CME : Your SA Journal of CPD - Volume 29, Issue 9, 2011
Volume 29, Issue 9, 2011
Author Bridget FarhamSource: CME : Your SA Journal of CPD 29 (2011)More Less
There are myriad reports, papers, conferences around the world on the rising tide of non-communicable diseases globally. And many of these are thought to be intimately linked to increasing rates of obesity. Conventional wisdom tells us that the cause of obesity is an imbalance between calories in and calories out - and that a high-fat diet and lack of exercise are to blame for our rapidly increasing girths.
Author Johan WaltersSource: CME : Your SA Journal of CPD 29 (2011)More Less
The need to continue learning and actively seek knowledge is never more acutely appreciated than when the consequences of not doing so are unwittingly imposed on our patients. I recently learned this very lesson when I was engaged in a quest for understanding the failure of joint replacement surgery and methods by which the outcomes could be improved.
Source: CME : Your SA Journal of CPD 29, pp 359 –362 (2011)More Less
Brachialgia or upper limb pain can be due to pathologies of the joints, soft tissue and to referred pain from nerve compression. Thus the primary care physician has to entertain a wide differential when a patient presents with such a complaint. A careful history and examination is required to differentiate between the possible causes of the pain. Although appropriate special investigations may be required, they often cause confusion due to frequent co-existence of degenerative conditions, which may in fact be asymptomatic.
Source: CME : Your SA Journal of CPD 29, pp 364 –368 (2011)More Less
Most elbow conditions result from chronic repetitive overuse injuries. Not only are they seen in sporting activities but are common in recreational and occupation-related activities. Although tennis elbow is the commonest condition, there are other conditions that we should be aware of. Most conditions can be diagnosed with a careful history and thorough examination. The surface anatomy and subcutaneous nature of the elbow joint lends itself to accurate localisation of sites of tenderness and ease of localisation of the pathology.
Author Chris BatemanSource: CME : Your SA Journal of CPD 29, pp 368 –388 (2011)More Less
Nurses risk exposure to chemo drugs
Smoking hard on women's arteries
WMA congratulates Oz on plain cigarette packaging law
Keeping their noggins clean
Motsoaledi: Promote breast-feeding by restricting formula
Concern over 'synthetic' drugs
Botched op doc speaks up
State doctors pocket with private practices: report
HIV rate outpaces prevention - Motlanthe
Source: CME : Your SA Journal of CPD 29, pp 370 –372 (2011)More Less
This article addresses the more recent concepts that influence management decisions in the treatment of shoulder instability. Fifty per cent of all joint dislocations presenting to the emergency unit involve the glenohumeral joint, with an incidence of 1.7% in the general population. Understanding the pathoanatomy and knowledge of the natural history are prerequisites to the management.
Source: CME : Your SA Journal of CPD 29, pp 373 –374 (2011)More Less
Source: CME : Your SA Journal of CPD 29, pp 374 –376 (2011)More Less
Fractures around the hand and wrist are common, resulting from work, sport and high-speed collisions. It is vitally important to recognise and treat these injuries promptly to optimise outcomes. Most of the injuries are detected by routine screening radiographs. There are, however, five relatively common injuries around the hand that are consistently missed by radiology staff and clinicians alike.
Author Michael SoloonsSource: CME : Your SA Journal of CPD 29, pp 376 –377 (2011)More Less
Source: CME : Your SA Journal of CPD 29, pp 377 –378 (2011)More Less
Like many musculoskeletal joint pathologies, the wrist may be affected by a wide variety of clinical entities. This, combined with the fact that the wrist is packed with multiple anatomical structures, has the potential to make the clinical diagnosis of wrist pain difficult. Luckily, more than 90% of all wrist pain presentations fit into clear 'pattern recognition' entities. The diagnosis, as always, is facilitated by a pertinent history, a focused examination, and the judicious use of special investigations.
Source: CME : Your SA Journal of CPD 29, pp 378 –380 (2011)More Less
Other than hand injuries and infections, the general practitioner and those involved in primary health care should be able to correctly diagnose, manage and treat where appropriate the common conditions affecting the hand. Many systemic diseases such as diabetes, rheumatoid arthritis and gout can, and often do, present with secondary hand involvement. This article focuses on five common primary hand conditions. These five pathologies cover more than 90% of all patients presenting with hand-related symptoms.
Source: CME : Your SA Journal of CPD 29, pp 380 –381 (2011)More Less
Source: CME : Your SA Journal of CPD 29, pp 381 –382 (2011)More Less
Source: CME : Your SA Journal of CPD 29 (2011)More Less
As little as 15 minutes of exercise each day may prolong life
Development of Prognosis in Palliative care Study (PiPS) predictor models to improve prognostication in advanced cancer: prospective cohort study
Vitamin A supplements for preventing mortality, illness and blindness in children aged under 5: systematic review and meta-analysis
Author Carole Leach-LemensSource: CME : Your SA Journal of CPD 29 (2011)More Less
Patients attending an urban primary health care clinic in the inner city of Johannesburg who got a CD4 cell count at the time of HIV diagnosis and were eligible for ART were more than twice as likely to start treatment within 3 months of diagnosis as those who received their results 1 week after diagnosis. However, among patients not yet eligible for treatment, having to return to the clinic for a CD4 count 1 week later resulted in significantly better retention in care.