CME : Your SA Journal of CPD - Volume 27, Issue 2, 2009
Volume 27, Issue 2, 2009
Source: CME : Your SA Journal of CPD 27 (2009)More Less
This issue of CME is another departure from the norm. It contains a series of articles on specific topics, mainly as updates to help the non-specialist to understand guidelines, research and so on. Inevitably, there are articles on cardiovascular disease and diabetes - two of the most common chronic conditions that present in any practice, specialist or otherwise.
Author Brian RaynerSource: CME : Your SA Journal of CPD 27, pp 54 –57 (2009)More Less
Since the publication of the South African Hypertension Guidelines in 2006 several landmark clinical trials have been published or presented that have far-reaching implications for the way we treat patients with hypertension. In addition, the review of a recent study that had major impact on nephrological practice has been seriously questioned.
Author Gill WatermeyerSource: CME : Your SA Journal of CPD 27, pp 58 –62 (2009)More Less
As with other medical disciplines, huge advances have been made in the practice of gastroenterology ; in this brief overview I would like to highlight some of the recent developments which have either had an impact on patient care or are likely to do so in the future.
Author Dankwart F. WittenbergSource: CME : Your SA Journal of CPD 27, pp 64 –67 (2009)More Less
Benjamin Osler is reputed to have stated that he knew that 50% of what he was teaching his students was going to be proven wrong ; the only problem was he did not know which 50%!
Today, nearly one hundred years later, it still behoves all practitioners to emulate Osler's humility with regard to the permanence of their knowledge and insight. New insights with regard to old diseases, newly emerging conditions, new technologies and new treatment possibilities all demand that the most important attribute of a newly qualified medical practitioner is to become a lifelong learner.
Author Gillian AinslieSource: CME : Your SA Journal of CPD 27, pp 68 –71 (2009)More Less
Cough remains one of the most common complaints that motivate patients to seek medical attention.
Cough is caused by stimulation of irritant receptors in the central airways and / or stretch receptors in the distal airways or the lung interstitium. It is a normal protective mechanism, which may be lost with local or general anaesthesia, other causes of decreased level of consciousness, or neuromuscular problems (especially bulbar). Cough is abnormal if it is persistent, painful or productive.
A balanced approach to the management of patients with stable coronary disease : medicine, stents, surgerySource: CME : Your SA Journal of CPD 27, pp 72 –75 (2009)More Less
The issue of the optimal management of patients with chronic stable coronary disease remains unsettled. There are strongly held views, and much emotive language is used in discussion. Not all opinions are entirely objective and practitioners' self-interest is all too often a powerful driver of the discussion. Patients have touching faith in the newest technology and firmly believe that some interventions provide significant prolongation of life.
Source: CME : Your SA Journal of CPD 27, pp 76 –79 (2009)More Less
The number of people with type 2 diabetes continues to grow throughout the world, South Africa being no exception. As health care practitioners, we need to meet the challenge of assisting those individuals with diabetes who are in our care to achieve better outcomes, such as enhanced quality of life, and reductions in morbidity, largely due to microvascular complications, and premature mortality, primarily due to macrovascular disease.
Intravascular catheter-related infection : up date and overview, CME : Your SA Journal of CPD, 26(11) 2008 : pp. 540-544 : erratumAuthor Mervyn MerSource: CME : Your SA Journal of CPD 27 (2009)More Less
Source: CME : Your SA Journal of CPD 27, pp 80 –83 (2009)More Less
Over the last few years, a series of recalls of high-profile prescription medicines has aroused serious concerns regarding the safety of medicines. Clinical trials and regulatory oversight, as practised currently, often fail to uncover important adverse effects for widely marketed products. Journals have published numerous articles and editorials relating to drug safety and regulation, with recommendations to overhaul drug safety monitoring, improve vigilance, ensure greater protection of the public and restore trust.