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Migraine and vascular disease

In the linked paper (doi:10.1136/bmj.i2610), Kurth and colleagues examine the link between migraine and cardiovascular events by using data from the Nurses’ Health Study II. The study followed a large cohort of female nurses for more than 20 years, 17 531 of whom reported a physician’s diagnosis of migraine at baseline. When compared with participants without migraine, those with migraine had an elevated risk of myocardial infarction, angina, or coronary revascularization and of cardiovascular mortality. Their relative risk for the combined outcome of all those events or stroke was roughly 50% higher than that for women without migraine, an effect that was not modified by age.1  
feeds.bmj.com
over 3 years ago
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Édouard Séguin - Wikipedia, the free encyclopedia

Édouard Séguin (January 20, 1812 – October 28, 1880) was a physician and educationist born in Clamecy, Nièvre, France. He is remembered for his work with children having cognitive impairments in France and the United States.  
en.wikipedia.org
over 3 years ago
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Jean Marc Gaspard Itard - Wikipedia, the free encyclopedia

Jean Marc Gaspard Itard (24 April 1774, Oraison, Alpes-de-Haute-Provence – 5 July 1838, Paris) was a French physician born in Provence.[1]  
en.wikipedia.org
over 3 years ago
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Victor of Aveyron - Wikipedia, the free encyclopedia

Victor of Aveyron (c. 1788 – 1828) was a French feral child who was found at the age of around twelve (he was going through puberty, and the doctors could only assume his age at the time). Upon his discovery, he was given many people to stay with, running away from civilization around eight times. Eventually, his case was taken up by a young physician, Jean Marc Gaspard Itard, who worked with the boy for five years and gave him his name, Victor. Itard was interested in determining what Victor could learn. He devised procedures to teach the boy words and recorded his progress. Based on his work with Victor, Itard broke new ground in the education of the developmentally delayed.  
en.wikipedia.org
over 3 years ago
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Choosing a Business Model: Direct Primary Care

This third installment in a series exploring the various business models available to young physicians examines what you need to know about direct primary care.  
medscape.com
over 3 years ago
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SGEM#155: Girls Just Want To Have Fun – Not Appendicitis

Guest Skeptics:  Dr. Anthony Crocco is a Pediatric Emergency Physician and is the Medical Director & Division Head of the Division of Pediatric Emergency at McMaster’s Children’s Hospital. He is the creator of SketchyEBM.  
thesgem.com
over 3 years ago
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Controversies of Thrombolytics for Pulmonary Embolism - emdocs

Pulmonary embolism (PE) is a disease process associated with significant morbidity and mortality. The benefits of thrombolytics for massive PE has been established in the literature. But what does the evidence say about the use of thrombolytics for submassive PE? What are the current guidelines and recommendations? As emergency physicians how should we apply the current evidence for the use of thrombolytics in submassive PE?   
emdocs.net
over 3 years ago
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Diagnosis and Management of Community-Acquired Pneumonia in Adults - American Family Physician

