Bariatric Surgery for Managing Obesity

Obesity is a serious disease and must be treated as such, according to the World Health Organisation (WHO) and the National Institutes of Health (NIH) consensus.1 According to the first sound epidemiological data that appeared in SA 12 years ago, 10.1% of men and 27.9% of women had a body mass index (BMI) of 30 […]

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Isolated Systolic Hypertension Affects Young

Isolated systolic hypertension is defined by guidelines as systolic blood pressure (SBP) ≥140mmHg and diastolic blood pressure (DBP) <90mmHg. Isolated systolic hypertension is often viewed as a phenomenon of ageing, because systolic blood pressure, unlike diastolic blood pressure, increases with age due to increased arterial stiffness, particularly after the age of 40 years. In recent […]

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Fear of H1N1 Virus Improves Personal Hygiene

Fear of the H1N1 virus appears to be the driving factor behind the adoption of preventive behaviours, according to a study published in the June 2010 issue of the American Journal of Infection Control. A team led by Dr Joseph Lau, a professor at the Chinese University of Hong Kong, investigated the prevalence of self-reported […]

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Early Diagnosis of Inflammatory Bowel Disease

Inflammatory bowel disease (IBD), i.e. ulcerative colitis (UC) and Crohn’s disease (CD), is not a rare condition. The incidence and prevalence of UC ranges from 2.2 to 14.3 cases per 100 000, and 37 to 246 per 100 000, respectively. The incidence of CD has been estimated at between 3.1 and 14.6 per 100 000 […]

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Contact Dermatitis: What are the Causes?

Contact dermatitis is characterised by a rash that can occur anywhere on the body (most commonly the hands and face) and is caused by something that comes into contact with the skin, leading to an allergic reaction. Irritated skin becomes dry and chapped and eventually red, scaly and inflamed. In many cases, these types of […]

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Medical Outcome of Angina and Multivessel Disease

The management of patients with coronary artery disease consists of risk factor modification and relief of symptoms through medical management and/or revascularisation: percutaneous coronary intervention (PCI) or coronary artery bypass grafting. Some patients cannot undergo a revascularisation procedure because of severe comorbidities or unsuitable coronary anatomy. There are little data regarding the outcomes in patients […]

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How to Treat Winter Ailments Effectively

During winter, conditions such as colds (acute nasopharyngitis), influenza, bronchitis, bronchiolitis, otitis media, sinusitis, croup, pneumonia, chilblains, chapped lips and seasonal affective disorder (SAD) are common worldwide. Fortunately, South Africans are close enough to the equator and are not affected by SAD as much as people in the northern hemisphere. Chilblains and chapped lips may […]

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Basic Face-lifts: Different Strokes for Different Folks

When it comes to face-lifts, age does not determine when one is needed. Some people age more gracefully than others, due to their genetic composition. However, lifestyle factors play a huge role. Excessive sun exposure, gaining weight, losing weight and cigarette smoking accelerate the ageing process, thus accentuating the changes that occur in all people. […]

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Concussion in Sport: Don’t Take it Lightly

Concussion, also known as mild traumatic brain injury (MTBI), is defined as a pathophysiological process that affects the brain as a result of a direct or indirect blow to the head. In SA, rugby has the highest incidence of concussion among collision team sports. Approximately 10-15% of high school rugby players will suffer a concussion […]

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Education of Patients Vital in Managing Diabetes as it Rapidly Escalates Globally

In 2003, the International Diabetes Federation (IDF) estimated that 194 million adults were living with diabetes. The federation predicted that that the prevalence would rise to a staggering 333 million people by 2030. “However, by 2009 the global burden of diabetes had already increased dramatically, reaching a prevalence of 285 million people,” said Dr Aslam […]

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