#Find Best Doctors in Durban
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african-medical-school · 1 year ago
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The Best Medical Schools in Africa
Africa is home to some of the best medical schools in the world. These schools offer a high-quality education that prepares students to become doctors who can make a difference in the lives of people all over the continent.
University of Cape Town: This university is located in Cape Town, South Africa. It is one of the oldest and most prestigious universities in Africa. The University of Cape Town’s Faculty of Health Sciences is home to the Nelson R. Mandela School of Medicine, which is ranked among the top medical schools in the world.
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University of Nairobi: This university is located in Nairobi, Kenya. It is the oldest and largest university in Kenya. The University of Nairobi’s School of Medicine is one of the most respected medical schools in Africa.
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University of Ghana Medical School: This medical school is located in Accra, Ghana. It is one of the oldest and most respected medical schools in Africa. The University of Ghana Medical School is accredited by the World Health Organization (WHO) and the National Board of Medical Examiners (NBME).
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Makerere University School of Medicine: This medical school is located in Kampala, Uganda. It is one of the oldest and most respected medical schools in Africa. The Makerere University School of Medicine is accredited by the WHO and the NBME.
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University of KwaZulu-Natal: This university is located in Durban, South Africa. It is one of the largest universities in Africa. The University of KwaZulu-Natal’s School of Medicine is a leading medical school in Africa.
These are just a few of the many great medical schools in Africa. If you are interested in studying medicine in Africa, I encourage you to do your research and find a school that is right for you.
Benefits of Studying Medicine in Africa
There are many benefits to studying medicine in Africa. Here are a few of the most notable benefits:
High-quality education: African medical schools offer a high-quality education that is comparable to medical schools in other parts of the world.
Cost-effective: The cost of studying medicine in Africa is much lower than the cost of studying medicine in other parts of the world.
Unique learning experience: Studying medicine in Africa gives you the opportunity to learn about different cultures and diseases.
Opportunity to make a difference: Studying medicine in Africa gives you the opportunity to make a difference in the lives of people who need it most.
Challenges of Studying Medicine in Africa
There are also a few challenges to studying medicine in Africa. Here are a few of the most notable challenges:
Limited resources: Some African medical schools have limited resources, such as textbooks, equipment, and clinical facilities.
Poverty: Many students from poor backgrounds face financial challenges when studying medicine.
Disease: Africa is home to many diseases that are not common in other parts of the world. This can make it challenging for medical students to learn about these diseases and how to treat them.
How to Choose the Right African Medical School
If you are considering studying medicine in Africa, there are a few things you need to keep in mind:
Your academic background: Make sure that you have the necessary academic qualifications to be admitted to an African medical school.
Your financial situation: Consider the cost of studying medicine in Africa and make sure that you can afford it.
Your career goals: Think about what you want to do after you graduate from medical school. Some African medical schools offer more opportunities for specialization than others.
Your personal preferences: Consider the location of the medical school, the size of the school, and the curriculum.
Conclusion
Africa is a continent with a rich history of medicine. Today, African medical schools are producing some of the best doctors in the world. If you are interested in studying medicine, I encourage you to consider studying in Africa. You will have the opportunity to receive a high-quality education, make a difference in the lives of others, and experience a unique culture.
Contact Us
If you have any questions about studying medicine in Africa, please contact us. We would be happy to help you find the right medical school for you. Visit African Medical School
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nurturingfather44 · 1 year ago
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Fertility Clinics
Individuals are increasingly coming into into casual agreements with identified sperm donors to be able to both circumvent the prices concerned in utilizing fertility centres or owing to non-public beliefs and preferences. When they achieve this, the legal protection that ordinarily accompanies the usage of a fertility centre is either sparse or lacking. This article, due to this fact, examines the position in a number of foreign jurisdictions with the purpose of constructing suggestions for the means in which ahead in South Africa. Families of various backgrounds from everywhere in the country select Durban Fertility Clinic. Our workers have helped convey lots of of many babies into the world utilizing simple treatments similar to IUI, and extra advanced treatments involving IVF and genetic testing. Everyone in our group is dedicated to offering you with compassionate individualized patient centered care and making certain that you just get one of the best fertility clinic experience.
In addition, we are able to help you with understanding a few of the checks or directions your doctor might suggest to you. According to experts, the verdict might have been the primary to assign a value egg donation to embryos and eggs, and award damages in a public legal continuing. In a rare bellwether trial in federal court, jurors discovered Chart responsible for 90% of the harm, and the fertility clinic responsible for 10%.
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The medical group and aiding personnel had been all friendly, direct and useful. I was taken nice care of and am blessed to have had the privilege to help in building a family. This just isn't a quick fix kind of donation, your intentions really need to be in the best place. I’m an everyday blood donor and for me this was far more rewarding to assist a couple conceive life. I will definitely do it once more in a heart beat and really encourage anybody who considers donating to attempt it, you'll not be dissatisfied. The first appointment is a lot of talking with all of the docs in regards to the process, then you may have a chat with one of the psychologists to make positive you are in good psychological and emotional well being to do this.
The Centre has a world-class In-Vitro Fertilization lab that investigates infertility, administers fertility treatment, and assists patients with all other fertility/infertility associated challenges. At Medfem Fertility Clinic our entire team takes a holistic strategy to the art and science of fertility remedies. From our experienced replica specialists, to our embryologists and administration employees nurture, each single member of the staff is 100% dedicated to offering you with probably the most constructive experience possible. But, with advances in medical know-how and treatment choices, many couples are still able to conceive and start a family.
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jointmedical · 2 years ago
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lovespellsprophet · 4 years ago
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Best African traditional healing and sorcerers.
Best African traditional healing and sorcerers.
Spiritual healing is practice where the the shaman or sangoma consults(speaks) the spirits or ancestor on how to solve your problems. These problems may be concerning your misfortune, family, business, work and job.
Traditional healing : Is a practice where the witch doctor or inyanga uses herbs(muthi) to solve illness affecting you and cleansing such you wash away the bad luck and protect you you from the bad or evil spirits. Some times they are called herbalist
The native doctors are able to solve problems bring back your Ex or lost boyfriend(him) or girlfriend(her), divorce, protect your family, business work and job from the jealous people who don't want to see you progress so they can send evil spirits or bad spirits to house, illness. That's when you you start have night mares, dreaming ghosts etc.
Herbs are used in the increase of the size of the penis(penis enlargement), to make weak erection become stronger, to stop early ejaculation and low sex drive
Magic for fame: You not only do magic rituals for fortune alone but also fame and prosperity that's why you find some cults which are very famous with huge fortune which imply they practice spells of magic to keep themselves at that status..
It depends the way you define black magic but those who are gaining from know its good and some you may term it as a curse
 Locations
Durban, Pinetown, Richardsbay, Empangeni, Port shepstone, Ladysmith, Newcastle, Kokstad, Pietermaritzburg, Ladysmith, Vryheid, Ulundi, Stanger, Eshowe, Amanzimtoti, Isipingo, Umkomaas in KwazuluNatal(KZN). We have other branch offices in different provinces of South Africa(sa) Mthatha/Umtata, East London and Port Elizabeth in Eastern cape, Bloemfontein in free state, Pretoria, sandton, alberton, benon, soweto, alexandra, and Johannesburg(JHB) in Gauteng, Polokwane and Lephalale in Limpopo, Nelspruit, Witbank, Secunda in Mpumalanga, Kimberley in Nothern cape, Rustenburg and Mafikeng in North West, Cape town in Western Cape.
maseru in Lesotho, Malaysia, UAE, Botswana, Mozambique, Zimbabwe, Lesotho, Namibia, Swaziland, Zambia, Angola, Mauritius, Reunion, South Africa and Madagascar but also other countries on other continents like Europe, Aisia, United States of America(USA), Canada, South America, Mumbai, Delhi in India(hindi) Australia.London in UK OR England,Indianapolis Austria, parkistan.
