Recently added articles from CME: Your SA Journal of CPD:
Pandemic flu--where are we now?(Editor's comment)(Editorial)
Sep 01, 2009; Farham, Bridget ... As I recover from a relatively mild, but still unpleasant, dose of the new H1N1 flu I have been watching the literature (and the press) with some interest. In our press I see that our diagnostic services have been overwhelmed with requests for testing--mainly unnecessary--but a predictable ...
Office-based surgery--why it is Important: office-based surgery can contain costs and improve outcomes for the patient.
Sep 01, 2009; Grobler, Stephen ... Ambulatory surgery seeks to offer improved patient outcomes and cost-containment benefits. Three organisational models have evolved: hospital-associated ambulatory surgery programmes, freestanding ambulatory surgery centres (ASC) and office-based surgery (OBS). Surgery and ...
Local anaesthetics: characteristics, uses and toxicities: an understanding of local anaesthetics is essential to successful office-based surgery.(Report)
Sep 01, 2009; Du Plessis, Rene ... Surgeons currently perform more and larger procedures in an ambulatory setting. Local anaesthesia is an important aspect of office-based surgery. Local anaesthetics (LAs) vary in their pharmacological properties and are used in various techniques of local anaesthesia administration, i.e ....
Office-based endoscopy: office-based endoscopy provides a good example of how to establish office-based surgery.
Sep 01, 2009; Grobler, Stephen ... This article aims to serve as a template for practitioners seeking to formally establish an office-based surgery and use an office-based endoscopy service (OBE) as an example. We have drawn from Gastroenterological Society guidelines and our local experience. (1,2) Scope of ...
Minor anorectal surgery in the office.(More about ... office-based surgery)
Sep 01, 2009; Grobler, Stephen ... Changing patterns of management options This short article deals with modern-day selection of cases and procedure-room tactics in the management of benign anorectal diseases. Many conditions can be dealt with in the office, and most of the remainder can be treated on an ...
Infection control and reprocessing.(More about ... office-based surgery)
Sep 01, 2009; Hanekom, Ingrid ... Universal precautions and the 'chain of infection' Safety and infection control are paramount in all surgical and endoscopic facilities. The high prevalence of hepatitis B, HIV, TB and resistant micro-organisms (e.g. MRSA) mandates universal precautions: every patient must be ...
Office-based plastic surgery--Beverley Hills Dr 90210?(More about ... office-based surgery)
Sep 01, 2009; Coetzer, Phillip J. ... In recent years there has been a remarkable increase in the number of outpatient surgical procedures. Office-based plastic and cosmetic surgery has paralleled this growth. Ambulatory procedures are performed in three settings: hospital-based centres, free-standing ambulatory surgery ...
Unattached operating theatres.(More about ... office-based surgery)
Sep 01, 2009; Potgieter, Andre "JA" ... Many surgical specialties currently provide their patients with cost-effective surgical procedures that are performed safely in an office-based setting. The office surgery may at times be a more 'risky' environment for patients, compared with formal hospital theatres. Governance of these ...
Sedation and analgesia by non-anaesthesiologists.(More about ... office-based surgery)
Sep 01, 2009; Grobler, Stephen ... The practice of office-based surgery (OBS), endoscopy and office-based anaesthesia (OBA) is continuously expanding and involves the management of a diverse population (adult and paediatric with or without co-morbidities) by numerous disciplines (surgical, medical, dental and ...
When the cheque is not in the mail!(More about ... office-based surgery)
Sep 01, 2009; Fourie, Jannie ... A major impediment to office-based surgery (OBS) is that reimbursement by funders is seldom guaranteed. Medical scheme payment generally derives from member savings portions or day-today benefits. OBS is largely performed where funds have become depleted, for conditions that are not ...
The right fat might keep off the flab--or diabetes.(Single Suture)(Brief article)
Sep 01, 2009; ... Some extra fat may benefit people who need to lose weight, or fight diabetes, as long as it is the right kind of fat. Brown fat, unlike normal white fat which stores the energy obtained from food, turns into heat, suggesting that it could be used as a weight-loss aid. Bruce ...
Options for managing low-grade cervical abnormalities.(Abstract)
Sep 01, 2009; Farham, Bridget ... The optimal management of patients with low-grade abnormalities detected on screening (borderline nuclear abnormalities or mild dyskaryosis) has been the subject of debate. Two alternatives have been advocated, i.e. cytological surveillance (further smear tests at regular intervals) or ...
Effect of the integrated management of childhood illness in rural Bangladesh.(Abstract)
Sep 01, 2009; Farham, Bridget ... The Integrated Management of Childhood Illness (IMCI) strategy was launched in the mid-1990s by WHO and UNICEF to reduce deaths due to diarrhoea, pneumonia, malaria, measles, and malnutrition, which accounted for an estimated 70% of all global deaths of children younger than 5 years at ...
Treatment of uncomplicated malaria in uganda.(Abstract)(Brief article)
Sep 01, 2009; Farham, Bridget ... Jane Achan and colleagues, from Makerere University, Uganda, looked at comparing the effectiveness of oral quinine with that of artemether-lumefantrine in treating uncomplicated malaria in children. They used a randomised, open-label effectiveness study in the outpatient clinic of Uganda's ...
Organic food--all hype?(Single Suture)(Brief article)
Sep 01, 2009; ... An independent review, commissioned by the Food Standards Agency (FSA) in the UK, published at the end of July, shows that there are no nutritional differences between organic foods and those grown by conventional farming. The focus of the review was on nutritional content. ...
Subliminal advertising draws smokers.(Single Suture)(Brief article)
Sep 01, 2009; ... Would selling cigarettes in plain grey packaging make a difference to whether or not smokers bought them? David Hammond and Carla Parkinson at the University of Waterloo in Ontario, Canada, think so. They created fictitious cigarette packets with words now commonly used on real packets, ...
Maternal death rate five times higher in women with HIV.(AIDS briefs)
Sep 01, 2009; Leach-Lemens, Carole ... Maternal mortality ratios in Johannesburg in HIV-infected women are more than six times higher than in HIV-negative women despite integration of antiretroviral treatment into prenatal services, reported Vivian Black and colleagues in a 5-year audit published in the August 2009 issue of ...
Workforce participation increases with time on treatment.(AIDS briefs)
Sep 01, 2009; Leach-Lemens, Carole ... The probabilities of being employed and being able to perform normal daily activities increased over a period of 3 years and beyond among adults on antiretroviral treatment in 3 South African settings, reported Sydney Rosen and colleagues in a study presented at the Fifth IAS Conference on ...
Blood test may predict IVF success.(Single Suture)(in vitro fertilization)(Brief article)
Sep 01, 2009; ... Patterns of gene expression in a woman's blood may provide a clue as to whether or not she may become pregnant using IVF. Cathy Allen of the Rotunda Hospital in Dublin, Ireland, and colleagues analysed the expression of thousands of genes in blood taken from 8 women before IVF embryo ...
September 2009--Office-based surgery.
Sep 01, 2009; ... CPD questionnaires must be completed online via www.cpdjournals.org.za. After submission you can check the answers and print your certificate. Questions may be answered up to 6 months after publication of each issue. LOCAL ANAESTHETICS: CHARACTERISTICS, USES AND TOXICITIES ...
