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  • +7

    Obesity Losing Weight and Keeping It Off

    h4. Introduction Regardless of what the obese state represents in terms of altered metabolic and hormonal function, obesity is above all a psychological or, perhaps more accurately, a behavioral disorder. Eating is a behavior, and the two most logical and direct ways of losing weight and keeping it off, a sensible diet and moderate exercise, represent, for obese persons, a challenge ...
    Rated: +7
  • +1

    Hodgkins Disease & Non Hodgkins Lymphoma

    h4. Background h4. Overview The malignant lymphomas, Hodgkin's disease (HD) and non-Hodgkin's lymphoma (NHL), comprise a group of clinically and pathologically diverse malignant lymphomas of largely unknown cause. Their successful management involves a multidisciplinary approach, proceeding from an accurate diagnosis to a comprehensive staging evaluation and appropriate therapeutic recommendation and regimen. h4. Etiology / Pathogenesis In 1832, Thomas Hodgkin presented a ...
    Rated: +1
  • +3

    Functional Assessment - The Key to Geriatric Care in the 21st Century

    h4. Introduction The next 30 years will result in a unique change in population demographics in this country. This change is already beginning. The baby boomers are getting old. The over 65 population will increase from being the 13% of the population it is today to 20% by the year 2030. More people than ever will reach the 100-year mark. All ...
    Rated: +3
  • +1

    Functional (Nonulcer) Dyspepsia

    h4. Definition and Clinical Picture The term "dyspepsia" is derived from the Greek term for "bad digestion". Used broadly and in a general sense, it may be used to describe a number of upper gastrointestinal disorders of known or unknown etiology. The most common disorders in the group of dyspeptic syndromes with a known cause are peptic ulcer disease, gastroesophageal reflux ...
    Rated: +1
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    Foods and Phytochemicals in Cancer Prevention

    h4. Introduction In the past ten years scientists have been actively studying phytochemicals that have an influence on human health. From this research we have learned much about prevention and treatment of cancer. The recent Dietary Supplement Health Education Act passed in 1994 has enabled food products to make health claims if they are substantiated by scientific research. This has caused ...
  • +1

    Ethics in Managed Care Contracting

    Ethics in Managed Care Contracting
    h4. Introduction Patients are at the center of the health care process. Physicians use their knowledge, skills, and defined processes to provide or coordinate health care for patients. It is the extent to which this relationship is valued, developed, nurtured, and maintained that determines the success of the patient-physician relationship. This important position at the center of the health care process ...
    Rated: +1
  • +1

    Ethics in Clinical Practice

    h4. Introduction Physicians are at the center of the health care process. In this central role, they use their knowledge, skills, and defined processes to provide or coordinate health care for patients. The success of the patient-physician relationship is determined by the way this relationship is valued, developed, nurtured, and maintained. Changes in the health care process bring changes in stakeholders, ...
    Rated: +1
  • +1

    Erectile Dysfunction

    h4. Introduction Erectile Dysfunction (ED) is defined as the consistent inability to achieve and maintain an erection of the penis sufficient to permit satisfactory sexual intercourse. The word "consistent" is included in the definition because an occasional episode of ED occurs in many men as a normal phenomenon. Additionally, the use of "impotence" as a synonym for ED has been virtually ...
    Rated: +1
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    Cystic Fibrosis - Update and Perioperative Considerations

    h4. Introduction Cystic fibrosis (CF) is a systemic, recessively inherited disease affecting the glands that produce mucus, tears, sweat, saliva and digestive juices. Normally, these secretions are thin and slippery. But in CF, a defective gene causes the body's secretions to become thick and sticky. Instead of acting as a lubricant, the secretions may plug up tubes, ducts and passageways — ...
  • +2

    Clinically Significant Drug Interaction with the Cytochrome P450 Enzyme System

    h4. Introduction Many drugs undergo oxidative biotransformation in order to be transformed from lipophilic to hydrophilic compounds so that they may be more readily eliminated from the body. The cytochrome P450 enzyme system is the major catalyst of oxidative biotransformation reactions involved in drug metabolism. The nomenclature of the cytochrome P450 enzyme system involves grouping the enzymes into families and subfamilies. ...
    Rated: +2
  • +2