New York City, Los Angeles, Chicago, Houston, Philadelphia, Phoenix, San Antonio, San Diego, Dallas, San Jose, Austin, Jacksonville, Indianapolis, San Francisco, Columbus, Fort Worth, Charlotte, Detroit, El Paso, Memphis, Boston, Seattle, Denver in USA
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zelda-world-blog1 · 5 years ago
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laresearchette · 3 years ago
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Friday, March 04, 2022 Canadian TV Listings (Times Eastern)
WHERE CAN I FIND THOSE PREMIERES?: CENTRAL PARK (Apple TV+) DEAR... (Apple TV+) ART IN BLOOM WITH HELEN DEALTRY  (discovery +) BUG OUT (IMDb TV)
WHAT IS NOT PREMIERING IN CANADA TONIGHT I (ALMOST) GOT AWAY WITH IT (TBD - Investigation Discovery) LOVE AFTER LOCKUP (TBD - T&E)
NEW TO AMAZON PRIME CANADA/CBC GEM/CRAVE TV/DISNEY + STAR/NETFLIX CANADA:
AMAZON PRIME CANADA ALONE (Season 5) THE BOYS PRESENTS: DIABOLICAL LUCY AND DESI THE TOURIST
CBC GEM DRAMAWORLD (Season 2) ESCAPE TO THE CHATEAU (Season 9)   NELLY RIPPER STREET (Season 5) UNLESS
CRAVE TV AIR AMERICA BAD TURN WORSE CATWOMAN     DIE IN A GUNFIGHT THE EXCHANGE F9: THE FAST SAGA GOOD WILL HUNTING LIFE OF PI PLAYMOBIL: THE MOVIE STEVE JOBS TEEN MOM: FAMILY REUNION (Season 1) UNDERGROUND RAILROAD: THE SECRET HISTORY
DISNEY + STAR FRESH (Season 1) THE CALL OF THE WILD RUSSIA'S WILD TIGER THE WAY OF THE CHEETAH
NETFLIX CANADA THE INVISIBLE THREAD LIES AND DECEIT MAKING FUN MESKINA PIECES OF HER
DAVIS CUP (SN) 8:00am: Netherlands vs. Canada
MLS SOCCER (TSN4) 2:00pm: Toronto FC vs. NY Red Bulls (TSN4) 4:00pm: CF Montreal vs. Philadelphia (TSN) 6:30pm: Whitecaps FC vs. NYCFC
NHL HOCKEY (SN) 7:00pm: Penguins vs. Hurricanes (TSN3) 8:00pm: Stars vs. Jets (SN1) 10:00pm: Knights vs. Ducks
NBA BASKETBALL (SN1) 7:00pm: Cavaliers vs. 76ers (TSN4) 7:30pm: Magic vs. Raptors (SN Now) 10:00pm: Knicks vs. Suns
CHL HOCKEY (TSN5) 7:00pm: Ottawa 67s vs. Hamilton Bulldogs
ALL OUR RELATIONS (APTN) 7:00pm: Nuu-chah-nulth author and professor Charlotte Cote's journey has taken her from a small First Nations community on Vancouver Island to a career in television media and most recently to a position as a professor at the University of Washington. marketplace (CBC) 8:00pm: Unpacking Mover Nightmares: Secret trackers and hidden cameras reveal new spin on alleged mover ripoffs.
THE SECRET SAUCE (City TV) 8:00pm: A Chicago marketing executive is dispatched to a cook-off in the Midwest to try and convince a restaurant owner to license his family's secret barbecue sauce recipe. As the pair of them get to know each other, friendship blossoms into something more.
HAILEY DEAN MYSTERIES: A MARRIAGE MADE FOR MURDER (Super Channel Heart & Home) 8:00pm: Hailey's professional code of ethics prevents her from going to the police about a client's confession, so she must find another way to bring the killer to justice.
CURLING (TSN) 8:30pm: 2022 Tim Hortons Brier: Pool Play
ARCTIC VETS (CBC) 8:30pm: Dr. Chris and the team perform emergency dental surgery on polar bear Aurora; Barkley the bison has a broken horn; an orphaned otter pup gets much-needed attention.
THE NATURE OF THINGS (CBC) 9:00pm: Carbon: The Unauthorized Biography:  The key element of life on Earth, it has the power to build and destroy.
THE REAL HOUSEWIVES OF DURBAN (Slice) 9:00pm: Annie and Ayanda hash things out at game night; the theme of Annie's bridal shower gets people talking.
THE EXCHANGE (Crave) 9:00pm:  A socially awkward teen decides to import a mail-order best friend from France. Instead, he ends up with his personal nightmare: a cologne-soaked, chain-smoking, sex-obsessed youth who quickly becomes the hero of the community.
MEDITERRANEAN LIFE (HGTV Canada) 9:30pm (SEASON PREMIERE): A former U.S. Navy oceanography officer, his wife and two sons move back to her home of Sicily, Italy, after years of living in the States; she wants to be close to the sea, but he prefers a home near the center of town.
CRIME BEAT (Global) 10:00pm: Picture Perfect: The Shattered Dreams of Maple Batalia: On September 28, 2011, 19-year-old Maple Batalia, an aspiring model, actress and doctor, is shot and killed in a university campus parking lot; security camera footage pans away at the last moment, leaving her last minutes alive a mystery.
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pravasichhokro · 4 years ago
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Craze for Western Dreams….Phir bhi Dil Hai Hindustani!!!
Indians in general; particularly Gujaratis & Punjabis, have been very keen to migrate to foreign lands. From time immemorial, Indians had migrated to foreign lands. For example, Gujaratis had gone to East Africa & UK from say 18th century and Punjabis (majority Sikh) to UK and USA for last 100 years. I recall that even Mahatma (M K) Gandhi, a Gujarati, went to Durban, South Africa after becoming a barrister from UK. I am going to pen down my own experience with immigrants in last fifty years.
I went to France and UK in 1979 as a member of a team from Engineers India Ltd. We were staying at the University town of Aux en Province, near Marseilles. As we were mostly vegetarians, we went in search of it on foot near the hotel. We chanced upon a van serving Pizza and were pleased to get vegetarian pizza. I came to know that the couple operating the pizza van were Gujarati of Indian descent from Madagascar, a French colony. They had come only a couple months ago, and this was the best means to earn livelihood they had hit upon.
During the same trip, we were departing from Heathrow, London for India. I was a bit taken aback when I saw two ladies of Indian descent working as cleaners. One was a Gujarati lady of more than 50 yrs of age, who had apparently come to UK from Uganda after Idi Amin threw them out. The other was a newlywed Punjabi girl in her wedding attire- fully decked in red salwar kameez and jewelry in her hands and neck. She was angry with her husband, who came to meet her, as she was obviously cheated about the “luxury” of the foreign land.
