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Uncategorized Published - 15 February, 2017    By - Dr Clemens
ACP Guideline: Start with Nonpharmacologic Treatments for Low Back Pain

Edited by David G. Fairchild, MD, MPH The American College of Physicians now recommends nonpharmacologic therapies — including superficial heat, massage, acupuncture, and spinal manipulation — as first-line treatment for patients with acute or subacute low back pain (lasting 12 weeks or less). The new guideline, published in the Annals of Internal Medicine, is a major change […]

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Uncategorized Published - 15 February, 2017    By - Dr Clemens
Association of the Hospital Volume of Frail Surgical Patients Cared for with Outcomes after Elective, Major Noncardiac Surgery: A Retrospective Population-based Cohort Study

Authors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology published on February 9, 2017 Background: Frailty is a risk factor for adverse postoperative outcomes. Hospitals that perform higher volumes of surgery have better outcomes than low-volume providers. We hypothesized that frail patients undergoing elective surgery at hospitals that cared for a higher volume of similarly frail […]

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Uncategorized Published - 15 February, 2017    By - Dr Clemens
Undetected Pain Common in Teens With Eating Disorders

Although eating disorders and chronic pain may occur with comparable severity, eating disorders tend to go undetected for twice as long in adolescents who are also experiencing chronic pain, perhaps compromising effective treatment. With Leslie A. Sim, PhD, LP and commentary by Alix Timko, PhD Adolescents who present with chronic pain may also have an […]

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Uncategorized Published - 15 February, 2017    By - Dr Clemens
Migraine and Risk for Perioperative Ischemic Stroke

Authors: Timm FP et al., BMJ 2017 Jan 10; 356:i6635 Surgical patients with migraine, particularly those with aura, are at increased risk for perioperative ischemic stroke and postsurgical 30-day hospital readmission. To explore the association of migraine with perioperative stroke and 30-day hospital readmission, investigators reviewed prospective hospital registry data for all patients who underwent surgery under […]

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Uncategorized Published - 14 February, 2017    By - Dr Clemens
A Case Report From the Anesthesia Incident Reporting System

ASA Monitor 02 2017, Vol.81, 42-43. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]

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