Author: Dr. Clemens

Uncategorized Published - 1 August, 2014    By - Dr. Clemens
Colon Cancer Survivors Are More Likely to Have Pain in Abdomen, Back

Patients with colon cancer experience abnormalities in processing chronic pain that increase their sensitisation to pain of any kind in the future. In addition, colon cancer survivors are more likely to suffer future lesions related with pain in the back and lower abdomen than healthy individuals of the same gender and age. In 2 articles […]

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Uncategorized Published - 31 July, 2014    By - Dr. Clemens
No Difference in Postoperative Pain After Arthroscopic versus Open Rotator Cuff Repair

Authors: Williams G et al Published in Clinical Orthopaedics and Related Research (Jun 2014) BACKGROUND Rotator cuff repair is a successful treatment in terms of patient satisfaction and pain relief regardless of the repair method. Although arthroscopic repair is commonly thought to be less painful than open or miniopen repair, studies disagree on this point. […]

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Uncategorized Published - 31 July, 2014    By - Dr. Clemens
5 Habits of People With Remarkable Willpower

Willpower is not something you either have or you don’t. Sure, some people may be more self-disciplined than you. Some people may be better at resisting temptation than you. But that’s probably not because they were born with some certain special something inside them–instead, they’ve found ways to store up their willpower and use it […]

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Uncategorized Published - 31 July, 2014    By - Dr. Clemens
No Effect of Acetaminophen in Acute Low Back Pain

The first randomized placebo-controlled trial of paracetamol (acetaminophen) for patients with acute low back pain has shown no effect of the drug on speed of recovery, pain, or many other factors associated with the condition. “The results suggest we need to reconsider the universal recommendation to provide paracetamol as a first-line treatment for low-back pain,” […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Intravascular Catheters Harbor Complex Microbial Communities

Authors: Zhang L et al., Eur J Clin Microbiol Infect Dis 2014 Jul 33:1189 A sensitive molecular method identified numerous bacterial species on intravascular catheters; most do not grow under standard culture conditions. Central venous catheters (CVCs) and arterial catheters (ACs) carry substantial risk for life-threatening infection. Early detection and appropriate treatment are important to […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Naloxegol Alleviates Opioid-Induced Constipation

Authors: Chey WD et al., N Engl J Med 2014 Jun 19; 370:2387 About eight patients had to be treated to benefit one. Binding of opioid drugs to intestinal μ-opioid receptors causes the troublesome side effect of constipation. In two identical randomized trials, industry-sponsored researchers have examined the efficacy of naloxegol (Movantik) — a μ-opioid–receptor […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Using the Post-Resuscitation ECG to Determine Need for Urgent PCI

Authors: Garcia-Tejada J et al., Resuscitation 2014 Jun 11; Patients with ST-segment elevation on post-arrest electrocardiogram were more likely to have acute coronary occlusion than those without it in a small study. Determining which patients will benefit from urgent percutaneous coronary intervention (PCI) after out-of-hospital cardiac arrest is not always straightforward. These researchers assessed whether […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Another Look at Noninvasive Continuous Arterial Pressure Monitoring

Authors: Weiss E et al., Br J Anaeth 2014 Jul 113:52 A new finger-cuff device might be useful as an early warning system for hemodynamic variability, but it is not a replacement for invasive monitoring. The Nexfin is a noninvasive finger-cuff device that uses photoplethysmographic technology to continuously measure arterial pressure. To compare Nexfin measurements […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
More Nurses and Better Nurse Education Lower Inpatient Mortality

Since this is involves surgery it is related to anesthesia so I wanted to share it with our readers. Authors: Aiken LH et al., Lancet 2014 May 24; 383:1824 Surgical patients in hospitals with better nurse-to-patient ratios and higher percentages of nurses with bachelor degrees are less likely to die within 30 days. In an […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Beware the Reimbursement Gap

If a patient doesn’t pay his health insurance premiums, the insurer doesn’t have to pay the provider for care rendered during the grace period. That means that up to two months of provider services may not be reimbursed. A little-known provision in the Patient Protection and Affordable Care Act could leave physicians holding the bag […]

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