Stroke in the young

CITATION: De Villiers, R. V. P., February, E. & De Villiers, M. L. 2003. Stroke in the young. South African Medical Journal, 93(11):836-837.The original publication is available at http://www.samj.org.za[No abstract available]Publisher’s versio

Results from South Africa's 2016 report card on physical activity for children and youth

Background: We present results of the 2016 Healthy Active Kids South Africa (HAKSA) Report Card on the current status of physical activity (PA) and nutrition in South African youth. The context in which we interpret the findings is that participation in PA is a fundamental human right, along with the right to "attainment of the highest standard of health." Methods: The HAKSA 2016 Writing Group was comprised of 33 authorities in physical education, exercise science, nutrition, public health, and journalism. The search strategy was based on peer-reviewed manuscripts, dissertations, and 'gray' literature. The core PA indicators are Overall Physical Activity Level; Organized Sport Participation; Active and Outdoor Play; Active Transportation; Sedentary Behaviors; Family and Peer Influences; School; Community and the Built Environment; and National Government Policy, Strategies, and Investment. In addition, we reported on Physical Fitness and Motor Proficiency separately. We also reported on nutrition indicators including Overweight and Under-nutrition along with certain key behaviors such as Fruit and Vegetable Intake, and policies and programs including School Nutrition Programs and Tuck Shops. Data were extracted and grades assigned after consensus was reached. Grades were assigned to each indicator ranging from an A, succeeding with a large majority of children and youth (81% to 100%); B, succeeding with well over half of children and youth (61% to 80%); C, succeeding with about half of children and youth (41% to 60%); D, succeeding with less than half but some children and youth (21% to 40%); and F, succeeding with very few children and youth (0% to 20%); INC is inconclusive. Results: Overall PA levels received a C grade, as we are succeeding with more than 50% of children meeting recommendations. Organized Sports Participation also received a C, and Government Policies remain promising, receiving a B. Screen time and sedentary behavior were a major concern. Under-and over-weight were highlighted and, as overweight is on the rise, received a D grade. Conclusion: In particular, issues of food security, obesogenic environments, and access to activity-supportive environments should guide social mobilization downstream and policy upstream. There is an urgent need for practice-based evidence based on evaluation of existing, scaled up interventions.Scopu

Reissner-Nordstrom Black Holes and Thick Domain Walls

We solve numerically equations of motion for real self-interacting scalar fields in the background of Reissner-Nordstrom black hole and obtained a sequence of static axisymmetric solutions representing thick domain walls charged black hole systems. In the case of extremal Reissner-Nordstrom black hole solution we find that there is a parameter depending on the black hole mass and the width of the domain wall which constitutes the upper limit for the expulsion to occur.Comment: 18 pages, 10 figures, accepted for Phys. Rev.

Presence of papillomavirus sequences in condylomatous lesions of the mamillae and in invasive carcinoma of the breast

BACKGROUND: Viruses including Epstein–Barr virus (EBV), a human equivalent of murine mammary tumour virus (MMTV) and human papillomavirus (HPV) have been implicated in the aetiology of human breast cancer. We report the presence of HPV DNA sequences in areolar tissue and tumour tissue samples from female patients with breast carcinoma. The presence of virus in the areolar–nipple complex suggests to us a potential pathogenic mechanism. METHODS: Polymerase chain reaction (PCR) was undertaken to amplify HPV types in areolar and tumour tissue from breast cancer cases. In situ hybridisation supported the PCR findings and localised the virus in nipple, areolar and tumour tissue. RESULTS: Papillomavirus DNA was present in 25 of 29 samples of breast carcinoma and in 20 of 29 samples from the corresponding mamilla. The most prevalent type in both carcinomas and nipples was HPV 11, followed by HPV 6. Other types detected were HPV 16, 23, 27 and 57 (nipples and carcinomas), HPV 20, 21, 32, 37, 38, 66 and GA3-1 (nipples only) and HPV 3, 15, 24, 87 and DL473 (carcinomas only). Multiple types were demonstrated in seven carcinomas and ten nipple samples. CONCLUSIONS: The data demonstrate the occurrence of HPV in nipple and areolar tissues in patients with breast carcinoma. The authors postulate a retrograde ductular pattern of viral spread that may have pathogenic significance

