SAJDVD: VOLUME 8, ISSUE 4, NOVEMBER 2011
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  1. UN call for action : prevention and control of non-communicable diseases : editorial
    Authors: Lombard, Landi; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 147-148
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    Abstract: Worldwide, non-communicable diseases (NCDs) are currently responsible for more deaths than all other causes combined. Traditionally, high-income populations have borne the burden of NCDs. However, current evidence indicates that the spread of disease is associated with increasing levels of economic development. Low- and middle-income countries now bear a greater burden of NCDs than high-income countries. In Africa, NCDs are projected by 2020 to cause almost three-quarters as many deaths as communicable, maternal-perinatal and nutritional diseases combined. Currently, over 80% of cardiovascular- and diabetes-related deaths occur in low- and middle-income countries.

  2. Considering the patient perspective for assessing the outcomes of diabetes lifestyle-modification programmes : what should we measure, and how? : achieving best practice
    Authors: Barbosa, Carla Dias; Arnould, Benoit; Gruenberger, Jean Bernard; Schwarz, Peter E.H.; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 149-153
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    Abstract: Current evidence shows that type 2 diabetes can be effectively prevented and delayed by lifestyle modification. After careful development and pilot testing, a rigorous evaluation of such programmes is crucial to assess their effectiveness prior to large-scale implementation. Integrating the patient perspective in this evaluation is essential. In principle, patient-reported outcomes (PRO) questionnaires can address this key question. However, researchers and clinicians lack a clear framework to make a sound selection of appropriate measures among the large set of possible questionnaires. As a consequence, it is unclear what is the most useful information to be captured from patients when assessing a new programme, so that it can be determined whether the programme can be generalised to a larger population: is it health-related quality of life, satisfaction or something different which could predict the long-term success of the programme? We recommend a specific approach, better adapted to the nature of the intervention, and suggest a selection of a few existing PRO measures that could satisfy the requirements.

  3. Call for articles
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 153
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    Abstract: Call for articles.

  4. South African patients with diabetes are under-treated for hypercholesterolaemia : survey of in-treatment hypercholesterolaemia highlights the need for intensified treatment in diabetes : special report
    Authors: Aalbers, J.; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 155-156
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    Abstract: The recently published South African CEPHEUS study has shown that 46% of patients with diabetes who are treated for hypercholesterolaemia do not reach their targets for low-density lipoprotein cholesterol (LDL-C). This non-interventional study known as CEPHEUS (CEntralised Pan-South African survey on tHE Under-treatment of hypercholeSterolaemia) was conducted between November 2009 and April 2010 in 69 South African study centres and evaluated patients who had received cholesterol-lowering therapy for at least three months.

  5. New guidelines recommend lower LDL target in high-risk cardiovascular patients : special report
    Authors: Wagenaar, Peter; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 157-158
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    Abstract: The South African Heart Association and the Lipid and Atherosclerosis Society of Southern Africa (LASSA) held their second joint guideline collaboration meeting on 15 and 16 October 2011. The meeting was attended by representatives of both societies, the funding industry and the Department of Health, as well as various medical specialists.

  6. International Society of Cardiovascular Disease Epidemiology and Prevention
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 158
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    Abstract: International Society of Cardiovascular Disease Epidemiology and Prevention : 44th 10-day International Teaching Seminar on Cardiovascular Disease Epidemiology and Prevention : 15-27 January 2012 Cape Town, South Africa.

  7. Avoid these fats : introduction to South African legislation on trans fatty acids : nutrition focus
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 159-160
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    Abstract: In October 2009, the Department of Health started consulting with stakeholders in order to develop legislation aimed at reducing trans fatty acids derived from partial hydrogenation of vegetable oil used in some foods sold in South Africa. In February 2011, the Foodstuffs, Cosmetic and Disinfectants act of 1972 (act 54 of 1972), as printed in the Government Gazette on 1 March 2010, was amended to include regulations related to trans fats in foodstuffs.

  8. Type 2 diabetes patient without CVD, not achieving lipid targets : case study 1
    Authors: Kirby, M.; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 161-162
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    Abstract: Clinical studies suggest that people with type 2 diabetes without cardiovascular disease (CVD) are at the same high risk of a CVD event as those without diabetes but with CVD, although whether this risk is equivalent is disputed by other studies. Despite this, there is clear consensus that individuals with type 2 diabetes should nearly always be considered as being in the high CVD risk category.

