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An elderly woman presents with a chief complaint of constipation, with few symptoms of acute abdomen. Would you suspect appendicitis in this patient? You may find a misleadingly benign physical assessment in older patients, despite the presence of a potentially lethal illness, warns Karen Hayes, ARNP, PhD, assistant professor at the School of Nursing at Wichita (KS) State University.
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Concerns about the toxicity and side effects of pharmaceutical drugs have fueled interest in complementary approaches to managing osteoarthritis symptoms, with some dietary supplements also claiming to actually treat the underlying condition. Foremost among these are glucosamine sulfate and chondroitin sulfate. Although the two sometimes are taken together, this review will focus on the use of glucosamine sulfate alone.
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The current study investigated the effects of bromelain on mild acute knee pain of less than three months duration in otherwise healthy adults.
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Researchers at the University of Pittsburgh in Pennsylvania have found that patients who take prescription drugs along with herbal supplements have few adverse reactions. Results of their study were published in the March 22 issue of the Archives of Internal Medicine.
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In selected patients, cardiac resynchronization therapy with a pacemaker or pacemaker-defibrillator improves their clinical course and the addition of a defibrillator with cardiac resynchronization therapy alone further reduces mortality.
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Current rofecoxib use was associated with a higher risk of acute myocardial infarction or admission for heart failure compared to celecoxib.
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The Workgroup for Electronic Data Interchange (WEDI), which advises the Department of Health and Human Services (HHS) on issues related to administrative simplification under HIPAA, says the agency should show continued patience as covered entities continue to make progress in implementation of the HIPAA transactions and code sets (TCS) requirements.
