Archives

  • Vol. 115 No. 9 (2025)

    PERSPECTIVE

    A roadmap for kidney health for South Africa in the context of universal health coverage

    RESEARCH

    A cross-sectional study of patients with prosthetic mitral valves at a tertiary centre in Johannesburg

    Wound documentation by doctors in academic emergency departments, Gauteng Province, South Africa

    Early results of starting a fracture liaison service for fragility hip fractures in a regional South African hospital

    Thyroid cancer pathology: Insights from a developing region

    Thrombosis and bleeding outcomes with warfarin conversion to rivaroxaban during the COVID-19 pandemic

    Acute cellular rejection in adult liver transplant recipients in Johannesburg, South Africa

     

  • SAMJ Vol. 115 no. 8

    IN PRACTICE

    Rising trends in sodium nitrite suicides: A case series from Cape Town, South Africa

    CLINICAL TRIAL

    Clot twist – D-dimer analysis of healthy adults receiving heterologous or homologous booster COVID‐19 vaccine after a single prime dose of Ad26.COV2.S in a phase II randomised open-label trial, BaSiS

    RESEARCH

    The Use of venous thromboembolism prophylaxis in relatioN to patiEnt risk profilINg (TUNE IN) Wave 3 study

    HIV index testing implementation at public health clinics in South Africa

    Prevalence of Plasmodium species in asymptomatic individuals in North-Eastern South Africa: 2018 - 2019

    The impact of the MMed research requirement on registrar training and specialist registration in South Africa: An internet e-survey

  • Vol. 115 No. 7 (2025)

    RESEARCH

    Aneuploidy screening in women of advanced age in the public healthcare setting of a low- to middle- income country – an observational cohort study

    Real-world effectiveness of Ad26.COV2.S or BNT162b2 booster vaccines against severe COVID-19 in adults who received a primary dose of Ad26.COV2.S in South Africa during the Delta period: A retrospective cohort study using medical scheme data

    Access to oncology care in western KwaZulu-Natal Province before, during and after the COVID‐19 pandemic

    Nocardia species epidemiology and susceptibility profiles from 2019 to 2022 in South Africa 

    Penicillin remains an effective agent against Group A Streptococcus in low- and middle- income countries: A systematic review and meta-analysis of antibiotic resistance and associated genes

    Maternal near miss and maternal mortality and their determinants among pregnant women at a rural tertiary centre in Eastern Cape Province, South Africa: A cross-sectional study

    Diarrhoeal admissions among children aged <5 years in public sector facilities in Western Cape Province, South Africa, before and during the COVID‐19 pandemic (2019 - 2021)

     

  • Vol. 115 No. 6 (2025)

    RESEARCH

    Using the 99DOTS (directly observed treatment, short course) application for improved adherence to tuberculosis treatment in Namibia: A mixed-methods study

    Workplace bullying and mental health of medical interns in KwaZulu-Natal Province, South Africa

    Intravenous antibiotic use in a private mining hospital in North West Province, South Africa

    Optimising insulin use in people living with type 2 diabetes at primary healthcare facilities: The Tshwane Insulin Project

    An audit of extracorporeal membrane oxygenation outcomes in patients with low cardiac output syndrome at Charlotte Maxeke Johannesburg Academic Hospital, South Africa

    Achieving universal healthcare access in South Africa: A policy analysis of consensus reform proposals

  • Vol. 115 No. 5 (2025)

    IN PRACTICE

    What next for South African private health funders after the passage of the National Health Insurance Bill?

     Progress in advanced cellular and gene therapies in South Africa and barriers to patient access: A National Consortium paper on behalf of the BloodSA Cell and Gene Therapy working party 

    Tracking poison ingestion deaths for South Africa: The need for access to timely reliable data

    SPECIAL SERIES ON THE DISTRICT HEALTH SYSTEM

    Monitoring District Health System performance in South Africa: A proposed dashboard based on key pragmatic indicators

    RESEARCH

    The prevalence, risk factors and outcomes of retinopathy of prematurity at a tertiary care centre in South Africa

    Orthopaedic-related pathological conditions in the paediatric population presenting at outreach clinics in central South Africa over a 20-year period

  • SAMJ Specialties: Artificial Intelligence in Healthcare

    EDITORIALS

    Artificial Intelligence in healthcare: Benefits and challenges

    Designing a universal electronic health record system: Creating a reliable national health database for AI and its application in healthcare in South Africa

    ARTICLES

    Bridging the gap in rural and underserved areas through AI‐enabled solutions

    AI and its application within UK healthcare: British Medical Association perspective

    AI in medicine: Hype, hope, and the path forward

    The role of AI in transforming healthcare in South Africa

    Data privacy and protection in AI-driven healthcare

    The ethics and law of medical AI in South Africa: Balancing innovation with responsibility

  • SAMJ Vol. 115 no. 4

    EDITORIAL

    Cost-cutting at the expense of care and training: The predictable consequences of attempts at austerity by the Gauteng Department of Health

    IN PRACTICE

    Pregnant patients with severe headaches – don’t forget brain tumours!

