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A decision analysis shows that active surveillance is a good option for men age 65 and older with low-risk prostate cancer (Gleason score of 6 or less). Active surveillance results in the highest quality-of-life scores compared with different treatment options, and 61% of these men will go on to treatment after a median of 8.5 years, with a slight increased mortality risk. Only 10% of men currently receive active surveillance for low-risk prostate cancer
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The ECG shown above was obtained from an older man with palpitations. He was hemodynamically stable with a systolic BP of 140 mm Hg at the time this tracing was recorded. How do you interpret the rhythm? What are your initial priorities?
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Easily obtained clinical variables can identify patients at very low risk for subarachnoid hemorrhage.
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Clinical predictors of mortality in Parkinson's disease include age at onset, chronological age, male sex, motor severity, psychosis, and dementia
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A long-time patient, who is a 56-year-old male, arrives for his annual exam complaining of excessive thirst, frequent urination, unplanned weight gain, and fatigue. His blood pressure, which was borderline hypertensive last year, is now 160/95. He reports no change in diet, job responsibilities, or family life. This year, you have added another screening to the standard vital signs.
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Menopausal hormone therapy has both risks and benefits. the conclusion of the Women's Health Initiative (WHI) study was that for many women, the risks of menopausal hormone therapy outweigh the benefits.
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Protein pump inhibitors cause changes in gastric acid that promote bacterial colonization of the upper gastrointestinal tract and may be connected with an extra risk of community-acquired pneumonia, though the research reviewing this effect in humans has been mixed.
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Results of this unique randomized controlled trial of homeopathy for people with active rheumatoid arthritis (RA) suggest that any therapeutic benefits that might occur are due not to the specific remedy employed but to the empathetic and healing nature of the homeopathic process of consultation. The question begging to be asked is, what can any practitioner take away from this conclusion?
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A mixture of monacolins is the primary candidate for the active participle of red yeast rice, (RYR) an over-the-counter remedy frequently used to help control elevated cholesterol levels. This study reveals wide variations in the monacolin content of a sample of red yeast products that may significantly impact therapeutic response, as well as the presence in some of potentially toxic contaminants.
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Three 8-oz glasses of fat-free milk per day provided significant relief to patients with functional constipation.
