Bornface Chinene - Academia.edu (original) (raw)

Papers by Bornface Chinene

Medical journal of Zambia, Mar 30, 2024

Background: While there are studies that explore the overall experiences of radiography students ... more Background: While there are studies that explore the overall experiences of radiography students during clinical placements, there is a lack of research specifically focusing on the experiences of students in the context of computed tomography (CT). Therefore, this study aimed to understand the experiences of radiography students during their clinical placements in CT imaging at a tertiary institution in Harare, Zimbabwe. M e t h o d s : A q u a l i t a t i v e d e s c r i p t i v e phenomenological study design employing one-onone interviews with 15 undergraduate students was conducted. The interview data was managed in Nvivo 12, and the analysis was based on Giorgi's structured way of analysing phenomenological data. Results: The findings show that student's experience during CT clinical placements was diverse and distinct compared to their other placements. Four themes emerged from the interview data that summarised their experiences i. Nervousness ii. Limited CT clinical exposure iii. Theory to Practice Conversion, and iv. Interpersonal skills. Initially, they felt nervous, but later they found the placements to be interesting and challenging. Some students were able to apply their theoretical knowledge to practical situations. Students also had an opportunity to improve their interpersonal skills. However, students also faced challenges such as equipment breakdowns and a shortage of consumables. These affected the student's ability to acquire the necessary clinical skills within the given time frame. Conclusion: Given the limitations in accessing CT practical experience, innovative strategies such as software simulation-based training, particularly virtual reality CT simulation, are suggested to enhance students' preparedness.

Medical journal of Zambia, Mar 30, 2024

Globally, radiographers play an important role in the diagnosis and treatment of injuries and dis... more Globally, radiographers play an important role in the diagnosis and treatment of injuries and diseases. Radiographers have ample opportunities to encounter a wide variety of radiographic images throughout their training and careers. For this reason, radiographers are in a better position to communicate their radiographic observations to the referring clinician. However, there is a lack of clarity on the level of the interpretation and reporting of general radiographic images. Therefore, this educational article has identified and reviewed the three levels of involvement: evaluation (commentary reporting),and clinical reporting as identified from the literature. This information is important to the radiography profession and stakeholders in African countries planning to extend the role of a radiographer in image interpretation and reporting on general radiographic images. radiographers' involvement in abnormality detection system (red dot system), preliminary clinical

Medical journal of Zambia, Mar 30, 2024

Computed Tomography (CT) technology has evolved into avital diagnostic tool in modern medical pra... more Computed Tomography (CT) technology has evolved into avital diagnostic tool in modern medical practice, leading to the development and extension of the CT radiographer's role. While some countries have made progress in developing and extending radiographers' roles in CT, resourceconstrained settings like Zimbabwe have been slower to implement these changes. The purpose of this review is to inform role changes for radiographers in Zimbabwe and similar settings by reviewing the literature on role development and extension for radiographers in CT. The review explores the concepts of role development and extension, emphasizing the necessity for changes in radiographers' roles in CT due to factors such as radiologistsshortages, cost containment, quality i m p r o v e m e n t n e e d s , a n d t e c h n o l o g i c a l advancements. It also addresses the opposition to role development and extension, emphasizing the fundamentalimpetus for these changes should be to provide high-quality and effective patient-centered care. The paper delves into specific areas of role development and extension for radiographers in CT, including intravenous (IV) cannulation and contrast media administration, performing CT colonoscopy examinations, reporting on CT brains, and the significance of research and clinical audit in CT. It underscores the potential benefits of these expanded roles, such as improved patient care, workflow efficiency, and the workload of radiologists, as well as advancements in education, service delivery, and technological innovations. The review underscores the need for further research to ensure evidencebased implementation of role development and extension for radiographers in CT. Embracing these changes and providing the necessary support and training can lead to improved patient care, address skill shortages, and advance the radiography profession in resource-constrained settings like Zimbabwe.

