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Dr Joan Louwrens was always drawn to wild places, which were balm to her soul. When her husband died, leaving her alone with two small daughters to raise, she threw herself wholeheartedly into ‘adventure medicine’, seeking out the world’s most remote corners – on land and at sea – to practise her healing, both her own and others.
Working in wild places from the Kruger Park to the Australian Outback, the Atlantic Ocean islands, and both the south and north poles, ‘Doctor Joan’ dealt with a vast range of medical issues, from rabies to deep-vein thrombosis, childbirth to wisdom-tooth extraction, catatonia to depression.
Showing an eagerness to learn and a humility that isn’t always a given in her profession, and with a wry eye and a sympathetic outlook, Joan Louwrens has written a memoir that’s a poignant and often funny story of a life lived to the full
‘How can there be only one dedicated hospital in the country for our children?’
When Madiba asked this question, he sowed the seeds of a challenge that would grow into a legacy.
A seed may be small but its size is disproportionate to what it can become over time. The Nelson Mandela Children’s Hospital was a project that seemed impossible when it was just an idea that started with ten people seated around a dinner table. As they discussed the state of healthcare in the country and shared their experiences, they realised that it was the children of Southern Africa who were the most disadvantaged by the lack of dedicated paediatric facilities. At the end of the evening a statement by the late Dr Nthato Motlana took hold and became the catalyst for a remarkable journey: ‘I will speak to Nelson,’ he said.
With South Africa’s first democratically elected president Nelson Mandela’s backing, the board of the Children’s Fund was inspired to take up the challenge to address this vital need. After years of global research and advice from experts in numerous different fields a Trust was formed to oversee the project and, critically, to set about raising the one billion rand it would take to build, equip and staff a state-of-the-art children’s hospital.
The stories behind the planning for, fundraising and building of the Nelson Mandela Children’s Hospital are inspiring, personal, and sometimes heart-breaking. It was a long and arduous journey, beset with difficulties, but the dedicated team’s commitment and courage prevailed to create a living legacy that will truly impact the lives of children for generations to come.
Today, the Nelson Mandela Children’s Hospital in Johannesburg is a proud testimony to a uniquely African story which honours the memory of a great statesman and celebrates the children for whom he cared so deeply.
"A patient is standing in the middle of the river. He gazes across the water to the city and the mountain above where the sun is setting. His back is turned to the hospital. The nurses are waiting for him patiently on the river bank. He seems uncertain whether to cross the river or to return. There is no danger. He is on the edge, in an in-between space, as is the hospital where I have worked as a specialist psychiatrist for over twenty-five years."
For many of us, what lies beyond conventional portrayals of mental illness is often shrouded in mystery, misconception and fear. Dr Sean Baumann spent decades as a psychiatrist at Valkenberg Hospital and, through his personal engagement with patients’ various forms of psychosis, he describes the lived experiences of those who suffer from schizophrenia, depression, bipolar and other disorders.
The stories told are authentic, mysterious and compelling, representing both vivid expressions of minds in turmoil and the struggle to give form and meaning to distress. The author seeks to describe these encounters in a respectful way, believing that careless portrayals of madness cause further suffering and perpetuate the burden of stigma.
Baumann argues cogently for a more inclusive way of making sense of mental health. With sensitivity and empathy, his enquiries into the territories of art, psychology, consciousness, otherness, free will and theories of the self reveal how mental illness raises questions that affect us all.
Madness is illustrated by award-winning artist Fiona Moodie.
In this new biography of Chris Barnard we not only learn about the life of South Africa’s most famous surgeon, from his Beaufort West childhood through his studies locally and abroad to his prominent marriages – and divorces – but James Styan also examines the impact of the historic heart transplant on Barnard’s personal life and South African society at large, where apartheid legislation often made the difficulties of medicine even more convoluted.
The role of black medical staff like Hamilton Naki is explored, as is the intense rivalry that arose between other famous heart surgeons and Barnard. How did Barnard manage to beat them all in this race of life and death? How much did his famous charisma have to do with it all? And in the light of his later years, his subsequent successes and considerable failures, what is Barnard’s legacy today?
