Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
Using an insulin pump takes special training and a commitment to overseeing its safe use. But with the right guidance, I think it can be safely used by more people -- including those classified as "at-risk" and "hard to serve" populations. (By saying "high risk" I'm referring to existing classifications of predominantly low income, urban populations with limited resources). I've seen articles extolling the benefits of pump use for adults and, more recently, for children. One similar theme in these articles is the person's commitment to pumping: their "readiness," "willingness," and (though not stated this way) their "qualifications." The most common selection criteria medical centers desire for insulin pump therapy are: high motivation with family support, willingness to do four to seven blood glucose tests a day and log the results, accurate and consistent carb counting and a good rel...
Definition Hemoglobin C disease is a blood disorder passed down through families. It leads to a type of anemia, which occurs when red blood cells break down earlier than normal. Alternative Names Clinical hemoglobin C Causes, incidence, and risk factors Hemoglobin C is an abnormal type of hemoglobin, the protein in red blood cells that carries oxygen. It is a type of hemoglobinopathy . The disease is caused by problem with a gene called beta globin. The disease most often occurs in African Americans. You are more likely to have hemoglobin C disease if someone in your family has had it.
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