In 1980s I heard an interesting story. A rich businessman of Ahmedabad had a craze to migrate to USA. He owned a bungalow in a posh locality of Ahmedabad and a single screen cinema hall. He managed to go to USA on tourist visa. Once in USA, he vanished in thin air only to re-appear with a valid document to live in USA. He started a business of laundry service to earn a living. I think it was a big price paid to be in USA.
In 1990’s I lived in Japan and used to meet, by accident, Pakistani youngsters at supermarkets and Indian restaurants. I came to know from them that Japan was granting 90 days tourist visa on arrival to Pakistani passport holders. The racket was very well organized. The agent in Pakistan would send these youngsters and the Japanese agent would receive them at Narita, Tokyo airport. They would directly be taken to rural area to work in machine shops as machine operators. They would earn a lot by working 12 hours a day and stayed if they did not get caught. The earnings got remitted to Pakistan through Hawala. Some smart boys managed to marry Japanese girls and stayed on.
In 2007-08, I was working for Praj Industries Ltd., Pune and we were executing a project of fuel ethanol at Lake Charles in Louisiana, USA. A team, headed by me, went there for a site kick off meeting and the client booked us at a nearby Howard Johnson motel. While checking in, I noticed the name of General Manager as Harry Patel. I desired to meet him, and I did. He was a very warm host and invited all of us for a Gujarati home cooked food and beer. I gathered that his real name was Hira Bhai Patel, and he came from Navasari.  He had worked as a diamond courier in Mumbai before leaving India with his wife and a daughter to Canada around 1995 (12 years before we met). He sneaked into USA with family and now was settled in Louisiana. He had another daughter by now. He also was planning to set up two more motels in the neighborhood. I asked him about IRS and his not having the required documents. He told me that he was good friends with the governor. His only problem was that he could not leave USA and go to India. Otherwise, his family and he were enjoying, all the facilities and livelihood of being in the USA.
Around the same time in 2008, we had gone to Toronto to see Niagara Falls and stayed one night with our friends, a Sikh family from Pune. I chanced to meet a youngster in his late twenties at their residence. He had migrated to Canada from Chandigarh a couple of years ago. He was on his way next morning to Calgary to finalize a transport contract. His story was interesting. A couple of years before we met, he was a branch in charge for a Pizza Hut outlet in Chandigarh. Like many Punjabis, he also applied for migrating to Canada and he succeeded. On arrival, he did not know what to do to earn his living.  On advice of some Indian, he started driving a truck after obtaining a license. In a year or so he got the hang of transport business. He started his own company and was operating more than 3 trucks with Punjabi drivers, who he brought from Punjab. He had chosen the most difficult track in the middle of Canada and near the shell oil business. He was doing very well.
Above stories may not represent the Indian diaspora abroad but they are interesting. Immigrant Indian population is app 17 million. In my opinion: The blue collared workers  (masons, carpenters, plumbers, drivers) from India migrate because (1) the working and living conditions are very poor and unsafe, (2) the earnings are meager and not commensurate with hard work and (3) no respect for work in society. On the other hand white collar workers ( engineers, doctors, chartered accountants, para medics, I T experts) decide to migrate because (1) over worked and the living conditions are not reliable and safe, (2) civic amenities (water, electricity, roads, sewage) are not up to the mark (3) difficult to pursue hobbies or (4) change profession ( IT expert can become an estate agent or a chemical engineer becomes a doctor) from the academics. In all most migrants have done exceedingly well in the chosen field. But Indians abroad miss, if not all but most, the social life, festivities, the crowds and not the least, Indian food.
In conclusion, I can say that Indians were attracted to the foreign lands in the past and they continue their efforts to migrate in present day. In future also, the urge to migrate will not subside.
Please Note: Some of the readers may find this topic a bit out of context due to prevailing restrictions on international travel and visa. I am sure normalcy will return sooner than later.
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senthysayssa · 5 years ago
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doctormadeleine · 5 years ago
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Setting up Cutting Edge Medical Programs in Rural facilities.
Key Elements for Success: A Case study set in rural Mnquma subdistrict, Eastern Cape
Dr Madeleine Muller, Rural Doctors Association of South Africa(RuDASA)
To watch or listen to this article: https://youtu.be/c5_R3WCQ6PM
To read continue below
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South Africa boasts some of the most progressive medical programs in the field of Infectious Diseases, especially in the areas of TB and HIV. But how do we ensure that patients living in rural, resource poor areas have access to this cutting edge, first world medicine?
This is is Dr Madeleine Muller and in this article I will describe how we found that leadership and mentoring were key elements in setting up a sustainable Decentralized Drug Resistant TB site in the Mnquma sub-district in the Eastern Cape. We believe these principles could be applied to any program in a resource poor setting.
Let us set the scene. Mnquma encompasses a beautiful rural area on the Eastern Coast of South Africa. It has a population of 253000 of which only 46000 people are living in the only small town, Butterworth
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Although a small town, Butterworth hospital serves not only the rural area of Mnquma but patients coming from surrounding sub-districts as the N2 linking Durban to East London runs right through it. It has to deal with everything from minor ailments and complicated chronic disease programs to major trauma due to road traffic accidents and has a high number of deliveries. As in all rural areas it finds it challenging to attract long term doctors who often prefer to settle in larger urban centers. Capacity is always tight and there are times when doctors at the hospital has to make do with too few hands on deck.
Now lets look at the requirements of running a DRTB program. Drug resistant TB is probably the most complicated Infectious disease program of all our public sector programs. Patients have to be provided with a challenging combination of numerous tablets for 9 months to two years. In South Africa we have the latest drugs available for treating MDR and XDR treatment including Bedaquiline, Clofazamine and Linezolid. This has contributed to our XDRTB treatment success rate reaching 75% in 2018, a phenomenal achievement. But these fancy drugs need to be closely monitored to minimize adverse events and prevent further resistance.
In 2014 DRTB care was decentralised to ensure prompt treatment closer to patients’ homes. Butterworth hospital was one of the first to run a service, but when the experienced doctor left it in 2016 it quickly petered out. In October of 2017 the Mnquma sub-district decided to start again. Several things had to happen!
Firstly we needed a spot from where to run the DRTB clinic. Butterworth Gateway clinic made available a parkhome in their backyard with four rooms, one of which was the storage space for the clinic. The nurses pitched in to clear the space. Some furniture was borrowed from the clinic and others donated by the Aids Healthcare Foundation (AHF).
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Then we gathered all your bits you need to operate, such as BP cuff, scale, NG95 masks and disposables for taking blood. Butterworth Gateway helped out and AHF donated hemoglobin meter, scale and glucometer. We also needed a couple of high tech machines. The MDR TB directorate linked us up with an ECG sponsored by Jansen and a Kuduwave through Emoyo.
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Thirdly we needed to stock up your latest and greatest medicines and for this we had a lot of support from the local regional TB hospital, which provided us with medicines such as BDQ and trained the pharmacists on procurement processes. The meds are stored in a makeshift plastic drawer set on wheels, which is kept in the gateway clinic pharmacy and is dutifully wheeled out every Thursday for the clinic.
