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OTHER - ARTICLES |
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Smokers may quit together
June 20, 2008
Social behavior is important in smoking. People who are close to those who quit are more likely to give up too, providing a new way of helping cessation efforts.
Larger skin lesions are more likely to be melanoma
May 9, 2008
Larger moles are the ones to worry about, for they are more likely to prove to be melanomas. So size should continue to be an important element in the dermatologist's assessment of a skin lesion.
Genetic influences in psoriasis are uncovered
April 25, 2008
Researchers take a further step toward personalized medicine in psoriasis, with a genome-wide study of the disease. New genetic factors that contribute to psoriasis and other autoimmune diseases have been discovered.
Preventing and Treating Oral Candidiasis
June 5, 2003
Oropharyngeal candidiasis is a common complication of neutropenia caused by hematological cancers, treatment with chemotherapy or irradiation, and HIV infection. Evidence from clinical trials as to the effectiveness of different medications used in its treatment and prophylaxis has been gathered by an expert, Dr Christine Pankhurst, and is summarized in this article.
Live Longer, Die Faster: An Attainable Aim
April 11, 2003
In this essay, Professor Grimley Evans has put into words the logical conclusions that we must draw, when we acknowledge the recent advances in medicine leading to prolonged life - we want to live longer, but not to linger . . . .
Diagnosing Onychomycosis in the Office
March 21, 2003
A relatively easy in-office test is able to help the primary care physician or podiatrist obtain confirmation of a dermatophyte cause of onychomycotic signs and symptoms. At about $1 a test, it can replace the $25 central lab KOH and culture tests, and you get a result within 2 weeks, too!
Patients' Health and Education: How Strong Is the Link?
January 13, 2003
Health education, the Cinderella of medicine, improves health and needs lifelong involvement by citizens, patients, professionals and health authorities. In our ageing society, health education is a necessity for young and old.
Patients, Doctors and the Internet: a Question of Trust
November 20, 2002
Trust between doctors and patients has declined. Patients are more demanding. The Internet is a powerful new information source. Trustworthy websites will actually improve relations between professionals and e-health seekers.
Slowing Decline in the Frail Elderly
October 25, 2002
Frail, but otherwise healthy, elders living at home were given an individualized physical therapy program for 6 months. The 'control' group had health education visits. The results are summarized here...
Patient Education: the End of One-Way Traffic
October 17, 2002
Health education is changing from regarding patients as information recipients to accepting their active participation. In the learning process: Motivation --> Access --> Information --> Understanding --> Application, trustworthy Internet sites play a key role.
The World Takes a New Look at Aging
July 16, 2002
To those who associate high-level international conferences with lofty idealism wrapped in carefully crafted non-committal ambiguities, the 2nd World Assembly on Aging provided a refreshing change...
Treating Genital Herpes Today, and Tomorrow
May 27, 2002
The antivirals (acyclovir, famciclovir, and valaciclovir) are able to treat the symptoms of initial and recurrent genital herpes, and, when taken continuously, increase the interval between recurrences and diminish viral shedding during remission. But, they are by no means ideal drugs . . . .
A New Test for Iron Deficiency Anemia
April 30, 2002
Researchers propose a test for iron deficiency anemia that is more specific and sensitive than standard blood tests but less invasive than a bone marrow exam.
Nutrients May Enhance Immune Function in the Elderly
February 25, 2002
Here's a summary of current research into nutritional interventions to boost immune status and prevent infections in the elderly.
Detecting Skin Cancer
February 1, 2002
The incidence of skin cancer, already the commonest human malignancy in the USA, is increasing. Accurate, early diagnosis can reduce morbidity and mortality, while improved prevention can reduce the escalating incidence. Here we summarize some of the diagnostic features of the commonest skin malignancies . . . .
Preventing Skin Cancer
February 1, 2002
Avoidance of the sun's rays is the main measure for preventing skin cancers. But earlier reporting of potentially malignant changes in naevi and actinic keratosis lesions is also extremely important . . . .
