The link between suicide and insomnia

Psychiatric patients are thought to be at high risk of suicidal behaviours. However, clinicians face challenges of identifying patients at risk.

Insulin pens: what do patients prefer?

The use of pens as the preferred means of insulin delivery has become standard over the course of the last decade. Given the importance of adherence to therapy in diabetes management, physicians must keep a patient’s preference in mind.

Clinical review: foam dressings

The UK National Health Service (NHS) Clinical Evaluation Team have published a report evaluating foam dressings of wound care suppliers on packaging, opening, clinical use and disposal.

New guideline answers important questions about osteoporosis treatment

Postmenopausal osteoporosis is common in men and women over the age of 50. In fact, one in three women and one in five men in this age category are at risk of an osteoporotic fracture, according to the International Osteoporosis Foundation (IOF).

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Angina: warn patients to listen to their heart

More South Africans die of CVD than of all the cancers combined. A common symptom of CAD is angina, yet many people don’t even know what that is.

7 common eye disorders

The leading causes of blindness and low vision are primarily age-related eye diseases such as age-related macular degeneration, cataract, diabetic retinopathy and glaucoma.

Simplifying hypertension guidelines

The International Society of Hypertension (ISH) is currently writing new global hypertension guidelines to be published during the first half of 2020. The Southern African Hypertension Society will soon comment on the impact of lowered blood pressure threshold recommended by some international societies.

Smoking cessation in patients with pulmonary disease

Smoking cessation is possibly the single most important intervention for improving health and increasing life expectancy. Approximately 50% of smokers will die prematurely due to cigarette smoking unless they quit.

Anticoagulation in non-valvular AF

Atrial fibrillation is the most common persistent cardiac arrhythmia that a practitioner of medicine will encounter in clinical practice and it significantly impacts on health and healthcare.

Ovulation induction therapies in women with anovulatory infertility

Infertility is estimated to affect between 8% and 12% of reproductive-aged couples worldwide. In some regions of the world such as South and Central Asia, the Middle East, sub-Saharan and North Africa as well as Eastern Europe, the rates of infertility are much higher, reaching ∼30%.

The complexities of epilepsy management

Worldwide, more than 50 million people have epilepsy, making it one of the most common neurological diseases globally. Nearly 80% of people with epilepsy live in low- and middle-income countries. Despite the fact that epilepsy is a manageable disease, many people living in these countries face stigmatisation and discrimination due to cultural beliefs.

ADHD: A family affair

Research shows that genes play a vital role in the aetiology of ADHD, a childhood-onset condition with impairing symptoms of inattention, impulsivity, and hyperactivity. Family, twin, and adoption studies show that ADHD’s heritability is between 74%‑80%.

Specialist Forum June 2019 CPDs

Attached are all three CPDs produced for the June 2019 issue of Specialist Forum, accredited for 3 points. Topics covered this month are ADHD, epilepsy management and ovulation induction.

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Link between SGLT2 inhibitors and Fournier’s gangrene

Fournier’s gangrene is a newly identified safety concern in patients receiving sodium-glucose cotransporter 2 (SGLT2) inhibitors. Physicians prescribing these agents should be aware of this possible complication and have a high index of suspicion to recognise it in its early stages.

Why do men put up with incontinence?

Up to 33% of men tolerate urinary incontinence (UI) for more than five years before seeking medical help. It is therefore extremely important that you perform a standing cough test as a routine part of your male patients’ physical examination.

Death begins in the colon

Inflammation is obvious in many chronic and debilitating diseases such as rheumatoid arthritis, osteoarthritis, asthma, acne, eczema, psoriasis, sinusitis and hay fever, Crohn’s disease, ulcerative colitis, etc.

How safe are antitussives?

Over-the-counter antitussive medications for acute cough are among the most frequently used medications globally, but concerns have been raised over the safety profile of, for example, codeine-containing mixtures. Should doctors be concerned about this and, if so, which medicines are the safest?

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CVD risk factors in PD patients

Parkinson’s disease (PD) is the second most common neurodegenerative condition after Alzheimer’s disease. The incidence of PD rises rapidly with age and affects more than 1.7% of the population over 65 years of age.

Changing behaviour to improve hand hygiene

Numerous studies have shown that poor hand hygiene among healthcare workers is one of the major causes of hospital acquired infections (HAIs). Despite various global campaigns to promote hand washing, little progress has been made.

Medical Chronicle June 2019 CPDs

Here are all 3 CPDs produced for the June 2019 issue of Medical Chronicle, accredited for 3 points. Topics covered this month are blepharitis, onychomycosis and hyperpigmentation.

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