Issue 4 2021

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

  • Ethics (CPD) – Weight is a stigma and a barrier to care
  • Cardiology (CPD) – Acute Stroke : Preventing stroke and managing complications
  • Telehealth – Tranquility Online: Counselling in the virtual age
  • Paediatric Psychiatry (CPD) – Clinical Practice Guidelines
  • … 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

Post-menopause HRT Needs the Right Progestogen

Post-menopause HRT Needs the Right Progestogen

Menopause is a normal life event for women and so it is not an illness or a medical condition. Hormone replacement therapy (HRT) is generally a safe, effective treatment of menopause and as such should be considered for many more women than it has been in the recent past. Women with a uterus require a progestogen to prevent endometrial hyperplasia and the risk of endometrial cancer associated with the use of unopposed oestrogen.

Modern Medicine – Issue 4 2021

‘Partners in Crime’: Viral and Bacterial Co-infections

‘Partners in Crime’: Viral and Bacterial Co-infections

Viral and bacterial respiratory tract infections are a leading cause of morbidity and mortality worldwide. Frequently, viruses and bacteria can co-infect the same host, resulting in heightened pathology and severity of illness compared to single infections. Physical damage to respiratory cells as a result of viral infection may lead to opportunistic adherence of bacteria. Enhanced bacterial adherence by specific mechanisms has been documented for respiratory cells infected with influenza A virus, respiratory syncytial virus and adenovirus in both in vitro and in vivo models.

Modern Medicine – Issue 4 2021

Keep One Step Ahead of 2021’s Flu with Quadrivalent Vaccine

Keep One Step Ahead of 2021’s Flu with Quadrivalent Vaccine

Each year, severe illness caused by influenza (flu) affects between 3 and 5 million people worldwide, with up to 650 000 deaths – over 11 000 of these in South Africa. Almost 50% of the 47 000 South Africans afflicted by severe flu every year require hospitalisation. Preventing severe flu will decrease the burden on the healthcare system.3a Vaccination against the flu is therefore strongly recommended by the National Institute for Communicable Diseases, as co-circulation with SARS-CoV-2 is very likely.

Modern Medicine – Issue 4 2021

Clinical Practice Guidelines for the Assessment and Management of ADHD

Clinical Practice Guidelines for the Assessment and Management of ADHD

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common childhood psychiatric disorders. ADHD affects around 5 % – 7 % of school-aged children. It is a neurodevelopmental disorder that runs a chronic course and causes significant impairments across various domains of everyday functioning, such as peer and social functioning, academic functioning and occupational functioning across the lifespan. Besides the patient, ADHD also has significant negative impact on the caregivers. This is a shortened version of the original article.

Modern Medicine – Issue 4 2021

Combination Nasal Spray Relieves Allergic Rhinitis Symptoms

Combination Nasal Spray Relieves Allergic Rhinitis Symptoms

For many patients with allergic rhinitis, nasal symptom control is inadequate, with almost half reporting somewhat or poor symptom control with pharmacologic treatment. Patients desire treatments that provide fast, long-lasting effectiveness that addresses the pathophysiologic mechanisms of both acute- and late-phase allergic reactions. A fixed-dose nasal spray combination of olopatadine hydrochloride (antihistamine) and mometasone furoate (corticosteroid) has been shown to be efficacious and welltolerated for treating seasonal allergic rhinitis-associated nasal and ocular symptoms.

Modern Medicine – Issue 4 2021

Launching the ‘Kamba Ya Shanga’ Project

Launching the ‘Kamba Ya Shanga’ Project

While COVID is seen as a major threat to healthcare systems and human life across the world, it has also created an opportunity to re-evaluate our healthcare environment, to fast track regulatory challenges that may have otherwise been slow to implement and it has highlighted resources within our communities that were previously overlooked in favour of the more traditional methods.

Modern Medicine – Issue 4 2021