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Preoperative Evaluation Before Noncardiac Surgery

Author/s: Bierle, DM, Raslau, D, Regan, DW, Sundsted, KK, Mauck, K.F.

The medical complexity of surgical patients is increasing and medical specialties are frequently asked to assist with perioperative management surgical patients. Effective pre-anesthetic medical evaluations are a valuable tool in providing high-value, patient-centered surgical care and should...

Keywords/Tags:
surgery preoperative evaluation risk assessment

Coronary Microvascular Dysfunction Causing Cardiac Ischemia in Women

Author/s: Wei, J, Cheng, S, Merz, CNB

Two-thirds of women who present with persistent symptoms and clinical signs of ischemia have no evidence of obstructive coronary artery disease (INOCA) on angiography. Cardiac ischemia can be manifested by chest discomfort, shortness of breath, decreased exercise tolerance, and ST-segment or...

Keywords/Tags:
coronary microvascular dysfunction CMD obstructive coronary artery disease cardiac ischemia females angina

Mobile phone text messaging and app-based interventions for smoking cessation

Author/s: Whittaker, R, McRobbie, H, Bullen, C, Rodgers, A, Gu, Y, Dobson, R

Abstract

Background

Mobile phone‐based smoking cessation support (mCessation) offers the opportunity to provide behavioural support to those who cannot or do not want face‐to‐face support. In addition, mCessation can be automated and therefore provided affordably even in resource‐...

Keywords/Tags:
smoking cessation mobile phone tobacco tobacco use text message

A Multinational, Multicenter, Randomized, Double-Blinded, Placebo-Controlled Trial to Evaluate the Efficacy of Cyclical Topical Wound Oxygen Therapy (TWO2) in the Treatment of Chronic Diabetic Foot Ulcers: The TWO2 Study

Author/s: Frykberg, RG, Franks, PJ, Edmonds, M, Brantley, JN, Téot, L, Wild, T, Garoufalis, MG, Lee, AM, Thompson, JA, Reach, G, Dove, CR, Lachgar, K, Grotemeyer, D, Renton, SC, TWO2 Study Group

OBJECTIVE:

Topical oxygen has been used for the treatment of chronic wounds for more than 50 years. Its effectiveness remains disputed due to the limited number of robust high-quality investigations. The aim of this study was to assess the efficacy of multimodality cyclical pressure ...

Keywords/Tags:
wound therapy diabetes diabetic foot ulcer topical wound oxygen therapy two2

Aspirin in the Treatment and Prevention of Migraine Headaches: Possible Additional Clinical Options for Primary Healthcare Providers

Author/s: Biglione, B., Gitin, A., Gorelick, P., Hennekens, C.

Migraine headaches are among the most common and potentially debilitating disorders encountered by primary healthcare providers. In the treatment of acute migraine as well as prevention of recurrent attacks there are prescription drugs of proven benefit. For those without health insurance or...

Keywords/Tags:
migraine treatment headache

Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians

Author/s: Qaseem, A., Crandall, C.J., Mustafa, R.A., Hicks, L.A., Wilt, T.J., Clinical Guidelines Committee of the American College of Physicians

DESCRIPTION:

The purpose of this guidance statement is to guide clinicians on colorectal cancer screening in average-risk adults.

METHODS:

This guidance statement is derived from a critical appraisal of guidelines on screening for colorectal cancer in average-risk adults and...

Keywords/Tags:
Colonoscopy Early Detection of Cancer

Chronic Constipation

Author/s: Bharucha, AE, Wald, A

Constipation is a common symptom that may be primary (idiopathic or functional) or associated with a number of disorders or medications. Although most constipation is self-managed by patients, 22% seek health care, mostly to primary care physicians (>50%) and gastroenterologists (14%),...

Keywords/Tags:
chronic constipation constipation laxatives opiod-induced consitpation

Vaccines for International Travel

Author/s: Freedman, DO, Chen, LH

The pretravel management of the international traveler should be based on risk management principles. Prevention strategies and medical interventions should be based on the itinerary, preexisting health factors, and behaviors that are unique to the traveler. A structured approach to the patient...

Keywords/Tags:
vaccines travel international travel travel vaccine immunizations

Is It Possible to Make a Correct Diagnosis of Lyme Disease on Symptoms Alone? Review of Key Issues and Public Health Implications

Author/s: Baker, PJ

There is much confusion and misinformation about the diagnosis of Lyme disease, as well as its treatment. This review explains why one cannot make a correct diagnosis of Lyme disease based on symptoms alone. It also provides evidence to support the validity of two-tier testing for the laboratory...

Keywords/Tags:
Diagnosis of Lyme disease Lyme disease public health implications symptoms of Lyme disease treatment of Lyme disease

Disorders of Arousal in adults: new diagnostic tools for clinical practice

Author/s: Loddo, G, Lopez, R, Cilea, R, Dauvillers, Y, Provini, F

Disorders of Arousal  (DOA) are mental and motor behaviors arising from NREM sleep. They comprise a spectrum of manifestations of increasing intensity from confusional arousals to sleep terrors to sleepwalking.

Although DOA in childhood are usually harmless, in adulthood they are often...

Keywords/Tags:
disorder of arousal sleepwalking sleep terrors confusional arousals EEG Video-polysomnography Diagnostic Criteria Motor Patterns Slow-wave sleep fragmentation index

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