Styan covers it all in this fascinating new account of a real heartbreaker that coincides with the 50th anniversary of the first heart transplant.
Vir die vroue wat hy met sy rolprentsterglimlag betower het, was Chris Barnard ’n hartebreker. Vir sy pasiŽnte ’n harteheler.
Diť nuwe biografie oor Suid-Afrika se beroemdste hartsjirurg vertel nie net van Barnard se kinderjare in Beaufort-Wes, sy prominente huwelike (en egskeidings) en flambojante lewe nie. James Styan ondersoek ook die impak van die historiese eerste hartoorplanting op Barnard se persoonlik lewe en op die Suid-Afrikaanse gemeenskap in die algemeen, waar apartheidswetgewing dikwels die probleme van geneeskunde nog ingewikkelder gemaak het. Die rol van swart mediese personeel soos Hamilton Naki word bespreek, sowel as die intense wedywering wat tussen ander beroemde hartsjirurge en Barnard ontstaan het.
Hoe het Barnard dit reggekry om hulle almal in diť resies om lewe en dood te wen? Hoeveel het sy welbekende sjarme daarmee te doen gehad? En wat is Barnard se nalatenskap vandag, in die lig van sy latere suksesse en aansienlike mislukkings? Styan dek dit alles in diť fassinerende nuwe blik op Chris Barnard wat uitgegee is om saam te val met die 50ste herdenking van die eerste hartoorplanting.
What would you do if you discovered that the food you have been told is good for you is actually the cause of your ill health …?
In December 2010, Professor Tim Noakes was introduced to a way of eating that was contrary to everything he had been taught and was accepted as conventional nutrition ‘wisdom’. Having observed the benefits of the low-carb, high-fat (LCHF) lifestyle first-hand, and after thorough and intensive research, Noakes enthusiastically revealed his findings to the South African public in 2012. The backlash from his colleagues in the medical establishment was as swift as it was brutal, and culminated in a misconduct inquiry launched by the Health Professions Council of South Africa (HPCSA). The subsequent hearing lasted well over a year, but Noakes ultimately triumphed, being found not guilty of unprofessional conduct in April 2017.
In Lore of Nutrition, he explains the science behind the LCHF/Banting diet, and why he champions this lifestyle despite the constant persecution and efforts to silence him. He also discusses at length what he has come to see as a medical and scientific code of silence that discourages anyone in the profession from speaking out against the current dietary guidelines. Experienced journalist Marika Sboros provides the full backstory to the HPCSA hearing, which reads like something out of a spy novel.
Written in an accessible style, Lore of Nutrition is informative, highly controversial and an eye-opener for anyone who cares about their health.
HEALTH, SAFETY, AND NUTRITION FOR THE YOUNG CHILD, 9th Edition, covers contemporary health, safety, and nutrition needs of infant through school-age children--and guides teachers in implementing effective classroom practices--in one comprehensive, full-color volume. Concepts are backed by the latest research findings and linked to NAEYC standards. The book emphasizes the importance of respecting and partnering with families to help children establish healthy lifestyles and achieve their learning potential. Early childhood educators, professionals, and families will find the latest research and information on many topics of significant concern, including food safety, emergency and disaster preparedness, childhood obesity, children's mental health, bullying, resilience, chronic and acute health conditions, environmental quality, and children with special medical needs. Also provided are easy-to-access checklists, guidelines, and activities that no early childhood student or professional should be without.
This book provides biomedical engineers with the premiere reference on medical instrumentation as well as a comprehensive overview of the basic concepts. The revised edition features new material on infant apnea monitors, impedance pneumography, the design of cardiac pacemakers, and disposable defibrillator electrodes and their standards. Each chapter includes new problems and updated reference material that cover the latest medical technologies. The chapters have also been revised with new material in medical imaging, providing biomedical engineers with the most current techniques in the field.
Kickstart ketosis, lose weight, gain energy and transform your health in just five days.
