Exotic and indigenous problem plants species used,by the Bapedi,to treat sexually transmitted infections in Limpopo Province,South Africa

Background

The ethnic usage of exotics and indigenous problem plants is a highly debated topic, as legislative requirements over-shadow their potential medicinal value, particularly to treat sexually transmitted infections (STIs). Limited information exists regarding their medicinal value among the Bapedi.

Objectives

To ascertain the importance of exotics and indigenous problem plants in the treatment of STIs, a major global primary health care challenge.

Methods

A field observation and semi-structured questionnaire focussing on species diversity, types of STIs treated and medicinal preparation as well as application was used to collect data from 34 traditional healers.

Results

Seven exotics and three indigenous problem species were identified. These species were used to treat four STIs; with Catharanthus roseus illustrating its dominance in the treatment of gonorrhoea. Some medicinal species used by Bapedi traditional healers have been validated through scientific research or through their extensive use by various cultures in South Africa and other parts of Africa. To the best of our knowledge Alternanthera pungens, Caesalpinia decapetala, Cinnamomum verum, and Citrullus lanatus are reported for the first time in the treatment of the investigated STIs.

Conclusions

Exotic and indigenous problem species constitute an important component of the STIs treatment protocol. Their utilization by Bapedi cautions against the narrow-minded approach of indiscriminate eradication, as these species can play a significant role in the primary health care needs of socio-economic vulnerable people.     

Fibrous Component of the Temporomandibular Joint Disk

This article describes the spatial arrangement of collagen fibrils in the articular disk of the normal human temporomandibular joint (TMJ). Disks obtained at necropsy were examined by light microscopy and scanning electron microscopy. Observations by light microscopy showed dense cartilaginous tissue composed of collagen fiber bundles running in all directions. Observations by scanning electron microscopy revealed a network of collagen fibrils which were predominantly organized in bundles. In the surface layers an anteroposterior orientation was detectable. The authors concluded that the fibrous component of the TMJ articular disk is composed of collagen fibrils, organized in a three-dimensional network and able to resist compression forces due to loading.     

Einfluss der Akromionmorphologie auf Rotatorenmanschettenrupturen

The incidence of rotator cuff tears is attributed to a number of extrinsic and intrinsic factors. One of the most important extrinsic factors is acromial morphology on which the theory of mechanical outlet impingement and successive tearing of the rotator cuff is based. Acromial morphology can be assessed on X-rays using several parameters. The most common parameters will be discussed and an overview of their association with the incidence of rotator cuff tears will be given. The acromion type according to Bigliani is the most commonly used classification; however the reproducibility has been questioned. More seldomly used parameters, such as the acromion index and the lateral acromion angle, show higher reproducibility and a clearer association with the incidence of rotator cuff tears. The variability due to imaging technique and scapula position for all parameters has to be kept in mind.     

Comparison of antibiotic dosing recommendations for neonatal sepsis from established reference sources

Background Incorrect dosing is the most frequent prescribing error in neonatology, with antibiotics being the most frequently prescribed medicines. Computer physician order entry and clinical decision support systems can create consistency contributing to a reduction of medication errors. Although evidence-based dosing recommendations should be included in such systems, the evidence is not always available and subsequently, dosing recommendations mentioned in guidelines and textbooks are often based on expert opinion. Objective To compare dosage recommendations for antibiotics in neonates with sepsis provided by eight commonly used and well-established international reference sources. Setting An expert team from our Dutch tertiary care neonatal intensive care unit selected eight well-established international reference sources. Method Daily doses of the seven most frequently used antibiotics in the treatment of neonatal sepsis, classified by categories for birth weight and gestational age, were identified from eight well-respected reference sources in neonatology/pediatric infectious diseases. Main outcome measure Standardized average daily dosage. Results A substantial variation in dosage recommendations of antibiotics for neonatal sepsis between the reference sources was shown. Dosage recommendations of ampicillin, ceftazidime, meropenem and vancomycin varied more than recommendations for benzylpenicillin, cefotaxime and gentamicin. One reference source showed a larger variation in dosage recommendations in comparison to the average recommended daily dosage, compared to the other reference sources. Conclusion Antibiotic dosage recommendations for neonates with sepsis can be derived from important reference sources and guidelines. Further exploration to overcome variation in dosage recommendations is necessary to obtain standardized dosage regimens.