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E-Doc on Tuesday, May 18 @ 18:10:09 SAST
Is unemployment a major reason for firearm attacks in rural South Africa?
In South Africa, firearms are increasingly used in interpersonal and factional violence. In a five year period (1987 – 1992), gunshot wounds of the torso increased by 300% in KwaZulu-Natal.1 During the same period, King Edward VIII Hospital in Durban recorded a mortality rate for firearmrelated injuries of eight times that for stab wounds and “direct admissions” to the mortuary, three times as common in cases of gunshot wounds compared with stab wounds.2 In our descriptive study, all cases of firearm attacks seen at the Church of Scotland Hospital and the government mortuary at Tugela Ferry in KwaZulu-Natal between December 1998 and May 1999 were reviewed to find out the reasons for the attacks.
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Is unemployment a major reason for firearm attacks in rural South Africa?In South Africa, firearms are increasingly used in interpersonal and factional violence. In a five year period (1987 – 1992), gunshot wounds of the torso increased by 300% in KwaZulu-Natal.1 During the same period, King Edward VIII Hospital in Durban recorded a mortality rate for firearmrelated injuries of eight times that for stab wounds and “direct admissions” to the mortuary, three times as common in cases of gunshot wounds compared with stab wounds.2 In our descriptive study, all cases of firearm attacks seen at the Church of Scotland Hospital and the government mortuary at Tugela Ferry in KwaZulu-Natal between December 1998 and May 1999 were reviewed to find out the reasons for the attacks.
E-Doc on Tuesday, May 18 @ 18:02:07 SAST
Bone mineral density and menstrual function in adolescent
female long-distance runners – A
prospective comparative study of bone structure and menstrual function in adolescent
female endurance athletes from five secondary schools in Pretoria.
Background. In recent years, endurance running as a sport has become very popular. This trend has led to the identification of specific problems during the female athlete’s life, especially with regard to reproduction, delayed sexual maturation, menstrual abnormalities and early osteoporosis.
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Bone mineral density and menstrual function in adolescent
female long-distance runners – A
prospective comparative study of bone structure and menstrual function in adolescent
female endurance athletes from five secondary schools in Pretoria.Background. In recent years, endurance running as a sport has become very popular. This trend has led to the identification of specific problems during the female athlete’s life, especially with regard to reproduction, delayed sexual maturation, menstrual abnormalities and early osteoporosis.
E-Doc on Tuesday, May 18 @ 17:56:24 SAST
Parkinsonisme onder wit sendingpersoneel in Malawi: 1889-1989 Parkinsonism
amongst white missionary workers in Malawi: 1889-1989
The study was launched in order to investigate a suspected increase of Parkinsonism among white Dutch Reformed Church (DRC) missionary workers in Malawi. Since the founding of a DRC mission in 1889 and up to 1989, 562 adults joined the Mission in Central Malawi. Eleven cases of Parkinsonism occurred in this population (incidence of 1,96%): 3 women and 8 men. Only 2 were diagnosed while in Malawi, aged 55 and 59 years. In the rest, the diagnosis was made 8-50 (mean 21,4) years after departure from the country, at the mean age of 63,7 (43-80) years
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Parkinsonisme onder wit sendingpersoneel in Malawi: 1889-1989 Parkinsonism
amongst white missionary workers in Malawi: 1889-1989The study was launched in order to investigate a suspected increase of Parkinsonism among white Dutch Reformed Church (DRC) missionary workers in Malawi. Since the founding of a DRC mission in 1889 and up to 1989, 562 adults joined the Mission in Central Malawi. Eleven cases of Parkinsonism occurred in this population (incidence of 1,96%): 3 women and 8 men. Only 2 were diagnosed while in Malawi, aged 55 and 59 years. In the rest, the diagnosis was made 8-50 (mean 21,4) years after departure from the country, at the mean age of 63,7 (43-80) years
E-Doc on Tuesday, May 18 @ 17:52:07 SAST
Urban-rural dichotomy in asthma
Asthma is a chronic inflammatory disease of the airways, which is global in spread, affects all ages and both sexes. The prevalence rates vary from country to country and vary even in the same country between urban and rural areas.
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Urban-rural dichotomy in asthmaAsthma is a chronic inflammatory disease of the airways, which is global in spread, affects all ages and both sexes. The prevalence rates vary from country to country and vary even in the same country between urban and rural areas.
Countries can be divided into those with high prevalence rates - Australia and New Zealand, medium – USA, Canada, UK and most of Western Europe. Low incidence countries are mainly African and Asian countries. Several studies from the developing countries have observed that the prevalence of asthma is lower than in developed countries 1-3 .
E-Doc on Tuesday, May 18 @ 17:48:41 SAST
Surrogaatmoederskap Voorgestelde wetgewing lank verwag
Surrogate motherhood Proposed legislation eagerly awaited
The inability to bear a child by natural means is a common phenomenon in modern times. Surogacy has become an acceptable option for many. The surrogate mother can be the recipient of a fertilised embryo, or she can be impregnated by the sperm of the childless couple’s male partner. A surrogacy agreement can pose many ethical and legal questions, making clear guidelines essential. The proposed Act on Surrogate Motherhood of 1994 contains these guidelines within which surrogace agreements can function, but has yet to materialise.