Pioneering research has shown that a diet that is low in carbs and calories and high in good fats that trigger ketosis can counteract many diseases and boost wellbeing better than water fasts. In The 5-Day Diet, nutrition expert and co-author of The Hybrid Diet, Patrick Holford, provides you with a tried and tested plan to trigger a self-repair process, called autophagy, which renews and rejuvenates your cells, reboots your metabolism and detoxifies your body. This book breaks down the science and how it works while giving you daily meal plans, recipes and exercises.
Whether you are after a quick fix with lasting results or looking to improve overall wellbeing, The 5-Day Diet is a springboard to better health.
Why do some people get really sick, even die from flu, while others don’t? Colds and flu, including Covid-19, are viral diseases that a healthy immune system should be able to fight off with natural immunity. But what is a healthy immune system and how can you promote your own immune power with diet and nutritients?
This book explains:
A journey through the history and science of epidemics and pandemics – from measles to coronavirus.
For centuries mankind has waged war against the infections that, left untreated, would have the power to wipe out communities, or even entire populations. Yet for all our advanced scientific knowledge, only one human disease – smallpox – has ever been eradicated globally. In recent years, outbreaks of Ebola and Zika have provided vivid examples of how difficult it is to contain an infection once it strikes, and the panic that a rapidly spreading epidemic can ignite.
But while we chase the diseases we are already aware of, new ones are constantly emerging, like the coronavirus that spread across the world in 2020. At the same time, anti-microbial resistance is harnessing infections that we once knew how to control, enabling them to thrive once more.
Meera Senthilingam presents a timely look at humanity’s ongoing battle against infection, examining the successes and failures of the past, along with how we are confronting the challenges of today, and our chances of eradicating disease in the future.
First published in 1984 and now in its seventh edition, Coovadia's Paediatrics and child health 7e is a comprehensive introductory textbook, highly regarded by academics and students alike.
This tried and tested best-seller is an introduction to paediatrics and child health emphasising a primary care approach from a southern African perspective to enable practitioners to deal effectively with local health problems. The book maintains a problem-based approach to facilitate a full evaluation of the sick child from a holistic perspective.
This is a clinical textbook dealing with the medical diagnosis and treatment of paediatric health issues. The nine parts cover the practice of paediatrics, focusing on associated disorders. The book maintains a problem-based approach to facilitate a full evaluation of the sick child from a holistic perspective. There are chapters devoted to social paediatrics and child health, as well as a comprehensive list of topics dealing with all aspects of childhood disease including oral and dental conditions, and dermatological or specialty surgical conditions.
It's aimed primarily at Bachelor of Medicine, Bachelor of Surgery (MBChB) students studying Paediatrics in their 4th, 5th or 6th year modules. Paediatrics is also incorporated in the Bachelors of Nursing (BCur) programme usually at 3rd and 4th year.
Since the first edition of HIV and AIDS Education, Care and Counselling was published almost 20 years ago, it has become the standard handbook in Africa for thousands of HIV and AIDS practitioners. However, ongoing HIV and AIDS research requires regular revisions to the handbook for it to remain current with developments in prevention and treatment. Consequently, this new edition has been updated with input from two new specialist co-authors. This has strengthened the multicultural and multidisciplinary approach of this edition to Africa's unique challenges.
Your gut is astonishingly clever. It contains millions of neurons - as many as you would find in the brain of a cat - and is home to the microbiome, trillions of microbes that influence your mood, your immune system, and even your appetite.
In this groundbreaking book, Dr. Mosley takes us on a revelatory journey through the gut, showing how junk food and overuse of antibiotics have wiped out many good gut bacteria, leading to a modern plague of allergies, food intolerances, and obesity.
Drawing from the latest cutting-edge research, Dr. Mosley provides scientifically proven ways to control your cravings, boost your mood, and lose weight by encouraging a more diverse microbiome and increasing the good bacteria that keep you healthy.
Packed with delicious, healing recipes, meal plans, checklists, and tips, The Clever Guts Diet includes all the tools you need to transform your gut and your health, for life.
