Robin Saggers
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View article: Pregnancy after kidney and liver transplantation
Pregnancy after kidney and liver transplantation Open
Pregnancy in kidney and liver transplant recipients presents unique challenges and risks for both maternal and fetal health. This article examines the management of pregnancy in kidney and liver transplant recipients, focusing on pre-pregn…
View article: Impact of COVID-19 Lockdowns on Rates of Adolescent Pregnancies: A Systematic Review
Impact of COVID-19 Lockdowns on Rates of Adolescent Pregnancies: A Systematic Review Open
Background: Education is known to protect adolescent girls from unplanned pregnancy. School closures were component of COVID-19 “lockdown measures”. The impact of these measures on adolescent pregnancy worldwideis unknown. Methods: We perf…
View article: Impact of COVID-19 Lockdowns on Rates of Adolescent Pregnancies: A Systematic Review
Impact of COVID-19 Lockdowns on Rates of Adolescent Pregnancies: A Systematic Review Open
View article: Challenges Facing PICUs in Low- and Middle-Income Countries in the Treatment of Emerging Multidrug-Resistant Organisms: a Review and Perspective from a South African PICU
Challenges Facing PICUs in Low- and Middle-Income Countries in the Treatment of Emerging Multidrug-Resistant Organisms: a Review and Perspective from a South African PICU Open
Purpose of Review Antimicrobial resistance continues to increase throughout the world, with the impact on critically ill children in low- and middle-income paediatric intensive care units largely unknown. Recent Findings There has been a g…
View article: Implementation and maintenance of a voluntary data contribution system to an international network: The Vermont Oxford Network at Charlotte Maxeke Johannesburg Academic Hospital
Implementation and maintenance of a voluntary data contribution system to an international network: The Vermont Oxford Network at Charlotte Maxeke Johannesburg Academic Hospital Open
View article: Patterns of antibiotic use, pathogens, and prediction of mortality in hospitalized neonates and young infants with sepsis: A global neonatal sepsis observational cohort study (NeoOBS)
Patterns of antibiotic use, pathogens, and prediction of mortality in hospitalized neonates and young infants with sepsis: A global neonatal sepsis observational cohort study (NeoOBS) Open
Background There is limited data on antibiotic treatment in hospitalized neonates in low- and middle-income countries (LMICs). We aimed to describe patterns of antibiotic use, pathogens, and clinical outcomes, and to develop a severity sco…
View article: Epidemiology, risk factors and outcomes associated with candidaemia in very low birth weight infants at a tertiary South African Hospital over a 7-year period (2013–2019)
Epidemiology, risk factors and outcomes associated with candidaemia in very low birth weight infants at a tertiary South African Hospital over a 7-year period (2013–2019) Open
Introduction: Candidaemia is a significant problem in neonatal units and is associated with high morbidity, including long-term neurodevelopmental impairment in survivors, and high mortality of very low birth weight infants (VLBWI). Method…
View article: Myositis ossificans in a child athlete: a case study
Myositis ossificans in a child athlete: a case study Open
Background: A 13-year-old female athlete presented with a painful lesion in her right buttock for which she had been receiving physiotherapy. It was keeping her from participating in sports. Aim: To report on a case of traumatic myositis o…
View article: Association between regular physical activity and the protective effect of vaccination against SARS-CoV-2 in a South African case–control study
Association between regular physical activity and the protective effect of vaccination against SARS-CoV-2 in a South African case–control study Open
Background Both vaccination and physical activity have been shown to independently decrease the likelihood of severe COVID-19 infection. Objective To assess the association between regular physical activity and vaccination against COVID-19…
View article: Factors influencing survival and short-term outcomes of very low birth weight infants in a tertiary hospital in Johannesburg
Factors influencing survival and short-term outcomes of very low birth weight infants in a tertiary hospital in Johannesburg Open
Background The neonatal mortality rate in South Africa is lower than the global average, but still approximately five times higher than some European and Scandinavian countries. Prematurity, and its complications, is the main cause (35%) o…
View article: The NeoSep Severity and Recovery scores to predict mortality in hospitalized neonates and young infants with sepsis derived from the global NeoOBS observational cohort study
The NeoSep Severity and Recovery scores to predict mortality in hospitalized neonates and young infants with sepsis derived from the global NeoOBS observational cohort study Open
Background Sepsis severity scores are used in clinical practice and trials to define risk groups. There are limited data to derive hospital-based sepsis severity scores for neonates and young infants in high-burden low- and middle-income c…
View article: Neurodevelopmental Outcomes of Extremely Low Birth Weight Survivors in Johannesburg, South Africa
Neurodevelopmental Outcomes of Extremely Low Birth Weight Survivors in Johannesburg, South Africa Open
Background: Improved survival in extremely low birth weight infants (ELBWI) in Sub-Saharan Africa has raised the question whether these survivors have an increased chance of adverse neurodevelopmental outcomes. Objectives To describe neuro…
View article: A Pandemic We Continue to Ignore: South Africa’s Disease Burden of Physical Inactivity
