Issue 5 of Modern Medicine for 2019 is here, and it’s big and bright and full of great stories. This edition will also be available at the upcoming SA Heart Conference, due to take place at the Sandton ICC at the end of October – we look forward to seeing you there.

This edition of the magazine includes articles on Women’s health, Cardiology, Oncology, Pain, Ethics, and much more. Have a look through and I’m sure you’ll find something to your liking to read in it.

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

Modern Medicine, the journal that’s with you wherever you go.

The Atypical Opioids Buprenorphine, tramadol and tapentadolmorphine

The Atypical Opioids Buprenorphine, tramadol and tapentadolmorphine

There are many differences between conventional and atypical opioids, including different efficacies, adverse effects and toxicities, as well as risk of abuse. These factors should be considered when prescribing opioids for chronic pain conditions. Atypical opioids differ from conventional opioids as they do not rely exclusively on mu-receptor agonism for their analgesic effect.

Modern Medicine – Issue 5 2019

Colorectal Cancer Prevention, Investigation and Treatment

Colorectal Cancer Prevention, Investigation and Treatment

The incidence of colorectal cancer has been falling overall but increasing among younger people, so prevention and detection of the disease remain important population health concerns. Early diagnosis and treatment confer a substantial survival advantage, and appropriate screening can aid with detecting the disease at an earlier, curable stage.

Modern Medicine – Issue 5 2019

Ovulation Induction When and how to use it

Ovulation InductionWhen and how to use it

Anovulatory infertility should prompt investigation and treatment of endocrinopathies. With monitoring, ovulation induction using oral or injectable medications results in good pregnancy rates and has a low risk of multiple pregnancies. Oligomenorrhoea or amenorrhoea are hallmark signs of anovulation. Identifying and correcting underlying endocrine disorders are the first steps in treating anovulation, before initiating targeted ovulation induction therapies. Referral of the patient to a fertility specialist is recommended for ovulation induction with gonadotropins or if other fertility factors exist.

Modern Medicine – Issue 5 2019

Women’s Health and Evening Primrose Oil

Women’s Health and Evening Primrose Oil

Obtained from the seeds of a North American wildflower (Oenothera biennis), evening primrose oil (EPO) is widely used thanks to the omega 6 fatty acids, linoleic acid (LA) and gamma-linolenic acid (GLA) inherently present in the oil. Research has shown that the use of EPO may be beneficial in a variety of conditions, such as dermatitis, hormone imbalances and diabetic neuropathy. A study reported a statistically significant improvement in neuropathy scores – including nerve conduction tests – in those taking EPO for six months.

Modern Medicine – Issue 5 2019

A Proactive Tacrolimus Approach Reduces AD Flares

Atopic dermatitis (AD) is a very common, chronic, inflammatory eczematous skin disease, affecting up to 20% of children in Western Europe and Australia. The prevalence of AD in adults is less well defined, but it is believed that about 40% of childhood cases will continue into adulthood. The morbidity and impact on quality of life of these patients can be very severe and the psychological distress suffered correlates well with the severity of the dermatitis.

Modern Medicine – Issue 5 2019

A Proactive Tacrolimus Approach Reduces AD Flares

A Proactive Tacrolimus Approach Reduces AD Flares

Atopic dermatitis (AD) is a very common, chronic, inflammatory eczematous skin disease, affecting up to 20% of children in Western Europe and Australia. The prevalence of AD in adults is less well defined, but it is believed that about 40% of childhood cases will continue into adulthood. The morbidity and impact on quality of life of these patients can be very severe and the psychological distress suffered correlates well with the severity of the dermatitis.

Modern Medicine – Issue 5 2019

Hypertrophic Cardiomyopathy Keys to minimising morbidity and mortalitydiastolic

Hypertrophic Cardiomyopathy Keys to minimising morbidity and mortalitydiastolic

Hypertrophic cardiomyopathy can be an asymptomatic condition or can cause incapacitating symptoms. It is the most common cardiovascular genetic condition and genetic testing of affected individuals and their family members can help prevent the morbidity and mortality associated with hypertrophic cardiomyopathy. Treatment options include lifestyle modifications, medical therapies and interventions such as implantable cardioverter defibrillator therapy and surgical myectomy.

Modern Medicine – Issue 5 2019