UNDERSTANDING NORMAL AND CLINICAL NUTRITION, Tenth Edition, provides the most current and comprehensive coverage of the fundamentals of nutrition and nutrition therapy for an introductory course. The early chapters focus on "normal" nutrition, including digestion and metabolism, vitamins and minerals, and life cycle nutrition. The later chapters cover "clinical" nutrition--the pathophysiology and nutrition therapy for a wide range of medical conditions. The text integrates practical information and valuable resources to help students apply nutrition knowledge and skills to their daily lives and the clinical setting. Features such as case studies, "How To" boxes with real-world examples, and study cards help students apply the material and build their conceptual understanding. Regardless of the students' background, the consistent level, approachable narrative, and careful explanations in UNDERSTANDING NORMAL AND CLINICAL NUTRITION will engage students and enable them to be actively involved in the field of nutrition.
This oft-quoted all-time favorite of the medical community will gladden--and strengthen--the hearts of patients, doctors, and anyone entering medical study, internship, or practice. With unassailable logic and rapier wit, the sage Dr. Oscar London muses on the challenges and joys of doctoring, and imparts timeless truths, reality checks, and poignant insights gleaned from 30 years of general practice--while never taking himself (or his profession) too seriously.
The classic book on the art and humor of practicing medicine, celebrating its 20th anniversary in a new gift edition with updates throughout. Previous editions have sold more than 200,000 copies.
The perfect gift for med students and grads as well as new and practicing physicians.
This revised edition has three comprehensive chapters on Environmental Health. Vlok’s Community Health remains the ideal accompaniment for health professionals working in the community.
Building on the reputation of Manual of Community Nursing and Communicable Diseases, Vlok’s Community Health is relevant for the Community Health Professional under the Re-engineered Primary Healthcare System. Topics covered include Public Health, the National Health Insurance and Community Oriented Primary Care, as well as care of the individual throughout the lifespan. This well-written text places emphasis on practical application of theoretical concepts. The practical aspects extend to the chapters on Managing the Community Clinic and Caring for the Disabled at Home, which contain informative examples and suggestions.
Social aspects have not been overlooked and appropriate chapters on Family Pathologies, Intimate Partner Violence and Cultural World Views have been included.
Healthcare delivery in the 21st century has become increasingly complex and demanding . Clinical consultations frequently raise scientific, ethical and legal challenges. While scientific issues may be resolved using an evidence-based medicine (EBM) approach, ethical theory is needed to justify decision making in the face of ethical conflict. Medical ethics, law and human rights: a South African perspective provides the conceptual background and analytic skills necessary to assist with the resolution of ethical dilemmas encountered in the South African healthcare environment. Medical ethics, law and human rights: a South African perspective uses case studies to help the healthcare team to identify and analyse ethical, moral and value concepts, and to apply these to scenarios that they may encounter on a daily basis. Part 1 explores theories and principles of ethics (including African philosophy), introduces medical law, discusses health and human rights, and also makes the transition from theory to practice. Part 2 looks at specific topics in healthcare that raise challenges from an ethics perspective - HIV/AIDS, use of social media, euthanasia, human reproduction, genetics and genomics. In view of the increasing emphasis on ethical considerations in healthcare from the Health Professions Council of South Africa (HPCSA), coupled with the rising incidence of litigation in healthcare, Medical ethics, law and human rights: a South African perspective is essential reading for health science, law and philosophy students as well as practising healthcare professionals.
Over the last decades, we have seen more than three dozen new infectious diseases appear, some of which could kill millions of people with one or two unlucky gene mutations or one or two unfavourable environmental changes. The risks of pandemics only increase as the human population grows; therefore to direct our future we should examine our past. Howard Phillips provides the first look into the history of epidemics in South Africa, probing lethal episodes which significantly shaped this society over three centuries.
