Issue 4, 2024

The latest edition of Modern Medicine is now available for you to read. We have some great articles featured in this edition:

  • Ethics (CPD) – Not Knowing Your Implicit Biases Compromises Patient Care
  • Psychiatry – Anxiety Disorders are Notoriously Undertreated
  • Pulmonology (CPD)– Asthma-COPD Overlap | Implications for Patient Management
  • Women’s Health Feature (CPD) –Diagnosis and Management of Endometriosis
  • A RoundUp Section & many more….

Also, a reminder that, not only do we have CPD questions available within the magazine itself, we also have an online CPD portal that allows you to score even more points by simply completing your test online.

Combat the Itch and Inflammation of Allergic Rhinitis and Urticaria

Combat the Itch and Inflammation of Allergic Rhinitis and Urticaria

Rupatadine is a non-sedating antihistamine with a 24-hour duration of action in the treatment of allergic rhinitis (AR) and urticaria.1,2 Rupatadine is the first antihistamine to block both histamine and platelet activating factor (PAF).3,4 Both histamine and PAF promote the release of each other, therefore blocking both might show greater clinical efficacy than blocking just one

Modern Medicine – Issue 4 2024

Asthma-COPD Overlap Implications for Patient Management

Asthma-COPD Overlap Implications for Patient Management

Asthma-COPD overlap (ACO) is characterised by persistent airflow limitation with features typically associated with both asthma and chronic obstructive pulmonary disease (COPD). Clinical features and underlying inflammatory and physiological mechanisms of asthma and COPD are highly variable and affect the utility of the ACO umbrella in clinical practice. This heterogeneity limits both high-quality research on the subject and treatment recommendations specific to ACO. An approach to treating chronic airways disease that targets identifiable clinical traits rather than the disease label is increasingly recommended.

Modern Medicine – Issue 4 2024

Tranquility-Online App Puts Healthcare in Your Hands

Tranquility-Online App Puts Healthcare in Your Hands

Digital therapeutics and telehealth breaks the “iron triangle” of healthcare. It brings us closer to the development of accessible, affordable and quality healthcare. It drives personalisation and precision medicine. Digital technology is not an add-on, but it must be integrated in the way we operate. Healthcare is not changing, it has changed. The innovative Tranquility-Online app is a game changer in the mental healthcare landscape.

Modern Medicine – Issue 4 2024

Anxiety Disorders areNotoriously Undertreated

Anxiety Disorders are Notoriously Undertreated

Anxiety disorders are the most prevalent psychiatric disorders and are associated with a high burden of illness. With a 12-month prevalence of 10.3%, specific (isolated) phobias are the most common anxiety disorders, although persons suffering from isolated phobias rarely seek treatment. Panic disorder with or without agoraphobia is the next most common type with a prevalence of 6.0%, followed by social anxiety disorder (also called social phobia; 2.7%) and generalised anxiety disorder (GAD; 2.2%). Alprazolam is the most commonly prescribed psychotropic medication for anxiety and panic disorders in the US.

Modern Medicine – Issue 4 2024

When to Consider a Care Home for Those with Alzheimer’s?

When to Consider a Care Home for Those with Alzheimer’s?

A person with dementia will need more care and support as their condition progresses, and there may come a time when they will need to move into full-time or residential care. This could be because a care home may be able to meet the needs of the person better. Or, it could be because something changes that then makes it difficult for the person with dementia to stay living at home.

Modern Medicine – Issue 4 2024

Post-adolescent Acne in Women –What is the Cause and How can it be Managed?

Post-adolescent Acne in Women –What is the Cause and How can it be Managed?

Increasing numbers of women worldwide continue to have acne after adolescence or may even develop it in their 20s to 40s. Polycystic ovary syndrome may be an underlying cause of postadolescent acne in women. Assessment should include menstrual history taking and examination for clinical signs of hyperandrogenism, such as hirsutism. Hormone therapy (usually the combined oral contraceptive pill) is an effective adjunct in the management of post-adolescent acne in women, including those with normal serum androgen profiles. Other antiandrogens, such as cyproterone acetate, may need to be taken in addition to the oral contraceptive pill.

Modern Medicine – Issue 4 2024

Contraceptive Counselling:More important now than ever before

Contraceptive Counselling: More important now than ever before

Nearly half of all pregnancies, totalling 121 million each year throughout the world, are unintended.1 In Southern Africa, 65% of pregnancies between 2015 and 2019 were unintended, and 36% ended in abortion.2 Despite the availability of highly effective contraception, the number of unplanned pregnancies remains high. Research indicates that women want to talk about a wide range of different aspects concerning their contraception.

Modern Medicine – Issue 4 2024

Diagnosis and Management of Endometriosis

Diagnosis and Management of Endometriosis

Endometriosis is a common disorder that can cause pelvic pain and infertility, may involve multiple organ systems, and can adversely affect quality of life. The cause of endometriosis is not fully understood, and no curative treatment currently exists. Although surgery can provide a definitive histopathological diagnosis, most international guidelines now recommend a nonsurgical diagnosis based on symptoms, findings on physical examination and imaging to reduce delays to starting treatment. Treatments target symptoms and include hormonal suppression, surgery or a combination of both approaches, as well as multidisciplinary care to address persistent pain arising from central sensitisation and nociplastic pain processes, if required.

Modern Medicine – Issue 4 2024

Hypertension Types and Subtypes

Hypertension Types and Subtypes

Hypertension is the most prevalent CV disorder in the world and according to the WHO, it affects 1.28 billion adults aged 30–79 years worldwide, two-thirds living in low-income and middle-income countries. In 2019, the global age-standardised average prevalence of hypertension in adults aged 30–79 years was reported to be 34% in men and 32% in women.

Modern Medicine – Issue 4 2024

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