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An online calculator that assesses patient-specific risk and guides surgical decision making changes the perceptions that surgeons have about operative risk, but not their decisions to recommend surgery, according to a randomized controlled trial. The surgical risk calculator developed by the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP), has a “high degree […]
Read MoreWhen compared with usual care, treatment of recent-onset low back pain (LBP) with early physical therapy resulted in a statistically significant improvement in disability, but the benefit was not clinically significant, according to results from a randomized clinical trial published in the October 13 issue of JAMA. Julie M. Fritz, PhD, PT, from the University of […]
Read MoreThe use of imaging for uncomplicated headache and cardiac stress imaging for low-risk patients has declined significantly during the last few years with the implementation of the American Board of Internal Medicine Foundation’s Choosing Wisely campaign. Launched in 2012, Choosing Wisely was designed to make physicians aware of commonly overused medical procedures by publishing lists […]
Read MoreTransfusion 2015 Oct 7. doi: 10.1111/trf.13366. Authors: Eichel Y et al BACKGROUND: Mutations of nonmuscle myosin heavy chain 9 (MYH9) gene are an autosomal dominant cause of inherited thrombocytopenia in children. MYH9 spectrum disorders include May-Hegglin anomaly and Sebastian, Fechtner, and Epstein syndromes. Patients with these disorders often present with macroplatelets and thrombocytopenia and have a mild […]
Read MoreReviewed By: Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California San Francisco An intra-articular corticosteroid injection into the temporomandibular joint (TMJ) provides pain relief for some patients with juvenile idiopathic arthritis (JIA) whose orofacial symptoms haven’t responded to other pain management strategies. Note that the study identified considerable variation in terms of […]
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