Fatalities involving illicit drug use in Pretoria, South Africa, for the period 2003 - 2012

Background. Globally, illicit drugs are responsible for many fatalities annually, yet accurate data on the nature and extent of these deaths in South Africa (SA) are lacking.Objectives. To investigate the presence and profile of illicit drugs detected in deceased persons who were subjected to medicolegal autopsies and upon whom analyses were carried out in search of illicit drugs in their body fluids at the Pretoria Medico-Legal Laboratory (PMLL), SA, over a 10-year period.Methods. A retrospective descriptive case audit was conducted for the period 2003 - 2012.Results. Screening for illicit drugs was requested in 385 out of 22 566 medicolegal autopsies. Results were available for only 281 of these cases, with 154 cases showing the presence of one or more illicit drugs. The demographic profile of positive cases indicated the majority to be male (90.3%) and white (85.1%). Decedents who tested positive for illicit drugs were predominantly aged between 20 and 30 years (51.9%). The most frequently detected drug was heroin, the presence of which was confirmed in 35.2% of cases, followed by cocaine in 19.9%. Alcohol in combination with an illicit drug or drugs was detected in 56 cases (36.4%).Conclusions. Results from this study indicate that illicit drugs were implicated in a considerable number of fatalities in Pretoria. However, it is believed that the figures are a gross under-representation of the actual number of drug users who died during this period. It is therefore recommended that further research be conducted and that drug screening be requested routinely when unnatural deaths are investigated at medicolegal mortuaries, not only to ensure the administration of justice but also to obtain more accurate data for purposes of public health programmes and improve insight into the burden of illicit drug use in SA

Post-Mortem Echocardiography as a Guide to Cardiac Autopsy—A Worthwhile Concept?

Sudden and unexpected death in the young is a common and worldwide problem. Sudden, unexpected death in infancy (SUDI), clinically unexpected death in an infant between one week and one year of age, affects around 1 in 1000 infants. Autopsy will reveal a specific cause of death in only one third of cases. This has led to various ancillary examinations in an effort to increase the diagnostic yield of the autopsy

Kinetic simulations of X-B and O-X-B mode conversion

We have performed fully-kinetic simulations of X-B and O-X-B mode conversion in one and two dimensional setups using the PIC code EPOCH. We have recovered the linear dispersion relation for electron Bernstein waves by employing relatively low amplitude incoming waves. The setups presented here can be used to study non-linear regimes of X-B and O-X-B mode conversion.Comment: 4 pages, 3 figure

Subendocardial Fibrosis in Left Ventricular Hypertrabeculation-Cause or Consequence?

Left ventricular noncompaction has been classified as a primary cardiomyopathy with a genetic origin. This condition is morphologically characterized by a thickened, two-layered myocardium with numerous prominent trabeculations and deep, intertrabecular recesses. Recently, it has become clear that these pathological characteristics extend across a continuum with left ventricular hypertrabeculation at one end of the spectrum

Positivity-preserving scheme for two-dimensional advection-diffusion equations including mixed derivatives

In this work, we propose a positivity-preserving scheme for solving two-dimensional advection-diffusion equations including mixed derivative terms, in order to improve the accuracy of lower-order methods. The solution to these equations, in the absence of mixed derivatives, has been studied in detail, while positivity-preserving solutions to mixed derivative terms have received much less attention. A two-dimensional diffusion equation, for which the analytical solution is known, is solved numerically to show the applicability of the scheme. It is further applied to the Fokker-Planck collision operator in two-dimensional cylindrical coordinates under the assumption of local thermal equilibrium. For a thermal equilibration problem, it is shown that the scheme conserves particle number and energy, while the preservation of positivity is ensured and the steady-state solution is the Maxwellian distribution. Keywords: Advection-diusion, Fokker-Planck equation, low-order positivity-preserving schem

Book Reviews

Management of Low Back Pain. Ed. by H. Carron and R. E. McLaughlin. Pp. xii + 246. Illusuated. £16,75. Boston: John Wright. 1982.Obesity and Leanness: Basic Aspects. By M. Stock and N. Romwell. Pp. 98. Illustrated. £10,00. London: John Libbey. 1982.Head and Neck Surgery: Indications, Techniques, Pitfalls, vo!. 3. Ed. by H. H. Naumann. Pp. xvi + 643. Illustrated. RI43,95. Philadelphia: W. B. Saunders. 1982.Manual ofClinical Nephrology. Ed. by D. P. Earle, F. del Greco, M. L. Levine and A. P. Saunders. Pp. xx + 585. Illustrated. Philadelphia: W. B. Saunders. 1982.Complications of Pediatric Surgery: Prevention and Management. By K. J. Welch. Pp. xiii + 468. Illustrated. RI09,75. Philadelphia: W. B. Saunders. 1982.Shoulder Surgery. Ed. by I. Bayley and L. Kesse!. Pp. xvi + 217 + index. Illustrated. DM 140,-. Berlin: Springer-Verlag. 1982.Management of Open Fractures and Their Complications (Saunders Monographs in Clinical Orthopaedics). 4th ed. By R. B. Gustilo. Pp. x + 211. Illustrated. R7l,95. Philadelphia: W. B. Saunders. 1982

