Southern medical journal
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Many people feel that having a gun provides greater safety for them and their family. Actually, having a firearm in the home escalates the risk for death or injury, while using it to shoot someone who endangers the household is much less common. ⋯ Payment for these expenses is provided by higher insurance premiums and tax rates. This financial aspect has become a part of our country's current political concern over firearm ownership rights, gun violence or regulation, health care costs, the economy, and taxes.
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A healthy 33-year-old woman consumed a slimming product containing a mixture of herbal remedies without seeking medical advice. Two months later, the patient had hemorrhagic cystitis and discontinued the herbal product. Symptoms spontaneously remitted in a few days. ⋯ A urine culture test was negative, and the patient was advised to discontinue the herb intake. Again, the cystitis resolved within a week. The product involved contains a mixture of herbs, some of which have been associated with adverse effects that might account for the symptoms reported in this case.
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Southern medical journal · Jan 2010
ReviewThe continuation of oral medications with the initiation of insulin therapy in type 2 diabetes: a review of the evidence.
The combination of oral medications with insulin is inevitable in the treatment of type 2 diabetes. Unfortunately, there are no consensus statements available to guide the continuation or discontinuation of specific therapies. The clinician treating the type 2 diabetic patient must be aware of the literature regarding use of oral medications in combination with insulin.
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Southern medical journal · Jan 2010
ReviewCompression-caused peroneal neuropathy: commentary from a biopsychologist.
Compression is the most common cause of damage to the fibular head, the site of most peroneal nerve injuries which cause foot drop. Compression injuries can be caused by prolonged immobility and habitual leg-crossing. ⋯ Treatments for foot drop do not appear to be strongly scientifically based and they do not incorporate the use of sensory integration, specifically use of the visual sense, during rehabilitation. Finally, compression-caused foot drop may be preventable, a conclusion that could ultimately have important implications in the context of Medicare and Medicaid reimbursement.