Current Choices of Hormonal Contraceptive What are the factors to consider?

Current Choices of Hormonal Contraceptive What are the factors to consider?

There is now a wide array of hormonal contraceptive options for women to choose from. GPs and other primary health providers are well placed to provide evidence based and balanced guidance to assist in appropriate individualised choice. Long-acting reversible contraception, particularly ‘fit and forget’ implants and intrauterine devices, provide very high efficacy, immediate reversibility and are safe for use by most women. They are, however, underused. Although most women can safely use combined hormonal contraceptives, history taking with reference to the international Medical Eligibility Criteria (MEC) framework is extremely important so that women at higher risk of venous thromboembolism, stroke and ischaemic heart disease can be offered alternative methods.

Modern Medicine – April/May 2019

The Importance of Informed Consent

The Importance of Informed Consent

In spite of major developments in the law, information technology, and patients’ wishes, procedural aspects of informed consent have not changed sufficiently over the last few decades in most hospitals. Surgeons prepare their patients randomly, and the quality of information will probably differ extensively. Patients are supposed to give consent with (or without) written information.

Modern Medicine – April/May 2019

The Cardio Protective Effect of Cannabinoids

The Cardio Protective Effect of Cannabinoids

Cannabis sativa/indica, better known as the illicit drug Marijuana, has been used for centuries for its psychoactive and medicinal properties. Recently it was found that delta-9- tetrahydrocannabinol (THC), the major active component of cannabis, also has various effects on non-neuronal tissues, including cardiac cells.The CB1 (neuronal) and CB2 (peripheral) G protein-coupled cannabinoid receptors are currently known to be activated by THC.

Modern Medicine – April/May 2019

Feb/March 2019 Edition

We welcome you to come and read through our latest, Feb/March, edition of Modern Medicine.

This month we have a jam packed edition for you. Our features this month include;General Practice, Contraception, Pain and many more.

We encourage all of our readers to complete the CPD questionnaire for this edition, this can be done on the answer-form included in the magazine, or on our website CPD system.

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

Osteoarthritis, Moving Beyond Ageing

Osteoarthritis, Moving Beyond Ageing

Osteoarthritis is a heterogeneous group of diseases characterised by pain and loss of function, and is a leading cause of disability worldwide. Although risk factors vary across joints, common factors include obesity and advancing age. A largely clinical diagnosis, management for symptomatic disease is centred on nonpharmacological and nonsurgical measures. Pharmacotherapy is ideally limited to the treatment of acute flares of pain with joint replacement being reserved for advanced symptomatic disease.

Modern Medicine – Feb/March 2019

The Discharging Ear A Good History Tells the Story

The Discharging Ear A Good History Tells the Story

A significant number of discharging ear conditions can be diagnosed through taking a history, with the type of discharge (purulent, clear or blood-stained) often signalling the aetiology. Classifying the type of discharge present allows the various common aetiologies to be considered, enabling accurate treatment or referral of the patient.

Modern Medicine – Feb/March 2019