11 Temmuz 2012 Çarşamba
10 Temmuz 2012 Salı
9 Temmuz 2012 Pazartesi
Acute low back pain: What to do? What works and what doesn't?
Here is an excerpt from a recent review article in the official AFP journal American Family Physician:Acute low back pain is one of the most common reasons for adults to see a physician. Most patients recover quickly with minimal treatment.
"Red flags"
Serious "red flags" include:
- significant trauma related to age (i.e., injury related to a fall from a height or motor vehicle crash in a young patient, or from a minor fall or heavy lifting in a patient with osteoporosis or possible osteoporosis)
- major or progressive motor or sensory deficit
- new-onset bowel or bladder incontinence or urinary retention
- loss of anal sphincter tone
- saddle anesthesia
- history of cancer metastatic to bone
- suspected spinal infection
Diagnosis
Without signs of serious pathology, imaging and laboratory testing often are not required.
Treatment
Patient education, nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and muscle relaxants are beneficial.
Bed rest should be avoided, if possible.
Exercises directed by a physical therapist, such as the McKenzie method and spine stabilization exercises, may decrease recurrent pain.
Spinal manipulation and chiropractic techniques are no more effective than established medical treatments.
No substantial benefit has been shown with:
- oral steroids
- acupuncture
- massage
- traction
- lumbar supports
- regular exercise programs
References:
Diagnosis and treatment of acute low back pain. Casazza BA. Am Fam Physician. 2012 Feb 15;85(4):343-50.
Image source: Different regions (curvatures) of the vertebral column, Wikipedia, public domain.
An App for Medical Emergencies - EmergencyLink - WSJ video
Here is the URL: http://www.emergencylink.com
The company explains how it can help if:
- You Are In An Accident. A first responder locates the EmergencyLink ID and calls EmergencyLink as instructed. EmergencyLink provides the first responder with your emergency medical information and contacts your “Emergency Contacts” as you have instructed.
- Your Child Is Missing. You can quickly create a a Missing Person report and forward it to the police. The police can immediately act on the information maximizing their chances of locating your child quickly and safely.
- Sharing Information with a Caregiver. You are able to electronically share all of the information the caregiver will need in case of an emergency. Whenever your child's profile is updated, everyone with whom you are sharing the information will be updated, no need to constantly update everyone.
- A Friend is in an Accident. If your friend is an EmergencyLink Member and is "sharing" their info with you, you can access their emergency medical information (allergies, medications, medical insurance) and forward them to the first responder.
- Co-Workers Are On A Project Away From Home. Each Member in the group agrees to share their emergency contact information with each other. If there is an emergency situation, the group has the information needed to reach each others emergency contacts.
EmergencyLink is a free 24-Hour Emergency Response Service that helps you store your important information in one location, share emergency information with family and friends and has a 24-Hour Emergency Response center to aid you in an emergency:
Comparing Car Insurance Quotes - Important Points To Consider
First of all, understand that you pay car premiums for your own benefit. Most people have a very wrong attitude about their premium payments. They pay very grudgingly because auto insurance quotes are mandated by law in every country. They fail to realize that it is their car insurance payments that are going to cover the costs when they face any eventuality. Only when people face an accident, they wish they had opted for better coverage for their vehicle.Therefore, when you compare quotes, you need to see which company provides the best coverage for a specified amount of money. The company that gives you maximum coverage per dollar should be the one you eventually choose. That is why it is never advisable to go for the lowest quote. Although you might save some money by paying lower premiums, you would eventually end up bearing most of the cost when your vehicle is involved in an accident.
The type of coverage you need would depend on a number of different factors. First of all, the age and condition of the vehicle needs to be taken into consideration. If yours is a brand new car with a majority of your monthly payments still in the future, then you need to go for maximum coverage for your vehicle. You need to have protection against accidents, theft, loss, fire, flooding, and all kinds of damage that can possibly occur to an automobile. Having your car comprehensively covered for all kinds of eventualities would give to a lot of relief even when calamity strikes.
On the other hand, if your car is quite old or already damaged, then you probably need not pay too much attention on full coverage. You might pay just a minimum amount to conform to legal requirements. Therefore, look for a quote that caters to your specific need. Do not blindly choose the lowest quote. The policy you choose should provide the exact type of coverage that your car requires depending on its age, condition and other relevant parameters.
Google Alert - prostatitis causes
| ||
| Is there any medicine that can cure prostatitis?-Diuretic and Anti ... The causes of prostatitis are various. Some are caused by bacterial infection; some are caused by bad habits. Many diseases are difficult to treat, prostaitis is an ... www.diureticspill.com/Medical_Use/.../cure-prostatitis.html |
Tip: Use site restrict in your query to search within a site (site:nytimes.com or site:.edu). Learn more.