Medical journal of Zambia, Jan 31, 2024

Ultrasound imaging is an important tool in healthcare, used for screening, diagnosis, monitoring,... more Ultrasound imaging is an important tool in healthcare, used for screening, diagnosis, monitoring, and treating diseases. It works by using sound waves to generate images based on echoes reflected from the object being examined. Advancements in ultrasound technology have made it more accessible to other healthcare professionals, resulting in its expanded application across all fields of medicine. In Zimbabwe, radiographers play a crucial role in providing ultrasound services, helping to address the shortage of radiologists, and improve patient access to quality imaging. However, there is a lack of available literature on ultrasound imaging human resources in Zimbabwe. This article reviews the historical development of ultrasound training for radiographers in Zimbabwe, highlighting the challenges and opportunities associated with their expanded role in ultrasound. It also emphasizes the benefits of involving radiographers in ultrasound services, such as improved patient care, cost savings, utilization of their knowledge and skills, and enhanced job satisfaction. The paper provides recommendations for the future, including the need for clear clinical leadership, specialized ultrasound programs, and continuous professional development (CPD) activities to ensure high-quality ultrasound services in the country. The insights presented aim to inform policy decisions and promote equitable access to essential ultrasound imaging in the Zimbabwean healthcare system.

Journal of Medical Imaging and Radiation Sciences, Nov 30, 2023

Rwanda journal of medicine and health sciences, Nov 29, 2023

Background Ultrasound imaging has been shown to improve maternal health outcomes through timely d... more Background Ultrasound imaging has been shown to improve maternal health outcomes through timely diagnosis of pregnancy problems. Despite ultrasound being vital for women's management in pregnancy, studies have reported low awareness among African women Objective To evaluate the knowledge and expectations of pregnant women in Harare about prenatal ultrasound. Methods A cross-sectional survey of 385 pregnant women was done at the ultrasound department of a private maternity hospital in Harare, Zimbabwe. Statistical Package for Social Sciences (SPSS) 27.0 and Windows Excel were used to analyse the data. Results The majority of women (85.4%) concurred that ultrasound scans are important during pregnancy, but most (79.3%) were not aware that congenital abnormalities can be detected through ultrasound. Despite low overall knowledge of congenital abnormalities, 80.2% of women were familiar with Down's syndrome, and this knowledge tended to increase with higher education levels, although not statistically significant (linear-by-linear association = 0.057). The primary expectation of ultrasound scans among pregnant women was to confirm the expected delivery date, and gender determination, with the least expectation being a diagnosis of congenital abnormalities. Conclusion Knowledge levels were lower in our setting relative to other similar studies, and hence this underscores the need for further public education.

South African Radiographer, Oct 31, 2023

Medical journal of Zambia, Aug 13, 2023

Introduction: The advent of artificially intelligent systems in the field of medical imaging has ... more Introduction: The advent of artificially intelligent systems in the field of medical imaging has attracted a lot of attention and sparked a lot of discussion regarding the future roles of radiographers. It is widely believed that Artificial Intelligence (AI) will revolutionize the entire medical imaging field in the near future and alter the current practice of radiographers. Aim: The aim of the study was to explore Zimbabwean radiographers' perspectives on the impact of AI use on their future roles. Methods: A qualitative explorative design employing in-depth interviews to explore the perceptions of radiographers towards AI use in medical imaging. The study recruited 10 participants and the study was conducted at 5 hospitals in Harare, 2 government and 3 private hospitals. The interview data was then analyzed using thematic analysis according to Braun and Clarke. Results: Four themes emerged from the interview data. The themes include; Reduce roles of radiographers, Elimination of human errors, Expansion of knowledge and AI will promote radiography. Conclusion: Radiographers must be trained and have underpinning knowledge of AI. This study recommends that AI use should be included in the curriculum of radiography students.