  9. Type 2 diabetes patient with muscle aches on statin therapy : case study 2
    Authors: Twomey, Patrick; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 163-164
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    Abstract: Statin intolerance is defined as the presence of clinically significant adverse effects associated with statin therapy that are considered to represent an unacceptable risk to the patient or that may result in compliance being compromised. All statins can cause myositis: muscle symptoms such as pain, tenderness, or weakness accompanied by creatine kinase (CK) levels > 10 times the upper limit of the normal reference range. Statins have also been implicated in the development of myalgia: muscle aches and pains not associated with any significant elevation in CK levels.

  10. Taking control of your cholesterol levels : patient information leaflet
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 165-166
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    Abstract: High cholesterol can occur for a number of reasons. Eating foods high in saturated fats, exercising too little, being overweight or obese, smoking and regularly drinking too much alcohol are all lifestyle factors that can cause raised cholesterol.

  11. Oral health in diabetes : diabetes educator's focus
    Authors: Hardy, Glenda; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 167-168
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    Abstract: Oral care is particularly important for the patient with diabetes. Emerging research suggests that the relationship between serious gum disease and diabetes is two way. Diabetics are more susceptible to serious gum disease, but serious gum disease may have the potential to affect blood glucose control and contribute to the progression of diabetes.

  12. 'Walking the walk' to a greater understanding of diabetes : diabetes personality
    Authors: Wagenaar, Peter; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 169-170
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    Abstract: Diabetes nurse educator (DNE) Christine Swart believes in 'walking the walk' to a deeper understanding and control of diabetes alongside her patients, every step of the way. She is uniquely placed to do this. An insulin-dependent diabetic herself for more than 20 years, she's living proof that it's possible to have diabetes and still lead a normal, healthy life. 'I believe that ultimately diabetics are people just like everyone else with the same general concerns and challenges. Managing their diabetes is just one additional aspect of their lives and not something that defines them', she says.

  13. Southern African contributions : journal update
    Authors: Hardy, Glenda; Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 171-174
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    Abstract: The recent UN summit on non-communicable diseases (NCDs) highlighted the emerging burden of disease in Africa. Particular emphasis was paid to preventable lifestyle choices as risk factors for NCDs, including tobacco use, unhealthy diet, lack of physical activity and alcohol abuse. It appears that the negative consequences of a drift in Africa towards a Western lifestyle is being compounded by a genetic predisposition towards the development of NCDs. These factors and other therapeutic issues are discussed in this update of relevant articles on southern Africa from the world literature.

  14. Controversies at ESC 2011 : dietary approaches for lipid assessment : report
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 175-177
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    Abstract: At this year's Congress of the European Society of Cardiology (ESC), 27-31 August in Paris, France, experts debated a number of controversial issues. A key session was the debate on dietary approaches for lipid assessment, chaired by Prof Rory Collins, Oxford, UK and Dr Mikael Rabaeus, Clarens-Montreux, Switzerland.

  15. Diabetes diary for 2012 congresses
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 177
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    Abstract: Diabetes diary for 2012 congresses.

  16. 2011 update from Lisbon, Portugal : summaries : EASD watch
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 178-184
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    Abstract: 2011 update from Lisbon, Portugal : EASD watch.

  17. Cardiovascular diary for 2012 congresses
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 184
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    Abstract: Cardiovascular diary for 2012 congresses.

  18. New stem cell cryopreservation laboratory in Cape Town : diabetes news
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 186
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    Abstract: The use of stem cell technology in the therapeutic arena is an increasingly tangible objective in medical science. Currently, the are 70 medical conditions (primarily blood diseases) that can be treated by the application of stem cell technology, with more than 3 000 clinical trials in progress. Future medical applications are continuously being researched and discovered, among which are some showing promising results in human diabetes therapy.

  19. Getting together : a diabetes youth camp in Stellenbosch : diabetes news
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 187
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    Abstract: The Journal was recently invited to attend a diabetes youth camp in Jonkershoek, arranged by Sister Kamaretha Beckert and Dr Nickie Bernard. A multi-disciplinary team also volunteered their services at the camp. Some 40 children between the ages of 6 and 16 years had the opportunity of attending and learning how to cope and thrive despite their diabetes.

  20. Celebrating World Diabetes Day : diabetes news
    Authors: Published: 2011
    From: South African Journal of Diabetes and Vascular Disease, Vol 8, Issue 4, Pages: 188
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    Abstract: 'Act on Diabetes Now': 2011 marks the third year of the five-year focus on 'diabetes education and prevention', the theme selected for World Diabetes Day from 2009 to 2013. The campaign calls on all those responsible for diabetes care to 'act on diabetes now'.
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