Delete this alert.
Create another alert.
Manage your alerts.
Give Dandruff the Brush-Off
| ||||||||||||||||||||||||||||||
| Monday, July 9, 2012 | ||||||||||||||||||||||||||||||
| ||||||||||||||||||||||||||||||
|
| |||||||||||||||||||||||||||||
Don't miss an issue of this newsletter. Add WebMD to your email's safe sender list -- get instructions here. You are subscribed as digest2012.prostatitis@blogger.com. WebMD Privacy Policy | ||||||||||||||||||||||||||||||
| ||||||||||||||||||||||||||||||
8 Temmuz 2012 Pazar
Heat Exhaustion Symptoms
Heat Exhaustion Symptoms, many of us like to play out in the summer time, and it is essential for us to play out in the summer as the outdoor activities as well as the weather is perfect for such games. Going for fun activities, and playing with your friends can always engross us in our weekday or weekends.
It is also time for our family to go for picnics, and many other fun activities. But if you happen to indulge in a lot of playing outside in the sun, then you would also be under the pressure of getting heat exhaustion.
Heat exhaustion can be told from certain symptoms like if you feel the need to take a rest, and you always feel flustered, and you develop a slight fever. Heat exhaustion can also be told from the fact that if you're feeling lethargic to do anything, and you feel that there is not an ounce of water in your body and you always want to play for water, then that is a sure shot of heat exhaustion as well as dehydration. Always try and increase your water intake whenever you're outside so that you do not have to suffer from heat exhaustion.
Heat Exhaustion Pictures And Images
Pregnancy Symptoms
Pregnancy Symptoms, Pregnancy is the resultant of the sperm having successful contact with the eggs in the females ovarian tube. In such cases, one would definitely not know when a person is pregnant, and there are a couple of symptoms which you may get if you happen to be pregnant.
Morning sickness, that is vomiting in the morning without any rhyme or reason can be one of the best symptoms that can tell you that you are pregnant. Also relating to other works, you would feel that you are always getting tired fast and you are always hungry and there is a constant need to urinate from your side. If this is the case, then it is better that you consult a doctor fast so that you can get a verdict on your condition.
Pregnancy can also show you symptoms like bleeding from your over you and you which one may mistake for menstruation and not consider it a sign of pregnancy. But bleeding in a brown colouration and very well signify that you are pregnant. Also when you feel that your breasts are swollen, and the legs are always tired, then there is always a greater chance of you being pregnant.
Google Alert - prostatism
| ||
| Prostatism Bph Grade Iii - The People's Medicine Community ... PROSTATE MEASURES 5 6X5 0X3 9CM APPROX VOL 56CC ... Learn about and discuss PROSTATISM BPH grade III at The People's Medicine Community. www.prescriptiondrug-info.com/.../PROSTATISM-BPH-grade... | ||
| Could Aortic stenosis cause Prostatism (Bladder outlet obstruction ... Could Aortic stenosis cause Prostatism? On Jul 2 2012, 85 Aortic stenosis patients were studied. See who have prostatism, what drugs are used, and any other ... www.ehealthme.com/cs/aortic%2Bstenosis/prostatism |
Tip: Use site restrict in your query to search within a site (site:nytimes.com or site:.edu). Learn more.
Delete this alert.
Create another alert.
Manage your alerts.
Surprising Foods With Fat
| Don't miss a single WebMD newsletter. We've changed our email address. To ensure our emails reach your inbox, please update your address book or simply add WebMD to your safe sender list. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Acute low back pain: What to do? What works and what doesn't?
Here is an excerpt from a recent review article in the official AFP journal American Family Physician:Acute low back pain is one of the most common reasons for adults to see a physician. Most patients recover quickly with minimal treatment.
"Red flags"
Serious "red flags" include:
- significant trauma related to age (i.e., injury related to a fall from a height or motor vehicle crash in a young patient, or from a minor fall or heavy lifting in a patient with osteoporosis or possible osteoporosis)
- major or progressive motor or sensory deficit
- new-onset bowel or bladder incontinence or urinary retention
- loss of anal sphincter tone
- saddle anesthesia
- history of cancer metastatic to bone
- suspected spinal infection
Diagnosis
Without signs of serious pathology, imaging and laboratory testing often are not required.
Treatment
Patient education, nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and muscle relaxants are beneficial.
Bed rest should be avoided, if possible.