Journal of Medical Imaging and Radiation Sciences

Journal of medical imaging and radiation sciences, Sep 1, 2024

Research Square (Research Square), Mar 30, 2022

Background The negative consequences of disruptive behaviours involving healthcare workers threat... more Background The negative consequences of disruptive behaviours involving healthcare workers threatens the institution's image, staff morale, nances, and patient safety. While all kinds of health organisations or settings are potentially exposed to disruptive behaviours, some are at higher risk than others because of both environmental and cultural factors. Such risk should be assessed having regard to the speci c situation and conditions in which each healthcare organization operates. International regulatory best-practice standards now require healthcare institutions to develop policies and plans at speci c workplaces to combat DBs and establish the required monitoring mechanisms and a range of sanctions. The purpose of this study was to explore the environmental and cultural factors leading to DBs involving radiographers at central hospitals in Harare Metropolitan Province so that tailor-made strategies for addressing these behaviours can be formulated. Methods An exploratory qualitative study employing face to face, one-on-one in-depth interviews was carried out between March and April 2021. Eleven radiography managers at central hospitals in Harare Metropolitan Province (HMP) were selected by criterion purposive sampling. The interview data were analysed using Tesch's method of qualitative analysis. The data was rst manually coded and then entered into Nvivo (QSR International Version 11) for further analysis. This study was assessed using the four criteria for developing the trustworthiness of qualitative research as suggested by Lincoln and Guba, namely credibility, dependability, conformability and transferability. Results The key environmental and cultural factors identi ed included three themes: power hierarchy, work environment and reporting framework. Power hierarchy comprised categories, superiority, professional boundaries and representation. The work environment incorporated categories, trust in leadership, burnout and fatigue and remuneration. Lastly, reporting framework included categories, lack of protocol and reporting culture. Conclusions This study highlights that environmental factors play a bigger role in provoking disruptive behaviours involving radiographers at central hospitals in HMP. This underscores the need for hospital and radiography managers to pay particular emphasis on these when formulating policies and procedures to address these behaviours. Addressing DBs ensures that healthy work environments are promoted which in turn ensures that patients receive optimum and safe care.

Journal of Medical Imaging and Radiation Sciences, Jun 1, 2023

Medical journal of Zambia, Mar 28, 2022

Testicular torsion is a well-known urological emergency most common in the paediatric population.... more Testicular torsion is a well-known urological emergency most common in the paediatric population. However, testicular torsion is not an allor-none phenomenon and can be of complete, partial or intermittent types. Intermittent testicular torsion is rare and can misdiagnosed even in a paediatric population. Testicular torsion in adults is less common, and intermittent testicular torsion in adults is even less reported and may not be considered in the differential diagnosis of acute testicular pain, leading to misdiagnosis. There is paucity of literature commenting on sonographic findings of testicular torsion in African adults. We report a rare case of a 35-year-old African man who previously was clinically diagnosed with epididymo-orchitis. On a successive episode, he underwent sonographic Doppler evaluation, and was found to have intermittent testicular torsion.

Background Disruptive behaviours in healthcare have become an unprecedented global problem, trans... more Background Disruptive behaviours in healthcare have become an unprecedented global problem, transcending borders, work settings and professional groups. Concerns about their impact on patient safety has led many international medical organisations and other healthcare professions to escalate the urgency of knowing the prevalence, causes and consequences of these unprofessional behaviours in different healthcare settings. Evidence shows that assessing and mitigating disruptive behaviours is critical to empowering health workers to focus on delivering high-quality, cost-effective and safe patient care. However, there is a paucity of literature exploring disruptive behaviours involving radiographers in Zimbabwe. Additionally, there is no written policy to monitor and mitigate disruptive behaviours in the Zimbabwean radiography workforce. The challenge of disruptive behaviours is of significant concern for radiographers because they use radiation that has hazardous effects on living organism cells. Aim The aim of the research was to explore disruptive behaviours involving radiographers and the consequences thereof at central hospitals in Harare Metropolitan Province in order to develop a framework to mitigate these behaviours so that healthy radiography work environments are promoted. Methodology A mixed-methods convergent parallel approach using the parallel databases variant was employed. Disruptive behaviours from 100 randomly sampled radiographers were evaluated using a semi-structured questionnaire. In addition, in-depth interviews were conducted with 11 radiography managers selected by criterion purposive sampling, in order to explore factors and strategies to mitigate these behaviours. Findings Disruptive behaviours involving radiographers in HMP are rampant and create an unhealthy work environment that can lead to compromised patient radiation protection by negatively affecting the implementation of radiation protection protocols or procedures. Cultural and environmental factors relating to disruptive behaviours in Harare Metropolitan Province include a power hierarchy, the work environment and the absence of a reporting framework. Nevertheless, the strategies to mitigate these behaviours may include awareness, willingness to address the behaviours and conflict resolution.

