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Need to clear those cough symptoms quick? Ask your healthcare provider

Increasing financial pressure and access to online health information has resulted in more South Africans turning to self-medication but to find the right cough treatment, you need to speak to your HCP. (more…)

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“Mitigating against Litigation – Progressive remedies for South Africa’s medical malpractice claims explosion”

While disciplines such as obstetrics, neurosurgery, neonatology and orthopaedics are the most exposed to these claims, South Africa’s health system, both public and private, is becoming increasingly litigious for all disciplines of health service providers. According to the DA website, in the past 4 years the Department of Health has incurred R1.2 billion in legal […]

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Postoperative pain: a psychological assessment

Management of postoperative pain relieves suffering and leads to earlier mobilisation, a shortened hospital stay, reduced hospital costs, and increased patient satisfaction. (more…)

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Updated standards in medical management of diabetes

About 350 million people worldwide have diabetes, a number predicted to more than double in the next 20 years, particularly in developing countries like SA. In 2012 alone, diabetes was the direct cause of some 1.5 million deaths, with more than 80% of those occurring in low- and middle-income countries. (more…)

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HRT risks and benefits often misunderstood

Hormone replacement therapy (HRT) continues to be a contentious topic, yet proponents of HRT state that it has been grossly misunderstood and that the benefits far outweigh the potential risks. (more…)

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Overview of adult ADHD

The first local guidance on the treatment of adult attention hyperactivity disorder (ADHD) will be released later this year as part of the new South African Society of Psychiatry guideline, said Dr Frans Korb, a psychiatrist in private practice based in Johannesburg, and one of the co-authors.  He was speaking at the Glynnview Multi-Professional Practice […]

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Champix: No increase in neuropsychiatric events

Patients with and without a history of psychiatric disorders taking Champix had significantly higher continuous abstinence rates compared to patients treated with bupropion or the nicotine patch. (more…)

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NHI: A disaster in the making

South Africans should be outraged and incensed that the government is seeking to nationalise medical care. The proposals in the National Health Insurance (NHI) White Paper, if adopted, would prove to be an unmitigated disaster, not only for health care in SA, but also for the economy in general. The proposed NHI would essentially nationalise […]

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Cystericirosis of the breast: A rare presentation in an HIV positive patient

A 26-year old student nurse, HIV positive, attended our surgical outpatient department (SOPD) recently with a left breast lump (Figure 1). She first noticed it two months ago but it was painless and did not seek any kind of medical attention until she noticed that it is gradually becoming bigger and some degree of discomfort […]

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Rare diseases: Single Cecal diverticula mimicking acute apendicitis

A 37-years old Khoza female HIV positive on HAART for 3 years, presented with gradually increasing right Iliac fossa pain for 3days. There was no nausea or vomiting but changed appetite of the same duration. She also complained of feeling of chills at times but on admission she had low grade fever of 37.40C. She […]

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Power over pressure

Hypertension is the number one cause of mortality and disability in the world. Of growing concern is the increase in the prevalence of resistant hypertension, complicated by comorbidities and their long-term consequences. Power over pressure has become the international mantra for empowering clinicians and patient to overcome the growing problem of resistant hypertension. The true […]

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Fighting superbugs

Elderly patients with chronic illnesses are at increased risk of becoming infected with methicillin-resistant Staphylococcus aureus (MRSA). Glycopeptides are the mainstay of treatment. MRSA is classified as either hospital acquired (HA-MRSA) or community acquired (CA-MRSA). A 2006 study Pevoric et al by found that CA-MRSA accounted for 20% of total MRSA isolates, while HA-MRSA accounted […]

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Anti-inflammatory effects of statins

Sepsis and septic shock are formidable medical problems that challenge physicians caring for critically ill patients. Despite medical advances, sepsis mortality remains high. Today, sepsis is one of the leading causes of morbidity and mortality with thousands of persons suffering from these conditions on a daily basis. It has long been recognised that early and […]

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Non-invasive prenatal testing: How to integrate it into your practice

Non-invasive prenatal testing (NIPT) is becoming the gold standard in helping pregnant moms learn vital information about their baby’s health. It assesses the baby’s risk for common chromosomal abnormalities, such as Down syndrome and other conditions, and is significantly more accurate and tests for more conditions than older prenatal screening tests known as maternal serum […]

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The age of TLA

Dr Elise Schapkaitz, Haematologist, Department of Molecular Medicine and Haematology, Charlotte Maxeke/Johannesburg Academic Hospital, National Health Laboratory Service and University of the Witwatersrand The most significant advance of the last 50 years in laboratory medicine is the automation of routine laboratory activities. The adoption of automation in chemistry, haematology and serology has significantly improved the […]

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Discriminative power of PCT

One of the most frequent problems in intensive care units (ICUs) is actually differentiating the inflammatory response from an infective process. Clinical and standard laboratory tests are not very helpful because most critically ill patients develop some degree of inflammatory response, whether or not they have sepsis. Predicting the outcome of intensive care patients is […]

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Aspen Pharmacare scoops the highest PMR Africa Award

JSE listed pharmaceutical company Aspen, has been awarded the PMR Africa Diamond Award for Corporate Social Responsibility (CSR) in the Pharmaceutical Sector, the highest award in this category. The award is based on a random national sample of over 100 respondents comprising of CEO’s, Financial and HR Directors, Senior Government Officials and Analysts for the […]

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The ‘Holy Grail’ of KOA treatment

The prevalence of knee osteoarthritis (KOA) is increasing worldwide. Approximately 20% of women and 10% of men over the age of 60 will develop KOA. However, said Dr Andrew Spritzer of the Cedars-Sinai Orthopaedic Centre (US), KOA no longer only affects older people. Over the past few years, a dramatic increase has been observed in […]

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Exercise-related injury: Early mobilisation crucial

The most crucial time to treat an exercise-related injury is in the first five days following a traumatic event when pain is at its worse. This is the advice of Prof Martin Schwellnus, Past Vice-President of the International Sports Federation and Director of one of the nine accredited International Olympic Committee Research Centres in the […]

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Barriers to effective management of cancer pain

Studies show that 64% of patients with advanced or metastatic cancer experience pain of whom 35% describe their pain as severe or intolerable in the last weeks of life. Unfortunately, effective pain management is often hampered by patient and physician barriers, said Dr Sonia Hitchcock of the Department of Family Medicine at the Kalafong Hospital […]

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