http://www.doctorslounge.com/index.php/blogs/page/ en tamerfouad@hotmail.com Copyright 2009 2009-09-29T20:30:10+00:00 http://www.doctorslounge.com/index.php/blogs/page/300/ http://www.doctorslounge.com/index.php/blogs/page/300/#When:20:30:10Z Hematology, Bone Marrow Transplantation, Oncology, Pharmacy 2009-09-29T20:30:10+00:00 http://www.doctorslounge.com/index.php/blogs/page/298/ http://www.doctorslounge.com/index.php/blogs/page/298/#When:13:38:57Z Aspirin use can decrease the risk of colorectal adenomas.  Full-dose, but not low-dose, aspirin may decrease the risk of developing colorectal cancer.  Whether or not aspirin use can favorably augment survival in patients diagnosed with colorectal cancer is uncertain.  Data to date in the literature raises intriguing concepts that targeting cyclooxygensae-2 (COX-2), which is overexpressed in up to 80-85% of colorectal cancers, may improve cancer-specific survival.  Aspirin, COX-2 selective inhibitors (such as celecoxib), and nonselective NSAIDs are possible therapeutic agents.  Prospective, randomized trials are needed to more definitively answer the questions of efficacy and safety. Gastroenterology, Oncology, Pharmacy 2009-09-12T13:38:57+00:00 http://www.doctorslounge.com/index.php/blogs/page/297/ http://www.doctorslounge.com/index.php/blogs/page/297/#When:15:57:32Z Barrios et al review the current options available in the management of estrogen receptor positive (ER-positive) advanced breast cancer, with special emphasis on the role of chemotherapy in this category of patients. The authors identify a group of patients with advanced breast cancer and poor prognostic features that can still benefit from endocrine therapy. Gynecology, Oncology 2009-09-03T15:57:32+00:00 http://www.doctorslounge.com/index.php/blogs/page/295/ http://www.doctorslounge.com/index.php/blogs/page/295/#When:02:18:30Z With many recent changes in residency requirements, one must wonder how effective our residency training system is.  Are residents still learning the required information to perform well?  Is the new system just as good as the old but in a "kinder" way?  Ultimately, time will tell; however, for successful residency programs ongoing evaluation and resulting changes will be needed to ensure that the newly imposed limitations don't end up sacrificing quality at the expense of meeting these new requirements. Internal Medicine, Medical Students, Pediatrics 2009-08-27T02:18:30+00:00 http://www.doctorslounge.com/index.php/blogs/page/287/ http://www.doctorslounge.com/index.php/blogs/page/287/#When:12:26:12Z Patellafemoral Sydrome usually involves abnormal alignment of the knee or patella and excessive pull or imbalance of certain muscles around the knee. Therefore, it is important to evaluate certain biomechanical elements of the lower extremity. In addition to testing for range of motion and strength, the examiner must also consider a series of special tests that will give the clinician a clearer idea of what needs to be corrected during the patient's rehabilitation. Orthopedics, Physiotherapy, Rheumatology, Sports Medicine 2009-08-12T12:26:12+00:00 http://www.doctorslounge.com/index.php/blogs/page/154/ http://www.doctorslounge.com/index.php/blogs/page/154/#When:13:54:40Z Heparin induced thrombocytopenia (HIT) is a severe immune reaction to heparin. Heparin is the most common prescribed anticoagulant in the United States. HIT is a potentially fatal condition it can lead to amputation and loss of limbs; it is more common than health care professionals are aware of. Family Medicine, Hematology, Nursing 2009-07-10T13:54:40+00:00 http://www.doctorslounge.com/index.php/blogs/page/153/ http://www.doctorslounge.com/index.php/blogs/page/153/#When:13:45:27Z As our healthcare crisis continues to rise there is an increase in the population who are finding difficulty in accessing healthcare. Family Medicine, Nursing 2009-03-02T13:45:27+00:00 http://www.doctorslounge.com/index.php/blogs/page/152/ http://www.doctorslounge.com/index.php/blogs/page/152/#When:13:38:46Z This article is in response to an announcement by researchers quoted in many UK publications this week, stating that the class of anti-depressants known as SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors) are no more effective than placebos. I looked at the NHS (National Health Services) website to get more information about this new research, and found that this was a systematic review of studies previously done on these medicines. It was not a randomized controlled trial (RCT) in and of itself, which is the "gold standard" for scientific research; it was, basically, a book report. Pharmacy, Psychiatry 2008-07-27T13:38:46+00:00 http://www.doctorslounge.com/index.php/blogs/page/150/ http://www.doctorslounge.com/index.php/blogs/page/150/#When:13:20:39Z It has been documented that obesity in an expectant mother negatively affects her pregnancy. This can begin even before conception since infertility is a frequent problem associated with excess weight. In addition, pregnancy in an obese woman tends to place her at higher risk than others of normal weight for problems such as diabetes, high blood pressure and mobility limitations. Gynecology, Internal Medicine, Nutrition, Nursing, Surgery 2007-11-20T13:20:39+00:00 http://www.doctorslounge.com/index.php/blogs/page/83/ http://www.doctorslounge.com/index.php/blogs/page/83/#When:22:22:40Z Chest pain is one of the common complaints heard in medical OPDs as well as at the GP's clinic. Chest pain causes a lot of anxiety in the patient as it is many a time related to "heart attack" or angina and people are quite aware of the serious consequences of the symptom. Cardiology 2006-05-26T22:22:40+00:00 http://www.doctorslounge.com/index.php/blogs/page/149/ http://www.doctorslounge.com/index.php/blogs/page/149/#When:13:16:30Z According to recent estimates, hepatitis has become a worldwide health problem, affecting millions of people in the U.S. and abroad. Gastroenterology, Hepatology, Pharmacy 2006-05-26T13:16:30+00:00 http://www.doctorslounge.com/index.php/blogs/page/151/ http://www.doctorslounge.com/index.php/blogs/page/151/#When:13:30:27Z Diabetes has become the most common single cause of end-stage renal disease (ESRD) in the United States and worldwide. This is due to the fact that diabetes, in particular type 2 diabetes, is increasing in prevalence and patients with diabetes are living longer. Endocrinology, Diabetes, Nephrology 2006-03-15T13:30:27+00:00 http://www.doctorslounge.com/index.php/blogs/page/148/ http://www.doctorslounge.com/index.php/blogs/page/148/#When:13:05:32Z Diabetes mellitus is a chronic disease caused by an inherited and/or acquired deficiency in production of insulin by the pancreas, or by ineffectiveness of the insulin produced. Such a deficiency results in increased concentrations of glucose in the blood, which in turn can damage many of the body's systems, in particular the blood vessels and nerves. Endocrinology, Diabetes, Pharmacy 2003-07-01T13:05:32+00:00 http://www.doctorslounge.com/index.php/blogs/page/296/ http://www.doctorslounge.com/index.php/blogs/page/296/#When:13:50:16Z Assisted reproductive technology (ART) is probably one of the most studied medical procedures from the moral point of view. Gamete micromanipulation involves new possibilities as well as new challenges. Gynecology, Internal Medicine, Reproductive Medicine, Fertility 2002-03-28T13:50:16+00:00 http://www.doctorslounge.com/index.php/blogs/page/82/ http://www.doctorslounge.com/index.php/blogs/page/82/#When:09:06:06Z Percutaneous in-situ coronary venous arterialization (PICVA) is gaining alot of attention recently. Especially after its initial success in saving the life of a patient suffering from cardiac infarction who was not candidate for CABG. However, as successful and promising as everything may seem it is way too early to decide whether it shows a survival benefit over traditional CABG. Cardiology, Internal Medicine, Critical Care 2001-05-12T09:06:06+00:00