Browsing by Author "Van der Heyde, Yolande"

Now showing 1 - 4 of 4
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    Animal attacks - a red herring of child abuse?
    (2006) Van As, A B; Kalebka, Robert R; Van der Heyde, Yolande
    Injuries sustained as a result of attacks by domestic animals, particularly canines, are occasionally encountered at the Red Cross Children’s Hospital Trauma Unit in Cape Town. Less than 1% of admissions are directly attributable to animal attacks. Animal attacks causing lethal injuries are very rare and should be assessed carefully. We recently dealt with two fatalities attributed to animal attacks.
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    Deaths in police custody in the Cape Town Western Metropole 2000-2009
    (2015) Afonso, Estevão Bernardo; Van der Heyde, Yolande
    Deaths in police custody are a global phenomenon which continues to beset policing services worldwide. Research into these deaths has provided insight into the complexity of detention and led to the institution of preventative strategies which have seen a reduction in mortality internationally. An improved understanding of the South African detention milieu may similarly assist in reducing the mortality burden in this country. This study retrospectively reviewed deaths in custody in the Cape Town Western Metropole between 2000 and 2009, with the aim of identifying local, modifiable factors to aid in death prevention. Sixty two (62) cases were reviewed. Males predominated (90.3%) in the sample, with the racial profile mirroring that of the general population. The median age of the detainees was 30.5 years. Unnatural causes of death accounted for 82% (n=51) of cases, with suicidal hanging the commonest cause (n=40). Items of clothing were used as ligatures in 80% of hangings, with gate and window bars the most common points of suspension. Time in detention averaged 863 minutes for the sample. Clinical signs of intoxication at the time of arrest was identified as a statistically significant determinant (p=0.02) of a shorter detention time (446 minutes). Ten (10) detainees were identified as either injured at the time of arrest or physically ill during detention, of which 9 succumbed to their injuries or disease. Only three of these detainees received medical attention. These findings highlight the need for urgent review of local police cell architecture to ensure an environment conducive to safe detention, with particular attention to reducing potential points of suspension for hangings. Further, the healthcare needs of detainees must be prioritised through effective training of police personnel with regard to the assessment and management of ill detainees, particularly those intoxicated at the time of arrest.
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    Lower respiratory tract infection in sudden unexpected infant deaths
    (2012) Van der Heyde, Yolande; Kaschula, R O C; Kirk, G M
    Pneumonia due to polymicrobial infection is known to increase the severity and risk of fatality among young children. A retrospective study was undertaken on Sudden Unexpected Infant Death cases occurring, between 1 May and 30 September 2009, which were admitted to a medico-legal mortuary servicing the Cape Town western metropole. Published studies have shown the risk factors for lower respiratory tract infection to include lack of breast feeding, prenatal and environmental tobacco smoke exposure, prematurity, immunosuppression, underlying medical conditions and overcrowding. The present study was aimed at determining which of the known epidemiological factors were associated with SUDI death types admitted to this mortuary and to describe the associated histopathology. In addition, in the knowledge that drugs, specifically Methamphetamine are widely used on the Cape Flats from where almost all this mortuary's SUDI cases are derived, this study has attempted to find out whether or not the usage of drugs by the caregiver at the time of infant death was another independent risk factor in SUDI deaths.
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    Unnatural causes of death in South African children under 14 years in 2001 : an intercity comparison
    (2003) Van der Heyde, Yolande; Wainwright, Helen; van As, Arjan Bastiaan (Sebastian)
    Includes bibliographical references.