Medical journal of Zambia, Nov 21, 2022

Introduction: The acceptability and willingness to undergo Transvaginal Sonography by the patient... more Introduction: The acceptability and willingness to undergo Transvaginal Sonography by the patients have generated mixed reactions in different healthcare settings. There is little that is known about Zimbabwean women's perceptions and willingness to undergo Transvaginal Sonography and there are no specific guidelines to guide its use.

Medical journal of Zambia, Mar 28, 2022

Catamenial Pneumothorax is generally considered to be a rare entity. The lack of a clear cause me... more Catamenial Pneumothorax is generally considered to be a rare entity. The lack of a clear cause means that diagnosis and treatment is challenging. The objective of this case report is to increase awareness and highlight the role of serial chest radiographs in improving the diagnosis of the pathology. A 33-yearold mother of two presented at the radiology department with a history of recurrent right-sided chest pain that corresponded with her menstrual period. Previous chest radiographs performed in the preceding six months all showed the presence of a right sided pneumothorax, with associated pleural effusion. In considering the patient's age, spontaneous pneumothorax occurring in conjunction with the menstrual cycle, and in the absence of other respiratory disease, a diagnosis of catamenial pneumothorax was made. The patient was commenced on oral contraceptive pills (eostrogen-progestogen) and did not present with similar symptoms in the succeeding 6-months.

Medical journal of Zambia, Jan 7, 2022

Journal of Medical Imaging and Radiation Sciences, Aug 1, 2023

Medical journal of Zambia, Mar 30, 2024

Background: While there are studies that explore the overall experiences of radiography students ... more Background: While there are studies that explore the overall experiences of radiography students during clinical placements, there is a lack of research specifically focusing on the experiences of students in the context of computed tomography (CT). Therefore, this study aimed to understand the experiences of radiography students during their clinical placements in CT imaging at a tertiary institution in Harare, Zimbabwe. M e t h o d s : A q u a l i t a t i v e d e s c r i p t i v e phenomenological study design employing one-onone interviews with 15 undergraduate students was conducted. The interview data was managed in Nvivo 12, and the analysis was based on Giorgi's structured way of analysing phenomenological data. Results: The findings show that student's experience during CT clinical placements was diverse and distinct compared to their other placements. Four themes emerged from the interview data that summarised their experiences i. Nervousness ii. Limited CT clinical exposure iii. Theory to Practice Conversion, and iv. Interpersonal skills. Initially, they felt nervous, but later they found the placements to be interesting and challenging. Some students were able to apply their theoretical knowledge to practical situations. Students also had an opportunity to improve their interpersonal skills. However, students also faced challenges such as equipment breakdowns and a shortage of consumables. These affected the student's ability to acquire the necessary clinical skills within the given time frame. Conclusion: Given the limitations in accessing CT practical experience, innovative strategies such as software simulation-based training, particularly virtual reality CT simulation, are suggested to enhance students' preparedness.

