Issue 5, 2024

The latest edition of Modern Medicine is now available for you to read. We have some great articles featured in this edition:

  • Ethics (CPD) – The impact of fragmented care on Healthcare
  • Dermatology – Insights from EADV Congress 2024
  • Cardiology (CPD)– Resistant Hypertension | An approach to management
  • Endocrinology (CPD) – Mitochondria | It is all about energy
  • A RoundUp Section & many more….

Also, a reminder that, not only do we have CPD questions available within the magazine itself, we also have an online CPD portal that allows you to score even more points by simply completing your test online.

The Bacteriostatic Effect of Hibiscus in UTIs

The Bacteriostatic Effect of Hibiscus in UTIs

Antibiotic therapy has traditionally been chosen for the treatment and prevention of urinary tract infection (UTI). Long-term use of antibiotics however not only increases medical expenses but also promotes antibiotic-resistant strains of bacteria. Hence, an alternative therapy for UTI is required to replace the long-term usage of antibiotics. Hibiscus sabdariffa has been shown to have a bacteriostatic effect against the uropathogenic bacteria isolated from UTIs.

Modern Medicine – Issue 5 2024.

Mitochondria: It is all About Energy

Mitochondria: It is all About Energy

Mitochondria play a key role in both health and disease. Their function is not limited to energy production but serves multiple mechanisms, varying from iron and calcium homeostasis to the production of hormones and neurotransmitters, such as melatonin. They enable – and influence – communications at all physical levels through interaction with other organelles, the nucleus and the outside environment. The literature suggests crosstalk mechanisms between mitochondria and circadian clocks, the gut microbiota, and the immune system. Hence, they might be the (missing) link in both health and disease. This is a shortened version of the original article.

Modern Medicine – Issue 5 2024.

Stroke Risk Mitigation: Prescribing and Monitoring anticoagulation in atrial Fibrillation

Stroke Risk Mitigation: Prescribing and Monitoring anticoagulation in atrial Fibrillation

Atrial fibrillation (AF) heightens the risk of stroke. Patients with AF should have their stroke risk assessed, and high-risk patients should commence on nonvitamin K-dependent oral anticoagulants (NOACs) as the first-line antithrombotic agent. A patient’s reversible bleeding risk factors should be however reviewed and specifically addressed. Antiplatelet agents such as aspirin do not reduce stroke risk but have bleeding risks comparable to NOACs, therefore have no role in stroke risk reduction. Management should also include regular reviews to ensure medication adherence and persistence.

Modern Medicine – Issue 5 2024.

Resistant Hypertension: An Approach to Management

Resistant Hypertension: An Approach to Management

Resistant hypertension (RH) is a prevalent and significant cause of morbidity and mortality. Adverse health outcomes can be significant. True RH must be confirmed by adequate in-office and out-of-office blood pressure (BP) measurements. Common causes of apparent RH include white-coat hypertension, nonadherence with prescribed antihypertensive therapy, inadequate antihypertensive combination therapy and the use of interfering concomitant medications. Obesity, obstructive sleep apnoea and renal parenchymal disease are among the most common contributing features of RH; patients should be screened for secondary causes of hypertension. Management of RH relies on lifestyle measures, pharmacotherapy and interventional approaches, where required.

Modern Medicine – Issue 5 2024.

The Impact of Fragmented Care on Healthcare

The Impact of Fragmented Care on Healthcare

Healthcare globally is characterised by increasing fragmentation, with many patients seeing multiple physicians. In the US, 35% of Medicare beneficiaries saw five or more physicians in 2019.1 Having multiple physicians may be appropriate, but it may also lead to medical errors, unnecessary visits, avoidable hospitalisations and suboptimal care if all of the physicians do not have complete information about the patient and each other’s care plans.

Modern Medicine – Issue 5 2024.

Issue 4, 2024

The latest edition of Modern Medicine is now available for you to read. We have some great articles featured in this edition:

  • Ethics (CPD) – Not Knowing Your Implicit Biases Compromises Patient Care
  • Psychiatry – Anxiety Disorders are Notoriously Undertreated
  • Pulmonology (CPD)– Asthma-COPD Overlap | Implications for Patient Management
  • Women’s Health Feature (CPD) –Diagnosis and Management of Endometriosis
  • A RoundUp Section & many more….

Also, a reminder that, not only do we have CPD questions available within the magazine itself, we also have an online CPD portal that allows you to score even more points by simply completing your test online.

Combat the Itch and Inflammation of Allergic Rhinitis and Urticaria

Combat the Itch and Inflammation of Allergic Rhinitis and Urticaria

Rupatadine is a non-sedating antihistamine with a 24-hour duration of action in the treatment of allergic rhinitis (AR) and urticaria.1,2 Rupatadine is the first antihistamine to block both histamine and platelet activating factor (PAF).3,4 Both histamine and PAF promote the release of each other, therefore blocking both might show greater clinical efficacy than blocking just one

Modern Medicine – Issue 4 2024

Asthma-COPD Overlap Implications for Patient Management

Asthma-COPD Overlap Implications for Patient Management

Asthma-COPD overlap (ACO) is characterised by persistent airflow limitation with features typically associated with both asthma and chronic obstructive pulmonary disease (COPD). Clinical features and underlying inflammatory and physiological mechanisms of asthma and COPD are highly variable and affect the utility of the ACO umbrella in clinical practice. This heterogeneity limits both high-quality research on the subject and treatment recommendations specific to ACO. An approach to treating chronic airways disease that targets identifiable clinical traits rather than the disease label is increasingly recommended.

Modern Medicine – Issue 4 2024

Tranquility-Online App Puts Healthcare in Your Hands

Tranquility-Online App Puts Healthcare in Your Hands

Digital therapeutics and telehealth breaks the “iron triangle” of healthcare. It brings us closer to the development of accessible, affordable and quality healthcare. It drives personalisation and precision medicine. Digital technology is not an add-on, but it must be integrated in the way we operate. Healthcare is not changing, it has changed. The innovative Tranquility-Online app is a game changer in the mental healthcare landscape.

Modern Medicine – Issue 4 2024

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