A Pandemic We Continue to Ignore: South Africa’s Disease Burden of Physical Inactivity Open
The benefits of regular physical activity (PA) in mitigating the effects of non-communicable diseases have been well described. More recently, highlighted by a global need to protect large populations against the COVID-19 pandemic, the imm…
View article: Small steps, strong shield: directly measured, moderate physical activity in 65 361 adults is associated with significant protective effects from severe COVID-19 outcomes
Small steps, strong shield: directly measured, moderate physical activity in 65 361 adults is associated with significant protective effects from severe COVID-19 outcomes Open
Objective To determine the association between directly measured physical activity and hospitalisation, intensive care unit (ICU) admission, ventilation and mortality rates in patients with a confirmed diagnosis of COVID-19. Methods Direct…
View article: Sirenomelia with major cardiac anomalies
Sirenomelia with major cardiac anomalies Open
Sirenomelia is a rare and serious congenital anomaly characterised by fusion of the lower limbs, usually a single umbilical artery and malformations of the genitourinary and gastrointestinal tracts. In this report, we present clinical and …
View article: Recommendations for the return of spectators to sport stadiums: A South African Sports Medicine Association (SASMA) position statement – Part 4
Recommendations for the return of spectators to sport stadiums: A South African Sports Medicine Association (SASMA) position statement – Part 4 Open
All sports were discontinued in 2020 with the arrival of COVID-19. Since then most have been reinstated, albeit without spectators. However, several countries have put together a number of different risk-mitigating strategies to allow spec…
View article: Recommendations for athletes and COVID-19 vaccinations: A South African Sports Medicine Association (SASMA) position statement – Part 3
Recommendations for athletes and COVID-19 vaccinations: A South African Sports Medicine Association (SASMA) position statement – Part 3 Open
The COVID-19 pandemic initially led to the shutdown of all sport at a high cost to both the economy and athlete health. As risk-mitigating protocols evolved and were implemented, the playing of sport returned slowly to normal. The introduc…
View article: The effects of exposure to HIV in neonates at a referral hospital in South Africa
The effects of exposure to HIV in neonates at a referral hospital in South Africa Open
View article: Global research priorities for COVID-19 in maternal, reproductive and child health: Results of an international survey
Global research priorities for COVID-19 in maternal, reproductive and child health: Results of an international survey Open
Background The World Health Organization’s “ Coordinated Global Research Roadmap : 2019 Novel Coronavirus ” outlined the need for research that focuses on the impact of COVID-19 on pregnant women and children. More than one year after the …
View article: Global research priorities for COVID-19 in maternal, reproductive and child health: results of an international survey
Global research priorities for COVID-19 in maternal, reproductive and child health: results of an international survey Open
Background The World Health Organization’s “ Coordinated Global Research Roadmap: 2019 Novel Coronavirus ” outlined the need for research that focuses on the impact of COVID-19 on pregnant women and children. More than one year after the f…
View article: Considerations for COVID-19 vaccination in pregnancy.
Considerations for COVID-19 vaccination in pregnancy. Open
Pregnant women are at greater risk of severe COVID-19 than non-pregnant women. Despite limited safety data on use of COVID-19 vaccines in pregnancy, many international societies have recommended their use when pregnant women are at particu…
View article: Working out: lockdown's lessons to increase physical activity
Working out: lockdown's lessons to increase physical activity Open
View article: COVID-19 and Multisystem Inflammatory Syndrome in Children
COVID-19 and Multisystem Inflammatory Syndrome in Children Open
Setting : A literature review was undertaken to provide an overview of the evidence of COVID-19 in the paediatric population with special interest in the South African situation. Key Messages : Children of all ages are susceptible to COVID…
View article: Neurodevelopmental outcome in extremely low birth weight infants in Johannesburg, South Africa
Neurodevelopmental outcome in extremely low birth weight infants in Johannesburg, South Africa Open
Background: Improved survival in preterm infants whether due to technological progress or treatment like antenatal steroids, surfactant administration or nasal continuous positive airway pressure (NCPAP) and aggressive resuscitation have r…
View article: ‘Make exercise the elixir across an economic divide’: A message to COVID-19 decision makers
‘Make exercise the elixir across an economic divide’: A message to COVID-19 decision makers Open
South Africa, like other countries around the world, has used a lockdown strategy to address the initial phases of the COVID- 19 epidemic. The significant restrictions on population movement have included initially limiting exercis…
View article: COVID-19 Preparedness in a Neonatal Unit at a Tertiary Hospital in Johannesburg, South Africa
COVID-19 Preparedness in a Neonatal Unit at a Tertiary Hospital in Johannesburg, South Africa Open
Background: The novel coronavirus disease 2019 (COVID-19) pandemic has spread to South Africa and poses an infection risk in pregnant women and their newborns, as well as health-care workers and other patients. Objective: To discuss the im…