Guarding Against a B12 Deficit in Seniors
January 11, 2002
Aging alters the body's ability to absorb and utilize some nutrients. One important nutrient that can be affected with increasing age is vitamin B12.
Treating Acne Today
January 11, 2002
Just because most adolescents pass through the 'rite-of-passage' that acne represents, there's no reason for physicians to evade treating it rigorously. Measures ranging from comedo expression to isotretinoin therapy can help restore an almost normal appearance to youthful sufferers......
Do You Intend To Be a 'Responsible' Patient?
January 11, 2002
Responsible patients look after their health and avoid inappropriate consumption of health care resources. What are the limits of personal responsibility, and how can public policy motivate The Responsible Patient?
Advertising Prescription Drugs Direct to Patients
November 13, 2001
'Direct-to-Consumer' advertising of prescription drugs is permitted in the USA and New Zealand, but prohibited in Europe and elsewhere in the industrialized world. What's in the best interest of patients?
Note to Physicians: Ask About Herbs
August 31, 2001
Patients slated for surgery often neglect to give their doctors some essential information - the kinds of herbal medicines they've recently taken.
Late-Onset Alcoholism: The Importance of Recognition and Treatment
August 10, 2001
Researchers have discovered an "invisible epidemic" of drinking problems among older men and women living in the community. The US Department of Health and Human Services recommends that, as part of a routine physical exam, primary care doctors take the time to screen all people 60 and over for alcohol and/or prescription drug abuse.
Does It Matter if an Orthopedic Patient Smokes Before and/or After Surgery?
August 3, 2001
Sure, Doc, I smoke. Does that matter?
Sepsis
July 2, 2001
Sepsis (infection) is the clinical syndrome of systemic inflammation, coagulopathy and, often, hypotension produced by the immune response of a person to infection.
Herpes zoster (shingles) in older people
April 10, 2001
If someone is over 60 and has had varicella as a child, they have a 50% chance of developing zoster by the time they are 85. This is related to the loss of varicella virus cell-mediated immunity, which declines with aging or immune-suppression. An expert review has recently been published on the epidemiology, clinical features, management and prevention of zoster.
Is enteral tube feeding using PEG really beneficial?
October 9, 2000
The use of tube feeding for older adults with terminal illness is growing rapidly. But does it represent the best approach for such patients? A recent analysis of outcomes in subjects after percutaneous endoscopic gastrostomy (PEG) casts doubt on the benefits of the procedure.
Medical Advice for Sale at the Health Food Store
October 2, 2000
Salespeople are employed to sell goods; healthcare workers are employed to provide medical care. The line between the two becomes blurred, though, when health food store employees step out of their role.
Herbal medicine
October 2, 2000
The use of medicinal herbs has increased considerably in recent years. While both self-medication with herbs and the practice of herbal medicine are enjoying this increased popularity, the article summarized here is chiefly concerned with the practice of herbal medicine.
Generics and You
September 20, 2000
When your doctor prescribes a generic drug, are you pleased, indifferent or affronted? Or are you perhaps uncertain and wondering what exactly generic means and how it will affect you?
Dizziness in old people
July 27, 2000
As many as one in three older people complain that they get dizzy spells. As dizziness leads to an increased likelihood of falling, it's important to try to find the cause, or causes, in each case. In this study, the incidence and etiological factors of dizziness in people over 72 years were examined .
Getting A Handle on Geriatric Pain : How Can You Help Older Patients Manage Their Pain?
June 26, 2000
One of the most frustrating clinical problems health care providers encounter when caring for older adults is pain. Complaints of discomfort are the leading reason for office visits among elderly patients.
Tuberculosis: Managing A Resurgent Disease
May 23, 2000
Tuberculosis is an ancient disease
that remains one of the world's most serious infections. In 1990, the World
Health Organization estimated that approximately 1.7 billion people were
infected (tuberculin positive) with the tubercle bacillus among whom eight
million had active disease.
