485
C ONTENTS
FROM THEEDITOR
489 Medunsa’s rebirth would do well to start with a truth and reconciliation process Daniel J Ncayiyana
491 EDITOR’S CHOICE CORRESPONDENCE 492 Stroke and atrial fibrillation
I W P Obel; replies by L de Villers and R W Walker
492 Changes to parental consent procedures in South Africa – implications for school-based adolescent sexual health research
Amanda Jayne Mason-Jones, Melanie Zuch, Cathy Mathews, Lesley Henley 494 Where have all the flowers gone?
Sergei V Jargin
494 ERRATUM
IZINDABA
496 Academics appeal to State: ‘Help us train where the needs are’
500 Tygerberg Burns chief wins global award
503 Motsoaledi declares war on disease-causing products 505 Mothers and babies – widening the HIV safety net
SAMJ FORUM ISSUES IN MEDICINE 508 Revitalising professionalism
Janet Seggie
ISSUES IN PUBLIC HEALTH
510 South Africa’s cataract surgery rates – why are we not meeting our targets?
Karin Lecuona, Colin Cook HISTORY OF MEDICINE 513 Breast cancer in antiquity
François Pieter Retief, Louise Cilliers IN MEMORIAM
516 Phoebus Perdikis EDITORIALS
517 South Africa needs more doctors and dentists Nicolas Crisp
519 Lessons from the 2009 measles epidemic in South Africa Barry D Schoub
SCIENTIFIC LETTERS
520 Overdose with HAART – are we managing these patients adequately?
Tarryn Gabler, Bradley Yudelowitz, Adam Mahomed 521 Operative surgery at the district hospital
Miranda Voss, Riaan Duvenage ORIGINAL ARTICLES
523 More doctors and dentists are needed in South Africa B Strachan, T Zabow, Z M van der Spuy
529 High prevalence of comorbidity and need for up-referral among inpatients at a district-level hospital with specialist tuberculosis services in South Africa – the need for specialist support
Helen van der Plas, Marc Mendelson
August 2011, Vol. 101, No. 8 SAMJ Editor
DANiel J NcAyiyANA Managing Editor J p De V VAN Niekerk Deputy Editor BriDGeT FArHAM Assistant Editor eMMA BucHANAN Technical Editors MAriJke MAree rOBerT MATZDOrFF pAulA VAN Der BiJl News Editor cHris BATeMAN Tel. (021) 681-7200 Head of Publishing rOBerT AreNDse Production Manager eMMA cOuZeNs Professional Advertising BeliNDA DOyle Tel. (021) 681-7200 e-mail: belinda@hmpg.co.za Art Director
siOBHAN TilleMANs DTP & Design TrAVis AreNDse Online Manager GerTruDe FANi Distribution Manager eDwArD MAcDONAlD Advertising Enquiries
SALES DIRECTOR: DiANe sMiTH Tel. (012) 481-2069
email: dianes@samedical.org Sales Team
lisA reiD, AZAD yusuF, keiTH Hill, ANDrew crOss sAlie peTerseN, MArie VeNTer JAcQueliNe HerBsT
TersiA cOeTZee, ANDre MyBurGH HMPG Board of Directors
M rAFF (Chair) r ABBAs M lukHele D J NcAyiyANA J p De V VAN Niekerk M Veller
Associate Editors Q ABDOOl kAriM A DHAi
N kHuMAlO r c pATTiNsON A rOTHBerG A A sTulTiNG J surkA B TAylOr ISSN 0256-9574 Website: www.hmpg.co.za Journal: www.samj.org.za
August 2011, Volume 101, No. 8
487
C ONTENTS
533 Evaluation of pain incidence and pain management in a South African paediatric trauma unit
Tessa Thiadens, Elleke Vervat, Rene Albertyn, Monique van Dijk, A B (Sebastian) van As 537 The effectiveness of the South African Triage Score (SATS) in a rural emergency
department
K Rosedale, Z A Smith, H Davies, D Wood
541 Acute haemorrhagic conjunctivitis epidemics and outbreaks of Paederus spp.
keratoconjunctivitis (‘Nairobi red eyes’) and dermatitis L Mbonile
543 Will the new Consumer Protection Act prevent harm to nutritional supplement users?
Gary Gabriels, Mike Lambert, Pete Smith, Donavon Hiss
546 Reference intervals for serum total cholesterol, HDL cholesterol and non-HDL cholesterol in Batswana adults
Seako M Maphephu, Ishmael Kasvosve PART 2
549- Global Antibiotic Resistance Partnership
596 Situation analysis: Antibiotic use and resistance in South Africa
1
PULSE — NEWS FROM THE MARKETPLACE
1
PROFESSIONAL ADVERTISING — FOREIGN OPPORTUNITIES 4
PROFESSIONAL ADVERTISING — LOCAL OPPORTUNITIES 6
CPD QUESTIONS
August 2011, Vol. 101, No. 8 SAMJ Contents listed in iNDeX MeDicus (MeDliNe).
eXcerpTA MeDicA (eM BAse).
BiOlOGicAl ABsTrAcTs (BiOsis).
scieNce ciTATiON iNDeX (sciseArcH). curreNT cONTeNTs/cliNicAl MeDiciNe Unless otherwise stated, opinions expressed in the editorial columns of the SAMJ should not be taken as reflecting official South African Medical Association policy.
The appearance of advertising in the Association’s publications does not denote a guarantee or an endorsement by the Association of the products or the claims made for the products by the manufacturers.
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Single copies R85.00 Members of the Association receive the
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The SAMJ is published monthly by the Health and Medical Publishing Group
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creative commons Attribution – Noncommercial works license. http://
creativecommons.org/licenses/by-nc/3.0 creda communications pty ltd The African Barred Owlet Glaucidium
capense is superficially similar to the Pearl-spotted Owlet but is larger and lacks the distinctive pearl spotting of its close relative. Although the two species may occur in the same habitat, the African Barred Owlet is usually found in denser woodland, mainly along rivers where there are large trees. Very little is known about its breeding biology except that it lays its eggs in a natural hole in a tree.
Its call is a mournful repetitive krrooo krrooo krrooo…, emitted at night and sometimes during the day. Little has been recorded about its diet except that it preys mostly on insects which are captured by pouncing from a perch.
Photo and text: Peter Steyn Email: peregrine@mweb.co.za
