceptance for Publication in the journal. This is normal for most, if not all, journals. We so far have been able to survive without charging authors for submissions and processing but can no longer do so. We regret that we have to implement this as from the 13 of December 2016. Payment will need to be made online and once payment has been received, the manuscript will be further processed for possible publication. The payment of the manuscript submission fee and does not guarantee publication of the article. The manuscript submission fee is not refundable in the event of rejection as processing cost will have been incurred. LATEST SA DIABETES & VASCULAR journal ARTICLES New cut-off points for abdominal girth in Botswana? Cardiometabolic risk factors in sub-Saharan African countries Telmisartan decreases microalbuminuria in type 2 diabetes Red cell distribution width, coronary artery disease and diabetes Melatonin and glucose uptake by cardiomyocytes in insulin-resistant rats New insight on the epidemiological transition in West Africa Management of chronic diabetic foot ulceration Bioecological model for psychosocial well-being of diabetic children Comprehensive clinic approach to optimal care of diabetic patients Aortic contractility in rats with pioglitazone and losartan Body mass index, waist:hip ratio and severity of coronary artery disease Homocysteinaemia and hyperglycaemia, dyslipidaemia, hypertension and obesity This journal is now available to be viewed via our eJournal publication viewer. Dealing with the emotions of children with diabetes Having a child or teenager with diabetes adds a new and different dimension to parenting. To love and care for the chil Continue reading >>
- The cost-effectiveness of primary care for Indigenous Australians with diabetes living in remote Northern Territory communities
- Diabetes Care Management Teams Did Not Reduce Utilization When Compared With Traditional Care: A Randomized Cluster Trial
- Diabetes management 3: the pathogenesis and management of diabetic foot ulcers
Treatment Gaps Found In The Management Of Type 2 Diabetes At A Community Health Centre In Johannesburg, South Africa
Treatment Gaps Found in the Management of Type 2 Diabetes at a Community Health Centre in Johannesburg, South Africa We are experimenting with display styles that make it easier to read articles in PMC. The ePub format uses eBook readers, which have several "ease of reading" features already built in. The ePub format is best viewed in the iBooks reader. You may notice problems with the display of certain parts of an article in other eReaders. Generating an ePub file may take a long time, please be patient. Treatment Gaps Found in the Management of Type 2 Diabetes at a Community Health Centre in Johannesburg, South Africa Yacob Pinchevsky, Neil Butkow, [...], and Frederick Raal The management of cardiometabolic goals or ABCs (HbA1c, blood pressure (BP), and cholesterol) ultimately determines the morbidity and mortality outcomes in patients with type 2 diabetes mellitus (T2DM). We sought to determine if patients with T2DM attending an urbanized public sector community health centre (CHC) were having their ABCs measured, were treated with appropriate cardioprotective agents and finally, were achieving guideline-based targets. A cross-sectional record review of 519 patients was conducted between May and August 2015. The mean age was 54 years (SD: 11.5) and 54% (n = 280) were females. Testing of ABCs occurred in 68.8% (n = 357) for HbA1c, 95.4% (n = 495) for BP, and 58.6% (n = 304) for LDL-C. Achievement of ABC targets was as follows: 19.3% (HbA1c < 7%), 22.0% (BP < 140/80 mmHg), and 56.3% (LDL-C < 2.5 mmol/l). There were a significant number of patients who were not tested nor received adequate pharmacotherapy or achieved their ABC targets. This places these patients at an increased risk for the development of diabetes-related complications. Although the realities of resou Continue reading >>
Sa Journal Of Diabetes & Vascular Disease: Vol 5, Issue 3, September 2008
Full text: Click here to read online (Login Required) Abstract: Professor Martin Silink, president of the International Diabetes Federation (IDF), could not have more succinctly summarised the state of global diabetes when he wrote, 'It is a singular tragedy that, despite the emergence in recent years of increasingly effective strategies for the metabolic / glycaemic control of type 1 and 2 diabetes mellitus, this condition continues to exact a terrible toll. Perhaps no group better exemplifies the diabetes crisis gripping both developed and developing nations today than the child. Children and adolescents with diabetes represent society's most vulnerable population - and it is indeed a tragedy that young lives continue to be lost to a disease for which adequate management tools and knowledge exist.' Title: New approaches to insulin therapy in children and adolescents with type 1 diabetes : review From: South African Journal of Diabetes and Vascular Disease, Vol 5, Issue 3, Sep Full text: Click here to read online (Login Required) Abstract: With the growing prevalence of childhood obesity and type 2 diabetes mellitus (T2DM) in youth, the challenge of cardiovascular disease risk management has entered the paediatric realm, affecting specialists, family physicians and allied healthcare professionals alike. Currently, there is little evidence to support optimal strategies for management of T2DM in youth and the associated cardiovascular complications. Physical activity plays a powerful role in the prevention and management of T2DM and cardiovascular disease in adults. This review will focus on the role of physical activity for the prevention of T2DM in youth and its associated cardiovascular complications. The first part describes the prevalence of cardiovascular risk fac Continue reading >>