Medical journal of Zambia, Mar 30, 2024

Globally, radiographers play an important role in the diagnosis and treatment of injuries and dis... more Globally, radiographers play an important role in the diagnosis and treatment of injuries and diseases. Radiographers have ample opportunities to encounter a wide variety of radiographic images throughout their training and careers. For this reason, radiographers are in a better position to communicate their radiographic observations to the referring clinician. However, there is a lack of clarity on the level of the interpretation and reporting of general radiographic images. Therefore, this educational article has identified and reviewed the three levels of involvement: evaluation (commentary reporting),and clinical reporting as identified from the literature. This information is important to the radiography profession and stakeholders in African countries planning to extend the role of a radiographer in image interpretation and reporting on general radiographic images. radiographers' involvement in abnormality detection system (red dot system), preliminary clinical

Medical journal of Zambia, Mar 30, 2024

Computed Tomography (CT) technology has evolved into avital diagnostic tool in modern medical pra... more Computed Tomography (CT) technology has evolved into avital diagnostic tool in modern medical practice, leading to the development and extension of the CT radiographer's role. While some countries have made progress in developing and extending radiographers' roles in CT, resourceconstrained settings like Zimbabwe have been slower to implement these changes. The purpose of this review is to inform role changes for radiographers in Zimbabwe and similar settings by reviewing the literature on role development and extension for radiographers in CT. The review explores the concepts of role development and extension, emphasizing the necessity for changes in radiographers' roles in CT due to factors such as radiologistsshortages, cost containment, quality i m p r o v e m e n t n e e d s , a n d t e c h n o l o g i c a l advancements. It also addresses the opposition to role development and extension, emphasizing the fundamentalimpetus for these changes should be to provide high-quality and effective patient-centered care. The paper delves into specific areas of role development and extension for radiographers in CT, including intravenous (IV) cannulation and contrast media administration, performing CT colonoscopy examinations, reporting on CT brains, and the significance of research and clinical audit in CT. It underscores the potential benefits of these expanded roles, such as improved patient care, workflow efficiency, and the workload of radiologists, as well as advancements in education, service delivery, and technological innovations. The review underscores the need for further research to ensure evidencebased implementation of role development and extension for radiographers in CT. Embracing these changes and providing the necessary support and training can lead to improved patient care, address skill shortages, and advance the radiography profession in resource-constrained settings like Zimbabwe.

Medical journal of Zambia, Jan 31, 2024

Ultrasound imaging is an important tool in healthcare, used for screening, diagnosis, monitoring,... more Ultrasound imaging is an important tool in healthcare, used for screening, diagnosis, monitoring, and treating diseases. It works by using sound waves to generate images based on echoes reflected from the object being examined. Advancements in ultrasound technology have made it more accessible to other healthcare professionals, resulting in its expanded application across all fields of medicine. In Zimbabwe, radiographers play a crucial role in providing ultrasound services, helping to address the shortage of radiologists, and improve patient access to quality imaging. However, there is a lack of available literature on ultrasound imaging human resources in Zimbabwe. This article reviews the historical development of ultrasound training for radiographers in Zimbabwe, highlighting the challenges and opportunities associated with their expanded role in ultrasound. It also emphasizes the benefits of involving radiographers in ultrasound services, such as improved patient care, cost savings, utilization of their knowledge and skills, and enhanced job satisfaction. The paper provides recommendations for the future, including the need for clear clinical leadership, specialized ultrasound programs, and continuous professional development (CPD) activities to ensure high-quality ultrasound services in the country. The insights presented aim to inform policy decisions and promote equitable access to essential ultrasound imaging in the Zimbabwean healthcare system.

Journal of Medical Imaging and Radiation Sciences, Nov 30, 2023

Rwanda journal of medicine and health sciences, Nov 29, 2023

Background Ultrasound imaging has been shown to improve maternal health outcomes through timely d... more Background Ultrasound imaging has been shown to improve maternal health outcomes through timely diagnosis of pregnancy problems. Despite ultrasound being vital for women's management in pregnancy, studies have reported low awareness among African women Objective To evaluate the knowledge and expectations of pregnant women in Harare about prenatal ultrasound. Methods A cross-sectional survey of 385 pregnant women was done at the ultrasound department of a private maternity hospital in Harare, Zimbabwe. Statistical Package for Social Sciences (SPSS) 27.0 and Windows Excel were used to analyse the data. Results The majority of women (85.4%) concurred that ultrasound scans are important during pregnancy, but most (79.3%) were not aware that congenital abnormalities can be detected through ultrasound. Despite low overall knowledge of congenital abnormalities, 80.2% of women were familiar with Down's syndrome, and this knowledge tended to increase with higher education levels, although not statistically significant (linear-by-linear association = 0.057). The primary expectation of ultrasound scans among pregnant women was to confirm the expected delivery date, and gender determination, with the least expectation being a diagnosis of congenital abnormalities. Conclusion Knowledge levels were lower in our setting relative to other similar studies, and hence this underscores the need for further public education.

