Specialist Forum September 2019 CPDs

These are all 2 CPDs produced for the September 2019 issue of Specialist Forum, accredited for 3 points. This month’s CPDs focus on erectile dysfunction and preserving renal function in diabetic patients with AF.

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Preserving renal function in diabetic patients with AF

More than 40% of atrial fibrillation (AF) patients have diabetes. Chronic kidney disease (CKD), defined as an estimated glomerular filtration rate (eGFR) below 60mL/min per 1.73 m2 or kidney damage for three or more months, is a common complication of diabetes.2,19

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Erectile dysfunction: Bringing sexy back

Erectile dysfunction (ED), defined as the chronic inability to achieve or sustain a penile erection, increases with age. Regular and chronic ED affect about 35% of men aged 60 and 50% of men older than 70.1 ED has a negative effect on men’s quality of life (QoL), often resulting in depression and other psychological and psychiatric disorders. Various treatment options are discussed in this article.

Do men and women have different brains?

Women show markedly higher prevalence rates of major depression, dysthymia, generalised anxiety and panic disorders as well as social and specific phobias than men. Men, on the other hand, show higher prevalence rates of antisocial personality disorder and substance dependence.

Aspen Risperidone Oral Solution now available

Aspen has launched their Risperidone Oral Solution for conduct and other disruptive behaviour disorders in children.

Sustained clearance of Actinic Keratosis and superficial Basal Cell Carcinoma

The prevalence of actinic keratosis and superficial basal cell carcinoma make them some of the most commonly encountered dermatological conditions in a primary care setting. While they are easy to treat, concerns remain about their long-term clearance.

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Meditation for stress and hypertension

Mindfulness meditation has become increasingly popular in the last decade. In 2018 alone, 842 articles were published in academic journals, moving the practice from the domain of alternative and unscientific, into mainstream medicine, psychology, education and business.

Inhaler education prevents exacerbations

As many as 90% of patients use their inhalers incorrectly. Incorrect technique is especially problematic in young children and elders. Asthma and COPD affect up to 10% of the population, and many individuals with these conditions have uncontrolled symptoms.

SAHS provides clarity on new hypertension threshold

In 2017, the publication of the new American College of Cardiology (ACC)/American Heart Association (AHA) hypertension guideline created considerable controversy. Should the new recommended thresholds for hypertension be incorporated, it would increase the prevalence of hypertension by 43%.

Do moisturisers work?

There are dozens of creams and lotions for dry skin, sold as moisturisers. Well-controlled studies of ingredients are few and far between.

Atopic dermatitis: TCIs particularly effective in sensitive skin sites

Atopic dermatitis (AD), a chronic inflammatory skin condition, affects up to 20% of children and 3% of adults worldwide. AD is often associated with other atopic diseases such as asthma, allergic rhinitis and food allergies.

Endometriosis 101

Endometriosis is a fairly common condition that affects about 1 in 10 women during their reproductive years. Symptoms may vary widely between women, ranging from pain, usually around menstruation, to infertility.


Studies show that the prevalence of AF ranges from 1% to 15% in people between the ages of 35 and 85.  Age is a risk factor for AF, which means as life expectancy increases, the number of people with the condition will continue to rise. It is expected that by 2050, the prevalence of AF will increase by 250%.

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Medical Chronicle September 2019 CPDs

These are both CPDs produced for the September 2019 issue of Medical Chronicle, accredited for 3 points in total. This month’s CPDs focus on osteoarthritis and screening for sepsis

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Efficacy and safety of hyaluronic acid in knee osteoarthritis

Osteoarthritis (OA) is one of the leading causes of disability in the elderly. Changes in the lubricating properties of synovial fluid leads to significant pain and functional disability.

Screening for sepsis

Sepsis is a leading cause of mortality and morbidity globally. Early diagnosis of sepsis and early initiation of evidence-based bundle care can greatly improve the outcome of sepsis.

Biomarkers as tools in oncology

We chat to Prof Bernardo Rapoport, medical oncologist at the Medical Oncology Centre of Rosebank (Johannesburg), and extraordinary professor in the Department of Immunology at the University of Pretoria, about the role of biomarkers in personalised oncology medicine.

Predictors of premature and early natural menopause

About 1% of women younger than 40 experience premature menopause, and 5% younger than 45 experience what is defined as early menopause. The average age of menopause ranges between 50-52 years with variations according to ethnic group.

Cancer care: When time is of the essence

For anyone who has been diagnosed with cancer, time is of the essence. In an ideal world, treatment plans should begin as soon as possible, but archaic authorisation processes can halt patient care by as much as four weeks.

Winter illnesses and children: when to be concerned?

Distinguishing between winter ailments with the same common symptoms is vital in order to recommend the correct treatment.

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