Overtreatment of cruciate ligament injuries

Once an unvalidated surgical procedure has become common,  (narrowly defined) activity level or type had been included. widely known in the general population, and popular among ‘celebrities’, it is regarded as too late to evaluate its efficacy. Patients will be unwilling to risk control treatment, and doctors will be unwilling to recruit. To challenge […]

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Orthopaedic litigation in South Africa: A review of the Medical Protection Society data base involving orthopaedic members over the last 10 years

Background Medical litigation, especially against orthopaedic surgeons, is a worldwide phenomenon with a marked upward trend in the developed nations. There has been a 20% increase over the last five years in South Africa alone. The purpose of the study was to review the cases involving Medical Protection Society (MPS). members in RSA, identify trends […]

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Anatomical classification and surgical considerations: Primary spinal tumours An overview

Abstract Primary spinal tumours make up 11% of primary musculoskeletal tumours, and 4.2% of spinal tumours.1 Six per cent of these spinal tumours are to be considered malignant.2 The intrinsic rarity of these tumours therefore make it very difficult for a single spinal surgeon to amass a large enough number of surgical cases to string […]

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Management of post-operative hypotony

Dr Bayanda N Mbambisa Registrar, Division: Ophthalmology, Department of Neurosciences, University of the Witwatersrand Introduction Patients with uveitic glaucoma are at an increased risk of post-operative hypotony following filtration surgery. The risk of this complication can be reduced by adequate control of inflammation pre-operatively, careful surgical technique and appropriate post-operative management of hypotony. Case study […]

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President’s Report

It is the start of a challenging two years for me as I have been preceded by extremely competent presidents in Dr Harold König and Dr Chris Gouws, who did duty during the period that I have been on OSSA EXCO. Luckily, I have learnt a lot from them and the other members, especially Dr […]

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Magnesium on osteoarthririts

Magnesium deficiency linked to higher risk of osteoporosis A magnesium deficiency reduces the absorption and metabolism of calcium and prevents the proper amount of calcium being directed toward building stronger bones. According to Dr Carolyn Dean, magnesium expert and medical director of the non-profit Nutritional Magnesium Association in the US, the effectiveness and benefits of […]

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Rheumatoid classification 2010

2010 Rheumatoid Arthritis Classification Criteria An American College of Rheumatology/European LeagueAgainst Rheumatism Collaborative Initiative A joint working group from the ACR and the European League Against Rheumatism developed, in three phases, a new approach to classifying rheumatoid arthritis (RA). The work focused on identifying, among patients newly presenting with undifferentiated inflammatory synovitis, factors that best […]

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Van Rensburg Fibromyalgia

Fibromyalgia: a condition with many facets [groups_member group=”Registered”] General body pain and tiredness are both challenging and sometimes intimidating for the physician and patient. It challenges both logic and the emotions, and to make sense out of the immense differential diagnosis may be time-consuming. Fibromyalgia is a condition that some are sceptical about and others […]

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Viljoen rheumatoid arthritis

The use of rituximab in rheumatoid arthritis: Report on the recent consensus statement meeting in Lisbon Abstract We have entered the era of biologic disease modifying anti-rheumatic drugs (biologic DMARDs) with many new possible treatment options for rheumatoid arthritis (RA), all in the hope of achieving remission, or if not remission, at least a very […]

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SAPPF Newsletter

Is Health Minister Motsoaledi planning to regulate private sector fees?

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Catsicas Diabetes

The principles of weight management in type 2 diabetes Research has shown type 2 diabetes mellitus (T2DM) and obesity is associated with significant mortality and morbidity from macro vascular disease-heart attack, stroke and peripheral vascular disease. T2DM carries the additional burden of micro vascular complications of retinopathy, nephropathy and neuropathy<sup.1,2. The onset and progression is […]

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GI Foundation Platform

Prudent glycaemic index (GI) diets vs crash-, shakes- and high-protein diets Liesbet Delport, Registered Clinical dietician, Director of GIFSA and the GI Smart Club There is published evidence that unconventional diets, specifically high-protein diets have undesirable health consequences. According to a study (Fleming: 2000) the treatment group following a high-protein diet showed progression of the […]

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Confidentiality – general principles

Confidentiality is at the centre of maintaining trust between patients and doctors. As a doctor, one has access to sensitive personal information about patients. Therefore there is a legal and ethical duty to keep this information confidential, unless the patient consents to the disclosure, disclosure is required by law or is necessary in the public […]

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International Congresses

Study of coronary atheroma by intravascular ultrasound: effect of rosuvastatin versus atorvastatin (SATURN) trial The trial recruited 1,385 patients and reported on 519 from the atorvastatin group and 520 from the rosuvastatin arm. The average age of patients was 57, more than 70% were men and roughly 95% were white. Aggressive treatment with potent statins […]

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Klinck Legal

Healthcare funding now and in the future: from a dual system to a single NHI? The World Health Statistics 2010 (based on 2009 data) lists country health outcomes in tables and includes outcomes of each of the Millennium Development Goals (MDGs). It shows that in South Africa (SA), life expectancy has declined from 59 years […]

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Visiting Professor Programme

Visiting Professor Programme of the International Council of Ophthalmology Andries Stulting I was fortunate enough to have been chosen to participate in the Visiting Professors Programme from the International Council of Ophthalmology. The aim of the Visiting Professors Programme is for the visiting professor to stay one week in a teaching institution in the host […]

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MAT metabolic syndrome

Metabolic syndrome in children and adolescents – a dietitian’s perspective The number of children being diagnosed with metabolic syndrome (MetS) is increasing. Numerous definitions exist for the diagnosis for MetS. This article aims to provide some practical insight into the lifestyle approach needed to address MetS in children and adolescents. Various definitions of metabolic syndrome, […]

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Hot topics in glaucoma

ARVO annual meeting 2011 Susan Williams, member of the SAGS Executive Committee 1. New therapies Topical ‘ROCK’ (rho-kinase) inhibitors Topical ‘ROCK’ (rho-kinase) inhibitors were the subject of several presentations. Rho-kinase (ROCK) is present within the trabecular meshwork and Schlemm’s canal. It is a serine-threonine specific protein kinase that regulates the force and velocity of actomyosin […]

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SA Heart Congress

The SA Heart 2011 congress was held at the brand-new East London International Convention Centre. An outstanding group of speakers was invited to share information on their clinical knowledge and research. The topics of discussion were not specifically arrhythmia focused but were of general interest and offered information on the latest and most significant developments […]

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South African Glaucoma Society

Annual Congress – Spier Wine Estate, 27–29 May 2011 Report by Dr Dylan Joseph and Prof Andries Stulting Dr Joseph is a registrar in the Department of Ophthalmology at the University of the Free State 1. Who needs gonioscopy? Prof Ravi Thomas Positive Von Herrick’s with a raised IOP is almost diagnostic of Closed Angle […]

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