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The way we staffed the site is where it became more creative. The local sub-district TB directorate fully embraced this program and it was decided that the clinicians from all the facilities in the Mnquma area would rotate, rather than it just being the responsibility of one hospital. Two nurses from the local clinics rotate each week to help with booking patients, taking blood, doing ECGs and counseling. Doctors and clinical associates from Tafalofefe hospital, Butterworth hospital and the regional TB hospital take turns to provide clinical care. Pharmacists from the local hospitals, as well as CHCs provide pharmaceutical services. The regional TB hospital social worker visits once a month and the local NGO, TB HIV care, has linkage officers that can be used to trace patients.
You cannot run a program without keeping an eye on it. The regional TB hospital eDR nurse experts provided the site with its first patient clinic books, registers and booking book and we were ready to go.
But simply having a building, equipment and staff does not mean you have a sustainable DRTB service. This time we wanted to ensure that the service would keep going and we have discovered two key elements that made all the difference.
Firstly you need one person in the driver seat of your program. With so many different people helping only one day a week you need good coordination. But who should be in charge? A lead nurse? A doctor? The local hospital manager?
We found that our local enthusiastic TB coordinator was willing to take the helm. Well established in the area she ensures that the service happens every week and draws up the roster for the nurses. To support her she has a lead doctor, who draws up a schedule for clinicians and a lead pharmacist, that ensures there is pharmacy support. Without any of these three roles we have run into challenges.
The second key factor is mentoring.
A huge risk to sustainability is the very large turnover of staff and of guidelines. In the past two years we have seen four different transitions of clinicians that have provided services at the Mnquma DRTB. Most new doctors when they start, some of them foreign, have never seen a DRTB patient, or even heard of the new DRTB drugs. Add to that the dramatic changes the DRTB program has undergone as new drugs come out and policies change.
Your quality of your clinical care of the patient depends on a capable physician, so how do you run a program with inexperienced clinicians?
We have found that In the fast paced world of modern medicine it is not necessarily your expert doctor that provides the best care, but rather the clinician willing to ask when they are unsure.
Having access to an available, knowledgeable mentor makes it possible for even the greenest of doctors to give high quality care.
Mentoring can take many shapes and forms. At Butterworth Gateway we have had a monthly mentoring visit from the regional TB hospital including a doctor, social worker and early on pharmacists and nurses. Less frequently there are visits from a DOH quality mentor, a family Phycician DCST and even an Infectious disease Paediatrician. Mentoring includes training each wave of new staff, being available to discuss patients on the review day, usually via whatsapp, and to provide sets of tools and newest guidelines as they come out. When possible we have even arranged for the new doctor to come and spend a day at regional TB hospital for a quick intensive DRTB inservice when they first get started.
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Over the past two years Butterworth Gateway DRTB site has provided care for 85 patients, which included 9 children. 49 of those had been transferred in and 36 have been initiated on site! Most patients receive treatment for MDRTB but we have had fifteen stable patients with XDRTB that has collected their treatment. Seven patients had to be referred to the regional TB hospital with complicated disease. And out of the 49 that have an outcome, 42, that is 85.7%, have been successfully treated for their TB! Unfortunately there are patients that are lost to follow up with seven that we have not been able to trace.
The success of this Mnquma DRTB site has certainly been a team effort with over ten different clinicians, over five different pharmacists and close to twenty different nurses providing services. This has all been held together by excellent leadership and dedicated mentoring, creating a sustainable service to our rural patients.
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We are often told that DRTB programs fail because “clinicians are not interested” but we have found with good support and access to a dedicated mentor there have always been clinicians in Mnquma that have been willing to be part of the program and have enjoyed providing services to our drug resistant patients!
We believe that building links and networks with local expert and experienced clinicians can help sustain cutting edge medicine in rural areas.
RuDASA is always keen to hear your stories! Do share with us any exciting health care projects you have been involved with your in your area.
Acknowledgements
There are many people to thank for assisting in compiling this overview of the Mnquma DRTB success story. I would like to highlight the following:
Mr Madlavu, ECDOH DRTB Directorate
Mrs Matafeni, Mnquma TB coordinator
Dr Nash, Amathole DCST Family Physician
The doctors, nurses, pharmacists and support staff
that show up every week and do the job!
http://www.rudasa.org.za
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jointmedical · 2 years ago
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BREAST CANCER SCREENING SAVES LIVES!
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Breast Cancer is one of the most common cancers among women, and today the number of lives lost due to Breast Cancer has decreased thanks to early detection via specialised screening methods. Breast Cancer is an age-related cancer and occurs mostly in women above the age of 45. Only 5% of all Breast Cancer cases are detected in women younger than 40. However, depending on how high your risk for the condition is, your doctor will advise you on whether you need to be screened and when.
WHO IS AT RISK OF BREAST CANCER?
Women aged 40 and above
Women with certain specific genetic mutations
Women who have a personal or family history of ovarian/breast cancer
Women with a personal history of other types of cancers
Women who have received radiotherapy to the chest region before 30 years of age.
Women with obesity and overweight.
UNDERSTANDING SCREENING AND WHO NEEDS IT
Screening is a series of tests conducted on a person to detect a disease even before it shows visible symptoms. This is done to identify the disease in its very initial stages when it can be treated most effectively. The kind of screening test depends on the cancer that the person is at risk for. In the case of Breast Cancer there are a set of screening tests that can be done. However, it is up to your doctor to decide which is best suited for the patient taking into consideration the following the factors:
Age of the patient
Whether the patient is at high risk for breast cancer
Overall health of the patient
BREAST CANCER SCREENING TESTS
Ultrasound Breasts and Mammography
This is the most common screening test for Breast Cancer Treatment Hospital in Durban. It is a low dose x-ray of the breast and can show changes in the breast that could develop into cancer long before physical symptoms occur. A mammogram can be an x-ray of the breast, a digital picture of the breast or a series of digital images of the breast taken from different angles to get a better view of the internal structures. This is called Digital Breast Tomosynthesis and it provides a detailed visual. Studies show that advances in DBT have reduced the chances of a False-Positive result, therefore improving accuracy in Breast Cancer diagnosis, and also increasing the survival rate. Mammograms may not be able to detect cancer in women with dense breasts, which is the case in younger women. Women less than 40 years are screened with ultrasound or MRI in high-risk patients.
MRI
Magnetic Resonance Imaging (MRI) may also be used for Breast Cancer screening. It is used mostly in young women who are considered high risk – those with genetic mutations and a family history of breast cancer. An MRI provides detailed imaging of the breast and is considered to be more likely to detect cancer, than mammography. Women with dense breasts who have undergone mammography with unclear results. It also defines the abnormality more precisely.
Physical Exam
If a lump or any tissue irregularity is noticed in any of the screening tests, the doctor will prescribe a biopsy in which some tissue is taken and sent to the lab for testing. This will confirm whether the lump is cancerous or benign.
BENEFITS OF BREAST CANCER SCREENING
The scope for cancer cure is high when it is detected in its initial stages. Once the tumour grows and begins to spread beyond the primary site, more therapies must be combined. Breast Cancer is one of the few cancers that can be detected long before physical signs occur, and this improves the chances for a cure. Hence it is important for women to talk to their doctor and find out if they are at high risk and if they require a screening test. It is advisable for women above the age of 50 to get a mammogram done every year or as their doctor deems necessary. Women less than 40 years need to have mammogram once in 2 years and ultrasound annually. JMH is providing Best Cancer Hospital in Durban who treated all kind of cancer.