Exercises directed by a physical therapist, such as the McKenzie method and spine stabilization exercises, may decrease recurrent pain.
Spinal manipulation and chiropractic techniques are no more effective than established medical treatments.
No substantial benefit has been shown with:
- oral steroids
- acupuncture
- massage
- traction
- lumbar supports
- regular exercise programs
References:
Diagnosis and treatment of acute low back pain. Casazza BA. Am Fam Physician. 2012 Feb 15;85(4):343-50.
Image source: Different regions (curvatures) of the vertebral column, Wikipedia, public domain.
7 Temmuz 2012 Cumartesi
Acute low back pain: What to do? What works and what doesn't?
Here is an excerpt from a recent review article in the official AFP journal American Family Physician:Acute low back pain is one of the most common reasons for adults to see a physician. Most patients recover quickly with minimal treatment.
"Red flags"
Serious "red flags" include:
- significant trauma related to age (i.e., injury related to a fall from a height or motor vehicle crash in a young patient, or from a minor fall or heavy lifting in a patient with osteoporosis or possible osteoporosis)
- major or progressive motor or sensory deficit
- new-onset bowel or bladder incontinence or urinary retention
- loss of anal sphincter tone
- saddle anesthesia
- history of cancer metastatic to bone
- suspected spinal infection
Diagnosis
Without signs of serious pathology, imaging and laboratory testing often are not required.
Treatment
Patient education, nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and muscle relaxants are beneficial.
Bed rest should be avoided, if possible.
Exercises directed by a physical therapist, such as the McKenzie method and spine stabilization exercises, may decrease recurrent pain.
Spinal manipulation and chiropractic techniques are no more effective than established medical treatments.
No substantial benefit has been shown with:
- oral steroids
- acupuncture
- massage
- traction
- lumbar supports
- regular exercise programs
References:
Diagnosis and treatment of acute low back pain. Casazza BA. Am Fam Physician. 2012 Feb 15;85(4):343-50.
Image source: Different regions (curvatures) of the vertebral column, Wikipedia, public domain.
Genital ulcers - 2012 review from Am Fam Physician
Causes of genital ulcers
Herpes simplex virus (HSV) infection and syphilis are the most common causes of genital ulcers in the U.S.
Other infectious causes include:
- chancroid
- lymphogranuloma venereum (LGV)
- granuloma inguinale (donovanosis)
- secondary bacterial infections
- fungi
Noninfectious etiologies of genital ulcers include:
- sexual trauma
- psoriasis
- Behçet syndrome
- fixed drug eruptions
CDC Streaming Health | This video, produced by Be Smart. Be Well., raises awareness of Sexually Transmitted Diseases (STDs): 1) What are they? 2) Why they matter? and, 3) What can I do about them? Footage courtesy of Be Smart. Be Well. http://www.besmartbewell.com, featuring CDC's Dr. John Douglas, Division of Sexually Transmitted Disease Prevention.
Diagnosis
The following tests should be considered in all patients:
- serologic tests for syphilis and darkfield microscopy or direct fluorescent antibody testing for Treponema pallidum
- culture or polymerase chain reaction test for herpes simplex virus (HSV)
- culture for Haemophilus ducreyi in settings with a high prevalence of chancroid
No pathogen is identified in up to 25% of patients with genital ulcers.
Treatment
The first episode of herpes simplex virus infection is usually treated with 7-10 days of oral acyclovir (5 days for recurrent episodes). Famciclovir and valacyclovir are alternative therapies.
One dose of intramuscular penicillin G benzathine is recommended to treat genital ulcers caused by primary syphilis.
Treatment options for chancroid include a single dose of intramuscular ceftriaxone or oral azithromycin, ciprofloxacin, or erythromycin.
Lymphogranuloma venereum and donovanosis are treated with 21 days of oral doxycycline.
Treatment of noninfectious causes of genital ulcers varies by etiology, of course. Topical wound care for ulcers caused by sexual trauma. Subcutaneous pegylated interferon alfa-2a is considered for ulcers caused by Behçet syndrome.
References:
Diagnosis and management of genital ulcers. Roett MA, Mayor MT, Uduhiri KA. Am Fam Physician. 2012 Feb 1;85(3):254-62.