    RESEARCH

    Putting us to the test: An assessment of the agreement between preoperative investigations ordered and evidence-based guidelines at a tertiary level hospital

    A spatiotemporal analysis of emergency medical services use for palliative situations in Cape Town, South Africa

    Perspectives of doctors, nurses and rehabilitation therapists in Gauteng and Mpumalanga provinces’ public hospitals on remunerative work outside of the public service

    Leflunomide as an alternative csDMARD for rheumatoid arthritis in a resource-constrained setting

    Neck dissection for advanced laryngeal cancer: Role and relevance in KwaZulu-Natal Province, South Africa

    The assessment of preventive measures in infants admitted with acute diarrhoeal disease to Pelonomi Tertiary Hospital in Bloemfontein, South Africa

  • SAMJ Vol. 115 no. 3

     

    DISTRICT HEALTH SYSTEMS 

    Ritshidze’s community-led monitoring system as a source of information on health system responsiveness in South Africa 

    IN PRACTICE 

    Severe lithium-induced nephrogenic diabetes insipidus: The diuresis paradox 

    RESEARCH 

    High frequency of SARS-CoV-2 infection in children admitted to academic hospitals in central South Africa 

    A critical analysis of adult platelet product utilisation in South Africa, 2014 - 2021 

    Disparities in access to treatment in relation to quality of life in people diagnosed with Parkinson’s disease in the South African healthcare setting 

  • SAMJ Vol. 115 No. 2

    DISTRICT HEALTH SYSTEMS

    The implementation of community-oriented primary care in the Cape Metro Health District: A programme evaluation

    IN PRACTICE

    Effective cannabis testing protocols for workplace safety in South Africa post-legalisation: Navigating the new normal

    RESEARCH

    Identification and management of iron deficiency anaemia in hospitalised children in Durban, South Africa

    Evaluation of wastage of commonly used anaesthetic agents in the operating theatres of a South African teaching hospital

    The use of a urine lipoarabinomannan test in clinical decision-making regarding empiric tuberculosis treatment among HIV-positive patients suspected to have tuberculosis

    Response and remission after first-line corticosteroid therapy in primary immune thrombocytopenia

  • SAMJ Vol. 115 no. 1

    EDITORIAL

    Heritable human genome editing in South Africa – time for a reality check

    IN PRACTICE

    Addressing the limitations of the regulatory landscape in South Africa regarding advanced cell and gene therapies and related sectors involving human cells, tissues and organs

    RESEARCH

    An initial benchmark of the quality of the diagnosis and surgical treatment of breast cancer in South Africa

    The incidence of incomplete abortion and the prevalence of abortion-related morbidity in South African public hospitals, 2018

    The clinical utility of tissue polymerase chain reaction, tissue culture and tissue histology in blood culture-negative infective endocarditis in South Africa – insights from the Groote Schuur Hospital Infective Endocarditis Registry

    An assessment of South African policy and strategic framework for the development of a sufficient, equitably distributed and well-performing health workforce for the implementation of the National Health Insurance

  • SAMJ Vol. 114 no. 12

    EDITORIAL

    The synergistic health syndemic of HIV and cancer of the cervix in women living with HIV in sub-Saharan Africa: Decrying the dearth of information 

    IN PRACTICE

    The dawn of preventing respiratory syncytial virus lower respiratory tract infections in children

    Cyberattack on the National Health Laboratory Service of South Africa – implications, response and recommendations

    RESEARCH

    Exploring the role of district clinical specialist teams in maternal health outcomes in a South African district

    Post-colonoscopy colorectal cancers in privately insured patients in South Africa

    The management and clinical outcome of paracetamol poisoning in South African adults

    Impact of pharmacist-prescriber partnerships to track antibiotic prescribing in publicly funded primary care

    Prevalence, associated factors, management and outcomes of hypokalaemia in hospitalised patients

    Paediatric nephroblastoma at a South African tertiary hospital: A 21-year retrospective analysis

    Tobacco control research in South Africa from 1978 to 2022: A scoping review

  • SAMJ Vol. 114 no. 11

    CME

    The South African Guidelines on Enuresis – an update 2024

    Case report

    First reported case of spondylodiscitis caused by Gemella morbillorum in South Africa

    RESEARCH

    The COVID-19 pandemic and blood utilisation in South Africa

    Evaluation of clinical, laboratory, radiographical and histopathological characteristics in patients with spinal tuberculosis in the context of HIV infection: An analysis of 52 patients from a South African tertiary hospital

    Analysis of emergency centre recidivism for interpersonal violence in a district-level hospital in Cape Town, South Africa

    Fairway to fractures: Income inequality and violent crime as the driving factors for golf club- related assaults – a case series of 21 compound skull fractures

  • SAMJ Vol. 114 no. 10

    IN PRACTICE

    Unilateral superior vena cava syndrome: An uncommon complication of a commonly used procedure

