The evolution of placental mammal body sizes: evolutionary history, form, and function.

The unimodal, right-skewed distribution, most frequently identified in contemporary descriptions of placental mammal body size distributions, masks an underlying multidistribution structure; a long-term evolutionary process that has generated a concatenation of two or three frequency distributions specific to locomotory modes (plantigrade, digitigrade and unguligrade). The Afrotropical assemblages are bimodal, with a tendency towards trimodality, whereas the Nearctic assemblage is unimodal. However, mixtures of two and three normal distributions fitted the Nearctic data well, suggesting a multidistribution structure masked by disproportionate species numbers within locomotory modes.

What can we learn from facilitator and student perceptions of facilitation skills and roles in the first year of a problem-based learning curriculum?

Background: The small group tutorial is a cornerstone of problem-based learning. By implication, the role of the facilitator is of pivotal importance. The present investigation canvassed perceptions of facilitators with differing levels of experience regarding their roles and duties in the tutorial.

Photorefractoriness in broiler breeders: sexual maturity and egg production evidence.

1. Photorefractoriness was assessed in two lines of broiler breeders. In one trial, male-line and female-line pullets were reared on the floor and transferred to individual cages at 15 weeks.

Through a glass, darkly: data and uncertainty in the AIDS debate.

The HIV/AIDS epidemic is the greatest threat to development in much of Africa. It is already the main cause of death in many countries, especially those in Southern Africa. However there is an absence of solid data on the scale and scope of the disease and how it is evolving.

Xanthelasma or xanthoma of the fallopian tube.

We report a case of a 24-year-old woman who presented with abdominal pain, a tense abdomen, and rebound tenderness. A vague, ill-defined mass was palpated, and an ultrasound examination revealed a cystic lesion in the left adnexal region. At laparotomy, a slightly dilated fallopian tube was seen and excised.

The impact of the hepatitis B virus vaccine on the incidence of hepatitis B virus-associated membranous nephropathy.

Background: The hepatitis B virus (HBV) vaccine has resulted in a decline in the incidence of HBV carriage and hepatocellular carcinoma in southeast Asia. Vaccine efficacy in Africa has not been adequately assessed.

Objective: To report on the impact of HBV vaccination in South Africa on HBV-associated membranous nephropathy (MN) over 6 years.

The isothiocyanate complex of triphenylborane forms an unusual coordination polymer with [K(18-crown-6)](+), both in the solid state and in solution.

The title salt, (1,4,7,10,13,16-hexaoxacyclooctadecane-kappa(6)O)[(isothiocyanato)triphenylborato-kappaS]potassium(I), [K(C(19)H(15)BNS)(C(12)H(24)O(6))] or [K(SCNBPh(3))(18-crown-6)], where 18-crown-6 is 1,4,7,10,13,16-hexaoxacyclooctadecane and [SCNBPh(3)](-) is the (isothiocyanato)triphenylborate anion, exhibits a supramolecular structure that is best described as a helical coordination polymer or molecular screw. This unusual supramolecular structure is based on a framework in which the SCN(-) ion bridges the chelated K(+) ion and the B atom of BPh(3) in a micro(2) fashion. The X-ray crystal structure of the title salt has been determined at 100 (1) and 293 (2) K.

Haemostatic gene polymorphisms in young indian asian subjects with acute myocardial infarction.

Background: The relationship between haemostatic gene polymorphisms and arterial disease remains unclear. Much of the evidence gathered so far has been obtained from small heterogeneous studies, resulting in inconsistencies. This study focuses on the South African Indian population which not only represents the largest Indian population outside the Indian subcontinent, but also constitutes a genetically discrete group in whom a high incidence of coronary heart disease occurs.

Biochemical traits of lichens differing in relative desiccation tolerance.

• Oxidative stress arises when desiccation restricts photosynthesis and light energy is transferred from photo-excited pigments onto ground state oxygen. We tested whether a highly desiccation tolerant lichen, Pseudevernia furfuracea, displays better protection against oxidative stress than more sensitive species, Lobaria pulmonaria and Peltigera polydactyla. • We rehydrated lichens after desiccation periods of 2, 7 and 9 weeks and assessed their viability by measuring CO exchange using IRGA.

The possible contribution of student drawings to evaluation in a new problem-based learning medical programme: a pilot study.