A phylogenetically distinct lineage of Pyrenopeziza brassicae associated with chlorotic leaf spot of Brassicaceae in North America

Light leaf spot, caused by the ascomycete Pyrenopeziza brassicae Sutton & Rawlinson, is an established disease of Brassicaceae in the United Kingdom (UK), continental Europe, and Oceania (OC, including New Zealand and Australia). The disease was reported in North America (NA) for the first time in 2014 on Brassica spp. in the Willamette Valley of western Oregon, followed by detection in Brassica juncea cover crops and on B. rapa weeds in northwestern Washington in 2016. Preliminary DNA sequence data and field observations suggest that isolates of the pathogen present in NA might be distinct from those in the UK, continental Europe, and OC. Comparisons of isolates from these regions genetically (multilocus sequence analysis, MAT gene sequences, and rep-PCR DNA fingerprinting), pathogenically (B. rapa inoculation studies), biologically (sexual compatibility), and morphologically (colony and conidial morphology) demonstrated two genetically distinct evolutionary lineages. Lineage 1 comprised isolates from the UK, continental Europe, and OC, and included the P. brassicae type specimen. Lineage 2 contained the NA isolates associated with recent disease outbreaks in the Pacific Northwest region of the USA. Symptoms caused by isolates of the two lineages on B. rapa and B. juncea differed, so ‘chlorotic leaf spot’ is proposed for the disease caused by lineage 2 isolates of P. brassicae. Isolates of the two lineages differed in genetic diversity as well as sensitivity to the fungicides carbendazim and prothioconazole

A simplified approach for producing Tier 2 enteric-methane emission factors based on East African smallholder farm data

Context: Accurate reporting of livestock greenhouse-gas (GHG) emissions is important in developing effective mitigation strategies, but the cost and labour requirements associated with on-farm data collection often prevent this effort in low- and middle-income countries. Aim: The aim of this study was to investigate the precision and accuracy of simplified activity data collection protocols in African smallholder livestock farms for country-specific enteric-methane emission factors. Method: Activity data such as live weight (LW), feed quality, milk yield, and milk composition were collected from 257 smallholder farms, with a total herd of 1035 heads of cattle in Nandi and Bomet counties in western Kenya. The data collection protocol was then altered by substituting the actual LW measurements with algorithm LW (ALG), feed quality (FQ) data being sourced from the Feedipedia database, reducing the need for daily milk yield records to a single seasonal milk measurement (MiY), and by using a default energy content of milk (MiE). Daily methane production (DMP) was calculated using these simplified protocols and the estimates under individual and combined protocols were compared with values derived from the published (PUBL) estimation protocol. Key results: Employing the algorithm LW showed good agreement in DMP, with only a small negative bias (7%) and almost no change in variance. Calculating DMP on the basis of Feedipedia FQ, by contrast, resulted in a 27% increase in variation and a 27% positive bias for DMP compared with PUBL. The substitutions of milk (MiY and MiE) showed a modest change in variance and almost no bias in DMP. Conclusion: It is feasible to use a simplified data collection protocol by using algorithm LW, default energy content of milk value, seasonal single milk yield data, but full sampling and analysis of feed resources is required to produce reliable Tier 2 enteric-methane emission factors. Implications: Reducing enteric methane emissions from the livestock is a promising pathway to reduce the effects of climate change, and, hence, the need to produce accurate emission estimates as a benchmark to measure the effectiveness of mitigation options. However, it is expensive to produce accurate emission estimates, especially in developing countries; hence, it is important and feasible to simplify on-farm data collection

Fatalities involving illicit drug use in Pretoria, South Africa, for the period 2003 - 2012

Background. Globally, illicit drugs are responsible for many fatalities annually, yet accurate data on the nature and extent of these deaths in South Africa (SA) are lacking.Objectives. To investigate the presence and profile of illicit drugs detected in deceased persons who were subjected to medicolegal autopsies and upon whom analyses were carried out in search of illicit drugs in their body fluids at the Pretoria Medico-Legal Laboratory (PMLL), SA, over a 10-year period.Methods. A retrospective descriptive case audit was conducted for the period 2003 - 2012.Results. Screening for illicit drugs was requested in 385 out of 22 566 medicolegal autopsies. Results were available for only 281 of these cases, with 154 cases showing the presence of one or more illicit drugs. The demographic profile of positive cases indicated the majority to be male (90.3%) and white (85.1%). Decedents who tested positive for illicit drugs were predominantly aged between 20 and 30 years (51.9%). The most frequently detected drug was heroin, the presence of which was confirmed in 35.2% of cases, followed by cocaine in 19.9%. Alcohol in combination with an illicit drug or drugs was detected in 56 cases (36.4%).Conclusions. Results from this study indicate that illicit drugs were implicated in a considerable number of fatalities in Pretoria. However, it is believed that the figures are a gross under-representation of the actual number of drug users who died during this period. It is therefore recommended that further research be conducted and that drug screening be requested routinely when unnatural deaths are investigated at medicolegal mortuaries, not only to ensure the administration of justice but also to obtain more accurate data for purposes of public health programmes and improve insight into the burden of illicit drug use in SA