ABSTRACT
A survey of both private and public sector radiation therapy facilities in South Africa shows that they are available in only 7 major urban centres. About 20,000 cases are treated yearly by 58 therapists and 190 therapy radiographers, with 37 megavoltage and 24 X-ray machines. Brachytherapy, imaging and planning equipment is also inadequate. With limited epidemiological data it appears that less than 50% of all patients appropriately treated with radiation therapy present for such treatment. Increased referrals from sub-Saharan Africa place further strains on the system.
Subject(s)
Health Facilities , Radiotherapy/standards , Brachytherapy/instrumentation , Humans , Radiology , South Africa , WorkforceSubject(s)
HIV Infections/immunology , Immunocompromised Host , Neoplasms/epidemiology , Adolescent , Adult , Female , HIV Infections/epidemiology , Humans , Male , Middle Aged , South Africa/epidemiologyABSTRACT
Spontaneous uterine rupture in the second trimester of pregnancy is rare. A case of spontaneous fundal rupture in a multigravid woman who had had two previous lower segment caesarean sections is described. The atypical clinical presentation and postmortem findings are evaluated and discussed. Keys to the diagnosis and principles of management of rupture of the pregnant uterus are outlined.
