The prevalence of obesity and associated medical conditions amongst Indian patients attending an urban Indian general practice in Phoenix was investigated. Data were collected using standardized questionnaires and checklists. All obese patients, 18 years of age and older, who attended the Researcher's general practice were interviewed and examined, personally, by the Researcher. The study was conducted over a period of three months. In respect of identifying medical conditions associated with obesity, information from patients' records in the Researcher's general practice was utilized and where this was not available, a questionnaire to identify the aforementioned medical conditions, was administered to the patient. Data were collected, entered onto a collation sheet and analysed manually. The prevalence rate of obesity for males and females was found to be 4% and 13% respectively. The majority (88%) of obese subjects were married and were housewives. A large number (81%) had received a low level of education. The majority (91%) did not smoke. Most (95%) did not consume any alcohol. The majority of obese subjects (70%) came from families consisting of between four and seven persons. Most were in the third and fourth decades of their lives (65%), and engaged in very little physical activity. The majority (70%) had a diet consisting mainly of carbohydrates, especially refined carbohydrates. Dyspnoea was the most commonly occurring medical condition in these subjects (32%). Next ranked osteoarthrosis (23%); then varicose veins (10%); depression (10%); hypertension (9%); anxiety (6%); diabetes niellitus (4%); flat feet (2%); hernia (2%) and ischaemic heart disease (2%). Obesity is associated with much morbidity. Efforts should be directed towards preventive measures as well as identifying and treating those obese persons who are at risk of developing obesity - associated diseases. / Thesis (M.Med.)-University of Natal, Durban, 1986.

A study to determine the prevalence of infertility in females in a patient population attending a general practice in Katlehong was done over seven weeks in 1985. In this study 40.6% out of a total of 143 patients interviewed were found to be infertile. Contributing factors to infertility included an advanced age of patients and use of intra-uterine contraceptive devices. Pelvic inflammatory diseases, fibroid uteri, fixed retroverted uteri and a poor socio-economic status of patients were also found to be associated with infertility. The above factors associated with infertility in females are discussed and recommendations directed to the reduction of infertility are submitted. / Thesis (M.Med.)-University of Natal, Durban, 1987.

The often stated inability of many patients to lose weight or maintain weight reduction is a common complaint heard in general practice and the dietary reasons underlying the problem was studied. The study was carried out in a suburban general practice , and it was found that there is a high degree of dietary ignorance and dietary indiscretion in overweight people. This would therefore account in the majority of cases for the claims made by patients that they eat very little and yet cannot lose weight. Overweight/obesity is of multi-factoral aetiology and the dietary aspect plays a major role. Thus recommendations have been made to endeavour to correct the problem at general practice level, by supplying a protocol in an approach to weight control management and at a community level by the introduction of a comprehensive and multifaceted health programme aimed at education and implementation of good dietary behaviour. / Thesis (M.Prax.Med.)-University of Natal, Durban, 1986.

459 Indian female patients between the ages of 16 and 50. attending the practice of the researcher were asked to complete a confidential questionnaire on the knowledge and utilisation of contraception. The results of the study revealed that the majority of the participants were literate and possessed some knowledge of contraception. The contraceptive choice was the Pill with many participants also favouring the use of the intra uterine device. Condoms were used by only ten percent of the group while the use of the injection - Depot Provera - was negligible. Most peri menopausal women had completed their families and had undergone Tubal Ligation even though a fair number had the intra uterine device in place and also had continued using the Pill as their contraceptive. / Theses (M.Fam.Med.)-University of Natal, Durban 1995.

Introduction: Despite the availability of contraceptives, some women still seek an induced abortion. If these women are known, they can be targeted for intensive contraceptive counseling. An accessible termination of pregnancy health facility can also be provided to those who still wish to have an abortion. Aim: To determine the characteristics of women having first trimester induced termination of pregnancy in Newcastle Provincial Hospital in Amajuba district. Methods: Quantitative retrospective chart review. Seven hundred and fifty eight women had an induced first trimester abortion between 1st January and 31st December 2008 at Newcastle Provincial Hospital. The medical records of 254 were systematically sampled and the data obtained from these medical records were analyzed descriptively. Results: Most women (75%) were aged between 20 and 34 years. The commonest age was 23 years while the mean age was 25.27 years. Two percent were less than 16 years of age. Ninety seven percent of the sample were of African race, 75.6% reported having at least one child alive, 93.3% were single, 70.1% of the women reside in Newcastle sub-district while 19.7% reside outside Amajuba district. Eighty nine percent of the women were not using any contraception before the pregnancy that was terminated. Four (1.6%) women had previously had a termination of pregnancy. Fifty eight percent of the women requested abortion between 9 and 12 weeks of gestation (commonest gestational age was 8 weeks). Seventy four percent of the women were self-referred. Ninety six percent of the women reported having an abortion because of socio-econornic reasons. Only 69.7% disclosed their intention to procure abortion to a second person. Every woman was counseled before her pregnancy was terminated. Conclusions: In our patient population, women who are more likely to have an induced first trimester abortion are: in their twenties; African; single; parous; sexually active and not using any contraceptive; residing in Newcastle sub-district and of poor socioeconomic status. These groups of women should be targeted for intensive contraceptive counseling. The proportion of women who are less than 16 years of age shows that statutory rape is still a challenge in South Africa and deserves more attention. Further study is needed to establish if the location of Newcastle Provincial Hospital is denying women living in other sub-districts in Amajuba (apart from Newcastle sub-district) the opportunity to procure an induced abortion. Such a study will thus guide the place where future termination of pregnancy services may be established in Amajuba. / Thesis (M.Med.)-University of KwaZulu-Natal, Durban, 2011.

