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South African General Practitioners Journal (SAGPJ) Copyright held by MedPharm Publications. Copyright of the articles is held by the authors. The work is licensed under a Creative Commons Attribution-Non-Commercial Works 4.0 South Africa License (CC BY NC). Material submitted for publication in the SAGPJ is accepted provided it has not been published elsewhere. SAGPJ does not hold itself responsible for statements made by the authors. The opinions expressed in this publication are those of the authors.