Unexplained fever — an approach to defining the aetiology

No Abstract

Clinical access to Bedaquiline Programme for the treatment of drug-resistant tuberculosis

KMWhile clinical disease caused by drug-sensitive Mycobacterium tuberculosis (MTB) can usually be treated successfully, clinical disease caused by drug-insensitive MTB is associated with a poorer prognosis. In December 2012, a new drug, bedaquiline, was approved by the US Food and Drug Administration. This article documents the process whereby the National Department of Health, Right to Care and Médecins Sans Frontières obtained access to this medication for South Africans who might benefit from subsequent implementation of the Clinical Access to Bedaquiline Programme

Traditional circumcision during manhood initiation rituals in the Eastern Cape, South Africa: a pre-post intervention evaluation

<p>Abstract</p> <p>Background</p> <p>Circumcisions undertaken in non-clinical settings can have significant risks of serious adverse events, including death. The aim of this study was to test an intervention for safe traditional circumcision in the context of initiation into manhood among the Xhosa, Eastern Cape, South Africa.</p> <p>Methods</p> <p>Traditional surgeons and nurses registered with the health department were trained over five days on ten modules including safe circumcision, infection control, anatomy, post-operative care, detection and early management of complications and sexual health education. Initiates from initiation schools of the trained surgeons and nurses were examined and interviewed on 2^nd, 4^th, 7^thand 14^thday after circumcision.</p> <p>Results</p> <p>From 192 initiates physically examined at the 14th day after circumcision by a trained clinical nurse high rates of complications were found: 40 (20.8%) had mild delayed wound healing, 31 (16.2%) had a mild wound infection, 22 (10.5%) mild pain and 20 (10.4%) had insufficient skin removed. Most traditional surgeons and nurses wore gloves during operation and care but did not use the recommended circumcision instrument. Only 12% of the initiates were circumcised before their sexual debut and they reported a great deal of sexual risk behaviour.</p> <p>Conclusion</p> <p>Findings show weak support for scaling up traditional male circumcision.</p

The two Titan stellar occultations of 14

[1] We report the observation of two stellar occultations by Titan on 14 November 2003, using stations in the Indian Ocean, southern Africa, Spain, and northern and southern Americas. These occultations probed altitudes between $550 and 250 km ($1 to 250 mbar) in Titan&apos;s upper stratosphere. The light curves reveal a sharp inversion layer near 515 ± 6 km altitude (1.5 mbar pressure level), where the temperature increases by 15 K in only 6 km. This layer is close to an inversion layer observed fourteen months later by the Huygens HASI instrument during the entry of the probe in Titan&apos;s atmosphere on 14 January 2005 À1 near the equator, and progressively weaker winds as more southern latitudes are probed. The haze distribution around Titan&apos;s limb at 250 km altitude is close to that predicted by the Global Circulation Model o

The surgical approach to the mitral valye and the technique of correcting insufficiency of the anterior and of the posterior cusp with pericardium

No Abstrac

The 2012 southern African ARV drug resistance testing guidelines

Geneeskunde en GesondheidswetenskappeGeneeskundige VirologiePlease help us populate SUNScholar with the post print version of this article. It can be e-mailed to: [email protected]

Guideline for the prevention, diagnosis and management of cryptococcal meningitis among HIV-infected persons : 2013 update

CITATION: Govender, N. P. et al. 2013. Guideline for the prevention, diagnosis and management of cryptococcal meningitis among HIV-infected persons : 2013 update. Southern African Journal of HIV Medicine, 14(2):a82, doi:10.4102/sajhivmed.v14i2.82.The original publication is available at https://sajhivmed.org.zaSix years after the first Society guidelines were published, cryptococcal meningitis (CM) remains an important cause of morbidity and mortality among HIV-infected adults in South Africa. Several important developments have spurred the publication of updated guidelines to manage this common fungal opportunistic infection. Recommendations described here include: (1) screening and pre-emptive treatment; (2) laboratory diagnosis and monitoring; (3) management of a first episode of CM; (4) amphotericin B deoxycholate toxicity prevention, monitoring and management; (5) timing of antiretroviral therapy among patients with CM; (6) management of raised intracranial pressure; (7) management of relapse episodes of CM.https://sajhivmed.org.za/index.php/hivmed/article/view/82Publisher's versio