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The ever-evolving landscape of medicine

Dear Reader

I have been a ‘guest editor’ for this issue while René recovers from surgery. 

In this issue, we acknowledge World Antimicrobial Awareness Week and the pressing concern of antimicrobial resistance (AMR) within the field of wound care. Recognising the paramount importance of preserving the skin and gut’s normal flora, we emphasise the preference for narrow-spectrum antimicrobial agents in minimising AMR’s impact.

Recent statistics underscore the gravity of AMR, with its disease burden rivalling or surpassing that of HIV and malaria combined, resulting in about 4.95 million deaths in 2019. Furthermore, a recent study demonstrates antimicrobial stewardship programmes substantial reduction in antibiotic consumption by nearly 30%.

Chronic obstructive pulmonary disease continues to be a leading global cause of mortality, and its diagnosis remains a complex challenge.

It is that time of year when many patients are suffering from allergic rhinitis (AR). We examine its pathology, symptoms and impact on quality of life (QoL), which, as a sufferer, I can attest is huge.

We look at new treatment options for AR, with a focus on combining montelukast and levocetirizine.

Differentiating between anaphylaxis and urticaria could mean the difference between life and death. They exhibit comparable clinical characteristics and are linked by shared immune-mediated pathways.

Gastro-oesophageal reflux disease (GORD) is associated with considerable reductions in QoL and work productivity, as well as increased healthcare use. Proton pump inhibitors are currently the most effective treatment for GORD. However, there are limitations associated with these drugs in terms of patients’ response. Despite these limitations, long-lasting acid control is possible.

Due to the complexity of diabetes therapy algorithms, insulin treatment protocols often seem like a minefield of right, wrong or indeterminate choices. Nonetheless, effective management requires precision on the part of clinicians.

November is National Diabetes Month and this year’s focus is on taking action to prevent diabetes health problems. Nonetheless, effective management requires precision on the part of clinicians.

Testosterone has been described as ‘the most misunderstood molecule in medicine’. Testosterone therapy is hugely significant for men with testosterone deficiency or hypogonadism. While many people are aware of the role of testosterone in male sexual desire and muscle mass, the broader medical community often overlooks its vital importance in addressing various general medical conditions.

We hope you find this issue informative and relevant to your practice, and as always, we remain committed to providing valuable insights to aid you in your medical journey.

Claire Rush
Guest editor

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Specialist Forum caters to a discerning audience of medical specialists, including cardiologists, endocrinologists, dermatologists, psychiatrists, and gynaecologists. Our platform is a haven for academic minds, offering in-depth articles that align with the latest treatment guidelines from renowned international medical societies. We understand the importance of staying updated in these rapidly evolving fields. That's why we provide comprehensive insights and research-driven content that empower our esteemed specialists to make informed decisions and provide the highest standard of care. Specialist Forum is committed to nurturing excellence and knowledge within the medical community.

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Future projects you might want to invest in

Congress calendar
Specialist Forum is excited to announce the launch of its digital South African congress calendar. We would like you to join us in this new venture and offer you opportunities to showcase your brand. To see an example of the calendar click here.

Oncology guide
We are developing a CPD-accredited guide for oncologists.  Articles will be written by KOL and our team of expert medical writers. Click here to see an example.

To find out more, contact Charissa Piek at or call +27 (0)63 281 1205.

EDITOR: Claire Rush | Conrad Strydom
SUB EDITOR: Gill Abrahams
LAYOUT & DESIGN: Allison McCallum

Charissa Piek | 063 281 1205

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