Patient autonomy: Informed consent

Below are sections 6 to 9 of the National Health Act, which deal directly with then concepts of patient autonomy and informed consent.

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CPD POINTS: 0

New hope for men with mCRPC

Androgen deprivation therapy has been the mainstay of treatment for advanced and metastatic prostate cancer, but the treatment is not curative and most men progress to mCRPC.

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As time goes by

The treatment of hypertension using drugs and the achieved benefits of such treatment is founded on a solid body of evidence representing a very large number of well-conducted randomised clinical trials.

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SAOJ Spring 2018 CPDs

See below for the quiz you need to answer to obtain CPD points for the Spring 2018 issue of the SA Ophthalmology Journal.

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CPD POINTS: 3

Long-term PPI use: are concerns justified?

Recent studies have raised concerns about the possible adverse effects of long-term proton pump inhibitor (PPI) use, but are these really clinically significant?

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CPD POINTS: 1

Biofilms and antibiotic resistance

The rise of multidrug resistant bacteria caused by growing antibiotic resistance is one of the gravest threats faced by modern medicine. Could biofilms be a part of the solution?

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Closing the care-gap for fracture patients

Specialist Forum December 2018 CPD 1 of 3: Prominent spinal surgeon Dr Reggie King about the role of orthopaedic surgeons in the treatment of patients with a fragility fracture in the emergency department.

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NICE bipolar guideline

Specialist Forum December 2018 CPD 2 of 3: NICE has warned against the use of valproate during pregnancy in its updated guideline on the management of bipolar disorder.

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Hodgkin lymphoma guideline 2018

Specialist Forum December 2018 CPD 3 of 3: With modern treatment strategies, 80%–90% of patients with Hodgkin lymphoma achieve permanent remission, according to the European Society for Medical Oncology’s new HL guideline.

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Specialist Forum December CPDs

These are the Specialist Forum’s December CPDs. Click on the questionnaire below to start the CPD quiz.

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CPD POINTS: 3

Synthetic folic acid, food folate and 5-MTHF are not the same thing

MEDICAL CHRONICLE DECEMBER 2018 CPD 1 of 3: The terms folic acid, folacin, folinic acid, pteroylglutamic acid and folate seem to be used interchangeably. However, they are not the same thing.

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CoQ10 in diabetes and high cholesterol patients

MEDICAL CHRONICLE DECEMBER 2018 CPD 2 of 3: The demand for CoQ10 as a dietary supplement has dramatically increased in recent years due to its reported beneficial effects in cardiovascular diseases and other conditions.

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Dapagliflozin DECLARE: Latest SGLT2 CV outcomes trial

MEDICAL CHRONICLE DECEMBER 2018 CPD 3 of 3: Recently the DECLARE trial was published evaluating in a randomised, double-blind, multinational, placebo- controlled trial, the effect of Dapagliflozin on safety and efficacy for macrovascular and microvascular outcomes.

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Medical Chronicle December CPDs

These are Medical Chronicle’s December CPDs. Click on the attached questionnaire to start the CPD quiz.

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CPD POINTS: 3

Pigmentation and the sun

Excessive, unprotected exposure to solar radiation can lead to accelerated photo-ageing, carcinomas and disorders of skin pigmentation. Hyperpigmented lesions may be of aesthetic concern alone, or represent premalignant and malignant lesions.

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Distal radius fractures in the elderly

Osteoporotic fractures are emerging as a major public health problem in the ageing population. Fractures result in increased morbidity, mortality and health expenditures.

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Achieving a satisfactory outcome with a difficult patient

Interactions can be challenging for a number of reasons and these reasons can be grouped into the following: patient, doctor, disease, and system, says Dr Gabrielle Pendlebury, medicolegal consultant at Medical Protection.

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NPWT in hand injuries

The efficacy of negative pressure wound therapy (NPWT) is thought to be due to decreased bacterial count, increased tissue perfusion, removal of exudates, and promotion of granulation tissue formation, all of which promote wound healing.

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Simple analgesics could prove effective in the management of tension headaches.

The pharmacist plays a very important role in the diagnosis and referral of patients presenting with headaches, dispensing of medications, and counselling of patients.

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Technological advances in stroke care

This article is based on a presentation by Dr Derk Krieger at the 19th Annual SA Heart Congress held at Sun City (Northwest Province) from 4-7 October. Dr Krieger is a consultant neurologist.

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