South African Radiographer, Oct 31, 2023

Medical journal of Zambia, Aug 13, 2023

Introduction: The advent of artificially intelligent systems in the field of medical imaging has ... more Introduction: The advent of artificially intelligent systems in the field of medical imaging has attracted a lot of attention and sparked a lot of discussion regarding the future roles of radiographers. It is widely believed that Artificial Intelligence (AI) will revolutionize the entire medical imaging field in the near future and alter the current practice of radiographers. Aim: The aim of the study was to explore Zimbabwean radiographers' perspectives on the impact of AI use on their future roles. Methods: A qualitative explorative design employing in-depth interviews to explore the perceptions of radiographers towards AI use in medical imaging. The study recruited 10 participants and the study was conducted at 5 hospitals in Harare, 2 government and 3 private hospitals. The interview data was then analyzed using thematic analysis according to Braun and Clarke. Results: Four themes emerged from the interview data. The themes include; Reduce roles of radiographers, Elimination of human errors, Expansion of knowledge and AI will promote radiography. Conclusion: Radiographers must be trained and have underpinning knowledge of AI. This study recommends that AI use should be included in the curriculum of radiography students.

Journal of Medical Imaging and Radiation Sciences

Journal of medical imaging and radiation sciences, Sep 1, 2024

Research Square (Research Square), Mar 30, 2022

Background The negative consequences of disruptive behaviours involving healthcare workers threat... more Background The negative consequences of disruptive behaviours involving healthcare workers threatens the institution's image, staff morale, nances, and patient safety. While all kinds of health organisations or settings are potentially exposed to disruptive behaviours, some are at higher risk than others because of both environmental and cultural factors. Such risk should be assessed having regard to the speci c situation and conditions in which each healthcare organization operates. International regulatory best-practice standards now require healthcare institutions to develop policies and plans at speci c workplaces to combat DBs and establish the required monitoring mechanisms and a range of sanctions. The purpose of this study was to explore the environmental and cultural factors leading to DBs involving radiographers at central hospitals in Harare Metropolitan Province so that tailor-made strategies for addressing these behaviours can be formulated. Methods An exploratory qualitative study employing face to face, one-on-one in-depth interviews was carried out between March and April 2021. Eleven radiography managers at central hospitals in Harare Metropolitan Province (HMP) were selected by criterion purposive sampling. The interview data were analysed using Tesch's method of qualitative analysis. The data was rst manually coded and then entered into Nvivo (QSR International Version 11) for further analysis. This study was assessed using the four criteria for developing the trustworthiness of qualitative research as suggested by Lincoln and Guba, namely credibility, dependability, conformability and transferability. Results The key environmental and cultural factors identi ed included three themes: power hierarchy, work environment and reporting framework. Power hierarchy comprised categories, superiority, professional boundaries and representation. The work environment incorporated categories, trust in leadership, burnout and fatigue and remuneration. Lastly, reporting framework included categories, lack of protocol and reporting culture. Conclusions This study highlights that environmental factors play a bigger role in provoking disruptive behaviours involving radiographers at central hospitals in HMP. This underscores the need for hospital and radiography managers to pay particular emphasis on these when formulating policies and procedures to address these behaviours. Addressing DBs ensures that healthy work environments are promoted which in turn ensures that patients receive optimum and safe care.