A descriptive study of cigarette smoking in a sample of Indian matriculation students was undertaken in Northern Kwa-Zulu Natal in order to establish the prevalence of cigarette smoking; reasons for developing cigarette smoking behaviour; to determine knowledge about and attitudes to cigarette smoking and also to establish students' awareness of antismoking organisations and to make recommendations based on the findings. Data was collected by the researcher who administered questionnaires at various schools previously under the jurisdiction of the House of Delegates, in the towns of Newcastle, Dannhauser, Glencoe and Dundee. There were 55 smokers in the sample (N =326), ie., a prevalence rate of 16,9%. Among the males 52 (36,1%) were smokers and 3 (1,8%) females smoked. Fifty four (98,2%) smokers had commenced smoking above the age of 10 years. Twenty seven (53%) smoked at home and 12 (24%) smoked at school. Experimentation occured among 46 (83,6%) smokers prior to actual smoking with 52 (94,5%) smokers having friends who also smoked. Advertisements influenced 10 (18,2%) smokers while 11 (20%) were influenced by teachers and 9 (16,7%) were influenced by family members. Smokers received more pocket money than non-smokers. More family members of the smokers were also smokers as opposed to non-smokers. Fourty nine (89,1%) smokers believed that smoking was harmful to themselves while 41 (74,5%) said it was also harmful to others. The association between smoking and lung cancer was well known by 49 (90,7%) smokers but the association with heart disease and other cancers was not as well known. There was very little awareness among both smokers and non-smokers about anti-smoking programmes and organisations. Alarmingly there was hardly any formal health education on the dangers of smoking in schools. The conclusions are that the prevalence of cigarette smoking among Indian matriculants in the study area was 16,9% and that teachers, friends, family members and advertisements are influential in cigarette smoking behaviour. There is a need for education on the dangers of smoking in schools; and parents and teachers must take congnisance about smoking at home and in schools. / Theses (M.Fam.Med.)-University of Natal, Durban, 1995.

A study was done about the Asthma Clinic at Addington Hospital to show the characteristics and demography of the patients attending the clinic during the study period of one year. Some of the aspects studied were: the onset and duration of asthma, concomitant allergies, smoking behaviour, evaluation of treatment, casualty attendance, hospital admissions and compliance in attending the clinic. Therapy of the patients was aimed at control of inflammation and brocho constriction. Preventative pumps were used in 96% of the patients. The aim was to make the patient symptom free, to live a normal life and to prevent short term and long term complications of asthma. A comparison was made between three different groups of patients. a) non-smokers, b) smokers and ex-smokers, c) non-compliance in attending the clinic. It was found that the non-smoking group showed clinical improvement in lung functions, although not statistically significant. / Thesis (M.Fam.Med.)-University of Natal, Durban, 1996.

During the six month period June to December 1990, 300 Indian teenagers attending the urban general practice of the researcher were interviewed. Data pertaining to age, sex, knowledge and utilization of contraceptives were recorded. The results showed that the majority of teenagers (57%) had a good knowledge of contraceptives. Utilization, however remained low. Most (56%) knew where their local Family Planning Clinic was, but only a small percentage (15%) attended. Recommendations directed towards implementing increased utilization of various contraceptive methods and decreasing teenage pregnancies are submitted. / Thesis (M.Med.)-University of Natal, Durban, 1991.

No abstract available. / Thesis (M.Prax.Med.)-University of Natal, Durban, 1991.

During the period January 1985 to December 1985, 537 consultations were undertaken at the Special Clinic at Addington Hospital, 483 of these were specifically for venereal disease. The male to female ratio was 2.2:1. The majority of the patients treated were Coloureds. Most of the patients were in the age group of 20-35 years. The majority of the patients were unemployed. Gonorrhoea was diagnosed in 25.13% of the patients, followed by latent syphilis 19.52%. Chancroid was the commonest cause of genital ulceration and was diagnosed in 10.4% of the study population. N. Gonorrhoea was isolated in 42 patients; 40.5% of the isolates were resistant to penicillin, 66.6% to cotrimaxozole and 30.9% to ampicillin. The organism was sensitive to chloromycetin, erythromycin and tetracycline in most cases. All the penicillin resistant strains were sensitive to spectinomycin. / Thesis (M.Prax.Med.)-University of Natal, Durban, 1986.