Objective: In January 2001, the Nelson R. Mandela School of Medicine in Durban, South Africa implemented Year 1 of a problem-based learning (PBL) curriculum. In attempting to comprehensively evaluate the first year, every aspect was investigated.

Imaging of acquired immunodeficiency syndrome (AIDS).

Imaging plays an important role in the detection and characterisation of opportunistic infections and malignancies in patients with the acquired immunodeficiency syndrome (AIDS). The imaging features of opportunistic infections are often non-specific, but when examined in the context of CD4 levels will often allow a correct diagnosis to be made. It is important to be aware of specific syndromes such as lymphoproliferative disease and AIDS nephropathy.

Morbidity in children born to women infected with human immunodeficiency virus in South Africa: does mode of feeding matter?

Aim: To examine infant morbidity risks associated with refraining from breastfeeding where it is used in an attempt to prevent mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV).

Methods: The population consisted of infants born to HIV-infected women in South Africa who were participating in a vitamin A intervention trial to prevent MTCT of HIV. Women chose to breastfeed or formula feed their infants according to UNAIDS guidelines.

Leiomyoma of the bladder in a patient with von Recklinghausen's neurofibromatosis.

Leiomyomas are an uncommon manifestation of neurofibromatosis type 1 (NF-1) and occur most often in the gastrointestinal tract. Here, they have a proclivity for the proximal small bowel and tend to be multiple. Urinary tract involvement by NF-1 is usually in the form of neurofibromas, and leiomyomas are exceptionally rare.

Secondary metabolites from Cedrelopsis grevei (Ptaeroxylaceae).

From the hexane extract of the stem bark of Cedrelopsis grevei (Ptaeroxylaceae) was isolated the triterpenoid derivative, cedashnine, and the quassinoid, cedphiline, along with cedmiline, scoparone, beta-amyrin and sitosteryl glucoside.

The pathogenesis of membranoproliferative glomerulonephritis in KwaZulu-Natal, South Africa is unrelated to hepatitis C virus infection.

Idiopathic membranoproliferative glomerulonephritis (MPGN) is a well-defined clinicopathological entity with a poor prognosis, with 50% of patients progressing to end stage renal disease (ESRD) within 10 years. It was reported in about 36% of adult Black patients with nephrotic syndrome in our center previously [Seedat et al. 1988].

Identification of women at high STD risk among STD clinic attendees: implications for STD programmes.

We showed an association between current infection with a recognized sexually transmitted infection (STI) pathogen and HIV infection in women but not in men with non-ulcerative genital disease. While the accuracy of recognition of male urethritis and genital ulcer syndromes is high, this is significantly less for non-ulcerative STIs in women. The symptoms associated with the latter have a broad differential diagnosis including conditions of a non-STI nature.

Traumatic dislocation of the atlanto-occipital joint.

We present four patients who had sustained a traumatic dislocation of the atlanto-occipital joint. The diagnosis was initially missed in two patients. One patient, who was neurologically intact, was treated non-operatively.

Domestic abuse--an antenatal survey at King Edward VIII Hospital, Durban.

Objectives: To determine exposure to domestic violence by a partner or spouse among pregnant women attending a public sector hospital in Durban, South Africa.

Design: Six hundred and four randomly chosen women from a low-income community were interviewed over a 6-month period using a standardised questionnaire.

Results: Thirty-eight per cent had experienced domestic violence at some point in their lives.

Variability at human immunodeficiency virus type 1 subtype C protease cleavage sites: an indication of viral fitness?

Naturally occurring polymorphisms in the protease of human immunodeficiency virus type 1 (HIV-1) subtype C would be expected to lead to adaptive (compensatory) changes in protease cleavage sites. To test this hypothesis, we examined the prevalences and patterns of cleavage site polymorphisms in the Gag, Gag-Pol, and Nef cleavage sites of C compared to those in non-C subtypes. Codon-based maximum-likelihood methods were used to assess the natural selection and evolutionary history of individual cleavage sites.

Ovarian germ cell malignancy and human immunodeficiency virus (HIV) infection: a case report.

The occurrence of germ cell tumors in patients with human immunodeficiency virus (HIV) infection has not been previously reported. However, with the HIV pandemic in certain parts of the world, this association has become a reality. The approach to management as well as the role of adjuvant radiotherapy and chemotherapy is problematic as many of these therapies are toxic.