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How Can We Prevent Functional Deterioration in the Hospitalized Elderly?
I work in a long-term care setting and we often find that after a resident is hospitalized, they suffer setbacks in mobility and functional status. Can anything be done to prevent this?
Expert Viewpoint, May 13, 2008
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Clinician's Corner: The Metabolic Syndrome: A Lifestyle Medicine Foe Worthy of a Seek and Destroy Mission
The definition and importance of the metabolic syndrome, how to screen for it, and how to manage it using lifestyle management principles are discussed.
Journal Article, May 13, 2008
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The Effect of Muscle Relaxant on the Paraspinal Muscle Blood Flow: A Randomized Controlled Trial in Patients With Chronic Low Back Pain
Could paraspinal muscle blood flow play a role in low back pain (LBP) from decreased oxygenated hemoglobin at the trunk muscle? Might muscle relaxant affect muscular blood flow in chronic LBP patients
Journal Article, May 12, 2008
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Determinants of Heart Rate Recovery Following Exercise in Children
Attenuated 1-minute heart rate (HR) recovery is a cardiovascular risk factor in adults. What characterizes 1-min HR recovery after a maximum-effort, symptom-limited exercise test in healthy children?
Journal Article, May 9, 2008
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Icyou: How Social Media Is the New Resource for Online Health Information
Prerna Mona Khanna, MD, MPH, Medical Editor, Icyou.com, Charleston, South Carolina, describes another promising use of the health Internet.
Expert Viewpoint, May 9, 2008
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CE
A Closer Look at Pressure Ulcers
A new Medicare rule going into effect late in 2008 will make the assessment, staging, and prevention of pressure ulcers more important than ever -- how will this affect you?
Article, May 9, 2008
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The Impact of Adjacent Segment Degeneration on the Clinical Outcome After Lumbar Spinal Fusion
The correlation between adjacent segment degeneration and clinical outcomes after lumbar spinal fusion is unclear. How are they related? And what is the incidence of adjacent segment degeneration?
Journal Article, May 8, 2008
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Biomechanical, Microvascular, and Cellular Factors Promote Muscle and Bone Regeneration
Approaches that selectively target biomechanical, vascular, and cellular pathways can improve outcomes for complex bone injuries. Could soft tissues restore biomechanical balance and promote healing?
Journal Article, May 8, 2008
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Childhood Cod Liver Oil Consumption and Bone Mineral Density in a Population-based Cohort of Peri- and Postmenopausal Women: The Nord-Trøndelag Health Study
Is intake of cod liver oil in childhood related to variations in bone mineral density or fractures in adult life?
Journal Article, May 8, 2008
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CME
A Case of Neuropathic Brachioradial Pruritus Caused by Cervical Disc Herniation
Brachioradial pruritus may not be diagnosed for years despite significant chronic symptoms. The current case and review examine the diagnosis and management of this rare condition.
Journal Article, May 6, 2008
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Long-term Outcomes of Two Different Decompressive Techniques for Lumbar Spinal Stenosis
Spinal stenosis is treated preferentially with decompressive surgery but long-term outcomes are not good. Might a less invasive technique have improved long-term outcomes than traditional laminectomy?
Journal Article, May 5, 2008
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How to Treat Skin Infections, Including MRSA, in 2008
Erik Schraga, MD, with Stanford-Kaiser Santa Clara Emergency Medicine in California, explains the correct way to treat skin abscesses in 2008.
Editorial, May 5, 2008
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Last Call for Performance Enhancers: Richard Pound on Major League Baseball, the Olympics, and Gene Doping
The Major League Baseball Players Association was outrageous in its refusal to cooperate in the course of the Mitchell investigation.
Expert Viewpoint, May 2, 2008
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Patients: An Untapped Safety Resource
Julia A. Hallisy, DDS, a dentist in San Francisco, California, teaches how patients can protect themselves.
Editorial, May 2, 2008
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Adverse Cardiovascular Effects of NSAIDs: Driven by Blood Pressure, or Edema?
The authors advocate the use of NSAIDs in patients with debilitating musculoskeletal conditions, but recommend a cautious approach with close monitoring of patients at high-risk for CV events.
Journal Article, May 1, 2008
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Development of Medical Checklists for Improved Quality of Patient Care
What is the evidence to support using medical checklists? Do they play a fundamental role in error management?
Journal Article, May 1, 2008
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Visual Diagnosis: Right-Side Diaphragm Injury Resulting from Blunt Trauma
Learn more about a case report of a 35-year-old man involved in a snowmobile crash.
Journal Article, May 1, 2008
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Regional Anesthesia, Compression, and Aspirin Is the Safest Form of Prophylaxis for Hip and Knee Arthroplasty
Regional anesthesia, compression, and aspirin is the safest form of prophylaxis for hip and knee arthroplasty.
Expert Viewpoint, May 1, 2008
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CME
Time of Day Is Associated With Postoperative Morbidity: An Analysis of the National Surgical Quality Improvement Program Data
Does working nine-to-five keep your patients alive?”
Journal Article, April 30, 2008
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CME/CE
Educating the Health Professional for Improving Cultural Competency
An expert panel discusses three areas of cultural competence--bias, language barriers, and communication--in the context of clinician-patient vignettes.
Commentary, April 30, 2008