New Selective Estrogen Receptor Modulators (SERMs) in Development

Selective estrogen receptor modulators (SERMs) or estrogen agonists/antagonists have shown promise in osteoporosis in that they have the potential to reduce the risk of fracture, and also reduce the risk of breast cancer. SERMs maybe classified according to their core structure, which is typically a variation of the 17 beta-estradiol template and subclassified according to the side chain at the helix 12 affector region. The best known are the triphenylethylenes such as tamoxifen, used in the management of breast cancer. However, the clinical application of this class of SERMs has been limited due to endometrial stimulation. A second class is the benzothiophenes such as raloxifene and arzoxifene, which have skeletal benefit with little, if any, uterine stimulation. Indole-based SERMs such as bazedoxifene have a 2-phenyl ring system that serves as a core binding unit. Other classes include benzopyrans and naphthalenes (eg, lasofoxifene). In this review article, I will discuss raloxifene and three new SERMs—arzoxifene, bazedoxifene, and lasofoxifene—that have been recently studied. I will discuss their effect on bone, breast, and the cardiovascular system, as well as on safety

Evidence for Low Black Hole Spin and Physically Motivated Accretion Models from Millimeter VLBI Observations of Sagittarius A*

Millimeter very-long baseline interferometry (mm-VLBI) provides the novel capacity to probe the emission region of a handful of supermassive black holes on sub-horizon scales. For Sagittarius A* (Sgr A*), the supermassive black hole at the center of the Milky Way, this provides access to the region in the immediate vicinity of the horizon. Broderick et al. (2009) have already shown that by leveraging spectral and polarization information as well as accretion theory, it is possible to extract accretion-model parameters (including black hole spin) from mm-VLBI experiments containing only a handful of telescopes. Here we repeat this analysis with the most recent mm-VLBI data, considering a class of aligned, radiatively inefficient accretion flow (RIAF) models. We find that the combined data set rules out symmetric models for Sgr A*'s flux distribution at the 3.9-sigma level, strongly favoring length-to-width ratios of roughly 2.4:1. More importantly, we find that physically motivated accretion flow models provide a significantly better fit to the mm-VLBI observations than phenomenological models, at the 2.9-sigma level. This implies that not only is mm-VLBI presently capable of distinguishing between potential physical models for Sgr A*'s emission, but further that it is sensitive to the strong gravitational lensing associated with the propagation of photons near the black hole. Based upon this analysis we find that the most probable magnitude, viewing angle, and position angle for the black hole spin are a=0.0(+0.64+0.86), theta=68(+5+9)(-20-28) degrees, and xi=-52(+17+33)(-15-24) east of north, where the errors quoted are the 1-sigma and 2-sigma uncertainties.Comment: 15 pages, 10 figures, submitted to Ap

The 'causes' of teenage pregnancy: review of South African research - Part 2

This article forms the second of a two-part series in which South African research on teenage pregnancy is reviewed. Part 1 of the series dealt with the consequences of teenage pregnancy; this paper reviews the 'causes' thereof. International literature is incorporated in the discussion by way of comparison. Contributory factors which have been investigated by South African researchers include: reproductive ignorance; the earlier occurrence of menarche; risktaking behaviour; psychological problems; peer influence; co-ercive sexual relations; dysfunctional family patterns; poor health services; socio-economic status; the breakdown of cultural traditions; and the cultural value placed on children. Preston-Whyte and colleagues present a revisionist argument, stating that early pregnancy may represent a rational life choice for certain adolescent women. The article is concluded with comments on methodological problems encountered in the South African research, and a discussion on the implications in terms of policy formulation

Epicyclic oscillations of non-slender fluid tori around Kerr black holes

Considering epicyclic oscillations of pressure-supported perfect fluid tori orbiting Kerr black holes we examine non-geodesic (pressure) effects on the epicyclic modes properties. Using a perturbation method we derive fully general relativistic formulas for eigenfunctions and eigenfrequencies of the radial and vertical epicyclic modes of a slightly non-slender, constant specific angular momentum torus up to second-order accuracy with respect to the torus thickness. The behaviour of the axisymmetric and lowest-order ($m=\pm 1$) non-axisymmetric epicyclic modes is investigated. For an arbitrary black hole spin we find that, in comparison with the (axisymmetric) epicyclic frequencies of free test particles, non-slender tori receive negative pressure corrections and exhibit thus lower frequencies. Our findings are in qualitative agreement with the results of a recent pseudo-Newtonian study of analogous problem defined within the Paczy{\'n}ski-Wiita potential. Implications of our results on the high-frequency QPO models dealing with epicyclic oscillations are addressed.Comment: 24 pages, 8 figure