Lord Foulgrin's Letters

Lord Foulgrin’s Letters

Randy Alcorn’s gripping new masterpiece delivers us from ignorance of the devil’s schemes. Foulgrin, a high-ranking demon, instructs his subordinate on how to deceive and destroy Jordan Fletcher and his family. It’s like placing a bugging device in hell’s war room, where we overhear our enemies assessing our weaknesses and strategizing attack. Lord Foulgrin’s Letters […]

Skeleton Letters

Skeleton Letters

New York Times bestselling author Laura Childs sends her scrappy sleuths into New Orleans’ French Quarter. Is nothing sacred? The last thing Carmela Bertrand and her friend Ava expected to bear witness to in St. Tristan’s Church was a crime. But now a beloved member of their scrapbooking circle lies lifeless next to a smashed […]

Management of Cryptoccocal Meningitis in Resource-Limited Settings: A Systematic Review (Scientific Letters) (Clinical Report)

Management of Cryptoccocal Meningitis in Resource-Limited Settings: A Systematic Review (Scientific Letters) (Clinical Report)

To the Editor: Cryptococcal meningitis (CM) remains a serious cause of mortality and morbidity in individuals infected with the human immunodeficiency virus (HIV). The optimal treatment of CM is unknown. We conducted a systematic review to determine the best treatment for CM with an emphasis on resource-poor settings. Six studies met the inclusion criteria; none […]

Severe Acute Respiratory Infection with Influenza A (H1N1) During Pregnancy (Scientific Letters) (Report)

Severe Acute Respiratory Infection with Influenza A (H1N1) During Pregnancy (Scientific Letters) (Report)

To the Editor: Pregnant women are at high risk of severe acute respiratory infection if infected with the influenza A (H1N1) virus. On 14 August 2009 the first complicated H1N1 obstetric patient was admitted to the obstetric critical care unit (OCCU) at Tygerberg Hospital with respiratory distress. The clinical picture was that of bronchopneumonia, and […]

HIV Prevalence and Incidence in People 50 Years and Older in Rural South Africa (Scientific Letters) (Letter to the Editor)

HIV Prevalence and Incidence in People 50 Years and Older in Rural South Africa (Scientific Letters) (Letter to the Editor)

To the Editor: Studies of HIV prevalence in sub-Saharan Africa usually focus on the age group 15-49 years. (1) However, estimates of HIV prevalence in older people are required for health policy and planning. The health care and social needs of older HIV-infected individuals differ from younger people; e.g. because of different co-morbidities, (2) different […]

Progress of Preventing Mother-To-Child Transmission of HIV at Primary Healthcare Facilities and District Hospitals in Three South African Provinces (Scientific Letters) (Report)

Progress of Preventing Mother-To-Child Transmission of HIV at Primary Healthcare Facilities and District Hospitals in Three South African Provinces (Scientific Letters) (Report)

Since the introduction of prevention of mother-to-child-transmission (PMTCT) strategies, vertical transmission of HIV has declined in low- and middle-income countries over 20 years from 20-40% to 2.8% in the best-case scenarios. (1) In wealthy countries, transmission rates are below 2%. (2,3) In South Africa, the revised clinical guidelines introduced in 2010 included starting dual zidovudine/nevirapine […]

Peritonitis in Patients with End-Stage Renal Disease on Continuous Ambulatory Peritoneal Dialysis (Scientific Letters) (Clinical Report)

Peritonitis in Patients with End-Stage Renal Disease on Continuous Ambulatory Peritoneal Dialysis (Scientific Letters) (Clinical Report)

To the Editor: We investigated the experiences with continuous ambulatory peritoneal dialysis (CAPD)-related peritonitis in patients with end-stage renal disease (ESRD) at the nephrology unit of Dr George Mukhari Hospital. In this study population, the mortality rate from peritonitis is high, Gram-negative sepsis predominates and the recurrence rate was also high. Age is a risk […]