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purecannastore-blog · 6 years ago
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Medical marijuana – A Boon to relieve pain | Pure cannabis store
Cannabis is a boon for humanity. The plant has more than 500 famous varieties out of which only 80 of them can be used legally around the world but then there stands a type of popular dopamine known as Marijuana. This cannabis stand controversial where some countries are trying to ban it whereas some are promoting to legalize because of the numerous benefits. Over years of study of the doctors around the world efforts are made to introduce “medical marijuana” which is no different from the original dope but you can’t have it unless you are authorized by a medical consultant who has the right to recommend it to his patients.
Buying weed online has numerous advantages over buying physically. Online sellers often have a wider variety of products available, and it’s easy to find and buy exactly what you want. What’s more, you can get your weed delivered straight to your address carefully and privately with no hassle at all.
There are still a few things you need to know, such as how old you need to be and how much you can buy. Here’s a guide to buying weed online in the Los Angles, how to do it, and where to do it.
Is Buying Weed Online in the US Legal?
Buying marijuana online is now legal in many US states providing you stick on to certain laws. You must be able to verify that you’re 21 years of age or over. Medical patients may need to provide a medical card. Those who live in states where recreational use is legal only need to prove their age using a driver’s license or passport.
California residents aged 21 or over can buy weed online for the delivery without any hassle. There are many dispensaries which deliver locally, allowing you to get your products fast and efficiently. Generally, you will need to be present for delivery to show proof of age.
While it’s legal to order weed online, you’ll still need to keep within the possession limits of your state. California cannabis laws state that clientele may buy up to 28.5 grams of flower per day, 8 grams of concentrates or 8 grams of edibles.
The availability of online services may depend on your state. However, the most populace of legal states should have no problem buying weed online.
How to Buy Weed Online in the US?
Buying weed online in the US is very simple. Nowadays, you’re able to order your marijuana from your computer, tablet or even a smartphone. You can complete an order within minutes and have it delivered to your doorstep within days.
What Are The Advantages of Buying Weed Online?
Buying weed online is favorable for several reasons. Many consumers buy weed online due to the convenience. You can find the products you need within minutes and order them for home delivery. Buying marijuana products online is simple and you can order within minutes. All your information will be kept confidential and no one needs to know what you’re having delivered. For these reasons, many people find buying online the best technique to get weed.
You can also find a wide variety of products online. Whether you’re looking for cannabis strains, tinctures, topicals or edibles, you can order them from the internet. You may find that online sellers have a much better range than your local dispensaries. Browsing online also allows you to see product descriptions and reviews.
 What Products Can You Buy Online?
There are ample of marijuana products available to buy online. Weed is available in all kinds of strains, but you can also look into concentrates, edibles, and a lot more. Here are some of the best weed products you can buy online:
Flowers – Those who want to smoke weed the traditional way are well served by cannabis flower. You can find strains such as Sour Pineapple and Durban Poison pre-rolled and ready to smoke. You can also buy herbal cannabis in various quantities to roll yourself or smoke in a bong, pipe or vaporizer.
 Cartridges – If you enjoy vaping, vape cartridges make it easy to get the pleasant effects of cannabis. These are available in various strains, giving you all the flavor of the marijuana itself without the harsh effects of smoking. These are also available in pure CBD form for medical users.
 Edibles – Cannabis edibles are generally much more potent than smoking or using tinctures. THC edibles will give you a strong and long-lasting high, whereas CBD edibles can give you powerful medical benefits. Edibles are available in various forms, such as chocolates, gummies, and even sodas.
 Read More – Visit Website – Buy Medical Marijuana Online
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thoughtfulpostsalad · 6 years ago
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vsplusonline · 5 years ago
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South Africa's TB, HIV history prepares it for virus testing
New Post has been published on https://apzweb.com/south-africas-tb-hiv-history-prepares-it-for-virus-testing/
South Africa's TB, HIV history prepares it for virus testing
JOHANNESBURG — South Africa, one of the world’s most unequal countries with a large population vulnerable to the new coronavirus, may have an advantage in the outbreak, honed during years battling HIV and tuberculosis: the know-how and infrastructure to conduct mass testing.
Health experts stress that the best way to slow the spread of the virus is through extensive testing, the quick quarantine of people who are positive, and tracking who those people came into contact with.
“We have a simple message for all countries: test, test, test,” Tedros Adhanom Ghebreyesus, director-general of the World Health Organization and a former Ethiopian health minister, said recently.
South Africa has begun doing just that with mobile testing units and screening centres established in the country’s most densely populated township areas, where an estimated 25% of the country’s 57 million people live.
Clad in protective gear, medical workers operate a mobile testing unit in Johannesburg’s poor Yeoville area. In the windswept dunes of Cape Town’s Khayelitsha township, centres have been erected where residents are screened and those deemed at risk are tested.
While most people who become infected have mild or moderate symptoms, the disease can be particularly dangerous for older people and those with existing health problems, such as those whose immune systems are weakened or who have lung issues. That means many in South Africa — with world’s largest number of people with HIV, more than 8 million, and one of the world’s highest levels of TB, which affects the lungs — are at high risk of getting more severe cases of the disease.
“Social distancing is almost impossible when a large family lives in a one-room shack. Frequent hand-washing is not practical when a hundred families share one tap,” said Denis Chopera, executive manager of the Sub-Saharan African Network for TB/HIV Research Excellence.
“These are areas where there are high concentrations of people with HIV and TB who are at risk for severe symptoms. These are areas that can quickly become hot spots,” said Chopera, a virologist based in Durban.
But years of fighting those scourges has endowed South Africa with a network of testing sites and laboratories in diverse communities across the country that may help it cope, say experts.
“We have testing infrastructure, testing history and expertise that is unprecedented in the world,” said Francois Venter, deputy director of the Reproductive Health Institute at the University of Witswatersrand. “It is an opportunity that we cannot afford to squander.”
The country imposed a three-week lockdown March 27 that bought it some time, said Venter.
“Now is the time to test and track. We must get out into the community and find out where the hot spots are,” said the doctor. “With testing we can strategically focus our resources.”
South Africa was one of only two countries in Africa that could test for the new coronavirus when it began its global spread in January. Now at least 43 of the continent’s 54 countries can, but many have limited capacity.
Widespread testing has even been a challenge in North America and Europe, where some countries with large outbreaks resorted to only testing patients who are hospitalized.
Currently able to conduct 5,000 tests per day, South Africa will increase its capacity to more than 30,000 per day by the end of the April, according to the National Health Laboratory Service.
That would make its capacity among the best in Africa and comparable to many countries in the developed world, say health experts.
At first in South Africa, COVID-19 appeared to be a disease of the rich, as the first few hundred cases were virtually all people who had travelled to Italy and France and who could afford to go to private clinics.
But as local transmission of the virus takes hold, the public health service must take testing into the country’s most vulnerable areas: the overcrowded, under-resourced townships.
South Africa has thousands of community health workers experienced in reaching out in these areas to educate about infectious diseases as well as to screen, test and track contacts to try to contain the spread.
