MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Disease a Month' source. Wed, 08 Feb 2012 18:15:40 +0100 http://www.medworm.com/index.php?rid=5598885&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002604%2Fabstract%3Frss%3Dyes Developed as an amphetamine derivative, methamphetamine quickly became a popular medication during the 1940s and 1950s, prescribed for a variety of indications. Extensive diversion of methamphetamine during the 1960s and an increasing awareness of the adverse health effects associated with methamphetamine led to the withdrawal of most of the indications for licit methamphetamine use and declines in legal production of the drug. However, the illicit manufacture of methamphetamine increased to meet the demand for methamphetamine, and methamphetamine abuse has increased with variable geographic penetrance over the last 30 years. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5598885 Tue, 17 Jan 2012 23:33:36 +0100 5598885 http://www.medworm.com/index.php?rid=5598884&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002616%2Fabstract%3Frss%3Dyes Methamphetamine has a typical history of an illicit drug in that it actually was initially developed several decades ago to treat a variety of maladies ranging from weight loss to asthma to Parkinson's disease. As a sympathomimetic amine related to ephedrine and amphetamine with central nervous system stimulant properties, the illegal manufacture and use of methamphetamine exploded (first in the Midwestern USA, due to easy access to anhydrous ammonia) by the mid-1990s. Today, methamphetamine abuse is no longer a regional issue (confined by socioeconomic demographics), but an international problem with increasing potency (and availability) and has become a major concern that every primary care physician (whether urban or rural) must address. Dr. David Vearrier and colleagues from Drexel Uni... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5598884 Tue, 17 Jan 2012 23:33:36 +0100 5598884 http://www.medworm.com/index.php?rid=5598883&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100321X%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5598883 Tue, 17 Jan 2012 23:33:36 +0100 5598883 http://www.medworm.com/index.php?rid=5598882&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911003208%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5598882 Tue, 17 Jan 2012 23:33:36 +0100 5598882 http://www.medworm.com/index.php?rid=5598881&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911003191%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5598881 Tue, 17 Jan 2012 23:33:36 +0100 5598881 http://www.medworm.com/index.php?rid=5598880&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100318X%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5598880 Tue, 17 Jan 2012 23:33:36 +0100 5598880 http://www.medworm.com/index.php?rid=5561423&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002811%2Fabstract%3Frss%3Dyes Hypothermia is classically defined as a reduction in the body's core temperature below 95.0°F (35.0°C). Most reported cases of hypothermia are due to environmental exposure to low ambient temperatures (accidental hypothermia). Other causes of hypothermia include sepsis, severe hypothyroidism (myxedema coma), acute spinal cord injury, diabetic ketoacidosis, multisystem trauma, and prolonged cardiac arrest. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5561423 Sun, 01 Jan 2012 05:00:00 +0100 5561423 http://www.medworm.com/index.php?rid=5561422&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002987%2Fabstract%3Frss%3Dyes It has been known for centuries that prolonged environmental cold exposure can result in a myriad of pathologic maladies ranging from systemic to traumatic tissue loss. Interestingly, treatment of profound hypothermia has led to reports of total recovery following resuscitation that on initial inspection appear to be astounding in nature. Even though the use of therapeutic hypothermia can be traced back to the time of William Osler (in the treatment of typhoid fever around 1892), the clinical routine use of induced hypothermia can now be thought of as an appropriate therapeutic modality—one with potentially profound toxic effects that can be harnessed for beneficial purposes in selected cases. This issue explores these aspects along with providing a simulation model for medical education... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5561422 Sun, 01 Jan 2012 05:00:00 +0100 5561422 http://www.medworm.com/index.php?rid=5561421&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911003117%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5561421 Sun, 01 Jan 2012 05:00:00 +0100 5561421 http://www.medworm.com/index.php?rid=5561420&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100304X%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5561420 Sun, 01 Jan 2012 05:00:00 +0100 5561420 http://www.medworm.com/index.php?rid=5561419&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911003038%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5561419 Sun, 01 Jan 2012 05:00:00 +0100 5561419 http://www.medworm.com/index.php?rid=5561418&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911003026%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5561418 Sun, 01 Jan 2012 05:00:00 +0100 5561418 http://www.medworm.com/index.php?rid=5488025&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002264%2Fabstract%3Frss%3Dyes We describe several synthetic and organic models that can be created for simulation-based training purposes. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488025 Thu, 01 Dec 2011 05:00:00 +0100 5488025 http://www.medworm.com/index.php?rid=5488024&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002227%2Fabstract%3Frss%3Dyes Use of nurse practitioners (NPs) and physician assistants (PAs) in health care grew out of a shortage of physicians and an increasing number of patients who needed care, a situation that persists today. NPs and PAs have become an integral part of the health care team. Today, the focus is on developing health care teams with the patient at the center. The best way to develop and maintain a cohesive well-trained health care team is to create an environment that allows the team to train together, an environment that “simulates” a realistic patient scenario with realistic circumstances in which the health care provider gains knowledge to manage/treat patients in a confident and competent manner. This is especially useful in the training of NPs and PAs. Both professions graduate with the me... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488024 Thu, 01 Dec 2011 05:00:00 +0100 5488024 http://www.medworm.com/index.php?rid=5488023&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002318%2Fabstract%3Frss%3Dyes Surgical training consists of developing cognitive, clinical, and technical skills. Current surgical training in the USA is based on the German-style residency training system introduced by Sir William Halsted at Johns Hopkins Hospital in 1889, with an emphasis on graded responsibility, in which the surgical technical skills in the resident programs were traditionally acquired through mentoring. However, recent advances in minimally invasive surgical technology, educational and motor skill learning theory, and mounting pressures in the clinical environment have raised questions about the reliance on this approach to teaching technical skills in the young generation of surgeons. Therefore, replication of surgical situations through biological models, such as animals and human cadavers, and ... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488023 Thu, 01 Dec 2011 05:00:00 +0100 5488023 http://www.medworm.com/index.php?rid=5488022&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002197%2Fabstract%3Frss%3Dyes “Children are not little adults.” This phrase is heard by countless trainees caring for children in every health care environment, whether in the clinic setting, emergency department, or hospital unit. Although it has become somewhat cliché, it remains a fundamentally important concept when considering pediatric medical simulation training. In some ways, children are little adults. The development of neonatal and pediatric high-fidelity mannequins is an innovation that should not be minimized. Proportionately sized mannequins and task trainers allow learners to refine their skills with appropriately sized equipment and provide a more representative simulation experience. However, in many ways, children are not just little adults. Focused attention on pediatric considerations beyond do... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488022 Thu, 01 Dec 2011 05:00:00 +0100 5488022 http://www.medworm.com/index.php?rid=5488021&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002276%2Fabstract%3Frss%3Dyes The science behind neonatal resuscitation is growing exponentially. The International Liaison Committee on Resuscitation and its various delegations, specifically the Neonatal Resuscitation Program (NRP) of the American Academy of Pediatrics, was created in 1987 to establish evidence-based practice guidelines for neonatal resuscitation. Its primary goal was to ensure that at least one person at each hospital birth was trained in neonatal resuscitation. Requirements for certification vary for each individual hospital. In general, individuals working in a labor and delivery unit, level I well-baby nursery, or level II-III neonatal intensive care unit require completion of the NRP by all medical, nursing, and respiratory personnel within 6 months of employment. Every 2 years a typical renewal... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488021 Thu, 01 Dec 2011 05:00:00 +0100 5488021 http://www.medworm.com/index.php?rid=5488020&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002185%2Fabstract%3Frss%3Dyes Simulations are well suited to obstetrical practice and have a great potential to improve patient outcomes. Whether simulations are used to train new students, to enhance skills for experienced clinicians, or to enable multidisciplinary teams to prepare for emergencies, simulations improve safety and advance evidence-based practice. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488020 Thu, 01 Dec 2011 05:00:00 +0100 5488020 http://www.medworm.com/index.php?rid=5488019&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002884%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488019 Thu, 01 Dec 2011 05:00:00 +0100 5488019 http://www.medworm.com/index.php?rid=5488018&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002872%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488018 Thu, 01 Dec 2011 05:00:00 +0100 5488018 http://www.medworm.com/index.php?rid=5488017&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002860%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488017 Thu, 01 Dec 2011 05:00:00 +0100 5488017 http://www.medworm.com/index.php?rid=5488016&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002859%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5488016 Thu, 01 Dec 2011 05:00:00 +0100 5488016 http://www.medworm.com/index.php?rid=5409764&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100229X%2Fabstract%3Frss%3Dyes Simulation-based medical education (SBME) has revolutionized training in both undergraduate and graduate medical education. Over the past 2 decades, SBME has been used and studied by the specialties to provide clinical training, reduce medical errors, and improve patient safety. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409764 Tue, 01 Nov 2011 04:00:00 +0100 5409764 http://www.medworm.com/index.php?rid=5409763&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002240%2Fabstract%3Frss%3Dyes High-fidelity simulation (HFS) has become an essential tool for training many health care providers in virtually every field of medicine. The primary benefit of using HFS as an educational and evaluative tool is that learners can practice medical decision-making and procedural skills on simulated patients in an environment where the risk of error will not harm an actual patient. These technologies and the educational constructs designed around their use were developed to practice skills without incurring risk. Medicine followed precedents set by model high reliability organizations such the military with its war games exercises, the aerospace industry with flight training of pilots and astronauts, and the nuclear power industry to train personnel to deal effectively and resiliently in cris... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409763 Tue, 01 Nov 2011 04:00:00 +0100 5409763 http://www.medworm.com/index.php?rid=5409762&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002252%2Fabstract%3Frss%3Dyes Prehospital emergency medical services (EMS) play an important role in the initial stabilization and transport of critically ill patients daily around the world. In the USA, there are an estimated 840,000+ certified first responders and, of these, there are greater than 192,000 EMS providers. These individuals work for a variety of governmental and private organizations such as fire departments, private companies, volunteers, hospitals, and third-party providers. All states require a trained and certified EMS responder to provide emergency medical care in the event of a weapons of mass destruction (WMD) incident and the administration of antidotes as dictated by region. As a response to September 11, comprehensive competency-based curricula for terrorism preparedness have been created. (So... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409762 Tue, 01 Nov 2011 04:00:00 +0100 5409762 http://www.medworm.com/index.php?rid=5409761&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002239%2Fabstract%3Frss%3Dyes Health care providers continue to look for ways to prevent devastating medical errors that the Institute of Medicine has estimated contributes to approximately 98,000 deaths per year in the USA. The incidence of intensive care unit (ICU) medication errors ranges from 3% to 27% depending on the definition and study design. Conventional didactic teaching alone has not been shown to reduce fatal medical mistakes. Leaders in critical care have begun to adopt innovative ways such as simulation to educate providers in an attempt to further reduce ICU-related medical errors. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409761 Tue, 01 Nov 2011 04:00:00 +0100 5409761 http://www.medworm.com/index.php?rid=5409760&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002215%2Fabstract%3Frss%3Dyes The field of anesthesiology is one of the first medical specialties to use high-fidelity simulation in a quest to improve patient safety and reduce human errors. Medical mistakes have been shown to result in significant morbidity and mortality, including preventable adverse anesthetic events. “See one, do one, teach one” may be inadequate to educate trainees on complex procedures and skills, let alone communication and leadership required during critical situations. Traditionally, long hours of the working day and on-call shifts provided the crude exposure to these experiences, but restrictions and streamlining of the time spent in the hospital reduce the exposure to various situations. Simulators may provide training on less common, but critical, events, while standardizing the reside... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409760 Tue, 01 Nov 2011 04:00:00 +0100 5409760 http://www.medworm.com/index.php?rid=5409759&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002203%2Fabstract%3Frss%3Dyes High-fidelity simulation is now considered a standard educational tool in many residency training programs. The Accreditation Council for Graduate Medical Education Residency Review Committee for Emergency Medicine now allows procedural skills completed in a simulated environment to count toward their overall procedural exposure during residency training. The rationale is that these simulated experiences provide a level of training realistic enough to allow the patient to perform better in an actual patient experience. Research has also shown that proficiency demonstrated in simulated settings can translate accurately into patient care and improve patient safety. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409759 Tue, 01 Nov 2011 04:00:00 +0100 5409759 http://www.medworm.com/index.php?rid=5409758&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002288%2Fabstract%3Frss%3Dyes The philosophy behind procedural simulation lies in the concept of deliberate practice. The primary goal of deliberate practice is to improve a specific aspect of performance, and practice is focused on modifying a well-defined area. Deliberate practice was described by the psychologist K. Anders Ericsson in the early 1990s as a process necessary to develop expertise. It is the process of taking a learner's intrinsic motivation to work at improving performance and providing the following: (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409758 Tue, 01 Nov 2011 04:00:00 +0100 5409758 http://www.medworm.com/index.php?rid=5409757&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100232X%2Fabstract%3Frss%3Dyes High-fidelity simulation (HFS) is an important adjunct to clinical training for teaching health care workers. Currently, the American College of Surgeons has created a multilevel certification for surgical simulation centers. The American Society of Anesthesiologists Workgroup on Simulation Education has begun to characterize simulation centers for the purposes of “approval” as a site to provide continuing medical education credits. The Accreditation Council for Graduate Medical Education Residency Review Committee for Emergency Medicine has determined that simulation may serve as an adjunct for the documentation of competencies. The Society for Academic Emergency Medicine's Simulation Academy has recently made recommendations for accreditation and programmatic benchmarks for emergency... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409757 Tue, 01 Nov 2011 04:00:00 +0100 5409757 http://www.medworm.com/index.php?rid=5409756&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002306%2Fabstract%3Frss%3Dyes Simulation is a technique—not a technology—to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner.(David Gaba) (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409756 Tue, 01 Nov 2011 04:00:00 +0100 5409756 http://www.medworm.com/index.php?rid=5409755&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002173%2Fabstract%3Frss%3Dyes The field of medical simulation has exploded since the days of mannequin-based cardiopulmonary resuscitation instruction decades ago. It is now an essential element for not only medical student/resident education but also enhancing the practices of nursing, emergency medical technicians, and other allied health personnel. The development of high-fidelity mannequin simulators (ranging from neonatal, to adult, to obstetrical simulators) has literally revolutionized the approach to surgical techniques, resuscitation, and disaster management, to name a few specific areas. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409755 Tue, 01 Nov 2011 04:00:00 +0100 5409755 http://www.medworm.com/index.php?rid=5409754&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002677%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409754 Tue, 01 Nov 2011 04:00:00 +0100 5409754 http://www.medworm.com/index.php?rid=5409753&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002665%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409753 Tue, 01 Nov 2011 04:00:00 +0100 5409753 http://www.medworm.com/index.php?rid=5409752&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002653%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409752 Tue, 01 Nov 2011 04:00:00 +0100 5409752 http://www.medworm.com/index.php?rid=5409751&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002641%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5409751 Tue, 01 Nov 2011 04:00:00 +0100 5409751 http://www.medworm.com/index.php?rid=5362908&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002495%2Fabstract%3Frss%3Dyes A brain aneurysm is an abnormal, outward pouching of the artery wall caused by a weakness in the wall of an artery that supplies the brain. The wall of an aneurysm is thin, putting it at risk for rupture. All aneurysms involving the arteries of the brain are a serious medical condition. Their presence alone can compress surrounding brain tissue or cranial nerves, which can result in progressive neurological deficits, or they can rupture and bleed resulting in death or stroke. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362908 Sat, 01 Oct 2011 04:00:00 +0100 5362908 http://www.medworm.com/index.php?rid=5362907&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002586%2Fabstract%3Frss%3Dyes Parkinson's disease is a degenerative disease of the central nervous system affecting motor control. It is progressive in nature and there is no cure. The disease affects approximately 1% of the population. Onset is generally between the fifth and eighth decades, with peak onset during the sixth decade. There are no differences in gender, race, or ethnicity. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362907 Sat, 01 Oct 2011 04:00:00 +0100 5362907 http://www.medworm.com/index.php?rid=5362906&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002483%2Fabstract%3Frss%3Dyes Arteriovenous malformations (AVMs) are vascular abnormalities that consist of multiple fistulous connections between arteries and veins without a normal intervening capillary bed. AVMs are thought to be congenital. Ninety percent of all AVMs are supratentorial. The most common presentation of an AVM is intracerebral hemorrhage (ICH). Seizure is the second most common presentation. Other symptoms include headache and neurological deficits related to steal phenomena or other alteration in tissue perfusion adjacent to the AVM. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362906 Sat, 01 Oct 2011 04:00:00 +0100 5362906 http://www.medworm.com/index.php?rid=5362905&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002501%2Fabstract%3Frss%3Dyes This article provides a review of the presentation, diagnosis, surgical treatment, and clinical management of idiopathic normal pressure hydrocephalus (iNPH). In particular, new clinical guidelines and recently developed programmable valve technology that make the diagnosis more sure and the treatment safer are detailed. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362905 Sat, 01 Oct 2011 04:00:00 +0100 5362905 http://www.medworm.com/index.php?rid=5362904&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002136%2Fabstract%3Frss%3Dyes Pituitary adenomas are among the most common brain tumors, with an estimated prevalence of 16% on autopsy studies. The patient advocacy organization, Pituitary Network, recently conducted a “1 in 5” campaign, to increase public awareness of this common entity. While many patients harbor these adenomas, the lesions are nearly always benign and often asymptomatic. Pituitary adenomas are classified according to size, with those less than 10 mm considered microadenomas and those reaching 10 mm or greater in size considered macroadenomas. The vast majority of patients with macroadenomas will have headaches. The most common presenting symptom for large tumors is visual field loss, because of elevation and compression of the optic nerve(s) and chiasm from the tumor as it grows upward from the... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362904 Sat, 01 Oct 2011 04:00:00 +0100 5362904 http://www.medworm.com/index.php?rid=5362903&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002574%2Fabstract%3Frss%3Dyes This article aims to lay down foundational knowledge to help clarify the various pathologies, as well as the associated symptoms and clinical signs produced by them. Therefore, this can serve as a basis for identifying the need for surgical intervention and the type of procedure that may be necessary. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362903 Sat, 01 Oct 2011 04:00:00 +0100 5362903 http://www.medworm.com/index.php?rid=5362902&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002513%2Fabstract%3Frss%3Dyes Cervical spondylosis, also referred to as cervical degenerative disease, is the most common spine dysfunction in elderly people. It is the most common cause of nontraumatic myelopathy, resulting in paraparesis and quadriparesis. The incidence of neck pain in adults is approximately 20-50% per year, much of which is caused by spondylosis. Together with lumbar spondylosis, cervical degenerative disease is one of the commonest problems seen by medical care personnel. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362902 Sat, 01 Oct 2011 04:00:00 +0100 5362902 http://www.medworm.com/index.php?rid=5362901&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002598%2Fabstract%3Frss%3Dyes Trigeminal neuralgia is a disease characterized by (1) sharp and lancinating pain; (2) paroxysmal attacks; (3) pain that is confined to an area innervated by the trigeminal nerve; (4) pain triggered by nonnoxious stimuli (chewing, talking, cold, light touch, etc); and (5) lack of sensory loss. The incidence of trigeminal neuralgia is estimated at 12.6 per 100,000 person-years, with the mean age at diagnosis 51.5 years. Women are more often affected than men, in a ratio approximately 2.5:1. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362901 Sat, 01 Oct 2011 04:00:00 +0100 5362901 http://www.medworm.com/index.php?rid=5362900&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002471%2Fabstract%3Frss%3Dyes The incidence of primary brain tumors worldwide is approximately 7 per 100,000 individuals per year, accounting for 2% of all primary tumors. Unlike secondary brain tumors that arise from distant sites, such as lung or breast, and spread to the central nervous system (CNS) via hematogenous dissemination, primary brain tumors emerge from cells intrinsic to the CNS or its surrounding meninges. These tumors are classified on a scale of I to IV defined by the World Health Organization. This grading system is based on tumor genetic attributes and histopathological features indicating the degree of malignancy and subsequent propensity for aggressive behavior. Grades III and IV are typically considered high-grade or malignant. Of the approximately 18,000 adults diagnosed with a malignant brain tu... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362900 Sat, 01 Oct 2011 04:00:00 +0100 5362900 http://www.medworm.com/index.php?rid=5362899&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002525%2Fabstract%3Frss%3Dyes Head and spinal trauma remain an enormous public health problem. Most head injuries are mild; the remaining injuries are divided equally between the moderate and severe categories. In approximately 5% of cases involving head trauma, patients die at the site of the accident. Head and spinal trauma have a high emotional, psychosocial, and economic impact because these patients often have comparatively long hospital stays, and 5-10% require discharge to a long-term care facility. In the USA, the direct cost of care for patients with head trauma, excluding inpatient care, is estimated at more than $25 billion annually. The impact is even greater when one considers that most severe head injuries occur in adolescents and young adults. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362899 Sat, 01 Oct 2011 04:00:00 +0100 5362899 http://www.medworm.com/index.php?rid=5362898&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002124%2Fabstract%3Frss%3Dyes Full-time neurosurgery service at Evanston Hospital was established first by Dr. Joseph Tarkington in 1951. Before that, neurosurgical services at Evanston Hospital were provided by neurosurgeons from Passavant Memorial Hospital on an itinerary basis, mostly in terms of covering emergencies. Dr. Tarkington, who received his neurosurgical training at the Montreal Neurological Institute under Dr. Wilder Penfield and at Passavant Memorial Hospital under Dr. Loyal Davis, practiced Neurosurgery alone for 16 years. Dr. Tarkington was a general neurosurgeon of great skills who, commensurate with his training under leading neurosurgeons of his time, was equally facile with cranial as well as with spinal surgery. His special interest was in cerebral arteriovenous malformations, a challenging field ... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362898 Sat, 01 Oct 2011 04:00:00 +0100 5362898 http://www.medworm.com/index.php?rid=5362897&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002112%2Fabstract%3Frss%3Dyes The practice of neurosurgery has rapidly evolved in the past 2 decades, as innovations in computing, optics, miniaturization, material, and robotics have advanced this field in ways that many of us would not have imagined when we were medical students. These technical advances have allowed neurosurgeons to venture ever further in the prevention and treatment of neurological disease, often using minimally invasive procedures to do so. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362897 Sat, 01 Oct 2011 04:00:00 +0100 5362897 http://www.medworm.com/index.php?rid=5362896&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002380%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362896 Sat, 01 Oct 2011 04:00:00 +0100 5362896 http://www.medworm.com/index.php?rid=5362895&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002379%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362895 Sat, 01 Oct 2011 04:00:00 +0100 5362895 http://www.medworm.com/index.php?rid=5362894&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002367%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362894 Sat, 01 Oct 2011 04:00:00 +0100 5362894 http://www.medworm.com/index.php?rid=5362893&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002355%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5362893 Sat, 01 Oct 2011 04:00:00 +0100 5362893 http://www.medworm.com/index.php?rid=5261946&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100174X%2Fabstract%3Frss%3Dyes Mark A. Smith, PhD, was born into England's working class on August 15, 1965, the son of a longwall coal miner and a dedicated homemaker. He would find himself, in a few short years, at the age of just 45, among the most influential scientists of the modern era, and yet his untimely death on December 19, 2010 was marked by the rare passing of one with prominence and promise in equal measure. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261946 Thu, 01 Sep 2011 04:00:00 +0100 5261946 http://www.medworm.com/index.php?rid=5261945&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001398%2Fabstract%3Frss%3Dyes Stercoral ulceration is a defect in the colonic wall caused by pressure necrosis along with an inflammatory response to the impacted feces. Bleeding (), obstruction, and, rarely, spontaneous perforation of the colon may result. Medications associated with stercoral ulcers include tricyclic antidepressants, aluminum-based antacids, opioids, and nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs additionally produce a decrease in prostaglandin production, causing local compromise of intestinal integrity. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261945 Thu, 01 Sep 2011 04:00:00 +0100 5261945 http://www.medworm.com/index.php?rid=5261944&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001386%2Fabstract%3Frss%3Dyes To reach a consensus definition of constipation, the ROME conference defined it in 1992 and further revised it in 2006 as both of the following: 2 or more of the following, present in the previous 3 months with symptom onset at least 6 months before diagnosis:In addition, loose stools should rarely be present without the use of laxatives; abdominal pain is not required, and there should be insufficient criteria to suggest the diagnosis of irritable bowel syndrome. In 2004, Talley et al. reported that the medications most likely to cause constipation were antispasmodics (11.6%), antihistamines (9.2%), antidepressants (8.2%), diuretics (5.6%), aluminum-containing antacids (3.0%), iron supplements (2.8%), opioids (2.6%), anticonvulsants (2.5%), and antipsychotic drugs (1.9%). The mechanism of... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261944 Thu, 01 Sep 2011 04:00:00 +0100 5261944 http://www.medworm.com/index.php?rid=5261943&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001374%2Fabstract%3Frss%3Dyes accounts for about 7% of all adverse events reported with use of medications. More than 700 drugs have been implicated in causing diarrhea. Antimicrobial agents account for 25% of cases of drug-induced diarrhea. Diarrhea is defined as an increased frequency of bowel movements (≥3 per day), and/or loosened stool consistency, and/or increased stool weight (>200 g per day). Drug-induced diarrhea can be classified by the mechanism of its occurrence and is classified as osmotic or secretory diarrhea, diarrhea secondary to enhancement of neuromuscular motility, inflammatory or exudative diarrhea, and malabsorption-induced diarrhea. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261943 Thu, 01 Sep 2011 04:00:00 +0100 5261943 http://www.medworm.com/index.php?rid=5261942&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001362%2Fabstract%3Frss%3Dyes The most common drug-induced colitis reported in the literature is nonspecific colitis. Nonspecific colitis is characterized endoscopically by the presence of colonic mucosal edema, erythema, fragility, bleeding, erosions, and ulcerations. Extreme cases include toxic megacolon and perforation. Histologically, there is no predominant cell type producing infiltration. Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most often associated with nonspecific colitis. Other drugs that have been linked to nonspecific colitis include chemotherapeutic agents, gold salts, antibiotics, corrosive agents, biological medications, and herbals (). (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261942 Thu, 01 Sep 2011 04:00:00 +0100 5261942 http://www.medworm.com/index.php?rid=5261941&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001350%2Fabstract%3Frss%3Dyes We performed a MEDLINE search using the MESH words for drug-induced injury, including the terms drugs, iatrogenic disease, toxicity, or colonic injury and terms for colonic diseases or disorders, such as colitis, ischemic colitis, microscopic colitis, diarrhea, constipation, or pseudo-obstruction. Only publications in the English language were included in this review. We also identified prominent review articles on the topics of drug-induced colitis, diarrhea, and constipation. We then searched the bibliography of these articles to identify important articles quoted in these review articles. We also reviewed gastroenterology textbooks, including the book chapter by 1 of the authors (EDE), to identify additional publications of interest. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261941 Thu, 01 Sep 2011 04:00:00 +0100 5261941 http://www.medworm.com/index.php?rid=5261940&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001337%2Fabstract%3Frss%3Dyes Understanding the toxic effects of drugs, toxins, and herbals is important because of the increasing numbers of prescription medications approved by the US Food and Drug Administration along with the growing availability of over-the-counter products. Early identification is critical as prompt discontinuation of the offending agent can lead to improvement in toxicity, while continued use will further exacerbate the problem. Identifying medication and herbal usage is essential when obtaining a history in patients presenting with gastrointestinal symptoms. Most episodes of colon toxicities of drugs have been reported as individual cases, where the cause-and-effect relationship between a substance and a colonic toxicity are only inferred, but not proven. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261940 Thu, 01 Sep 2011 04:00:00 +0100 5261940 http://www.medworm.com/index.php?rid=5261939&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001349%2Fabstract%3Frss%3Dyes The colon has often been an overlooked organ as a target of toxicity. Certainly there are mucosal, neurologic, and secretory complications that can be induced by toxins resulting in colitis, diarrhea, or constipation. Drs. Sherid, Deepak, and Ehrenpreis break down these issues in a systematic manner, thus giving the clinician a comprehensive overview of this difficult subject. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261939 Thu, 01 Sep 2011 04:00:00 +0100 5261939 http://www.medworm.com/index.php?rid=5261938&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100201X%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261938 Thu, 01 Sep 2011 04:00:00 +0100 5261938 http://www.medworm.com/index.php?rid=5261937&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911002008%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261937 Thu, 01 Sep 2011 04:00:00 +0100 5261937 http://www.medworm.com/index.php?rid=5261936&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001994%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261936 Thu, 01 Sep 2011 04:00:00 +0100 5261936 http://www.medworm.com/index.php?rid=5261935&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001982%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5261935 Thu, 01 Sep 2011 04:00:00 +0100 5261935 http://www.medworm.com/index.php?rid=5239197&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100160X%2Fabstract%3Frss%3Dyes Sleep-related movement disorders involve stereotypical movements during sleep or following a circadian pattern. These differ from parasomnias, sleep-related seizures, and daytime movement disorders in general due to less complexity of behavior. Unlike these conditions, motor activity during sleep-related movement disorders does not appear purposeful or goal directed. They are, however, outside of the patient's awareness, similar to seizures and parasomnias. They were initially classified as parasomnias, but are now considered a separate category of sleep disorders. There are several these disorders classified by the second edition of the International Classifications of Sleep Disorders (). In addition to the well-defined syndromes, sleep-related movement disorder can be due to drug or subs... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239197 Mon, 01 Aug 2011 04:00:00 +0100 5239197 http://www.medworm.com/index.php?rid=5239196&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001453%2Fabstract%3Frss%3Dyes Human beings have adapted to living in a 24-hour environment by developing an internal timing system that follows a circadian rhythm. The term circadian is derived from the Latin word circa, which means about, and die, which means day. If allowed to free-run in the absence of time-indicating external stimuli (zeitgeber), this human endogenous rhythm will have a periodicity that is slightly longer than 24 hours, at 24.2 hours. The central pacemaker of the human body generating circadian rhythms is the suprachiasmatic nucleus (SCN) located in the anterior hypothalamus. This highly regulated circadian rhythm established by the SCN is sustained at the molecular level by an autoregulatory feedback loop of circadian clock gene proteins. In addition to controlling the 24-hour cycle of sleep and w... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239196 Mon, 01 Aug 2011 04:00:00 +0100 5239196 http://www.medworm.com/index.php?rid=5239195&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001465%2Fabstract%3Frss%3Dyes Oral appliances (OA) are now the first line of treatment recommended for mild to moderate obstructive sleep apnea (OSA) according to the new revised guidelines of the Academy of Sleep Medicine. Within the past 15 years, properly trained dentists have become key participants in the management of this epidemic “(Titrated) appliances are appropriate for use in patients … who prefer OA's to cPAP, or who do not respond to, or are not appropriate candidates for … or who fail treatment attempts at cPAP. …” More importantly, recent studies demonstrate the benefit in not only improving sleep apnea severity, but also improving secondary general health consequences of OSA disorder. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239195 Mon, 01 Aug 2011 04:00:00 +0100 5239195 http://www.medworm.com/index.php?rid=5239194&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001477%2Fabstract%3Frss%3Dyes Surgical treatment for patients suffering with heroic snoring and obstructive sleep apnea syndrome (OSAS) has progressed tremendously in the past 15 years. Beginning in the early 1990s, minimally invasive procedures have become widely available. In the snoring patient or patient with mild sleep apnea, office-based procedures can now be performed under local anesthesia, are effective in the carefully selected patient, and are less expensive than 2 hotel rooms for a couple that enjoy traveling. Current surgical research has focused on site-of-obstruction analysis, new technologies, and perioperative management. Procedure selection for the individual patient has been studied extensively in hopes of improving the predictability of surgical results for specific procedures. For example, emphasis... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239194 Mon, 01 Aug 2011 04:00:00 +0100 5239194 http://www.medworm.com/index.php?rid=5239193&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001441%2Fabstract%3Frss%3Dyes Although descriptions of sleep-disordered breathing (SDB) have been found in medical and nonmedical literature for centuries, most of our current knowledge about this condition has been obtained in the past 30 years. SDB—snoring, limited respiratory flow leading to arousals or oxihemoglobin desaturations (hypopneas), or complete cessation of airflow (apneas)—are common and occur in up to 20% of the population. If accompanied by symptoms, SDB has been classified into 3 general categories: obstructive sleep apnea (OSA) syndromes, central sleep apnea (CSA) syndromes, and sleep-related hypoventilation/hypoxemia syndromes. OSA is the most common of the 3 groups and its prevalence depends on the diagnostic definition used; using the most conservative definition of apnea-hypopnea index, AHI, ... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239193 Mon, 01 Aug 2011 04:00:00 +0100 5239193 http://www.medworm.com/index.php?rid=5239192&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100143X%2Fabstract%3Frss%3Dyes In this issue we discuss sleep-disordered breathing disorders, circadian rhythm disorders, and sleep-related movement disorders. Sleep apnea and associated disorders are prevalent and lead to significant morbidity. Health, quality of life, social functioning, education, and profession can be impacted. Family members can be affected, for example, the disrupted sleep in the bed partner of a loud snorer. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239192 Mon, 01 Aug 2011 04:00:00 +0100 5239192 http://www.medworm.com/index.php?rid=5239191&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001878%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239191 Mon, 01 Aug 2011 04:00:00 +0100 5239191 http://www.medworm.com/index.php?rid=5239190&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001866%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239190 Mon, 01 Aug 2011 04:00:00 +0100 5239190 http://www.medworm.com/index.php?rid=5239189&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001854%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239189 Mon, 01 Aug 2011 04:00:00 +0100 5239189 http://www.medworm.com/index.php?rid=5239188&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001842%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5239188 Mon, 01 Aug 2011 04:00:00 +0100 5239188 http://www.medworm.com/index.php?rid=5081011&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001180%2Fabstract%3Frss%3Dyes are defined by the International Classification of Sleep Disorders, 2nd edition (ICSD-2) as undesirable physical events or experiences that occur during entry into sleep, within sleep, or during arousals from sleep. They are classified into disorders of arousal from non-rapid eye movement (REM) sleep, parasomnias usually associated with REM sleep, and other parasomnias (). Although abnormal movements occurring during sleep represent a subset of parasomnia, they are considered sleep-related movement disorders and will not be discussed in this section. Parasomnias are reported in approximately 4% of the adult population. Violent behavior during sleep has been reported in 2% of a large adolescent and adult population with a higher rate in the male sex. