Issue 6, 2023

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

  • Ethics (CPD) – Intellectual humility in medicine
  • Gastroentorolgy (CPD)– Inflammatory bowel disease
  • Rehabilitation – Psychosis in the Drug Rehabilitation Context
  • A RoundUp Section & 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.

December 6, 2023 by Uncategorized

Insomnia is an Often Under-diagnosedand Under-treated Condition

Insomnia is an Often Under-diagnosed and Under-treated Condition

Insomnia disorder is a distinct chronic condition characterised by reports of difficulty initiating or maintaining sleep, which is present even when the patient has adequate opportunity and an appropriate environment in which to sleep, and has a significant impact on next day functioning. Insomnia is under-recognised and undertreated, resulting in a significant healthcare burden (increased morbidity and mortality) and poorer quality of life for those who experience it.

Modern Medicine – Issue 6 2023

December 6, 2023 by Insomnia

Good Bowel Preparation Helps Adenoma Detection

Good Bowel Preparation Helps Adenoma Detection

Colorectal cancer (CRC) is the fourth most common cancer in South Africa, and the sixth most lethal. Approximately 25% of patients will have synchronous metastatic disease at the time of their primary CRC diagnosis. Five-year overall survival rates for CRC are 93.2% for stage I, 72.2 – 84.7% for stage II, 52.3 – 83.4% for stage III and 8.1% for stage IV.1 Early adenoma detection is possible with colonoscopy, which is dependent on adequate bowel preparation.

Modern Medicine – Issue 6 2023

December 6, 2023 by Gastroenterology

Inflammatory Bowel Disease:Causes, Symptoms and Treatment

Inflammatory Bowel Disease: Causes, Symptoms and Treatment

Inflammatory bowel disease (IBD) is characterised by chronic inflammation of the gastrointestinal tract. The recognition of alarm symptoms, raised levels of inflammatory markers or an elevated faecal calprotectin level should prompt referral to a gastroenterologist for appropriate assessment and treatment. New treatment targets and improved therapies are available. Patients with IBD are often under- or inappropriately treated. Anxiety and depression are common in patients with IBD and should be addressed as a part of multidisciplinary and individualised management.

Modern Medicine – Issue 6 2023

December 6, 2023 by Gastroenterology

Fenofibrate + Statin Found to ReduceDiabetic Retinopathy Progression

Fenofibrate + Statin Found to Reduce Diabetic Retinopathy Progression

Diabetic retinopathy is a significant cause of vision impairment and is predicted to become an increasingly large global public health problem. Diabetic retinopathy often affects those of working age and can have significant health, social and economic implications. Fenofibrate, a peroxisome proliferator-activated receptor alpha (PPAR-a) agonist, has been suggested as an adjunctive therapeutic option for diabetic retinopathy in patients with diabetes and existent diabetic retinopathy.

Modern Medicine – Issue 6 2023

December 6, 2023 by Cardiology

Heart Failure with Reduced Ejection Fraction: Advances in Management

Heart Failure with Reduced Ejection Fraction: Advances in Management

Heart failure (HF) is a leading cause of morbidity and a major burden on healthcare resources. Targeting modifiable risk factors and use of guideline-directed medical therapies in at-risk individuals is a crucial first step in the prevention of HF progression. All eligible patients with HF with reduced ejection fraction should be treated with the ‘big four’ pharmacological drug classes – angiotensin receptor neprilysin inhibitors, beta blockers, mineralocorticoid receptor antagonists and SGLT-2 inhibitors – which have proven benefit in reducing cardiovascular mortality and HF hospitalisation.

Modern Medicine – Issue 6 2023

December 6, 2023 by Cardiology

Stop the Increased Pain Signalling of Neuropathic Pain

Stop the Increased Pain Signalling of Neuropathic Pain

Neuropathic pain is characterised by abnormal hypersensitivity to stimuli and nociceptive responses to non-noxious stimuli as a direct consequence of a lesion or disease of the somatosensory nervous system and can result in a substantial healthcare burden and frequent comorbidities. Pregabalin is a gabapentinoid licensed for the treatment of neuropathic pain, particularly that of painful diabetic neuropathy and postherpetic neuralgia.

Modern Medicine – Issue 6 2023

December 6, 2023 by Pain

Psychosis in the Drug Rehabilitation Context

Psychosis in the Drug Rehabilitation Context

Substance-induced psychosis is a loss of touch from reality triggered or induced by the use of a psychoactive substance. Often a psychotic episode is only recognised when a person presents with the hallmark or tell-tale symptoms of the disorder, which are delusions and hallucinations. Treatment interventions for substance induced psychosis broadly consist of psychotherapy, psychopharmacology and social support. Importantly, the combination of psychotherapy and psychopharmacology is more likely to improve the effectiveness of treatment outcomes.

Modern Medicine – Issue 6 2023

December 6, 2023 by Rehabilitation

The Underappreciated Power of Intellectual Humility in Medicine

The Underappreciated Power of Intellectual Humility in Medicine

Intellectual humility involves recognising that there are gaps in one’s knowledge and that one’s current beliefs might be incorrect. Intellectual humility is not mere lack of confidence in one’s understanding of the world. Rather, it is the recognition that one’s understanding could be limited or wrong due to of a lack of expertise in a particular area or lack of access to relevant, accurate or complete information on the topic.

Modern Medicine – Issue 6 2023

December 6, 2023 by Ethics

Issue 5 2023

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

  • Ethics (CPD) – Patient health more than just medical care
  • Cardiology – The role of beta-blockers
  • Pulmonology(CPD) – Pharmacological management of allergic rhinitis
  • Coloproctology – “Let’s talk about haemorrhoids…”
  • A RoundUp Section & 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.

October 13, 2023 by Uncategorized
Verified by ExactMetrics