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 […]

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) […]

Medical Inappropriateness Review: Appropriately Performed by a Medical Committee (Texas)

Medical Inappropriateness Review: Appropriately Performed by a Medical Committee (Texas)

INTRODUCTION The Texas Advance Directives Act (“TADA”) allows for discontinuation of life-sustaining treatment (“LST”) in individual cases if a physician determines that the treatment in question is medically inappropriate. (1) One of the provisions of the TADA’s legally-sanctioned process is that either an ethics or a medical committee must review and affirm the physician’s judgment […]