Diagnosis & Disease Information

ATHLETIC SCREENING ASSOCIATED WITH REDUCED SUDDEN CARDIAC DEATH

Level 2: Mid-level evidence In Italy, nationwide systematic preparticipation athletic screening was introduced in 1982. First-line screening included family and personal history, physical exam, and 12-lead ECG. Preparticipation screening with exam and ECG was associated with reduced rate of sudden cardiovascular (CV) death, according to a population-based study that collected data before and after the…

Avoiding errors in treating chronic wounds

Sores, cuts, scrapes, and other skin breaks come in various shapes and sizes, but the management of persistent cases is based on a few basic tenets. Call them ulcers. Call them wounds. Call them open sores. Whatever you call a particular break in the skin, your role is more than just filling the hole. As…

How to short-circuit sudden cardiac death

This unexpected event often occurs before the patient can be hospitalized or admitted to an emergency department. Find out how to prevent it. Of the 650,000 people in the United States who die of cardiovascular disease (CVD) each year, more than half are felled by sudden cardiac death (SCD), in which the patient expires within…

Getting patients to stay off the fat track

For most individuals, losing weight—and keeping it off—is difficult. Here is what you can do to help patients meet their fitness goals. For most patients who need it, weight loss is a team sport and you’re a key teammate. Studies have shown that doctors who spend even 10-15 minutes discussing weight, nutrition, and exercise can…

What makes women’s migraines different

There’s a good reason three times as many women suffer migraines as men: hormones. A clinician lays out a plan for avoiding these disabling attacks. Growing up in the 1960s, I watched many sitcom bedroom scenes—with twin beds, of course—in which the wife would rebuff her husband’s amatory advances by declaring, “Not tonight, dear, I…

An uncommon but serious lung disorder

Most often secondary to childhood infection, bronchiectasis is irreversible. But there are steps you can take to improve your patients’ quality of life. Bronchiectasis, which is characterized by abnormal dilatation of the bronchi and excessive mucus production, is usually the result of acute or chronic infection.1 Thanks to the advent of effective anti-TB therapy and…

Simple way to prevent incontinence

High levels of physical activity are independently related to a lower self-reported prevalence of urinary incontinence in a community-dwelling population aged 70 years and older. Each of the 676 subjects participated in an extensive health interview. A self-reported single-item questionnaire was used to estimate different levels of physical activity. The prevalence of urinary incontinence was…

A new method to save eyesight

Curtailing intake of foods with a high dietary glycemic index may reduce age-related macular degeneration.

Lycopene may not really work

Lycopene may not really workBased on positive studies, many clinicians have been advising men to boost the levels of lycopene in their diet because it could lower their risk for prostate cancer or its recurrence. But a new study casts doubt on that notion. Researchers report that lycopene does not effectively prevent prostate cancer. In…

PAD therapy: Avoid anticoagulant add-ons

Adding an anticoagulant to antiplatelet therapy for peripheral arterial disease (PAD) does little practical good while at the same time more than tripling the risk of dangerous bleeding, according to the findings of an international group of researchers. The Warfarin Antiplatelet Vascular Evaluation (WAVE) study included 2,161 patients in seven countries who were followed for…

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