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081011 Thu, 30 Jun 2011 23:00:00 +0100 5081011 http://www.medworm.com/index.php?rid=5081010&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001192%2Fabstract%3Frss%3Dyes The term hypersomnia encompasses excessive sleepiness (hypersomnolence) or increased sleep time. Excessive daytime sleepiness (EDS) may be due to inadequate quality or quantity of sleep, or may be intrinsic regardless of how much or how “well” one sleeps. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081010 Thu, 30 Jun 2011 23:00:00 +0100 5081010 http://www.medworm.com/index.php?rid=5081009&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001167%2Fabstract%3Frss%3Dyes Chronic insomnia is estimated to affect 10% of Americans. Transient insomnia may affect approximately 30% of the population. Fifty percent to 69% of patients under medical care meet the diagnostic criteria for insomnia. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081009 Thu, 30 Jun 2011 23:00:00 +0100 5081009 http://www.medworm.com/index.php?rid=5081008&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001179%2Fabstract%3Frss%3Dyes Insomnia is a common clinical complaint characterized by difficulty falling asleep, staying asleep, or nonrestorative sleep, which is associated with significant distress. These nocturnal complaints are accompanied by impairments of social, occupational, or other areas of daily functioning. Daytime complaints may include difficulties with memory, concentration problems, daytime fatigue, and disturbance of mood. Insomnia complaints may be secondary to other conditions, including psychiatric diagnoses, medical diagnoses, substance abuse problems, or another sleep disorder. However, insomnia may also be its own disorder, ie, primary insomnia. The severity of the insomnia may be classified by its frequency, intensity, or duration. Insomnia may be a transient or an acute experience or a chronic... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081008 Thu, 30 Jun 2011 23:00:00 +0100 5081008 http://www.medworm.com/index.php?rid=5081007&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001155%2Fabstract%3Frss%3Dyes The approach to the patient with sleep disorders follows the usual medical evaluation involving chief complaint, current and past history (medical, neurological, psychological), medications and allergies, family and social history, and review of systems. The focus is on how these contribute to the current sleep disorder(s). (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081007 Thu, 30 Jun 2011 23:00:00 +0100 5081007 http://www.medworm.com/index.php?rid=5081006&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001143%2Fabstract%3Frss%3Dyes As in all disciplines of medicine, classification is crucial to the practice of Sleep Medicine. As scientific and clinical understanding of disease improves, our ability to classify disease becomes more accurate. The challenge is trying to understand and classify disease with incomplete knowledge. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081006 Thu, 30 Jun 2011 23:00:00 +0100 5081006 http://www.medworm.com/index.php?rid=5081005&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001131%2Fabstract%3Frss%3Dyes With the advent of the sleep medicine examination for certification falling under the aegis of the American Board of Medical Specialties, sleep medicine has attained status as an independent speciality of medicine. The current requirements include an American Board Medical Subspecialties certification in Anesthesiology, Family Medicine, Internal Medicine, Neurology, Otolaryngology, Pediatrics, or Psychiatry. The Sleep Medicine Certification Program is jointly developed by the American Board of Internal Medicine (ABIM) and the American Board of Family Medicine (ABFM), the American Board of Pediatrics (ABP), the American Board of Psychiatry and Neurology (ABPN), and the American Board of Otolaryngology (ABOto). The first examination was administered in 2007. Current requirements will allow t... Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081005 Thu, 30 Jun 2011 23:00:00 +0100 5081005 http://www.medworm.com/index.php?rid=5081004&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291100112X%2Fabstract%3Frss%3Dyes The relationship of sleep physiology to the overall quality of life and health issues is just now being recognized as an essential component to primary care medicine. Such diverse issues, such as restless leg syndrome, obesity, cognition, depression, and traumatic events, may relate to sleep disorders. It is clear that this rapidly evolving field is interconnected to several medical disciplines. Over the next 2 issues, Dr Thomas Freedom and colleagues present a thorough overview of this complicated topic. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081004 Thu, 30 Jun 2011 23:00:00 +0100 5081004 http://www.medworm.com/index.php?rid=5081003&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001659%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081003 Thu, 30 Jun 2011 23:00:00 +0100 5081003 http://www.medworm.com/index.php?rid=5081002&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001647%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081002 Thu, 30 Jun 2011 23:00:00 +0100 5081002 http://www.medworm.com/index.php?rid=5081001&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001635%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081001 Thu, 30 Jun 2011 23:00:00 +0100 5081001 http://www.medworm.com/index.php?rid=5081000&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001623%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5081000 Thu, 30 Jun 2011 23:00:00 +0100 5081000 http://www.medworm.com/index.php?rid=5053791&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001404%2Fabstract%3Frss%3Dyes There is currently a national movement to control rising health care costs, and a large amount of those costs have been associated with the medical liability system. In response to this issue, there has been a large-scale push toward new models of resolving medical liability disputes and compensating injured patients. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5053791 Tue, 31 May 2011 23:00:00 +0100 5053791 http://www.medworm.com/index.php?rid=5053790&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001416%2Fabstract%3Frss%3Dyes The following article is a comprehensive evaluation of alternative medical liability solutions to the current medical malpractice crisis. It is a product of extensive work done by the Illinois State Medical Society and in particular the Dupage County Medical Society. Although the focus of this treatise is on particular solutions relatable to the State of Illinois, I believe that the analysis presented here is applicable nationwide. As such, this document serves as an important guide to the several options possibly available to replace our current, antiquated civil liability system. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5053790 Tue, 31 May 2011 23:00:00 +0100 5053790 http://www.medworm.com/index.php?rid=5053789&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001568%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5053789 Tue, 31 May 2011 23:00:00 +0100 5053789 http://www.medworm.com/index.php?rid=5053788&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001544%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5053788 Tue, 31 May 2011 23:00:00 +0100 5053788 http://www.medworm.com/index.php?rid=5053787&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001520%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5053787 Tue, 31 May 2011 23:00:00 +0100 5053787 http://www.medworm.com/index.php?rid=5053786&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001507%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=5053786 Tue, 31 May 2011 23:00:00 +0100 5053786 http://www.medworm.com/index.php?rid=4878528&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000447%2Fabstract%3Frss%3Dyes Fibromyalgia is a complex condition that is characterized by chronic widespread pain and multiple other symptoms, including fatigue, sleep disturbances, cognitive dysfunction, stiffness, and depressive episodes. Fibromyalgia may coexist and/or overlap with other conditions that may involve central sensitivity, including chronic fatigue syndrome, irritable bowel syndrome, irritable bladder syndrome or interstitial cystitis, and temporomandibular disorder. The pathophysiology of fibromyalgia remains uncertain but is believed to be partly the result of central systems affecting afferent processing as well as impaired endogenous pain-inhibitory systems. Abnormal central nociceptive processing may contribute to fibromyalgia, producing heightened responses to various noxious stimuli with resulti... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4878528 Sat, 30 Apr 2011 23:00:00 +0100 4878528 http://www.medworm.com/index.php?rid=4878527&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000435%2Fabstract%3Frss%3Dyes Discussion of the Syndrome and Pharmacotherapy by Smith and Barkin was originally published in the American Journal of Therapeutics and has been updated for this publication. Fibromyalgia syndrome is one of those evolving conditions that is difficult to define and thus creates significant diagnostic and therapeutics issues. Patients presenting with the syndrome are often in distress and, since there is no specific laboratory test to corroborate a diagnosis, physician skepticism has created a problematic area for both patients and those treating the patient's symptoms. Whenever a clear etiology is unknown, some physicians may question the validity of the syndrome and therapy that is not based on a mechanistic understanding of the disease process. The recent reports of viral titers correlati... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4878527 Sat, 30 Apr 2011 23:00:00 +0100 4878527 http://www.medworm.com/index.php?rid=4878526&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001246%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4878526 Sat, 30 Apr 2011 23:00:00 +0100 4878526 http://www.medworm.com/index.php?rid=4878525&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001234%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4878525 Sat, 30 Apr 2011 23:00:00 +0100 4878525 http://www.medworm.com/index.php?rid=4878524&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001222%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4878524 Sat, 30 Apr 2011 23:00:00 +0100 4878524 http://www.medworm.com/index.php?rid=4878523&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911001210%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4878523 Sat, 30 Apr 2011 23:00:00 +0100 4878523 http://www.medworm.com/index.php?rid=4814765&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000848%2Fabstract%3Frss%3Dyes Osteonecrosis of the jaws is a rare but serious complication that can be difficult to manage and may result in significant morbidity to the patient, including severe pain and loss of large portions of the mandible and/or maxilla. Osteonecrosis can have many etiologies and maybe multifactorial in nature. Osteonecrosis is defined by the exposure of mandibular or maxillary bone through lesions in the gingiva that do not heal. Osteonecrosis can result secondary to necrotizing forms of gingival and periodontal disease, infections, such as osteomyelitis and sinusitis of both bacterial and fungal origins, malignancies, radiation, and medications used in the treatment of malignancies and other bone disorders. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814765 Thu, 31 Mar 2011 23:00:00 +0100 4814765 http://www.medworm.com/index.php?rid=4814764&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000836%2Fabstract%3Frss%3Dyes An increasing number of dental patients are being treated with multiple medications; some of these medications have an adverse reaction on the mouth and periodontal tissues. One of the unwanted side effects of these drugs is gingival overgrowth. Gingival overgrowth is associated mainly with 3 types of drugs: (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814764 Thu, 31 Mar 2011 23:00:00 +0100 4814764 http://www.medworm.com/index.php?rid=4814763&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000824%2Fabstract%3Frss%3Dyes Myriads of bacteria live within our body cavity and yet the immune system keeps the blood free from bacterial infections. Many periodontal patients do not require antibiotics before a procedure but there are some patients with medical conditions that place a patient at risk of having transient bacteremia from the oral cavity. Transient bacteremia is common with handling of the periodontal tissues and several studies have reported variations in frequencies of bacteremia in patients following periodontal procedures like tooth extraction (10-80%), periodontal surgery (36-88%), scaling and root planing (subgingival instrumentation) (8-80%), and teeth cleaning (up to 40%). It is also believed that transient bacteremia can occur during everyday activities like tooth brushing and flossing (20-68%... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814763 Thu, 31 Mar 2011 23:00:00 +0100 4814763 http://www.medworm.com/index.php?rid=4814762&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000812%2Fabstract%3Frss%3Dyes Periodontal disease forms a series of distinct complex pathologic entities characterized by various clinical signs and rates of progression. Susceptibility to periodontal disease differs according to an individual's bacterial flora and specific local and systemic factors. Among systemic factors are quantitative and qualitative impairments of polymorphonuclear neutrophils, hormonal imbalance, immune deficiency, diabetes, stress, and smoking. Recently, smoking has emerged as a significant risk factor for multiple forms of periodontal disease. The increased research that followed this recognition has demonstrated the deleterious effect of smoking on periodontal structures. The purpose of this article is to provide an overview of available information to give the practitioners a better underst... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814762 Thu, 31 Mar 2011 23:00:00 +0100 4814762 http://www.medworm.com/index.php?rid=4814761&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000800%2Fabstract%3Frss%3Dyes Results from numerous epidemiologic and cross-sectional studies over the past few decades indicate that diabetes mellitus (DM, both type 1 and 2) increases the prevalence, incidence, and severity of periodontitis, suggesting that diabetes predisposes subjects to periodontitis. In fact, periodontitis is now recognized as the sixth most common complication of diabetes. Although the data are at times conflicting, several studies have shown that treatment of periodontitis results in an improved glycemic control in subjects who have DM. Thus, these data suggest that periodontitis exacerbates diabetes and a “bidirectional relationship” exists between periodontitis and DM. However, the mechanisms that explain this two-way relationship, especially the direct effect of periodontitis on DM condi... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814761 Thu, 31 Mar 2011 23:00:00 +0100 4814761 http://www.medworm.com/index.php?rid=4814760&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000794%2Fabstract%3Frss%3Dyes This article briefly reviews studies that have investigated the relationship between periodontal infections and atherosclerotic disease of coronary arteries (atherosclerotic cardiovascular disease—ACD). Current evidence based, in part, on several recent meta-analyses of cross-sectional studies (of varying experimental design) on patients with ACD and periodontitis (and a number of surrogate markers for these diseases) have confirmed the association between the 2 diseases. This relationship appears to be independent of other known risk factors. However, the strength of the association appears to be relatively modest, with odds ratio estimates ranging from 1.24 to 1.34. The studies included in these meta-analyses are heterogeneous, and variations in risk have been reported among different ... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814760 Thu, 31 Mar 2011 23:00:00 +0100 4814760 http://www.medworm.com/index.php?rid=4814759&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000782%2Fabstract%3Frss%3Dyes Prematurity is one of the main causes of neonatal morbidity and mortality. Of all US births, 11% occur preterm. Infants born before 37 weeks of gestation account for 70% of all perinatal deaths, half of all long-term neurological morbidities, and other chronic health problems. Despite the widespread use of drugs to arrest preterm labor (PTL), there has been no decrease in low birth weight or preterm infants. It is likely that therapy directed at preventing or treating the underlying cause of PTL would be more successful than treating existing PTL. Identified risk factors for PTL and low birth weight (LBW) include maternal age (34 years), African-American ancestry, low socioeconomic status, multiple pregnancies, smoking, alcohol and drug abuse, history of previous preterm low birth weight b... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814759 Thu, 31 Mar 2011 23:00:00 +0100 4814759 http://www.medworm.com/index.php?rid=4814758&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000770%2Fabstract%3Frss%3Dyes Periodontal disease among children and adolescents consists mainly of gingivitis. The prevalence of marked periodontal destruction is low in young individuals. In the USA, the prevalence of severe periodontal attachment loss on multiple teeth among children and young adults is between 0.2% and 0.5%. Although periodontitis is more common in adults, it is more aggressive when present in children and adolescents. Periodontal diseases in young individuals can develop as a consequence of a local or a systemic factor. Local factors include plaque, calculus, orthodontic appliances, orthodontic appliances, and dental anomalies (ie, enamel projections, enamel pearls). Systemic factors include malnutrition, systemic diseases, gender, race, hormones, and smoking. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814758 Thu, 31 Mar 2011 23:00:00 +0100 4814758 http://www.medworm.com/index.php?rid=4814757&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000769%2Fabstract%3Frss%3Dyes Gingivitis and periodontitis are the most common forms of periodontal diseases. Gingivitis is an inflammation confined to the soft tissue surrounding the teeth. Gingivitis is the result of interaction between the microorganisms found in the dental biofilm and the tissues and inflammatory cells of the host. The plaque-host interaction can be altered by local factors, systemic factors, or both, or medications and malnutrition that can influence the severity and duration of the response. Systemic factors contributing to gingivitis, such as the endocrine changes associated with puberty, the menstrual cycle, pregnancy, and diabetes, may be exacerbated because of alterations in the gingival inflammatory response to plaque. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814757 Thu, 31 Mar 2011 23:00:00 +0100 4814757 http://www.medworm.com/index.php?rid=4814756&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000757%2Fabstract%3Frss%3Dyes Periodontal diseases are widespread and affect human beings at different stages of their lives. They are a leading cause of tooth loss and can affect a person's daily life in terms of speech, mastication, esthetics, and self-esteem. Once thought of as a disease localized to the oral cavity, emerging evidence is linking periodontal disease to systemic health. Periodontal disease can affect and be affected by many systemic diseases and conditions. Based on that link, collaboration between physicians and dentists is often needed to provide comprehensive health care for the patients. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814756 Thu, 31 Mar 2011 23:00:00 +0100 4814756 http://www.medworm.com/index.php?rid=4814755&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000745%2Fabstract%3Frss%3Dyes Periodontal disease (periodontitis) is a common affliction affecting over half of the patients in a primary care setting that is often overlooked in the clinical care setting. Collateral systemic consequences can ensue and be devastating. There are literally hundreds of medications (most of them commonly used) that can cause dental and oral side effects and thus predispose the patient to periodontal disease. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814755 Thu, 31 Mar 2011 23:00:00 +0100 4814755 http://www.medworm.com/index.php?rid=4814754&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000988%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814754 Thu, 31 Mar 2011 23:00:00 +0100 4814754 http://www.medworm.com/index.php?rid=4814753&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000976%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814753 Thu, 31 Mar 2011 23:00:00 +0100 4814753 http://www.medworm.com/index.php?rid=4814752&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000964%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814752 Thu, 31 Mar 2011 23:00:00 +0100 4814752 http://www.medworm.com/index.php?rid=4814751&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000952%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4814751 Thu, 31 Mar 2011 23:00:00 +0100 4814751 http://www.medworm.com/index.php?rid=4645684&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000514%2Fabstract%3Frss%3Dyes In general, the diagnosis and treatment of tremor in children are similar to that in adults. However, secondary etiologies are more common, and a positive family history occurs far more often. Besides enhanced physiologic tremor, essential tremor (ET) is probably the most common cause of tremor in children. However, tremor may be a clinical marker of certain rare but serious childhood diseases. Structural lesions anywhere in the central or peripheral nervous system can lead to tremor. It is therefore mandatory to rigorously investigate an underlying secondary etiology for tremor. Important etiologies that should be excluded include hyperthyroidism and Wilson's disease in all children with tremor, as both conditions may resemble ET yet require specific treatment for the underlying disorder.... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645684 Tue, 01 Mar 2011 00:00:00 +0100 4645684 http://www.medworm.com/index.php?rid=4645683&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000502%2Fabstract%3Frss%3Dyes Tremor can be a disabling movement disorder that interferes with activities of daily living and lowers quality of life. About one half of all patients with essential tremor (ET) fail to respond to pharmacologic therapy, and other forms of tremor are also difficult to control. When pharmacologic treatment of tremor fails, surgery often is a good option for the properly selected patient. Surgical treatment for ET using deep brain stimulation (DBS) of the ventrolateral thalamus typically improves limb tremor by 60-70% and activities of daily living by over 50%, with relatively minimal side effects. This overview examines the history of tremor surgery, describes the different types of surgeries, discusses selection and clinical management of surgical patients, and reviews outcome studies of tr... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645683 Tue, 01 Mar 2011 00:00:00 +0100 4645683 http://www.medworm.com/index.php?rid=4645682&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000496%2Fabstract%3Frss%3Dyes While no curative treatment for essential tremor (ET) is available, medications may help reduce the adverse impact of ET on quality of life. The goals of treatment are to improve function in activities, such as eating, drinking, writing, and typing, as well as to reduce social embarrassment. Pharmacologic treatment of tremor is based on mechanisms that include reducing the sympathetic drive that may exacerbate tremor, increasing GABA-ergic inhibition of the central oscillators that drive the tremor, and membrane stabilizing effects. Propranolol, primidone, and alcohol, respectively, are the prototypical drugs that represent the 3 mechanisms. In practice, the discovery of drugs for tremor has often been a matter of serendipity. A general caveat in the treatment of tremor disorders is “sta... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645682 Tue, 01 Mar 2011 00:00:00 +0100 4645682 http://www.medworm.com/index.php?rid=4645681&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000484%2Fabstract%3Frss%3Dyes Essential tremor (ET) is the most common pathologic tremor in humans. Analogous to the term essential hypertension, the term ET was coined to describe tremor as an isolated symptom without a secondary etiology. However, recent observations suggest that it may be a neurodegenerative process with additional symptoms developing over time with specific genetic etiologies in some cases. There is an increasing recognition that additional neurologic symptoms may accompany tremor, such as ataxia and cognitive impairment. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645681 Tue, 01 Mar 2011 00:00:00 +0100 4645681 http://www.medworm.com/index.php?rid=4645680&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000472%2Fabstract%3Frss%3Dyes Tremor is defined as an involuntary, rhythmic, oscillatory movement produced by either synchronous or alternating contractions of antagonist muscles. Tremors can be classified by their distribution and frequency, as well as by the “state of activity.” This state of activity refers to whether the tremor occurs at rest or with action and this distinction is clinically important. The following definitions may be applied: (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645680 Tue, 01 Mar 2011 00:00:00 +0100 4645680 http://www.medworm.com/index.php?rid=4645679&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000460%2Fabstract%3Frss%3Dyes Tremor is the most common movement disorder. The aging demographic increases the likelihood that family physicians and internists will encounter this symptom in their daily practice. Essential tremor is the most common etiology, affecting over 10 million individuals in the USA. Distinguishing essential tremor from Parkinson's disease is the most common diagnostic challenge. Tremor has many other etiologies ranging from multiple sclerosis to Wilson's disease. A systematic clinical examination coupled with appropriate imaging and laboratory studies should clarify the diagnosis. Newer imaging modalities also offer promise in improving accuracy of diagnosis. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645679 Tue, 01 Mar 2011 00:00:00 +0100 4645679 http://www.medworm.com/index.php?rid=4645678&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000459%2Fabstract%3Frss%3Dyes One of the most important statements made by the authors of this monograph is that “the diagnosis of tremor remains in the purview of the clinician.” In fact, tremor will first present to the family physician, emergency physician, nurse practitioner, and physician's assistant in the vast majority of cases. The knee-jerk response for these practitioners will often be to immediately refer the patient to a neurologist, absent of any effective diagnostic workup. Given the constraints present in today's health care environment, this on-the-spot referral may not be practical and certainly may not serve the patient's immediate needs. It clearly behooves the primary care practitioner to possess more than a working knowledge of the etiology, diagnostic approach, differential diagnosis, and init... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645678 Tue, 01 Mar 2011 00:00:00 +0100 4645678 http://www.medworm.com/index.php?rid=4645677&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000605%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645677 Tue, 01 Mar 2011 00:00:00 +0100 4645677 http://www.medworm.com/index.php?rid=4645676&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000599%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645676 Tue, 01 Mar 2011 00:00:00 +0100 4645676 http://www.medworm.com/index.php?rid=4645675&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000587%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645675 Tue, 01 Mar 2011 00:00:00 +0100 4645675 http://www.medworm.com/index.php?rid=4645674&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000575%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4645674 Tue, 01 Mar 2011 00:00:00 +0100 4645674 http://www.medworm.com/index.php?rid=4596663&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002130%2Fabstract%3Frss%3Dyes Gastroparesis is a chronic motility disorder of the stomach that involves delayed emptying of solids and liquids, without evidence of mechanical obstruction. Although no cause can be determined for the majority of cases, the disease often develops as a complication of abdominal surgeries or because of other underlying disorders, such as diabetes mellitus or scleroderma. The pathophysiology behind delayed gastric emptying is still not well-understood, but encompasses abnormalities at 3 levels—autonomic nervous system, smooth muscle cells, and enteric neurons. Patients will often cite nausea, vomiting, postprandial fullness, and early satiety as their most bothersome symptoms on history and physical examination. Those that present with severe disease may already have developed complication... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4596663 Tue, 01 Feb 2011 00:00:00 +0100 4596663 http://www.medworm.com/index.php?rid=4596662&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002129%2Fabstract%3Frss%3Dyes Gastroparesis is a chronic condition that affects the stomach's ability to empty its contents without any mechanical blockage. Thought to be a primarily neurological (through neurotransmission) disorder of gastric motility, the pathophysiology and extent of this ailment are not well understood. It is associated with a myriad of disease states ranging from longstanding diabetes mellitus, Parkinson's disease, and systemic sclerosis; it is also a complication of gastrointestinal surgery and medications (particularly anticholinergic drugs). Drs Tang and Friedenberg from Temple University School of Medicine give a comprehensive overview of this increasingly recognized gastric disturbance with a focus on medical and surgical interventions. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4596662 Tue, 01 Feb 2011 00:00:00 +0100 4596662 http://www.medworm.com/index.php?rid=4596661&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000307%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4596661 Tue, 01 Feb 2011 00:00:00 +0100 4596661 http://www.medworm.com/index.php?rid=4596660&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000290%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4596660 Tue, 01 Feb 2011 00:00:00 +0100 4596660 http://www.medworm.com/index.php?rid=4596659&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000289%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4596659 Tue, 01 Feb 2011 00:00:00 +0100 4596659 http://www.medworm.com/index.php?rid=4596658&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502911000277%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4596658 Tue, 01 Feb 2011 00:00:00 +0100 4596658 http://www.medworm.com/index.php?rid=4466323&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002117%2Fabstract%3Frss%3Dyes This article explores lung cancer and its relationship to asbestos exposure. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466323 Sat, 01 Jan 2011 00:00:00 +0100 4466323 http://www.medworm.com/index.php?rid=4466322&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002105%2Fabstract%3Frss%3Dyes is a relatively rare malignancy which originates from the mesothelial cells of the pleural and peritoneal tissues. Other more unusual sites of primary mesothelioma include the pericardium and tunica of the scrotum. The primary risk factor for mesothelioma is occupational exposure to asbestos fibers, though other exposures to asbestos and other non-asbestos related mesothelioma cases do occur. The epidemiology, pathogenesis, clinical presentation, diagnosis and management of mesothelioma will be reviewed here, with special attention to recently (within the last 3 years) published articles and guidelines. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466322 Sat, 01 Jan 2011 00:00:00 +0100 4466322 http://www.medworm.com/index.php?rid=4466321&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002099%2Fabstract%3Frss%3Dyes Asbestos, the smallest naturally occurring fiber, was widely used in industry throughout the 20th century because of its durability and resistance to heat. Although health hazards associated with asbestos exposure were noted in the late 19th century, legislation regulating exposure was not passed in the USA until 1971. Because of the long latency period between exposure and disease, clinicians can expect to see asbestos-related disease for years to come. Although asbestosis and malignant mesothelioma receive more attention than benign asbestos-related pleural disease because of their associated morbidity and mortality, benign pleural disease is much more prevalent than these conditions. In fact, circumscribed pleural plaques are estimated to affect 3-58% of exposed persons and 0.5-8% of th... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466321 Sat, 01 Jan 2011 00:00:00 +0100 4466321 http://www.medworm.com/index.php?rid=4466320&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002063%2Fabstract%3Frss%3Dyes is a pneumoconiosis caused by the inhalation of asbestosis fibers. There are 6 naturally occurring fibrous magnesium silicate minerals that are referred to as asbestos fibers. The 3 most commonly used asbestos fibers are chrysotile (a serpentine form), crocidolite, and amosite (amphiboles); the remaining 3 are tremolite, anthophyllite, and actnolite (amphiboles). Another naturally occurring silicate is vermiculite, which may be contaminated with asbestos fibers, thereby also posing health risks. The nearly ubiquitous use of asbestos stems from its superior fireproof and insulation properties. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466320 Sat, 01 Jan 2011 00:00:00 +0100 4466320 http://www.medworm.com/index.php?rid=4466319&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002051%2Fabstract%3Frss%3Dyes This report was not made public until later when the data were reviewed and a definite association between asbestos and cancers was noted. Cartier published the clinical, radiographic, and pathology findings of nearly 4000 Thetford asbestos workers in Canada, confirming the fibrogenic nature of asbestos. An increase in lung cancers was noted among the textile workers in Britain in 1955 that had been previously noted in Germany and USA. In subsequent years, finding of pleural plaques in association with asbestosis was reported. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466319 Sat, 01 Jan 2011 00:00:00 +0100 4466319 http://www.medworm.com/index.php?rid=4466318&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002087%2Fabstract%3Frss%3Dyes Asbestos refers to a group of minerals that possesses desirable physical properties for industrial use, such as high tensile strength, flexibility, resistance to chemical and thermal degradation, and electrical resistance. Across the world, these minerals were used extensively in many products, including insulation and fireproofing materials, automotive brakes, and textile products, and in other construction materials. The health hazards related to asbestos exposure were initially observed in the late 19th century. However, scientific publications regarding the adverse effects of asbestos exposure began to appear in the second and third decade of the 20th century, leading to regulatory restrictions and banning of its use in many countries from the mid-1950s. Exposure to asbestos results mo... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466318 Sat, 01 Jan 2011 00:00:00 +0100 4466318 http://www.medworm.com/index.php?rid=4466317&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291000204X%2Fabstract%3Frss%3Dyes Asbestos fibers are naturally occurring, silicate-based minerals that are not soluble, are inert chemically, and are poor conductors of heat. It is this latter property for which asbestos had been used in industry, ranging from fireproof products, insulation, brake linings, gaskets, paint filler, to adhesives. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466317 Sat, 01 Jan 2011 00:00:00 +0100 4466317 http://www.medworm.com/index.php?rid=4466316&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291000221X%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466316 Sat, 01 Jan 2011 00:00:00 +0100 4466316 http://www.medworm.com/index.php?rid=4466315&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002208%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466315 Sat, 01 Jan 2011 00:00:00 +0100 4466315 http://www.medworm.com/index.php?rid=4466314&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910002191%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466314 Sat, 01 Jan 2011 00:00:00 +0100 4466314 http://www.medworm.com/index.php?rid=4466313&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291000218X%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4466313 Sat, 01 Jan 2011 00:00:00 +0100 4466313 http://www.medworm.com/index.php?rid=4296877&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910001860%2Fabstract%3Frss%3Dyes There are all kinds of things you can do to marry literacy with health.C. Everett Koop, MD An estimated 90 million people in the USA have difficulties understanding and using health information. One in five American adults read at a fifth grade level or below, and the average American reads at the eighth to ninth grade level, yet most health care information is written above a 10th grade level. Limited health literacy is associated with poorer health outcomes, higher rate of hospitalization and use of emergency services and contribute to nearly 50% of patients who do not take medication as directed. Individuals who are socioeconomically disadvantaged, elderly, immigrants, or live in rural areas of the USA may be disproportionately hindered by literacy barriers. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296877 Wed, 01 Dec 2010 00:00:00 +0100 4296877 http://www.medworm.com/index.php?rid=4296876&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910001859%2Fabstract%3Frss%3Dyes There are significant challenges to addressing the health needs of the homeless. The complex nature of homelessness, coupled with the crippling effects of poverty, limit the extent to which primary care providers are able to effectively deliver care within a traditional clinical environment. To provide appropriate and supportive patient care, the clinical practice of the primary care provider should be augmented to include considerations for the broader social determinants of health. Only then can we begin to assure the human right to health for the most visibly impoverished among us. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296876 Wed, 01 Dec 2010 00:00:00 +0100 4296876 http://www.medworm.com/index.php?rid=4296875&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910001847%2Fabstract%3Frss%3Dyes On Friday evening, November 25, 1960, while most Americans were still digesting leftovers from their Thanksgiving feast the day before, renowned television journalist Edward R. Murrow was broadcasting into comfortable, middle-class living rooms describing the stark images and heartbreaking stories of the men, women, and children who tend and harvest our nation's agricultural bounty. Murrow's groundbreaking documentary, Harvest of Shame, is an indelible reminder that the struggles of migratory farm workers did not end when our country emerged from the Dust Bowl years of the Great Depression. Public outcry denouncing the injustices that Murrow captured on videotape ultimately led to landmark federal legislation aimed at improving the living and working conditions of farm workers and their fa... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296875 Wed, 01 Dec 2010 00:00:00 +0100 4296875 http://www.medworm.com/index.php?rid=4296874&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910001835%2Fabstract%3Frss%3Dyes Much has been written of health care reform in recent months. After the passage of federal legislation which changes the landscape of health care delivery in the USA, the novelty of “change” has given way to deep discussions about workforce capacity and the implications of an increased number of individuals accessing health care services. The daunting task of providing equal health care to all citizens has specific challenges in the rural context. Concerns of adequate provider workforce, availability of insurance products to rural residents, and logistical patterns of seeking care are important considerations in the policy discussion surrounding the transformation of the US Health Care System. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296874 Wed, 01 Dec 2010 00:00:00 +0100 4296874 http://www.medworm.com/index.php?rid=4296873&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910001823%2Fabstract%3Frss%3Dyes Community health centers (CHCs) have been the mainstay for the provision of primary health care to the uninsured, underinsured, and marginalized portions of American society since the mid-1960s. The number of centers has risen to approximately 1200 centers serving nearly 17 million people. These centers have been able to improve access to health care and reduce health care disparities. CHCs are essential in the Center for Disease Control Healthy People (2010)'s project whose main 2 goals are to increase quality and years of healthy life and to eliminate disparities in health. CHCs have been shown to provide cost-effective primary health care and have been applauded as models for the provision of primary health care by both Republican and Democratic administrations. The current article prov... Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296873 Wed, 01 Dec 2010 00:00:00 +0100 4296873 http://www.medworm.com/index.php?rid=4296872&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910001811%2Fabstract%3Frss%3Dyes This volume of Disease-a-Month is devoted to examining the primary care of underserved populations. Primary care of patients who have a great deal of resources is challenging enough, let alone the care of those who lack basic necessities. While some health care providers rarely come in contact with such patients, many health care providers serve the underserved daily. This monogram includes discussion on serving the urban poor, rural populations, migrant farm workers, and homeless individuals considered among the most underserved populations. Specific topics in this volume include Federally Qualified Health Centers, health literacy, migrant workers, and homeless population. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296872 Wed, 01 Dec 2010 00:00:00 +0100 4296872 http://www.medworm.com/index.php?rid=4296871&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910001896%2Fabstract%3Frss%3Dyes A health disparity refers to gaps in the quality of health care because of population differences such as race/ethnicity, socioeconomic status, and geographical location. Often referred to as health care inequality, some populations are at particular risk or “vulnerable” for receiving suboptimal care. (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296871 Wed, 01 Dec 2010 00:00:00 +0100 4296871 http://www.medworm.com/index.php?rid=4296870&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS001150291000194X%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296870 Wed, 01 Dec 2010 00:00:00 +0100 4296870 http://www.medworm.com/index.php?rid=4296869&cid=s_35521_20_f&fid=35521&url=http%3A%2F%2Fwww.diseaseamonth.com%2Farticle%2FPIIS0011502910001938%2Fabstract%3Frss%3Dyes (Source: Disease a Month) Disease a Month journals http://www.medworm.com/rss/comments.php?id=4296869 Wed, 01 Dec 2010 00:00:00 +0100 4296869