Journal of Medical Imaging and Radiation Sciences, Jun 1, 2023

Medical journal of Zambia, Mar 28, 2022

Testicular torsion is a well-known urological emergency most common in the paediatric population.... more Testicular torsion is a well-known urological emergency most common in the paediatric population. However, testicular torsion is not an allor-none phenomenon and can be of complete, partial or intermittent types. Intermittent testicular torsion is rare and can misdiagnosed even in a paediatric population. Testicular torsion in adults is less common, and intermittent testicular torsion in adults is even less reported and may not be considered in the differential diagnosis of acute testicular pain, leading to misdiagnosis. There is paucity of literature commenting on sonographic findings of testicular torsion in African adults. We report a rare case of a 35-year-old African man who previously was clinically diagnosed with epididymo-orchitis. On a successive episode, he underwent sonographic Doppler evaluation, and was found to have intermittent testicular torsion.

Background Disruptive behaviours in healthcare have become an unprecedented global problem, trans... more Background Disruptive behaviours in healthcare have become an unprecedented global problem, transcending borders, work settings and professional groups. Concerns about their impact on patient safety has led many international medical organisations and other healthcare professions to escalate the urgency of knowing the prevalence, causes and consequences of these unprofessional behaviours in different healthcare settings. Evidence shows that assessing and mitigating disruptive behaviours is critical to empowering health workers to focus on delivering high-quality, cost-effective and safe patient care. However, there is a paucity of literature exploring disruptive behaviours involving radiographers in Zimbabwe. Additionally, there is no written policy to monitor and mitigate disruptive behaviours in the Zimbabwean radiography workforce. The challenge of disruptive behaviours is of significant concern for radiographers because they use radiation that has hazardous effects on living organism cells. Aim The aim of the research was to explore disruptive behaviours involving radiographers and the consequences thereof at central hospitals in Harare Metropolitan Province in order to develop a framework to mitigate these behaviours so that healthy radiography work environments are promoted. Methodology A mixed-methods convergent parallel approach using the parallel databases variant was employed. Disruptive behaviours from 100 randomly sampled radiographers were evaluated using a semi-structured questionnaire. In addition, in-depth interviews were conducted with 11 radiography managers selected by criterion purposive sampling, in order to explore factors and strategies to mitigate these behaviours. Findings Disruptive behaviours involving radiographers in HMP are rampant and create an unhealthy work environment that can lead to compromised patient radiation protection by negatively affecting the implementation of radiation protection protocols or procedures. Cultural and environmental factors relating to disruptive behaviours in Harare Metropolitan Province include a power hierarchy, the work environment and the absence of a reporting framework. Nevertheless, the strategies to mitigate these behaviours may include awareness, willingness to address the behaviours and conflict resolution.

Medical journal of Zambia, Nov 21, 2022

Introduction: The acceptability and willingness to undergo Transvaginal Sonography by the patient... more Introduction: The acceptability and willingness to undergo Transvaginal Sonography by the patients have generated mixed reactions in different healthcare settings. There is little that is known about Zimbabwean women's perceptions and willingness to undergo Transvaginal Sonography and there are no specific guidelines to guide its use.

Medical journal of Zambia, Mar 28, 2022

Catamenial Pneumothorax is generally considered to be a rare entity. The lack of a clear cause me... more Catamenial Pneumothorax is generally considered to be a rare entity. The lack of a clear cause means that diagnosis and treatment is challenging. The objective of this case report is to increase awareness and highlight the role of serial chest radiographs in improving the diagnosis of the pathology. A 33-yearold mother of two presented at the radiology department with a history of recurrent right-sided chest pain that corresponded with her menstrual period. Previous chest radiographs performed in the preceding six months all showed the presence of a right sided pneumothorax, with associated pleural effusion. In considering the patient's age, spontaneous pneumothorax occurring in conjunction with the menstrual cycle, and in the absence of other respiratory disease, a diagnosis of catamenial pneumothorax was made. The patient was commenced on oral contraceptive pills (eostrogen-progestogen) and did not present with similar symptoms in the succeeding 6-months.

Medical journal of Zambia, Jan 7, 2022

Journal of Medical Imaging and Radiation Sciences, Aug 1, 2023