South Africa’s fourth epidemic: The ugly face of trauma

• Paediatric polytrauma – pedestrian-motor vehicle collisions 823

• Motor vehicle accidents (MVAs) and interpersonal violence (IPV) 827

• Road traffic crashes as the cause of major incidents 831

• Spinal cord injury due to MVAs and IPV 835

• Fatal community assault 848

Inappropriate use of emergency medical services in KZN 844

Emergency centres and TB transmission risks 862

CME: Case reports

• Ebola and the haemorrhagic fevers 
• Endoscopic lung volume reduction for severe emphysema 
• Bronchial thermoplasty in the management of severe asthma
• Anticoagulation of pregnant patients with mechanical heart valves 
• Gender and sexual diversity 
• POC testing of diabetic ketoacidosis 
• Time to implement infant HIV testing at 9 months? 
• CME: update on COPD

• Anterior chamber paracentesis in Mx of infectious uveitis 
• Contributions of SA’s first black doctors 
• Tobacco use in SA 
• Time to regard HIV as a chronic condition
• One NCD begets another
• Carcinogenic nitrosamines and Ca oesophagus
• Mental health burden of ‘tik’ users
• CME: Fits, faints and funny turns

• Doctor-assisted suicide 
• Cause-of-death information – key to public health action 
• Social franchising primary healthcare clinics – a model for NHI?
• Introducing the ‘Cochrane Corner’
• Fibrinolytics for empyema
• Reducing neonatal bloodstream infections
• What do maternal ‘near misses’ tell us? 
• CME: Nutrition of infants and toddlers

• A good complaints system – solution to SA’s medicolegal mayhem? 
• Non-alcohol-related Wernicke’s encephalopathy
• Repair of laparoscopic bile duct injuries 
• Management of burns begins at home … with prehospital cooling 
• Paediatric dental chair sedation 
• The South African Surgical Outcomes Study
• Acute preoperative beta-blockade harms hypertensive vascular surgery patients 
• Predictors at diagnosis for poor-outcome severe Crohn’s disease

• Antimicrobial resistance 
• The menacing bread tag
• Recommendations for treatment of URTIs
• Community- v. healthcare-acquired bloodstream infections 
• Rheumatic heart disease in Africa
• Severity-of-illness score to predict death of TB patients in the ICU
• Diabetes management in children 
• Current role of splenectomy for ITP
• CME: Antibiotic stewardship

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• Basic and comprehensive emergency obstetric and neonatal care 
• Optimal staffing to ensure safe maternity units 
• Food insecurity in urban South Africa 
• Management of obstetric haemorrhage 
• MMed supervision – a path out of the swamp 
• Caesarean section and maternal death – latest Saving Mothers report 
• Intrapartum asphyxia and hypoxic encephalopathy 

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• Over-servicing’, ‘under servicing’ and abandonment’: What is the law? 
• Care and prevention of congenital disorders
• Dementia in rural South Africa 
• Two-dose HPV vaccination is sufficient
• Traumatic brain injury, the hidden pandemic
• Kidney disease in methamphetamine users 
• Emergency care research priorities 
• CME: Diagnosis and management of chronic kidney disease

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• Digitalis reappraised 
• Quality improvement ‘tool’ for trauma services 
• The South African National Cancer Registry 
• End-stage kidney disease and HIV positivity 
• Linking cervical cancer screening to HPV vaccination 
• Predictors of mortality following non-cardiac surgery 
• Human myiasis

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• The humanistic side of medical education  
• Medical certification of death 
• The iPhone as a screening tool for deafness 
• The HPV Vaccine and Cervical Cancer Screen (VACCS) project 
• Severe blunt thoracic trauma: Differences between adults and children 
• CME: Food allergy

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• Amniocentesis and risk of HIV transmission 
• Call for neonatal premedication prior to intubation
• Early detection of retinoblastoma 
• Why aren’t women getting safe abortions? 
• Increased MTCT of HIV in adolescent pregnancy 
• VTE – pro ling of patient risk 
• CME: Tuberculosis and HIV

