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Gastroenterology

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  • Clinical Briefs by Louis Kuritzky, MD

    The treatment of atopic dermati-tis (ATD) usually is initiated with topical steroids (TPS). Because ATD is a chronic remitting and relapsing disorder and may occupy a large cutaneous area, exposure to TPS can be extensive.
  • Is Vitamin D Important in the Prevention of Dementia?

    Severe Vitamin D deficiency appears to worsen dementia and supplementation may be beneficial.
  • Do I Smell a Rat — Smelling TB?

    As reported in 2003, the world bank began funding a project to train giant pouched Gambian rats to sniff out tuberculosis (TB) in sputum specimens in sub-Saharan Africa. Rats have been successfully trained to target landmines, and using a similar training/reward technique, pilot data suggested that rats could be trained to detect TB in respiratory specimens.
  • Vilazodone Hydrochloride Tablets (Viibryd™)

    A new antidepressant that combines selective serotonin reuptake inhibition with partial agonism of the 5-HT1A receptor has been approved by the FDA. Vilazodone is marketed by Trovis Pharmaceuticals as Viibryd(TM).
  • ECG Reviwe: Has There Been Anterior Infarction?

    The ECG above was obtained in the office from an older woman with hypertension and atypical chest discomfort. Has there been anterior infarction, or is this a "pseudo-infarct" pattern?
  • Syncope

    Syncope is defined as a transient loss of consciousness (T-LOC) due to brief global cerebral hypoperfusion characterized by rapid onset, short duration, and spontaneous complete recovery. Typical syncope is brief, lasting less than 20 seconds in duration. However, syncope rarely may last longer, even as much as several minutes.
  • Coenzyme Q10 for Heart Disease

    Coenzyme q10 (coq10) has been recommended for a wide range of cardiac conditions.
  • Acupuncture — The Seen, Unseen, and Adenosine

    In this exquisite set of methodical laboratory investigations, researchers tested whether adenosine might play a pivotal role in the analgesic effects associated with acupuncture. Their results suggest that the search for a mechanism of action behind this traditional therapy may be near its end.
  • Probiotics Effectively Treat Irritable Bowel Syndrome in Children

    Results of this 8-week clinical trial demonstrated the efficacy of Lactobacillus rhamnosus strain GG (LGG) in reducing the frequency and severity of pain in children with irritable bowel syndrome or functional abdominal pain. Benefits persisted for 8 weeks after cessation of treatment. Additionally, small intestinal permeability was decreased in children with IBS treated with LGG.
  • Meditation for Fibromyalgia: Yea or Nay?

    Mindfulness-based stress reduction (MBSR) was investigated as an intervention for fibromyalgia patients in a 3-armed randomized controlled trial using health-related quality of life at the end of 2 months as the primary outcome. While the study did not support the efficacy of MBSR for the treatment of FM for this outcome, some secondary outcome variables demonstrated improvement.