Focusing on devastating diseases such as smallpox, bubonic plague, Spanish influenza, polio and HIV/Aids, Plague, Pox and Pandemics probes their origin, their catastrophic course and their consequences in both the short and long term. Their impact ranges from the demographic to the political, the social, the economic, the spiritual, the psychological and the cultural. As each of these epidemics occurred at crucial moments in the country's history - early in European colonisation, in the midst of the mineral revolution, during the South African War and World War I, as industrialisation was getting under way, and within the eras of apartheid and post-apartheid - the book also examines how these processes affected and were affected by the five epidemics, thereby adding important dimensions to an understanding of each.
To those who read this book, South African history will not look the same again.
Up-to-date and comprehensive, this practical best-selling text helps readers learn how to deal with and apply ethical standards. It provides readers with the basis for discovering their own guidelines within the broad limits of professional codes of ethics and divergent theoretical positions. The authors raise what they consider to be central issues, present a range of diverse views on these issues, discuss their position, and present many opportunities for users to refine their own thinking and actively develop their own position. Readers explore such questions as: What role do the therapist's personal values play in the counseling relationship? What ethical responsibilities and rights do clients and therapists have? What considerations are involved in adapting counseling practice to diverse client populations?
What is the nature of epidemiology? Why is epidemiology so important in the context of health, and particularly public health, in South Africa? How can it help us answer important questions in clinical medicine and public health? Epidemiology: A Research Manual for South Africa 3e provides lecturers with useful resources on which to base introductory Epidemiology and Research Methods courses and helps to answer these questions. Written by South African experts, Epidemiology: A Research Manual for South Africa 3e is aimed at undergraduate or postgraduate students encountering epidemiology and, more generally, quantitative public health research methods for the first time. Epidemiology is taught within the following programmes: MBChB, BCur, Diploma: Primary Health Care, and National Diploma: Environmental Health. It enables readers to evaluate data critically and to report their findings lucidly and accurately.
A coherent "big picture" of the evolving health system in South Africa, along with the ensuing changes and challenges. Attempts to contextualise these developments historically and globally, and to critically assess them. Reviews progress and achievements, but also contemporary constraints and deficiencies in health performance. Aimed at researchers and lecturers, as well as senior and postgraduate students. Also a valuable reference work for practising health professionals, health planners, policy makers and managers. Contents include the following: National health care systems: trends, changes and reforms; the changing biophysical environment: impact on health and health conditions; HIV, AIDS and tuberculosis: trends, challenges and responses; medical ethics and human rights; hospitals and hospital reform; health care expenditure.
Across the world, 2 billion people experience menstruation, yet menstruation is seen as a mark of shame. We are told not to discuss it in public, that tampons and sanitary pads should be hidden away, the blood rendered invisible. In many parts of the world, poverty, culture and religion collide causing the taboo around menstruation to have grave consequences. Younger people who menstruate are deterred from going to school, adults from work, infections are left untreated. The shame is universal and the silence a global rule. In It's Only Blood Anna Dahlqvist tells the shocking but always moving stories of why and how people from Sweden to Bangladesh, from the United States to Uganda, are fighting back against the shame.
Leadership in Health Services Management provides all healthcare professionals with the information necessary to lead with commitment and strive towards a clear vision of health for all. It guides readers through crucially important issues such as vision, strategic thinking, confidence, negotiation and knowledge management in health services. Now in its third edition, this book has been updated to contain original research on the topic of self-leadership, a theme that is interwoven throughout the text. In addition, there is a focus on the application of leadership theories for postgraduate readers studying for a Master's certificate in nursing management or tutored Master's degree according to the new guidelines of the SAQA qualifications for postgraduate studies. In all new South African curricula and programmes, the research component has been prioritised and therefore this edition features a chapter on research proposals. Recommended for: Nursing students undertaking the diploma or degree course. Post-basic /Honours students.
Culture and its impact on health assessment and interventions is widely recognised as an essential aspect of medical training. While courses are proliferating throughout Africa and the rest of the world, there has, until now, been no suitable student textbook or reference text to support such initiatives. The authors of Cultural issues in health and health care deal with the basic principles of transcultural care and focus on training practitioners to be able to put the principles into practice in their own health settings.
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