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Uncategorized Published - 18 August, 2014    By - Dr. Clemens
Are a Third of Knee Replacements ‘Inappropriate?’

One third of total knee replacement surgeries in the United States may be “inappropriate,” according to an article published June 30 in Arthritis & Rheumatism. The findings point to the need for the development of consensus patient selection criteria for the surgery, the authors write. Daniel L. Riddle, PT, PhD, from the Department of Physical […]

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Uncategorized Published - 18 August, 2014    By - Dr. Clemens
Monoclonal Antibodies Promising for Migraine Prevention

There is growing anticipation in the headache community about the arrival of a variety of monoclonal antibodies that target the calcitonin gene-related peptide (CGRP) pathway to prevent migraine headaches. CGRP is involved in the pathophysiology of migraine. Levels of CGRP are elevated during migraine attacks and decrease with resolution of the attacks. Several pharmaceutical companies […]

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Uncategorized Published - 18 August, 2014    By - Dr. Clemens
Total knee replacements: A race to the bottom

A total knee replacement is a very common operation and more than 700,000 of them are performed each year in the United States. With a mean cost of about $16,000 each, in 2011 we spent over eleven billion dollars paying for knee replacements. Projections are that, by 2030, we’ll be doing 3.5 million per year. […]

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Uncategorized Published - 15 August, 2014    By - Dr. Clemens
Combination of lidocaine suppository and periprostatic nerve block during transrectal prostate biopsy: A prospective randomized trial

Published in Int J Urol. 2014 Jun 26. Authors: Lunacek A et al OBJECTIVE: To assess the most effective local analgesia during transrectal ultrasound-guided prostate biopsy. METHODS: A total of 123 consecutive patients undergoing transrectal ultrasound-guided prostate biopsy for elevated prostate-specific antigen levels and/or a suspicious digital rectal examination were randomized to three groups. Patients […]

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Uncategorized Published - 15 August, 2014    By - Dr. Clemens
Pain management following myringotomy and tube placement: intranasal dexmedetomidine versus intranasal fentanyl

Published in Int J Pediatr Otorhinolaryngol. 2014 Jul;78(7):1090-4 Authors: Dewhirst E et al PURPOSE: Despite the brevity of the procedure, bilateral myringotomy and tympanostomy tube placement (BMT) can result in significant postoperative pain and discomfort. As the procedure is frequently performed without intravenous access, non-parenteral routes of administration are frequently used for analgesia. The current […]

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