The utility of computed tomography for recent-onset partial seizures in childhood

dc.contributor.authorSwingler, George H
dc.contributor.authorWestwood,Anthony T R
dc.contributor.authorIloni, Karen
dc.date.accessioned2016-08-24T11:07:23Z
dc.date.available2016-08-24T11:07:23Z
dc.date.issued2006
dc.date.updated2016-01-08T09:15:04Z
dc.description.abstractObjectives. The objective was to evaluate the role of a paediatric surgical consultant at a primary health care facility. Design. Descriptive and prospective. Setting. In the process of planning and implementation of the 2010 health plan of the Provincial Government of the Western Cape, a shift occurred in the delivery of health care to children from a provincially based hospital system to a municipally based primary health care system. To contribute towards enabling this process, the Department of Paediatric Surgery at Red Cross War Memorial Children’s Hospital established a paediatric surgical day clinic at a local community health centre during 2001. Subjects. Information was obtained from patient data sheets containing details of consultations at the sub-specialist surgical clinic at Michael Mapongwana Community Health Centre. Results. Over a 58-month period 1 171 children were seen, of whom 655 were male and 427 female. Their ages ranged from 0 to 19 years, the largest group being under 1 year. Eighty per cent of patients were accompanied by their mothers. The correct diagnosis was established by the nurse practitioners in 71%. General paediatric surgical conditions predominated, followed by medical, dermatological, orthopaedic, trauma, otolaryngo-pharyngology, infectious diseases, ophthalmology, urology, neurosurgery, malignancy and maxillofacial conditions. The details are set out in the report. In total 597 patients were referred directly to an appropriate care facility and 574 patients could be managed entirely at the clinic level. Conclusions. This study demonstrated the significant public health problem of paediatric surgical disease. It emphasised the preventative and cost-effective role of a surgical clinic at primary health care level. The clinic allowed for timely surgical intervention in 65% of surgical cases, thereby decreasing inappropriate tertiary referrals. We believe that bringing specialists into the community can only strengthen the 2010 health care plan.
dc.identifier.apacitationSwingler, G. H., , & Iloni, K. (2006). The utility of computed tomography for recent-onset partial seizures in childhood. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/21473en_ZA
dc.identifier.chicagocitationSwingler, George H, , and Karen Iloni "The utility of computed tomography for recent-onset partial seizures in childhood." <i>South African Medical Journal</i> (2006) http://hdl.handle.net/11427/21473en_ZA
dc.identifier.citationSwingler, G. H., Westwood, A. T., & Iloni, K. (2006). The utility of computed tomography for recent-onset partial seizures in childhood. South African Medical Journal, 96(9), 941-944.
dc.identifier.ris TY - Journal Article AU - Swingler, George H AU - Westwood,Anthony T R AU - Iloni, Karen AB - Objectives. The objective was to evaluate the role of a paediatric surgical consultant at a primary health care facility. Design. Descriptive and prospective. Setting. In the process of planning and implementation of the 2010 health plan of the Provincial Government of the Western Cape, a shift occurred in the delivery of health care to children from a provincially based hospital system to a municipally based primary health care system. To contribute towards enabling this process, the Department of Paediatric Surgery at Red Cross War Memorial Children’s Hospital established a paediatric surgical day clinic at a local community health centre during 2001. Subjects. Information was obtained from patient data sheets containing details of consultations at the sub-specialist surgical clinic at Michael Mapongwana Community Health Centre. Results. Over a 58-month period 1 171 children were seen, of whom 655 were male and 427 female. Their ages ranged from 0 to 19 years, the largest group being under 1 year. Eighty per cent of patients were accompanied by their mothers. The correct diagnosis was established by the nurse practitioners in 71%. General paediatric surgical conditions predominated, followed by medical, dermatological, orthopaedic, trauma, otolaryngo-pharyngology, infectious diseases, ophthalmology, urology, neurosurgery, malignancy and maxillofacial conditions. The details are set out in the report. In total 597 patients were referred directly to an appropriate care facility and 574 patients could be managed entirely at the clinic level. Conclusions. This study demonstrated the significant public health problem of paediatric surgical disease. It emphasised the preventative and cost-effective role of a surgical clinic at primary health care level. The clinic allowed for timely surgical intervention in 65% of surgical cases, thereby decreasing inappropriate tertiary referrals. We believe that bringing specialists into the community can only strengthen the 2010 health care plan. DA - 2006 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2006 T1 - The utility of computed tomography for recent-onset partial seizures in childhood TI - The utility of computed tomography for recent-onset partial seizures in childhood UR - http://hdl.handle.net/11427/21473 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/21473
dc.identifier.vancouvercitationSwingler GH, , Iloni K. The utility of computed tomography for recent-onset partial seizures in childhood. South African Medical Journal. 2006; http://hdl.handle.net/11427/21473.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Child and Adolescent Psychiatryen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://www.samj.org.za/index.php/samj
dc.titleThe utility of computed tomography for recent-onset partial seizures in childhood
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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