South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
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The COVID-19 pandemic has impacted on the global surgery landscape. ⋯ COVID-19 and the associated lockdown has heavily impacted on both orthopaedic inpatient and outpatient services. Lockdown led to a larger reduction in the orthopaedic trauma burden than in international centres, but the overall reduction in surgeries, outpatient visits and hospital admissions was less. This lesser reduction was probably due to local factors, but also to a conscious decision to avoid total collapse of our surgical services.
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Childhood obesity has become a global public health problem and is a known risk factor for type 2 diabetes, cardiovascular disease, hypertension, stroke, myocardial infarction and various cancers in later adulthood.Associations between adult obesity and economic growth, technological changes, socioeconomic status and economic inequities have been reported, but limited data are available for children and adolescents in countries that are undergoing an epidemiological health transition exhibiting both under- and overnutrition. ⋯ An increase in childhood and adolescent obesity over time was observed, while trend associations between obesity and EGIs exist.
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Most South Africans depend on the public sector for health services. There is an increasing demand for arthroplasty in the public sector, but a paucity of academic data regarding its cost. ⋯ The study showed that clinicians need to be aware of procedural costing in the current financial climate. There are still opportunities to optimise cost containment in the state sector.
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Letter by Haribhai on article by Moodley (Moodley K. Research imperialism resurfaces in South Africa in the midst of the COVID-19 pandemic - this time, via a digital portal. S Afr Med J 2020;110(11):1068-1069. https://doi.org/10.7196/SAMJ.2020.v110i11.15285).