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Meckel's Diverticulum in Adults: More Common Than You ThinkMeckel's diverticulum is among the most common congenital defects of the gastrointestinal tract. Although often considered a disorder of childhood, it can also be diagnosed in adults. Meckel's diverticulum is often asymptomatic. When patients present with symptoms, diagnosis is complicated because the features are similar to those of many other gastrointestinal conditions, and traditional imaging studies often do not demonstrate an obvious abnormality. Management is evolving, and there is no consensus on the appropriate approach to treatment. This article discusses the pathophysiology, associated complications, and management options for this often-overlooked condition.
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Medication adherence and meaningful clinical markers in diabetes mellitusDiabetes mellitus is a chronic disease for which nonadherence to therapy is frequent.
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Detection of anomalous origin of the coronary arteries-role of CT coronary angiographyIn this issue, Schubert and Helenowski present a very dramatic instance of an increasingly common application of computed tomography (CT) coronary angiography—detection of an anomalous origin of the coronaries (page 40).
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A Comparison of Fractional Flow Reserve by Coronary Angiography Vs. Atherosclerotic Plaque Characteristics by Coronary CTAIn the era of progressive technology, the diagnostic modalities for stable coronary artery disease are various. The original cardiac stress test has been used in the past for many purposes, including diagnosis of obstructive coronary artery disease in a patient with chest pain as well as risk stratification for ischemia. More recently, coronary computed tomographic angiography (CCTA) has emerged as a great tool to diagnose anatomically obstructive coronary lesions. However, for the past few years, obtaining functional and physiologic data such as comparative fractional flow reserve (FFR) has become the gold standard for evidence of ischemia on CCTA similar to invasive angiography.
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Predicting Prognosis and Addressing Goals of CareAs many of you are aware, a growing number of hospitalized patients are elderly patients with increasing numbers of comorbidities.
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The Latest Data for Ruxolitinib Cream in Vitiligo: Finding Context from the OutcomesDermatologists Raj Chovatiya, MD, PhD, and David Rosmarin, MD, discuss new research outcomes for the topical JAK inhibitor live from the Revolutionizing Atopic Dermatiti 2023 Annual Meeting in Washington, DC.
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What's in a Sign-out System Anyway?The author recalls how the digitization of a sign-out system greatly improved efficiency and reduced headaches among hospital staff, leading to the development of a custom system that further eased the pains of the sign-out process.
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Myocardial perfusion scintigraphy as a gatekeeper for invasive proceduresWe evaluated the potential benefit of using myocardial perfusion scintigraphy as a gatekeeping technique prior to performing coronary angiography and revascularization procedures in patients with stable angina pectoris. Results showed that about half of all catheterizations and almost one fifth of coronary revascularizations could be avoided, assuming that only patients with reversible (stress-induced) myocardial ischemia and a minority of patients with "fixed" perfusion defects (present both at rest and during stress) would benefit from coronary revascularization.
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Elevated high-density lipoprotein cholesterol and carotid atherosclerosisWe assessed the relationship between high-density lipoprotein (HDL) cholesterol level and carotid plaque progression in 1952 men and women with preexisting carotid atherosclerosis over a period of 7 years. The HDL cholesterol level was inversely related to plaque growth. The plaques that became more echogenic during follow-up had a lower growth rate compared with those that became more echolucent. These findings suggest that HDL cholesterol stabilizes plaques and counteracts their growth by reducing their lipid content and inflammation.
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BIO-BUZZ: Inhibition of Angiogenesis with Bevacizumab Shows Promise in the Treatment of Recurrent or Advanced Non-Small-Cell Lung CancerThis year in the US, the American Cancer Society estimates that lung cancer will kill more people than breast, prostate, colon, liver, and kidney cancers combined, making it the leading cause of cancer death among Americans.
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Let's Get Smart about Antibiotic PrescribingAntibiotics are commonly prescribed by a wide range of clinicians. Data suggest that up to 50% of prescribed antibiotics are "unnecessary" or "inappropriate".
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How Health Plans Can Help Address CoronavirusDigital tools can be leveraged to help treat more patients remotely.
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The Assessment and Treatment of Sports-related Acute Knee InjuryDue to the nature of its hinge joint structure and weight-bearing requirement, the knee is easily subject to trauma. This is especially true when it comes to the many stresses that sports and athletics can inflict on the knee.
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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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ALA Chief Mission Officer Explains LUNG FORCE ExposDeborah Brown, Chief Mission Officer of the American Lung Association (ALA), discusses the ALA’S most recent LUNG FORCE Expo in Cherry Hill, New Jersey, 2018.
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Reducing inflammatory biomarkers: What does it mean?The principal finding of this study is that among patients with type II diabetes and mixed dyslipidemia, treatment with simvastatin, fenofibrate, or their combination was associated with reductions in inflammatory biomarkers high-sensitivity C-reactive protein (hsCRP) and lipoprotein-associated phospholipase A2 (Lp-PLA2).
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Older Nurses in the WorkforceA topic that is being discussed a lot these days is older nurses in the workforce. The American Nurses Association reports that the average age of an RN is now 45.2 years, with nurses younger than 30 years making up only 8% of the workforce.
