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January 2017, Vol. 107, No. 1 JANUARY 2017 VOL. 107 NO. 1
FROM THE EDITOR
3 Climate change – no denial B Farham
GUEST EDITORIAL
4 A novel blood test for tuberculosis prevention and treatment A Penn-Nicholson, T J Scriba, M Hatherill, R G White, T Sumner
CORRESPONDENCE
6, 7 Transoral robotic surgery (TORS) in South Africa J J Fagan, J Wetter, C Joseph, B Donde; C A Joseph
8, 10 Cost considerations in determining the affordability of adjuvant trastuzumab in breast cancer M Sereda, response from R P Abratt; W Szpak, response from R P Abratt
12 Yes, we can eradicate tuberculosis in South Africa W Shasha
13 From an exasperated pathologist R D Mohanlal
IZINDABA
14 30 days in medicine B Farham OBITUARIES
16 Steve Lawn
17 Pieter Stephanus Bothma 18 Theo Berkowitz
EDITORIALS
19 Missed opportunities for circumcising boys P S Millard, N Goldstuck
20 South Africa’s salt reduction strategy: Are we on track, and what lies ahead?
J Webster, C Crickmore, K Charlton, K Steyn, E Wentzel-Viljoen, P Naidoo CME
GUEST EDITORIAL 22 Anaemia (part 1)
N Alli ARTICLE
23 Anaemia: Approach to diagnosis N Alli, J Vaughan, M Patel
IN PRACTICE
CLINICAL UPDATE
28 Cutting the cost of South African antiretroviral therapy using newer, safer drugs
W D F Venter, B Kaiser, Y Pillay, F Conradie, G B Gomez, P Clayden, M Matsolo, C Amole, L Rutter, F Abdullah, E J Abrams, C P Casas, M Barnhart, A Pillay, A Pozniak, A Hill, L Fairlie, M Boffito, M Moorhouse, M Chersich, C Serenata, J Quevedo, G Loots
31 Outbreak of carbapenem-resistant Providencia rettgeri in a tertiary hospital V S Tshisevhe, M R Lekalakala, N Tshuma, S Janse van Rensburg, N Mbelle ISSUES IN PUBLIC HEALTH
34 Tackling the climate targets set by the Paris Agreement (COP 21): Green leadership empowers public hospitals to overcome obstacles and challenges in a resource-constrained environment E Weimann, B Patel
HEALTHCARE DELIVERY
39 The National Health Insurance, the decentralised clinical training platform, and specialist outreach R I Caldwell, C Aldous
EDITOR
Bridget Farham, BSc (Hons), PhD, MB ChB EDITORS EMERITUS
Daniel J Ncayiyana, MD (Groningen), FACOG, MD (Hon), FCM (Hon) JP de V van Niekerk, MD, FRCR ASSOCIATE EDITORS
Q Abdool Karim, A Dhai, N Khumalo, R C Pattinson, A Rothberg, A A Stulting, J Surka, B Taylor, M Blockman, J M Pettifor HMPG
CEO AND PUBLISHER Hannah Kikaya |
Email: [email protected] MANAGING EDITORS Ingrid Nye Claudia Naidu TECHNICAL EDITORS Emma Buchanan Paula van der Bijl PRODUCTION MANAGER Emma Jane Couzens DTP AND DESIGN Clinton Griffin Travis Arendse
CHIEF OPERATING OFFICER Diane Smith | Tel. 012 481 2069 Email: [email protected] SALES MANAGER (CAPE TOWN) Azad Yusuf
JOURNAL ADVERTISING Charles William Duke Reneé Hinze Ladine van Heerden Kenni Gambo Charmalin Simpson Ismail Davids ONLINE SUPPORT Gertrude Fani FINANCE Tshepiso Mokoena Makhadzi Mulaudzi HMPG BOARD OF DIRECTORS Prof. M Lukhele (Chair), Dr M R Abbas, Dr M J Grootboom, Mrs H Kikaya, Prof. E L Mazwai, Dr M Mbokota, Dr G Wolvaardt
ISSN 2078-5135
SAMA website: www.samedical.org Journal website: www.samj.org.za
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January 2017, Vol. 107, No. 1 CASE REPORTS
41 The intraocular CD4/CD8 ratio in a black South African patient with Behçet’s disease uveitis A Makgotloe
43 Pulmonary nocardiosis caused by Nocardia otitidiscaviarum in an adult asthmatic female patient: The presence of acid-fast branching filaments is always significant
A Mahgoub, S A Gumaa, M R P Joseph, M S Saleh, A H A Elsheikh, A I Elkhalifa, E Elhaj, R R M Salih, M E Hamid
RESEARCH
46 Classifying snakebite in South Africa: Validating a scoring system D Wood, B Sartorius, R Hift
52 Immunisation coverage in the rural Eastern Cape – are we getting the basics of primary care right? Results from a longitudinal prospective cohort study
K le Roux, O Akin-Olugbade, L S Katzen, C Laurenzi, N Mercer, M Tomlinson, M J Rotheram-Borus
56 Surveillance of healthcare-associated infection in hospitalised South African children:
Which method performs best?
A Dramowski, M F Cotton, A Whitelaw
64 Retinopathy of prematurity in a cohort of neonates at Groote Schuur Hospital, Cape Town, South Africa
Q Keraan, C Tinley, A Horn, T Pollock, J Steffen, Y Joolay
70 Characteristics and outcome of long-stay patients in a paediatric intensive care unit in Cape Town, South Africa
T L Nupen, A C Argent, B M Morrow
76 Supernumerary registrar experience at the University of Cape Town, South Africa S Peer, S A Burrows, N Mankahla, J J Fagan
80 A novel FKRP-related muscular dystrophy founder mutation in South African Afrikaner patients with a phenotype suggestive of a dystrophinopathy
M M Mudau, F Essop, A Krause
83 Primary cutaneous malignancies in the Northern Cape Province of South Africa: A retrospective histopathological review
K York, N C Dlova, C Y Wright, N P Khumalo, P E Kellett, R Kassanjee, A Mosam CPD QUESTIONS
Background photo: Waiting to receive healthcare at the Manenberg Clinic, Cape Town | City Press,
Jaco Marais
Box photos: TB graphic | Nauma; Uveitis | ARZTSAMUI; Preventing hospital-associated
infection | ThamKC
ISSN 2078-5135 JANUARY 2017 VOL. 107 NO. 1
GUEST EDITORIAL
A novel TB blood test
RESEARCH COP 21 and public hospitals – an opportunity for change Healthcare-associated infection in hospitalised children – what works best?
CASE REPORT
Behçet disease uveitis: CD4/CD8
CME Anaemia (part 1)
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