PD doesn’t always affect older people

One of the common misconceptions about Parkinson ’s disease (PD) is that it is associated with older age, while in fact, about 10%-20% of those diagnosed are under the age 50, and about half are below 40.

The most important question in cancer pain

Pain is one of the most feared symptoms in cancer patients. Some studies show that the prevalence of pain ranges from 33% in patients after curative treatment, to 64% in patients with metastatic, advanced or terminal disease.

SAOJ Summer 2019 CPDs

See below for the quiz you need to answer to obtain CPD points for the Summer 2019 issue of the SA Ophthalmology Journal.

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Blood pressure lowering and dementia

Scientists estimate that cases of dementia will triple between 2015 and 2050, due to an increasingly ageing population. They have calculated that about 5% of midlife modifiable causes of dementia is due to hypertension.

Evaluating extra-oesophageal GORD complications

Gastro-oesophageal reflux disease, characterised by heartburn and/or regurgitation symptoms is one of the most common gastrointestinal disorders managed by gastroenterologists and primary care physicians.

Pumping iron

Dr Jarrad van Zuydam, a GP with a special interest in endurance sports medicine, recently discussed iron deficiency at an event held in Cape Town.

Hypertension during pregnancy

Women who experience hypertensive disorders during pregnancy are at high risk for developing hypertension, diabetes, and hypercholesterolemia later in life.

Latest breast cancer trends

Breast cancer treatment has evolved over the last 50 years, from a disease treated mainly by surgeons to now being a showcase for multidisciplinary team management.

Guidelines: achieving pregnancy safely

Updated safe conception guidelines by the Southern African HIV Clinicians’ Society give healthcare providers up-to-date information to support efforts to optimise safer conception care for HIV positive patients.

Preventing cardiovascular disease: where to start

Cardiovascular disease affects 33% of adults in the world and as such is the largest epidemic ever known to mankind, according to Prof Neil Poulter, co-director of the International Centre for Circulatory Health.

How to treat uveitic macular oedema

A recent NIH-funded clinical trial compares treatments for complication of inflammatory eye disease and represents the first head-to-head comparison of Kenalog, Triesence and Ozurdex.

AFib Better Care

The Mayo Clinic hosted its annual Arrhythmias and the Heart: A Cardiovascular Update in Hawaii (United States) at the end of January. Several sessions focused on reviewing current guidelines on atrial fibrillation (AFib) and stroke prevention.

What patient characteristics influence the choice of biological drug in RA?

The choice of biological drug for the treatment of rheumatoid arthritis is a highly significant one and should be informed by a clear understanding of the patient’s disease profile.

Don’t be at the mercy of MRSA

Methicillin-resistant Staphylococcus aureus (MRSA) is any strain of Staphylococcus aureus that has developed through horizontal gene transfer and natural selection and multiple drug resistance to beta-lactam antibiotics.

Adding a ‘green prescription’ to pain management

Pain, a complex and multifaceted experience, is the predominant symptom in the majority of patients with inflammatory arthritis (IA) and osteoarthritis (OA).

Specialist Forum March 2019 CPDs

Attached are both the CPDs produced for the March 2019 issue of Specialist Forum, accredited for 3 points. Topics covered this month are fragility fractures and the correlation between hyperglycaemia and higher rates of cardiovascular disease.

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Chaperones for intimate examinations

Where any intimate examination is proposed, a chaperone should always be offered, particularly if a patient has been sedated, even if the doctor and patient are of the same sex, says Gabrielle Pendlebury, Medicolegal Consultant at Medical Protection.

Lies, damn lies and statistics

Epidemiological studies have long suggested a correlation between hyperglycaemia and higher rates of cardiovascular disease (CVD). Meta-analysis of these studies shows that a 1% increase in Hba1c increases CVD risk by 18%.

Ferrari weighs in on the management of fragility fractures

This article is based on a presentation by Prof Sergei Ferrari, chair of the Council of Scientific Advisors of the International Osteoporosis Foundation (IOF).

Identification and care of external genital warts

Genital warts are a symptom of certain types of human papillomavirus (HPV) infection and result in significantly reduced quality of life. A number of treatment options are available, but efficacy rates vary dramatically between treatments.

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