Top medicine articles for June 2012
Here are my suggestions for some of the top articles in medicine for June 2012:Open access to research is inevitable, says Nature editor-in-chief http://goo.gl/N3OEU
Diagnosis, treatment, and management of echinococcosis | 2012 BMJ review http://goo.gl/r65Nd
How to be a cool headed clinician. Imperturbability is an essential characteristic for doctors, but how compatible is it with empathy? BMJ http://goo.gl/X7l5y
A doctor's guide to E/M coding - How to minimize lost revenue and likelihood of an audit - ModernMedicine http://goo.gl/RT6OC
Forgotten notebooks shed light on controversial discovery of streptomycin, the first antibiotic to cure TB http://goo.gl/1au0m
Apps for the Traveler With Medical Issues - NYTimes http://goo.gl/vFJzE
Statin Use Linked to Fatigue in Randomized Trial http://goo.gl/4xv0I and http://goo.gl/U2cMh
Thiazolidinedione use is associated with increased risk for diabetic macular edema http://goo.gl/1O0Tz
"Superbug" gonorrhea, becoming untreatable, accounts for 10% of STDs in Europe - doubling since last year http://goo.gl/y5aWr
Rapid Saliva Test for Laryngopharyngeal Reflux (LPR) http://goo.gl/LEsMO and http://goo.gl/GCean
Journal offers flat fee for ‘all you can publish’ Whereas PLoS ONE charges $1,350 per paper, PeerJ users pay $299 http://goo.gl/0kArd
Ipratropium linked to increased risk of stroke in COPD, especially with concomitant use of SABAs or theophylline http://goo.gl/CEr25
Chagas Disease is “The New HIV/AIDS of the Americas” claims the journal PLoS Neglected Tropical Diseases http://goo.gl/1P1qu
Cleveland Clinic summit on Patient Experience shares presentation slides - a must-read for those interested in #HCSM http://goo.gl/EnMbK
Doctors are using electronic records more - but liking them less - Washington Post http://buff.ly/Lpb8SY
Only 6.7% of office-based physicians routinely email with patients http://buff.ly/PPdusu
5 Key Benchmarks That Could Make or Break a Physician Practice http://buff.ly/LpbskH
90% of patients prefer web-based access to health information and education. 88% want to receive email reminders when it is time for preventive or follow-up care. 72% would like to use online services to book, change or cancel physician appointments. http://buff.ly/L0jjQS
The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to clinicalcases@gmail.com and you will receive acknowledgement in the next edition of this publication.
Comments from Twitter:
Mike Cadogan @sandnsurf: Another great collection of the top #hcsm articles in medicine June 2012 via @DrVes litfl.com/LdO8X4
@DrVes: @sandnsurf @hjluks I'm glad you liked the summary http://casesblog.blogspot.com/2012/06/top-medicine-articles-for-june-2012.html - it's helpful to collect the article tweets for later reference.
Drowning Prevention Guidelines
Key risk factors for drowning are:
- male sex
- age of less than 14 years
- alcohol use
- low income
- poor education
- rural residency
- aquatic exposure
- risky behavior
- lack of supervision
For people with epilepsy, the risk of drowning is 15 to 19 times as high as the risk for those who do not have epilepsy.
For every person who dies from drowning, another four persons receive care in the emergency department for nonfatal drowning.
Drowning Doesn’t Look Like Drowning
- Except in rare circumstances, drowning people are physiologically unable to call out for help. The respiratory system was designed for breathing. Speech is the secondary or overlaid function. Breathing must be fulfilled, before speech occurs.
- Drowning people’s mouths alternately sink below and reappear above the surface of the water.
- The mouths of drowning people are not above the surface of the water long enough for them to exhale, inhale, and call out for help. When the drowning people’s mouths are above the surface, they exhale and inhale quickly as their mouths start to sink below the surface of the water.
- Drowning people cannot wave for help. Nature instinctively forces them to extend their arms laterally and press down on the water’s surface. Pressing down on the surface of the water, permits drowning people to leverage their bodies so they can lift their mouths out of the water to breathe.
- Throughout the Instinctive Drowning Response, drowning people cannot voluntarily control their arm movements. Physiologically, drowning people who are struggling on the surface of the water cannot stop drowning and perform voluntary movements such as waving for help, moving toward a rescuer, or reaching out for a piece of rescue equipment.
- From beginning to end of the Instinctive Drowning Response people’s bodies remain upright in the water, with no evidence of a supporting kick. Unless rescued by a trained lifeguard, these drowning people can only struggle on the surface of the water from 20 to 60 seconds before submersion occurs.
