Comprehensive therapy
-
Comprehensive therapy · Jan 2008
Historical ArticleA brief history of scientific geriatric cardiology.
Comprehensive therapists need awareness of the long period of neglect of the elderly cardiac patient, its improvement in the last third of a century, and a look to the future.
-
The rationale for thromboprophylaxis is based on the high prevalence of venous thromboembolism (VTE). Use of effective methods of prophylaxis is more cost-effective and is safer than selective, intensive screening for VTE. These therapeutic options will be discussed.
-
Comprehensive therapy · Jan 2007
Health-seeking behaviors and sexually transmitted diseases among adolescents attending an urban pediatric emergency department.
Adolescents are often seen in Emergency departments (ED) for urgent care. Rates of treatable sexually transmitted diseases (Neisseria gonorrhoeae and Chlamydia trachomatis) are highest in this age group. This study examines the prevalence of these sexually transmitted diseases (STDs) and the health seeking characteristics of adolescents presenting to an urban pediatric ED. ⋯ This study confirms a high prevalence of treatable STDs among adolescents in an urban ED setting and provides information on frequency of ED usage and health-seeking behaviors among adolescents.
-
Comprehensive therapy · Jan 2007
Case ReportsA man with tropical travel history, fever, and pulmonary infiltrates.
Acute Respiratory Distress Syndrome (ARDS) are one of the most serious complications of falciparum malaria. Pathogenesis of ARDS along with factors contributing towards the development and treatment of ARDS is discussed.
-
Comprehensive therapy · Jan 2006
ReviewTreatment of heart failure with decreased left ventricular ejection fraction.
Class I recommendations for treating patients with current or prior symptoms of heart failure with reduced left ventricular ejection fraction (LVEF) include using diuretics and salt restriction in individuals with fluid retention. Use angiotensin-converting enzyme (ACE) inhibitors, beta blockers, and angiotensin II receptor blockers if intolerant to ACE inhibitors because of cough or angioneurotic edema. Nonsteroidal anti-inflammatory drugs, most antiarrhythmic drugs, and calcium channel blockers should be avoided or withdrawn. ⋯ ICD is indicated in patients with ischemic heart disease for at least 40 d post-myocardial infarction or nonischemic cardiomyopathy, an LVEF of 30% or less, New York Heart Association (NYHA) class II or III symptoms on optimal medical therapy, and an expectation of survival of at least 1 yr. Cardiac resynchronization therapy should be used in individuals with an LVEF of 35% or below, NYHA class III or IV symptoms despite optimal therapy, and a QRS duration greater than 120 ms. An aldosterone antagonist can be added in selected patients with moderately severe to severe symptoms of heart failure who can be carefully monitored for renal function and potassium concentration (serum creatinine should be