The ears of the hippo: the state of wound care in SA

A lack of evidence-based care not only contributes to extended healing trajectories and increased cost but could also have detrimental effects for the patient. Chronic wounds, specifically lower leg ulcers of venous aetiology, are often complex and challenging to heal.

Stopping the sneeze

Histamine may induce an increase in the proliferation of Th1 cells and in the production of interferon and may block humoral immune responses by means of this mechanism.

Skin can show first signs of diabetes

Certain skin conditions commonly seen in dermatology practice, can often be the first signs that a patient has diabetes, said Dr Rakesh Newaj, dermatologist in private practice in Gauteng.


Insulin resistance in PCOS patients

Polycystic ovary syndrome (PCOS) is defined as a hormonal disorder common among women of reproductive age. Studies have shown that up to 85% of women diagnosed with PCOS were unaware of their condition.

Testosterone deficiency: key recommendations

An international panel of leading experts developed nine consensus statements regarding the treatment of testosterone deficiency (TD). The statements were adopted unanimously and are as follows.

ADHD in pre-schoolers

Attention-deficit hyperactivity disorder (ADHD) is generally diagnosed around the age of seven or eight. But according to the American Academy of Child and Adolescent Psychiatry (AACAP), children as young as three can display symptoms of ADHD.

Insomnia: a pharmacist’s role

Insomnia can be treated non-pharmacologically, by providing guidance as to what good sleeping hygiene principals include, and pharmacologically with the use of OTC products, benzodiazepines, non-benzodiazepines, barbiturates, sedating antidepressants (where there is an underlying depression component), and chloral hydrate.

Optimising treatment for bacterial vaginosis

Bacterial vaginosis (BV) is the most commonly reported microbiological syndrome among women of childbearing age, as well as the most frequently occurring condition within the female genital tract.

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Quercetin and allergies

Allergies and allergic symptoms are rising have been rising in prevalence for decades, but there is growing dissatisfaction towards available therapies among doctors and laypeople alike. Naturally-occurring compounds like quercetin provide a safe, effective alternative.

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Medical Chronicle August 2019 CPDs

These are both CPDs produced for the August 2019 issue of Medical Chronicle, accredited for 3 points. This month’s CPDs focus on dry skin and skin integrity, and the cardiovascular complications of diabetes.

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Cardiovascular risk reduction in diabetes mellitus

Globally significant increase in the prevalence of diabetes has been documented and this increase is expected to impact in a major way on health costs, economic costs and quality of life. Diabetes is a complex disease which leads to a multifactorial treatment strategy.

Maintaining skin integrity

The prevalence of dry skin complaints from both healthy individuals and patients with certain skin diseases is increasing. Dry skin is thought to be associated with ageing, environmental factors and genetic disorders and is usually due to impaired skin barrier function.

Consequences of male obesity

Male obesity is on the rise globally, especially in westernised countries. The effect of increased adiposity extends beyond well-known comorbidities like diabetes and cardiovascular complications to affect male fertility and genetics.

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Osteoporosis: Link between bone and gut health

Gastrointestinal diseases (GIDs) are known risk factors of secondary osteoporosis and osteopaenia. These patients, being at increased risk of fracture, are affected at a much younger age than is normally associated with osteoporosis and warrant special consideration.1

Phthalates, phthalates everywhere!

Evidence is mounting that endocrine-disrupting chemicals such as phthalates, can be linked to a number of diseases and conditions. Endocrine disruptors act by interfering with the biosynthesis, secretion, action or metabolism of naturally occurring hormones.

What you missed at ESHRE 2019

The 35th annual meeting of The European Society of Human Reproduction and Embryology (ESHRE) was held in Vienna (Austria) from 23 to 26 June.

Specialist Forum August 2019 CPDs

These are all 3 CPDs produced for the August 2019 issue of Specialist Forum, accredited for 3 points. This month’s CPDs focus on the link between bone and gut health, phthalates and fertility issues in women.

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Antiseptics in an era of bacterial resistance

Povidone-iodine is a broad-spectrum antiseptic for topical application in the treatment and prevention of wound infection. It may be used in first aid for minor cuts, grazes, burns, abrasions and blisters.

Patient-centric care benefits all

Against the backdrop of rising healthcare costs, value-based care (VBC) is the sustainable alternative to the current fee-for-service model, according to Dr Ernst Marais, COO of the ICON Group.


Beyond the atopic march

Atopic dermatitis (AD), also known as eczema, is a chronic, inflammatory skin disease of unknown origin that often starts during early infancy. In recent years, research has indicated that it might be a precursor condition to more severe conditions, including CVD.

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