CME : Your SA Journal of CPD - Volume 27, Issue 1, 2009
Volume 27, Issue 1, 2009
Author Rodger MeyerSource: CME : Your SA Journal of CPD 27, pp 6 –7 (2009)More Less
Addiction is not well understood. There are a number of important questions that still need to be answered scientifically if we are to make any inroads in addressing this important public health problem :
- Why does addiction continue despite the serious negative and sometimes catastrophic consequences for the person with the disorder?
- Why is addiction sometimes so resistant to treatment?
- Why is relapse so common that some even consider it a defining feature of addiction?
- Why does addiction so frequently co-occur with other psychiatric disorders?
Author Paul C. PotterSource: CME : Your SA Journal of CPD 27, pp 8 –12 (2009)More Less
Asthma has increased in nearly every part of the world studied, even in populations where the gene pool has not altered much in recent years.
The interplay between the genes and environment is an intriguing one. Migration studies have shown that asthma prevalence and bronchial hyperreactivity increase as a Western lifestyle is adopted. This has not only been shown in Africa, but also in other parts of the world, e.g. China (Hong Kong), South America and the Middle East.
Author Sunil SinhaSource: CME : Your SA Journal of CPD 27, pp 14 –22 (2009)More Less
Erectile dysfunction (ED) is defined as the consistent or recurrent inability of a man to attain and / or maintain a penile erection sufficient for sexual activity.
Sexual health and function are important determinants of quality of life (QoL). ED and female sexual dysfunction (FSD) are increasingly becoming more important because of an ageing population and newer therapies.
As this subject is discussed widely in the media, men and women are seeking guidance. Successful treatment of ED has been demonstrated to improve intimacy, satisfaction, and the sexual aspect of QoL, and relieve symptoms of depression.
Author Gill WatermeyerSource: CME : Your SA Journal of CPD 27, pp 24 –25 (2009)More Less
Irritable bowel syndrome (IBS) is best defined as a functional disorder, characterised by abdominal pain or discomfort and associated with abnormal defaecation. It is extremely common, with a worldwide prevalence of 10 - 15%.
IBS is more common in women than in men and typically presents in the third or fourth decades of life. It rarely manifests over the age of 50. There is substantial overlap with other 'functional diseases' such as fibromyalgia, interstitial cystitis and non-ulcer dyspepsia.
Source: CME : Your SA Journal of CPD 27, pp 26 –30 (2009)More Less
Infection remains a common cause of death in burn patients and is responsible for 75% of all deaths in patients with burns exceeding 40% total body surface area (TBSA). Current techniques of burn wound care and infection control measures have significantly reduced the incidence and mortality resulting from burn wound infection (BWI), changed the bacterial profile, and increased the time interval from injury to the onset of infection. Additional factors associated with improved outcome of infection include early burn eschar excision and grafting.
Author Bob MashSource: CME : Your SA Journal of CPD 27, pp 32 –36 (2009)More Less
The consultation in family practice is a complex and often unpredictable interaction between the doctor and the patient. No two consultations are ever exactly alike and every patient is unique in the way they experience their illness. One model for making sense of a patient's illness experience is to consider not only the biological but also the individual and contextual dimensions. Consulting patients with asthma is not therefore a predictable series of rigid steps or just a matter of following a recipe from the latest guidelines. Nevertheless, there are some components of the consultation that can, with some degree of certainty, be identified as useful and which in general terms will lead to better outcomes. This article attempts to describe these components and to present them in a logical, although not prescriptive, sequence.
Source: CME : Your SA Journal of CPD 27 (2009)More Less
Clinical observation nearly as good as exercise testing in ischaemic heart disease
Intradermal and percutaneous BCG have equivalent effectiveness
Alcohol consumption raises risk of atrial fibrillation in women
Office measurement of blood pressure may not accurately predict risk of coronary heart disease