South Africa is already testing by taking swabs and using conventional means.
And it is also expecting to receive new kits that will allow rapid test results. South Africa has for several years been using a TB testing system that extracts genetic material and produces results within two hours. That system, known as GeneXpert, has developed a test for COVID-19 that was approved last month by the U.S. Food and Drug Administration, and South Africa is expecting delivery of those test kits within weeks.
“This will dramatically shorten our testing time, and the smaller machines can be placed in mobile vehicles, which are ideal for community testing,” said Dr. Kamy Chetty, CEO of the National Health Laboratory Service.
South African Health Minister Zweli Mkhize said the country must find out “what is happening in our densely populated areas, in particular the townships” where he said health workers would “continue to venture forth in full combat by proactively conducting wall-to-wall testing and find all COVID-19 affected people in the country.”
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juniperpublishersoa · 5 years ago
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Juniper Publishers|Appendicectomies at a tertiary hospital: disease profile and surgical practices at Grey’s Hospital, Pietermaritzburg
Journal of Surgery-JuniperPublishers
Introduction
Appendicitis is one of the commonest causes of abdominal pain in both genders, occurring more often younger people [1], with the gender predominance varying across regions [1,2]. The causes of this disease are not clear, with several pathophysiological hypotheses having been proposed. The dietary fiber hypothesis suggests that the disease may be caused by the consumption of a low fiber diet. The hygiene theory suggests that improvements in water supply and sewerage disposal lead to an increase in appendicitis cases in Britain in the late 19th century by reducing children’s exposure to enteric organisms, leading to an altered immune response to viral infections [1,3,4].The presentation of a temporal progression of acute central abdominal pain shifting to the right lower quadrant, associated with vomiting, subsequent mild fever and signs of peritoneal irritation, is diagnostic of appendicitis [3]. Laboratory inflammation makers complement the diagnostic tools, with reliance on clinical indicators alone resulting in a negative appendicectomy rate of 15% or higher, especially in women. The differential diagnosis includes various non-surgical and gynecological conditions, requiring careful consideration, with delay in diagnosis results in increased morbidity, such as perforation, and mortality.In an attempt to improve diagnostic accuracy, the Alvarado scoring system, which uses six clinical and two laboratory features, was developed. A score of 0 to 4, 5 to 6, 7 to 8, and 9 to 10 suggests that the diagnosis of appendicitis is unlikely, possible, probable and definite, respectively [5]. Ultrasound and Computed Tomography (CT) scanning play a key role in reducing the higher rate of negative appendicectomy. CT scan is the most sensitive and accurate diagnostic method, but its specificity is similar to that of the ultrasound [6]. In cases of diagnostic uncertainty with a low suspicion index of appendicitis, conservative management, which includes hospitalisation and active clinical and laboratory observation, is an acceptable approach [3,7].Kong et al. [8,9] validated the Alvarado score and in separate study, they evaluated the cost of managing appendicitis cases in Eden dale Hospital, a regional public sector hospital in Pietermaritzburg, South Africa. However, the profile of appendicitis patients, and the surgical procedures they underwent in Grey’s Hospital have not been fully studied. Current trends support an increased use of minimally invasive surgery for both diagnostic and therapeutic purposes, especially for women. The patients’ profile and clinical features influence the surgical management practices and the outcome. The surgical approaches utilized in Grey’s Hospital are also largely unknown. This information will help in improving patients’ care and benchmarking the institution against best practices and current trends; hence the relevance of undertaking this study.Go to
Objectives
The study aimed to determine the demographic and clinical profile of patients treated for appendicitis, the commonest surgical approaches used for appendicectomy, the prevalence of post-operative complications, the prevalence of inaccurate diagnosis as demonstrated by the rate of histologically normal appendices, and the association between perforated appendix and, the age and gender of patients presenting with diagnosed acute appendicitis in Grey’s Hospital.Go to
Methods
In a retrospective cross-sectional survey, we reviewed medical records of 196 patients who were operated for appendicitis between January 2011 and June 2012 in Grey’s Hospital, a tertiary hospital situated in Pietermaritzburg, South Africa. Theatre and laboratory registers were also reviewed to ensure completeness and accuracy of data. Variables collected included demographic data, surgical access, surgical procedure performed, complications, histology results and admission to intensive care unit (ICU). In this hospital, the diagnosis of appendicitis made by junior doctors is confirmed by a more experienced doctor before the patients are subjected to surgery.Appendicectomy is carried out by a surgeon, registrar or an experienced Medical Officer, while postoperative management and follow up is done according to predetermined clinical guidelines, individualized according to each patient’s clinical presentation. Data was collected using a structured data collection sheet and analyzed using IBM-SPSS version 21 software. Frequency tables, Chi-square test of independence and logistic regression were computed to determine the prevalence of certain characteristics and establish association between the variables. Ethical approval for the study, and permission to use hospital records were obtained from relevant bodies of Pietermaritzburg Hospitals Complex. The imperative to obtain informed consent from individual patients was waved as this was a retrospective medical records review. At the time of data collection, all patients were either discharged or had died.Go to
Results
Hundred and ninety six patients’ records were reviewed, of which 53.1% were for male patients. The mean age of participants was 21.1 years (SD: 12.6), the range was 2-67years, and the majority (57.7%) of patients were <20 years. (Figure 1) shows that the gender distribution varied among the age groups, with more males in the younger age group (<20 years) but more females in the age group 20-29 years.
With respect to the prevalence of the clinical variables, the majority of patients had histology results that confirmed the diagnosis of acute appendicitis. The commonest surgical approach was the lower midline incision. Although most patients were discharged alive, one died, 19 were admitted to ICU, and three required bowel resection. Of the 15 patients who had a normal appendix on their histology report, 11 (73.3%) were females. Other clinical characteristics of the participants are presented in (Table 1). A univariate analysis of dependency showed no statistically significant association between ‘gender’ and all clinical variables. However, there were statistically significant associations 2, 10, 12-10-13, 2, 8, 9 between ‘age category’ and ‘complications’, ‘ICU admission’ and ‘initial surgical procedure performed’ (Table 2).
*ICU: Intensive Care UnitA logistic regression performed to ascertain the effects of age and gender on the likelihood of a participant having a perforated appendicitis showed no statistical significance, χ2 (2) = 11.7, p = 0.16. The model explained only 2.5% (Nagelkerke R2) of the variance in perforated appendicitis and correctly classified 57.1% of cases. Males were 0.57 times (meaning a protective factor) more likely to have perforated appendicitis than females (p = 0.054, marginally not significant). Increasing age was not associated with an increased likelihood of perforated appendicitis (Table 3).
