Effie Schultz

 Chronic Disease Care
Notes, reports, comments, presentations, letters, …

I developed and ran dedicated chronic disease care clinics at Hillbrow Hospital in Johannesburg [1976 - 1986], at Benedictine Hospital and its rural satellite clinics in Nongoma in the then KwaZulu homeland [1990 - 1991] and at Alexandra Health Centre and University Clinic in Alexandra township in Johannesburg [1991].

The notes, reports, presentations and guidelines in this section derive from that experience. The list is incomplete.

Items without links are available on request.

If material from this site is used please acknowledge the source. Feedback and discussion will be appreciated. Click here to send me an email.

  1. Non-drug treatment of hypertension.
    Edited version of an article published in Hypertension and Rheumatic Heart Disease in Black South Africans. Eds Milne FJ and Sareli P. Helm Publishing, Johannesburg. 1989; latest edit September 2006.

    Article (PDF)
    58KB

  2. Self Administered Clinical Questionnaire.
    Updated version of a questionnaire administered to patients attending the chronic disease care clinics. 1977; latest update 1996.

    Questionnaire (PDF)
    25KB

  3. Clinic-retained record sheets.
    Shortened and updated versions of record sheets used for entering data on patients suffering from asthma (now subsumed in COLD – chronic obstructive lung disease), diabetes, epilepsy and hypertension. The initial version used from 1977 to 1986 was 4 pages long. Latest version 1991.

    Clinic Record Forms (PDF)
    127KB

  4. Codes for use in record sheets.
    Updated version of codes used when entering data in clinic-retained record sheets for patients suffering from chronic obstructive lung disease, diabetes, epilepsy and hypertension. 1977; latest update 1991.

    Codes for Records (PDF)
    63KB

  5. Cost-effective control of common chronic conditions.
    An edited version of a health system review performed in 1985 at the request of the deputy superintendent at Hillbrow Hospital. In 1989 the findings were presented at a conference on health economics in South Africa. They were subsequently written up in a paper and submitted in turn to the Bulletin of the WHO, the South African Medical Journal and the British Medical Journal. The paper was not published. Latest revision 2006.

    Paper (PDF)
    104KB

  6. Low serum potassium in hypertensive subjects in a hypertension clinic in Johannesburg, South Africa.
    An analysis of observations of the effect on serum potassium of a drug regime used to treat hypertension. June 1986. Edited May 2012.

    Report (PDF)
    138KB

  7. Treatment of hypertension with magnesium chloride.
    Magnesium chloride was routinely issued to all patients with normal renal function at a hypertension clinic in Johannesburg. They were advised to use the salt in their food. The dose was low — 100 g over 4 weeks. Few complained of side-effects severe enough to inhibit use. A study on a small sample demonstrated blood pressure reduction. The findings were presented at a Southern African Hypertension Society Congress in 1985.

    Abstract. (PDF)
    130KB

  8. Guidelines for the management of hypertension in primary care in South Africa.
    These guidelines were initially prepared in response to a request in 2003 from the Southern Africa Hypertension Society to its members for input on a draft update of their guideline. 2003. Latest update January 2007.

    Guidelines (PDF)
    505KB

  9. The promotion of health and well-being and the primary prevention of common chronic diseases. Strategies for doctors and nurses.
    A set of slides prepared for the Southern Africa Hypertension Society for use in its educational programme for doctors and nurses. 2001.

    Slide Presentation (PDF)
    87KB

  10. A non-drug programme for the management of hypertension.
    A stand-alone extract from Guidelines for the management of hypertension in primary care in South Africa. December 2006. See Dietary Fibre for an updated discussion on what is here referred to as fibre, roughage and indigestible food residue.

    Extract (PDF)
    205KB

  11. Organisation of Primary Care Services for Patients suffering from Common Chronic Conditions.
    Poster presentation at the 13th Annual Conference of Rudasa (Rural Doctors Association of Southern Africa). August 2009.

    Abstract (PDF)
    34KB

    Slide Presentation (PDF)
     237KB

  12. A Non-Drug Programme for the Prevention and Management of Common Chronic Medical Conditions.
    Poster presentation at the 13th Annual Conference of Rudasa (Rural Doctors Association of Southern Africa). August 2009.

    Abstract (PDF)
    13KB

    Slide Presentation (PDF)
     387KB

If material from this site is used please acknowledge the source. Feedback and discussion will be appreciated. Click here to send me an email.

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