Strudy has shown not surprisingly that there is no worthwhile clinical benefit from opening the vessel.
Saves lots of money
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Atherosclerotic Renal Artery Stenosis - ASTRAL Investigators
November 25, 2009
VTE priphylaxis in cancer -guideline
VTE in cancer patients is associated with increased morbidity and mortality. Recent review in JCO.
Consensus:
1)Prolonged prophylaxis for hospitalised high risk surgical patients
2) prophylaxis not recommended for ambulatory cancer patients or fir central lines
3)LMH is preferred for long term treatment of VTE
Extended release Niacin for carotid intima-media thickness
November 20, 2009
When you add extended release niacin to statin therapy the mean HDL cholestrol increased by 18% and significantly reduced LDL cholestrol and triglycerides. Mean carotid intima media wad signifantly reduced.
From NEJM nov 15,2009
Early repolarisation
In a Finnish study ECG showing J point elevation of 0.1mV and 0.2mV in the inferior leads was sugnificantly associated with cardiac death
Neiropathy and Diabetes
November 10, 2009
To diagnose neuropathy in diabetics with mo foot ulcer follwing clinical tests should be done,
check vibration sense with 128 tuning fork, pressure sensation with 10 g monofilament over distal hallus, ankle reflex and tests for pin prick.
Why do people use alternate medicine?
November 5, 2009
Are you not surprised so many people spend loads of money on alternate therapies?
The simple answer according to Rob is people want magic and alternate medicine promises magic
From distractible org
Anabolic steroids cause kidney disease
October 31, 2009
According to a paper published in ASN annual meeting body building supplementd by anabuc steroid usage can lead to focal segmental glomerulisclerosis.
Cardiovascular serious side effects are well known. This includs heart failure, MI, and ventricular tachy arrythmias.
Assessment of Neuropathic pain
Chronic pain falls into 3 categories;
1) pain due to tissue disease or damage( nociceptive pain)
2) pain due to somatosensory disease or damage( neuropathic pain)
3) pain without any somatic background
Chronic neuropathic pain is under recognised and under treated.
Treatment requires identifying type of pain, assessing it's components and determining appropriate treatment.
Am J Med 2009 Oct; 122(10 Suppl):S13-21
Peanut butter for vegetable resistant children
Thus was study presented in recent obesity society meeting .
When peanut butterbwas given to children who are vegetable resistant their vegetable intake incresed substantially.
Conclusion is give your children peanut butter along with vege.
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