COCS: Impact of Oestrogen type on cv safety
The following CPD article describes the cardiovascular safety and effectiveness results of the oral contraceptive E2V/DNG from the International Active Surveillance Study on the Safety of Contraceptives and the Role of Estrogens (INAS-SCORE).
Battling bacterial conjunctivitis
Bacterial conjunctivitis is inflammation of the conjunctiva as a result of bacterial infection.
The Importance of a Balanced Immune System
When out of balance, the immune system not only fails to protect the body but can even attack it, mistaking ‘self’ cells for invading pathogens, resulting in debilitating autoimmune diseases such as lupus and rheumatoid arthritis.
New agent a poorly controlled condition
Asthma is still poorly controlled in SA. Asthma is common and in SA it is estimated that 20% of adolescent children have asthma.
Managing a monster
Most people with the condition have type 2. Type 2 diabetes has been increasing substantially over the last 20 years. The World Health Organization (WHO) says that about 8.5% of the world’s adult population has diabetes.
The right vitamins for osteoporosis
Osteoporosis is a commondisease characterised by low bone strength that results in an increased risk of fracture. In SA, one in three women and one in five men will develop osteoporosis.
Medicinal use of Pelargonium sidoides
The importance of Pelargonium species, most notably Pelargonium reniforme and Pelargonium sidoides, in traditional medicine in the southern African region is well documented.
Enhancement of fluoxetine by folic acid
The World Health Organization ranks unipolar major depression as the fourth most important cause of premature mortality and
disability (Murray and Lopez, 1997).
Superficial fungal infections of the nails
Superficial fungal infections tend to infect the stratum corneum layer of the skin, the hair or the nails, causing various types of clinical symptoms, which can be very distressful to the patient.
Manifestation of the metabolic syndrome: Part 2
Continuing on from Manifestations of the Metabolic Syndrome: Part 1, which appeared in the February issue of Medical Chronicle, which was all about diagnostic numbers, we look further…
Managing neovascular AMD
Age-related macular degeneration (AMD) has been described as the leading cause of legal blindness, affecting 10%-13% of adults over 65 years of age in North America, Europe, Australia and, recently, Asia.
Metabolic Syndrome: Part 1
The metabolic syndrome (Met-S) is a concept that has evolved over the past 20 years, describing a
complex combination of metabolic, malignant, fatty liver and cardiovascular risk factors.
Bacterial Conjunctivitis: Making every drop count
Conjunctivitis is estimated to contribute 1% of ophthalmic problems or disorders seen in primary care setting, and 1 – 4% in all GP consultations worldwide, with bacterial conjunctivitis being the most frequent.
Clinical Update: Erectile Dysfunction
The incidence of erectile dysfunction (ED) has increased dramatically over the years and it is projected to affect
approximately 322 million men by 2025.
Vaginal Infections: An Overview
The vagina is a unique environment for bacterial colonisation. It is subject to dramatic changes over the course of a lifetime, induced by developmental and hormonal changes.
Treatment only works if taken
Keep a watch…on the faults of the patients, which often make them lie about the taking of things prescribed. For through not taking disagreeable drinks, purgative or other, they sometimes die.
Better connected for better decisions
The efficacy of diabetes management software was recently shown in the Accu-Chek® Connect Reports Utility and Efficiency Study (ACCRUES).
Bipolar disorder spans a wide range of emotions alternating between manic symptoms and depressive extremes.
Red eye is the cardinal sign of ocular inflammation. The condition is usually benign and can be managed by primary care physicians.
Nutrition in pregnancy
A healthy, balanced diet is strongly recommended before, during and after pregnancy. Good nutrition and appropriate weight gain can improve pregnancy outcomes.
Protein oral nutritional supplementation
For the elderly and malnourished hospital patient….
AR: Evidence-based treatment
Allergic rhinitis (AR) is a global health problem affecting 10%-30% of the general population,….
When musculoskeletal pain strikes
Depression and Breast Cancer
Anxiety and depression are common in women with breast cancer…
The case for coal tar
Whenever you see an inflamed skin, regardless of cause, the stratum corneum is leaky and permeable….
A chronic inflammatory skin condition, which occurs in allergy-prone (atopic) individuals…
You have an eligible patient that has failed Warfarin. What now?
Women’s Health MCQ
The biological understanding of menstruation and associated symptoms is undergoing a new, intense scrutiny…
Frusterating persistent cough
The key task is to distinguish the benign, self-limiting cough from the severe, potentially life-threatening conditions presenting with cough…
Airway inflammatory conditions
Since rhinosinusitis occurs more often in patients with allergic rhinitis, the conditions are frequently seen together in patients…
Randomised Controlled Trials vs Real World Data sets
Recent real-world data have emerged looking at the safety and efficacy of non-vitamin K oral anticoagulants (NOACs).
Vitamin B deficiencies
Guidelines by the Merck Vitamin B Advisory Board…
The sore throat is one of the most common conditions that GPs encounter and overtreatment is widespread…
Developments in the Management of Hyperlipidaemia
SA is a country diverse in ethnicity, culture and lifestyle but suffers a high cardiovascular burden across all sub-populations…
Mixed Dyslipidaemia in Metabolic Syndrome Patients
The concept of the metabolic syndrome is at least 80 years old and has always been viewed as a constellation of metabolic disturbances, all of which are recognised risk factors for cardiovascular disease (CVD)…
Rational Corticosteroid Therapy
Glucocorticosteroids are normal physiological hormones with important roles in daily functioning and the regulation of stress responses in reaction to physical and emotional insults…
Sexual health is important
Sexual health is essential to an individual’s general health, affecting quality of life and psychosocial and emotional wellbeing…
Etoricoxib for OA pain relief
The aim of Moore et al’s study was to investigate the effects of different levels of pain relief assessed at various time points on estimates of effi cacy, using individual patient data from seven randomised placebo-controlled trials in osteoarthritis…
A complex disorder involving an excessive amount of body fat. Obesity isn’t just a cosmetic concern. It increases the risk of diseases and health problems, such as heart disease, diabetes and hypertension.
In order to improve the management of anxiety, particularly in patients who do not respond to fi rst-line
treatment options, it is important to be familiar with the latest therapeutic developments…