Monthly Archives: November 2012

Re-emergence of chikungunya infection in parts of India causes public health threat

Chikungunya virus, which can cause severe morbidity, has re-emerged in certain geographic regions of India. The rates of infection are highest in South India, moderate in the Western region, and uncommon in North India. Keys to diagnosis: Fever for up to 7 days Rashes, joint pain and swelling, vomiting, and… 

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Patient-reported severe hypoglycemia increases mortality risk

For the first time ever, a newly published retrospective study has established a significant correlation between patient-reported severe hypoglycemia and increased mortality in patients with diabetes. Key Point: Patients with diabetes who self-report severe episodes of hypoglycemia have a higher risk of mortality. It’s important to question them about hypoglycemic… 

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Posted in Diabetes, Non-Communicable Disease, Non-Communicable Disease Featured 2, Primary Care | Tagged , , , , , , , , , , , , | Leave a comment

An opinion on second opinions

When a patient says he or she wants to seek a second opinion from another physician, it’s natural to feel somewhat territorial or even offended. However, if you approach second opinions with the right mind set, they can be good for you and for your patients. They also can be… 

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Omega-3 fatty acid supplements do not lower risk of major cardiovascular outcomes

Various clinical guidelines and government bodies recommend supplementation with omega-3 fatty acid supplements for cardiovascular-related indications ranging from triglyceride lowering to cardiovascular risk modification to preventive treatment following myocardial infarction. However, despite popular belief and practice, a recently published systematic review and meta-analysis found that supplementation with omega-3 polyunsaturated fatty… 

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Posted in Cardiovascular, Nutrition, Nutrition Featured 2, Primary Care | Tagged , , , , , , , , , , , , , | Leave a comment

Study underscores need for stroke symptom screening in patients with diabetes

A recent population-based study found that it may be a good idea to routinely screen patients with diabetes for stroke symptoms. That’s because the analysis found that nearly 1 in 4 people with diabetes reported stroke symptoms—and the presence of these symptoms with no physician diagnosis of stroke have been… 

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How to set fees for your medical services that are ‘just right’

One of the great mysteries of medicine for patients is why doctors charge what they do. Some are amazed at the fact that bright young doctors are willing to work long hours for patients whom they do not know, for an income that is not bad, but that is much… 

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Vitamin D3 supplementation falls short in preventing upper respiratory tract infections

Vitamin D plays an important role in immune response, and it has been documented that vitamin D deficiency is common in the Indian population. However, a recent randomized, controlled study does not support vitamin D3 supplementation to prevent upper respiratory tract infections (URTIs) in healthy adults who have normal or… 

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