37 Result(s)
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Article
Open AccessManagement of intraoperatively identified small bile duct stones in patients undergoing cholecystectomy
The management of CBDS (common bile duct stones) in patients with co-existing gallbladder stones has been debated. Guidelines recommend patients with CBDS identified on imaging should be offered duct clearance...
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Safety and clinical outcomes of early dual modality drainage (< 28 days) compared to later drainage of pancreatic necrotic fluid collections: a propensity score-matched study
Necrotizing pancreatitis can be complicated by Necrotic Fluid Collections (NFC). Guidelines recommend waiting for 4 weeks from the onset of acute pancreatitis (AP) before considering endoscopic drainage. We ai...
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A systematic review and meta-analysis comparing radiofrequency catheter ablation with medical therapy for ventricular tachycardia in patients with ischemic and non-ischemic cardiomyopathies
In patients with cardiomyopathy, radiofrequency catheter ablation (CA) for ventricular tachycardia (VT) is an adjunctive and alternative treatment option to long-term anti-arrhythmic drug therapy. We sought to...
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Open AccessWhy do some countries do better or worse in life expectancy relative to income? An analysis of Brazil, Ethiopia, and the United States of America
While in general a country’s life expectancy increases with national income, some countries “punch above their weight”, while some “punch below their weight” – achieving higher or lower life expectancy than wo...
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Open AccessGlobal health activists’ lessons on building social movements for Health for All
The People’s Health Movement (PHM) was formed in 2000 and drew inspiration from the Alma Ata Declaration on Primary Health Care’s ‘Health for All’ (1978). Since then PHM has been an active part of a global cou...
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Open AccessThe politics and practice of initiating a public health postgraduate programme in three universities in sub-Saharan Africa: the challenges of alignment and coherence
In-country postgraduate training programme in low and middle income countries are widely considered to strengthen institutional and national capacity. There exists dearth of research about how new training ini...
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Open AccessDeterminants of effective organisational capacity training: lessons from a training programme on health workforce development with participants from three African countries
Health systems in sub-Saharan Africa face multifaceted capacity challenges to fulfil their mandates of service provision and governance of their resources. Four academic institutions in Africa implemented a Wo...
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Open AccessTreatment of irritable bowel syndrome with diarrhoea using titrated ondansetron (TRITON): study protocol for a randomised controlled trial
Irritable bowel syndrome with diarrhoea (IBS-D) affects up to 4% of the general population. Symptoms include frequent, loose, or watery stools with associated urgency, resulting in marked reduction of quality ...
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Open AccessLow intake of commonly available fruits and vegetables in socio-economically disadvantaged communities of South Africa: influence of affordability and sugary drinks intake
Consumption of fruits and vegetables reduces the risk of obesity, diabetes, cancer, cardiovascular mortality and all-cause mortality. The study assessed the pattern of intake and the factors that influence dai...
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Open AccessPunching above their weight: a network to understand broader determinants of increasing life expectancy
Life expectancy initially improves rapidly with economic development but then tails off. Yet, at any level of economic development, some countries do better, and some worse, than expected – they either punch a...
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Article
Open AccessAre large clinical trials in orthopaedic trauma justified?
The objective of this analysis is to evaluate the necessity of large clinical trials using FLOW trial data.
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Open AccessHow institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations
Worldwide, there are competing norms driving health system changes and reorganisation. One such norm is that of health systems’ responsibilities for population health as distinct from a focus on clinical servi...
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Tribute to Professor Andrew Kingsnorth
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Article
Open AccessCritiquing the response to the Ebola epidemic through a Primary Health Care Approach
The 2014/2015 West Africa Ebola epidemic has caused the global public health community to engage in difficult self-reflection. First, it must consider the part it played in relation to an important public heal...
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The Paradox of Undernutrition and Obesity in South Africa: A Contextual Overview of Food Quality, Access and Availability in the New Democracy
South Africa is a country in nutrition and economic transition. Undernutrition, particularly stunting and micronutrient deficiencies, coexist with overweight and obesity, which have been on the rise over the p...
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Open AccessHealth worker migration from South Africa: causes, consequences and policy responses
This paper arises from a four-country study that sought to better understand the drivers of skilled health worker migration, its consequences, and the strategies countries have employed to mitigate negative im...
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Open AccessStrengthening health systems in low-income countries by enhancing organizational capacities and improving institutions
This paper argues that the global health agenda tends to privilege short-term global interests at the expense of long-term capacity building within national and community health systems. The Health Systems Str...
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Open AccessFrontline health workers as brokers: provider perceptions, experiences and mitigating strategies to improve access to essential medicines in South Africa
Front-line health providers have a unique role as brokers (patient advocates) between the health system and patients in ensuring access to medicines (ATM). ATM is a fundamental component of health systems. Thi...
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Open AccessGrowth effects of exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa: the cluster-randomised PROMISE EBF trial
In this multi-country cluster-randomized behavioural intervention trial promoting exclusive breastfeeding (EBF) in Africa, we compared growth of infants up to 6 months of age living in communities where peer c...
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Open AccessBuilding capacity to develop an African teaching platform on health workforce development: a collaborative initiative of universities from four sub Saharan countries
Health systems in many low-income countries remain fragile, and the record of human resource planning and management in Ministries of Health very uneven. Public health training institutions face the dual chall...
