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What doctors do | Abetternhs’s Blog

18 Jun

Focus on Stroke: Infographic – Risk factors

29 May

Excellent resource! This particular article very good overview of stroke.

New YouTube Channel Helps People Living with Inflammatory Bowel Disease – MarketWatch (press release)

18 May

See on Scoop.itOf human kindness

New YouTube Channel Helps People Living with Inflammatory Bowel DiseaseMarketWatch (press release)Imedex, LLC is an ACCME accredited medical education company based in Alpharetta, GA, which has been producing physician education programs for over…

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5 Apr

Excellent overview about an important health problem

A Place for Todays Discussions

Headaches .. What A Pain In The Neck!

Have you ever opened your eyes first thing before getting out of bed, and thought, “Oh no, not again!”  You are most certainly not alone.  Thousands of headache sufferers rise in the morning afraid to open their eyes or move, in North America alone, every day.  There are several potential causes.  I am not going to tell you what medication to take, or what exercises work the best, because that is between you and your doctor.  I am not a doctor, but I do know that not everyone can take certain medications, nor is it wise to begin any type of exercise unless you know 100% you can handle it, or your doctor gives you the green light.  It’s a matter of moderation and common sense.

There are four main types of headaches I will cover here.  These are the types and a brief description.  I will talk more…

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ACOG Thromboprophylaxis in Pregnancy Guidance

31 Aug

ACOG published guide for VTE prevention in prevention (subscription needed).  Journal Watch has a summary here

Fw: David’s Primary Health Care Daily is out ! Edition of Wednesday, Aug. 31, 2011

31 Aug

—– Forwarded Message —-” <>
Sent: Wednesday, 31 August, 2011 11:31:18
Subject: David’s Primary Health Care Daily is out ! Edition of Wednesday, Aug. 31, 2011

Malpractice Risk According to Physician Specialty — NEJM

20 Aug

Via Scoop.itOf human kindness
Special Article from The New England Journal of Medicine — Malpractice Risk According to Physician Specialty…
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Stroke Risk-Stratification Scores Have Limited Prognostic Value in Elders with AF – General Medicine

3 Aug

Stroke Risk-Stratification Scores Have Limited Prognostic Value in Elders with AF

The authors suggest anticoagulation for all elders with atrial fibrillation.

Several stroke risk-stratification scores are available to determine which patients with atrial fibrillation (AF) will benefit from long-term warfarin anticoagulation. However, these scores were based on populations in which elders — the group most likely to have AF — were underrepresented. In this study, U.K. investigators compared the predictive power of eight stroke risk-stratification scores (CHADS2 original, CHADS2 revised, Framingham, NICE, ACC/AHA/ESC, ACCP, CHA2DS2-VASc, and Rietbrock modified CHADS2) among 665 participants (age, 75; mean age, 81; 55% men) with AF who did not take warfarin throughout or for part of the Birmingham Atrial Fibrillation Treatment of the Aged (BAFTA) trial.

After median follow-up of 2.2 years, 54 participants (8.0%) experienced ischemic stroke, 13 (2.0%) had transient ischemic attacks, and 4 (0.6%) suffered systemic embolism. All scores performed poorly (C-statistic range, 0.55–0.62, indicating that prediction of stroke for any given person wasn’t much better than chance).

Comment: In this study, various stroke risk-stratification scores had limited ability to predict ischemic stroke in elders with AF. The authors conclude that “until better scores are available,” clinicians should consider all older patients (age, 75) with AF to be at high risk for stroke and should offer long-term anticoagulation to those who are appropriate candidates for this treatment (rather than prescribing aspirin, which is less effective in preventing stroke and is associated with an incidence of major bleeding events that is similar to warfarin’s in this population).

— Paul S. Mueller, MD, MPH, FACP

Published in Journal Watch General Medicine August 2, 2011

via Stroke Risk-Stratification Scores Have Limited Prognostic Value in Elders with AF – General Medicine.

Measuring BP at Home: The Key Readings

1 Aug

Measuring BP at Home: The Key Readings.


… The reason 2011 is important is that the Eighth Joint National Committee for the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, or JNC8, should be coming out with its initial report by the end of this year, and the National Institute of Clinical Excellence (NICE), which is the British hypertension group, will be publishing their updated guidelines in August of this year. We expect some important changes.

Today I want to focus on where we measure blood pressure and how we do it. We’ve been measuring blood pressure in the office with pretty good quality control since really the 1930s. The “Build and Blood Pressure” study done by the insurance industry looked at office readings only. Sometimes people may have come to the home to measure blood pressure, but for the most part it was office readings. That study codified the idea that 140/90 mm Hg in the office was an elevated blood pressure. We’ve been tinkering with that over the years. We’ve staged it in the United States. They grade it in Europe. We’ve added different recommendations, but it has all still been based for the most part on a number, and that’s a number from the office….

Type 2 diabetes and obesity in pregnancy is a daunting duo: New research

27 Jul

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Type 2 diabetes and obesity in pregnancy is a daunting duo, according to new research published this month in The Journal of Maternal-Fetal and Neonatal Medicine.
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Illusions of Autonomy

Where medical ethics and human behaviour meet, by Dr Philip Berry

Enjoying every second

Cada lugar, cada rincón, cada momento compartido arreglando el mundo entre imprescindibles

The Commonplace Book

blogs on public health, science, books, theology and more