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HIV-related Mental Disorders Seldom Diagnosed

Although mental disorders are commonly associated with HIV, they remain largely undiagnosed in SA. The main reason for this is a lack of human and financial resources for mental health. A team of scientists at the University of Cape Town’s psychiatry and mental health department has embarked on designing guidelines to help South African nurses […]

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What does Elevated Jugular Venous Pressure Tell us About Heart Failure in Patients?

Prof J Ker In heart failure, systemic venous pressure is often abnormally elevated and this is reflected as distension of the jugular veins. In the early stages of heart failure, venous pressure is often normal at rest, but can become abnormally elevated with sustained pressure on the abdomen (by the hand of the examiner). This […]

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Male Infertility More Common Than Believed

Dr Merwyn Jacobson Infertility in men is a genuine medical issue which accounts for nearly one half of all infertility cases; male infertility is the reason up to 40% of South African couples cannot achieve pregnancy. This is a remarkable statistic considering that infertility still tends to be largely attributed to the woman, a misconception […]

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Chronic Pain Management: Role of the General Anaesthesiologist

Dr Eric Hodgson Anaesthesiologists develop skills that are very useful in the management of pain, including an understanding of analgesic pharmacology and experience in performing nerve, ganglion, plexus and neuraxial blocks. Anaesthesiologists meet patients with chronic pain at pre-med visits and in preoperative clinics, and work with surgeons treating patients with chronic pain. The majority […]

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The Mystery of Endometriosis

Dr Lawrence Gobetz Endometriosis is a common disorder that affects women during their reproductive years. It has a prevalence of 0.5-5% in fertile and 25-40% in infertile women. It occurs when endometrial tissue, which lines the uterus, grows outside the uterine cavity. This misplaced tissue may implant and grow anywhere within the abdominal cavity or, […]

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Mild Stimulation Strategies in In Vitro Fertilisation

Dr Lawrence Gobetz The European Society of Human Reproduction and Embryology (ESHRE) celebrated its 25th annual meeting in Amsterdam, The Netherlands, in June/July this year. Over 7000 internation delegates attended. Eleven pre-congress courses were held on Sunday, 28 June. I attended the course on mild stimulation strategies in in vitro fertilisation (IVF). The course highlighted […]

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Treating C difficile-associated Disease

Gastro Forum authors: Dr Herbie Schneider, Dr Keith Pettengell, Dr John Wright Clostridium difficile (C difficile) infection is becoming a more frequent and costly disease, mainly affecting hospitalised patients. It is estimated that the disease costs $1 billion/year in the US. Relapse rates of 15-30% are reported after seemingly effective therapy. This review will focus […]

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Men at HIV Risk During Partners’ Pregnancy

A new study has found that for the duration of his partner’s pregnancy, a man is at greater risk of contracting HIV, and that the risk doubles if his partner is both HIV positive and pregnant. The results were presented last month at the International Microbicides Conference (M2010) in Pittsburgh, US, along with findings of […]

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Bariatric Surgery for Managing Obesity

Obesity is a serious disease and must be treated as such, according to the World Health Organisation (WHO) and the National Institutes of Health (NIH) consensus.1 According to the first sound epidemiological data that appeared in SA 12 years ago, 10.1% of men and 27.9% of women had a body mass index (BMI) of 30 […]

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Isolated Systolic Hypertension Affects Young

Isolated systolic hypertension is defined by guidelines as systolic blood pressure (SBP) ≥140mmHg and diastolic blood pressure (DBP) <90mmHg. Isolated systolic hypertension is often viewed as a phenomenon of ageing, because systolic blood pressure, unlike diastolic blood pressure, increases with age due to increased arterial stiffness, particularly after the age of 40 years. In recent […]

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