Variable(s) entered on step 1: Age, Gender.Go to
Discussion
The mean age of our study participants was similar to that observed in other South African studies [2,8,9]. The predominance of males in the sample, although in keeping with findings in other studies [2,10-13], was not statistically significant (p = 0.054). Patients who were <20 years old accounted for 57.7% of the sample, which suggests that appendicitis is more common in younger patients [2,10,12-14]. The high number of younger patients presents a multiple challenges to the clinicians, as children are believed to have thin-walled appendices that are predisposed to perforation, leading to increased morbidity and/ or mortality. Children are also unable to give a reliable history and to cooperate fully during physical examination [15,16]. They commonly suffer from other comorbidities, such as upper respiratory infection, otitis media or gastroenteritis, making their clinical picture complicated, leading to a delay in diagnosis.Similar to children under three years, appendicitis is the cause of severe morbidity and mortality in elderly patients [17,18]. The perforation rate in this study was 54.1% which is in keeping with the findings of Roger et al. [19] in the Eastern Cape. In contrast, 9.7% of our patients required ICU admission postsurgery versus 6.1% of patients in Prince Mshiyeni Memorial Hospital in Durban [12]. The preference of the midline incision in 61.7% of cases is well justified in the light of the high rate of perforated appendicitis (54.1%). Laparoscopic appendicectomy was used selectively in non-perforated appendices and in cases of diagnostic dilemma, as suggested by Ogbonna et al. [20]. The commonest incisions in Prince Mshiyeni Memorial Hospital were: lower midline laparotomy (47.2%), gridiron incision (37.3%), the combination of lower midline and gridiron incisions (5.6%), and laparoscopic surgery or long midline or Lanz incision (5.5%) [12]. These results may suggest a high rate of delayed presentation and/or complicated appendicitis. While these figures are in keeping with those found in this study, a study in the United Kingdom revealed a very low rate of open laparotomy of 10% [21].The histological finding of normal appendix was more common in women; therefore the liberal use of imaging techniques, particularly ultrasound, and laparoscopic exploration should be encouraged in women. In a randomized study, Larsson et al. [22] showed that a negative appendicectomy rate of 34% with open appendicectomy could be reduced to 7% through the prior use of laparoscopy. In those patients who did not have appendicitis, a definitive gynaecologic diagnosis was made in 73% compared with only 17% who had open appendicectomy alone [22]. A study by Blisard et al. [23] showed that after implementing a clinical guideline recommending laparoscopic use prior to open laparotomy, a significant drop, from 31% to 23%, in the rate of negative appendicectomy in women was noted. Increasingly, laparotomy is being replaced by laparoscopic diagnosis and surgery [24].Laparoscopy allows the appendix to be found wherever it may lie. The technique of laparoscopic appendicectomy is similar to the open operation, enabling the appendix to be visualized and an appendicectomy performed if it is abnormal. While a laparoscopic appendicectomy gives a lower wound infection rate and may allow an earlier return to normal activities, it is a more technically demanding operation [24]. In the absence of perforation and laparoscopic equipment, a low skin [12] and 2, 12, 13 crease incision (Lanz incision) rather than the higher and more oblique one centered on McBurney’s point is now favored as it gives a better cosmetic result.Nonetheless, the advantages of laparoscopic versus open appendicectomy are not yet universally accepted. A Cochrane systematic review found that laparoscopic appendicectomy in adults, when compared to open surgery reduces wound infections, postoperative pain, length of hospital stay, and time taken to return to work. In the same review, the number of intraabdominal abscesses was higher after the laparoscopic surgery [25]. A recent review, however, found no significant differences between the two procedures, except higher quality of life scores at two weeks in the laparoscopic group. Kiriakopoulos et al. [26] reviewed post-operative complications on complicated appendicitis that were operated laparoscopically and found no wound sepsis or intra-abdominal abscesses. As the conversion to open surgery rate was only 4.8%, [27] the investigators recommended a laparoscopic approach even for complicated appendicitis.At surgery, three types of appendicitis may be described: normal, simple acute and complicated (perforated and/or gangrenous appendicitis and/or peri-appendicular abscess) [24]. Of the 196 specimens submitted for histopathology, 7.7% were normal, 59.7% showed features of acute appendicitis, 4.1% were gangrenous and 3.6% showed signs of peri-appendicitis. Notwithstanding the fact that there were no histological results for 20.4% of cases, the rate of negative appendicectomy (7.7%) was similar to findings of other studies conducted in Africa [2,12,13]. Of the 15 patients who had normal appendix, 11 (73.3%) were females. This highlights the need for pre-surgical laparoscopic diagnosis in women to exclude gynecological causes of localized or generalized abdominal pains. A Nigerian study found that incorrect diagnoses were more commonly encountered in females [11].The majority of patients (94.9%) had appendicectomy only, while 3.6% and 1.5% of patients had appendicectomy with the abdomen left open and with bowel resection respectively. These figures indicate that in most cases, the inflammation was limited to the appendix, suggesting that most of these cases could have benefited from laparoscopic surgery. Surgeons’ preferences and/or lack of skills may have been a limitation to choosing laparoscopic surgery. Post-operative complications were observed in 26 patients (13.7%), with 21 (10.7%) necessitating a re-laparatomy, four (2%) having wound sepsis, of whom two (1%) required a re-laparotomy, and one (0.5%) dying. Death accounted for 1.2% in Prince Mshiyeni Memorial Hospital [12]. The rate of post-operative infections in this study (2%) was significantly lower than those obtained in a Durban hospital (25.3%) in a Kenyan rural hospital (22%) [28].Although the Chi-square test of association did not reveal any statistically significant association between ‘gender’ and all clinical variables, there was an almost statistical significance between it and ICU admission” and “macroscopic findings”. A statistically significant association between ‘age categories’ and ‘complications’, “ICU admission” and “the initial procedure performed” supports the finding of increased morbidity in extreme ages. Our model predicting the perforation status on the basis of gender and age revealed that being male was a marginally protective factor (OR = 0.57; p = 0.05; 95% CI = 0.324 - 1.009). It is not clear if infections from the gynaecologic tract played a role in this regard.Go to
Limitations Of The Study
As with all retrospective charts review, some medical records had incomplete data which may have affected the findings. For example, the histology results were not available for 20.4% of cases. The study did not include cases that were taken to theatre for gynaecologic diagnosis that turned out to be appendicitis, as such patients might have had a pfannenstiel incision.Go to
Conclusion
The majority of the patients reviewed present late with perforated appendicitis, resulting in midline laparotomy being the preferred surgical access despite the associated risk of additional morbidity. There is a need to develop skills in and encourage surgeons at this tertiary institution to perform minimally invasive surgery in cases of suspected appendicitis. The study has reaffirmed the difficulties in making the correct diagnosis in women, with 73.3% of patients with normal appendix being females. Judicious use of laparoscopy as an investigative and therapeutic tool may reduce the rate of negative laparotomy in women in particular.