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Surrogaatmoederskap Voorgestelde wetgewing lank verwag Surrogate motherhood Proposed legislation eagerly awaited
The inability to bear a child by natural means is a common phenomenon in modern times. Surogacy has become an acceptable option for many. The surrogate mother can be the recipient of a fertilised embryo, or she can be impregnated by the sperm of the childless couple’s male partner. A surrogacy agreement can pose many ethical and legal questions, making clear guidelines essential. The proposed Act on Surrogate Motherhood of 1994 contains these guidelines within which surrogace agreements can function, but has yet to materialise.
E-Doc on Tuesday, May 18 @ 17:45:38 SAST
Occupational asthma
More than 250 substances found in the workplace cause occupational asthma (OA). Occupational asthma is characterised by variable airflow limitation and airway hyperresponsiveness due to precipitants in the workplace.1 Work-related asthma can be an exacerbation of asthma that was previously subclinical or in remission (work-aggravated asthma), a new onset of asthma caused by a sensitising exposure (asthma with latency) or asthma that results from a single heavy exposure to a potent respiratory irritant (asthma without latency, irritant asthma or the reactive airways dysfunction syndrome).
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Occupational asthmaMore than 250 substances found in the workplace cause occupational asthma (OA). Occupational asthma is characterised by variable airflow limitation and airway hyperresponsiveness due to precipitants in the workplace.1 Work-related asthma can be an exacerbation of asthma that was previously subclinical or in remission (work-aggravated asthma), a new onset of asthma caused by a sensitising exposure (asthma with latency) or asthma that results from a single heavy exposure to a potent respiratory irritant (asthma without latency, irritant asthma or the reactive airways dysfunction syndrome).
E-Doc on Tuesday, May 18 @ 17:43:27 SAST
What can you learn from rashes? An approach for children.
Rashes cause a great deal of concern to parents and are often dismissed as either inconsequential or confusing by health care practitioners. While the majority of rashes have trivial consequences, others are manifestations of serious and potentially fatal disease. A careful evaluation of a rash can be extremely rewarding. Serious diseases can be diagnosed with a reasonable degree of certainty and appropriate therapy rapidly instituted. For example, Kawasaki disease often presents with fever and a rash and failure to recognize it in time and give intravenous gammaglobulin will result in coronary artery aneurysms in 20% of patients. In contrast, parents can often be reassured of the benign nature of many rashes
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What can you learn from rashes? An approach for children.Rashes cause a great deal of concern to parents and are often dismissed as either inconsequential or confusing by health care practitioners. While the majority of rashes have trivial consequences, others are manifestations of serious and potentially fatal disease. A careful evaluation of a rash can be extremely rewarding. Serious diseases can be diagnosed with a reasonable degree of certainty and appropriate therapy rapidly instituted. For example, Kawasaki disease often presents with fever and a rash and failure to recognize it in time and give intravenous gammaglobulin will result in coronary artery aneurysms in 20% of patients. In contrast, parents can often be reassured of the benign nature of many rashes
E-Doc on Tuesday, May 18 @ 17:39:59 SAST
QUALITY USE OF MEDICINES: THE YOUNG ‘PILL’ USER WITH POOR CYCLE
CONTROL
This review – the last in the present “Quality Use of Medicine” series - will again seek to demonstrate the applicability of the P-drug process in making a rational medicines choice in a typical family practice case. The patient in this instance is a woman in her early twenties, seeking contraceptive advice. Although she has been using a combined oral contraceptive (for argument’s sake, Mercilon®) for six months, she now indicates that she “would like to try something new”. She mentions that she has read that monthly bleeding can be avoided by extending the traditional 21-day pill-taking interval and would like to know more about this
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QUALITY USE OF MEDICINES: THE YOUNG ‘PILL’ USER WITH POOR CYCLE
CONTROLThis review – the last in the present “Quality Use of Medicine” series - will again seek to demonstrate the applicability of the P-drug process in making a rational medicines choice in a typical family practice case. The patient in this instance is a woman in her early twenties, seeking contraceptive advice. Although she has been using a combined oral contraceptive (for argument’s sake, Mercilon®) for six months, she now indicates that she “would like to try something new”. She mentions that she has read that monthly bleeding can be avoided by extending the traditional 21-day pill-taking interval and would like to know more about this
E-Doc on Tuesday, May 18 @ 17:00:30 SAST
The Academy through the lens of its new National Chairman
It is a great honour to take over the National Chairmanship of the South African Academy of Family Practice/Primary Care. It is a mammoth task and Professor Marietjie de Villiers is a hard act to follow. Marietjie has lead the Academy from the front and leaving it today much stronger than it was when she took up the leadership six years ago. A healthier financial status for the organization, a peer reviewed, quality SA Family Practice and a successful hosting of WONCA in Durban are all a credit to her leadership. To her, I pay my tribute for enabling me to assume my leadership of a much healthier organization.
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The Academy through the lens of its new National ChairmanIt is a great honour to take over the National Chairmanship of the South African Academy of Family Practice/Primary Care. It is a mammoth task and Professor Marietjie de Villiers is a hard act to follow. Marietjie has lead the Academy from the front and leaving it today much stronger than it was when she took up the leadership six years ago. A healthier financial status for the organization, a peer reviewed, quality SA Family Practice and a successful hosting of WONCA in Durban are all a credit to her leadership. To her, I pay my tribute for enabling me to assume my leadership of a much healthier organization.