    Avian Influenza

    Avian Influenza
    h4. Introduction Most of Asia and parts of Europe, the Middle East, and Africa, are currently experiencing expanding outbreaks of an avian influenza that is decimating domestic fowl populations, infecting and killing people that have unprotected contact with the infected birds, and causing genuine concern in the medical and scientific communities throughout the world. The reason for the multi-national concern is ...
    Rated: +2
  • +2

    Cancer Screening in Real World Practice

    h4. Introduction Today's clinicians are busier than ever. The managed care revolution, reimbursement, loss of autonomy, and the Internet have all affected today's physician. The generalist is being asked to do more each day with less, and seems to be losing the war over billing, paperwork, independence, and turf. Because traditional CME frequently has been shown to be of limited value ...
    Rated: +2
  • +1

    How Much Does Effective Communication Matter?

    The Problem: "It's my grandmother," explained the scared blond ten-year old. "She's sick again." With the help of some neighbors, Amra Omerovic's resourceful young grandson had brought her to the emergency room. This lovely silver-haired lady was in shock; her blood sugar levels were dangerously high. The doctor was baffled. If this 58-year-old Bosnian grandmother was taking her insulin "just like ...
    Rated: +1
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    Complications in the Postoperative Care Unit

    h4. Introduction h4. Historical Development The complications associated with the administration of anesthetic agents were recognized almost immediately after the introduction of inhalation anesthesia in the mid 19th century. John Snow, the first recognized physician anesthesthetists in the Western World, and the author of what is probably the first major textbook on anesthesia, devoted one third of his text to the ...
  • +3

    The Use and Maintenance of Implanted Port Vascular Access Devices

    h4. Introduction This course covers the history, required skills, and proper techniques of accessing and maintaining an implantable port in a clinical setting. The pros and cons of implantable ports versus other central lines are described and troubleshooting techniques are detailed. The importance of patient education is emphasized. The course work is intended for nurses, medical technicians, and physician assistants who ...
    Rated: +3
  • +3

    The Cardiovascular System

    The Cardiovascular System
    h4. THE HEART h4. The Structure of the Heart The size and position of the heart - Despite its heavy workload, the heart is not a large organ. It is about the size of the person's clenched fist and weighs 10 to 12 ounces. It is hollow and roughly conical in shape, with the narrow end pointed downward, to the left, ...
    Rated: +3
  • -1

    Skin Sensitization - Contact Dermatitis and Contact Urticaria

    h4. General Principles Of Contact Dermatitis Introduction Why are we interested in the skin's reaction to foreign chemicals? Perhaps because many of us have had blisters from poison ivy, rashes from nickel in metal items like earrings or necklaces, or eczematous reactions to other everyday objects. A friend comes to visit one evening with a red rash around her eyes; she ...
    Rated: -1
  • +2

    Physical Assessment - Chapter 1 History and Physical Examination

    h4. Introduction Performing an accurate physical assessment and being able to differentiate normal from abnormal findings is one of the most important roles for today's health care practitioner. If an accurate physical assessment cannot be performed, whether for baseline data or when the patient's condition changes, then the patient is not receiving the level of competent care that should be given. ...
    Rated: +2
  • +2

    Physical Assessment - Chapter 2 Integumentary System

    h4. Chapter 2: Integumentary System The skin is the largest organ in the body. The normal adult has over 20 square feet of skin so it is easy to understand how something can go wrong with this much area to cover. As a membranous barrier between a person's outer and inner surroundings, the skin responds to external changes and also reflects ...
    Rated: +2
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    Physical Assessment - Chapter 10 Psychosocial Assessment

    Psychosocial assessments are often overlooked as a portion of the physical examination. However, a person's psychological well-being has much to do with physical health. The following guide to psychosocial assessment can be remembered by the acronym "SELF PACING". The findings from this assessment in addition to the physical findings will provide a comprehensive view of the patient's status. S - Self-Esteem: ...
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