Community-acquired pneumonia is diagnosed by clinical features (e.g., cough, fever, pleuritic chest pain) and by lung imaging, usually an infiltrate seen on chest radiography. Initial evaluation should determine the need for hospitalization versus outpatient management using validated mortality or severity prediction scores. Selected diagnostic laboratory testing, such as sputum and blood cultures, is indicated for inpatients with severe illness but is rarely useful for outpatients. Initial outpatient therapy should include a macrolide or doxycycline. For outpatients with comorbidities or who have used antibiotics within the previous three months, a respiratory fluoroquinolone (levofloxacin, gemifloxacin, or moxifloxacin), or an oral beta-lactam antibiotic plus a macrolide should be used. Inpatients not admitted to an intensive care unit should receive a respiratory fluoroquinolone, or a beta-lactam antibiotic plus a macrolide. Patients with severe community-acquired pneumonia or who are admitted to the intensive care unit should be treated with a beta-lactam antibiotic, plus azithromycin or a respiratory fluoroquinolone. Those with risk factors for Pseudomonas should be treated with a beta-lactam antibiotic (piperacillin/tazobactam, imipenem/cilastatin, meropenem, doripenem, or cefepime), plus an aminoglycoside and azithromycin or an antipseudomonal fluoroquinolone (levofloxacin or ciprofloxacin). Those with risk factors for methicillin-resistant Staphylococcus aureus should be given vancomycin or linezolid. Hospitalized patients may be switched from intravenous to oral antibiotics after they have clinical improvement and are able to tolerate oral medications, typically in the first three days. Adherence to the Infectious Diseases Society of America/American Thoracic Society guidelines for the management of community-acquired pneumonia has been shown to improve patient outcomes. Physicians should promote pneumococcal and influenza vaccination as a means to prevent community-acquired pneumonia and pneumococcal bacteremia.  
aafp.org
over 3 years ago
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Chemical (Alkali and Acid) Injury of the Conjunctiva and Cornea - EyeWiki

EyeWiki, the Eye Encyclopedia written by Eye Physicians & Surgeons.  
eyewiki.aao.org
over 3 years ago
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Morphing the Recalcitrant Clinician - Imogen Mitchell - Intensive Care Network

Mitchell talks us through the steps to engage the reluctant physician when implementing change in Morphing the Recalcitrant Clinician.  
intensivecarenetwork.com
over 3 years ago
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Traversing Transverse Myelitis - emdocs

We all place transverse myelitis on our broad differential of acute and dangerous causes of back pain in the emergency department. However, given the rarity of this condition and the rarity of when we make the diagnosis even when present, let's take a deeper look into this condition and determine what the emergency physician must know.  
emdocs.net
over 3 years ago
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Turning Patient-Generated Data Into Meaningful Clinical Information

Algorithms hold the promise of turning vast stores of real-time patient health data into clinically relevant information for physicians and patients.  
medscape.com
over 3 years ago
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Managing Mixed Depression: From Kraepelin to DSM-5 and Beyond CME

This activity has been designed to meet the educational needs of physicians, physician assistants, nurse practitioners, pharmacists, registered nurses, psychologists, social workers, and other healthcare professionals who treat patients with psychiatric illnesses.  
medscape.org
over 3 years ago
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Are All Relationships With Industry Inherently Bad?

Is the growing backlash that physicians and trialists face in their relationships with industry warranted in all cases?  
medscape.com
over 3 years ago
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VA Plan for Independent Advanced RNs Riles Physicians

Proposed regulations would let advanced practice nurses work without physician oversight at VA facilities regardless of state law. Anesthesiologists in particular are steamed.  
medscape.com
over 3 years ago
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Tardive Dyskinesia (TD) Revisited: What's New? CME

This activity has been designed to meet the educational needs of physicians, physician assistants, nurse practitioners, pharmacists, registered nurses, psychologists, social workers, and other healthcare professionals who treat patients with psychiatric illnesses.  
medscape.org
over 3 years ago
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Finding Hope Where There Is None

All physicians have difficult cases, but some are more emotionally involved and memorable than others.  
medscape.com
over 3 years ago
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AAP Calls for a Full-time Nurse in Every School

Nurses should team up with a physician in every district, the policy paper adds. Medical, legal, and societal needs call for highlighting the school nurse role to improve health and school attendance.  
medscape.com
over 3 years ago
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Healers in Need of Healing Cannot Heal

The 'triple aim'--improving outcomes and population health while reducing costs--is the Holy Grail of healthcare. But how can we achieve this without first concentrating on the needs of physicians?  
medscape.com
over 3 years ago
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Should Physicians Disobey?

Can disobedience become a strategy to overcome the growing number of non-evidence-based mandates from executives of insurance companies and government?  
medscape.com
over 3 years ago