Issue 2, 2022

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

  • Ethics (CPD) – Health is about treating the whole patient and not just the disease
  • Psychiatry (CPD) – Inhaler therapy for COPD
  • Technology – Running a profitable healthcare practice
  • Oncology (CPD) – Neuroendocrine Tumors on the Rise
  • … and 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

The Tricky Task of Bowel Preparation for Colonoscopy

The Tricky Task of Bowel Preparation for Colonoscopy

Colonoscopy procedures are routinely used for evaluating the colon, mostly for screening and early detection of colorectal cancer, which has a high incidence and mortality rate. Extensive data show that adequate bowel preparation is instrumental for the success of any colonoscopy procedure. Poor bowel preparation accounts for nearly 20% of failed colonoscopies, limiting the procedure’s diagnostic/therapeutic value.

Modern Medicine – Issue 2 2022

Inhaler Therapy for COPD-An individualised approach to inhaler selection

Inhaler Therapy for COPD An individualised approach to inhaler selection

Adherence and inhaler satisfaction together predict improved health outcomes for patients with chronic obstructive pulmonary disease (COPD). Assessment of a patient’s co-ordination and inspiratory flow patterns should guide selection of inhaler devices. Adherence and device technique should be assessed regularly and before changing a patient’s therapy. Patients should use only one type of device for all of their inhaled therapies, where possible.

Modern Medicine – Issue 2 2022

Meaningful Relief in Painful Diabetic Neuropathy

Meaningful Relief in Painful Diabetic Neuropathy

Neuropathic pain is often associated with diabetic peripheral neuropathy and is defined as pain initiated or caused by a primary lesion or dysfunction in the nervous system. Pregabalin is a firstline treatment in all major international guidelines on the management of painful diabetic neuropathy (pDPN). Treatment with pregabalin leads to a clinically meaningful improvement in pain scores, offers consistent relief of pain and has an acceptable tolerance level.

Modern Medicine – Issue 2 2022

Resistant Hypertension-Updates, issues and approach to management

Resistant Hypertension-Updates, issues and approach to management

Successful management of poorly controlled hypertension requires careful distinction of true resistant hypertension from other causes such as poor adherence to hypertension medications, undiagnosed secondary hypertension and white-coat hypertension. An individualised approach that includes modifying lifestyle and diet and optimising pharmacotherapies is recommended for patients with suspected resistant hypertension.

Modern Medicine – Issue 2 2022

Getting to the Root of Acne with Topical Creams

Getting to the Root of Acne with Topical Creams

Azelaic acid cream or gel is useful in the treatment of mild-to-moderate acne, with an efficacy comparable to that of tretinoin, benzoyl peroxide and topical erythromycin. It has a favourable safety profile; it is not teratogenic, is not associated with systemic adverse events or photodynamic reactions. It also exhibits excellent local tolerability and does not induce resistance in P. acnes.

Modern Medicine – Issue 2 2022

Topical Treatment’s Deep Action in Skin Infections

Topical Treatment’s Deep Action in Skin Infections

Skin infections represent an important public health issue and cost-driver. Additionally, chronic skin lesions are sometimes colonised by Gram-negative species. Topical therapies are a key component in the management of mild-to-moderate skin infections. In such cases, topical antibiotics may be preferable to systemic treatment, since they maximise the effective doses at the site of infection while minimising the systemic side effects of the drugs.

Modern Medicine – Issue 2 2022

When It’s Not Acne: Papule and Pustule-Associated Rosacea

When It’s Not Acne: Papule and Pustule-Associated Rosacea

Rosacea is a chronic disorder that predominantly affects the central areas of the face (nose, forehead, cheeks and chin). It is characterised by frequent flushing, persistent erythema and telangiectasia, and episodes of inflammation during which swelling, papules and pustules are evident. These symptoms are frequently accompanied by periocular inflammation and are sometimes associated with the later development of cutaneous swellings known as phymas.

Modern Medicine – Issue 2 2022

Neuroendocrine Tumours on the Rise, Eight-year Study Assesses GEP-NET Management Trends

Neuroendocrine Tumours on the Rise, Eight-year Study Assesses GEP-NET Management Trends

An eight-year observational, multi-centre, registry study was undertaken to assess the incidence and regional trends in diagnosis, clinical management and outcome assessments of patients with gastroenteropancreatic neuroendocrine tumours (GEP-NET) in the Asia-Pacific region, the Middle East, Turkey and South Africa. The pancreas was the most commonly reported primary tumour site, with abdominal pain being the most commonly reported symptom. Surgery was the mostcommon initial treatment, followed by treatment with somatostatin analogues. This analysis highlighted the need for improvements in clinical practice to ensure better evaluation and treatment management.

Modern Medicine – Issue 2 2022