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Navy Medicine: A Strategic Roadmap for Implementing a Virtual Mental Health ProgramA military service member talks about some of the ways the Navy is implementing new programs to improve mental health conditions.
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Diffuse Myocardial Fibrosis Is Associated With Diastolic Dysfunction in HF with Preserved EFIs degree of diffuse myocardial fibrosis associated with severity of diastolic dysfunction in heart failure with preserved ejection fraction?
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Choice of imaging modality for evaluation of myocardial ischemia—what is the bottom line?In Jahnke et al's study, the authors showed the prognostic value of yet another imaging modality—perfusion magnetic resonance (MR) imaging and dobutamine stress MR.
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Early statin therapy in acute coronary syndromePatients who survive an acute coronary syndrome are at much higher risk of a recurrent event within the following month than patients with stable coronary syndromes. Statin therapy lowers the risk of recurrent events for many years but also reduces the risk of another event within the weeks to months following the initial acute coronary syndrome. The mechanisms that contribute to this benefit are likely related to improved endothelial function, decreased vascular inflammation, and reduced prothrombotic factors. Observation studies show an early reduction in mortality with statin therapy started before discharge from the hospital after an acute coronary syndrome.
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Undiagnosed diabetes mellitus in coronary artery bypass graft surgeryWe examined the prevalence and risks associated with undiagnosed diabetes mellitus among more than 7000 patients who had undergone coronary artery bypass graft surgery. At the perioperative and postoperative stages, patients with undiagnosed diabetes showed a significantly higher morbidity and mortality rate.
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Give the Old Guys a Chance: Remembering Older InsulinsI have not had a recent referred patient come to me on any older insulins. The big surprise? Many times I switch them back from Aspart, Levemir, and lantus.
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HMG-CoA reductase inhibitors and diabetic retinopathyIncreased serum lipid levels in diabetic patients are associated with an increased risk of macular edema, retinal hard exudates, and secondary visual loss.
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Cutting the Cord: The Guide to Wireless PracticeIs a wireless practice right for you? If so, what components would benefit you most, and what should you know about them before making the jump?
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The Industry Insider: May 2007News and information from the pharmaceutical industry. In this issue: 1) Multiple Deals for Affitech 2) Pfizer's Sutent Wins European Association of Urology Support 3) Aurora Breast MRI Will Meet Surge in Screening Demand 4) Two New Products for VioQuest 5) Cytyc and Quest Sign Multi-Year Agreement 6) Calando's Lead RNAi Candidate Shows Anti-Cancer Effect
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Researchers Use Neural Stem Cells to Treat Type 1 Diabetes in MiceA new study by Japanese researchers may support transplanting neural stems cells into a patient's pancreas as a viable treatment for type 1 diabetes.
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Management of Acute GI Bleeding in Primary Care: An UpdateUpper gastrointestinal bleeding is a common medical emergency that continues to be a significant cause of morbidity and mortality. It requires rapid and appropriate intervention to control the associated hemodynamic instability and prevent continued or recurrent bleeding. Etiology is the key to prognosis. Lower gastrointestinal bleeding usually ceases spontaneously but may also result in hemodynamic instability or symptomatic anemia. Recognizing the signs and symptoms of upper versus lower gastrointestinal bleeding is crucial for prompt and appropriate treatment.
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Often-Overlooked Way to Fund Your Roth IRA Has Many AdvantagesA Roth annuity can create tax-free lifetime income during retirement or reduce your risk while saving for retirement.
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Is Anybody Listening? 10 Easy Steps Toward More Dynamic Internet PresentationsConducting distance learning activities over the telephone and the Internet is a cost-effective alternative.
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Tales of the Anion Gap, Part IVThe authors reviews several challenging cases illustrating the utility of the anion gap in the evaluation of an acidotic patient.
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Recognizing Posttraumatic Stress Disorder and Its ComorbiditiesPosttraumatic stress disorder is the fourth most common psychiatric condition, affecting about 1 in 10 people at some point during their lifetime. The principal cause is exposure to an extremely traumatic event. The individual's unique biologic or psychosocial character and previous exposure, along with the personal significance of the trauma, shape the intensity of the response. Early recognition of trauma symptoms and signs and prompt intervention are important in the prevention of acute stress disorder and the subsequent development of posttraumatic stress disorder. Obtaining a trauma history during a routine medical examination can lead to the diagnosis and help initiate treatment. In addition to being distressing, symptoms also diminish quality of life, impair psychosocial adjustment, and worsen overall health.
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Noninvasive assessment of coronary artery bypass grafts with 64-slice computed tomographic angiographyWe evaluated the accuracy of the 64-slice computed tomography (CT) angiography scanner in subjects who were scheduled to undergo invasive angiography for possible stenosis in coronary artery bypass grafts. Results showed that the improved resolution of CT scanners with 64-slice technology allowed for a precise delineation of bypass graft occlusion or stenosis. It permitted an accurate noninvasive assessment of bypass grafts, even in subgroups of subjects with suboptimal scan conditions, such as those with arrhythmias or higher heart rates.
