Calming Essential Tremor with Deep Brain Stimulation

Calming Essential Tremor with Deep Brain Stimulation

Essential tremor (ET) is the most common movement disorder.It is characterised by bilateral action tremor of the hands and forearms, the head, and, less commonly, the voice, in the absence of other neurological signs. High-frequency stimulation of the ventral intermediate nucleus (VIM) has been shown to be highly effective in the suppression of tremor.Stimulation provides tremor relief on the side contralateral to the stimulator, completely eliminating tremor in as many as 50% of patients.

Modern Medicine – Issue 5 2019

Life Kingsbury Hospital Boasts New Illumination Tech for Kidney Sparing Surgery

Life Kingsbury Hospital Boasts New Illumination Tech for Kidney Sparing Surgery

A new technology aptly called Firefly™, is helping doctors at Life Kingsbury Hospital, during kidney surgery, to remove cancer tumours with greater safety and efficiency through fluorescence imaging, assisting surgeons to better identify and remove cancerous tissue while sparing healthy kidney tissue.

Modern Medicine – Issue 5 2019

Modern Medicine gets a facelift.

Issue 4 of Modern Medicine for 2019 is here, and it’s looking better and brighter than ever before! We’ve just finished a complete rework of the look and feel of the magazine, making it easier to read and quicker to skim through; we’re sure you’ll like it.

This edition of the magazine includes a superb article on burn care; an insightful ethics article on consultation durations, and some super CPD articles on diverticular disease, allergic rhinitis, and nonvitamin K oral anticoagulants.

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.

Pre-exposure Prophylaxis Cuts HIV Risk

Pre-exposure Prophylaxis Cuts HIV Risk

In 2015, recognising that HIV pre-exposure prophylaxis (PrEP) has potential population-wide benefits, the World Health Organisation’s (WHO) guidelines recommend that PrEP should be offered as a choice to people who are at substantial risk of HIV infection as part of a combination HIV prevention programme. Previously, PrEP was only recommended for certain key affected populations such as sex workers, men who have sex with men and people who inject drugs.

Modern Medicine – Issue 4 2019

How Should We Be Using Nonvitamin K Antagonist Oral Anticoagulants?

How Should We Be Using Nonvitamin K Antagonist Oral Anticoagulants?

Atrial fibrillation is a common cardiac arrhythmia, and the most common cause of stroke in the elderly. Current US and European guidelines recommend the use of nonvitamin K antagonist oral anticoagulants (NOACs) over warfarin or aspirin for patients with nonvalvular atrial fibrillation (NVAF) who require anticoagulation for stroke prevention. The recommended parameters for prescribing represent a shift towards considering which patients with NVAF do not require anticoagulation, rather than focusing on those who do.

Modern Medicine – Issue 4 2019

An Understanding Attitude Helps Kids Who Wet the Bed

An Understanding Attitude Helps Kids Who Wet the Bed

Bedwetting (enuresis) and daytime wetting are common paediatric problems. Most children attain daytime bladder control at around 3 years and night-time bladder control between the ages of 4 and 6 years, but it is not uncommon for school-age children to experience urinary incontinence (UI). An understanding attitude on the part of parents and doctors can help reduce unwanted long-term psychological effects.

Modern Medicine – Issue 4 2019

When Treating Depression and Insomnia, Consider the Gut-brain Axis

When Treating Depression and Insomnia, Consider the Gut-brain Axis

Major depressive disorder is one of the leading causes of disability, morbidity and mortality worldwide. The disorder affects approximately one in five people at any stage of their lifespan. It is generally agreed upon that depression is induced by the cumulative effect of genetic information and environmental stresses. Certain genes and psychological features might predispose some people to depression and stressful life events including early-life stress are important inducements of depression. Research has indicated that the gut microbiota also play a crucial part in the pathophysiology of depression.

Modern Medicine – Issue 4 2019

The Ins and Outs of Diverticular Disease

The Ins and Outs of Diverticular Disease

Diverticular disease is a common condition that increases in prevalence with age. Management is multidisciplinary and can range from outpatient treatment to emergency surgery. Diverticular disease is thought to be prevalent in developed countries, but contrary to this belief, an increasing trend in prevalence has been noted in Africa over the past four decades.

Modern Medicine – Issue 4 2019