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wallersahin84-blog · 6 years ago
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thc and cbd
Congratulations on your choice to grow what's arguably one of the most popular marijuana strains on the globe. Buying in pots is expensive, while trays made up of lots of plants is cheap. Australian Drug Tendencies 2018. In comparison, some oilseed hemp types consider in at about 3.5 percent CBD max with almost no THC, while low resin dietary fiber hemp has even less CBD. Cannabis Access Treatment centers does not source products, and our doctors recommend independently predicated on clinical need. All seeds arrived quickly, in drinking water now waiting to germ. Both THC and Cannabidiol (CBD) have been found to provide treatment and reduce inflammation. there has already been a wholesome, strong, legal industry” in cannabis-related products in South Africa, including a power drink and a beer (Durban Poison, known as after a cannabis tension) that use hemp seed petrol in production and shortage THC, the plant's main psychoactive component. First take the colas, then allow additional time for the lower buds to dense up before these are harvested next. Do not load up the soil on top of the seed; a light protecting layer of land is all that is required. Cultivating cannabis indoors is more difficult and expensive than growing outside the house, but it allows the cultivator complete control over the growing environment. For the time being, says like Washington, California, and Colorado tend your best bets for finding a few of the greater unique medicinal pot products you might hope to get your hands on. But until national law attracts up with the expresses determination to decriminalize cannabis use, you won't be able to travel across state lines with any product containing THC. Dirt, soil, development medium-call it what you like, it's an important component for just about any cannabis growth procedure. Germinating cannabis seeds requires only the right amount of normal water, heating, and air. For most cannabis strains, the male vegetation don't produce usable levels of THC, so most growers toss them on look. Gently isolate the seedlings to place. Any deeper so you could decrease or prevent the expansion of the seed. Alternatively, you can find them in an area dispensary, but purchasing the best autoflower seed products can be a challenge at first. For outdoor or greenhouse growing to get the most out of your autoflowering cannabis vegetable make sure it gets at least 15 time of sunlight per day. Designed for just that purpose, Seed products Man's Laughing Buddha will have you rolling around on to the floor in hysterics and is not hard to grow inside or away. All cannabis plant life own an XX or XY combo, indicating a lady or male vegetable at a hereditary level. For some hobbyist growers, which means searching for clones-genetic duplicates of mother plant life that other growers have flowered and found to be worthwhile keeping around-which eliminates the inefficiencies inherent to growing from seed, identifying love-making, and weeding out unsmokable guys and undesired females. 4. Be authorized in https://www.autofloweringseeds.info/?p=1802 as a caregiver for only one competent patient, except as provided in this paragraph. Autoflowering cannabis is on the rise. As the lifetime of genders means, marijuana plants in the open reproduce when male pollen fertilizes feminine flowers and another generation of seed products are produced. Andre Kruger's stand at Africa's first ever cannabis exposition shown an inside growing tent, complete with state-of-the-art lighting imported from america and fittings for a high-tech hydroponic irrigation system. As for if your should use autoflowering seeds, there are extensive quarrels both for and against their use but a very important factor is for certain, they have got certainly made harvesting marijuana much quicker and easier.
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rosiemotene · 6 years ago
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I am a survivor and many years ago I approached POWA for counseling, healing and then training on abuse. I needed the healing to move on and the training, so I could use my brand to create awareness, but I needed to be equipped with the correct knowledge. A few weeks back, I was invited to participate on a panel on a local TV program, called The Daily Thetha, which airs on SABC1. The Daily Thetha is an educational talk show on SABC 1 that explores youth issues as well as, issues of national importance. The topic was on the #MeToo movement which has spread across the world. On arrival at the studio, I met with my panel, Mara Glennie who founded the Tears Foundation, Zoe Ramashu from SWIFT, Melusi Xulu, an attorney. It is so great to have met and spent time with individuals who are passionate about bringing change to our country. I had to share the amazing work that they do. We will only combat​ this if we collectively​ do our bit.
Mara Glennie’s who started the Tears Foundations, her motivation to help others comes from a deeply personal place. The meaning of the “TEAR” Tear Drop “Our teardrop logo is a symbol for weeping at the violence and degradation suffered by rape and abuse victims; but, more importantly, it is a symbol of cleansing, healing, and hope” TEARS’ developed a system that uses a simple SMS code and GPS location to allow other survivors to connect with much-needed​ help from their nearest care centre, immediately. They are able to do this because of the help they received from others. They run their foundation from a fully equipped office in Sandton, kindly given to them by Dr. John Wentzel and the Tsebo Outsourcing Group.
The sms details are: *134*7355#
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Donda Attorneys
Zamakhathini Melusi Xulu is a practicing attorney from Durban. He strongly believes that as a lawyer, it is important and instrumental that he be a servant leader to bring justice to​ our society. He graduated from the University of Zululand with an LLB degree. Prior to him starting his firm he has worked for Legal Aid South Africa (Vryheid Justice Centre)as a Candidate attorney; Siyaya Attorneys in Durban, as a legal practitioner and researcher and he worked for The National Prosecuting Authority as a prosecutor (in Free State) from 2014 to 2018.
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Advice from me.
Speaking as a survivor, I understand the pain and anguish that surrounds​ any form of abuse. The trauma that arises is serious and if not treated accordingly can lead to many other problems such as depression, fibromyalgia, suicide, ​and anxiety. Each crime is different and can be handled in a ​number of ways, but the most important​​ thing to remember​ is that it is not your fault and that you have the right​ to speak up. It is also very important​ that you find a safe​ space to share your pain and story for healing and assistance.
Sexual harassment​ at work: The minute it happens you should report it to the authorities, keeping a paper trail is essential, so in the case of sexual harassment​ at work​, one should send an email and ensuring that the head of the department receives it. In various corporate companies, there are HR procedures. For actors in SA, my suggestion would be to immediately report it to SA (SA Guild of actors). You need to be a member to benefit from​ the amazing services. http://www.saguildofactors.co.za If you​ are physically harmed, seek immediate​ medical attention and keep as much evidence as possible. With evidence, this may be uncomfortable​, but in the case​ of sexual assault, if the perpetrator touched any items, such as glass or plate, simply put your hand in a plastic​ bag and cover the plate. This ensures that your hand or fingerprints​ do not smudge​d the perpetrators. Any bit of evidence is crucial. You have every right to speak up and out on it.
In the case of sexual assault/rape/sodomy​. The first step, the survivor shouldn’t wash or change their underwear as that would be literally cleaning away the evidence. Secondly, ​go to the nearest police station or nearest medical centre. If you start at a medical centre, they will call the police. If you start with​ the police, the police will take you to a medical centre. After getting the statement, you’ll be treated by a doctor, and smears will be taken and given back to the police. Those smears will be taken to forensics to​ try and verify the perpetrator. One of the biggest issues comes with reporting​ the crime. At the station,​ if a policeman​ or women refuses to open the case based on their personal beliefs​, take​ their badge number and report​​ them immediately​.
Your rights as a survivor: You are permitted to have a person of your choice present to support and reassure you when reporting an incident.
The interview will be conducted in surroundings that are either familiar to or reassuring to you.
Once sufficient information has been obtained from you, a docket must be opened, registered on the CAS and an affidavit must be made.
You must be taken for the medical examination as soon as possible – even if the sexual offense​ was only reported more than 72 hours after it had been committed, and even if you have already washed.
The medical examination will be conducted at state expense and by a medical professional.
No man may be present during the medical examination of a female survivor, and vice versa. Even a member of the same gender may only be present during the medical examination if you as a survivor agrees to it. ​
You will​ come across people who will try and make you doubt your words, they will ridicule you, it is ok, it is not their journey and pain. You need to understand that your pain is valid and by not stopping it, you will not heal. Your healing could possibly prevent future abuse crimes, as the perpetrator will be stopped immediately. remember perpetrators continue​ to commit these crimes as they have been given the permission​ to and often have people protecting​ them.
It is important​ to share your ordeal in safe spaces, spaces where people have your best interest at heart and will be willing to help and assist​ you.
Contact details: POWA: http://www.powa.co.za
Tears: http://www.tears.co.za
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Find your safe spaces!!! I am a survivor and many years ago I approached POWA for counseling, healing and then training on abuse.
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