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Interview with Haiti DoctorDr. Croke had a short interview with a young Haitian doctor about the earthquake.
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Checking in on the Nation's Largest Academic Hospital Medicine ProgramAlan L. Wang, MD, and Daniel Owens, MBA, discuss the unique characteristics of academic hospital medicine, the importance of healthcare information technology in providing quality care, and the promising future of Emory Hospital Medicine and the field of hospital medicine.
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Achieving LDL cholesterol goals in elderly patients with ACSAfter an acute coronary syndrome (ACS) event, elderly patients are at greater risk of death and nonfatal coronary events compared with younger patients. Despite this, elderly patients continue to receive less evidence-based therapy. Lipidlowering therapy with statins is now routine practice for the secondary prevention of coronary heart disease. Achieving the optional National Cholesterol Expert Panel goal of a low-density lipoprotein cholesterol level of < 70 mg/dL for ACS patients over 70 years of age could prevent nearly 80 deaths or nonfatal coronary events for every 1000 patients treated for 2 years with a number needed to treat of approximately 12.
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Syncope from ventricular tachycardia secondary to methadone useMethadone HCI (Diskets, Dolophine, Methadose) is a synthetic opioid that has been used widely in the United States for the management of heroin addiction Treatment of opioid dependence has been shifting gradually from the older US Food and Drug Administration (FDA) inspection program, ...
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Minimally Absorbed Crofelemer Relieves Noninfectious Diarrhea Symptoms in Patients with HIVLong-term usage of crofelemer, a drug that relieves noninfectious diarrhea symptoms in patients with HIV, was well-tolerated and produced few adverse events in a recent study.
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Stressing the Need for Collaboration on Rare Disease DayIn this video, Stephen Spaulding, M.A., Director Of Care Services for the ALS Association Greater Philadelphia Chapter, discusses how certain science and drugs can apply to more than one patient population.
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Anticholinergics Increase Dementia Risk in Middle-Aged, Older AdultsTaking daily anticholinergic drugs when 55 or older increases the risk of dementia, according to this nested case-control study.
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Community cardiology clinics for secondary prevention of coronary heart disease and heart failure in primary careCoronary heart disease (CHD) and chronic heart failure (CHF) are common chronic conditions encountered in primary care. Studies have shown that despite a strong evidence base, these conditions are often poorly diagnosed and inadequately managed in primary care.
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Integrating the existing emergency medical system with automated external defibrillators for out-of-hospital cardiac arrestWe investigated whether a program based on diffuse deployment of automated external defibrillators operated by trained volunteers and laypersons across the largest county in Italy would safely and effectively improve the current survival rate among patients with out-of-hospital cardiac arrest. Compared with historical control subjects, the new strategy resulted in a 3-fold increase in 1-year survival free of neurologic impairment.
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Opioid Safety is Job OneA program developed by the American Pain Foundation and its partners is spreading the message about safe and effective pain management by offering useful resources for patients and physicians.
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Coronary artery disease in asymptomatic diabetic patientsWe evaluated the effectiveness of the current American Diabetes Association guidelines for the detection of coronary artery disease (CAD) in asymptomatic patients with type 2 diabetes and assessed whether a more aggressive diagnostic strategy would permit detection of silent CAD at an earlier stage. The prevalence of myocardial perfusion defects and CAD in asymptomatic diabetic patients was high independent of risk factor profile, and an aggressive diagnostic approach in patients who would normally be excluded from screening permitted identification of CAD at an earlier stage, when coronary anatomy is more likely to respond to treatment.
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Anticoagulant Use Among Afib Patients Wanes Over TimeORLANDO -- Barely half of patients with atrial fibrillation who were prescribed rivaroxaban (Xarelto) to prevent stroke remained on the treatment after 2 years, but their adherence was still better than Afib patients on warfarin or dabigatran (Pradaxa), researchers said here.
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Medical Marijuana: An Oncologist's PerspectiveNevada legalized medical marijuana in 2000. First, physicians determine whether patients have a qualifying medical condition such as cancer, AIDS, or glaucoma. The Nevada Department of Health and Human Services then verifies an applicant is in compliance with the law and, if so, issues a registration card authorizing medical marijuana use. Click here to read a commentary on medical marijuana by Nevada oncologist Anthony V. Nguyen, MD.
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Marijuana and Cardiovascular DiseaseWhat Should Cardiologists Advise Their Patients About Using Cannabis?
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How Primary Care Physicians Can Play an Important Role in the Fertility JourneyThe dynamic between a primary care doctor and a patient is the pathway to constructive and beneficial communication on fertility options.
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Prognosis of "masked" hypertension vs. "white-coat" hypertensionWe compared the prognosis of patients with "white-coat" hypertension (WCHT) with that of patients with "masked" hypertension (MHT). The 10-year composite risk of stroke morbidity and cardiovascular mortality for patients with WCHT was similar to the risk for patients with sustained normal blood pressure, whereas the risk was markedly increased for patients with MHT and sustained hypertension. This indicates that conventional blood pressure measurements may fail to distinguish some patients at high or low risk.
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How a Cruise Can Simplify Your VacationCruises not only simply the vacation experience, but they also enable visits to countries that might be difficult to navigate otherwise.
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Overlap between Myofascial Pain Syndrome and Fibromyalgia, and the New Thinking on the Role of Myofascial Trigger PointsMyofascial pain syndrome and fibromyalgia are common forms of musculoskeletal pain that are often confused with each other, not only because of similar symptoms, but also because they frequently occur in the same patient, which can lead to difficulties in differential diagnosis and treatment.
