Wits Journal of Clinical Medicine

Wits Journal of Clinical Medicine Wits Journal of Clinical Medicine is a peer-reviewed open-access scientific journal.

The Wits Journal of Clinical Medicine is a peer-reviewed, Open Access scientific research journal published triannually, and was established to provide a forum to showcase scientific research from the School of Clinical Medicine at the University of Witwatersrand, Johannesburg as well as from other institutions nationally and internationally.

Malingering is defined as the “intentional production of false or grossly exaggerated physical or psychological symptoms...
09/09/2025

Malingering is defined as the “intentional production of false or grossly exaggerated physical or psychological symptoms motivated by external incentives such as avoiding military duty, avoiding work, obtaining financial compensation, evading criminal prosecution, or obtaining drugs.” The DSM-5 lists malingering under “other conditions that may be a focus of clinical attention.” Malingering is not a new concept, as evidence of malingering has been recorded in ancient texts.

https://www.scienceopen.com/hosted-document?doi=10.18772/26180197.2025.v7n2a1


The South African health and research ecosystem has suffered a devastating double blow from the funding cuts to the Pres...
22/07/2025

The South African health and research ecosystem has suffered a devastating double blow from the funding cuts to the President's Emergency Plan for AIDS Relief - PEPFAR (including the United States Agency for International Development (USAID)) and the United States National Institutes of Health (NIH). The sudden and significant reductions to effective existing programs that support service delivery and research are immoral and unethical, leaving stakeholders, including the South African government and local universities, with limited options or resources to fill the gap. This jeopardizes the many advances made over the past 20 years in the battle against HIV/AIDS.

https://www.scienceopen.com/hosted-document?doi=10.18772/26180197.2025.v7n2a8

The selection of an appropriate statistical method primarily hinges on the research data's characteristics and the found...
07/07/2025

The selection of an appropriate statistical method primarily hinges on the research data's characteristics and the foundational assumptions. Broadly, statistical techniques are classified into parametric and non-parametric methods. Parametric tests are preferred for their higher statistical power, as they can better detect effects when present. These tests require data to meet specific assumptions, including a normal distribution and measurement on interval or ratio scales. Conversely, non-parametric tests offer flexibility when these assumptions are unmet, making them applicable to a broader range of data types. Non-parametric statistical tests do not require the data to follow a specific distribution, making them suitable for ordinal, nominal, or non-normally distributed continuous data.

https://www.scienceopen.com/hosted-document?doi=10.18772/26180197.2025.v7n1a9

This article presents a rare case of a 26-year-old male admitted to the hospital following a mob assault and was initial...
01/07/2025

This article presents a rare case of a 26-year-old male admitted to the hospital following a mob assault and was initially diagnosed with an acute subdural hematoma. Following a sizable decompressive craniectomy, a subsequent complication of bi-frontal acute extradural hematoma was identified. We discuss this rare occurrence's pathophysiology, diagnosis, awareness, and management, shedding light on the challenges and considerations in such cases.

https://www.scienceopen.com/hosted-document?doi=10.18772/26180197.2025.v7n1a8

Idiopathic non-cirrhotic portal hypertension is a rare diagnosis with an unknown aetiology. It is characterised by incre...
28/06/2025

Idiopathic non-cirrhotic portal hypertension is a rare diagnosis with an unknown aetiology. It is characterised by increased intrahepatic portal pressures in the absence of underlying liver disease. We present a unique case of a 32-year-old male patient who presented with a right hydrocele and an incidental finding of pancytopenia, massive splenomegaly, and features of portal hypertension. After known causes of portal hypertension were excluded, a liver biopsy was performed. Based on the liver biopsy findings, which demonstrated fibrotic portal tracts in the absence of cirrhosis and exclusion of other known causes of portal hypertension, our patient was diagnosed with idiopathic non-cirrhotic portal hypertension. Due to the persistent presence of hypersplenism and recurrent episodes of oesophageal variceal bleeding, our patient underwent a splenectomy, after which his features of portal hypertension resolved.

https://www.scienceopen.com/hosted-document?doi=10.18772/26180197.2025.v7n1a7

Leukocytoclastic vasculitis is a hypersensitivity reaction involving immune complex deposition in dermal capillaries and...
26/06/2025

Leukocytoclastic vasculitis is a hypersensitivity reaction involving immune complex deposition in dermal capillaries and venules. We report a case of a 34-year-old female patient with left-sided breast carcinoma who developed vasculitis following autologous left breast augmentation, confirmed histologically. Various aspects of the patient's treatment history may be implicated in the development of her leukocytoclastic vasculitis, including chemotherapy and radiation therapy, antibiotics, and the presence of breast carcinoma (leukocytoclastic vasculitis as a paraneoplastic syndrome). Based on the temporal relationship, histological findings, and the site of these pruritic lesions, we postulate that autologous breast augmentation is the most likely aetiology for the leukocytoclastic vasculitis in our patient, an association not previously reported.

https://www.scienceopen.com/hosted-document?doi=10.18772/26180197.2025.v7n1a6

20/06/2025

"The way we communicate with others and with ourselves ultimately determines the quality of our lives." - Tony Robbins

𝗕𝘂𝘁 𝗵𝗲𝗿𝗲'𝘀 𝘄𝗵𝗮𝘁 𝗺𝗼𝘀𝘁 𝗽𝗿𝗼𝗳𝗲𝘀𝘀𝗶𝗼𝗻𝗮𝗹𝘀 𝗺𝗶𝘀𝘀: The most important conversation you'll have today isn't with your boss, client, or team. It's with yourself.

A senior executive recently told me that after 20 years of leadership, she discovered her internal dialogue was sabotaging her external communications. Her breakthrough came not from another presentation skills course, but from learning to manage her self-talk.

At Dale Carnegie, we've observed this pattern for over 100 years: External communication excellence begins with internal communication mastery.

Reflect for a moment: What are you telling yourself about your abilities? Your worth? Your potential?

The quality of your self-talk directly impacts how you show up in every professional interaction.

At Dale Carnegie Training South Africa, we help professionals transform both their internal and external communication for lasting impact.

𝗦𝗵𝗮𝗿𝗲 𝗯𝗲𝗹𝗼𝘄: What's one positive message you need to communicate to yourself more consistently?

Follow Dale Carnegie Training South Africa for more insights on personal and professional growth.

Head and neck cancers are increasing in Africa, and head and neck defects commonly result from the excision of cancers. ...
04/06/2025

Head and neck cancers are increasing in Africa, and head and neck defects commonly result from the excision of cancers. Although global studies have reported that the use of anterolateral thigh flaps (ALTF) can safely restore form and function, there are no reports from Africa regarding the efficacy of ALTF in managing these cancers. We report on the experience with the ALTF in the treatment of these cancers from a tertiary academic center in Johannesburg, South Africa.

https://www.scienceopen.com/hosted-document?doi=10.18772/26180197.2025.v7n1a4

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