Should Baseline PSA Testing Be Performed in Men Aged 40 to Detect Those Aged 50 Or Less Who Are at Risk of Aggressive Prostate Cancer?(Original Articles) (Clinical Report)

Should Baseline PSA Testing Be Performed in Men Aged 40 to Detect Those Aged 50 Or Less Who Are at Risk of Aggressive Prostate Cancer?(Original Articles) (Clinical Report)

Although prostate specific antigen (PSA) screening of asymptomatic men aged 50-75 years may reduce the prostate cancer mortality by at least 20%, there is concern about the high rate of overtreatment. (1) The risk of overtreatment is increased in older men with less aggressive cancer. In men younger than 50 years–especially those with high-risk prostate […]

Medical Futility and End-Of-Life Care (Original Articles)

Medical Futility and End-Of-Life Care (Original Articles)

Acceptance of the concept of medical futility facilitates a paradigm shift from curative to palliative medicine, accommodating a more humane approach and avoiding unnecessary suffering in the course of the dying process. This should not be looked upon as abandoning the patient but rather as providing the patient and family with an opportunity to come […]

Acupuncture for Treating Common Side Effects Associated with Breast Cancer Treatment: A Systematic Review (Original Articles) (Report)

Acupuncture for Treating Common Side Effects Associated with Breast Cancer Treatment: A Systematic Review (Original Articles) (Report)

INTRODUCTION BREAST CANCER IS A LIFE-THREATENING disease that affects approximately 22,460 individuals in Canada each year. (1) Breast cancer is defined as cancer that has a site of origin in tissues of the breast, usually occurring in the ducts or lobules. (1) Medical treatment is known to increase survival rates in women with breast cancer […]

Assessing Menopausal Status in Women Aged 40-49 Using Depot-Medroxyprogesterone Acetate, Norethisterone Enanthate Or Combined Oral Contraception (Original Articles) (Report)

Assessing Menopausal Status in Women Aged 40-49 Using Depot-Medroxyprogesterone Acetate, Norethisterone Enanthate Or Combined Oral Contraception (Original Articles) (Report)

Determining the onset of menopause in older users of hormonal injectable contraceptives depot medroxyprogesterone acetate (DMPA) and norethisterone enanthate (NET-EN) can be challenging. These contraceptive methods may mask menopausal symptoms such as amenorrhoea, which is a common side-effect of the method itself and increases in incidence over length of time used. (1) DMPA has been […]

The South African Stress and Health (SASH) Study: 12-Month and Lifetime Prevalence of Common Mental Disorders (Original Articles) (Clinical Report)

The South African Stress and Health (SASH) Study: 12-Month and Lifetime Prevalence of Common Mental Disorders (Original Articles) (Clinical Report)

At the end of the apartheid era, the African National Congress (ANC) formulated a broad policy framework that forms the basis for the current enabling health care legislation in South Africa. The ANC government developed a health care delivery policy based on the district health system that was designed to extend the availability of appropriate […]

Professionalism and the Intimate Examination-Are Chaperones the Answer?(Original Articles)

Professionalism and the Intimate Examination-Are Chaperones the Answer?(Original Articles)

‘In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction and especially from the pleasure of love with women or men, be they free or slaves’, (from The Hippocratic Oath (1)) The prohibition of sexual impropriety in the health […]

Vasectomy Under Local Anaesthesia Performed Free of Charge As a Family Planning Service: Complications and Results (Original Articles)

Vasectomy Under Local Anaesthesia Performed Free of Charge As a Family Planning Service: Complications and Results (Original Articles)

The link between global warming and unbridled population growth emphasises the urgent necessity for political action to promote effective forms of contraception. (1) Vasectomy is one of the most reliable family planning methods but is underutilised worldwide, accounting for only 5-10% of contraceptive methods, and in most African countries this figure is much lower. (2) […]