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• Mediation, not litigation 
• Ebola – update on the epidemic 
• New editors for SAJCH and SAJOG  
• Blood-borne infections in healthcare workers  
• Consequences of increasing medical negligence litigation  
• Recommendations for the management of sickle cell disease 
• Khat (Catha edulis) chewing and orodental health 
• CME: Immunology  
• Surgical aspects of liver disease in children

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• NCDs – the looming epidemic 
• Preventing diabetic blindness 
• Migrant health 
• Glucocorticoids and lipid metabolism 
• Sexual health of adolescents 
• Cardiovascular risk in urban South Africans 
• CME: Atopic dermatitis

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• Hepatitis B vaccine at birth to prevent hepatocellular carcinoma 
• Health in SA prisons – on the anniversary of Biko’s death 
• Troponin surveillance after non-cardiac surgery 
• Treatments for atrial fibrillation 
• Hepatitis B immunity in children in oncology units 
• Rheumatic heart disease on the decline 
• CME: Medical management of pregnancy

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• HPV vaccination debated 
• Menopausal hormone therapy
• Medical evaluation of children prior to adoption 
• Reporting of child abuse 
• Ebola – what you need to know 
• Geophagia in pregnancy 
• Loss of detectability of HIV with cART in infants 
• CME: Climate change and health

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• Strengthening Health Systems – new HMPG journal to be launched 
• Government expenditure on health research
• More on RWOPS 
• Antimicrobial resistance: The South African context
• Smoking cessation after acute coronary syndrome 
• Predicting outcome in traumatic brain injury 
• CME: Paediatric palliative care

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• Legalising medical use of cannabis
• SAMA – past, present and future 
• Founder genes and Parkinson’s disease
• Children’s eyes and ears 
• ART initiation targets
• CME: Sexual health in the South African context 

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• Fracking and health 
• Odyssean and imported malaria 
• INH prophylaxis – the pros 
• A visual prostate symptom instrument
• Oral and oropharyngeal HPV 
• Do HR practices drive doctors from the public health sector? 
• CME: Breast cancer

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• The Teddy Bear Clinic Constitutional Court case 
• Dangers of children swallowing magnetic beads
• Safety of osteoporosis medication
• Neurological manifestations of the acute porphyrias
• SciELO (SA) – enhancing visibility of SA research
• CME: Spina bifida

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• Cardiovascular prevention: Lifestyle and statins  
• The cons of INH TB prophylaxis – pros to follow  
• Research ethics evolution: Nuremberg to Helsinki  
• New imaging for the diagnosis of childhood TB  
• Markers to identify cardiovascular disease risk in HIV  
• CME: Spina bifida
• Progress towards the Millennium Development Goals

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• Palliative care in chronic disease  
• Medicine and the humanities  
• Alcohol-related harms: The real costs 
• Strengthening pharmacovigilance 
• CME: Peripheral vascular disease

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• Medical male circumcision preventing HIV
• TB in HIV
• Percutaneous needle biopsy in extrapulmonary TB
• Guideline for use of opioids in chronic non-cancer pain
• HASA conference unpacked
• CME: Mental health and psychiatric assessment

• Festschrift: Professor Trefor Jenkins

• Paediatric spirometry  

• Management of acute fever in children 

• Internship training for primary care 

• Neonatal blood transfusion 

• Primary prevention of acute rheumatic fever 

• Warfarin in non-valvular atrial fibrillation

• Tobacco harms 

• Smoking cessation clinical practice guideline

• Case for/against e-cigarettes

• Healthcare expenditure of smoking and obesity

• The ‘Noakes diet’ 

• Raise the CD4⁺ ART initiation threshold?

• Ralph Kirsch Golden Pen Award 

• World Food Day: 16 October
• SA's food (in)security and ‘nutritional transition’ 
• Prospects are improving for NHI
• Predicting cardiac risk in vascular surgery (SAVS-CHI)
• Voluntary medical male circumcision to prevent HIV
• Cell salvage in emergency surgery
• Malaria: Control to elimination