    The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper

    Severe mpox in an immunocompromised patient, South Africa 2024

    RESEARCH

    A decade-long overview of adverse events in a tertiary surgical service in South Africa

    A quantitative assessment of the time to complete the Master of Medicine research thesis in a cohort of paediatrics registrars at the University of the Witwatersrand, South Africa

     

  • SAMJ Vol. 114 No. 9

    Editorial

    Strengthening primary care mental health services – lessons from the South African HIV programme

    CME

    Introduction to the South African Rheumatism and Arthritis Association 2024 guidelines

    In Practice

    What’s in and what’s out? Recommendations for developing a legally sound health technology assessment process for South Africa’s National Health Insurance

    Research

    THrombosis AETiology of Aviation-Related Travel: The THETA θ study

    Vaccines in the fight against antimicrobial resistance – perspectives from South Africa

  • SAMJ Vol. 114 no. 8

    From the editor

    ASSAf launches its consensus study: Achieving good governance and management in the South African health system

    In Practice

    Primary ciliary dyskinesia: Meeting the challenges of diagnosis in South Africa 

    The Ministerial Advisory Committees and 3 years of COVID-19 expertise – is the Department of Health’s model for information-sharing pandemic-ready?

    Research

    The prevalence and distribution of malaria in Mpumalanga Province before and during COVID-19 (2017-2022)

    From economics to health outcomes: Delving into the significance of reduced insulin prices

     

  • SAMJ Vol. 114 No. 7

     

    Editorial

    Challenges in setting up the antiretroviral paediatric registry in South Africa: Lessons learned from Free State Province clinics

    In Practice

    Time to be seen and heard: Including children’s and adolescents’ voices in the South African TB response

    Research

    Rural-urban disparities and socioeconomic determinants of caesarean delivery rates in Zimbabwe

    An analysis of referral patterns of traumatic brain injury at Groote Schuur Hospital Trauma Centre

    Death trends for 2010 - 2022 for members of a large private medical scheme in South Africa

     

     

  • UNIVERSITY OF PRETORIA SCHOOL OF HEALTH SYSTEMS AND PUBLIC HEALTH 25TH ANNIVERSARY SUPPLEMENT

    This special issue of the South African Medical Journal celebrates the 25th Anniversary of the University of Pretoria’s School of Health Systems and Public Health (SHSPH).

  • SAMJ Vol. 114 No. 5

    CME

    The South African Prostate Cancer Screening Guidelines

    Liver cystic echinococcosis: A retrospective study on the demographics and clinical profile of patients managed at a single tertiary institution in central Eastern Cape Province, South Africa

    In Practice

    Will South Africa meet the Sustainable Development Goals target for maternal mortality by 2030?

    Research

    Characteristics, clinical manifestations and management of leprosy in KwaZulu-Natal, South Africa: A 20-year retrospective study

    Resilience in the time of crisis: A review of the maternal, perinatal and reproductive health effects of COVID-19 in South Africa

    The prevalence of malaria in the five districts of Limpopo Province, South Africa, 2015 - 2017

     

  • SAMJ Vol. 114 no. 4

    CME

    Urology care in South Africa: A call for collaboration

    In Practice

    Policy brief: Optimising antimicrobial usage in paediatric inpatient hospital settings

    Research

    Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveries

    How far? Travel burdens for children admitted to hospitals in the Western Cape Province of South Africa

    Prevalence and predictors of severe Crohn’s disease at a tertiary hospital in South Africa

    Diagnosis and presenting features of autoimmune hepatitis at a central referral hospital in South Africa

  • SAMJ Vol. 114 no. 3

    EDITORIAL

    Obesity is South Africa’s new HIV epidemic

    IN PRACTICE

    South African healthcare reforms towards universal healthcare – where to next?

    RESEARCH

    Contribution of a bonded scholarship scheme to staffing rural health facilities

    Differential management and associations of dyslipidaemia and hypertension by glycaemic status in urban South Africans

    Cryoballoon ablation for atrial fibrillation in South Africa: One-year outcome from the Cryo Global Registry

  • SAMJ Vol. 114 no. 2

    EDITORIAL

    A good death

    IN PRACTICE

    The role of new hepatitis B vaccines in South Africa

    RESEARCH

    Household transmission of SARS-CoV-2 in a rural area in South Africa

    Community perceptions of community health worker effectiveness: Contributions to health behaviour change in an urban health district in South Africa

    The burden and outcomes of firearm injuries at two district-level emergency centres in Cape Town, South Africa: A descriptive analysis

  • SAMJ Vol. 114 no. 1

    IN PRACTICE

    Recurrent venous thrombosis – an unusual first presentation of autoimmune polyendocrinopathy syndrome type 3B

    Artificial intelligence (AI) or augmented intelligence? How big data and AI are transforming healthcare: Challenges and opportunities

    RESEARCH

    Pancreatic cancer mortality in South Africa: A case-control study

    Evaluation of the impact of PEPFAR transition on retention in care in South Africa’s Western Cape Province

    Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg

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