The catastrophic nature of the sudden need for long-term care
April 14, 2000
Four days later, in the Neurological Intensive Care Unit, your attending physician explains that you've had a "cerebral vascular accident," a stroke. Talk will soon turn to post discharge planning, skilled nursing facilities, adult day care, speech therapy, and the "spend down" of your life savings. Your children, scattered across the country, and with families of their own, are torn between the need to protect the continuity of their own lives, and their roles as potential caregivers.
Hypercoagulability
March 30, 2000
In recent years, several new inherited and acquired disorders that predispose to thrombosis have been discovered, and as a group they are sometimes called thrombophilia. Factor V Leiden is .
Risk Factors (1)
March 24, 2000
As health professionals, we have probably all seen a patient and said to ourselves "there goes an MI waiting to happen". As good health professionals, we tell the patient this, in a suitable way, and give appropriate advice. But how often do we check to see if our advice is being followed?
Risk Factors (2)
March 24, 2000
To establish the relevance of an imputed risk factor, evidence is sought from epidemiology studies. The frequency of the condition is measured in two or more groups of patients that have different frequencies of the factor being evaluated.
Hemodialysis in the United States: Embarrassment or Exemplary Success?
February 17, 2000
Each of three prevalent therapies for end-stage renal disease (ESRD): maintenance hemodialysis (MD), continuous ambulatory peritoneal dialysis (CAPD) and kidney transplantation was devised, tested and implemented in the United States. Yet, criticism of the American system of ESRD therapy, especially MD, clouds present delivery of universal care, with accusations that physician avarice and conduct increase patient deaths.
Anemia in the Elderly
February 10, 2000
Anemia is defined as a hemoglobin below 13 g/dl for men and 12 g/dl for women. The prevalence ranges from 6-30 percent for men and 10-22 percent for women. There is often the impression that anemia of senescence and a mild anemia in elderly is likely to reflect a physiological rather than pathological process.
Gait and Immobility Assessment
January 24, 2000
The purpose of this tool is to assist in the evaluation of the patient with a mobility disorder.
Clinical Use of Semi-Synthetic Human Skin for Wound Healing
December 29, 1999
Although medical science is increasingly able to elucidate the biochemical basis of many diseases, certain basic wound healing problems remain essentially unchanged. Plantar foot wounds and venous stasis ulceration continue, for example, to affect millions of people annually.
Bed rest is not beneficial!
November 5, 1999
Hippocrates, the father of medicine, stated, "in every movement of the body, whenever one begins to endure pain, it will be relieved by rest". The medical profession has, over the centuries, continued to prescribe bed rest for a large number of conditions; in the last 75 years or so, the classical disorders calling for relative immobility have been myocardial infarction and back pain. However, since the 1940s the dangers of bed rest have become increasingly obvious - they include deep vein thrombosis, bedsores, osteoporosis and pneumonia. Unfortunately, too many patients are still content to prescribe bed rest for themselves. Now, three Australian investigators have analyzed studies published between 1966 and 1998 in which the potential benefits of bed rest have been examined as therapeutic or preventative modalities. .
Does ageism affect health care rationing ?
September 16, 1999
The two concepts - 'ageism' and 'rationing'
- are widely believed to exist in the health care systems of industrialised
countries.
Treating Chronic Hyponatremia
August 3, 1999
Chronic hyponatremia occurs in patients after surgery, or in association with other conditions, including psychiatric illnesses. The condition carries a substantial mortality, and is described by the authors of this study as being a common problem in postmenopausal women.
Abuse of the elderly
July 16, 1999
Mistreatment of the elderly, or "granny bashing" as the British called it, has been recognized as a medical and social problem for at least 20 years. However, because of differing definitions, poor detection and under-reporting, its extent is unknown.

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