References:
Drowning Doesn’t Look Like Drowning. Mario Vittone.On Scene Magazine: Fall 2006 (page 14)
Drowning - free NEJM review, 2012 http://goo.gl/xSqLu
Top medicine articles for June-July 2012
Here are my suggestions for some of the top articles in medicine for June-July 2012:Should You Put Sunscreen on Infants? It’s best not to use sunscreen on infants under age 6 months - FDA http://buff.ly/LxmJ0u
Guillain-Barre Syndrome - NEJM review http://buff.ly/LxmC55
Long-term use of low-dose azithromycin as an attractive adjunct treatment option for COPD http://buff.ly/LAoNVi
71% of doctors believe quality of healthcare will deteriorate over the next 5 years (19-page survey summary, PDF) http://goo.gl/Sl0wd
Americans' confidence in the U.S. medical system is around the historical average of 39% http://goo.gl/KoTqI
FDA Approves Diet Pill Belviq http://bit.ly/LCvE0o
What is So Good About Growing Old: mind gets sharper at a number of vitally important abilities http://goo.gl/6xI8M
A Lithium Battery in a Hotdog: the picture burns itself into mind - keep out of reach of small children http://buff.ly/LSmPBS
People who remember being pushed or slapped as children more likely to have depression or anxiety later in life http://goo.gl/oTt7p
Physical Punishment Has Long-Lasting Consequences on Children's Mental Health (study) http://buff.ly/LKGrl6
GSK once-daily lung drug LAMA/LABA (umeclidinium/vilanterol) showed positive results in COPD http://goo.gl/s1o0P
1 in 5 Nurses is Depressed - 18% of hospital-employed nurses have depression; twice the rate of the general public http://goo.gl/aioSn
The Medication Generation: Many young people today have now spent most of their lives on antidepressants - WSJ http://on.wsj.com/LLDuVE
Publishing a medical journal is a very profitable activity, says former BMJ Editor-in-Chief and provides examples http://goo.gl/QeaKS
Health Care Mandate Puts a "Cranky Uncle" in Every Exam Room - NYTimes http://goo.gl/v0PpH
The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to clinicalcases@gmail.com and you will receive acknowledgement in the next edition of this publication.
5 Temmuz 2012 Perşembe
Symptoms Of Dehydration
Symptoms Of Dehydration, symptom checker, As we know it, what is the essential component of our body, and we always need water in order to keep the body functions in check. If we buy any chance to get dehydrated, that means that all the body fluids that we have are in very low quantities
And if this condition continues, then we're in for a serious condition called dehydration. More than 70% of body weight is actually what are, and when water becomes less than the amount in alarming quantities, then we can be certain that they are suffering from dehydration.
The symptoms of dehydration is actually craving for more water. Whenever you want to drink more water, then you get to know that the body is lacking in water content, and you should drink more water than to keep the water content in your body in check. Also urinating in a dark colour, is also the sure shot sign of you suffering from dehydration. Whenever your skin collection gets dark without you having gone out in the sun, then you would also get to know that you are suffering from dehydration. Also symptoms like weakness, skin flushing, and headache are due to dehydration.
Dehydration Pictures And Images
Meningitis Symptoms
Meningitis Symptoms, symptom checker, meningitis is actually a very rare disease that occurs in the brain and it is also called a barrier between the brain and the blood that goes between the brain because it protects the brain from the contamination of bad blood.
Many other infections can actually get through into the brain by tricking this barrier, and then the ability for the barrier to work properly can be compromised. There are many symptoms with which you can get to know if you are affected by meningitis, and they will also get a very comprehensive detail about such diseases.
Meningitis is actually the spread of a direct infection into the brain and it can result in many other things like an ear infection or a sinus infection, and it can also result in head trauma or something that occurs with the injury of the brain. Meningitis is often like the flu, and it has a recurring headache that does not seem to go away at all. You would always feel that you are feeling tired, and there is a stiffness in your neck, along with no proper moment in the head region. Swelling of eyes and tiredness of guys can also be a good enough symptom of meningitis
Our Favorite Fattening Summer Foods
| Don't miss a single WebMD newsletter. We've changed our email address. To ensure our emails reach your inbox, please update your address book or simply add WebMD to your safe sender list. | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||
St.John’s Wort Extract
This time we especially recommend our " St.John's Wort Extract
| St.John's Wort Extract | |
| Botanical Source: | Hypericum perforatum L. |
| Active Ingredient: | Hypericin |
| Appearance | Dark brown to brownish-black fine powder |
| Specification: | Hypericin:0.3%min |
| Test Method | UV HPLC |
| CAS | 548-04-9 |
| Function | |
| 1) To prevent against depression; | |
| 2) To prevent against bacterial infections | |
| 3) Treatment of pre-menstrual syndrome. | |
Please contace me If you interested our products.
Shaanxi king stone enterprise company limited
Fax:86-29-88353140 ; Tel:86-29-88353805
E-Mail:export@king-stone.co
http://www.king-stone.co